Volume 21 - Issue 7 - July 2008

Surgical Pearls »

Can Calcium Phosphate Bone Cement Aid In Hallux Valgus Repair?

Kerry Zang, DPM | 18108 reads | 0 comments

Over the years, hallux valgus repair has evolved from simple bunionectomies to complex and multiple osteotomies. The keys to a successful outcome are the realignment of the structural abnormalities and a stable postoperative environment.The former is important for proper function and the latter facilitates the healing process.
With this in mind, let us take a closer look at the potential benefits of utilizing calcium phosphate bone cement (OsteoVation, OsteoMed Corp.) for filling voids in metatarsal osteotomy-type bunionectomies to achieve a favorable surgica



Feature »

Secrets To Motivating Your Staff

Lynn Homisak, PRT | 5514 reads | 0 comments

Motivation does not always come wrapped in a dollar bill.Yet whenever the topic of “staff incentive” comes up, so does the topic of money. Even though I try to emphasize that it takes more than cold hard cash to incentivize staff, far too many physicians are unable to grasp this notion and keep reverting back to the bankroll in an effort to “buy” their staff ’s enthusiasm.
One survey, conducted by the late Kenneth Kovach, PhD, of the University of Maryland, found a significant disconnect between what employees actually want from a job and what man



Feature »

Point-Counterpoint: Extracellular Matrices: Are They Worth It?

Steven R. Kravitz, DPM, Khurram Khan, DPM, and Lawrence Harkless, DPM | 10079 reads | 0 comments

Yes. By Dr. Steven R. Kravitz, DPM. This author says podiatrists should consider extracellular matrix enhancement for chronic, complex wounds that do not respond to standard of care therapy.

Over the past 10 years, there have been paradigm shifts in intervention for chronic non-healing wounds. There has been an increased emphasis on moist wound healing,wound bed preparation and managing the wound microenvironment through bone factor enhancement, matrix metalloprotease (MMP) management and bioload reduction.
There has also been a new emphasis on e



News and Trends »

CDC Looks At Exercise Limitations Among People With Diabetes And Arthritis

Brian McCurdy, Senior Editor | 4771 reads | 0 comments

Getting patients with diabetes to exercise may be an uphill battle due to disease concerns. The combination of arthritis with diabetes can be an additional barrier to activity, according to a large survey conducted by the Centers for Disease Control and Prevention (CDC).
The CDC utilized 2005 and 2007 data from the Behavioral Risk Factor Surveillance System (BRFSS), which surveyed hundreds of thousands of people across the United States and its territories. The BRFSS survey indicated that the prevalence of arthritis in adults diagnosed with diabetes was 52 percent. Furthermore



Feature »

A Guide To Current And Emerging Antibiotics For MRSA

Eliza Addis-Thomas, DPM, Jon Key, DPM, FACFAS and Peter A. Blume, DPM, FACFAS | 60371 reads | 0 comments

Staphylococcus aureus is a common pathogen that can result in everything from minor skin infections to osteomyelitis, bacteremia, endocarditis and pneumonia.1 In podiatry, infections with Staphylococcus aureus, especially methicillinresistant Staphylococcus aureus (MRSA), are something physicians see on a daily basis.
In a study determining the prevalence of MRSA in infected and uninfected diabetic foot ulcers, 61 percent of infected diabetic foot ulcers were infected with MRSA.2 With the emergence of multi-drug resistant St



Feature »

What You Should Know About Biofilms And Chronic Wounds

Guy Pupp, DPM, FACFAS, and Channa Williams, DPM | 17665 reads | 0 comments

Biofilms reportedly cause an estimated 1 million nosocomial infections each year in the United States.1 Surgically, these microorganisms may cause abscesses, prosthetic failure and osteomyelitis. These complications may require surgical excision of the infected prosthesis and underlying soft tissue along with reconstruction of the affected part.
Understanding the nature of biofilms through research and clinical experience is key to providing the appropriate treatment. Moreover, such treatment and prevention may even lead to the eradication of serious, chronic illnesse



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