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Updated: 2 hours 21 min ago

How Anticoagulation Therapy Can Affect Recurrent Acute Compartment Syndrome

Mon, 07/03/2017 - 11:56
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): Christopher R. Hood, Jr., DPM, and Joshua K. Hollinger, DPM

These authors detail how anticoagulation therapy complicated the treatment of a patient who sustained acute compartment syndrome after a crush injury.

Section: Online Exclusive

Residency Corner: What Residency Directors Look For In Applicants

Mon, 07/03/2017 - 11:05
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): Clinical Editor: David Bernstein, DPM, FACFAS; Panelists: Andrew Meyr, DPM, FACFAS, and William Urbas, DPM

In this new online-exclusive column, residency program directors discuss what qualities they look for in future residents and how they decide who they will interview.


What key factors or characteristics do you consider or look for when evaluating applicants to your residency program?

Section: Online Exclusive

A Novel Approach To Peroneal Tendon Repair With A Semitendinosus Graft

Thu, 06/29/2017 - 17:28
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): Eugene A. Batelli, DPM, FACFAS

Given the challenges of treating subluxing peroneal tendons, this author discusses the use of a semitendinosus graft to address this condition in two patients with ankle sprains.

Section: Online Exclusive

Maintaining A Balance Between Necessity, Desire And Having An Impact

Mon, 06/26/2017 - 14:21
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): Camille Ryans, DPM

As podiatric physicians, it is often easy to get caught up in day-to-day routines, which usually involve dedicating a substantial amount of time to patients and our profession.

As a consequence, we often neglect other aspects of our lives and responsibilities that come with being a societal leader. Some points of neglect are personal, such as giving less attention to our own needs and wants, or those of our family and other loved ones. Sadly, we may also neglect staff, employers and colleagues. Lastly, but certainly not least, is neglect toward our community.  

Section: Forum

Sophisticated Test Facilitates Quicker Diagnosis And Treatment Of Fungal Nail Infections

Mon, 06/26/2017 - 14:18
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): Robi Garthwait, Contributing Editor

Section: Technology In Practice

Maximalist Footwear: A Closer Look At Biomechanical Implications

Mon, 06/26/2017 - 12:02
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): Richard L. Blake, DPM

What kind of impact can maximalist shoes have on an athlete’s biomechanics? With this question in mind, this author discusses the makeup of maximalist footwear, the influence upon foot strike, biomechanical assessment and how all of these factors can impact maximalist shoewear recommendations for athletes.

Section: Feature

The Top Ten Innovations In Podiatry

Wed, 06/21/2017 - 12:01
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): Brian McCurdy, Managing Editor

Can a new advance enhance external fixation? Could a native collagen product have an impact in counteracting biofilm recurrence? Can emerging topicals provide epidermal barrier repair in patients prone to dry, irritated skin? Could an intriguing surgical system facilitate more consistent, reproducible first ray correction with Lapidus bunionectomy procedures?

Section: Feature

Point-Counterpoint: Is It Time To Retire Internal Fixation For Calcaneal Fractures?

Mon, 06/19/2017 - 13:05
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): John F. Grady, DPM, FASPS, FACFAOM, FAAPSM, FACWM, and Jake Ruff, DPM; and Benjamin D. Overley, Jr., DPM, FACFASYes.

These authors note that external fixation provides better results for intra-articular calcaneal fractures, citing advantages including rigid stabilization, a shorter time to reduction and greater patient mobility.   

By John F. Grady, DPM, FASPS, FACFAOM, FAAPSM, FACWM, and Jake Ruff, DPM

Section: Feature

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

Mon, 06/19/2017 - 12:26
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): James M. Cottom, DPM, FACFAS, and Britton S. Plemmons, DPM, AACFAS

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.

Section: Feature

Emerging Indications For NPWT

Mon, 06/19/2017 - 12:24
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): Kevin Ragothaman, DPM, Tammer Elmarsafi, DPM, MBBCh, and Paul J. Kim, DPM, FACFAS

Negative pressure wound therapy (NPWT) is an established adjunctive treatment for chronic wounds with a robust body of support in the literature. These authors discuss emerging indications for NPWT, including the use of negative pressure with instillation, over closed incisions and in possibly enhancing the efficacy of split thickness skin grafts.

