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Lower Extremity Review
A recent paper from researchers in Australia has reignited the ongoing debate about the relative merits of partial-foot versus transtibial amputations, particularly in diabetes patients. For clinicians who deal with limb salvage and rehabilitation, it’s a challenging topic, as their decisions carry significant implications for their patients’ longevity and quality of life.
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Journal of Foot and Ankle Research
This study focused on pressure relieving orthotic insoles designed for retail footwear and people with diabetes and at risk of first forefoot ulceration. The aim was to investigate whether the pressure relieving effects of a customised metatarsal bar and forefoot cushioning are sensitive to bar location and shape, and material choice.
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Medscape
From tailoring preprocedural planning in patients with heart failure to building layers of cardiac tissue to create a tiny "heart," 3-D printing (or additive manufacturing) has shown promise in various applications in cardiology. So, how is the technology currently being applied in orthopedics?
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PubMed
Epithelial to mesenchymal transition (EMT) is a process by which epithelial cells acquire mesenchymal properties. This process contributes to the accumulation of matrix proteins in kidney and leads to renal glomeruli fibrosis. Tangeretin is an O-polymethoxylated flavone with anti-inflammatory and antioxidant properties that is found in citrus peels. This study investigated the renoprotective effects of tangeretin on EMT-mediated podocyte injury and fibrosis caused by hyperglycemia.
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Podiatry Today
When I first started my practice over 25 years ago, I only needed to understand that Medicare patients either had Part A and or Part B insurance. Now the alphabet has grown significantly when it comes to Medicare coverage. I have added new staff members and a new provider in my practice in the past month. While training them, I realized that both those new in practice and seasoned clinicians might benefit from a review of Medicare’s ever evolving structure.
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Healio
Fewer first-time diabetic foot ulcers were reported from 2013 to 2017 compared with 2003 to 2007 in a high-risk population that had access to more comprehensive podiatry care services, according to findings published in Diabetic Medicine.
"Persons living with diabetes and loss of protective foot sensation, foot deformity and/or peripheral vascular disease are at high risk of diabetic foot ulceration, and those with previous ulceration are at even greater risk," Richard B. Paisey, MD, of the Torbay and South Devon Integrated Care Trust in the United Kingdom, and colleagues wrote.
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PubMed
This study examined the effects of high protein dietary supplementation and nutrition education on the healing of diabetic foot ulcers.
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Journal of Foot and Ankle Research
We aimed to develop and evaluate a tool for clubfoot therapists in low resource settings to assess the results of Ponseti treatment of congenital talipes equinovarus, or clubfoot, in children of walking age.
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Science Daily
Surgery prompted by automobile accidents, combat wounds, cancer treatment and other conditions can lead to bone infections that are difficult to treat and can delay healing until they are resolved. Now, researchers have a developed a double-duty hydrogel that both attacks the bacteria and encourages bone regrowth with a single application containing two active components.
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| | CURRENT RESEARCH ARTICLE OF INTEREST |
Journal of Foot and Ankle Research
Background: Onychomycosis, a fungal infection affecting the nail plate, is a common condition often requiring prolonged treatment regimens, with low success rates. Urea is one treatment option, which is thought to improve the efficacy of topical and oral antifungal agents. Despite a theoretical basis for the use of urea for the treatment of onychomycosis, the evidence-base for this treatment has not been systematically reviewed
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ACFAOM
An ACFAOM Certified Clinical Podiatric Medical Assistant (CCPMA) can perform routine nail care, pre-treatment foot exams, collect client health information correctly, setup a sterile field and much more. Click here for additional information about the CCPMA qualification and its potential value for your practice. Also, ACFAOM is collaborating with AAPPM to help you register your staff members at the regular members’ rates. AAPPM’s CMOM-POD certifies that successful candidates have achieved advanced knowledge and skills to succeed in a podiatric practice management role; while the ACFAOM CCPMA course is purely clinical. You can have both types of your staff certified for less than $2,000.
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Foot & Ankle Weekly
Connect with ACFAOM
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Colby Horton, Vice President of Publishing, 469-420-2601 | Download media kit
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The American College of Foot & Ankle Orthopedics & Medicine
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Disclaimer: Stories and advertisements from sources other than ACFAOM do not reflect ACFAOM's positions or policies and there is no implied endorsement by ACFAOM of any products or services. Content from sources other than that identified as being from ACFAOM appears in the Foot & Ankle Weekly to enhance readers' understanding of how media coverage shapes perceptions of podiatric orthopedics and medicine, and to educate readers about what their patients and other healthcare professionals are seeing in both professional journals and the popular press.
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