Podiatry Today

Podiatry Today






CLINICAL EVENTS CALENDAR

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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

Point-Counterpoint

Asymptomatic Flatfoot In Kids: Should You Treat It?

VOLUME: 23 PUBLICATION DATE: Jan 01 2010
Issue Number: 
1 January 2010

Yes. Ron Raducanu, DPM, FACFAS notes that orthotic treatment may help correct pediatric flatfoot and potentially prevent related biomechanical dilemmas as children move into adulthood.

   There continues to be quite a bit of controversy surrounding the treatment of pediatric flatfoot with custom orthotics. Given the continued emphasis on evidence-based medicine, this controversy is largely fueled by the lack of any empiric data to support the use of custom orthotics as a means to prevent future podiatric abnormalities or symptoms.

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Is Low-Energy ESWT Better Than High-Energy ESWT For Plantar Fasciitis?

VOLUME: 22 PUBLICATION DATE: Nov 01 2009
Issue Number: 
11 November 2009

   

Yes. Lowell Weil Jr., DPM, MBA, FACFAS cites emerging research on low-energy ESWT and says it can be a cost-effective treatment for plantar fasciitis and other conditions.

   When musculoskeletal extracorporeal shockwave (ESWT) was introduced in the United States with its first FDA approval in 2000, there was a great deal of controversy and posturing among manufacturers of ESWT technologies. Each company was determined to create an exclusive market for itself at the expense of its competition.

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Os Trigonum: Should You Treat It Surgically?

VOLUME: 22 PUBLICATION DATE: Sep 01 2009
Issue Number: 
9 September 2009

Yes. Christopher Corwin, DPM says surgical excision, when properly indicated, addresses the cause of os trigonum pain, offers a lower risk of recurrence and facilitates a quick recovery and return to activity.

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Bunion Surgery: Should You Perform A Lateral Release?

VOLUME: 22 PUBLICATION DATE: Aug 01 2009
Issue Number: 
8 August 2009

Yes. Neal Blitz, DPM says the lateral release is a common component of bunion surgery as it aids in bunion correction and assists with reduction of the intermetatarsal angle when surgeons combine this procedure with structural realignment of the first metatarsal.

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Is Foam More Effective Than Gauze With Negative Pressure Wound Therapy?

VOLUME: 22 PUBLICATION DATE: Jul 01 2009
Issue Number: 
7 July 2009

Yes. Lee C. Rogers, DPM cites the evidence from negative pressure wound therapy (NPWT) trials and says the characteristics of NPWT foam facilitate the development of granulation tissue and improved healing in diabetic foot ulcers.

   There is no question that negative pressure wound therapy (NPWT) is a valuable modality in facilitating wound closure. In particular, the use of foam dressings with NPWT has demonstrated success in reducing wound surface size and accelerating the formation of granulation tissue.

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Is Cartilage Grafting Better Than Drilling For Osteochondral Lesions?

VOLUME: PUBLICATION DATE: Jan 01 2009
Issue Number: 
1 Jan 2009

Yes, Tom Chang, DPM cites recent advances in the use of autografts and allografts, and emphasizes that hyaline cartilage is more durable than fibrocartilage.

   The last few years have seen the introduction of evolving techniques for osteochondral defects for talar lesions. These techniques include the use of autografts and allografts in single plugs or mosaic patterns.

   Surgeons have utilized similar techniques for chondral defects in the metatarsal heads as well. The degenerative changes in patients with hallux valgus or hallux limitus can prese

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Bunions: Are Proximal Osteotomies Necessary?

VOLUME: 15 PUBLICATION DATE: Aug 01 2002
Issue Number: 
8
Yes, if the procedure is done correctly, it is a valuable adjunct to bunion correction, says John McCord, DPM. Who will ever forget the memorable autistic man played by Dustin Hoffman in the film Rain Man? My favorite scene was when he refused to fly on any airline but Quantas because that carrier had no history of accidents. I reflect on that scene when I talk with colleagues in podiatry who refuse to consider performing proximal osteotomies while correcting bunion deformities. Their logic makes as much sense as the Rain Man in that they will choose a head osteotomy even though it w
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Are Tissue Replacements Cost Effective?

VOLUME: 16 PUBLICATION DATE: Jul 01 2003
Issue Number: 
7
Yes, these authors say tissue replacements can facilitate shorter healing times and reduce the risk of complications from chronic wounds. By Jason R. Hanft, DPM, Andre Williams, DPM, Constantine Kyramarios, DPM, and Kerry Temar, DPM, MS The goals in treating diabetic foot ulcers are to obtain wound closure as quickly as possible, lower the probability of amputation and decrease recurrent ulcerations. Timely healing is important because the longer a diabetic foot ulcer remains unhealed, the greater the risk for infection, hospitalization and progression of the ulcer to require lim
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Maggot Therapy: Is It Viable In Wound Care?

VOLUME: 15 PUBLICATION DATE: Oct 01 2002
Issue Number: 
10
Yes, maggots are inexpensive, practical and can facilitate the use of other modalities, says David G. Armstrong, DPM. I remember bringing up the issue of using maggots to help debride a particularly intractable wound with one of my great mentors, Bill Todd, DPM, who is now with the Dr. William A. Scholl College of Podiatric Medicine at Finch University. What was his response? “Armstrong … Those damn critters have a hell of a lot less education than we’ve wasted on your sorry cranium. I should hope that you can at least learn to debride a wound as well as one of them.” While I ofte
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Are Ankle Implants Worth Another Look?

VOLUME: 16 PUBLICATION DATE: Apr 01 2003
Issue Number: 
4
Yes, Mark H. Feldman, MS, DPM, cites technical advances in the devices and promising results from studies. Diligent study of normal ankle biomechanics and review of previous implant failures has led to the development of a new generation of total ankle replacement (TAR) implants. The newer implants provide a better means of dissipating the rotational forces at the joint surface by using a meniscus-like bearing between the tibial and talar components, while maintaining the integrity and stability of the joint.1-4 This improvement, coupled with improved cementless fixation, has
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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.
This activity is sponsored by the North American Center For Continuing Medical Education (NACCME).

To access this Webcast, visit www.naccme.com/program/n-550/





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