Ensuring adequate vascularity can be critical to facilitating the healing of diabetic foot ulcerations. Accordingly, these authors discuss current mainstay approaches in vascular surgery as well as emerging techniques that could make a difference in the future for limb salvage in patients with diabetes and chronic wounds.
The complications of diabetes can desensitize patients to the effects of onychomycosis and complicate management of the condition. Given the increased prevalence of onychomycosis in this patient population, these authors discuss common pathogens and assess the available treatment options.
Although equinus is reportedly “the most profound causal agent in foot pathomechanics,” the phenomenon has yet to be addressed fully in the diabetic foot. Accordingly, these authors discuss the definition of equinus and offer insights on the efficacy of stretching, night splints, a new bracing option, tendo-Achilles lengthening and gastrocnemius recession.
Delays in diagnosing diabetic foot infections can increase the risk of complications. Accordingly, these authors offer a closer look at pertinent principles in the diagnostic workup ranging from insights on the patient history and physical exam to key tips on laboratory studies and imaging studies.
When do you make the transition to advanced modalities for diabetic foot ulcers? With this question in mind, these authors discuss key diagnostic pointers and offer salient insights from the literature on when physicians should consider advanced modalities to facilitate improved healing and outcomes.
Given the challenges of managing the diabetic Charcot foot, the chairmen of a recent international Charcot foot task force review the task force’s recommendations on diagnosing this syndrome and also discuss consensus findings on medical and surgical management.
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.
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.
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 screws and locking compression plates.
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.