Volume 20 - Issue 11 - November 2007

Technology In Practice »

Facilitating Healing In A Variety Of Lower Extremity Wounds

By Aaron Becker, Special Projects Editor | 2530 reads | 0 comments

Ocean Aid Spray, which recently garnered the American Podiatric Medical Association Seal of Approval, offers a wound care solution that combines an enzymatic debridement therapy with all-natural elements to help protect and nourish cells.

The spray uses a combination of reverse osmosis filtered water, coral reef salt and lysozyme to reduce wound healing time by almost 50 percent, according to Ocean Aid, the manufacturer of the product.

Ocean Aid cites the inclusion of lysozyme as essential to the product’s ability to facilitate wound healing. Lysozyme is a nat



New Products »

Simplifying Silver

1566 reads | 0 comments

Healing wounds with silver is a tried and true practice, and a new product makes silver use simpler.

Allevyn™ Ag Silver Wound Dressings are composed of hydrocellular foam and are part of a line of products that manage fluids and have moisture balance, according to the manufacturer Smith and Nephew.

The company notes the dressings have a seven-day wear time. During this time, the dressings release silver in a sustained fashion and provide bactericidal protection against methicillin-resistant Staphylococcus aureus and Pseudomonas aeruginosa, according to the company.



Forum »

Passing The Torch To A New Partner

By John H. McCord, DPM | 1893 reads | 0 comments

I am going through an interesting phase of my career as a podiatrist. I am trying to find a replacement for myself when I walk out the back door December 31, 2008. I plan to throw the keys to the office behind me and lock myself out. My license expires that day. This day also marks my 62nd birthday. I do not plan to dabble in podiatry until I get old(er) and feeble.

Replacing me is an interesting challenge. I advertised the job of an associate for my partner, who will be taking over the practice. Seven well qualified young podiatrists applied. They have all had or are completing thr



Diabetes Watch »

Tendo-Achilles Lengthening: Friend Or Foe In The Diabetic Foot?

By Paul J. Kim, DPM, Clinical Editor: John S. Steinberg, DPM | 23001 reads | 0 comments

While various researchers have implicated the equinus deformity as a major deforming force in a host of foot and ankle pathologies, the exact definition of equinus remains unclear.1-4 However, Root states that “the minimal range of ankle joint dorsiflexion that is necessary for normal locomotion is 10 degrees.”5 Subsequent studies report that the ankle joint range of motion for asymptomatic patients ranges from 0 to 13.1 degrees with the knee extended and from 5 to 22.3 degrees with the knee flexed.6-9

The implication from these studies and



Wound Care Q&A »

Expert Insights On Managing Traumatic Wounds

Clinical Editor: Lawrence Karlock, DPM | 38410 reads | 0 comments

Important questions arise when traumatic wounds occur in the lower extremity. Accordingly, our expert panelists address key considerations in the initial evaluation and when one should consider an amputation. They also explore the use of soft tissue coverage, skin substitutes and topical dressings with traumatic wounds.

Q: What protocol/triage steps do you utilize in the initial evaluation of a traumatic wound?
A:
For a patient with extreme pain and a traumatic wound that requires immediate surgical debridement, Molly Judge, DPM, says pain management and a



Surgical Pearls »

Can A New Nail Trephination Device Help Treat Nail Conditions?

By Andreas Boker, MD; Clinical Editor: Jesse Burks, DPM | 17852 reads | 0 comments

The fully keratinized, thick multilayered structure of the nail plate presents a formidable barrier to nail bed access. This limits the options for treatment of nail diseases such as onychomycosis and subungual hematoma from nail trauma. Until recently, clinicians considered nail removal as an option for formal repair of the nail bed for subungual hematomas involving large regions of the nail bed.1

Penetration enhancing formulations have aided the delivery of molecules to the nail bed through the impermeable nail plate.2 Researchers have used a carbon diox



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