Volume 24 - Issue 6 - June 2011
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.
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.
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 »
Orthotics Q&A »
Diabetes Watch »
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.