Volume 17 - Issue 4 - April 2004

Diabetes Watch »

Open Or Closed? Searching For Evidence-Based Guidance On Amputations

By Kathleen Satterfield, DPM | 10748 reads | 0 comments

There is a moment in the operating room when every surgeon must make a decision about an amputation. Should we perform the amputation as a two-stage procedure or is it wise to close the surgical site right then and there? There was a time when surgeons always left these surgical sites open due to the concern of possibly closing over some bacterial contamination that would flourish in the sutured environment. Of course, there was also a time when patients were admitted to the hospital for elective bunion surgery.
Obviously, times have changed. Now the surgeon who sends a tissue sample to the



Forum »

Thinking Twice About Revenue Enhancement Opportunities

By John McCord, DPM | 3912 reads | 0 comments

Revenue enhancement was a popular theme in the exhibit hall at the APMA national meeting last August. Every other booth seemed to offer an enhancement gimmick. These exhibits were popular, especially with the younger doctors. This brought to mind a novel I read in the mid-‘70s. It was called Five Smooth Stones and was written by Anne Fairbairn. The story was about relationships but the underlying theme was, "You pay for your luck."
The idea was some good things and some bad things will come your way in life. There should be a balance. If you’re out of balance to the good or to the bad, f



News and Trends »

Study Shows Low Nonunion Rate For Arthrodesis

By Brian McCurdy, Associate Editor | 4969 reads | 0 comments

A new study on Lapidus arthrodesis presents some encouraging results. In a retrospective study of over 200 patients who underwent the Lapidus arthrodesis procedure, the researchers found only a 5.3 percent nonunion rate. The study, which was recently published in The Journal of Foot And Ankle Surgery (JFAS), assessed the results of a modified procedure, which emphasized joint curettage with subchondral plate preservation and screw fixation.
The low nonunion rate is the most significant finding in the study, according to study co-author Lawrence Ford, DPM.
“A lot of people believe t



New Products »

Software Solution

2247 reads | 0 comments

A new product combines diagnostic testing with equipment that may help facilitate easier reimbursement.

The Smartdop® 20EXR Doppler has Smart-V-Link™ Vascular Software that enables you to document your preoperative procedures for patient records and reimbursement. Koven Technology, the manufacturer of the product, says the software features complete ABI and TBI software for simple documentation and automatic calculation of ratios.
The Smartdop, which weighs just 2 pounds, also has an optional PPG plug-in module to measure toe pressures in patients with diabetes. Koven says i



Orthotics Q&A »

A Guide To Prescribing Orthotics For Alpine Skiing

Guest Clinical Editor: Nicholas Sol, DPM, CPed | 10142 reads | 0 comments

Patients who tackle the slopes have specific requirements for orthotics. In addition to reviewing the pedal mechanics and biomechanics of skiing, our expert panelists take a closer look at the design of ski boots and what impact the skier’s skill level will have on prescribing an appropriate orthotic. Without further delay, here is what they had to say.

Q: What pedal mechanics are unique to skiing?
A:
During alpine skiing, the patient’s lower extremities never go through a complete gait cycle, notes Nicholas Sol, DPM, CPed. He says skiers should ideally have knee flexion during



Sports Medicine »

Managing Hallux Rigidus In The Athlete

By Mark A. Caselli, DPM | 63845 reads | 0 comments

Hallux rigidus is a painful and insidious condition that can lead to significant limitations in an athlete’s ability to perform. The condition is characterized by a limitation of motion in the first metatarsophalangeal joint (MTPJ), chiefly in the direction of dorsiflexion. This limitation of motion is caused by a reactive proliferation of bone along the dorsal aspect of the joint and is associated with painful, degenerative arthrosis of the first MTPJ.
There are an extensive number of conditions that can result in hallux rigidus (see “A Review Of Potential Hallux Rigidus Etiologies” b



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