Volume 18 - Issue 7 - July 2005
Diabetes Watch »
Approximately 3 percent of the United States population has diagnosed diabetes mellitus.1 Diabetic foot problems, however, are the leading cause of amputation.2,3 The risk of amputation is 15 times greater in patients with diabetes than in other people.2 Up to 15 percent of patients with diabetes will require amputation.1,3 Over 50,000 amputations in patients with diabetes occur annually in the U.S.4 In one study of patients with diabetes mellitus, 84 percent of lower extremity amputations were preceded by foot ulcers.
Diagnostic Dilemmas »
Forefoot issues related to rheumatoid arthritis (RA) are well noted with fusion of the great toe being a standard procedure in association with relocation or resection of the lesser metatarsophalangeal joints, and fusion of the proximal interphalangeal joints. Surgeons have also been successful in treating the rearfoot with fusion procedures once the arthritis is not tolerable with bracing and medication.
As a patient grows older, it is easier to address the issues of RA in the ankle. In the thin and fairly sedentary patient, ankle replacement is a good
This is the time of my professional life when I planned to slow down with fewer clinic hours, less surgery and maybe a few more nursing home visits. It has not worked out that way. Three years ago, I hired an associate who had just completed a quality PSR-24 in a university hospital. The place was an advanced trauma center with a lot of emergency room activity to stimulate young podiatric residents.
He asked about my referral experience from our local emergency room. I received a handful of referrals and consults over the years, and just accepted that tr
New Products »
Promoting Wound Healing
The newest wound dressing uses a combination of several ingredients to remove exudate and promote healing.
In order to facilitate wound healing, Promogran Prisma™ Matrix combines collagen, oxidized regenerated cellulose (ORC) and silver ORC+, according to the manufacturer, Johnson & Johnson Wound Management. The company says the chronic wound dressing removes the destructive elements of the wound, maintains a bacterial balance, reduces bacterial growth and utilizes silver to ensure healthy growth of tissue
News and Trends »
Podology in Spain has evolved from a subspecialty of nursing into its own undergrad degree. As a result, Juan Goez, DPM, says the profession is undergoing the same “growing pains” that American podiatry suffered in the 1960s and ‘70s. As the profession grows, PRESENT (Podiatric Residency Education Services Network) Courseware, an online provider of lecture content to U.S. podiatric residency programs, is expanding its series of lectures into Spain to provide podologists with insights into the medical and surgical experience of American DPMs.
Surgical Pearls »
Pain management in the elderly remains one of the most challenging issues for the podiatric surgeon. As life expectancy continues to advance, more geriatric patients will undergo surgery. While these patients may undergo these procedures to help facilitate independence and a better quality of life, one must carefully weigh the risks and benefits of surgical intervention in this patient population.
Regardless of the success of the given surgical procedure, one may still encounter significant tissue damage and the subsequent release of pain and inflammator
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