Volume 20 - Issue 1 - January 2007
Treatment Dilemmas »
Key Insights On Surgical Correction Of Pediatric And Adult Flatfoot
The correction of flatfoot deformity has been an evolving and somewhat troublesome treatment in the realm of foot and ankle ailments. The treatment has differed in children versus adults and has gained extended popularity as simpler procedures have become available. The problem with simple procedures is they do not always treat the full complex of the underlying deformity.
Accordingly, let us take a closer look at the treatment of flatfoot in children and adolescents. We will consider the underlying deformity, its causes and treatment options. I wi
News and Trends »
PODIATRY IN PRACTICE: Group Practice Achieves Key Economic Advantages And Improved Patient Care
As DPMs treat a wide variety of patients, they also practice in a wide variety of settings. Podiatrists practice in hospital settings, at academic institutions, solo practices and in group practices with other DPMs.
One such group practice, The Podiatry Group of South Texas (TPG), formed in 2003 when seven independent practices with a total of 12 DPMs merged. The merger was born of “the need and opportunity to consolidate business operations in response to negative pressures from the insurance industry,” according to Robert Vranes, DPM, the pre
Letters »
Key Points Not Addressed In Article On Plantar Fasciosis
Anyone questioning whether Dr. Barrett is trying to sell Instratek instrumentation for endoscopic plantar fasciotomy (EPF) procedures need look no further than his recent article, “Should You Change Your Approach To Plantar Fasciosis?” (see page 48, November issue), which is basically a long-winded advertisement for the EPF procedure.
There are several points not mentioned in this less than scholarly work that should be brought to the forefront.
The first point is that conservative care works and works very often. Through
Diabetes Watch »
What Emerging Research Reveals About Hyperglycemia And Vascular Imbalances
Research is an essential part of medicine when it comes to the ongoing improvement of patient care. Although podiatry is still very early into its development of consistent research contributions, research in diabetes has an impact in what we do daily. Research on topics such as diabetic neuropathy, vascular disease, wound care, the management of diabetes and offloading should be of interest.
Diabetic neuropathy has been identified as an important risk factor for foot problems in the diabetic patient. The cost of diabetic neuropathy and its conseque
Wound Care Q&A »
How To Achieve Optimal Treatment Of Puncture Wounds
Given the common incidence of puncture wounds, our roundtable experts continue their discussion (see page 32, November 2006 issue) by sharing key insights on appropriate antibiotic selection and how they prefer to close these wounds. Without further delay, here is what they had to say …
Q: What empiric antibiotics do you prescribe for puncture wounds?
A: For Michael Keller, DPM, the antibiotic selection depends upon three factors: the timing of presentation, the type of puncture and the type of patient.
Surgical Pearls »
Is The InterPhlex A Viable Option In Hammertoe Surgery?
One of the most common conditions that the foot and ankle surgeon will encounter is the hammertoe deformity. Surgeons have used multiple procedures for more than 60 years to deal with this condition. These have included amputation of the digit, arthrodesis of the interphalangeal joints, soft tissue releases, arthroplasty (removal of bone, partial or complete), tendon transfers, implants and/or a combination of the above. The most popular procedure during this time has been the arthroplasty with resection of the head of the proximal phalanx.
However,
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