Given the prevalence of foot infections in patients with diabetes, aggressive and judicious management with antibiotics is crucial. These authors discuss the recent Infectious Diseases Society of America guideline on diabetic foot infections, emphasize the importance of a team approach in managing inpatients with diabetic foot disorders and investigate the efficacy of promising new antibiotic agents.
Yes. Enoch T. Huang, MD, MPH&TM, FACEP, FUHMS, FACCWS, offers a closer examination of recent controversies in the literature on hyperbaric oxygen therapy (HBOT) and cites an ample body of literature to justify that HBOT can be a valuable treatment to promote diabetic foot ulcer healing in appropriately selected patients.
No. Javier La Fontaine, DPM, MS, FACFAS, FASPS, points to conflicting results in the literature on HBOT and the fact that only a few randomized controlled trials involving humans have examined HBOT in relation to treatment for diabetic foot ulcers. He says there is also a need for more specific criteria in regard to HBOT for patients with diabetic foot ulcers
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Ankle fractures are very common injuries that foot and ankle surgeons see. An estimated 585,000 ankle fractures occur in the United States each year and 25 percent receive surgical intervention.1 Ankle fractures are the most common intraarticular fracture of a weightbearing surface and account for 9 percent of all fractures.1
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Although hallux valgus and hallux limitus comprise the majority of first ray pathology, sesamoid disorders are not uncommon and may even carry greater morbidity that demands attention. A generic diagnosis of sesamoiditis may encompass several etiologies including fracture, symptomatic nonunion, avascular necrosis, osteoarthritis, dislocation, infection and symptomatic bipartite sesamoids.1