Volume 15 - Issue 9 - September 2002
It was with great incredulity that I read the article by Dr. Barrett entitled “A Closer Look At Endoscopic Plantar Fasciotomy” (see the May issue, pg. 38). He writes: “Prior to the development of endoscopic foot surgery, there was a strong desire not only to find a better, less invasive method to treat … plantar fasciitis surgically … Indeed, the standard of care … has changed radically since the … EPF.”
The inference here, of course, is that after EPF, that desire has been fulfilled and it is now the standard of care. The truth is that in the facilities where I perform surger
Diabetes Watch »
Diet and exercise are essential for blood sugar management and are subject of much frustration for the diabetic patient and the physician. With each visit to the physician’s office, the patient has to anticipate the stern lecture about exercising, controlling his or her diet, abstaining from sweets, and testing his or her sugars regularly or face the multitude of complications from diabetes. In addition, physicians may also give a patient a handout with the recommendations from the American Diabetes Association.
But does this method work? King and Armstrong studied the effectiveness of thi
Diagnostic Dilemmas »
Chronic posterior ankle pain is a very difficult problem for foot and ankle surgeons. Given the multiple potential tendinous and osseous causes of pain, doing a proper diagnostic workup is essential for proper care. With this in mind, let’s consider the following case of a 52-year-old Caucasian male who presents with chronic pain and weakness of the posterior ankle.
A computer salesman with an avid love for golf and tennis, the patient plays tennis on the weekends and golf at least once a week for business. Approximately two months ago, while playing tennis, he began to feel pain in the
New Products »
Looking for a custom orthotic that will improve the gait of your patients?
Look no further than the Langer L.XCEL orthotic line, which minimizes energy consumption and absorbs forces created by weight stress transmission during gait. According to Langer, the new orthoses are the result of computer-aided technology that is used to evaluate patient models and create custom orthotics from two proprietary materials: LangerFlex and LangerZorb.
Langer notes the L.XCEL orthotics are made from either a plastic cast or foam impression, and are value-priced at $55. For an additional charge, patie
News and Trends »
Researchers at the Centers for Disease Control and Prevention (CDC) recently discovered the first reported case of vancomycin-resistant Staphylococcus aureus (VRSA) in the world. The organism was identified in a patient in Michigan, had not spread to anyone else and is susceptible to other antibiotics, according to the CDC Web site.
The 40-year-old woman was treated on an outpatient basis, has complicated diabetes and peripheral vascular disease, and undergoes hemodialysis on a regular basis, according to Dr. David Johnson, Deputy Director and Chief Medical Executive of the Michigan D
Surgical Pearls »
Numerous conditions can result in the need for arthrodesis of the ankle joint. In particular, neuropathic osteoarthropathy, post-polio syndrome, neuromuscular disease and severe degeneration secondary to trauma can all make it especially difficult for podiatric surgeons to achieve a successful fusion.1-4 Although implant arthroplasty is gaining acceptance and distraction arthroplasty may postpone the joint destructive procedure, arthrodesis remains a viable and effective treatment for patients with gross deformity of the ankle.
While all patients will require modifications in surg
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