Volume 22 - Issue 7 - July 2009
Online Exclusive »
There may be instances when advanced therapies are contraindicated in elderly patients. In other instances, elderly patients with multiple comorbidities may be wary of the risks of surgical intervention for lower extremity wounds. Accordingly, these authors offer a variety of case studies that illustrate fundamental principles of palliative wound care.
Technology In Practice »
When it comes to ensuring proper postoperative care for wounds, patient adherence can be a problem. Additionally, many patients may not be able to afford the follow-up visits needed for proper postoperative wound care. However, a convenient package of wound care products may help address these concerns.
New Products »
A new shoe may offload diabetic feet to prevent ulcers.
The new Off-Loading Diabetic Shoe by Procare offers trilaminate IMPAX grid insoles, squared toe boxes and a wide foot bed. The manufacturer, DJO, says the insoles help with redistributing the load away from ulcers.
Treatment Dilemmas »
Adult flatfoot may be due to multiple problems including a dysfunctional posterior tibial tendon (PTT), hypermobility and ligamentous laxity, or possibly a coalition that becomes symptomatic. For a vast majority of patients, posterior tibial tendon dysfunction (PTTD) is the cause of symptomatic flatfoot and is the main trigger of surgical reconstruction in flatfoot.
Wound Care Q&A »
Offloading a wound is a critical component of facilitating optimal outcomes with healing. Accordingly, these expert panelists discuss the use of total contact casting (TCC) to offload diabetic neuropathic wounds as well as the impact of instant total contact casting (iTCC) and other offloading methods.
Q: As far as offloading devices go for diabetic/neuropathic foot ulcers, do you use total contact casting?
Surgical Pearls »
Entrapment neuropathy of the tarsal tunnel and its terminal branches is a painful condition, which can be challenging to diagnose given the possibility of concurrent conditions with overlapping symptoms. Heel spur syndrome/plantar fasciitis and entrapment neuropathy often present at the same time. However, it is important to differentiate clearly between the two pathologies as entrapment neuropathy has a distinct history and clinical presentation.
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