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1
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Clinical Management
of the Neuropathic Limb
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Nancy Elftman, CO
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Today the O&P field addresses
neuropathy in an attempt to prevent
ulceration and ensuing complications.
The author presents techniques in
treating neuropathic and dysvascular
patients.
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13
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A Review of Causes of Foot Ulceration in
Patients with Diabetes Mellitus
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James A. Birke, MS, PT
Andrew Novick, MA, PT
Elizabeth S. Hawkins, DPM, MPH
Charles Patout Jr., MD
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The authors discuss how mechanical
stresses resulting from joint deformity,
hypomobility and poor foot care!
footwear are important in the causal
pathway of both neuropathic and
ischemic foot ulcers. Fortunately, many
lesions in the diabetic foot are...
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23
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Medical and Surgical Considerations in
the Care of Patients with Insensate
Dysvascular Feet
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John H. Bowker, MD
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Here, a discussion of the risk factors
associated with, and an approach to
managing, the peripheral neuropathy
that complicates diabetes mellitus-the
leading cause of insensate foot
problems in the developed world.
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31
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Rigid Orthoses for the Insensitive Foot:
The "Rigid-Relief" Orthosis
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Andrew Novick, MA, PT
James A. Birke, MS, PT
Alicia S. Hoard, OTR
Denise M. Brasseaux, PT
John B. Broussard, PT
Elizabeth S. Hawkins, DPM, MPH
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Despite the use of insoles and custom-molded orthoses, often in conjunction
with rigid rocker-soled shoes or other
shoe modifications, many patients are
prone to reulceration. Here, a method
for fabricating a more favorable,
alternative orthosis-a ri...
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41
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A Calf Corset Weightbearing Ankle-Foot
Orthosis Design
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J. Martin Carlson, CPO
Fran Hollerbach, CO
Bruce Day
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The authors have designed a calf
weightbearing corset that lets patients
walk comfortably and safely without
bearing weight through the skeletal
elements of the lower leg and foot.
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45
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Orthotic Management of Diabetic
Neuropathic Arthropathy
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John W. Michael, MEd, CPO
Max A. Isbell, PA-C
John M. Harrelson, MD
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The authors present a method of
managing Charcot's arthropathy
patients that has successfully avoided
the development of marked deformities
despite the bony destruction
documented on radiographs. in
addition, 90 percent of the patients have
avoided a...
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56
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The Lange Silicone
Partial Foot Prosthesis
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Lawrence R. Lange, CPO
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A new fabrication procedure produces
a light, soft, flexible, cosmetic
alternative to previously used varieties
of partial foot prostheses.
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