Avoiding A ‘Slippery Slope’ When Treating Intractable Plantar Keratosis

Patrick DeHeer DPM FACFAS
7/16/13 | 3862 reads | 2 comments
There are a few foot and ankle surgical procedures that I consider a slippery slope with tremendous uncertainty regarding poor cost versus reward ratios. One of these procedures is the surgical treatment for intractable plantar keratosis via a lesser metatarsal osteotomy. Read More.

An Overview Of Surgical Treatments For Stage II Tibialis Posterior Tendon Dysfunction

Patrick DeHeer DPM FACFAS
6/18/13 | 2978 reads | 0 comments
Regardless of the etiology of the deformity, the three principles for flexible flatfoot deformity surgical correction include: • removal of any deforming force of the leg onto the foot; • perpendicular alignment of the hindfoot to the ground; and • a parallel relationship of the forefoot to the rearfoot. This applies to pediatric flexible flatfoot, adult flexible flatfoot and stage II tibialis posterior tendon dysfunction The treatment of stage II tibialis posterior tendon dysfunction has evolved over the years to a well-documented group of procedures. Read More.

Amazon Review Says Podiatrists Are Not Experts On Ankle Surgery

Patrick DeHeer DPM FACFAS
5/21/13 | 5185 reads | 32 comments
Every once in awhile you come across something that makes your blood boil. My trigger was simply reading reviews of the most current edition of McGlamry's Comprehensive Textbook of Foot and Ankle Surgery on Amazon.com. What infuriated me was the following review: Read More.

What A Spanish Podiatrist Learned From Visiting With Podiatrists In The United States

Patrick DeHeer DPM FACFAS
4/11/13 | 4507 reads | 0 comments
Editor’s note: This entry’s guest author is Gabriel Aguirrezabal, a Spanish podiatrist. He is in private practice in Bilbao in Basque Country, Spain. I am Gabriel Aguirrezabal, a Spanish podiatrist. I am very thankful to Dr. DeHeer and his colleagues for welcoming me into Indianapolis for two weeks in March. During my journey, I wanted to develop new podiatric skills and discover how doctors practice podiatric medicine in the United States. I was able to rotate through a variety of podiatric settings such as surgery, clinical practice and even wound care. Read More.

Is Bone Marrow Aspirate Concentrate The Newest Game Changer In Podiatric Surgery?

Patrick DeHeer DPM FACFAS
2/28/13 | 7972 reads | 2 comments
What do AO technique, external fixation and locking plate technology have in common? They are all game changers for foot and ankle surgeons. They have become gold standards. Game changers do not come along often. However, when they do, both surgeons and patients benefit. Surgeons benefit from simplification of surgical techniques and patients benefit from better outcomes. Another game changer is bone marrow aspirate concentrate. When will this become as commonplace as American orthopedic technique, external fixation or locking plate technology? Read More.

Sharing Your Podiatric Knowledge: Why Those Who Can Should Teach

Patrick DeHeer DPM FACFAS
1/16/13 | 2629 reads | 0 comments
Knowledge is a gift that we must share and pass on. When you keep it to yourself, you diminish the power of knowledge. Without sharing knowledge, especially knowledge that derives its source from experience, a society, including the profession of podiatric medicine, is cheated. Read More.

Is The First MPJ Arthrodesis Underutilized For Severe Bunion Deformities?

Patrick DeHeer DPM FACFAS
12/20/12 | 3197 reads | 1 comments
I admit that I am a perfectionist—almost to a fault. This is a good thing if you are a surgeon but if you are trying to organize your bookshelf or your digital pictures, it is tedious. I expect perfect results when I do surgery while also striving for perfection in my everyday life. Read More.

The Challenges And Rewards Of Establishing A Diabetic Foot Program In Haiti

Patrick DeHeer DPM FACFAS
11/20/12 | 2768 reads | 0 comments
There are times in your life when you know you are a part of something important, something that has the potential to be significant. These are the events that give meaning and depth to life. I recently had such an experience. I knew even before it happened that I was going to be involved in something special. Read More.

Cutting Down On Wait Times Without Sacrificing Quality

Patrick DeHeer DPM FACFAS
10/17/12 | 3845 reads | 2 comments
Medicine is a volume business. In order to have a financially thriving practice, clinicians need to see more patients. More patients equal more revenue. This is a dirty little truth that anyone in medicine knows but is very reluctant to talk about because it is not politically correct. The problem with a high volume is patients spend more time waiting. I have always inherently been aware of patient wait times. The longer patients wait, the more pressure I feel. Recently, I asked patients to fill out a survey with the following questions: Read More.