Section: Feature

Key Insights On The Percutaneous Calcaneal Displacement Osteotomy

Mon, 06/19/2017 - 12:22
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): Lawrence A. DiDomenico, DPM, FACFAS, Zach Flynn, DPM, and Adam Grahn, DPM

In contrast to a lateral open osteotomy, the percutaneous calcaneal displacement osteotomy facilitates less soft tissue and neurovascular compromise, a reduced risk of post-op wound complications and improved cosmesis. With this in mind, these authors take a closer look at the literature on the technique and offer a practical guide to performing the osteotomy.

Section: Feature

Why Frontal Plane Correction Is A Vital Component Of Bunion Surgery

Mon, 06/19/2017 - 12:20
Issue Number: Volume 30 - Issue 7 - July 2017Author(s): Paul Dayton, DPM, MS, FACFAS, Andrea Cifaldi, BS, and Rachel Egdorf, BS

Section: Surgical Pearls

What A Recent Study Gets Right And Wrong About Root Biomechanics

Wed, 05/31/2017 - 11:33
Issue Number: Volume 30 - Issue 6 - June 2017Author(s): Kevin A. Kirby, DPM

This author takes a critical look at recent kinematics research, which questions established tenets of Root biomechanics. 

Section: Online Exclusive

A Closer Look At The Medial Double Fusion And Extending The Medial Column

Wed, 05/31/2017 - 11:20
Issue Number: Volume 30 - Issue 6 - June 2017Author(s): Bradly Bussewitz, DPM, FACFAS

Noting the medial double fusion can be a viable treatment for patients with severe valgus, this author explores using the procedure in a 62-year-old patient with bilateral flexible flatfoot.

Arthrodesis of the subtalar joint and talonavicular joint has gained recent popularity as an alternative to the triple arthrodesis.1,2

Section: Online Exclusive

Exploring Carbon Fiber Fixation In The Lower Extremity

Wed, 05/31/2017 - 11:12
Issue Number: Volume 30 - Issue 6 - June 2017Author(s): Michael B. Canales, DPM, FACFAS, Ashley M. Mandela, DPM, Joshua Fisher, DPM, Bradley Benson, DPM, and Gurneet Khangura, DPM

These authors discuss the versatility and unique properties of carbon fiber for fixation in various types of foot and ankle surgery.

Section: Online Exclusive

Observations And Realizations From A Recent Conference

Wed, 05/24/2017 - 15:19
Issue Number: Volume 30 - Issue 6 - June 2017Author(s): George Wallace, DPM

I’m writing this reflection at 35,000 feet, winging my way cross-country after attending an excellent clinical conference. For the sake of not being too specific, let’s just say it was sponsored by an academic health science center. There were 90 of us, mostly local physicians and residents, at the conference.

Section: Forum

New Products June 2017

Wed, 05/24/2017 - 14:34
Issue Number: Volume 30 - Issue 6 - June 2017Author(s): 

A More Comfortable Voyage

Several components in a new orthotic make for a more comfortable walking experience for patients.

The Voyager topcover consists of SmartTech, which provides thermal comfort, cools feet and controls odor, according to the manufacturer Footmaxx. The company says the insole’s Poron XRD in the rearfoot protects the heel and absorbs impact.

Section: New Products

Keys To Maintaining Your Practice’s Website

Wed, 05/24/2017 - 13:37
Issue Number: Volume 30 - Issue 6 - June 2017Author(s): Andrew Schneider, DPM

It is 2017 and by now every podiatric physician and surgeon should have a website. There are no exceptions or excuses. If you do not yet have a website for your practice, stop reading immediately, call one of the reputable web companies in the field and solve that practice marketing problem right now.

Section: Practice Builders

Pertinent Principles In Managing Pediatric Sports Injuries

Wed, 05/24/2017 - 11:49
Issue Number: Volume 30 - Issue 6 - June 2017Author(s): Tim Dutra, DPM, MS, MHCA

Treating children can be a fun, challenging and very important part of your practice. Many factors, including psychosocial, physical and emotional differences, come into play when treating pediatric patients. Most of us can identify with the differences as we have experienced them ourselves as young patients.

Section: Sports Medicine

Current Concepts In Clubfoot Treatment

Wed, 05/24/2017 - 11:44
Issue Number: Volume 30 - Issue 6 - June 2017Author(s): Edwin Harris, DPM, FACFAS

Given the challenges of treating talipes equinovarus, this author offers a closer look at the evolution of the Ponseti method, keys to successful treatment, pertinent factors that contribute to adverse results and proactive steps to reduce complication risk.

Section: Feature