Volume 21 - Issue 7 - July 2008
Diabetic foot ulcers are among the many complications encountered with poorly controlled diabetes mellitus. Approximately 15 percent of all patients with diabetes will experience an ulcer in their lifetimes.1,2 Additionally, 85 percent of all nontraumatic lower extremity amputations are preceded by a preventable ulceration.3,4
Diabetic foot ulcerations pose a considerable economic burden. In 1995, Medicare spent $1.5 billion on diabetic lower extremity ulcers.5 One retrospective analysis found that foot ulc
I have just finished reading the article, “EBM: Can It Be A Reality In Practice?” (see page 38 in the May issue).
I acknowledge and understand the viewpoints presented in the article.
However, if we all waited for articles to be peer reviewed before trying a new treatment, how would this help patients currently? When a new technology or modality appears, and it is presented in a journal that is not peer reviewed, should we be skeptical of using the modality on our patients?
Someone has to take the initiative to try the new product and report back to
Our contemporary knowledge and critical limb ischemia (CLI) tools have allowed us to dispel many myths regarding the endovascular treatments of lower extremity disease and CLI. These tools are not perfect but they have greatly improved over the last decade and certainly over the last two to three years. One of the biggest complaints I hear from podiatrists is “the surgeons and interventionalists in my area do not believe these things work.” Accordingly, let us take a closer look at some of these myths and the corresponding realities.
Myth: Most CLI patien
Diabetes Watch »
Peripheral arterial disease (PAD) is a very common condition that affects 20 to 30 percent of patients over 50 years of age, equating to an estimated 10 million Americans. As the population ages, the incidence of PAD will likely increase dramatically.1
Intermittent claudication is a symptom among patients with PAD and one can use the presence of these symptoms as a diagnostic tool.2 True claudication is an aching or cramping within the muscles in the involved extremity that is exertion-related, relieved by rest and occurs at a relatively constant walking
Treatment Dilemmas »
Bunion surgery is perhaps the most common procedure we perform in podiatry. Since bunions come in all shapes and sizes, several different types of procedures have emerged along with various refinements over the years.
Accordingly, let us take a closer look at what makes these procedures work well. Conversely, we need to ask some tough questions.Why do some bunion surgeries fail? Why do some people seem to recover better than others? How can we minimize poor outcomes? Our group has been involved in many revision bunion surgeries so there is a certain level of failures and compl
Surgical Pearls »
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
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