Volume 24 - Issue 6 - June 2011

Feature »

Point-Counterpoint: Are Locking Plates Necessary For First MPJ Fusion?

Patrick DeHeer, DPM, FACFAS, and Shannon Rush, DPM, FACFAS | 10826 reads | 0 comments

Yes. While there are a variety of fixation options for first MPJ fusion, Patrick DeHeer, DPM, FACFAS, explains why locking plates provide superior fixation and a reduced risk of complications.

No. While the profession has seen the emergence of many new technologies, Shannon Rush, DPM, FACFAS, says there is a lack of evidence to suggest better surgical outcomes arise from the use of locking plates.



Feature »

When Patients Insist On Wearing High Heels

Jenny L. Sanders, DPM | 20749 reads | 2 comments

While podiatrists strongly advise patients to avoid wearing high heels, the reality is many patients will continue to wear them. With this in mind, this author emphasizes patient education on ensuring optimal fit and support, reviews key features to promote better stability, and discusses helpful shoe modifications.



Feature »

A Closer Look At Central Metatarsal Osteotomies

Affan Akhtar, DPM, AACFAS, Darren Diiulio, DPM, AACFAS, and Luke Cicchinelli, DPM, FACFAS | 15889 reads | 0 comments

Sharing insights from the literature as well as their own clinical experience, these authors discuss anatomical considerations, biomechanical principles and patient factors that go into central metatarsal osteotomies. They also offer proactive tips on reducing the risk of complications such as dorsal contractures and floating toes.



Dermatology Diagnosis »

Diagnosing And Treating A Longstanding Heel Lesion

Kathleen Satterfield, DPM, FACFAOM, MAPWCA | 16414 reads | 0 comments

You walk into the room to see a well-dressed 48-year-old businesswoman sitting in the treatment room. She has her right foot cradled in her hands and is massaging the heel. You notice the stylish high heels on the floor beside her.



Orthotics Q&A »

Exploring The Role Of Orthoses For Flatfoot Conditions And Equinus

Guest Clinical Editor: Joseph D'Amico, DPM | 11991 reads | 0 comments

What is your approach and what has been your success with the conservative management of peroneal spastic flatfoot secondary to tarsal coalition?



Diabetes Watch »

Ethical Considerations In RCTs With Diabetic Patients

Farah Siddiqui, DPM | 7052 reads | 2 comments

At the conferring of medical degrees, physicians take the Hippocratic Oath, in which they make a covenant to practice medicine to the best of their abilities. As the oath states, “I will apply, for the benefit of the sick, all measures (that) are required.” The physician has a duty to promote the patient’s best medical interests and therefore is obliged to advise the patient to receive the treatment that the physician prefers.