Volume 20 - Issue 9 - September 2007

Surgical Pearls »

Key Insights On Using VAC Therapy For Post-Op Wound Management

By Luis Leal, DPM | 14448 reads | 0 comments

Vacuum Assisted Closure (VAC) is one of our greatest tools in managing large as well as deep wounds. It crosses multiple surgical disciplines and is applicable to virtually all anatomical sites. This technology has revolutionized limb salvage surgery and has prevented untold numbers of amputations. There is an exciting growth curve with the use of this technology. Surgeons can modify the technology to aid in the closure of a multitude of wound scenarios.

In the course of utilizing VAC therapy (KCI), one must be cognizant of adjacent tissue and protect it from the deleterious effects of negat

Treatment Dilemmas »

Key Insights On Treating Early Adult-Acquired Flatfoot Deformity

By Bora Rhim, DPM, and Babak Baravarian, DPM | 11294 reads | 0 comments

When a patient presents to the office complaining of medial ankle pain, one should consider several differential diagnoses. These include an ankle sprain, posterior tibialis or flexor digitorum longus tenosynovitis, a rupture or tarsal tunnel syndrome.

New Products »

Harnessing The Power Of Silver

1504 reads | 0 comments

A new dressing utilizes the healing power of silver to combat post-op infections.

Acticoat™ Post-Op can help fight the risk of infection after orthopedic, soft tissue and other surgical procedures, according to the manufacturer Smith and Nephew.

The company notes the tri-laminate dressing consists of a perforated Silcryst™ nanocrystalline silver wound contact layer, an absorbent hydrocellular foam layer and a transparent, waterproof adhesive top film, IV 3000™.

Further, the company says Acticoat has activity against methicillin-resista

Forum »

Offering A Few Opinions On Post-Op Second Opinions

By John H. McCord, DPM | 2360 reads | 0 comments

Second opinions were easy when I started my practice 32 years ago. There was an ancient orthopedic surgeon (who also did gallbladders and hysterectomies). He always tried to steal my patients who came to him for a second opinion. The tremors in his hands tended to scare the patients back to me.

There were two young orthopedic surgeons who would say, “We can do a good job for you but McCord is as good as we are, but not better.” This mixed message always left them confused and they generally returned to me. There were no other podiatrists within 30 miles.

Feature »

Steroid Injections: Are They Overutilized In Athletes?

Moderator: Douglas Richie Jr., DPM Panelists: James Losito, DPM, Mike Lowe, DPM,Stephen Pribut, DPM, and Amol Saxena, DPM | 12311 reads | 1 comments

When treating athletes, podiatrists may use corticosteroid injections to treat various conditions. However, are such injections overutilized in athletes? Here is what our expert panelists have to say about what factors to consider in using injectable steroids, differences in treating athletes and non-athletes, and the type of steroids to use.

Q: When treating an athlete, which condition are you most likely to treat with corticosteroid injection?
A: Mike Lowe, DPM, and Amol Saxena, DPM, both use corticosteroid injections for neuromas. As Dr. Lowe notes,

Feature »

How To Address Sesamoids in Hallux Valgus Surgery

By Trenton K. Statler, DPM | 19978 reads | 0 comments

The surgical correction of hallux valgus (aka bunion) is one of the most common operations a foot and ankle surgeon will face. With over 130 procedures described to date, no one procedure has proven to be the definitive solution for every bunion situation. However, the common denominators for success remain osseous realignment and soft tissue balancing. The location of the sesamoid complex in relationship to the first metatarsal plays an integral part in determining whether one has achieved this realignment and balancing act.

The exact etiology of hallux valgus still remains rather controve