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Emerging Insights On The Collapsible Cavus

Wed, 01/25/2017 - 15:05
Issue Number: Volume 30 - Issue 2 - February 2017Author(s): Joseph C. D’Amico, DPM

Asserting that most pathologic flexible flatfoot deformities are higher arched cavus feet that have collapsed and become misshapen, the author says having an understanding of this concept can help guide conservative and surgical treatments.

Section: Feature

Tarsal Coalition Surgery And Flatfoot Repair: What You Need To Know

Tue, 01/24/2017 - 16:24
Issue Number: Volume 30 - Issue 2 - February 2017Author(s): Nicholas A. Ciotola, DPM, and Neal M. Blitz, DPM, FACFAS

Given that current and emerging evidence supports the simultaneous correction of flatfoot and tarsal coalition resection, these authors discuss key considerations in single-stage repair with an eye on realigning the foot and preserving rearfoot mobility.

We now better understand the relationship between tarsal coalition and flatfoot as a combined pathologic problem. Historically, the surgical treatment of the tarsal coalition took center stage as surgeons focused on what material to place at the resection site and largely ignored the flatfoot altogether.

Section: Feature

Current Concepts In Cartilage Repair

Tue, 01/24/2017 - 16:16
Issue Number: Volume 30 - Issue 2 - February 2017Author(s): Michael H. Theodoulou, DPM, FACFAS

Given the challenges of addressing lower extremity cartilage injuries, this author offers a thorough review of the literature on microfracture repair, osteochondral allograft transfer system (OATS) procedures and autologous chondrocyte implantation, and assesses the potential of newer allogeneic materials.

Section: Feature

A Closer Look At The Corrective Potential Of Ultrasonic Bone Welding

Tue, 01/03/2017 - 11:17
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): Thomas M. Rocchio, DPM, FACFAS

This author notes ultrasonic bone welding was beneficial for a 57-year-old patient with crossover hammertoe deformity and a plantar plate tear with metatarsophalangeal joint subluxation

Section: Online Exclusive

Wearable Intensive Nerve Stimulation: Can It Have An Impact For Chronic Lower Extremity Pain?

Tue, 01/03/2017 - 09:18
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): Artinder Nanrhe, BS, and Stephanie Wu, DPM, MSc, FACFAS

These authors discuss the use of wearable intensive nerve stimulation, an emerging form of transcutaneous electrical nerve stimulation, and provide a few illuminating case studies.

Pain is a substantial and common complaint for millions of Americans, and is one of the most common reasons for visits to the doctor. Epidemiological data suggests that the prevalence of musculoskeletal and neuropathic pain increases with age until at least late midlife, and over half of these patients experience pain of a chronic nature.1

Section: Online Exclusive

A Closer Look At New Developments In Treating Achilles Tendon Ruptures

Tue, 12/20/2016 - 14:19
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): Laura Bohman, DPM, and Bob Baravarian, DPM

One can consider an Achilles rupture to be chronic or neglected approximately four to six weeks after the initial injury. This is due to the retraction of the tendon ends and the beginning scar formation in the area void of tendon.1

Section: Treatment Dilemmas

Point-Counterpoint: Is Open Repair More Effective Than Percutaneous Ex Fix For Calcaneal Fractures?

Tue, 12/20/2016 - 14:18
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): Wenjay Sung, DPM, FACFAS; and By Paul Dayton DPM, MS, FACFAS, Joshua Wolfe, BS, Zachary Croy, BS, Steven Tocci, BS, Ian Richter, BAYes.

Although the percutaneous approach has its benefits for calcaneal fractures, this author notes that ORIF with the lateral extensile approach may be more effective when there is calcaneal displacement and may lead to better functional outcomes.

By Wenjay Sung, DPM, FACFAS

Section: Feature

Addressing Hallux Valgus In The Metatarsus Adductus Foot Type

Tue, 12/20/2016 - 14:16
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): William Fishco, DPM, FACFAS

When patients with metatarsus adductus develop bunions, surgery can be particularly challenging. This author explores keys to bunionectomy procedure selection and offers several pertinent case studies.

Section: Feature

Key Insights On The Closing Base Wedge Osteotomy For Hallux Valgus

Tue, 12/20/2016 - 14:15
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): Alaa Mansour, DPM, and Lawrence Fallat, DPM, FACFAS

For patients with moderate to severe hallux valgus and a large intermetatarsal angle, proximal first metatarsal osteotomies may be indicated to achieve an appropriate amount of correction.

Section: Surgical Pearls

Emerging Concepts With NPWT In The Lower Extremity

Tue, 12/20/2016 - 14:09
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): Clinical Editor: Kazu Suzuki, DPM, CWS

Negative pressure wound therapy (NPWT) has a proven track record for lower extremity wounds. These experts explore when to utilize NPWT, the use of the modality over incisions and grafts, the merits of instillation NPWT and advantages of disposable devices.


When do you use NPWT in lower extremity wounds? Has your usage changed over the years?

Section: Wound Care Q&A

Emerging Keys To Improving Diabetes Self-Management For Patients

Tue, 12/20/2016 - 14:08
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): Valerie S. Marmolejo, DPM

Section: Diabetes Watch

The Opioid Epidemic: Keys To Navigating Pain Management

Tue, 12/20/2016 - 14:05
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): Kristine Hoffman DPM, FACFAS

Given the increasing numbers of people who are dependent on and/or addicted to opioids, physicians should have a firm grasp of pain management principles that can avoid adverse side effects. Accordingly, this author explores recent opioid prescription guidelines for managing acute and postoperative pain. 

Section: Feature

Secrets To Managing Student Debt

Tue, 12/20/2016 - 14:02
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): Jon A. Hultman, DPM, MBA, CVA

A mountain of student debt can be intimidating but this author says the right approach toward debt and savings, careful planning, and a sound knowledge of loan consolidation and refinancing can go a long way toward improving one’s finances and net worth.

Section: Feature

Is Radiofrequency Ablation Effective For Achilles Tendinosis?

Tue, 12/20/2016 - 12:19
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): Brian McCurdy, Managing Editor

Section: News and Trends

Why Volunteerism Is The Great Antidote

Tue, 12/20/2016 - 09:58
Issue Number: Volume 30 - Issue 1 - January 2017Author(s): Luke D. Cicchinelli, DPM, FACFAS

Always feeling pressured? Missing your kids’ activities? Running late? No time for the gym? Low on energy? Not enough hours in the day? Catching up on charting in your free time? Here’s a paradoxical idea. Hit the pause button and look into ways to give away more of your time.

Section: Forum