Volume 21 - Issue 6 - June 2008

Sports Medicine »

Should You Cast Achilles Tendon Ruptures?

By Troy J. Boffeli, DPM | 31642 reads | 0 comments

Surgeons routinely make treatment decisions based on their training and experience. For example, we typically employ non-operative treatment of Achilles ruptures for the elderly. Surgical repair, on the other hand, is usually recommended for younger, active patients. The traditional teachings on the long-term outcome after Achilles rupture tend to lump conservative treatment of acute rupture with non-operative treatment of delayed presentation and neglected rupture. Surgeons learn that non-operative treatment results in slow healing, weakness, calf atrophy, re-rupture and loss of func



Feature »

How To Perform An Isolated Subtalar Joint Arthrodesis

By Douglas K. Blacklidge, DPM | 33687 reads | 0 comments

Isolated arthrodesis procedures for the hindfoot are an interesting and sometimes controversial topic for foot and ankle surgeons. Historically, when it came to most major rearfoot deformities and joint conditions, surgeons utilized the triple arthrodesis versus any isolated joint fusions of this complex. The thinking was that the subtalar, calcaneocuboid and talonavicular joints all function together to allow pronation and supination of the entire foot, so if one joint needed fusion, they all needed fusion.
The trend during the past decade or two has been more toward preservi



Technology In Practice »

Can The HyProCure Implant Provide The Answer For Hyperpronation?

By Robi Garthwait, Contributing Editor | 16180 reads | 3 comments

For DPMs dealing with the common condition of hyperpronation, the HyProCure Sinus Tarsi Implant may be one of the more intriguing treatment options to date.
Composed of medical grade titanium, the implant serves as an internal orthotic that essentially turns the negative space of the sinus tarsi into a positive space, according to the implant’s manufacturer Gramedica.
Gramedica says the HyProCure implant is stronger than bone and requires one small incision for insertion without the need for casting after the procedure. Paul Clint Jones, DPM, has su



Feature »

Recommending Athletic Footwear For Runners

By Douglas Richie Jr., DPM | 15861 reads | 0 comments

What is a good running shoe? How often are you asked this question? It seems that whenever a stranger learns that you are a podiatric physician, the first question he or she asks is about a shoe. Rather than asking how we can prevent foot amputations in patients with diabetes, the average American is more interested in what shoe a podiatrist is recommending.
Yet when it comes to footwear recommendations, most podiatric physicians have very little objective information on which to base their opinions. Having 25 years of clinical experience in podiatric sports medicine practice, I wou



Forum »

Why ACFAS Members Should Stay In The APMA

By John H. McCord, DPM | 2545 reads | 0 comments

I have been a member of the American Podiatric Medical Association (APMA) for 33 years. I joined the American College of Foot and Ankle Surgeons (ACFAS) 14 years ago. I plan to continue my membership in both organizations. I voted against the proposed bylaw amendment for ACFAS to allow renewal of membership without membership in the APMA.

The ACFAS has done much to advance the scope and quality of podiatric foot and ankle surgery. However, I disagree with the college’s single pathway to fellowship. Diplomate status in the American Board of Podiatric Surgery is the only way to



Continuing Education »

A Guide To Topical Steroid Use For Dermatological Conditions

By M. Joel Morse, DPM | 4892 reads | 0 comments

Please click here for the full Continuing Medical Education article:

http://www.naccme.com/program/n-481/

Given the wide variety of topical steroids, this author reviews the potency and absorption of these agents, the pros and cons of different formulations, and potential side effects.