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Current Insights On The Effects Of Vitamin D Deficiency

Fri, 04/13/2018 - 09:23
Issue Number: Volume 31 - Issue 4 - April 2018Author(s): Matthew Regulski, DPM, CMET, FAPWCA, FAPWH (c)

With a review of the literature, this author takes a closer look at how a deficiency of vitamin D affects patients in regard to bone health, diabetes, arthritis and other areas.

Section: Online Exclusive

Drug Interactions And Opioids: What You Should Know

Mon, 04/02/2018 - 12:20
Issue Number: Volume 31 - Issue 4 - April 2018Author(s): Robert Smith, DPM, MSc, RPh, CPed

Given the current opioid crisis and polypharmacy concerns, this author examines the risks of potential drug-drug interactions in podiatry.

Section: Online Exclusive

If I Had It To Do All Over Again, Would I Still Choose Podiatry As A Profession?

Mon, 03/19/2018 - 15:36
Issue Number: Volume 31 - Issue 4 - April 2018Author(s): Kevin A. Kirby, DPM

Looking back now over nearly four decades from when I first decided to make podiatry my profession, one might ask the question: would I do it all over again? Would I again choose podiatry as a profession?

My answer to that question is more important than ever today since many young men and women are entering our profession, and need to know whether more experienced podiatrists feel their choice of podiatry as a profession was a good one.

Section: Forum

A Guide To Intramedullary Fixation For Calcaneal Fractures

Mon, 03/19/2018 - 15:35
Issue Number: Volume 31 - Issue 4 - April 2018Author(s): Thomas Roukis, DPM, PhD, FACFAS

Given the painful nature of displaced intra-articular calcaneal fractures and the variety of complications associated with open primary repair, this author takes a closer look at the potential of ligamentotaxis through percutaneous external fixation and intramedullary locked nail fixation.

Section: Feature

How To Address Complete Peroneal Tendon Dysfunction

Mon, 03/19/2018 - 15:33
Issue Number: Volume 31 - Issue 4 - April 2018Author(s): H. John Visser, DPM, FACFAS, Jesse Wolfe, DPM, and Joshua Wolfe, BS

The treatment of unsalvageable peroneal tendons can be particularly challenging to surgeons and the literature on this topic is sparse. Using several illustrative case studies, these authors present treatment pearls for Type III peroneal tendon dysfunction.

Section: Feature

Current And Emerging Insights On Total Ankle Replacement

Mon, 03/19/2018 - 15:31
Issue Number: Volume 31 - Issue 4 - April 2018Author(s): Roberto A. Brandão, DPM, AACFAS, Mark A. Prissel, DPM, FACFAS, and Christopher F. Hyer, DPM, MS, FACFAS

Given the increasing popularity and evolution of total ankle replacements in recent decades, these authors discuss findings from the literature on current and emerging devices, and emphasize pertinent principles and pearls for success.

Section: Feature

Essential Keys To Diagnosing And Treating Lower Extremity Golf Injuries

Mon, 03/19/2018 - 15:30
Issue Number: Volume 31 - Issue 4 - April 2018Author(s): Marlene Reid, DPM

Having a grasp of proper golf biomechanics is crucial to addressing and preventing injury in the foot and ankle. In addition to reviewing the unique phases of the golf swing and factors that affect stability and balance, this author offers insights on the biomechanics of golfing, and how lower extremity pathology can affect one’s play.

Section: Feature

Tailoring Orthotic Modifications For Hallux Valgus, Flexible Hammertoe Deformities And Morton’s Neuroma

Mon, 03/19/2018 - 12:18
Issue Number: Volume 31 - Issue 4 - April 2018

Recognizing the challenges and biomechanical issues involved with hallux valgus, flexible hammertoe deformities and Morton’s neuromas, these panelists share insights on the role of orthotic management for these conditions.


How can orthotics be helpful for patients with hallux valgus?

Section: Orthotics Q&A

Diagnosing A Pruritic Skin Lesion In A Patient With Diabetes And Edema

Mon, 03/19/2018 - 12:17
Issue Number: Volume 31 - Issue 4 - April 2018Author(s): Steve A. Mariash, DPM, FACFAS

A 56-year-old man presented to our institution with the chief complaint of a scaly, pruritic lesion on the lateral aspect of his left lower leg. He would notice some mild bleeding when scratching the area. He denied having any other lesions on his body and there was no previous treatment.

Section: Dermatology Diagnosis

A Closer Look At Mortality After Lower Extremity Amputation

Mon, 03/19/2018 - 12:15
Issue Number: Volume 31 - Issue 4 - April 2018Author(s): Jakob C. Thorud, DPM, MS, FACFAS, and Joslin L. Seidel, BS

Are we saving lives by preventing major amputation?

