CLINICAL EVENTS CALENDAR
- Nov 18,2009Nov 21,2009Yucatan Pediatric Seminar11/18/2009 - 12:2111/21/2009 - 12:21
Northwest Podiatric Foundation
Yucatan Crippled Children's Project
Merida, Mexico
Hyatt Regency Merida Hotel
1-866-286-NWPF - Jan 10,2010Jan 17,2010Winter Seminar at Sea01/10/2010 - 12:2401/17/2010 - 12:24
Northwest Podiatric Foundation
Southern Caribbean Cruise
RCCL - The Adventure of the Seas
1-866-286-NWPF - Apr 17,2010Apr 20,20102010 SAWC Spring04/17/2010 - 11:2304/20/2010 - 11:23website:
Gaylord Palms Hotel and Convention Center
Orlando, FL - Jul 15,2010Jul 18,2010The 2010 APMA Annual Scientific Meeting07/15/2010 - 13:2607/18/2010 - 13:26website:
Washington State Convention & Trade Center
Seattle, Washington
Non-Accredited Education
Managing the Diabetic Foot: A Clinical and Economic View Complimentary Archived Webcast
Non-Accredited
Understanding Collagen Dressings and their Benefit in Wound Care![]()
Complimentary Archived Webcast
non-accredited
Issue
- Issue Number:5
Various classification systems categorize diabetic wounds and infections. One system, devised in 2003, categorizes different levels of non-vascular diabetic foot surgery. How effective is such a system? A recent study, the first to evaluate the system’s effectiveness, suggests including various risk factors in the system may better predict surgical complications.
The study, presented as an abstract at the American College of Foot and Ankle Surgeons Annual Scientific Meeting, evaluates the classification system’s four categories: elective, prophylactic, curative and emergency surgery. ResStart Page:10End Page:18 - Issue Number:5
Given the increasing prevalence of antimicrobial resistance, there is a growing interest in emerging wound care products that contain silver. Topical silver has a broad range of antimicrobial activity and has been used extensively to help treat high-risk burn patients. Research has confirmed that silver is effective against gram negative and positive bacteria, methicillin resistant Staph aureus (MRSA), yeast, filamentous fungi and viruses (including varicella zoster and herpes simplex types I and II).1-4
Interestingly, the use of silver for medicinal purposes has been documeStart Page:24End Page:29 - Issue Number:5
The etiology of heel pain is quite varied. First described by Wood in 1812, the most common cause is thought to be plantar fasciitis. This is typically marked by focal tenderness to any component of the aponeurosis but most frequently at the proximal medial insertion of the plantar aponeurosis.1
Many symptomatic patients with plantar fasciitis demonstrate plantar heel spurs (traction enthesopathies) of the os calcis. One may best appreciate this shelf of exostosis on the lateral and lateral oblique views of standard radiographic studies.2 On rare occasions, fracture ofStart Page:30End Page:35 - Issue Number:5
“Collapsing” pes planovalgus or flexible flatfoot is a complex pedal pathological condition with numerous components. In its most significant form, the condition can lead to significant disabling and an inability to ambulate efficiently. Arthroereisis is a relatively modern surgical technique one may employ for pes planovalgus correction.
Arthroereisis is defined as the limitation of exogenous joint motion without complete arthrodesis. This procedure, which involves placing a motion blocking implant within the sinus tarsi, has been designed to restrict excessive subtalar joint (STJ) pronStart Page:36End Page:46 - Issue Number:5
Plantar fasciitis is often inaccurately referred to as “heel spur syndrome.” Clinicians should no longer use this terminology. Most of the time, the presence or absence of a plantar calcaneal spur has no effect on symptoms or treatment. The term fasciitis may also be a misnomer. Lemont studied the pathology of 50 patients who underwent fascial release surgery.1 The findings did not show any evidence of inflammatory cells within the fascia. The common finding was degeneration of the tissue. The inflammation appears to be in the underlying intrinsic musculature so perhaps the corr
Start Page:48End Page:56 - Issue Number:5
Arthrodesis of the great toe joint has been described for the repair of just about every problem affecting the great toe joint, including hallux valgus, hallux varus, hallux limitus/rigidus, osteoarthritis, rheumatoid arthritis and salvage of failed surgeries of the first ray.
