Volume 21 - Issue 7 - July 2008

Feature »

What You Should Know About Biofilms And Chronic Wounds

Guy Pupp, DPM, FACFAS, and Channa Williams, DPM | 17160 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



Wound Care Q&A »

What You Should Know About Potentially Malignant Wounds

Clinical Editor: Lawrence Karlock, DPM | 8903 reads | 0 comments

Even if a wound appears to be benign, one must obviously be vigilant against the possibility of malignancy. These expert panelists discuss identifying malignant wounds, taking biopsies and when one might consider an amputation.

Q: What clinical insights lead you to suspect that a lower extremity wound may have an underlying malignancy?

A: M. Joel Morse, DPM, suspects malignancy if a wound does not look like it should. For example, if a neuropathic wound does not behave like it should with offloading, one should suspect melanoma. If a wound sh



Technology In Practice »

Oak Extract Is Key Ingredient In Wound Dressing

Robi Garthwait, Contributing Editor | 6189 reads | 0 comments

Can the natural oak extract Oakinenhance the healing properties of a wound dressing? AmeriGel Wound Dressing (AmerX Health Care), which contains Oakin, has received high marks from podiatrists for its ability to promote healing, especially following nail surgeries.
The company notes that AmeriGel Wound Dressing reduces wound bioburden through its antimicrobial and antifungal properties, and assists in debridement. The dressing also reportedly balances the mix of matrix metalloproteinases (MMPs) and tissue inhibitory matrix proteins (TIMPs) in the wound matrix



New Products »

Cool Cover

3114 reads | 0 comments

Cool Cover

A new bootie can offer cold therapy for patients suffering from various conditions.
The NatraCare Cold Therapy Bootie has three pockets that allow patients to place cold packs around the heel, ball of the foot or the top of the feet, according to the manufacturer GelSmart/ PediFix.
The company says the booties can help ease chronic heel pain, Achilles tendonitis and low ankle sprains. In addition, patients can get relief from inflammation due to arthritis and strains from minor sports injuries. The company says patients can refrigerate



Continuing Education »

How To Address Puncture Wounds

Barry Rosenblum, DPM, Drew Taft, DPM, and Kevin Riemer, DPM | 1984 reads | 0 comments

Please click here for the full Continuing Medical Education article:

http://www.naccme.com/program/pd-2008-7/

Given the challenges of treating puncture wounds, these authors emphasize a thorough diagnostic work-up, review pertinent guidelines and explore current concepts on the use of prophylactic antibiotics.



Feature »

A Closer Look At The Research On Bilayered Living Cell Therapy

George Liu, DPM, FACFAS, and John Steinberg, DPM, FACFAS | 19804 reads | 0 comments

   

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



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