Podiatry Today

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Non-Accredited Education

Managing the Diabetic Foot: A Clinical and Economic View Complimentary Archived Webcast
Non-Accredited


Understanding Collagen Dressings and their Benefit in Wound Care

Complimentary Archived Webcast
non-accredited

Feature

Is Injection Therapy The Best Solution for Foot Neuromas?

Be sure to inject the dilute solution of alcohol proximal to the point of maximum tenderness. Small glass vials of pure ethanol for injection come in 1 ml doses and are available from several different manufacturers and distributors.
VOLUME: 15 PUBLICATION DATE: Jan 01 2002
Issue Number: 
1

Foot neuromas are very common findings, especially those that are termed intermetatarsal neuromas (or interdigital neuromas). The painful condition is believed to be caused by sensory nerve irritation, injury or abnormal mechanics of the foot. Yes, there are conservative care modalities as well as surgical treatment measures. However, I believe chemical neurolysis (using a dilute solution of ethyl alcohol) gives us a viable alternative for treating the foot neuroma as it has fewer potential complications and up to an 89 percent success rate.1
First things first. When it comes to diagnosing ne

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A Closer Look At Locking Plates In Podiatric Surgery

This is a preoperative view of a weightbearing patient with calcaneal valgus deformity secondary to posterior tendon dysfunction.This intraoperative AP view demonstrates a Variax polyaxial locking plate. Note the angular placement of the screw/plate interface.Here one can see a post-op lateral radiograph with a Variax polyaxial locking plate. Note the ability to avoid “hardware traffic” (AO gymnastics).Here one can see intraoperative repair of an ankle arthrodesis nonunion. Note the bridging of significant gap in bone and allograft.This is a post-op lateral radiograph with a monoaxial locking plate.This patient sustained a complete rupture of the posterior tibal tendon.Here is an intraoperative view using interfragmentation compression and a Variax polyaxial locking plate for a midfoot fusion. Note that there is less soft tissue dissection with periosteum intact.This post-op lateral radiograph shows the use of a Variax polyaxial locking plate in a foot with severe rheumatoid arthritis.
VOLUME: 21 PUBLICATION DATE: Apr 01 2008
Issue Number: 
4

Using plates and screws for bone fixation is a standard and successful technique. However, any fixation with plates and screws involves some amount of additional trauma and insult to the osseous blood supply of fracture fragments. These disturbances increase the risk of delayed union and infection.1
Indeed, reconstructive and trauma procedures of the foot and ankle present unique challenges for foot and ankle surgeons. As these cases grow in complexity, certain principles prevail in ensuring predictable and successful outcomes. These principles emphasize the protection of

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How To Create An Effective Business Plan

VOLUME: 15 PUBLICATION DATE: Jan 01 2002
Issue Number: 
1

Whether you are a new practitioner opening your first office or a veteran DPM setting up shop in a new location, having an effective business plan is a necessity.
The business plan is a promotional selling document. Indeed, it is a major tool for selling your business to a banker. It is to the banker what the history and physical are for physicians.Since a major audience for your business plan consists of higher-ups at the bank, the black and white of your plan is far more important than a winning personality. Gone are the days when you could stroll into the bank, say you are going to do the

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Preserving The Diabetic Foot

VOLUME: 14 PUBLICATION DATE: Dec 01 2001
Issue Number: 
12
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Alternative, Complementary Therapies For Diabetes

VOLUME: 15 PUBLICATION DATE: Mar 01 2002
Issue Number: 
3

Type 2 diabetes is one of the fastest growing diseases in the United States, with 15.7 million Americans afflicted with the disease, according to the American Diabetes Association. Diabetes is one of the leading causes of death in the United States, and the primary cause of blindness in people (due to diabetic retinopathy) between the ages of 20 and 70.1
Many people have Type 2 diabetes and are completely unaware of it. Ninety percent of diabetics have non-insulin dependent diabetes. Type 2 diabetes usually begins in later years, but it is now becoming more common in young people. Risk facto

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How To Differentiate And Treat Tendon Pathology

VOLUME: 14 PUBLICATION DATE: Dec 01 2001
Issue Number: 
12

These authors offer diagnostic tips and treatment pearls for lower-extremity tendon injuries, with a specific focus on managing chronic tenosynovitis.

