DPM Blogs

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

Allen Jacobs DPM FACFAS
3/23/10 | 7192 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 | 2569 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 | 2963 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

Neal Blitz DPM FACFAS
3/8/10 | 19277 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 | 2543 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.

Why Did DPMs Miss The Boat On Therapeutic Diabetic Hosiery?

Doug Richie Jr. DPM FACFAS
3/3/10 | 3383 reads | 3 comments
While the incidence of diabetes and foot-related complications continues to spiral out of control in this country, medical professionals need to step back and evaluate their role in preventive medicine. Most of my podiatric colleagues are unaware of the significant role that the Internet and direct-to-consumer businesses have in the care of the patient with diabetes. Today, millions of patients with diabetes turn to the Internet and commercial companies to provide information and products to prevent the complications of diabetes. Read More.

Why Shoe Fit Matters Even For Non-Deformed Feet

Jenny L Sanders DPM
3/1/10 | 5221 reads | 0 comments
Every podiatrist understands the relationship between poorly fitting shoes and foot deformity. Many of us routinely order diabetic shoes, extra-depth shoes and sometimes even casts for custom molded shoes for the deformed foot. For the non-deformed foot, we simply rely on an “approved shoe list” or a “specialty running shoe store” to which we send our patients. Read More.

Will CPME 320 Changes Jeopardize Dr. Jolly’s ‘Foot Function’ Goals For Surgical Outcomes?

Kathleen Satterfield DPM FACFAOM
3/1/10 | 2879 reads | 1 comments
If you have been involved in a really good grand rounds, you know what it means to prepare well for a surgery, a care plan or a discharge. As a first-year resident in Connecticut a long time ago, I remember facing Gary Jolly, DPM, and proposing a surgical procedure for one of his patients. I gave him a typical “NLDOCAT” breakdown of the patient’s problem. After describing the nature, location, duration, onset, course, aggravation and treatment for the patient, I was proud of my presentation to this brilliant surgeon. Read More.

Can Metformin Use Increase The Risk Of Diabetic Neuropathy?

Allen Jacobs DPM FACFAS
3/1/10 | 9062 reads | 1 comments
Metformin (Glucophage, Bristol-Myers Squibb) is a commonly utilized biguanide agent for the treatment of diabetes. Increasingly, it appears that metformin may paradoxically increase the risk of neuropathy in the patient with diabetes. Therefore, when you see a patient with diabetes who is taking metformin, greater surveillance may be necessary for the presence of sensory, autonomic and motor neuropathy. Read More.