Volume 18 - Issue 12 - December 2005

Feature »

A New Solution For The Arthritic Ankle

By George R. Vito, DPM, Floyd L. Pacheco, Jr., DPM, Charles Southerland, DPM, Edgardo Rodriguez, DPM, and Shannon Thompson, DPM | 27430 reads | 0 comments

   Arthritis of the ankle can be a painful and disabling condition. Clinicians can effectively treat mild or moderate arthritis with conservative therapies and joint preserving surgical procedures.1-5 Advanced cases that do not respond to more conservative measures require aggressive surgery. Traditional procedures for severe ankle arthritis pain include ankle arthrodesis and arthroplasty with implant. These are lengthy, usually invasive procedures that can successfully treat severe ankle arthritis but they also have some serious surgical risks.

   R



Feature »

Current Concepts In Performing Matrixectomies

By Alexander Reyzelman, DPM | 70119 reads | 3 comments

   Ingrown toenails are one of the most common presenting pedal foot maladies with an estimated 20 percent of those who present seeking foot care for this problem.1,2 Chemical matrixectomy is one of the most common surgical procedures podiatrists perform. Although the technique for the matrixectomy procedure is fairly simple and straightforward, there are many modifications to the procedure and there are controversial issues including the use of adjunctive antibiotics and postoperative care.

   In order to understand the evolution of the procedure, o



Feature »

Pertinent Insights For Preoperative H&Ps

By Martin C. Yorath, DPM | 9923 reads | 0 comments

   It is important to appreciate where the preoperative history and physical examination fits into the overall patient history and physical (H&P) hierarchy. As noted in the previous article (see “Why Complete H&Ps Should Be More Common In Podiatry,” page 56, September issue), the preoperative history and physical examination are essential for screening patients and assessing possible surgical risks.

   After evaluating these findings, podiatric physicians can make decisions regarding their patients’ suitability and stability to undergo a planned foot or



Feature »

How To Value A Buy-In/Buy-Out

By Steven Peltz, CHBC | 9602 reads | 1 comments

   Right now, many senior residents and fellows are facing the next step in their career, namely joining a practice. The idea of getting paid more than what they have received for the past few years along with working in a practice brings them a sense of excitement and foreboding.

   After the interview process and mutual acceptance by each party, the discussion eventually turns to the topic of partnership. The owners only want to hire someone who will become an owner of the practice and will eventually buy them out. The owners explained in great detail the pro



Continuing Education »

A Guide To First MPJ Arthrodesis For Active Patients

By Lawrence A. DiDomenico, DPM, and Alfonso A. Haro III, DPM | 45677 reads | 0 comments

   Surgical recommendations are sparse when evaluating treatment options for the athletic population diagnosed with hallux limitus, hallux rigidus or first metatarsophalangeal (MPJ) osteoarthritis. However, we have found success in treating athletes with first MPJ arthrodesis, and helping them to achieve pain relief and a return to activities.

   Several surgeons have found similar success as evidenced by a review of the literature on this subject. In 1996, Bouche, et. al., advocated first MPJ arthrodesis in active patients, reporting that it could “relieve



Editor's Perspective »

Diabetes And Obesity: An Alarmingly Prevalent Combination

By Jeff Hall, Executive Editor | 3107 reads | 0 comments

   Despite the increased awareness of diabetes in recent years and its potentially devastating complications, the recent report from the Centers for Disease Control and Prevention (CDC) offers a grim portrait of the effort to curtail and prevent the condition. In the last two years alone, there has been a 14 percent increase in the prevalence of diabetes in the United States (see page 8, “News And Trends”).

   The estimated number of Americans with diabetes now stands at 20.8 million people in the United States, a 2.6 million increase from 2003. The CDC es