Tendon pathology in the foot and ankle are the most common of all injuries. Obviously, there have been chapters in books dedicated solely to repairing individual tendons in the lower extremity. Given the array of external factors (i.e., duration and intensity of activity, improper shoes) and intrinsic factors (i.e., altered body mechanics, advanced age) that can cause tendon pathology, let’s take a closer look at how to differentiate tendon

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How To Treat Diabetic Ulcers With Dermagraft

Appropriate, aggressive surgical debridement is a critical part of wound bed preparation. The authors recommend tracing the wound over the Dermagraft pouch (see above). Below, note how the authors apply a silver-containing dressing (Acticoat) to the wound just over the non-adherent dressing. After performing aggressive debridement, you should be able to achieve a bloodless field with a compressive dressing prior to applying Dermagraft to the wound. When it comes to preparing the final dressing, the authors tend to use a foam (Allevyn), tacky tape (hypafix tape) and lambswool interdigitally for forefoot wounds.
VOLUME: 15 PUBLICATION DATE: Mar 01 2002
Issue Number: 
3

The prevalence of diabetic ulceration is alarmingly high and increasing. Currently, it is between 4 and 10 percent, depending on a host of factors including ethnicity, geographic region and duration of disease. Wounds are clearly associated with infection and a high risk of future amputation. The economic implications are overwhelming to the health care system. As clinicians, we must be able to rapidly identify, access and manipulate the factors necessary for wound healing.
Indeed, it is vital to approach the wound healing process as a whole body process when you’re treating a patient who

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Is Injection Therapy The Best Solution For Foot Neuromas?

VOLUME: 15 PUBLICATION DATE: Jan 01 2002
Issue Number: 
1
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A Review Of Ethnic Differences In Risk Factors For Diabetic Foot Ulcers

VOLUME: 15 PUBLICATION DATE: Mar 01 2002
Issue Number: 
3

Research in recent years has shown distinct ethnic differences in the prevalence of diabetic complications, including amputation and more recently, foot ulceration. Although the etiology of the diabetic complications among different ethnic groups is not completely understood, preliminary data has highlighted some interesting variations in the presentation of these complications.
Projections of diabetes prevalence indicate the number of people with type 2 diabetes worldwide is set to double over a 25-year period.1 This epidemic of diabetes is due to an aging and increasingly obese population.

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CME Showcase


"Current Concepts In Healing Chronic Diabetic Foot Ulcerations"

A Complimentary On-Demand CE/CME Webcast

This activity is supported by an educational grant from Advanced Biohealing.
This activity is sponsored by the North American Center For Continuing Medical Education (NACCME).

To access this Webcast, visit www.naccme.com/program/n-550/

Current Concepts In Diagnosing And Treating MRSA In The Diabetic Foot

This activity is supported by an education grant from Pfizer.
This activity is sponsored by the North American Center of Continuing Medical Education (NACCME).

To access this activity, visit www.naccme.com/program/n-528/
MRSA And Diabetic Foot Wounds: Where Do We Go From Here?


Archived Accredited Webcast with Q&A

This activity is supported by an educational grant from Pfizer. This activity is sponsored by the North American Center For Continuing Medical Education (NACCME).
PERIPHERAL ARTERIAL DISEASE (PAD) AND CRITICAL LIMB ISCHEMIA (CLI):
Managing Vascular and Wound Healing Challenges with Current and Emerging Technologies

Archived Accredited Webcast with Q&A

This activity is supported by an educational grant from Baxter Healthcare Corporation.

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