Volume 19 - Issue 6 - June 2006
Nonunions can be a troubling condition for both the patient and the podiatric physician. Failed unions can result from a host of factors arising from the patient, surgeon or both.
In many surgical cases, one primary cause is difficult to identify and the end result may actually result from a combination of various etiologies. As with any surgical complication, it is important to emphasize preventive efforts. However, even with diligent efforts, a nonunion may still occur.
In my opinion, there are three different perspectives that dictate how one should treat. There is the academic perspecti
What is more nerve wracking than hiring people to staff your practice? Tightrope walking might qualify but more often than not, there is a net below to catch you if you take a wrong step. Jumping out of an airplane also comes to mind but you would usually have a parachute that should keep you from really hurting yourself.
Indeed, hiring can be more intimidating or worrisome than either of those things partly because there are no safety measures that keep you from danger after you have brought a person on board. A new employee is live, in person, on your phones, in front of your patients,
Continuing Education »
There are abundant crawling and flying insects that infest, bite and sting humans, particularly on the foot and ankle regions. At this time of the year, people may be particularly susceptible to bites from ants, fleas, ticks and spiders. Other possible problems may include infestations with scabies and stinging insects.
There are various types of ants that can inflict different levels of bites and stings. The three main stinging and biting ants are fire, harvester and pharaoh ants.
The fire ant is common in the southeastern United States and Caribbean islands. Its sting causes immediat
Sports Medicine »
How many of us have put on a low Dye strapping that successfully alleviated the patient’s symptoms only to prescribe foot orthotic devices that did not have the same outcome? I would think anyone who has been in practice long enough has done this. What happened between the low Dye strapping and the foot orthotic device that changed the outcome we anticipated?
One can use the low Dye as a treatment modality in and of itself or as a means of assessing whether or not a patient would benefit from a pair of foot orthotic devices. There are many variations of this strapping and many of us have s
News and Trends »
Can a combination of two procedures yield positive results for patients with hallux rigidus? A recent study, presented as an abstract at the annual meeting of the American College of Foot and Ankle Surgeons (ACFAS), notes increased function and decreased pain in patients who underwent a combination of a hemi-implant arthroplasty with a decompressional osteotomy.
As part of the study, 11 patients with hallux rigidus underwent the combination of surgical procedures. Patients had either grade III or IV hallux rigidus, less than 20 degrees of first metatarsophalangeal joint (MPJ) dorsiflexion, an