Podiatry Today






CLINICAL EVENTS CALENDAR

Non-Accredited Education

Managing the Diabetic Foot: A Clinical and Economic View Complimentary Archived Webcast
Non-Accredited


Understanding Collagen Dressings and their Benefit in Wound Care

Complimentary Archived Webcast
non-accredited

Treatment Dilemmas

Current Concepts In Diagnosing And Treating Osteochondral Lesions

VOLUME: 23 PUBLICATION DATE: Mar 01 2010
Issue Number: 
3 March 2010

   Osteochondral fractures of the talus have been a challenging and often poorly treated problem in podiatry practices. They are often undiagnosed at the initial time of injury and will cause pain with increased activity. This subsequently leads to patients presenting with an ill-defined ankle pain that can be challenging to diagnose.

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When Pediatric Flatfoot Requires Surgical Correction

VOLUME: 23 PUBLICATION DATE: Jan 01 2010
Issue Number: 
1 January 2010

   Pediatric symptomatic flatfoot problems are very common in foot and ankle practices. Although calf stretches and orthotics are effective for most patients, there is a subset of patients who require surgical correction.

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Current Concepts In Treating Achilles Tendon Ruptures

VOLUME: 22 PUBLICATION DATE: Sep 01 2009
Issue Number: 
9 September 2009

   Approximately 20 years ago, I saw my first Achilles tendon rupture with bated breath. I thought the surgery was amazing and being able to tie a tendon back together that looked like strands of spaghetti was amazing. After the surgery, the patient wore an above-the-knee cast and the surgery was considered a full success.

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When PTTD Causes Symptomatic Adult-Acquired Flatfoot

VOLUME: 22 PUBLICATION DATE: Jul 01 2009
Issue Number: 
7 July 2009

   Adult flatfoot may be due to multiple problems including a dysfunctional posterior tibial tendon (PTT), hypermobility and ligamentous laxity, or possibly a coalition that becomes symptomatic. For a vast majority of patients, posterior tibial tendon dysfunction (PTTD) is the cause of symptomatic flatfoot and is the main trigger of surgical reconstruction in flatfoot.

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Platelet Rich Plasma: Can It Have An Impact For Tendinosis And Plantar Fasciosis?

VOLUME: PUBLICATION DATE: May 01 2009
Issue Number: 
5 May 2009

   The use of platelet rich plasma (PRP) injections in the treatment of fasciosis and tendinosis about the foot and ankle is a fairly recent and evolving concept. The idea behind such injections is quite simple and has been well studied in the literature.

   The concept is that there is a loss of inflammatory response and chronic scar formation with fascia and tendon injuries. The proper terms for such injuries are fasciosis and tendinosis rather than the more commonly used terms of fasciitis and tendonitis. In fasciitis and tendonitis cases, there is good blo

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Has Intraoperative Nerve Testing Reinvented Our Approach To Tarsal Tunnel And Nerve Surgery?

VOLUME: PUBLICATION DATE: Mar 01 2009
Issue Number: 
3 Mar 2009

   Nerve surgery, especially tarsal tunnel surgery, has been very difficult to perform. More often than not, it is a poorly used treatment in foot and ankle care. Often, the diagnosis is difficult to make and surgical treatment may not result in the best outcomes if physicians have not emphasized careful patient selection.

   To date, the most common workup for tarsal tunnel and other peripheral nerve problems has been a nerve conduction test (NCV) with or without an electromyelogram (EMG). Both of these tests have shown moderately good potential in the upper

Emerging Insights On Treating The Painful Achilles

VOLUME: PUBLICATION DATE: Jan 01 2009
Issue Number: 
1 Jan 2009

   Achilles tendon problems have become more widespread with the increase in the number of adult athletes and an increase in the overall body mass index of patients. There have been many advances in the treatment of Achilles tendon problems with several improvements in conservative care, several so-called “overlap procedures” and multiple new surgical techniques.

   In order to understand Achilles issues, we first need to discuss the make-up of the Achilles tendon and the terminology of associated problems. The Achilles complex is made up of several sectio

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Current Concepts In Treating Chronic Ankle Instability

VOLUME: PUBLICATION DATE: Nov 01 2008
Issue Number: 
11 Nov 2008

   Chronic ankle instability can be a common and often debilitating problem resulting from multiple moderate ankle sprains or a single severe ankle sprain. The subsequent residual symptoms associated with chronic ankle instability may lead to multiple additional ankle sprains and possible secondary conditions such as arthritis, synovitis or tendon irritation/tear.

   In our practice, chronic ankle instability is one of the most common presentations and we have noted a triad of common problems associated with patients who have chronic ankle instability. These p

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Hammertoe Surgery: Can Emerging Advances In Fixation Have An Impact?

VOLUME: 21 PUBLICATION DATE: Sep 01 2008
Issue Number: 
9

The treatment of painful hammertoes has dramatically changed in the past several years. What used to be a troubling and often difficult problem to correct has improved to the point that correction is consistent and there is far less pain and difficulty with the return to full function.
Accordingly, let us take a closer look at a treatment algorithm for the treatment of hammertoes and associated problems.
The underlying cause of hammertoes is not fully understood but the general thinking is quite simple. There is a noted imbalance between the stability of the flexor and extensor tendon funct

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How To Get Better Results With Bunion Surgery

Here one can see a preoperative lateral view of hallux valgus showing instability in the dorsal and plantar planes.In this pre-op anterior-posterior view, one can see an example of hallux valgus with medial instability.
VOLUME: 21 PUBLICATION DATE: Jul 01 2008
Issue Number: 
7

Bunion surgery is perhaps the most common procedure we perform in podiatry. Since bunions come in all shapes and sizes, several different types of procedures have emerged along with various refinements over the years.
Accordingly, let us take a closer look at what makes these procedures work well. Conversely, we need to ask some tough questions.Why do some bunion surgeries fail? Why do some people seem to recover better than others? How can we minimize poor outcomes? Our group has been involved in many revision bunion surgeries so there is a certain level of failures and compl






CME Showcase

"Current Concepts In Healing Chronic Diabetic Foot Ulcerations"

A Complimentary On-Demand CE/CME Webcast

This activity is supported by an educational grant from Advanced Biohealing.
This activity is sponsored by the North American Center For Continuing Medical Education (NACCME).

To access this Webcast, visit www.naccme.com/program/n-550/






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