Volume 20 - Issue 9 - September 2007
News and Trends »
Podiatric surgery can carry inherent risks including the possibility of perioperative infection. A recent article in the Journal of Bone and Joint Surgery (JBJS) offers several pertinent recommendations that aim to prevent some of the reported 780,000 surgical site infections that occur every year in the United States, according to the study authors.
Although they acknowledge that preoperative antibiotics are associated with lower rates of surgical site infections, the authors of the JBJS article say surgeons should continue antibiotics for no more than 24 hours afte
Surgical Pearls »
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 »
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 »
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
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.
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,
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