Volume 17 - Issue 10 - October 2004
I set aside a surgical block scheduling day every summer after the middle of June for my yearly crop of juvenile hallux valgus cases. These are usually 14-year-old girls who are between eighth and ninth grade. In most cases, I have seen these patients from the age of eight when they showed the first signs of a bunion deformity.
I see the girls once a year during their adolescent growth stage to be sure they are wearing their orthosis and to be sure the deformity is not becoming too severe. I let them know what to expect after surgery and what I expect of them. I have answered most of the diff
Diabetes Watch »
Approximately 15 percent of all patients with diabetes can be expected to develop ulceration in their lifetime, thus putting them at risk for lower extremity amputation. Treatment for infected diabetic foot wounds accounts for one quarter of all diabetic hospital admissions in the United States and Great Britain.1-3 Patient education, proper footgear and regular foot examination can decrease the frequency and severity of ulceration.
However, when ulceration does occur, home care may be a cost-effective intervention that can either avoid or shorten hospital admissions in appropriate
News and Trends »
How does the care of diabetic patients at Department of Veterans Affairs (VA) facilities stack up against care given by professionals in managed care plans? A new study involving over 8,000 people suggests patients with diabetes receive superior care at the VA facilities.
The study, which was recently published in the Annals of Internal Medicine, tracked nearly 1,300 patients with diabetes in five VA centers and compared their care to that which was received by 6,900 patients with diabetes in eight managed care health plans. According to the study, 98 percent of the patients with diab
New Products »
When undergoing treatment for pressure ulcers and infections, your patients may want a dressing they can easily apply once a day.
The AmeriGel Hydrogel Saturated Gauze Dressing may be the answer as it is the first antimicrobial hydrogel impregnated gauze, according to the manufacturer AmerX Health Care. The company says the product reduces the bioburden of the wound, facilitating a wound free of debris.
The gauze is indicated for use on pressure ulcers (stage I to IV), diabetic skin ulcers, venous stasis ulcers, first- and second-degree burns and post-surgical wounds with dehiscence, acc
Orthotics Q&A »
When prescribing orthotics for athletes in widely varying types of sports, one must take into consideration both the needs of the athletes and the advantages and disadvantages different types of shoes may offer. With that said, these panelists offer their expertise on orthotic modifications they use to keep their patients on the athletic field.
Q: What influence does athletic shoegear have on sport specific orthotics and orthotic modifications?
A: For Stephen M. Pribut, DPM, the patient’s specific shoe category and sport have a “major impact” on the orthotics he prescribes. H
Practice Builders »
Supply chain inventory management (SCIM) is essential for doctors who perform a number of similar procedures, those who dispense a fair number of products and surgeons because a medical practice’s profitability will suffer if it has too much or too little inventory of durable medical equipment (DME) on hand. How can a physician determine the proper DME inventory level? One uncommonly used approach is based on the economic order quantity costing (EOQC) method.
EOQC is a century-old accounting formula that determines the point at which the combination of order costs and inventory carrying cos