Volume 16 - Issue 10 - October 2003

Feature »

Current Concepts In Flatfoot Surgery

By Robert Mendicino, DPM, Alan Catanzariti, DPM, and Christopher L. Reeves, DPM, MS | 27822 reads | 0 comments

Symptomatic flexible flatfoot conditions are common entities in both the adolescent and adult populations. Ligamentous laxity and equinus play a significant role in most adolescent deformities. Posterior tibial tendon dysfunction (PTTD) is the most common cause of adult acquired flatfoot. One should consider surgical treatment for patients who have failed nonoperative therapy and have advancing symptoms and deformities that significantly interfere with the functional demands of daily life.
The Evans anterior calcaneal osteotomy is indicated for late stage II (Johnson and Strom’s Classificat



Forum »

Share An Opinion Or A Story: It's Your Turn

By John McCord, DPM | 2448 reads | 0 comments

Jeff Hall, the Editor-In-Chief of this magazine, asked me to help edit this column a few years ago. It sounded like an easy task so I said yes. The deal was podiatrists would write the column and I would edit unless nobody sent editorials. In that case, I would do the writing. I added up the articles from the past three years and I’ve done most of the writing so it’s your turn.
Writing didn’t come easy for me. I did poorly in my English classes all through school. I didn’t understand the deeper meaning of literary fiction. I lacked interest in creative writing and once handed in a sho



News and Trends »

APMA Pushes For Medicaid Bill To Define DPMs As Physicians

By Brian McCurdy, Associate Editor | 3269 reads | 0 comments

Podiatrists looking for an even playing field when it comes to Medicaid reimbursement may be interested in a resolution that is making its way through the House of Representatives. As this issue went to press, Congress is considering a resolution to expand the definition of “physician”in the Medicaid program. House Resolution 2959 would amend Title XIX of the Social Security Act to include podiatrists as physicians in Medicaid, making it consistent with Medicare’s definition of physicians. Physician is now defined by Medicaid as MDs and DOs.
The American Podiatric Medical Association (A



Orthotics Q&A »

Selecting Appropriate AFOs: Key Considerations And Modifications

Clinical Editor: Nicholas Sol, DPM | 21956 reads | 1 comments

When weighing the options for ankle foot orthoses (AFOs), you must consider many different factors in order to find the most appropriate device for the patient. Both hinged and non-hinged AFOs work well for patients with certain conditions but not so well for others. In addition, shoe modifications may be necessary in order to help ensure the success of the AFO. With these issues in mind, our expert panelists take a look at the ins and outs of prescribing hinged and non-hinged AFOs.

Q: What are the three or four most frequent diagnoses for which you prescribe a non-hinged AFO?
A:
N



New Products »

A New Angle On VAC Therapy

4556 reads | 0 comments

If you already use negative pressure wound therapy, a new dressing can provide an effective complement to the modality.
The VAC® GranuFoam™ Heel Dressing is designed for heel wounds and its foam and dressings contour to fit the shape of the patient’s foot. The KCI product also features open pores that allow for even distribution of the VAC therapy across the wound bed. The company adds that the non-absorbent dressing aids in removing exudate.
In addition, the dressing has a TRAC™ Pad bridge on top of the foot, which allows the patient to change dressings more quickly, acc



Diabetes Watch »

Can Antibiotic Beads Have An Impact In Osteomyelitis Cases?

By Anthony C. Yung, DPM, and John S. Steinberg, DPM | 19873 reads | 1 comments

Surgical debridement of infected bone is an unfortunate reality for those of us who frequently treat patients with diabetes. While adequate debridement is the most important step in treating osteomyelitis, many authors have commented on the adjunctive role of antibiotics in this clinical dilemma.1-3 Systemic antibiotics are routinely used preoperatively and have been advocated for six weeks or more. However, infected bone may become devascularized, making the delivery of systemic antibiotics less than desirable. Delivering systemic antibiotics may also be compromised when there is a