Volume 22 - Issue 6 - June 2009
News and Trends »
Can One-Screw Fixation For Subtalar Joint Fusion Be Effective?
By Brian McCurdy, Senior Editor
The wide variability of fusion rates for subtalar joint (STJ) arthrodesis has sparked debate about the type, orientation and amount of internal fixation. A recent study suggests the use of one-screw fixation versus two-screw fixation is comparable in regard to nonunion rates for the isolated STJ arthrodesis.
As the healthcare landscape continues to change, it can be a challenge to survive in a managed care environment, let alone thrive. This author provides pearls for streamlining office management and offers insights on carve outs and selling OTC products in the office.
The Evans calcaneal osteotomy has become a primary surgical treatment for both adults and children with pes plano valgus as it offers fewer complication rates in comparison to other procedures. These authors provide step-by-step surgical pearls as well as a guide to managing patients postoperatively.
Given recent technological advances with vascular imaging modalities, successful limb salvage may be an option for patients previously resigned to amputation. This author details how various imaging options, including multi-channel computerized tomography angiography, can be beneficial for high-risk podiatric patients.
Primary amputations still occur worldwide at an alarming rate. Worldwide, it is estimated that there is a diabetic foot amputation every 30 seconds.1
Given the challenges of treating tarsal coalitions, these authors detail helpful clues in the physical exam and diagnostic imaging. They also provide step-by-step pearls for calcaneonavicular bar resection and talocalcaneal coalition resection, and review pertinent keys to postoperative management.
Given the rigors of training regimens for triathlons, these athletes are prone to various injuries, particularly lower extremity injuries. Accordingly, this author discusses key risk factors that contribute to running and cycling injuries, and offers salient pointers on effective treatment.
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