DPM Blogs

Why I Advocate The Medial Incision Approach In Hallux Valgus Correction

Allen Jacobs DPM FACFAS
8/20/09 | 8177 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.

A Solution For My Hammertoe Quandary

Patrick DeHeer DPM FACFAS
8/18/09 | 4872 reads | 1 comments
There are two procedures I absolutely loathe doing, namely calcaneal fracture repair and Lisfranc’s arthrodesis. I do these procedures reluctantly. However, they are no fun to perform and can be postoperative nightmares no matter how well things heal. While hammertoe surgery is much less technically challenging, it is just a notch below on my list of least favorite surgeries. Any first-year resident could do a hammertoe surgery but let him or her try to manage these patients post-operatively and then the resident will really learn something. Read More.

Wound Chemotherapy: Can It Help Facilitate Optimal Outcomes?

David G. Armstrong DPM MD PhD
8/18/09 | 2923 reads | 0 comments
At the Southern Arizona Limb Salvage Alliance (SALSA), we are frequently saddled with the most complex patients (and wounds) I have worked with in my career. Our "Toe and Flow" philosophy has been evolving to develop what we call “wound chemotherapy.” Lately, we have been very active in modifying many of the techniques first described by Wim Fleischmann, MD, PhD, and others to provide active matrix management (negative pressure wound therapy) with other chemotherapeutic tools (i.e. antimicrobials/antiseptics, analgesics, etc.) to manipulate the wound environment. Read More.

Plantar Fasciitis Surgery: Are We Going Full Circle?

Lawrence Fallat DPM FACFAS
8/10/09 | 7511 reads | 5 comments
We have seen quite an evolution over the years in regard to surgical procedures for plantar fasciitis. In the 1980s, the standard procedure was open heel spur resection for patients that had failed conservative treatment. Podiatrists released the fascia to gain access to the spur. Little consideration was given to the amount of fascia that was released. Frequently, the entire fascia was released in the open procedure. Read More.

Taping Versus Bracing: Which Is More Effective In Preventing Ankle Sprains In Athletes?

Michelle L. Butterworth DPM FACFAS
8/6/09 | 5334 reads | 1 comments
Ankle sprains are the number one sports-related injury. Approximately 2 million ankle sprains occur each year. Yet there is controversy over treatment and rehabilitation protocols. Prevention of ankle sprains in athletes is another topic that is often debated. Prophylactic ankle wrapping began 60 years ago with various taping techniques. Many studies have shown that taping the ankle or bracing the ankle improves proprioception. Some of these studies compare strapping/taping versus bracing. Read More.

Praising The Diversity Of Topics At The ACFAOM Conference

Doug Richie Jr. DPM FACFAS
8/4/09 | 4638 reads | 4 comments
I recently attended the 2009 annual clinical conference presented by the American College of Foot and Ankle Orthopedics and Medicine (ACFAOM). This was an outstanding meeting which covered the key areas of podiatric medicine: biomechanics, diabetes and surgery. A stellar faculty included Robert Frykberg, DPM, Lee Rogers, DPM, John Steinberg, DPM, David Armstrong, DPM, PhD, Paul Scherer, DPM, and Marc Benard, DPM. Read More.

When ‘Not Guilty’ Does Not Necessarily Mean Innocent

Allen Jacobs DPM FACFAS
7/29/09 | 3732 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.

If DPMs Are Ignored By MDs, Is It Their Fault Or Ours?

Kathleen Satterfield DPM FACFAOM
7/28/09 | 3629 reads | 2 comments
I was at an educational dinner recently and I realized I was the only podiatrist in a room of vascular, general surgery and plastic surgeons. Afterward, I spoke privately with the lecturer, a well known vascular surgeon, from the Northwest who has educated many podiatry residents and fellows over the years. We have been on several programs together over the years and I felt comfortable talking frankly with him. Read More.

Three Secrets For A Successful Podiatry Practice

William Fishco DPM FACFAS
7/28/09 | 10661 reads | 0 comments
I would like to share with you my business secrets for a successful podiatry practice. Unfortunately, no one teaches us how to run a business in podiatry school. When you get up in the morning and head to the office, you may not consider yourself a businessman/woman but you are. You basically have two hats to wear. Read More.