Volume 21 - Issue 8 - August 2008
Technology In Practice »
Foot and ankle surgeons may have yet another option for rearfoot reconstruction. The CalFix™ Calcaneal Plate and Screw System is indicated for fractures and osteotomies of the calcaneus including, but not limited to, extra-articular, intra-articular, joint depression, tongue type and severely comminuted fractures, according to its manufacturer OsteoMed.
The system features titanium alloy screws, either locking or non-locking, and titanium plates in lengths of 56 mm, 65 mm and 74 mm with a thickness of 1.0 mm at the webs to 1.4 mm at the screw holes.
News and Trends »
Given the potential benefits of quicker reimbursement and improved productivity, and the need to ensure HIPAA compliance, you would think electronic medical records (EMR) would be in place in the majority of physician practices. How many doctors are actually using the EMR Systems in the office?
Not many, according to a recently published survey in the New England Journal of Medicine (NEJM).
In the annual roundup of emerging advances in podiatry, this author talks to podiatrists to get their thoughts about new surgical devices, vascular assessment tools and intriguing diagnostic innovations.
Advances in technology have the potential to reshape and redefine commonly held thought processes and practices in podiatry. This year’s list includes a quicker option for assessing microvascular flow, an ankle arthrodesis locking plate and a diagnostic device that may facilitate earlier recognition of lower extremity melanomas.
With that said,
Hallux rigidus of the first metatarsophalangeal joint (MPJ) is the most common form of osteoarthritis of the foot.1 Hallux rigidus is defined as a progressive arthritic process of the first MPJ that causes pain, stiffness and enlargement of the joint.1
There are numerous surgical procedures to help address the pain and stiffness of this joint. These procedures include cheilectomy, osteotomies, resection arthroplasty, interpositional arthroplasty, hemiarthroplasty, total joint arthroplasty and arthrodesis.
There are 15 million people in the United States with diabetes mellitus, half of whom are undiagnosed. Diabetic foot ulcers (DFUs) occur in 12 percent of these individuals, accounting for 60 percent of lower extremity amputations and costing more than $1 billion annually.1
Diabetic foot ulcers have various mechanisms including:
• microneurovascular dysfunction with loss of the nociceptive reflex and an exacerbated inflammatory response;
• vasomotor dysfunction with arteriovenous shunting;
Continuing Education »
Please click here for the full Continuing Medical Education article:
Given the significant dilemma of peripheral arterial disease and its strong association with diabetic complications in the lower extremity, this author reviews pertinent diagnostic keys and assesses the current research on treatment options.
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