Volume 16 - Issue 5 - May 2003
News and Trends »
Is total contact casting (TCC) too time-consuming a modality to be used in treating plantar foot ulcerations? It’s a prevailing question that has thwarted wider use of the modality. However, a new study recently presented at the Symposium on Advanced Wound Care (SAWC) attempts to shed new light on the “time-effectiveness” of TCC.
Study researchers concede there is a “relatively low use rate” of total contact casts for diabetic foot ulcers. Why? They say many do not use TCC because of the time involved in the process and frequent office visits. However, previous studies have shown th
Surgical Pearls »
One of the most commonly performed procedures in the foot is an implant arthroplasty of the first metatarsophalangeal (MPJ) joint. However, we have occasionally noted a hollow medullary canal after resecting the base of the proximal phalanx. This can cause problems with incorporation of the implant. Yet there is an intraoperative option one can use to address this problem.
Adequate bone stock of the proximal phalanx is crucial for proper seating of the hemi-implant. In some cases, we have found the cancellous bone to be cystic with liquefied fat. However, there has been no evidence of cortica
Technology In Practice »
Caring for your patients is a full-time job unto itself. Dealing with managed care and the business end of your practice is another full-time job. Indeed, claims processing and billing issues can be overwhelming at times. However, there are office management systems and software that can help you and your staff stay organized and efficient.
One out of every three podiatrists uses the Wisdom/32 Podiatry Practice Management System, according to VitalWorks, the manufacturer of the software program. It says the Windows-based software offers a variety of helpful options.
Not only can it help w
Heel pain, especially pain associated with the plantar aponeurosis, is one of the most common overuse injuries affecting adults. Approximately 10 percent of runners as well as many other athletes are affected by plantar fasciitis.1 Conservative estimates have suggested more than 2 million Americans annually receive treatment for this condition.1 As common as this injury may be, there is no universally accepted etiology or treatment for this complaint.
In addition to having a strong anatomical grasp of the heel (see “A Guide To Key Anatomical Considerations” below), i
It is generally thought that about 50 percent of all warts will spontaneously resolve within six months. However, some warts may remain at the same location with no apparent change for many years and others will continue to spread, expand or enlarge with time. Warts are generally self-limiting and very harmless but may cause symptoms due to the fact that they are unsightly, cause embarrassment, impede function, become irritated or cause pain.
Verrucae are commonly termed warts. These are benign intraepidermal neoplasms caused by a variety of different viruses. Papillomaviruses belong to the f
Continuing Education »
Calcaneal osteotomies have been a mainstay of foot and ankle surgery for many years, and are critical in the realignment of significant foot deformities. Both varus and valgus deformities often require calcaneal deformities for correct alignment. Although a large number of calcaneal osteotomies have been described in the literature over the years, there are a few principal ones that tend to be more commonly used than others.
One would perform the Dwyer osteotomy for frontal plane deformity of varus in the cavus foot. Surgeons often perform the Evans osteotomy for realignment of the adolesc
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