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An Update On Total Ankle Arthroplasty Reimbursement

Jeffrey McAlister DPM | 669 reads | 0 comments | 11/17/2017

Many of us battle with hospital administration on a weekly or even daily basis. Trying to get our most valuable products or coveted devices past the desk of a hospital CFO or orthopedic OR manager is a constant struggle. We aim to treat our patients with the most up-to-date available products, but the reality is, patient care takes a back seat to healthcare cost containment.

Pertinent Pearls On Using Fibular Autograft With Ex Fix For Tibiocalcaneal Arthrodesis In Patients With Charcot Neuroarthropathy

Michael B. Canales, DPM, FACFAS, Grace C. Craig, DPM, Kartick Patel, DPM, MHSA, and Matthew M. Reiner, DPM | 299 reads | 0 comments | 12/01/2017

These authors detail the treatment of three patients with Charcot neuroarthropathy in the hindfoot and ankle using a retrograde intramedullary nonvascularized fibular graft with supplemental external fixation.

Point-Counterpoint: Is It Time To Retire The Triple Arthrodesis?

John Grady, DPM, FASPS, FACFAOM, and Mallory Schweitzer, BS; Keith D. Cook, DPM, FACFAS, and Zachary Criswell, DPM | 12,020 reads | 0 comments | 03/23/2016
Yes.

Citing long-term outcomes in the literature and surgical experience, these authors say the triple arthrodesis is a ‘biomechanically unsound’ procedure for the most part that has been usurped by isolated and medial double arthrodesis procedures that achieve better outcomes.  

By John Grady, DPM, FASPS, FACFAOM, and Mallory Schweitzer, BS

Point-Counterpoint: Locking Plates Or Staples: What Is The Best Fixation For First MPJ Arthrodesis?

Patrick A. DeHeer, DPM, FACFAS, and William Fishco, DPM, FACFAS | 1,836 reads | 0 comments | 04/24/2017
Locking plates.

Acknowledging that researchers have yet to come to a consensus on the most effective fixation on first MPJ arthrodesis, this author touts the benefits of locking plates.  

By Patrick A. DeHeer, DPM, FACFAS

A Closer Look At A Minimally Invasive Approach To Lateral Ankle Repair

James M. Cottom, DPM, FACFAS, and Britton S. Plemmons, DPM, AACFAS | 1,513 reads | 0 comments | 06/19/2017

A minimally invasive arthroscopic approach may significantly improve functional outcomes for patients with lateral ankle instability. In addition to offering insights from the emerging literature, these authors share step-by-step surgical pearls for the all-inside arthroscopic Broström repair.

A Closer Look At An Emerging Plating System For First MPJ Arthrodesis

Andrew H. Rice, DPM, FACFAS, and Sarah Russell, DPM | 4,141 reads | 0 comments | 02/29/2016

These authors explore the use of an innovative plating system, which provides more stability and reportedly facilitates immediate protected weightbearing after first metatarsophalangeal joint (MPJ) arthrodesis.

A Guide To Conservative Care For Ankle Sprains

Douglas Richie, DPM, FACFAS, FAAPSM | 9,001 reads | 0 comments | 06/21/2016

Recurrent sprains and long-term residual symptoms are fairly common in patients who suffer ankle sprains. With this in mind, this author provides a comprehensive review of the literature and a practical guide to conservative treatment at various stages for lateral ankle sprains.

Can Ankle Instability Contribute To Plantar Fasciitis?

Laura Bohman, DPM, and Bob Baravarian, DPM | 15,525 reads | 0 comments | 10/24/2016

Plantar fasciitis is a well-known pathology to most foot and ankle specialists.

Why You Should Avoid Ankle Plantarflexion When Casting Functional AFOs

Larry Huppin DPM | 1,634 reads | 0 comments | 08/23/2016

Proper casting position is critical when you are prescribing a functional ankle-foot orthotic (AFO). Recently, I have seen a number of functional AFO casts with excessive plantarflexion. These casts are unusable and have to be redone. This, of course, is inconvenient for you and your patient. 

For best function and comfort, place the hinges of a functional AFO so they are directly over the distal tip of each malleolus. This ensures the brace moves naturally with the ankle joint and dramatically reduces the possibility that a patient will experience malleolar irritation.

How To Evaluate Acute Ankle Sprains At The Initial Presentation

Doug Richie Jr. DPM FACFAS | 1,994 reads | 0 comments | 06/22/2016

What are the challenges on day one when evaluating the acute ankle sprain?