JPO 1992 Vol. 4, Num. 1

1
Clinical Management of the Neuropathic Limb
Nancy Elftman, CO
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.
 
13
A Review of Causes of Foot Ulceration in Patients with Diabetes Mellitus
James A. Birke, MS, PT
Andrew Novick, MA, PT
Elizabeth S. Hawkins, DPM, MPH
Charles Patout Jr., MD
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...
 
23
Medical and Surgical Considerations in the Care of Patients with Insensate Dysvascular Feet
John H. Bowker, MD
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.
 
31
Rigid Orthoses for the Insensitive Foot: The "Rigid-Relief" Orthosis
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
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...
 
41
A Calf Corset Weightbearing Ankle-Foot Orthosis Design
J. Martin Carlson, CPO
Fran Hollerbach, CO
Bruce Day
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.
 
45
Orthotic Management of Diabetic Neuropathic Arthropathy
John W. Michael, MEd, CPO
Max A. Isbell, PA-C
John M. Harrelson, MD
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...
 
56
The Lange Silicone Partial Foot Prosthesis
Lawrence R. Lange, CPO
A new fabrication procedure produces a light, soft, flexible, cosmetic alternative to previously used varieties of partial foot prostheses.