Volume 21 - Issue 8 - August 2008

Technology In Practice »

New Plate And Screw System May Facilitate Improved Fracture Repair

By Robi Garthwait, Contributing Editor | 3027 reads | 0 comments

     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 »

Are Podiatrists Really Using EMR?

By Brian McCurdy, Senior Editor | 5195 reads | 0 comments

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).



Feature »

The Top Ten Innovations In Podiatric Care

By Brian McCurdy, Senior Editor | 13135 reads | 0 comments

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,



Feature »

A Guide To First MPJ Head Resurfacing

By Bora Rhim, DPM | 15272 reads | 0 comments

     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.

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Forum »

Going The Extra Mile For Extra Patients

By John H. McCord, DPM | 1609 reads | 0 comments

     While the majority of my podiatry practice occurs in my clinic between 8 a.m. and 5 p.m., there are activities I call extras. These are professional services that occur after hours, on weekends or sometimes in conflict with the office hours.

     The past week was full of extras. My cell phone/pager started humming and playing a Bach fugue Tuesday morning. It was a nurse from the OB department announcing that a baby boy, born 30 minutes earlier, had bilateral club feet. I like to start care within the first hour so I grabbed some casting material and heade



Letters »

Raising Questions On 'Planal Dominance' Article

2643 reads | 0 comments

     I quickly scanned the article, “What You Should Know About Planal Dominance And Pronated Feet” (see page 52 in the June issue). I find it hard to believe there is no mention of forefoot supinatus as the key radiographic finding for the frontal plane component of flexible flatfoot. There is a mention of a positive Helbing’s sign. In my opinion, basing your treatment on the presence of a positive Helbing’s sign is irresponsible.

— Matthew DeMore III,
DPM, FACFAS
Assistant Professor
Chairman, Department of Surgery
Ohio College of Podiatric Medicine