Volume 21 - Issue 8 - August 2008
Continuing Education »
Please click here for the full Continuing Medical Education article:
Given the significant dilemma of peripheral arterial disease and its strong association with diabetic complications in the lower extremity, this author reviews pertinent diagnostic keys and assesses the current research on treatment options.
The Charcot syndrome is a devastating condition that can affect the feet or ankles of those with diabetes and peripheral neuropathy. The reports on the incidence and prevalence of Charcot foot vary widely, and range between 0.1 to 29 percent among people with diabetes. These studies indicate a trend for a higher frequency in those with peripheral neuropathy and in specialty clinics.1 The specialty clinic providers may have a higher clinical suspicion and may accordingly arrive at a diagnosis more rapidly and definitively.
The risk of amput
Diabetes Watch »
Lower extremity complications associated with diabetes present a special challenge to any physician contemplating surgical management. Prophylactic foot surgery can be described as a procedure to prevent ulceration or re-ulceration in patients with diabetes without significant vascular compromise. This concept is part of a larger classification system, which stratifies the risks associated with various types of foot surgery.1
Why and when would you consider prophylactic surgery? A history of previous ulceration and/or amputation is an impo
Sports Medicine »
Among all the things that I learned during my sports medicine fellowship at the Barry University School of Podiatric Medicine, I became fascinated by one particular phenomenon. There seems to be a relationship between foot type and specific sporting events. After close observation and an ongoing study, I have noticed that athletes with tibia varum, cavus foot type and, sometimes, an in-toe gait tend to excel in sporting events that primarily involve quickness in acceleration, stop and go maneuvers, and cutting.
Researchers have made correlations betwe
New Products »
A Helpful Night Splint
Patients with various types of heel pain may get relief from a new night splint.
The Exoform® Dorsal Night Splint can be helpful in treating plantar fasciitis and related types of heel pain, according to the product’s manufacturer Ossur.
The company says the product can address issues that commonly arise with other braces. These issues include a lack of adjustability, pressure points, product migration and rotation.
Furthermore, Ossur notes the Exoform has a support shell th
Technology In Practice »
Foot and ankle surgeons may have yet another option for rearfoot reconstruction. The CalFix™ Calcaneal Plate and Screw System is indicated for fractures and osteotomies of the calcaneus including, but not limited to, extra-articular, intra-articular, joint depression, tongue type and severely comminuted fractures, according to its manufacturer OsteoMed.
The system features titanium alloy screws, either locking or non-locking, and titanium plates in lengths of 56 mm, 65 mm and 74 mm with a thickness of 1.0 mm at the webs to 1.4 mm at the screw holes.
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