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 […]
This author discusses using a tibio-talo calcaneal fusion with an intramedullary rod in a distal tibia-fibula fracture in a patient who had sustained two nonunions following open reduction internal fixation. read more
Given the risks and patient concerns associated with K-wire fixation, these authors discuss the use of emerging hammertoe implants, absorbable pins and cannulated screws, and share a couple of illuminating case studies. read more
Given the relatively common incidence of venous insufficiency and the high likelihood of recurrence with venous leg ulcers, these authors offer a thorough review of the literature and share their insights on compression modalities ranging from inelastic (short stretch) bandages to intermittent pneumatic compression therapy. read more
Given the decreased bone mineral density and poorer bone healing potential in people with osteoporosis, achieving adequate fixation can be challenging for osteotomies or arthrodesis procedures in this patient population. Accordingly, these authors review the literature and assess a range of fixation options including traditional plate fixation, cannulated sc […]
Given the increased prevalence of gout and how gout affects the lower extremity, the author discusses current concepts in diagnosis and treatment, and provides an illuminating case study. read more
Reviewing the evolution of the Evans calcaneal osteotomy, this author discusses the impact on biomechanics, shares insights from the literature on osteotomy placement and bone graft size, and offers pearls on minimizing the risk of common complications. read more
As the President of the Texas Podiatric Medical Association (TPMA), I want to respond to your December 2011 cover story, “Scope of Practice Update: Where Things Stand,” as it relates to Texas. I hope to clarify some misinformation and inaccurate facts that could have a negative effect on Texas if left unchallenged. read more
The American Medical Association (AMA) is opposing the Conditions of Participation of the Centers for Medicare and Medicaid (CMS) that would allow podiatrists to hold leadership positions at hospitals. 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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