News and Trends


8,232 reads | 0 comments | 11/26/2008
Should You Treat Asymptomatic Pediatric Flatfoot? By Brian McCurdy, Senior Editor    When encountering a child with asymptomatic flatfoot, it is important to decide whether you should treat the condition or see if the flatfoot will improve on its own. A recent article in the Journal of the American Podiatric Medical Association (JAPMA) examines the effects of orthoses for this condition and provides a framework for treatment.    After reviewing studies on the use of orthoses to treat pediatric flatfoot, the authors of the JAPMA article pres | Continue reading
Brian McCurdy, Senior Editor
8,214 reads | 0 comments | 10/29/2008
Study Suggests Benefit Of Conservative Surgery For Diabetic Foot Osteomyelitis Could conservative surgery have an impact in treating osteomyelitis in the diabetic foot? A recent study published in Diabetologia found that surgery without amputation was successful in nearly half of the patients with diabetic foot osteomyelitis.    In the study, researchers assessed 185 consecutive patients with diabetic foot osteomyelitis and histopathological confirmation of bone involvement. Histopathological analysis revealed that 50.8 percent of patients had acute osteomyeliti | Continue reading
By Brian McCurdy, Senior Editor
6,134 reads | 0 comments | 09/30/2008
A decline in the number of graduating podiatric medical students combined with increasing demand for podiatric services could result in a shortage of DPMs, according to a recent study in the Journal of the American Podiatric Medical Association (JAPMA). Study authors note that since the late 1990s, podiatric medical schools have experienced a decline in the number of applications, resulting in a decreased number of DPMs per capita in the United States. The study notes that the number of DPM graduates must increase “dramatically” or the supply of podiatrists will not keep up with the de | Continue reading
By Brian McCurdy, Senior Editor
5,423 reads | 0 comments | 09/03/2008
Melanoma incidence has been on the rise in Caucasians, especially women, according to a recent study published in the Journal of Investigative Dermatology. Researchers speculate that this may be due to increasing ultraviolet ray exposure.    The authors analyzed Caucasian patients in the Surveillance, Epidemiology and End Results (SEER) Program between 1973 and 2004. Researchers calculated annual age-adjusted incidence and mortality rates of invasive cutaneous melanoma among men and women ages 15 to 39. | Continue reading
Here one can see a fracture in a patient with diabetic neuropathy after she fell. A new study says patients with diabetes face an increased risk of complications following trauma surgery.
By Brian McCurdy, Senior Editor
4,914 reads | 0 comments | 09/03/2008

Patients with diabetes face a higher risk of complications in a number of areas. A large study recently published in the Archives of Surgery notes that those with diabetes also face more complications from trauma surgery.

From 1984 to 2002, researchers examined 12,489 patients with diabetes, matching their ages, sex and injury severity with 12,489 non-diabetic patients from 27 Pennsylvania trauma centers. The study concluded that patients with diabetes spent more time in the intensive care unit and received ventilator support for a longer period of time. Twenty-three perc | Continue reading

A new study in the New England Journal of Medicine notes that just 4 percent of physicians surveyed have an extensive and fully functioning electronic medical records (EMR) system while 13 percent said they have a basic EMR system.
By Brian McCurdy, Senior Editor
8,790 reads | 0 comments | 08/03/2008

Given the potential benefits of quicker reimbursement and improved productivity, and the need to ensure HIPAA compliance, you would think electronic medical records (EMR) would be in place in the majority of physician practices. How many doctors are actually using the EMR Systems in the office? Not many, according to a recently published survey in the New England Journal of Medicine (NEJM).

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An extensive CDC survey notes that arthritis creates an additional barrier to exercise for patients with diabetes. Cherri Choate, DPM, suggests low-impact water exercises for such patients.
Brian McCurdy, Senior Editor
6,185 reads | 0 comments | 07/03/2008


Getting patients with diabetes to exercise may be an uphill battle due to disease concerns. The combination of arthritis with diabetes can be an additional barrier to activity, according to a large survey conducted by the Centers for Disease Control and Prevention (CDC).
The CDC utilized 2005 and 2007 data from the Behavioral Risk Factor Surveillance System (BRFSS), which surveyed hundreds of thousands of people across the United States and its territories. The BRFSS survey indicated that the prevalence of arthritis in adults diagnosed with diabetes was 52 percent. Furthermore

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Renewing members of the American College of Foot and Ankle Surgeons are no longer required to maintain membership in the American Podiatric
Brian McCurdy, Senior Editor
6,572 reads | 0 comments | 06/03/2008


The membership of the American College of Foot and Ankle Surgeons (ACFAS) has agreed with the college’s board of directors that renewing members do not have to maintain membership in the American Podiatric Medical Association (APMA).
In the recent vote, 53 percent supported the board’s original decision from last fall. Podiatric surgeons must still be members of the APMA when they join the ACFAS but can drop association membership when they renew college membership. Reportedly 66 percent of the ACFAS membership cast their votes on this issue.
John Giuri

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Here one can see an advanced case of rheumatoid arthritis (RA). A new study examines the prevalence of foot ulcers in patients with RA.
Brian McCurdy, Senior Editor
15,251 reads | 0 comments | 05/03/2008


Patients commonly present with ingrown toenails and treatments range from chemical matrixectomy to the newer orthonyxia procedure. A new study in the Journal of the American College of Surgery concludes that orthonyxia, using a metal brace for the toe, is superior to partial matrix excision in terms of recovery and patient satisfaction.
Researchers randomized 105 consecutive patients with 109 toenails, excluding patients with diabetes and/or paronychias. Fifty-eight patients underwent partial matrix excision, which included 5 to 10 mL of lidocaine 1%, according to th | Continue reading

The largest randomized, multicenter, controlled trial on negative pressure wound therapy (NPWT) concluded that NPWT is more effective than advanced moist wound therapy in facilitating the closure of diabetic foot ulcers and reducing secondary amputations.
Brian McCurdy, Senior Editor
17,337 reads | 0 comments | 04/03/2008


Negative pressure wound therapy (NPWT) is more effective than advanced moist wound therapy in facilitating the closure of diabetic foot ulcers and reducing secondary amputations. These are the findings of researchers who recently published the largest randomized, multicenter, controlled trial on NPWT.
In the study, which was published in Diabetes Care, researchers randomized 169 patients to VAC Therapy (KCI) and 166 patients to advanced moist wound therapy (primarily hydrogels and alginates). Patients had stage 2 or 3 (as per the Wagner scale) calcaneal, dorsal or plan

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