DPM Blogs

Keeping Surgery Simple: Why K-Wires Are Underrated

William Fishco DPM FACFAS
9/4/09 | 11336 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 | 6798 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 | 3008 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 | 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.

Why I Advocate The Medial Incision Approach In Hallux Valgus Correction

Allen Jacobs DPM FACFAS
8/20/09 | 8778 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 | 5182 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 | 3085 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 | 7840 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 | 5824 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.