Keys To Comprehensive Care For A Patient With Critical Limb Ischemia

Desmond Bell, DPM, CWS | 2,424 reads | 0 comments | 08/30/2016

Emphasizing multidisciplinary care, this author focuses on getting a 56-year-old patient ambulatory following a transmetatarsal amputation related to critical limb ischemia.

What Is The Standard Of Care?

Allen Jacobs, DPM, FACFAS | 1,312 reads | 0 comments | 12/22/2014

The term “standard of care” has various definitions from state to state and from region to region. The term refers to a general concept of “what the average healthcare provider would have done under the same or similar circumstances.”

Some years ago, I was sitting in the hospital doctor’s lounge discussing the opinions of a plaintiff expert in a malpractice case. An older general surgeon looked at me and said “Jacobs, I’ll tell you what the standard of care is. It’s whatever the expert witness tells the jury it is.”

There is a great deal of truth to that statement.

Wound Bed Preparation: What Works Best And When

Alison Migonis, DPM, and Barry Rosenblum, DPM, FACFAS | 4,233 reads | 0 comments | 07/22/2015

Recognizing the challenges of wound bed preparation for chronic wounds that are continually evolving, these authors review common debridement techniques, keys to ensuring moisture balance and the importance of addressing wound bioburden. 

What The Evidence Reveals About Wound Cultures

Guy R. Pupp, DPM, FACFAS, and Daniel Black, DPM | 4,938 reads | 0 comments | 07/23/2015

Should you use deep tissue cultures or swab cultures in your evaluation of wounds? These authors review the literature on wound cultures and explore the early emergence of more advanced technologies to detect wound infection.

When A Patient Has A Painful Wound And Surrounding Purpura

Joseph Vella, DPM | 6,186 reads | 0 comments | 09/23/2015

A 30-year-old male presented to our wound clinic with a painful wound on his medial left ankle that had been present for approximately two years. Working as a cook, he was on his feet eight hours a day. He had surgery in the same area many years earlier as a child but did not have any complications from it.

Point-Counterpoint: Is Non-Surgical Care The Best Course For Plantar Warts?

Tracey C. Vlahovic, DPM, and Ryan Fitzgerald, DPM, FACFAS | 6,311 reads | 0 comments | 01/26/2016

This author notes she frequently treats patients with verrucae who have failed surgical treatment and notes that a topical retinoid and non-ablative lasers provide successful alternatives.   

By Tracey C. Vlahovic, DPM

3D Printing And The Future Of Lower Extremity Care

Nicholas A. Giovinco, DPM, John D. Miller, BS, and David G. Armstrong, DPM, MD, PhD | 4,779 reads | 0 comments | 09/23/2015

As the technology of three-dimensional printing becomes more ubiquitous, these authors note that 3D printing could be a viable adjunct for surgical planning and orthotic fabrication, and suggest that increased access to this technology may have broader implications on healthcare delivery in the future.

Conservative Care Options For Lesser MPJ Instability In The Athlete

Richard Bouché, DPM, FACFAS | 7,378 reads | 0 comments | 09/24/2015

Lesser metatarsophalangeal joint (MPJ) instability defines a clinical problem that presents as varied degrees of sagittal and/or transverse, and/or frontal plane instability of the “internal” toes (second, third and fourth). Pathology can vary from mild inflammation of periarticular soft tissues with minimal positional changes of the toes to more serious subluxation and ultimately dislocation of the toes at the MPJ with partial or complete disruption of supporting soft tissue structures.

Addressing Psychology And Mental Health Issues In Podiatric Care

Camille Ryans, DPM | 2,614 reads | 1 comments | 09/24/2015

According to the Myers-Briggs Type Indicator, an individual’s traits can be summed up by eight different characteristics. The combination of traits permutates into 16 possible personality combinations. As a result of various personality combinations, patients with grossly different personality traits and perspectives will walk across your doorstep.

Managing The Recalcitrant Calcaneal Wound

Guy R. Pupp, DPM, FACFAS, and Anthony LaLama, DPM | 13,166 reads | 0 comments | 07/23/2014

Although calcaneal ulcers complicated by osteomyelitis can seem destined for amputation, judicious multidisciplinary management can save a limb. These authors review key risk factors and potential complications, assess treatment options including the subtotal calcanectomy, and emphasize the merits of multidisciplinary care with a compelling limb salvage case study.