Volume 21 - Issue 5 - May 2008

Forum »

What I Will Miss (And What I Will Not Miss) About Podiatry

John H. McCord, DPM | 1808 reads | 0 comments

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

Feature »

How To Prevent Postoperative Infection

Nicholas J. Bevilacqua, DPM, and Robert M. Greenhagen, BS | 10782 reads | 0 comments

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 »

Study Sparks Debate About Treatment Options For Ingrown Toenails

Brian McCurdy, Senior Editor | 10156 reads | 0 comments

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 »

What You Should Know About Screening For PAD

Benjamin Sefcik, DPM, and Peter M. Wilusz, DPM | 8548 reads | 0 comments

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.
Systemic atheroscle

Technology In Practice »

Searching For An Alternative To NSAIDs

Robi Garthwait, Contributing Editor | 3412 reads | 0 comments

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