What Do We Do When A Patient With A Chronic Ulceration Fails Conservative Therapy And Declines An Amputation?

Molly Judge DPM FACFAS
10/11/13 | 5416 reads | 2 comments
Chronic ulcerations, especially in patients with systemic disease, are troublesome to say the least. These patients’ visits are often intensive and laborious, taking a toll on both medical and clerical staff. When patients require outside consultations or hospital admission, telephone communications and added paperwork are costly at many levels. For many physicians, the added overhead expense becomes difficult to afford. Read More.

How Have Patients Responded To The Suture And Button Stabilization Technique?

Molly Judge DPM FACFAS
8/8/11 | 3419 reads | 0 comments
I am happy to report that my patients and I have been pleased with the results of the suture and button stabilization technique used for stabilizing plantar plate insufficiency associated with lesser metatarsophalangeal joint (MPJ) instability. (See the February 2011 Podiatry Today cover story at http://www.podiatrytoday.com/current-insights-treating-second-mpj-dysfun... and a previous blog I did on this subject at http://www.podiatrytoday.com/blogged/questions-and-answers-suture-and-bu... .) Read More.

Questions And Answers On The Suture And Button Technique For Plantar Plate Stabilization

Molly Judge DPM FACFAS
2/10/11 | 4683 reads | 4 comments
I recently presented the suture and button technique as a preliminary report of my personal experience with second metatarsophalangeal joint (MPJ) instability and predislocation syndrome (see http://bit.ly/e6mD4d ). This method has been developed for those patients who have failed conservative efforts to stabilize the digit and accommodate the forefoot. This procedure is unique and is not published in the literature to date. Read More.

To Radiograph Or Not To Radiograph A Bunion Deformity: What The Intraoperative Findings Reveal

Molly Judge DPM FACFAS
7/16/10 | 7076 reads | 0 comments
In the discussion of whether or not you really need to use X-rays in bunion surgery, there seem to be more posted comments in my camp (see see http://www.podiatrytoday.com/blogged/emphasizing-the-importance-of-radio... and http://www.podiatrytoday.com/blogged/can-you-select-a-bunion-procedure-b...). I have always considered the radiographic evaluation an important component of both the preparation for and execution of bunion surgery. Read More.

Emphasizing The Importance Of Radiographs In Choosing A Bunion Procedure

Molly Judge DPM FACFAS
5/25/10 | 5888 reads | 2 comments
I have enclosed the radiographs (see above) that are associated with the case I presented in last month’s blog (http://www.podiatrytoday.com/blogged/can-you-select-a-bunion-procedure-b...). How does this change your procedure selection and are there any further tests you would order? Read More.

Can You Select A Bunion Procedure Based Solely On Clinical Evaluation?

Molly Judge DPM FACFAS
4/7/10 | 5083 reads | 10 comments
I was talking with some colleagues of mine recently and we were reviewing bunion surgery, the most common of the elective procedures that we perform. During this conversation, one more experienced colleague said he really does not even need X-rays as he can tell from the clinical evaluation what procedure is going to work out best for the patient. At this point in his career, he feels that getting X-rays is now simply an issue of medicolegal documentation rather than a tool for measuring angles and procedure selection. Most of the others at the table seemed to agree with his philosophy. Read More.

Failure To Biopsy: When Alleged ‘Wound Care Specialists’ Fall Short Of The Standard Of Care

Molly Judge DPM FACFAS
2/8/10 | 5230 reads | 7 comments
I do not know about you but I continue to find myself wondering who are these so-called wound care specialists who undertake management of wounds but are nowhere to be found when bad wounds take a turn for the worse. Read More.

Keys To Identifying Patients At Risk For Charcot Foot

Molly Judge DPM FACFAS
11/4/09 | 3985 reads | 3 comments
It is well known that patients who present with the acute or chronic Charcot joint require a tremendous amount of time, energy and effort in both patient education and proactive management in an attempt to reduce the risk of limb loss. Read More.

Enduring The Endless Paperwork Shuffle: Why Tort Reform Is Essential

Molly Judge DPM FACFAS
8/24/09 | 3596 reads | 2 comments
Have you gone to a hospital for a case using local anesthesia lately? It has truly become bizarre. When I began private practice in 1997, you could walk into the hospital, fill out little more than a consent form and you could be in and out as fast as you would at any outpatient surgery center. Read More.