Section: Diabetes Watch

Study: Adding Podiatric Services Results In Better Preventive Care And Lower Costs

Mon, 03/19/2018 - 12:14
Issue Number: Volume 31 - Issue 4 - April 2018Author(s): Brian McCurdy, Managing Editor

Section: News and Trends

Current Principles In Ensuring A Well-Rounded Residency Experience

Fri, 03/02/2018 - 08:37
Issue Number: Volume 31 - Issue 3 - March 2018Author(s): Clinical Editor: David Bernstein, DPM, FACFAS; Panelists: Lawrence DiDomenico, DPM, FACFAS, and Lawrence Fallat, DPM, FACFAS

These residency directors share how residents can enhance their experience by having a balance between surgical cases and rounding, performing more post-op follow-up care, and taking more elective rotations.

Section: Residency Corner

Diagnosing And Treating Squamous Cell Carcinoma Of The Nail Bed

Thu, 03/01/2018 - 08:34
Issue Number: Volume 31 - Issue 3 - March 2018Author(s): Kristine Hoffman, DPM, FACFAS

Emphasizing that the varying clinical presentation of squamous cell carcinoma can lead to late diagnosis and treatment, this author offers pertinent insights on subungual squamous cell carcinoma of the nail bed.  

Section: Online Exclusive

Understanding Patient Motivation And How It Affects Your Treatment Plan

Tue, 02/27/2018 - 13:46
Issue Number: Volume 31 - Issue 3 - March 2018Author(s): Camille Ryans, DPM

What motivates patients with diabetes to follow an appropriate dietary plan or offload an acute lower extremity injury? Answering this question can go a long way to getting patients to adhere to your prescribed treatment. The motivation of the patient can be a key factor when it comes to optimal treatment for his or her condition.

Section: Forum

New Products March 2018

Tue, 02/27/2018 - 13:38
Issue Number: Volume 31 - Issue 3 - March 2018

A Secure Ankle Syndesmosis

Surgeons can provide stable fixation for ankle syndesmosis with a new device.

With the Gravity Synchfix Syndesmosis Fixation Device, foot and ankle surgeons can securely provide dynamic fixation for ankle syndesmosis. The manufacturer Wright Medical says the device can facilitate flexible fixation, preserves soft tissue and bone, and also heals ankle ligaments.

Section: New Products

Inventive System May Facilitate Improved Outcomes In Treating Charcot Deformity

Tue, 02/27/2018 - 13:27
Issue Number: Volume 31 - Issue 3 - March 2018Author(s): Robi Garthwait, Contributing Editor

An innovative surgical approach to treat Charcot deformity may lead to improved outcomes in patients who might otherwise face amputation of diseased limbs.

Section: Technology In Practice

Why Minimally Invasive Repair Is The Best Option For Achilles Tendon Tears

Tue, 02/27/2018 - 12:53
Issue Number: Volume 31 - Issue 3 - March 2018Author(s): Bob Baravarian, DPM

Minimally invasive techniques in foot and ankle surgery have gained popularity over the years. Although an open incision system is often optimal, in the case of Achilles tendon tears, the best option truly is a minimally invasive approach.

Section: Treatment Dilemmas

Understanding The Impact Of End-Stage Renal Disease On Healing In Patients With Diabetes

Tue, 02/27/2018 - 11:52
Issue Number: Volume 31 - Issue 3 - March 2018Author(s): Shontal Behan, BS, and Alexander Reyzelman, DPM

End-stage renal disease (ESRD) can have devastating effects on patients with diabetes, including peripheral arterial disease, calciphylaxis and the need for dialysis. These authors offer insights on which complications to be vigilant for in patients with ESRD and discuss key considerations in developing appropriate treatment plans.

Section: Feature

Emerging Modalities For Diabetic Peripheral Neuropathy

Tue, 02/27/2018 - 11:12
Issue Number: Volume 31 - Issue 3 - March 2018Author(s): Valerie Marmolejo, DPM, and Jonathan F. Arnold, MD, ABPM-UHM, CWS-P

While glycemic control, lifestyle modifications and pharmacotherapy play key roles in the treatment of distal symmetric sensorimotor polyneuropathy, clinicians may be able to consider other emerging treatment options as well to help patients manage this condition. Accordingly, these authors review recent research on modalities ranging from exercise training and acupuncture to cognitive behavioral therapy and pulsed electromagnetic field therapy.

Section: Feature

Hexapods In Charcot Surgery: Current Concepts

Tue, 02/27/2018 - 10:44
Issue Number: Volume 31 - Issue 3 - March 2018Author(s): Brittany E. Mayer, DPM, and Noman A. Siddiqui, DPM, MHA

For patients with Charcot neuroarthropathy, hexapod frames can be valuable in reconstructive surgery, offering gradual correction and realignment as well as quick post-op weightbearing. These authors discuss when and how to use hexapods for Charcot external fixation, and offer two compelling case studies.

Section: Feature