Our annual roundup of innovations offers a closer look at an emerging ex-fix device, a laser that might be helpful in treating onychomycosis, and a variety of modalities that may facilitate optimal outcomes in wound care. For these bright ideas and more, this author talks to a variety of podiatrists about their experience with these products and their potential impact.

While bioengineered alternative tissue (BAT) products show promise in the management of complicated lower extremity ulcerations, the variety of these emerging modalities can lead to confusion on appropriate indications and proper use. Accordingly, these authors provide a timely update, suggest the use of new terminology and survey the most recent literature on the efficacy of BAT modalities.

Managing staff members can add to the challenges that already exist in a busy podiatric practice. This author draws upon her experience to help resolve common issues such as conflicts over staff responsibilities and salary issues.

   Managing staff can be challenging. There is no doubt about it. Well, there are various reasons why it can be challenging but there are a couple of common factors when it comes to staff issues.

   Reportedly 23.6 million individuals in the United States (or 8 percent of the American population) are affected by diabetes.¹ Many of those with diabetes will develop related comorbidities such as microvascular pathology in the retina, renal glomeruli and peripheral nerves. Other comorbidities include accelerated atherosclerotic microvascular disease affecting arteries that supply the heart, brain and lower extremities.^2,3

   Many runners will consult a sports podiatrist for their lower extremity injuries. It is very important to have an understanding of lower extremity biomechanics and the mechanism behind running injuries. Surrounding yourself with other sports medicine specialists is very important in facilitating appropriate referrals and the best multidisciplinary care.

   Accordingly, let us take a closer look at some of the more common hip injuries in the female athlete and how they may contribute to lower extremity issues.