A Closer Look At The Modified Hoke Arthrodesis For Flatfoot Deformity

Allen Jacobs DPM FACFAS
9/25/09 | 6471 reads | 0 comments
For many years, I have employed a modification of the traditional Hoke procedure in the management of flatfoot deformity. Surgeons generally employ medial column stabilization in flatfoot deformity to augment other pronation limiting surgical interventions such as arthroereisis, tendo-Achilles lengthening (TAL), calcaneal osteotomy, etc. Read More.

Why I Advocate The Medial Incision Approach In Hallux Valgus Correction

Allen Jacobs DPM FACFAS
8/20/09 | 8777 reads | 4 comments
   Many years ago (more than I wish to recall), Guido LaPorta, DPM, turned me on to the medial incision for the correction of hallux valgus deformity. Over the years, I have found that the medial incisional approach to hallux valgus correction has been most effective and is associated with less postoperative problems than I have encountered with the traditional dorsal-medial longitudinal incision for hallux valgus surgery. Read More.

When ‘Not Guilty’ Does Not Necessarily Mean Innocent

Allen Jacobs DPM FACFAS
7/29/09 | 3934 reads | 3 comments
I recently had the opportunity to participate in a malpractice case in which I testified as an expert witness in support of the allegations that a plaintiff brought against her podiatric physician. The case ended with a defense verdict. The famous defense attorney F. Lee Bailey once noted that not guilty does not mean innocent, it means you were able to successfully “beat the rap.” Read More.

Advanced Therapies For The Diabetic Foot: Are We Getting Our Money’s Worth?

Allen Jacobs DPM FACFAS
6/22/09 | 3004 reads | 2 comments
In a recent issue of Diabetes Care, Kahn and Anderson examine the issue of diabetes care as a model for healthcare reform.1 The authors point out that the prevention of diabetes and the prevention of complications associated with diabetes are seldom cost-saving. This is contrary to many arguments that suggest preventive care is ultimately cost-effective and reduces expenses associated with the management of diabetes. Read More.

Bridging The Gap Between Life Lessons And Cornerstones Of A Successful Practice

Allen Jacobs DPM FACFAS
5/13/09 | 2530 reads | 0 comments
In 1999, a retired orthopedic surgeon published his perspective on the essentials of success in practice.1 I found his insights and suggestions helpful. I pass these on to our younger colleagues as advice that will stand them well in daily practice. Some older doctors may benefit as well. 1. Maintain humor, humility and humanity. 2. Make only original mistakes. 3. Invest time, thought and energy in interpersonal relationships with patients, colleagues and loved ones. 4. Apologize when causing pain to patients or when you keep them waiting. Read More.

Lecture Points To Emerging Bacterial Resistance To Silver

Allen Jacobs DPM FACFAS
4/17/09 | 3526 reads | 1 comments
At the recently concluded scientific sessions of the American Professional Wound Care Association (APWCA), Adrianne P.S. Smith, MD, presented evidence of evolving bacterial resistance to silver. Silver dressings are, of course, frequently utilized in wound care. It has been generally accepted that natural resistance to silver does not occur. However, Dr. Smith noted that silver resistance is being increasingly reported. The origins of this resistance include: plasmids with encoded genes for silver resistance; bacterial chromosomes; and selection when too low a dosage of silver exposure all Read More.