Many foot surgeons view the great toe joint fusion as a salvage procedure and will not consider it for primary repair of hallux valgus or hallux rigidus. One of the reasons for doing any type of fusion surgery is to stabilize an unstable or hypermobile joint.With that said, the great toe joint fusion can be benefi
Start Page:58End Page:64 - Issue Number:5
Podiatric surgeons commonly perform an extraarticular calcaneal osteotomy on hindfoot deformities of the foot and ankle.1 One would typically perform this powerful osteotomy in conjunction with other procedures. Complications with the percutaneous calcaneal displacement osteotomy are rare.2-4
This is in contrast to the customary lateral approach of a calcaneal osteotomy as the surgeon may see complications that include wound dehiscence, sural nerve damage, sural neuritis, delayed union, non-union, infection and invasion of the medial neurovascular structures.2-6Start Page:66End Page:74 - Issue Number:5
The recognition and characterization of soft tissue tumors is central to the practice of podiatric medicine. In many instances, clinicians of the lower extremity serve as the frontline physicians when it comes to the identification of such tumors. Given the inverse relationship between the amount of time prior to diagnosis and patient survival rates, the role of podiatrists may be of paramount importance.
Depending upon one’s depth of experience and comfort level, some clinicians might limit their role to clinical recognition and ordering preliminary imaging studies. Others may go a stepStart Page:76End Page:82 - Issue Number:5
With over 50 different surgical procedures in the literature relating to bunion surgery, there is a great deal of debate as to the best surgical procedure. Some consider a minimum incision technique to be ideal while others believe an open and more extensive correction is the best.
For years, I have pondered the best surgical procedure for hallux valgus correction and have tried many of the procedures. I have come to some conclusions that have dramatically changed my practice and resulted in far better outcomes related to hallux valgus correction.
First and foremost, I have to state that thStart Page:84End Page:90 - Issue Number:5
Many people suffer from tendinosis or similar tendon aliments that involve tissue scarring. In seeking relief for their pain and discomfort, patients may try a variety of conservative modalities ranging from bracing to injections. If conservative methods fail, there is another option before one considers the possibility of an invasive surgical procedure.
The Topaz Microdebrider (Arthrocare) enables clinicians to perform microdebridement of soft tissue, such as tendons, in the foot and ankle. Essentially, the device uses radiofrequency energy to cause microscopic “trauma” to the scar tissuStart Page:92End Page:0
William Fishco, DPM, FACFAS
Michelle L. Butterworth, DPM, FACFAS
Lake Charles, Louisiana
Hampton Bays and Long Island, New York
Various Locations- Indiana , Ohio
CME Showcase
"Current Concepts In Healing Chronic Diabetic Foot Ulcerations"
A Complimentary On-Demand CE/CME Webcast This activity is supported by an educational grant from Advanced Biohealing. To access this Webcast, visit www.naccme.com/program/n-550/ |
![]() Current Concepts In Diagnosing And Treating MRSA In The Diabetic Foot This activity is supported by an education grant from Pfizer. To access this activity, visit www.naccme.com/program/n-528/ |
MRSA And Diabetic Foot Wounds: Where Do We Go From Here?Archived Accredited Webcast with Q&A This activity is supported by an educational grant from Pfizer. This activity is sponsored by the North American Center For Continuing Medical Education (NACCME). |
Managing Vascular and Wound Healing Challenges with Current and Emerging Technologies Archived Accredited Webcast with Q&A This activity is supported by an educational grant from Baxter Healthcare Corporation. |
Podiatry Today News Wire
- Friday, September 12, 2008 - 15:29

















