News and Trends

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
6,677 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
15,413 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
17,440 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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A diabetic patient on dialysis presented with a non-healing great toe wound with exposed bone. A study submitted to the SAWC found a 19.5 annual incidence of ulceration in diabetic patients on hemodialysis.
Brian McCurdy, Senior Editor
6,313 reads | 0 comments | 03/03/2008

 


Two abstracts, which will be presented at the upcoming Symposium on Advanced Wound Care (SAWC), seek to address the impact of dialysis upon diabetic wound healing and the long-term mortality rates of those who undergo non-traumatic amputation.
For the one abstract’s retrospective review, researchers evaluated 150 patients with diabetes on hemodialysis. These patients had 30 months of follow-up for foot ulcers, infections, amputations and death. The abstract authors sought to determine if the patients received “standard preventative care” consistent with patien

 

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In a recent policy change that has been met with “mixed” reaction, the American College of Foot and Ankle Surgeons (ACFAS) has decided that those who renew ACFAS membership do not have to be members of the American Podiatric Medical Association.
By Brian McCurdy, Senior Editor
7,321 reads | 0 comments | 02/03/2008

In a change to a longstanding policy, the American College of Foot and Ankle Surgeons (ACFAS) recently lifted a requirement that renewing college members must maintain a membership in the American Podiatric Medical Association (APMA). The policy change only affects renewing members as new ACFAS members still must belong to APMA when they join the college. In a letter sent to the college membership, ACFAS President Daniel Hatch, DPM, noted that the college has been contacted by those who cite a financial hardship of having to belong to two groups, or have professional differences with various

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This CT scan depicts a navicular stress fracture. A recent article in the New England Journal of Medicine examines a possible link between CT scans and an increased risk of cancer. (Photo courtesy of Brian Fullem, DPM)
By Brian McCurdy, Senior Editor
12,668 reads | 0 comments | 01/03/2008

     Physicians reportedly obtain over 60 million computed tomography (CT) scans each year in the United States. However, a recent study in the New England Journal of Medicine (NEJM) suggests that CT scans may be linked to an increased risk of radiation exposure and cancer.      Citing evidence from epidemiologic studies, the authors of the NEJM article indicate that organ doses from a common CT study, consisting of two or three scans, may result in an increased risk of cancer.       “As compared with plain film radiography, CT invo

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A study in the British Journal of Sports Medicine suggests running shoes of different prices have comparable cushioning regardless of cost.
By Brian McCurdy, Senior Editor
12,258 reads | 0 comments | 12/03/2007

When choosing a pair of running shoes, consumers have a wide range of choices with a number of models available in different price ranges. Does buying a more expensive running shoe necessarily translate into getting a better quality shoe? A recent study suggests there may not be that much difference in cushioning between inexpensive and more expensive shoes.

The study, which was recently published in the British Journal of Sports Medicine, compared a total of nine pairs of men’s running shoes from three different manufacturers. Researchers compared low-priced shoes (&poun

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In a new study, 10 to 18 percent of patients with diabetes said they would sacrifice eight to 10 years of life in perfect health to avoid a life of diabetic treatments.
By Brian McCurdy, Senior Editor
7,483 reads | 0 comments | 11/03/2007

Given that patients with diabetes can face extensive treatments due to the risk of complications, adherence to treatment regimens may be a problem due to a perceived decline in their quality of life.

A new study finds that although end-stage complications have the greatest effect on quality of life, comprehensive treatments affect quality of life to the degree that some patients were willing to forego years of healthy living to avoid treatments.

In the study, which was recently published in Diabetes Care, researchers interviewed 701 patients with diabetes a

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By Brian McCurdy, Senior Editor
3,936 reads | 0 comments | 10/27/2007
Do Trauma Patients With Diabetes Face Higher Complication Rates?

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 venti

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In order to help reduce the risk of surgical site infections (as shown above), the authors of a recent review in the Journal of Bone and Joint Surgery emphasize appropriate management of the patient’s blood glucose levels, oxygenation and temperature.
By Brian McCurdy, Senior Editor
10,536 reads | 0 comments | 09/03/2007

Podiatric surgery can carry inherent risks including the possibility of perioperative infection. A recent article in the Journal of Bone and Joint Surgery (JBJS) offers several pertinent recommendations that aim to prevent some of the reported 780,000 surgical site infections that occur every year in the United States, according to the study authors.

Although they acknowledge that preoperative antibiotics are associated with lower rates of surgical site infections, the authors of the JBJS article say surgeons should continue antibiotics for no more than 24 hours afte

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