Abstract: A chest wall defect that penetrates deep into the heart is rare, but life threatening. Reconstructing a defect such as this presents challenges regarding timing and surgical approach. The patient in the present case had a chest wall defect with an extensively encroached heart and severely impaired cardiac function as a result of radiation injury af […]
Abstract: A 39-year-old man with previously undiagnosed scleroderma was admitted to the UCSD Medical Center with bilateral, limb-threatening necrotic lower extremity ulcers extending to underlying fascia and muscle. Rather than amputate the extremities, the patient requested alternative treatment and underwent extensive tissue debridement followed by placeme […]
Abstract: This report describes a case of Staphylococcus aureus osteomyelitis associated with a chronic foot ulcer that was successfully treated with surgical debridement and 6 weeks of daptomycin therapy. Daptomycin was chosen because of its excellent activity against the causative organism and the patient’s history of penicillin allergy. Its tolerability a […]
The author details the treatment of an obese 48-year-old patient with diabetes whose weight loss and exercise program stalled due to pain and discomfort in her right foot, arch and heel. read more
These authors offer insights on removing failed hammertoe implants from a 53-year-old-female who presented with a chief complaint of continued pain and swelling localized to her right and left fourth toes. read more
Although podiatry residents have opportunities for significant advancement of their skills, they also face daunting challenges that may not be receiving adequate attention in residency programs. Drawing upon their experience, these authors suggest a number of areas for improvement in residency programs, including research opportunities, business education an […]
As barefoot running gains popularity and the market sees the development of more minimalist shoes, podiatric physicians and athletes have debated barefoot running versus shod running, which is faster and which leads to less chance of injury. Accordingly, this author takes a closer look at the evidence with a focus on biomechanics and physiology. read more
Given the myriad of possible etiologies for deviated second or third toes, it is valuable to have a range of treatment options. This author offers a closer look at surgical management and current concepts with the Weil distal oblique metatarsal osteotomy, the extensor digitorum brevis tendon transfer and soft tissue balancing of the lesser metatarsophalangea […]
When conservative offloading options have failed and patients with diabetes are at risk of limb loss, one might consider surgical offloading for diabetic foot ulcers. These authors offer their experience with operative techniques for offloading ulcers in areas such as the midfoot, first ray and lesser metatarsals. read more
A study recently published in the Journal of the American Podiatric Medical Association speculates that equinus may occur more frequently than previously reported in patients with diabetes. read more
Diabetic neuropathy results in tendon imbalance and decreased protective sensation.1,2 Tendon imbalance, especially Achilles or gastrocnemius-soleus tightness, causes or aggravates most foot problems. read more
Subtalar joint arthrodesis and subtalar joint arthroereisis are widely used surgical procedures for eliminating motion or limiting excessive pronation at the subtalar joint.1-3 read more
Twitter Article
December 12, 2009 — Matthew Livingston R.N. C.W.S.
I am currently writing an article on Twitter and the use of social media for wound physicians and clinics. Please let me know if you are having success with social media as a marketing tool for your practice.
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