Foot & Ankle Weekly
July 27, 2010

Special session on new consensus recommendations for DFUs added to ACFAOM 2010 program
In only one month the ACFAOM 2010 Annual Clinical Conference will be held at Disney World, Aug. 26-29. This is the one meeting in 2010 you cannot afford to miss. If you have not registered yet, do so now!

A special session has been added on Saturday, Aug. 28, featuring the new report from Wounds journal entitled Consensus Recommendations On Advancing The Standard of Care for Treating Neuropathic Foot Ulcers In Patients With Diabetes. This report provides the latest understanding of the risks associated with DFUs, and the identification of clinical and treatment markers to improve outcomes and assist in advancing the standard of care. One of the authors of this important document, Dr Jason Hamft, will present the report's findings and recommendations, which will then be followed by a short and energetic debate with Drs. Lawrence Harkless, Lee Rogers and James Stavosky. This session will be sponsored by Advanced BioHealing.

ACFAOM 2010 is a comprehensive program covering the latest on orthotic therapy, wound management, basic surgical skills, diagnostic ultrasound, biopsy techniques, HIPAA compliance, billing & coding, research presentations - the works. With a top-flight faculty and plenty of time to ask questions and get 'hands-on' experience, you can earn 25 CMEs. For program information, click here. To register, click here. More

Chromosome 17 abnormality found in inherited clubfoot cases
Ortho SuperSite
Researchers have discovered that small recurrent DNA duplications, as well as deletions, on chromosome 17 are currently the most commonly known cause of inherited clubfoot deformity, occurring in 6 percent of cases studied. Christina Gurnett, MD, PhD, a pediatric geneticist and neurologist at Washington University in St. Louis, Mo., and colleagues found the abnormalities in a region of chromosome 17 in four of 66 patients with an inherited form of clubfoot they studied. More

Charcot and limb loss
Lower Extremity Review
Ulcer prevention is the key to amputation prevention in patients with Charcot arthropathy, according to research from Chicago that raises the question of whether pre-emptive surgical correction of deformities is warranted in Charcot patients. Investigators from Loyola University located in Chicago reviewed 911 cases of Charcot arthropathy and 15,117 cases of diabetic foot ulcer in the absence of Charcot, from a national Department of Veterans Affairs database. More

Doctors complete total ankle replacement
Star Banner
Two doctors at Munroe Regional Medical Center located in Ocala, Fla., recently became the first in the area to complete a total ankle replacement. Dr. Robert Linn Jr. and Dr. Scott Goldstein, of Foot and Ankle Center of Ocala, Fla., operated on the patient for four hours, replacing an arthritic ankle with a metal and polymer joint. The procedure is new compared to hip and knee replacements. "The ankle is a different type of a joint," Linn said. "Previously, the construct was complicated by the anatomy."More

Diabetics suffering from Charcot foot have new treatment
Charcot foot, a debilitating foot deformity suffered by morbidly obese diabetics, is becoming increasingly common due to the rising rates of obesity around the world. Charcot foot is so serious that it makes walking extremely difficult and can even require amputation in severe cases. Unfortunately, traditional surgical techniques do not work with obese Charcot patients, as their bones are already weakened by their weight.More

New study proves care by podiatrists dramatically decreases lower limb amputation research results to be presented at APMA's 98th Annual Scientific Meeting
Essential foot care by a podiatrist has now been statistically proven to reduce hospitalization and amputation in adults with diabetes, according to a first of its kind study conducted by Thomson Reuters. The recent study will be presented by Vickie R. Driver, MS, DPM, during the American Podiatric Medical Association's (APMA) 98th Annual Scientific Meeting. The presentation will highlight the dramatic impact that as few as one visit to a podiatrist can have on patients with diabetes. More

New study shows efficacy of laser therapy for onychomycosis
Podiatry Today
Given the common prevalence of onychomycosis, the emergence of new laser devices to help treat this disease has been an intriguing development. A recently published study suggests that laser therapy may have a role in the treatment armamentarium for onychomycosis. Published in the Journal of the American Podiatric Medical Association (JAPMA), the study examined the use of laser therapy on 26 toes with mycologically confirmed onychomycosis. More

Keep hips in shape
The Galveston County Daily News
Runners plagued by bad knees and achy ankles might be blaming the wrong joint, a local sports medicine practitioner said. "Weak hips are the likely culprit in leg injuries," Dr. Alice May-Sexton said. "We used to believe that a lot of runners' problems started with the feet and worked their way up, but we're finding that if we get the hips stable, it will fix a lot of the foot and ankle issues."More

Phys Ed: Do certain types of sneakers prevent injuries?
The New York Times
A few years ago, the military began analyzing the shapes of recruits' feet. Injuries during basic training were rampant, and military authorities hoped that by fitting soldiers with running shoes designed for their foot types, injury rates would drop. Trainees obediently began clambering onto a high-tech light table with a mirror beneath it, designed to help outline a subject's foot. More

Prevention programs for foot ulcers, amputations needed in patients with diabetes
Endocrine Today
Programs for the prevention of foot ulcers and amputations in patients with type two diabetes are lacking, and researchers suggest that appropriate prevention services may significantly improve the high rate of amputation in this patient population. Researchers pooled data from electronic medical records to identify 150 patients on dialysis and 150 patients with a previous foot ulceration or amputation between 2000 and 2006. More