Disorders of toenails easily rank in the top five most common podiatric complaints in our patient population. We see ingrown toenails every day and sometimes we get into a rut assuming that the source of all pain from the toenail is the toenail itself.
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.
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.