Volume 17 - Issue 4 - April 2004

Editor's Perspective »

Evidence-Based Medicine: A Worthwhile Investment?

By Jeff Hall, Editor-in-Chief | 2191 reads | 0 comments

Prove it. Well, it’s easier said than done when it comes to evidence-based medicine (EBM) in podiatry. In the Diabetes Watch column this month, guest columnist Kathleen Satterfield, DPM, tackles the issue of open amputations versus closed amputations (see page 16). She notes that on this specific topic, “much of the knowledge that we operate under comes from research at other anatomic levels by other specialists.”
The lack of EBM is a prevailing issue across the board in podiatric surgery, according to one experienced surgeon and educator. He notes that podiatric surgeons still base m



Continuing Education »

How To Treat Sesamoid Injuries In Athletes

By Eric J. Heit, DPM and Richard T. Bouché, DPM | 51566 reads | 0 comments

It has been speculated that 50 to 75 percent of weightbearing forces are transmitted through the first metatarsophalangeal joint (MTPJ) complex during weightbearing and these forces can account for up to three times one’s body weight.1,2 Anatomical location of the hallucal sesamoids predisposes them to significant shear, pressure and ground reactive forces during weightbearing activities. As a result, sesamoids are a site for potential injury.
Sesamoid pathology is not uncommon in a typical podiatric sports medicine practice. In a study of 1,000 running injuries, the sesamoids



Diabetes Watch »

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

By Kathleen Satterfield, DPM | 10026 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 | 3713 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 | 4629 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

2152 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