Volume 21 - Issue 7 - July 2008

Feature »

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

Steven R. Kravitz, DPM, Khurram Khan, DPM, and Lawrence Harkless, DPM | 9220 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 | 4408 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 | 58671 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 | 16214 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 | 8401 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 | 5663 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