science

Report shows disparities in US diabetes prevention, amputation

October 21, 2014

Differences in amputation rates for diabetes complications are a sign that disparities in care by region and race start much earlier, according to a new report. U.S.

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What doctors can tell about your health just by looking at your feet

October 14, 2014

The feet do a lot more than simply carry us from place to place. They can also provide important clues about our health, from showing us if we’re dehydrated to pointing to bigger problems, like impaired circulation or lung disease. Changes in how your feet look or feel can be the first sign of serious issues that, if caught early, could save your life.

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Achilles oddity: Heeled shoes may boost load during gait

October 7, 2014

A recent study using innovative technology has questioned the potential role of standard running shoes with slightly elevated heels for the prevention and treatment of Achilles tendon pathology. For many years, inadequate heel offset has been anecdotally implicated as a factor in tendinopathy of the Achilles, and elevating the heel to address this does seem to make sense.

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Open Fractures of the Foot and Ankle

October 1, 2014

Open fractures of the lower extremity cover a wide gamut of injuries ranging from the mangled, pulseless leg necessitating amputation to the more innocuous pinhole open wounds associated with simple fracture patterns. Prompt diagnosis and appropriate care can make a dramatic difference in decreasing complication rates and improving ultimate outcomes. Principles of management of open fractures have been created with the main goal of decreasing infection rates, while providing for stabilization of the bone and soft tissue injury.

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Diabetic Charcot Neuroarthropathy of the Foot and Ankle with Osteomyelitis

October 1, 2014

One of the most devastating foot and/or ankle complications in the diabetic population with peripheral neuropathy is the presence of Charcot neuroarthropathy (CN). In recent years, diabetic limb salvage has been attempted more frequently as opposed to major lower extremity amputation for CN of the foot and ankle with ulceration and/or deep infection. Treatment strategies for osteomyelitis in the diabetic population have evolved.

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Midfoot Crush Injuries

October 1, 2014

Treatment of midfoot injuries is surgical or nonsurgical, depending on the injury, the location, and the extent of the injury. Minor injuries usually heal with casting or bracing, whereas more unstable injuries typically need surgery for stability. Whether the injury is in a weight-bearing portion of the foot is also a consideration for surgery.

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Strategies for Managing Bone Defects of the Lower Extremity

October 1, 2014

Management of posttraumatic segmental bone loss as a result of severe open injuries of the lower extremity, high-energy closed injuries, and following failed initial treatment of complex fractures that develop pseudarthrosis continues to challenge reconstructive surgeons. There are numerous strategies for dealing with such injuries but the outcome is unpredictable.

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Obesity, early puberty and why we should be concerned

September 30, 2014

Reports earlier this year of a dramatic decline in childhood obesity were too good to be true. According to results of a more recent analysis, published in JAMA Pediatrics, the widely-heralded drop in the proportion of overweight young children was probably a statistical aberration

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ProtoKinetics software shows reliability

September 26, 2014

By Emily Delzell An August study comparing ProtoKinetics Movement Analysis Software (PKMAS) with the widely used GaitRite system concludes the software from Havertown, PA-based ProtoKinetics is a reliable alternative processing method. Researchers at the Norwegian University of Science and Technology in Trondheim collected data with GaitRite hardware from 86 healthy older people and 44 older adults who had undergone surgical hip fracture repair four months prior to study entry and derived temporal-spatial variables from raw footfall data using both GaitRite and PKMAS processing programs.

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Wound Documentation by Using 3G Mobile as Acquisition Terminal: An Appropriate Proposal for Community Wound Care

September 25, 2014

The increasing numbers of cases of wound disease are now posing a big challenge in China.

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