Volume 25 - Issue 11 - November 2012

Feature »

What You Should Know About ICD-10-CM Codes

Barbara Aung, DPM | 13515 reads | 0 comments

As the deadline to convert to ICD-10-CM codes approaches, don’t get caught unprepared for the transition. This author delineates important differences between the ICD-10 and ICD-9 codes, and offers pointers on what you need to know to update your coding in order to receive full reimbursement in the future.

News and Trends »

November 2012

3216 reads | 0 comments

In order to address possible pain after hallux valgus surgery, surgeons have used sciatic nerve blocks for anesthesia and post-op analgesics. However, a new study in the French journal Annales Françaises d’Anesthésie et de Réanimation notes that in a percutaneous approach to bunion surgery, a midfoot block may promote quicker postoperative ambulation.

Diabetes Watch »

A Closer Look At Acellular Dermal Matrices For Chronic Diabetic Foot Ulcers

Andrew H. Rice, DPM, FACFAS, and Mallory Przbylski, DPM | 7292 reads | 0 comments

According to the Centers for Disease Control and Prevention (CDC), greater than 60 percent of non-traumatic lower extremity amputations occur in patients with diabetes.1 It is clear one can attribute this to diabetic foot ulcers (DFUs), soft tissue infection and osteomyelitis. Wounds that are arrested in the chronic phase of healing become susceptible to soft tissue and bone infection, and subsequent amputation.2 This knowledge underscores the need for production of better wound care techniques and products in order to heal DFUs in a timely manner.

Wound Care Q&A »

A Guide To Pain Management In Wound Care

Kazu Suzuki, DPM, CWS | 6622 reads | 0 comments

These panelists discuss identifying the etiology of pain in patients with wounds and share their perspectives on various treatment modalities ranging from nonsteroidal anti-inflammatory drugs (NSAIDs) to the use of regional nerve blocks before surgery.

Surgical Pearls »

Are Acellular Dermal Matrices Effective For Grade 0 Ulcers And Fat Pad Augmentation?

Jodi Schoenhaus Gold, DPM, FACFAS | 10074 reads | 0 comments

Fat pad augmentation or the use of grafting in the ball of the foot and the heel has gained popularity over the past decade. The goal is simply to add cushioning or padding to areas that demonstrate a loss or displacement of natural fat due to an increased peak pressure.

Treatment Dilemmas »

Can We Improve Fusion Rates With Bone Marrow Aspirate?

Lindsay Mae Chandler, DPM, and Bob Baravarian, DPM, FACFAS | 4938 reads | 0 comments

Foot and ankle surgeons often face the challenge of obtaining adequate bone healing in a timely fashion in patients with multiple risk factors for poor bone healing. Smoking, diabetes, Charcot, a history of high energy injury, multiple surgeries at an osseous surgical site, a history of delayed or nonunion, a history of avascular necrosis, alcohol abuse, immunosuppression, acute/uncontrolled infections, chronic infections, a poor soft tissue envelope and suboptimal vascularity are just a few of the many risk factors for poor bone healing.