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Point-Counterpoint: Is Tendon Lengthening A Worthwhile Treatment For Diabetic Forefoot Ulcers?

J. Monroe Laborde, MD, MS, and Richard D. Weiner, DPM | 2,840 reads | 0 comments | 09/22/2016
Yes.

This author notes that when one combines Achilles tendon lengthening with other treatments for the diabetic foot, it can help heal lower extremity wounds and prevent wound recurrence and amputation.     

By J. Monroe Laborde, MD, MS

Could Micro-Autografts Have Potential In Healing Diabetic Foot Ulcers?

Wayne J. Caputo, DPM, FACFAS, and George J. Fahoury, DPM, FACFAS | 3,501 reads | 0 comments | 02/22/2016

The goal of wound management is to attain cost effective wound closure to reestablish function.1 This is especially true with lower extremity wounds that are debilitating and often lead to a temporary or permanent disability.

Overcoming The Challenges Of Offloading Neuropathic Plantar Foot Ulcers

Alison J. Garten DPM | 2,048 reads | 0 comments | 11/11/2015

We all have had the challenge of trying to determine the best way to offload patients who are either non-adherent or unable to have appropriate offloading. I have been treating a young male who has neuropathy and an undiagnosed neurologic disease.

The left lower extremity with the plantar ulceration is the “good” foot. This extremity allows him to continue to ambulate. The other lower extremity is weak and has limited function.

Can Continuous Diffusion Of Oxygen Heal Chronic Toe Ulcers?

Gabriel Urrea-Botero, MD | 4,627 reads | 0 comments | 09/30/2015

When other modalities fail to heal chronic wounds, this author suggests that continuous diffusion of oxygen could be a viable adjunct or stand-alone therapy, and shares a few case studies from his clinical experience.

Does Continuous Diffusion Of Oxygen Have Potential In Chronic Diabetic Foot Ulcers?

Mark Couture, DPM | 3,523 reads | 0 comments | 11/19/2015

Chronic wounds, typically defined as wounds that have not decreased in size by 50 percent after four to six weeks of treatment, are often accompanied by complications including peripheral neuropathy, diabetes, peripheral vascular disease (PVD) and poor patient adherence.1-4

Exploring The Potential Of In-Shoe Pressure Analysis In Runners

Bruce Williams, DPM | 4,485 reads | 0 comments | 05/28/2014

Offering insights on the impact of in-shoe pressure analysis for runners, this author details the treatment of a 21-year-old runner who had been diagnosed with flexor hallucis inflammation or tendinitis, and possible plantar fasciitis on her left heel.

In our rapidly changing technological age, keeping pace with top-level athletes requires more than just experience or bravado. It requires results that clinicians can measure in multiple ways.

Rectifying Inadequate Debridement And Delayed Tissue Repair In Diabetic Foot Ulcers

Gerit Mulder, DPM, PhD, MS, FRCST, MAPWCA | 6,408 reads | 0 comments | 02/20/2015

Can Ultrasound Debridement Facilitate Biofilm Removal From Diabetic Foot Ulcers?

Melinda Bowlby, DPM, and Peter Blume, DPM, FACFAS | 9,959 reads | 0 comments | 07/23/2014

A patient with diabetes mellitus has a 15 to 25 percent chance of developing a diabetic foot ulcer during his or her lifetime.1 Once the patient with diabetes develops an ulcer, there is an even higher rate of ulcer recurrence at 50 to 70 percent over five years.1    Diabetic foot ulcers are n

Assessing The Evolution Of Advanced Products For Diabetic Foot Ulcers

Adam Landsman, DPM, PhD, FACFAS | 5,429 reads | 0 comments | 10/22/2014

Over the last 20 years, the treatment of diabetic foot ulcers has advanced beyond our greatest expectations.

Are We Making Progress In Healing Diabetic Foot Ulcers?

David G. Armstrong DPM MD PhD | 3,329 reads | 0 comments | 10/17/2014

Acknowledging the high failure rate in healing diabetic foot ulcers and preventing lower extremity amputations, a recent study in Advances in Therapy acknowledges an “urgent need for new treatment strategies.”1 Are we meeting that need or has our progress halted?