What I Learned From A Recent Malpractice Case On Warts

Allen Jacobs DPM FACFAS
4/17/14 | 828 reads | 0 comments
I recently had the opportunity to participate as a defense expert in a malpractice case. The jury returned a verdict in favor of the defendant podiatrist, determining that the plaintiff was 75 percent responsible for damages and the defendant was 25 percent responsible. However, the case was in the commonwealth of Pennsylvania where, unless the jury finds the defendant podiatrist to be greater than 51 percent responsible, it is a defense verdict. Read More.

Back To Basics: Why The Proximal First Metatarsal Osteotomy Is Resurging

Allen Jacobs DPM FACFAS
3/21/14 | 2306 reads | 0 comments
In 1928, McMensor noted that "in medical literature, ideas are frequently presented, forgotten and presented again.”1 In recent years, we have seen a resurgence of interest in proximal first metatarsal osteotomy procedures for the correction of bunion deformities. Numerous orthopedic suppliers now provide specific fixation devices for proximal first metatarsal closing and opening wedge osteotomies. This has been an interesting phenomenon, considering the enthusiasm for the Lapidus type of bunion correction over recent years. Read More.

What I Told The Students About Navigating Corporate Conflicts Of Interest

Allen Jacobs DPM FACFAS
2/17/14 | 6186 reads | 0 comments
The New York State Podiatric Medical Association meeting this year included a two-day lecture series for junior and senior students at the podiatry colleges. The sessions were well attended. I was honored that the seminar committee asked me to present one of the sessions to the students. For my topic, I decided to lecture on managing conflicts of interest and corporate influence in podiatry education and practice. Consistent with my concerns, every student had already been outfitted with a bag featuring a corporate name, which was filled with products and advertisements. Read More.

Current Insights On Differentiating Vascular Pain From Neuropathic Pain

Allen Jacobs DPM FACFAS
1/13/14 | 4778 reads | 0 comments
Not infrequently we face patients who have diabetes or other comorbid conditions with which vascular disease and neuropathy are both associated. At times, differentiating vascular pain from neuropathic pain can be difficult. In a patient with diabetes, vascular pain secondary to loss of blood flow may result from ischemia, vasculitis, vasospasm or vascular compression. Neuropathic pain may result from diabetic neuropathy, nerve entrapment such as tarsal tunnel syndrome, or spinal compression syndrome. Read More.

Learning From The Wisdom Of James Ganley, DPM

Allen Jacobs DPM FACFAS
11/26/13 | 1548 reads | 3 comments
As a student at the Pennsylvania College of Podiatry, my classmates and myself had the privilege of studying orthopedics under the direction of James Ganley, DPM. Dr. Ganley was a friend of E. Dalton McGlamry, DPM, and in a manner similar to Dr. McGlamry set a standard of academic and a scientific excellence that far exceeded the podiatry profession in those days. He practiced in a smaller Pennsylvania town and published a good deal in various areas of lower extremity pathology, always maintaining a keen interest in pediatric orthopedics. Read More.

Performing Revision Surgery Following The Lapidus Bunionectomy

Allen Jacobs DPM FACFAS
11/8/13 | 1996 reads | 0 comments
As with any bunion procedure, the Lapidus procedure may be associated with a number of potential complications and sequelae. Excessive elevation of the first metatarsal following the Lapidus procedure may result in lesser metatarsalgia or hallux limitus. Excessive shortening following the Lapidus procedure may also result in lesser metatarsalgia, hallux hammertoe deformity and lesser digital deformities. Injury to the peroneus longus or anterior tibial tendons may also occur as one performs the surgery in proximity to the insertion of these tendons. Read More.

Is DVT Prophylaxis Required Before Foot And Ankle Surgery?

Allen Jacobs DPM FACFAS
9/27/13 | 3483 reads | 0 comments
Can an aspirin a day keep the blood clots away? The subject of deep vein thrombosis (DVT) prophylaxis is usually associated with postoperative immobilization or prolonged immobilization in the management of injuries such as fractures or tendon ruptures. Read More.

How To Address Smoking In The Podiatric Patient

Allen Jacobs DPM FACFAS
8/30/13 | 2126 reads | 0 comments
Last year, I acted as a moderator for an American College of Foot and Ankle Surgeons (ACFAS) podcast on the subject of complications. The panel consisted of rather well-known and accomplished podiatric surgeons. The subject of smoking came up and interestingly, no panel members stated that they would interdict the performance of surgery in someone who is smoking. In fact, one panel member stated that if he were to refuse to perform surgery on a patient who smoked that he literally would have no one to do surgery on. Read More.

Are Digital Implants More Cost-Effective Than K-Wires?

Allen Jacobs DPM FACFAS
7/19/13 | 2298 reads | 1 comments
It seems as though every major orthopedic distributor as well as a variety of orthopedic companies that you have never heard of are making digital implants in every shape and size. Typically, the advertisements for these implants are glued to the front of our publications or fall out as you open the journal. It seems as though there are more advertisements for digital implants than even for the laboratories competing for your pathology and nerve fiber density testing business. Read More.