Use of the Cam Walker in treating diabetic ulcers. A case report.

This case study shows how a Cam Walker when equipped with an arch filler can be another tool the physician may use to help heal diabetic ulcerations. Even after other methods of conservative care have failed, the Cam Walker with an arch filler has been shown to gradually decrease and heal diabetic ulcerations on the plantar aspect of the foot. It accomplishes this by decreasing the pressure on the ulcerative areas and by decreasing the velocity with which the foot strikes the ground.

Femoral torsion after interlocked nailing of unstable femoral fractures.

Objective: The determination of rotation of the femur during intramedullary nailing procedures can be difficult, particularly when the fracture pattern does not lend itself to interdigitation. We studied 22 patients who had isolated femur fractures treated by closed intramedullary nailing to determine the degree of malrotation introduced at the time of surgery.

Design And Methods: Anteversion of the affected and normal femora was determined by a standard computed tomography (CT) torsion study.

A successful technique for the treatment of diabetic neurotrophic ulcers.

Over 90% of the diabetic neurotrophic ulcers treated with the felted foam technique at the Cleveland Foot Clinic have completely healed. The average healing time for plantar ulcers has been approximately 8 weeks. After the ulcerations have healed, molded shoes or orthopedic shoes with Plastazote inserts are prescribed.

Diabetes and peripheral vascular disease.

The classic Framingham Study suggests that the duration of diabetes is a contributing factor in the development of PVD. The major objective of all podiatric physicians should be to provide patients with the necessary information about the severity of their disease, particularly alerting them that noncompliance may lead to a lower extremity amputation and enlisting them as part of the treatment team in managing their condition.