Volume 16 - Issue 9 - September 2003
Over the years, a multitude of techniques have been described and employed for digital arthrodesis, ranging from arthroplasty and arthrodesis to flexor tendon transfer and lesser digital implants. Each procedure has a place in surgical correction of digital deformities. Digital arthrodesis, in particular, provides permanent and reliable correction of deformities and is considered by the senior author to be a favored technique, especially when it comes to managing digital deformities of a biomechanical etiology.
Two fundamental techniques, the end-to-end arthrodesis and the peg-in-hole arthro
Continuing Education »
Cutaneous malignancies and benign neoplasms simulating malignancy commonly affect the distal lower extremity, including the foot. One may see a variety of malignancy categories such as epithelial tumors, adnexal neoplasms, melanoytic neoplasms, vascular neoplasms and soft tissue tumors. Histologic confirmation of diagnosis is essentially mandatory, warranting the need to send all tissue specimens, including biopsy, incisional and excisional specimens, for pathology examination.
In some cases, the pathologist may incorporate immunohistochemical stains to differentiate specific tumor types. D
In order to help bring orthotic therapy into sharper focus, some of the top thinkers on biomechanics share their insights on various orthotic materials. They discuss the importance of addressing the patient’s specific activity and pathology in arriving at an appropriate orthotic prescription, and offer their views and experiences on the efficacy of various orthotic materials. Without further delay, here’s what they had to say to questions posed by Robert Phillips, DPM.
Q: What type of feet do you feel almost always need rigid orthotics? What type of feet should never be put into a
I ran into a young family physician in the hospital last week. He is one of the sharpest new doctors in our community and refers to podiatrists often. He looked terrible and seemed almost in shock. He let me know his job had just been terminated at the clinic where he was employed. He had one day to discharge his patients from the hospital or turn them over to other physicians. He was being replaced by a physician’s assistant.
The bad stuff that our profession dealt with in the 1990s because of health care reform is still happening to our MD friends. We often complained during the ‘70s an
News and Trends »
Students pursuing a career in podiatry will have a new option when Midwestern University unveils a new podiatric medicine program in October 2004. The university, located in Glendale, Ariz., will become the seventh member of the American Association of Colleges of Podiatric Medicine (AACPM) in 2005 and its new four-year program will have slots for 30 students. Jeffrey C. Page, DPM, the Director of the Arizona Podiatric Medical Program at Midwestern University, says the program will address a strong future demand for DPMs as well as the needs of the surrounding community.
Citing 1999 projectio
Diabetes Watch »
As the complexity and price of wound care materials seems to be reaching mind-numbing proportions, choosing the right product for your patients seems to be getting harder instead of easier. However, taking into account cost, effectiveness and availability, one would be hard pressed to find a product better than zinc oxide.
Although it is most commonly associated with diaper rash ointments and Unna boot wraps, zinc oxide has remained relatively underused in podiatry offices and in wound care centers. Considering that more than 300 enzymes are dependent on zinc for activity such as matrix metal