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 […]
Index: WOUNDS. 2013;25(11):313-323. Abstract: Health care-associated infections (HCAIs) are infections acquired through contact with any aspect of health care. They can cause minor complications or serious disability or death, and can involve a wide variety of resistant or emergent organisms. Surgical site infections make up approximately one-fifth of HCAI […]
Index: WOUNDS. 2013;25(9):242-250. Abstract: Background. This literature review serves to develop an evidence-based algorithm for the treatment of venous ulcerations and the development of a guideline to systemically treat venous leg ulcerations (VLUs) that may improve outcomes, restore function of the affected limb, and reduce health care costs. Methods. […]
Index: WOUNDS. 2013;25(6):160–167. Abstract: Introduction. Oxidized regenerated cellulose has a long history of safe and effective use in the surgical setting. Surgicel Original, Fibrillar and Nu-Knit absorbable hemostats are composed of oxidized regenerated cellulose and are sterile, absorbable knitted fabrics that are flexible and adhere readily to bleed […]
Index: WOUNDS. 2013;25(5):113–120. Abstract: The extracellular matrix (ECM) of the dermis is a critical structural component required for normal wound healing. The ECM, along with its key signaling components, provides the support structure necessary for fibroblasts, immune cells, and keratinocytes. When ECM activity is dysfunctional, the normal wound heal […]
Index: WOUNDS. 2012;24(12):350–355. Abstract: Bullosis diabeticorum (bullous disease of diabetes or diabetic bullae) is a noninflammatory, blistering disease occurring spontaneously in diabetic patients.The bullae are usually located on acral skin surfaces, particularly the feet. While this disease is unique to patients with diabetes, it may mimic other bl […]
As issues with reimbursement and technological changes arise, small podiatry groups may be feeling the pinch, making supergroups the wave of the future. This author explores the business model of supergroup practices, including how physicians can join together to take advantage of economies of scale and enhanced practice marketing. read more
When a reconstructed Charcot foot becomes unstable, physicians face a dilemma for salvaging the foot, given the complexity of the condition. Accordingly, these authors discuss key considerations and offer pertinent pearls for revisional and failed Charcot repair. read more
In a review of the literature and their clinical experience, these authors discuss the pathomechanics of tarsal tunnel syndrome, keys to the differential diagnosis and the role of functional foot orthotics in treating the condition. read more
Recent guidelines are disputing the notion that one should use antimicrobial dressings on wounds even when there is no evidence of infection. Accordingly, these authors take a closer look at this subject with a thorough review of the literature and an intriguing case study. read more
Entrapment of the common peroneal (fibular) nerve can cause a myriad of symptoms, ranging from low back pain to drop foot. This author provides a guide to diagnosing the nerve entrapment, offers pearls on performing neurolysis/decompression and discusses the potential impact it can have for patients. read more
I am a podiatric physician and surgeon, and have been in practice for 43 years. As a past president of the American College of Foot and Ankle Surgeons and professor at the Temple University School of Podiatric Medicine teaching a course in podiatric biomechanics, I have observed many articles that have been written in Podiatry Today. read more
A number of existing classification systems for threatened lower extremities gauge patients’ ischemia but can fail to consider factors such as tissue loss or the extent of infection. A new system, recently published online in the Journal of Vascular Surgery, proposes to classify at-risk limbs with a broader range of criteria. read more
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These blog publications are not binding and their use should be flexible to accommodate patient needs. Application of this information in a particular situation remains the professional responsibility of the practitioner. The reader, moreover, is urged to check the package insert for each drug and dressing for any change in indications and dosages and for added warnings and precautions.