Volume 18 - Issue 8 - August 2005
Any surgical procedure carries a risk of complications. Whether one opts to utilize internal or external fixation, there is both a common and yet unique set of problems based on hardware design and usage. Therefore, it is imperative to obtain an intimate working knowledge of the equipment and its capabilities in order to maximize the true potential of each method and hopefully minimize the risk of complications.
The ability to control an internal surgical environment by external manipulation is a powerful tool that is unique to external fixation. This
When assessing patients, obtaining information via video and computer-assisted gait analysis may assist clinicians in more ways than they even realize. It is information that one may not otherwise obtain during a typical podiatric biomechanical examination. Watching patients ambulate can be very helpful in picking up key details that can inform the diagnosis and subsequent treatment plan.
One needs to consider other contributing factors as well. These factors include the patient’s occupation as well as the shoes he or she typically wears. For example, a
Although the summer will soon be winding down, the activities of children dictate year-round use of athletic footwear. When assessing and treating pediatric patients, and answering the questions of their parents, clinicians often face the challenge of evaluating and recommending features in a good pediatric athletic shoe.
Certainly, using orthoses can help encourage normal development of the foot. However, in order to improve function and the patient’s activity level, one must also consider the features of athletic footwear in order to optimize the effe
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The bunion deformity is one of the most common deformities that podiatric foot and ankle surgeons treat. As with other conditions, the conservative and surgical measures vary based on the patient’s expectations and the surgeon’s experience. Although there are limited conservative options available such as shoe modifications and prescription orthoses, most podiatric physicians would agree that surgical correction is often necessary for a symptomatic bunion deformity.
While there are several considerations in choosing the appropriate surgical procedure,
The performance review can be a difficult proposition as there is a certain amount of dread and anticipation for both the employer and the employee. One must address the tricky issue of pay or salary. Performing a thorough performance review is also important from a legal perspective. For example, a fired employee may claim he or she was never told about a particular area of deficiency.
There is a desire to cover all the relevant areas and issues in the performance review but some people have trouble being tactful and honest at the same time. A common mi
Many of my colleagues have voiced concerns regarding the use of nutriceuticals in their practices. The expressed concerns range from “These things are unproven” and “There is no FDA scrutiny over these products” to “They don’t work all the time” and “There are no scientific, double-blind, placebo-controlled studies on their safety or effectiveness.”
I had many of the same doubts before I incorporated nutriceuticals into my practice over 12 years ago. Since my training in podiatry school was allopathic in nature, it was difficult for me t
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