Volume 16 - Issue 5 - May 2003

Continuing Education »

Key Pearls Of Calcaneal Osteotomies

By Kieran T. Mahan, DPM | 39553 reads | 0 comments

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



Feature »

Looking For Answers On The Malpractice Crisis

By Brian McCurdy, Associate Editor | 6679 reads | 0 comments

The scene has been played out at varying degrees throughout the country. Doctors are walking out of hospitals, practitioners are struggling to pay malpractice insurance premiums and juries are awarding millions of dollars to patients who have sued for malpractice. Many perceive a malpractice crisis is affecting the entire healthcare field and DPMs are among those who may feel the crunch.
Across the United States, doctors of several disciplines have found themselves unable to practice due to malpractice costs, leaving patients unable to access healthcare. Last year, the University of Nevada M



Feature »

How To Treat Bite Injuries

By Tamara D. Fishman, DPM | 15281 reads | 0 comments

As the warmer months emerge, people are more likely to tackle spring cleaning of cluttered areas, go outside without shoes and socks, and head to the beach for fun in the sun. Unfortunately, there is also an increased risk of lower-extremity bite injuries with these scenarios, whether the injuries are from dogs, insects, spiders or stingrays.
Let’s start out by taking a closer look at dog bite injuries. Every 40 seconds, someone in the United States seeks medical attention for a dog bite-related injury, according to the Centers for Disease Control and Prevention (CDC). From 1979 to 1998,



Diabetes Watch »

What You Should Know About Using HBO In Diabetic Wounds

By Robert A. Warriner, III, MD, and Caroline E. Fife, MD | 11269 reads | 0 comments

Last month, Medicare began reimbursing for hyperbaric oxygen (HBO) treatment as an adjunctive therapy for diabetic foot ulcers. After an exhaustive review of the literature, the Centers for Medicare and Medicaid (CMS) concluded that “HBO therapy is clinically effective and, thus, reasonable and necessary in the treatment of certain patients with limb-threatening diabetic wounds of the lower extremity.”
According to the CMS, patients must meet each of the following three criteria:
• the patient has type I or type II diabetes and has a lower extremity wound that is due to diabetes;



Diagnostic Dilemmas »

When A Blister Becomes An Ulcer: The Perils Of Insufficient Testing

By Babak Baravarian, DPM | 8604 reads | 0 comments

There is a great deal of satisfaction when our diabetic foot care team gets referrals for patients who were previously seen by doctors from surrounding regions and other nations. However, there is also a great deal of difficulty with poorly or improperly managed cases. In this diagnostic dilemma, I’d like to focus on one patient who was sent to us after one year of care by several doctors.
The patient in question is a 70-year-old male, who was previously seen by two podiatrists and an orthopedist. His initial complaint was a small blister plantar to the first metatarsal head of his left f



Editor's Perspective »

Looking For Justice In The Malpractice Arena

By Jeff Hall, Editor-in-Chief | 1700 reads | 0 comments

Would I want justice if I underwent an amputation procedure that was later deemed to be unnecessary? You bet. Do I think this kind of clinical situation happens on a routine basis? Hardly. However, you wouldn’t know it by the seemingly skyrocketing malpractice insurance premiums being reported across the country.
Escalating jury verdicts seem to play a big role. A July 2002 report from the U.S. Department of Health and Human Services (HHS) noted there was a 76 percent increase in the average jury malpractice award from 1996 to 1999. You have to wonder how many verdicts are being fueled m