Management of a Chronic Radiation Necrosis Wound with Lyopreserved Placental Membrane Containing Viable Cells

Radiation therapy is commonly employed in the treatment of various cancers alone, or in a combination with surgical tumor excision, with the purpose of selectively killing cancer cells at the tumor site.1 Radiation therapy, however, is damaging to the surrounding healthy tissue and may result in tissue necrosis. Radiation can also compromise wound healing leading…

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Biofilm-hijacked Inflammation: The Missing Link to Hard-to-heal Wounds

Diabetic foot ulcers (DFUs), venous leg ulcers (VLUs), and pressure ulcers (PUs) represent the most common hard-to-heal wounds. According to Armstrong, “Every 1.2 seconds, someone develops a diabetic ulcer; every 20 seconds, someone is amputated.” In the United States, $1 million is spent every 30 seconds on diabetic foot complications. The news is similar for…

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Early Weight-Bearing After Arthrodesis of the First Metatarsal-Phalangeal Joint: A Systematic Review of the Incidence of Non-Union

Arthrodesis of the first metatarsal-phalangeal joint is a reliable procedure for correction of both hallux limitus/rigidus and severe hallux abducto valgus deformities (1). However, one potential contraindication to the procedure is the extended period of non-weight-bearing immobilization that is typically associated with the postoperative course. The objective of this investigation was to perform a systematic…

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The Role of Stem Cells in Wound Healing: An Overview

The evolution of stem cells in the chronic wound regimen has taken a very circuitous path, so to speak. This article will briefly describe some of the different types of stem cells and how they may be utilized as therapeutic modalities in healthcare, including specifically in wound care. TYPES OF STEM CELLS When we talk…

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Metatarsus Primus Elevatus Resolution After First Metatarsophalangeal Joint Arthroplasty:

Eliminating Elevatus Without an Osteotomy – A Preliminary Study Hallux limitus (HL) is the second-most common pathology associated with the first metatarsophalangeal joint. A common etiology believed to be associated with HL is metatarsus primus elevatus (MPE), although causation has been unsubstantiated by evidence. Historically, correction of MPE is surgically addressed with an osteotomy. However,…

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Computerized Tomography Measurement of Syndesmotic Reduction in Intra-Articular Tibial Plafond Fractures

Intra-articular fractures involving the ankle joint complex may be associated with significant patient morbidity, particularly if involving disruption and instability of the syndesmotic ligaments. Although this has been relatively well-established within the literature with respect to rotational ankle fractures [1,2], the association and impact of syndesmoticdisruption and malreduction on intra-articular tibial plafond fractures (i.e. pilon…

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Ocean County Foot & Ankle Surgical Associates, P.C. is pleased to Announce that our very own Dr. Michael Plishchuk has been named Chairman of Foot and Ankle Surgery at Deborah Heart and Lung. Congratulations, Dr. Plishchuk!

About Michael Plishchuk, D.P.M. Dr. Plishchuk is a graduate of the Temple University School of Podiatric Medicine in Philadelphia. His residency was served at Kennedy Memorial Hospitals in Stratford, Cherry Hill and Turnersville, New Jersey. Dr. Plishchuk has worked with patients at some of the most prestigious and well respected medical facilities in the area…

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