Volume 21 - Issue 5 - May 2008
Implants have been documented in the literature and surgeons have utilized implants over the past 50 years for the treatment of a variety of conditions including hallux rigidus, hallux valgus, osteoarthritis and rheumatoid arthritis.1,2 Total joints were originally designed to function as joint spacers to decrease pain while maintaining motion and joint alignment.1,3 Currently, a variety of products attempt to provide these characteristics. These products include silastic, polyethylene-on-metal and metal hemiarthroplasty implants. Surgeons have implanted over 2
I am in the last nine months of my 33-year career as a podiatrist. Every day of patient care is a cause for reflection. I know what I will miss and what I will not miss.
I will not miss my most creative patients, those who are pursuing settlement of personal injury claims. Some have been legitimate but many have been pure fiction.
My most memorable creative patient was a young man who lost his second toe in an industrial accident. He got his foot caught in a chain and sprocket, and lost the toe. I cleaned up the mess and he healed without problems. I received a request for his r
Postoperative infection following elective, clean foot and ankle surgery is relatively uncommon. The Centers for Disease Control and Prevention (CDC) reports the surgical site infection (SSI) rate to be 2.1 percent for clean, uncontaminated surgery.1 However, when postoperative infection does occur, it may affect functional outcomes and the patient’s quality of life.
The incidence of infection varies from one surgical procedure to another and from patient to patient.2 Infection rates increase in complicated reconstructive surgery, types of diabetic f
News and Trends »
Patients commonly present with ingrown toenails and treatments range from chemical matrixectomy to the newer orthonyxia procedure. A new study in the Journal of the American College of Surgery concludes that orthonyxia, using a metal brace for the toe, is superior to partial matrix excision in terms of recovery and patient satisfaction.
Researchers randomized 105 consecutive patients with 109 toenails, excluding patients with diabetes and/or paronychias. Fifty-eight patients underwent partial matrix excision, which included 5 to 10 mL of lidocaine 1%, according to th
Surgical Pearls »
We are an aging population. One can ascertain that with aging comes an increased incidence of comorbid conditions. With the vast majority of podiatric surgical cases being elective, documentation supporting the vascular system prior to surgery will protect the surgeon from postoperative complications associated with circulatory issues, or may help surgeons recognize an asymptomatic issue for appropriate intervention prior to surgery. Recognition of asymptomatic circulatory issues is of particular importance in the younger diabetic population prior to surgery.
Technology In Practice »
Podiatrists looking for an alternative to nonsteroidal anti-inflammatory drugs (NSAIDs) for the treatment of a vast array of painful conditions may have a viable option in Traumeel (Heel Inc.).
Available in injectables, tablets, ointment, gel and drops, Traumeel has been in use for over 60 years, according to Heel Inc. Physicians have used Traumeel to treat muscular pain, acute sprains of the ankle, tendonitis and postoperative pain, as well as a variety of other conditions ranging from dislocations and contusions to minor pain from osteoarthritis, rheumatoid arthritis and gout
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