Volume 18 - Issue 5 - May 2005
News and Trends »
Congressional legislation has been able to hold off cuts in Medicare reimbursement for the last several years. However, the relief may have been only temporary. If Congress does not take further action beyond the temporary 2004-05 legislative fix, physicians may see a reduction in Medicare reimbursement in 2006.
Without a legislative remedy, podiatrists will see a 5.2 percent reduction in Medicare payments next year, notes Julie K. Letwat, JD, MPH, the Director of Health Policy and Practice Advocacy for the American College of Foot and Ankle Surgeons (ACF
Surgical Pearls »
A challenging problem for any podiatric surgeon is surgically managing cases in which a silicone elastomer implant in the first metatarsophalangeal joint (MPJ) has failed. When patients initially present with this problem, they will complain of pain, deformity or both at either the first or lesser metatarsophalangeal joints.
The cause of the pain or deformity can be multifactorial. The possible causes may include: chronic synovitis and swelling around the implant; chronic skin fistulas; implant breakage or fragmentation; severe periarticular bony subside
Technology In Practice »
Chronic plantar fasciitis and Morton’s neuroma are two persistent conditions that podiatrists frequently see among their patients. However, practitioners are seeing results with a surgical system that succeeds when conservative treatments fail to alleviate these conditions.
The KobyGard™ System (OsteoMed) enables surgeons to isolate and cut both the transverse metatarsal ligament and plantar fascia through a small incision. The system is comprised of a variety of instruments including a tissue locator, a ligament separator, a fascia separat
Wound Care Q&A »
When is advanced imaging necessary for guiding one’s decision-making on the treatment of a lower-extremity wound? How reliable are radiographs when clinicians suspect osteomyelitis? Should you employ magnetic resonance imaging? Does nuclear medicine imaging have particular value in managing wounds? Our expert panelists tackle these questions and more in the following discussion.
Q: What role do you see advanced imaging playing in the management of foot and ankle wounds?
A: Molly Judge, DPM, says advanced imaging is unnecessa
Many runners will consult a podiatrist for their initial physician visit for lower extremity injuries. Diagnosing and treating the most common running injuries requires finding the cause of the injury and going beyond simply treating the symptoms. Injured runners will often show up in the office with a bag full of old running shoes, a training log and a self-diagnosis. In my practice, runners tend to be the most well-informed patients and simply advising these patients to refrain from running could lead to them seeing another doctor.
When seeing a runner
Prior to the broad adoption of the principles and techniques of the AO/ASIF group, cerclage wires, K-wires and Steinmann pins as well as a variety of staples were the more common internal fixation devices employed for stabilizing fractures, osteotomies and fusions. Rigid internal compression fixation techniques eventually became more commonplace and the application of these techniques to foot and ankle surgery has led to clinical advances with improved surgical outcomes.
As technology advances and we increase our knowledge of bone healing from a variety of perspectives, newer designs in inte