DPM Blogs

A Closer Look At The Modified Hoke Arthrodesis For Flatfoot Deformity

Allen Jacobs DPM FACFAS
9/25/09 | 6383 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.

Ankle Sprains In Athletes: Key Tips On Facilitating A Return To Activity

Michelle L. Butterworth DPM FACFAS
9/23/09 | 4192 reads | 0 comments
Managing ankle sprains in athletes and ensuring an appropriate return to activity can be quite challenging. In addition to being a podiatric surgeon and my partner in practice, my husband is a high school football and baseball coach. Needless to say, we deal with ankle sprains on a very frequent and regular basis. I am usually in charge of the overall treatment of the athlete since he is involved on a more personal level and is usually very anxious to get his player back out on the field. Read More.

Can ‘Beam’ Surgery Have An Impact For The Collapsed Charcot Foot?

Lawrence Fallat DPM FACFAS
9/22/09 | 4624 reads | 3 comments
I have been performing “beam” surgery for the treatment of the collapsed Charcot foot for about 18 months. If you are not familiar with this procedure, it involves reducing the deformity and percutaneously inserting a large diameter screw inside the bones of the medial column. Read More.

Keeping Surgery Simple: Why K-Wires Are Underrated

William Fishco DPM FACFAS
9/4/09 | 10921 reads | 3 comments
In some of my earlier blogs, I wrote about how I like to keep things simple in daily practice. This concept also applies to surgery. Let’s face it: we are always looking for better ways of doing things in surgery. That is what separates a surgeon from a technician. Maybe you want to tweak the way you make your bone cut or try different fixation techniques. After all, we are always striving for perfection every time we walk into the operating room. Read More.

Are You Really Getting A Custom Foot Orthotic?

Doug Richie Jr. DPM FACFAS
8/27/09 | 6668 reads | 3 comments
When you order and pay for a custom prescription foot orthotic from an orthotic laboratory, how sure are you that the device received is truly “custom”? When your patient pays you for a perceived custom foot orthotic, is the patient really getting what he or she paid for? This will be the first in a series posted on my blog, which will explore a potential crisis facing the podiatric profession and the custom prescription foot orthotics industry. Read More.

Getting More Out Of A Conference Than Free Pens

Kathleen Satterfield DPM FACFAOM
8/25/09 | 2972 reads | 1 comments
Some folks see attending a medical conference as an opportunity to have fun and catch up with old friends. For others, the medical conference represents an opportunity to get ahead, meet possible mentors and address some business issues. That is a whole different ballgame. For the same amount of money you spend to go to a conference, you can have an entirely different experience. Some people pack their toothbrush to go to a conference. Other people pack extra business cards, legal pads and letters of introduction. Which person are you? Read More.

Enduring The Endless Paperwork Shuffle: Why Tort Reform Is Essential

Molly Judge DPM FACFAS
8/24/09 | 3558 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.

Why I Advocate The Medial Incision Approach In Hallux Valgus Correction

Allen Jacobs DPM FACFAS
8/20/09 | 8622 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 | 5113 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.