Volume 17 - Issue 12 - December 2004

Continuing Education »

How To Perform The Double Calcaneal Osteotomy

By Alan R. Catanzariti, DPM, Robert W. Mendicino, DPM, and Brian D. Neerings, DPM | 23576 reads | 0 comments

   The double calcaneal osteotomy includes a combination of the posterior calcaneal displacement osteotomy (PCDO) and the Evans anterior opening wedge calcaneal osteotomy. One would consider this combination for symptomatic flexible flatfoot deformity in both the adolescent flexible flatfoot and the adult with late stage II (Johnson and Strom’s classification) posterior tibial tendon dysfunction (PTTD).

   The PCDO consists of a transcortical osteotomy through the posterior tuber of the calcaneus with medial transposition of the tuberosity. The PCDO displaces



Editor's Perspective »

Striving For A Diversity Of Clinical Topics

By Jeff Hall, Editor-in-Chief | 1539 reads | 0 comments

   When I first started working on this magazine, we did a small survey of readers to help determine the direction of the magazine when we took it over from the former publisher. The majority of readers said they wanted to see more clinical topics and we have pursued this editorial agenda over the years with some practice management articles mixed in as well.

   It is an ongoing education for us to provide just the right mix of articles that tackle emerging clinical topics as well as articles that discuss conditions that you see every day in your practice. Tha



Forum »

When Patients Are Not Capable Of Informed Consent

By John McCord, DPM | 3577 reads | 0 comments

   This is one of my editorials that will irritate the DPMs who equate being a podiatrist with canonization. You guys and gals might want to toss this issue aside or take an extra Paxil or Wellbutrin. Some of the decisions we make and the things we do compel us to take a harder look in the mirror.

   We need to be more careful about operating on developmentally delayed, mentally ill and drug addicted patients. Most of these patients are not capable of making an informed decision alone and need the assistance of a competent advocate. This could be a relative, gu



Letters »

Stay Away From Political Editorials

2546 reads | 0 comments

   I believe your recent editorial was inappropriate. (See “Emphasizing Accountability For Seniors On Election Day,” page 15, October issue.) You made some half-baked effort to try and present some kind of balance in your editorial but your bias was obvious. You knocked President George Bush’s accomplishments in Medicare and touted the possibility that Senator John Kerry’s plan would be superior.

   You, like so much of America, have taken Kerry’s statements at face value. Make no mistake about it. Kerry’s plan is socialized medicine. The ultra-lib



Diabetes Watch »

Is Rocker Bottom Reconstruction A Viable Option For Limb Preservation?

By Scott Neville, DPM, Peter Blume, DPM, and Jonathan Key, DPM | 29397 reads | 0 comments

   Although Charcot neuroarthropathy occurs in a small percentage (5 percent) of the diabetic population, the natural disease course is associated with severe morbidity including chronic ulcerations, infections and amputations.1 The medical necessity of limb preservation is well known to all podiatrists. However, the recent advent of rocker bottom reconstruction provides the podiatric surgeon with another tool in the fight for limb preservation.

   Those with ulcerations secondary to Charcot foot deformity are part of a complex subset of patients who



Practice Builders »

Issues And Answers On Improving Staff Morale And Efficiency

By Lynn Homisak, PRT | 6841 reads | 0 comments

   As songwriter Henry Kaiser put it, “Problems are only opportunities in work clothes.” I can attest to this truth of this statement. As a podiatric medical assistant and consultant, I frequently lecture at meetings and speak to doctors and assistants all over the country. My mission is to help create a better work dynamic between doctors and assistants. With this in mind, let us consider some common questions that come up at meetings.

   Q: I am not having any luck training my staff. I tell them how things should be done and I still end up doing them m



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