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
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
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
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.1Section: Online Exclusive
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.1Section: Treatment Dilemmas
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.Feature
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
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.Q:
When do you use NPWT in lower extremity wounds? Has your usage changed over the years?Section: Wound Care Q&A
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
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
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