Volume 20 - Issue 3 - March 2007

News and Trends »

News and Trends

By Brian McCurdy, Senior Editor | 10155 reads | 0 comments

How Effective Is The PTB Test In Diagnosing Osteomyelitis?

     There has been some recent debate within the profession about the effectiveness of the probe-to-bone (PTB) test in diagnosing osteomyelitis. A new study in Diabetes Care has found that the PTB test has a relatively low positive predictive value when it is utilized for diabetic patients with foot wounds.

     The two-year study tracked 1,666 patients with diabetes who underwent regular foot exams and were instructed to come to the clinic if they developed signs of lower-extremity



Forum »

Taking An Active Role In Medical Staff Leadership

By Larry Crystal, DPM | 2253 reads | 0 comments

     “Good morning, Chief” “Here comes the Chief” and “Good morning, Mr. President” are all greetings that I have heard since I was elected into the position of Medical Staff President of a tri-campus rural hospital with 65 active staff and 45 mid-level providers. So how did the only podiatrist on staff come to serve as Chief of Staff?

     Some might say that my election was the result of a fortune of circumstance and those with experience in medical staff leadership might say that I was the victim of circumstance. Regardless, I have had the honor



Forum »

Taking An Active Role In Medical Staff Leadership

By Larry Crystal, DPM | 3092 reads | 0 comments

      “Good morning, Chief” “Here comes the Chief” and “Good morning, Mr. President” are all greetings that I have heard since I was elected into the position of Medical Staff President of a tri-campus rural hospital with 65 active staff and 45 mid-level providers. So how did the only podiatrist on staff come to serve as Chief of Staff?

      Some might say that my election was the result of a fortune of circumstance and those with experience in medical staff leadership might say that I was the victim of circumstance. Regardless, I have had the hono



Diabetes Watch »

Is Limb Salvage Practical In Patients With Diabetes And Renal Failure?

By Jessica Kaylor, BA, and John S. Steinberg, DPM | 15118 reads | 1 comments

      Although the patient with diabetes and renal failure presents serious challenges to the limb salvage team, there is evidence and argument to support aggressive treatment and attempted limb salvage in a multidisciplinary clinical environment. An abundance of medical literature discusses the separate wound care challenges posed by diabetes and renal failure.

      Less work has been done, however, to identify proper treatment and salvage techniques for patients who suffer from both maladies. While many do opt for primary amputation in the patient with diab



Wound Care Q&A »

Current Concepts In Treating Ischemic Foot Ulcers

Clinical Editor: Lawrence Karlock, DPM | 20161 reads | 0 comments

     When it comes to patients with ischemic foot ulcers, potential complications can be dire. Accordingly, it is important to have a firm grasp on diagnostic studies as well as current and emerging treatment options that may enhance outcomes for patients.

     With this in mind, our expert panelists discuss a range of issues related to the ischemic foot.

     Q: How do you approach/work up the ischemic foot ulcer patient?
     A:
David E. Allie, MD, works up such patients “very, very aggressively.” Of the approxi



Surgical Pearls »

Can Alternative Fixation Foster Better Outcomes With The Akin Osteotomy?

By Anthony Weinert, DPM, Ali Elkhalil, DPM, and Ahmad Farah, DPM | 7411 reads | 0 comments

      Practitioners have described various osteotomies for the proximal hallux. However, the Akin closing wedge osteotomy is currently the most common procedure. Podiatric surgeons commonly employ the transverse plane closing wedge osteotomy for the correction of hallux abductus interphalangous deformity. One may also use this as an additional procedure for the correction of hallux abductovalgus deformity.

      Akin noted that one should perform the closing base wedge osteotomy at the proximal one-third of the proximal hallux and orient it in the transverse p



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