Volume 25 - Issue 9 - September 2012

Feature »

Transitioning From Open Wound To Final Footwear: Offloading The Diabetic Foot

James McGuire, DPM, PT, CPed | 14816 reads | 0 comments

Given the potential recurrence and complications with diabetic wounds, this author emphasizes the importance of adapting one’s offloading strategy as the wound progresses to healing. Accordingly, he discusses keys to assessing the biomechanical risks of patients with diabetic foot ulcers and offers insights from the literature on effective offloading modalities.

News and Trends »

September 2012

3079 reads | 0 comments

A new study in Diabetes Care notes that despite favorable results in long-term limb salvage for patients with diabetic foot ulcers, long-term survival rates remain unfavorable with peripheral arterial disease (PAD) and renal insufficiency making for an especially poor prognosis.

Diabetes Watch »

Quality Measures And Value-Based Payment: What Wound Care Clinicians Should Know

Caroline E. Fife, MD | 9204 reads | 0 comments

The Affordable Care Act (ACA), which the Supreme Court recently upheld, creates a new value-based payment modifier. Starting in 2015, this payment modifier will provide differential payments to doctors based on quality and cost of care. Since the payment adjustments are to be budget neutral, some physicians will receive bonuses and others penalties under this provision. It is likely that payment based on quality measures will soon represent a substantial portion of a physician’s income.

Surgical Pearls »

A Closer Look At Fixation For Fifth Metatarsal Fractures

Lawrence Fallat, DPM, FACFAS, and Ruby Chahal, DPM | 25011 reads | 0 comments

Fifth metatarsal fractures are the most common of all metatarsal fractures.1 Avulsion fractures, Jones fractures and proximal diaphyseal fractures occur most frequently, but diaphyseal, neck and head fractures also occur.2 Clinicians can treat most of these fractures conservatively if the fractures are not significantly displaced.

Wound Care Q&A »

How To Get Optimal Reimbursement For Wound Debridement And Skin Substitutes

Clinical Editor: Kazu Suzuki, DPM, CWS | 12858 reads | 0 comments

These knowledgeable panelists provide insights on using appropriate codes for wound debridement and skin substitutes to maximize reimbursement. They also address the correct use of modifiers and offer coding pearls for those entering practice.

Technology In Practice »

A Closer Look At A Versatile Internal Fixation Device

Danielle Chicano, Editorial Associate | 2365 reads | 0 comments

While there are a variety of fixation options for the lower extremity, one device reportedly provides a unique method for delivering superior compression and stable fixation.