Loading... Please wait...This author discusses using a tibio-talo calcaneal fusion with an intramedullary rod in a distal tibia-fibula fracture in a patient who had sustained two nonunions following open reduction internal fixation.
The online web sites where patients can write comments about doctors and rate them would only seem fair if doctors had a web site where they could rate patients. The HIPAA laws stand in the way of that equitable solution.
Accurate gait assessment can obviously play a key role in the diagnostic workup. Accordingly, a gait assessment device that reportedly observes more than 20 times the images per second than the human eye could provide considerable diagnostic value.
For every foot, there is an athletic shoe that fits correctly. After specializing in sports medicine for over 20 years, I know this is true.
An 80-year-old Caucasian presents to the office complaining of thick, yellow, unsightly and sometimes painful toenails. The patient, a retired RN, has had a history of a rash affecting both feet. The rash is sometimes pruritic and sometimes not. She has tried applying topical antifungals to her toenails without success. However, antifungal creams have sometimes helped her skin condition.
In lieu of the advancements in wound healing and innovations in surgical technique, limb salvage in the patient with diabetes remains a costly and complex endeavor. Some advocate immediate amputation for complex diabetic ulcers or gangrene.1 However, researchers have associated amputations in patients with diabetes with decreased life expectancy and an increased risk of contralateral amputation.2 The challenge with wound healing in patients with diabetes stems from the existence of comorbidities such as vasculopathy, neuropathy and propensity for infection.3
The American Medical Association (AMA) is opposing the Conditions of Participation of the Centers for Medicare and Medicaid (CMS) that would allow podiatrists to hold leadership positions at hospitals.
As the President of the Texas Podiatric Medical Association (TPMA), I want to respond to your December 2011 cover story, “Scope of Practice Update: Where Things Stand,” as it relates to Texas. I hope to clarify some misinformation and inaccurate facts that could have a negative effect on Texas if left unchallenged.
New Podiatry articles for 2012 include, Common Causes of Foot and Ankle Swelling and Heel Pain in Children and Adolescents. If you are looking to find more information about specific foot or ankle problems, here are a few articles I recommend:
...These authors offer a closer look at hallux abducto valgus and the impact of age on treatment decisions in adolescents and elderly patients.
Reviewing the evolution of the Evans calcaneal osteotomy, this author discusses the impact on biomechanics, shares insights from the literature on osteotomy placement and bone graft size, and offers pearls on minimizing the risk of common complications.
Given the increased prevalence of gout and how gout affects the lower extremity, the author discusses current concepts in diagnosis and treatment, and provides an
illuminating case study.
Given the decreased bone mineral density and poorer bone healing potential in people with osteoporosis, achieving adequate fixation can be challenging for osteotomies or arthrodesis procedures in this patient population. Accordingly, these authors review the literature and assess a range of fixation options including traditional plate fixation, cannulated screws and locking compression plates.
Given the relatively common incidence of venous insufficiency and the high likelihood of recurrence with venous leg ulcers, these authors offer a thorough review of the literature and share their insights on compression modalities ranging from inelastic (short stretch) bandages to intermittent pneumatic compression therapy.
Given the risks and patient concerns associated with K-wire fixation, these authors discuss the use of emerging hammertoe implants, absorbable pins and cannulated screws, and share a couple of illuminating case studies.
In the November issue of Reader's Digest, a piece titled, "13 Things Your Podiatrist Won't Tell You" listed tips for dealing with some of the most common foot health and hygiene issues. One tip suggested using antiperspirant products on your feet to help combat foot odor. Sweat (and even occasional foot odor) is a normal and healthy response to heat, but for some people sweating occurs excessively and causes problems such as warts, skin infections, blisters and toenail fungus.
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