Volume 17 - Issue 8 - August 2004
Yes, Neal Blitz, DPM, says it is possible in certain cases. In assessing the literature and his own experience, he emphasizes proper patient selection and key surgical tips for facilitating optimal outcomes.
The Lapidus arthrodesis is an excellent procedure to correct metatarsus primus adductus. The procedure, which allows one to realign and stabilize the first metatarsal at the apex of the deformity, was first described by Albrecht in 1911 and subsequently popularized by Lapidus.1-4 Yet it was later abandoned by many surgeons because of the high nonunion rate and postoperative c
The clock is ticking. In another step of a process which began in 1996, the Centers for Medicare and Medicaid Services have set a deadline of April 21, 2005 for compliance with the security standards of the Health Insurance Portability and Accountability Act (HIPAA). Is your practice ready to meet the deadline?
The voluminous data on HIPAA compliance lays out broad guidelines for maintaining security. As the final rule from the Federal Register states, healthcare organizations must “ensure the confidentiality, integrity and availability of all electronically protected health informat
Continuing Education »
Charcot neuroarthropathy and the complications of longstanding diabetes are perhaps the greatest challenge for the foot and ankle specialist. These conditions are of principal concern given the limb threatening consequences when a diagnosis of Charcot foot is delayed or missed completely. Though there is no modern revelation in identifying the Charcot foot, there has been rejuvenated interest behind the continued study of this neuropathic entity.1-22 Subsequently, the slow rise in the number of reported cases of Charcot neuroarthropathy is likely due more to increased awareness
Intriguing new treatments and devices abound in this yearly review. We take a closer look at promising therapies for diabetic neuropathy and osteoarthritis of the ankle. Wound care specialists weigh in on new approaches to optimizing wound beds and closing stubborn wounds. Podiatric surgeons discuss time-saving devices for facilitating tendon transfers and leading voices in biomechanics offer their respective takes on a helpful orthotic modification, a re-emerging pediatric orthotic and a new athletic shoe that is generating a lot of buzz.
Without further delay, here is what the experts had t
I enjoyed finally being able to see patients in my third year of podiatry school. The college clinic was clogged with students in white coats and a few patients. Most students were considered fortunate if they cared for one patient on a typical clinic day.
I always dragged neighbors from my East Cleveland apartment complex where I worked as a night maintenance man. While I fixed their appliances and unclogged their plumbing, I always inquired about any foot problems. I usually saw at least five patients every clinic day.
Since I developed my rapport with these patients as neighbors, they add
Diabetes Watch »
Diabetes mellitus is said to be a disorder of glucose metabolism, but it can be so much more for those individuals who have the disease and the families with whom they share their lives. The sequelae of diabetes involve vascular changes in the large and small vessels, and produce disorders of the retina, the kidneys and the coronary arteries, not to mention the peripheral vascular tree. While serum glucose management is critical, it is only one part of the total picture in managing patients with diabetes.
In order to adequately protect the patient from the ravages of diabetes, a well-integrat
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