Volume 21 - Issue 7 - July 2008

Wound Care Q&A »

What You Should Know About Potentially Malignant Wounds

Clinical Editor: Lawrence Karlock, DPM | 8928 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 | 6218 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

3115 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 | 1986 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 | 19841 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



Letters »

Weighing In On The Evidenced-Based Medicine Debate

2047 reads | 0 comments

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



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