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PAD Awareness Month And The Case For Limb Preservation

Desmond Bell DPM CWS FACCWS | 7,796 reads | 0 comments | 08/30/2012

Unlike October, which is abundant with the color pink and matching ribbons symbolizing Breast Cancer Awareness Month wherever we turn, we have no such ribbon for Peripheral Artery Disease (PAD) Awareness Month.

Understanding The Impact Of MRSA On Limb Preservation

By Loan Lam, DPM, Peter Blume, DPM, FACFAS, and Michael Palladino, DPM, FACFAS | 42,010 reads | 0 comments | 07/03/2007

Given the increasing prevalence of methicillin resistant Staphylococcus aureus (MRSA), these authors discuss the differences between HA-MRSA and CA-MRSA, what the literature reveals about antibiotic therapy and keys to the diagnostic workup of these patients.

How To Salvage A Failed First MPJ Implant

By Graham A. Hamilton, DPM | 39,032 reads | 0 comments | 05/03/2005

   A challenging problem for any podiatric surgeon is surgically managing cases in which a silicone elastomer implant in the first metatarsophalangeal joint (MPJ) has failed. When patients initially present with this problem, they will complain of pain, deformity or both at either the first or lesser metatarsophalangeal joints.    The cause of the pain or deformity can be multifactorial.

Is Rocker Bottom Reconstruction A Viable Option For Limb Preservation?

By Scott Neville, DPM, Peter Blume, DPM, and Jonathan Key, DPM | 38,844 reads | 0 comments | 12/03/2004

   Although Charcot neuroarthropathy occurs in a small percentage (5 percent) of the diabetic population, the natural disease course is associated with severe morbidity including chronic ulcerations, infections and amputations.1 The medical necessity of limb preservation is well known to all podiatrists. However, the recent advent of rocker bottom reconstruction provides the podiatric surgeon with another tool in the fight for limb preservation.

Calcaneal Autograft: Can It Facilitate Salvage Of A Failed First MPJ Implant?

Kenneth Seiter, DPM | 20,478 reads | 0 comments | 02/23/2010

   Surgical revision of a failed silicone prosthesis in the first metatarsophalangeal joint (MPJ) is a difficult dilemma that many foot and ankle surgeons increasingly encounter. While advocates of silicone and similar implants have alluded to their preliminary benefits, there is a scarcity of literature on how to salvage these failures, especially when they occur in younger, active patients.

   Revision options include implant removal with synovectomy, implant removal with re-insertion of an alternate implant, or bone block distraction arthrodesis.1,2

Will Diabetic Limb Preservation Be A Priority In The New Health Care System?

Andrew Rice DPM FACFAS | 2,986 reads | 1 comments | 01/15/2010

In contemplating what I should post in my first blog for Podiatry Today, I reviewed several published articles describing procedures that have interested me. I initially thought I would write about techniques I have integrated into my practice.