Inside Insights On Negative Pressure Wound Therapy

Clinical Editor: Lawrence Karlock, DPM | 13,073 reads | 0 comments | 05/03/2007

Negative pressure wound therapy (NPWT) can have a positive effect on wound healing. These panelists detail what types of wounds can benefit from the technology, when to consider negative pressure and how various NPWT devices compare to one another.


What has been your general impression and experience with using negative pressure wound therapy for lower extremity wounds?

Understanding How The Achilles Tendon Affects Plantar Pressure

Eleanor Wilson, DPM | 20,638 reads | 0 comments | 04/23/2009

   Approximately 23.6 million people in the United States have diabetes, according to the 2007 statistics from the American Diabetes Association.1 Many of these patients have an associated comorbidity of obesity and, all too often, Achilles tendon contracture.

Is Shear The New Peak Plantar Pressure?

Adam Landsman, DPM, PhD, FACFAS | 12,965 reads | 0 comments | 05/21/2012

In a provocative discussion of the potential impact of shear forces in the high-risk diabetic foot, this author offers pertinent biomechanical insights and offers suggestions for minimizing the detrimental effects of shear forces in this patient population.

Injectable Silicone: Can It Mitigate Plantar Pedal Pressure?

By Stephanie C. Wu, DPM, MS | 27,275 reads | 0 comments | 09/03/2008

Ambulation exposes the foot to a collaboration of focal pressure and repetitive stress, and ground reaction forces generated in response to weightbearing activities are the commonly responsible stressors.1 The portion of the foot in contact with the ground varies during the stance phase of gait. Accordingly, the site of ground reaction force application varies, generally progressing from the heel at first contact to the hallux at toe-off.2

How To Manage Venous Stasis Ulcers

By Tamara D. Fishman, DPM | 38,230 reads | 1 comments | 05/03/2007

Given the poor healing rates, high recurrence and castly nature of venous stasis ulcerations, this author offers a primer on key clinical signs, helpful insights on compression and wound care modalities, and underscores the importance of appropriate referrals. In the United States, venous stasis ulcers have been estimated to cause the loss of

Managing Ulcers On The Charcot Foot

By Pamela M. Jensen, DPM, and John S. Steinberg, DPM | 30,687 reads | 0 comments | 07/03/2003

Neuropathic osteoarthropathy, or Charcot arthropathy, is a condition associated with a loss of sensory nerve function and concurrent vascular dynamic changes. In the acute setting, Charcot can result in bone and joint deformation and fragmentation. If it is not treated early and aggressively, the collapse of involved joints will cause instability, deformity and subject bony prominences to ulceration and infection. The incidence in the United States and internationally of those with diabetes who have Charcot arthropathy ranges from 7.5 to 13 percent.

Surgical Insights On Neuropathic Ulcers

Clinical Editor: Lawrence Karlock, DPM | 8,950 reads | 0 comments | 11/03/2002

Neuropathic ulcers can be extremely problematic for diabetes patients and podiatrists alike. Exploring the ins and outs of surgical treatment, our expert panelists take a closer look at specific ulcers, helpful techniques, the merits of preoperative vascular testing and postoperative protocols.

Diagnosing Different Types Of Heel Ulcers

Guest Clinical Editor: Tamara D. Fishman, DPM | 44,928 reads | 0 comments | 11/03/2003

When a patient presents with an ulcer on the heel, one must perform an in-depth examination because distinctions among different types of ulcers can be subtle. Prompt, appropriate treatment is essential and it is also critical to assess predisposing risk factors and what can be done to help minimize these risks. With this in mind, let’s take a look at the following case study. A 58-year-old Caucasian male had recently been hospitalized because he fell and broke his right hip. While he was in the hospital, the patient developed the condition on his right heel (as seen in the photo below).

Essential Treatment Tips For Decubitus Ulcers

By Farah Siddiqui, DPM, and John Steinberg, DPM, FACFAS | 22,511 reads | 0 comments | 04/21/2011

Given the prevalence and problematic nature of decubitus ulcers in at-risk patients, these authors review proper staging, keys to debridement and other principles for facilitating successful wound closure.

Is Foam More Effective Than Gauze With Negative Pressure Wound Therapy?

Point: Lee C. Rogers, DPM, Counter Point: Michael Miller, DO | 19,820 reads | 0 comments | 06/25/2009

Yes. Lee C. Rogers, DPM cites the evidence from negative pressure wound therapy (NPWT) trials and says the characteristics of NPWT foam facilitate the development of granulation tissue and improved healing in diabetic foot ulcers.

   There is no question that negative pressure wound therapy (NPWT) is a valuable modality in facilitating wound closure. In particular, the use of foam dressings with NPWT has demonstrated success in reducing wound surface size and accelerating the formation of granulation tissue.