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Keys To Prescribing Orthoses For Limb Asymmetry And Heel Pain

Guest Clinical Editor: Joseph D'Amico, DPM | 12,160 reads | 0 comments | 07/25/2012

Given the common presentation of limb asymmetry, these panelists describe how leg length discrepancy affects orthotic prescription. They also offer insights on effective orthotic management of patients with heel pain.

Q: In what percentage of patients do you find differences in lower extremity structure or function, and how does this asymmetry affect your orthotic prescription? A:

All four panelists have found that most patients have asymmetry in terms of lower extremity structure or function.

Is Rocker Bottom Reconstruction A Viable Option For Limb Preservation?

By Scott Neville, DPM, Peter Blume, DPM, and Jonathan Key, DPM | 38,280 reads | 0 comments | 12/03/2004

   Although Charcot neuroarthropathy occurs in a small percentage (5 percent) of the diabetic population, the natural disease course is associated with severe morbidity including chronic ulcerations, infections and amputations.1 The medical necessity of limb preservation is well known to all podiatrists. However, the recent advent of rocker bottom reconstruction provides the podiatric surgeon with another tool in the fight for limb preservation.

Calcaneal Autograft: Can It Facilitate Salvage Of A Failed First MPJ Implant?

Kenneth Seiter, DPM | 20,200 reads | 0 comments | 02/23/2010

   Surgical revision of a failed silicone prosthesis in the first metatarsophalangeal joint (MPJ) is a difficult dilemma that many foot and ankle surgeons increasingly encounter. While advocates of silicone and similar implants have alluded to their preliminary benefits, there is a scarcity of literature on how to salvage these failures, especially when they occur in younger, active patients.

   Revision options include implant removal with synovectomy, implant removal with re-insertion of an alternate implant, or bone block distraction arthrodesis.1,2

Will Diabetic Limb Preservation Be A Priority In The New Health Care System?

Andrew Rice DPM FACFAS | 2,970 reads | 1 comments | 01/15/2010

In contemplating what I should post in my first blog for Podiatry Today, I reviewed several published articles describing procedures that have interested me. I initially thought I would write about techniques I have integrated into my practice.