DPM Blogs

What To Do When A Difficult Patient Walks Through Your Door

William Fishco DPM FACFAS
3/30/10 | 3980 reads | 0 comments
In this blog, I want to share with you strategies to help you better understand and treat the patient that you may deem “difficult.” So what do I mean by difficult? I am not referring to a difficult diagnosis but rather a difficult emotional status of the patient. One of my mentors, John Ruch, DPM, describes this patient as the “delicate flower.” Read More.

Understanding The Relationship Of Clubtoe To Clubfoot

3/30/10 | 3928 reads | 0 comments
Clubtoe is a term that I use to describe the big toe equinus deformity that one encounters with adolescent and adult clubfoot. It is a condition of “significant” hallux plantarflexion due to a severely rigid elevated first ray. In milder cases, the hallux will plantarflex at the metatarsophalangeal joint (MPJ) and mildly extend at the hallux interphalangeal joint (IPJ). Read More.

Are We Born To Run Barefoot?

Doug Richie Jr. DPM FACFAS
3/30/10 | 6067 reads | 0 comments
I just finished reading Christopher McDougall’s book Born to Run (Alfred A. Knopf, New York, 2009), which one of my patients actually mailed to me as a gift. This best-selling book is a fascinating read and highly recommended for all podiatric physicians. Why? This book has proposed many challenges to current podiatric theories about normal and abnormal foot function. Some of these challenges have merit and some lack scientific foundation. Read More.

Why Locking Plates Will Make Your Surgical Life Easier

Patrick DeHeer DPM FACFAS
3/24/10 | 5028 reads | 2 comments
I was having a conversation with my orthopedic surgeon friend, James Friedlander, MD, and he made a comment that really caught my attention. He said locking plates were the most significant advancement in orthopedic surgery in the last 25 years. Read More.

STJ Arthroereisis: Implanting Some Thoughts On The Prevailing Lack Of Insurance Coverage

Allen Jacobs DPM FACFAS
3/23/10 | 7167 reads | 0 comments
If you were to take the time to do so, you would find that many insurance carrier policies exclude coverage for subtalar joint (STJ) arthroeresis, characterizing it as investigational or even experimental. Read More.

Can External Fixation Have An Impact For Pediatric Patients?

Ron Raducanu DPM FACFAS
3/17/10 | 2555 reads | 0 comments
In the last several years, there has been a large push toward the use of external fixation for complex surgeries such as Charcot reconstruction and foot and ankle trauma. A little known application for external fixation is podopediatric surgery. Podopediatric surgery can be stressful in general. This is not because of a lack confidence in one’s skills nor is it a lack of successful outcomes. It is the nature of performing surgery in this patient population. Read More.

Experts At DFCon 2010 To Combat ‘Amputation Tsunami’

David G. Armstrong DPM MD PhD
3/16/10 | 2944 reads | 0 comments
With an amputation performed every 30 seconds due to diabetes-related complications we are dealing with a worldwide amputation tsunami. The Diabetic Foot Global Conference (DFCon 2010) serves as something of an early warning system for doctors worldwide. Read More.

Fixation Of The Medial Malleolus Fracture: What You Should Know

3/8/10 | 19051 reads | 1 comments
Those with experience in the surgical treatment of ankle fractures often consider the medial malleolus fracture a relatively straightforward fracture to repair. Most commonly, surgeons use two screws to fixate the fracture and it is a short procedure in terms of operative time. The surgery is often so predictable that the surgeon may go into “auto pilot” mode (more appropriately termed “auto surgeon” mode). However, there is some fracture variability that occurs and it is important for the surgeon to slow down and choose the best fixation for the fracture pattern. Read More.

Striving To Stay At The Top Of Your Surgical Game

William Fishco DPM FACFAS
3/4/10 | 2528 reads | 1 comments
I have been practicing for 12 years now and some things have not changed. I still worry about my patients. I often wake up in the middle of the night feeling flushed when the stress of a recent surgery or an upcoming surgery is on my mind. You run the surgery over and over in your head questioning whether the fixation is strong enough. Will the patient be adherent? Did I get enough correction? Will the correction hold over time? Did I do the best procedure for that given circumstance? Read More.