Volume 15 - Issue 8 - August 2002

Point-Counterpoint »

Bunions: Are Proximal Osteotomies Necessary?

By John McCord, DPM, and Mark Hofbauer, DPM | 11038 reads | 0 comments

Yes, if the procedure is done correctly, it is a valuable adjunct to bunion correction, says John McCord, DPM.

Who will ever forget the memorable autistic man played by Dustin Hoffman in the film Rain Man? My favorite scene was when he refused to fly on any airline but Quantas because that carrier had no history of accidents. I reflect on that scene when I talk with colleagues in podiatry who refuse to consider performing proximal osteotomies while correcting bunion deformities. Their logic makes as much sense as the Rain Man in that they will choose a head osteotomy even though it w



Feature »

Win The Battle Against Postoperative Infections

By Stacey Stefansky, DPM, Thanh L. Dinh, DPM, and Barry Rosenblum, DPM | 13049 reads | 0 comments

Despite advances in aseptic technique and antibiotic prophylaxis, post-operative infections remain a significant complication following podiatric surgery. Postoperative infections can increase morbidity, lengthen recuperation time and compromise the success of a surgical procedure. Data collected by the Centers for Disease Control and Prevention (CDC) estimate that postoperative infections occur in 2.1 percent of all clean, uncontaminated surgical procedures.1
Studies pertaining specifically to podiatric surgery have produced comparable postoperative infection rates. Hugar, et. al., demonstr



Diabetes Watch »

What NIH Statistics Reveal About Diabetes Prevalence

By John Steinberg, DPM | 7555 reads | 0 comments

Given the trends indicating the increasing prevalence of diabetes in the United States, this national health concern has commanded a drastic increase in general public media attention. According to an American Diabetes Association study, the overall costs for diabetes total $98 billion, with direct medical costs of $44 billion and indirect expenses (such as disability, work loss and premature mortality) adding up to $54 billion.
There are numerous statistics and information sources which can help you achieve to establish a better understanding of the disease and its impact on the health care



Forum »

A Change Of Heart Over Pre-Op Exams

By John McCord, DPM | 4438 reads | 0 comments

Nothing in podiatry school prepared me for my least favorite task in residency training, the complete preoperative history and physical examination. I chose podiatry partly because of the emotional and physical distance it afforded me with patients. We can do a lot for people’s feet without getting up close and personal. I’m a warm and friendly guy but I tend to get a little nervous when someone outside my family invades my 18-inch personal space barrier.
It’s impossible to do a complete physical examination without invading the patient’s personal space, thus having my own space inva



News and Trends »

Study Questions Necessity Of Diabetic Footwear

By Brian McCurdy, Associate Editor | 6372 reads | 0 comments

Podiatrists often turn to therapeutic footwear when trying to prevent re-ulceration in diabetic patients. A recent study in the Journal of the American Medical Association suggests regular shoes may work just as well for some of those patients, although some DPMs question the study.
The randomized study was comprised of 400 men and women who had diabetes and a history of foot ulcers. The first group of 121 patients wore extra-depth therapeutic shoes and customized cork inserts. The second group of 119 patients wore therapeutic shoes and prefabricated, polyurethane inserts. The control



Sports Medicine »

Ice Hockey Injuries: How To Maximize Treatment Results

By Mark A. Caselli, DPM, Ann Gagne, LLB, and Eric Kaplan, BS | 30664 reads | 0 comments

Ice hockey is widely known as one of the world’s fastest and most dangerous sports. With the game’s popularity growing at record levels, participation in ice hockey in the United States has experienced substantial growth over the last decade. Over 400,000 male players and 40,000 female players participate under the auspices of USA Hockey (the national hockey governing body), compared to about 190,000 male and 6,300 female players ten years ago.
With the increased participation in hockey has come an increasing number of injuries. The potential for hockey injuries stem from razor sharp skat