Podiatry Today

Podiatry Today






CLINICAL EVENTS CALENDAR

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Non-Accredited Education

Managing the Diabetic Foot: A Clinical and Economic View Complimentary Archived Webcast
Non-Accredited


Understanding Collagen Dressings and their Benefit in Wound Care

Complimentary Archived Webcast
non-accredited

Surgical Pearls

Essential Insights On Treating Retrocalcaneal Exostosis

VOLUME: 22 PUBLICATION DATE: Nov 01 2009
Issue Number: 
11 November 2009

   The management of posterior heel pain can be a perplexing diagnostic and therapeutic problem. The differential diagnosis is extensive and even the skilled clinician can experience difficulty establishing an accurate diagnosis. Of the challenging conditions affecting the back of the heel, the retrocalcaneal exostosis may be the most onerous to treat.

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A Closer Look At Arthroscopy For Ankle Fractures And Post-Fracture Defects

VOLUME: 22 PUBLICATION DATE: Sep 01 2009
Issue Number: 
9 September 2009

   Arthroscopy is an expedient tool in the management of intra-articular fractures of the ankle and post-fracture articular defects. It provides the surgeon the ability to anatomically reduce a fracture under direct visualization with minimal intervention. It also enables the surgeon to address any articular injury primarily.

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Keys To Detecting And Treating Entrapment Neuropathies

VOLUME: 22 PUBLICATION DATE: Jul 01 2009
Issue Number: 
7 July 2009

   Entrapment neuropathy of the tarsal tunnel and its terminal branches is a painful condition, which can be challenging to diagnose given the possibility of concurrent conditions with overlapping symptoms. Heel spur syndrome/plantar fasciitis and entrapment neuropathy often present at the same time. However, it is important to differentiate clearly between the two pathologies as entrapment neuropathy has a distinct history and clinical presentation.

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A Closer Look At The Future Of Total Ankle Arthroplasty

VOLUME: PUBLICATION DATE: May 01 2009
Issue Number: 
5 May 2009

   While total joint replacement has been successful in the shoulder, the hip and the knee, we have not seen similar success with total ankle replacement in the past.

   Initial reports on total ankle replacements were promising in 1979.1 However, long-term follow-up studies painted a different picture as many failures and poor survivorship of the implants led many authors to abandon the procedure in favor of arthrodesis as it had more predictable results and fewer complications.2-4

   Yet there has been a recent resurg

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Tarsal Tunnel Syndrome: Can A Minimally Invasive Release Be Advantageous?

VOLUME: PUBLICATION DATE: Mar 01 2009
Issue Number: 
3 Mar 2009

   Compression neuropathies of the posterior tibial nerve and its branches are a fairly common group of disorders, which are often misdiagnosed.1,2 In order to diagnose lesions of these nerves accurately, one must maintain a fairly high index of suspicion of their presentation. Relying on abnormal findings via electromyography and nerve conduction velocity testing is risky because the incidence of false negatives is quite high.2,3

   In contrast, pressure specific sensory testing may produce false positive results. Although the classical

A Closer Look At The Mini-Open Ankle Arthrodesis

VOLUME: PUBLICATION DATE: Jan 01 2009
Issue Number: 
1 Jan 2009

   Joint sparing procedures include total ankle arthroplasty, distraction arthrodiastasis and allograft total ankle replacement. However, the gold standard is still ankle arthrodesis.

   Traditional exposure for ankle arthrodesis has been through the open transfibular approach. This approach usually involves a fibular takedown osteotomy but researchers have described a medial malleolar approach.1 Unfortunately, this technique has the disadvantages of a larger skin incision that can lead to wound dehiscence and increased risk of postoperative infecti

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Emerging Concepts In Cryosurgery For Wart Treatment

VOLUME: PUBLICATION DATE: Nov 01 2008
Issue Number: 
11 Nov 2008

   While warts are among the most common pathological problems that podiatrists treat, they are also among the most frustrating conditions. While there are multiple forms of therapy available, the success rate is not what we would like to see. In my clinical experience, I have found that these modalities only have an average cure rate of 75 percent.

   There is no individual approach that can be construed as the single most effective form of wart therapy. It is also a good idea to inform the patient about the possibility of recurrence both during and after th

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Is Arthrodesis The Answer For A Severely Deformed Ankle?

Here is an anterior-posterior (AP) view of the right ankle. Note the severe varus deformity and degeneration secondary to post-polio syndrome. Here is a lateral incision of the ankle with the distal fibula being resected.
VOLUME: 15 PUBLICATION DATE: Sep 01 2002
Issue Number: 
9

Numerous conditions can result in the need for arthrodesis of the ankle joint. In particular, neuropathic osteoarthropathy, post-polio syndrome, neuromuscular disease and severe degeneration secondary to trauma can all make it especially difficult for podiatric surgeons to achieve a successful fusion.1-4 Although implant arthroplasty is gaining acceptance and distraction arthroplasty may postpone the joint destructive procedure, arthrodesis remains a viable and effective treatment for patients with gross deformity of the ankle.
While all patients will require modifications in surg

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Can Calcium Phosphate Bone Cement Aid In Hallux Valgus Repair?

Using a blunt needle, the surgeon may place the calcium phosphate bone cement directly into the surgical void as shown above. In this procedure, surgeons are utilizing OsteoVation calcium phosphate bone cement with a total non-constrained great joint implHere one can see the insertion of both the metatarsal and phalangeal trial sizes of the bone cement.The surgeon would fill the medullary canal of the proximal phalanx with calcium phosphate bone cement. The medullary canal bone is so soft that without a tight interface created by the calcium phosphate cement, the implant would loosen.The use of OsteoVation calcium phosphate bone cement in Scarf type bunionectomies provides a means of stabilizing the metatarsal shaft.
VOLUME: 21 PUBLICATION DATE: Jul 01 2008
Issue Number: 
7

Over the years, hallux valgus repair has evolved from simple bunionectomies to complex and multiple osteotomies. The keys to a successful outcome are the realignment of the structural abnormalities and a stable postoperative environment.The former is important for proper function and the latter facilitates the healing process.
With this in mind, let us take a closer look at the potential benefits of utilizing calcium phosphate bone cement (OsteoVation™, OsteoMed Corp.) for filling voids in metatarsal osteotomy-type bunionectomies to achieve a favorable surgica

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Restoring The Metatarsal Parabola With The Weil Osteotomy

Here is a postoperative view of the fixation with the shortened second metatarsal.
VOLUME: 15 PUBLICATION DATE: Jul 01 2002
Issue Number: 
7

Metatarsalgia may develop from osseous, neurological, vascular or dermal etiologies. The causes are numerous and commonly involve a cavus foot structure, a long second metatarsal, short first metatarsal, hypermobile first ray, iatrogenic pain from forefoot surgery or manifest from a rheumatology-induced systemic disease. When symptoms persist, you may see callus lesions develop under the affected metatarsal. Keep in mind that these lesions can lead to stress fractures and compensation-induced pains in the lower extremity and back.
Conservative treatments range from pressure-reducing pads wi

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CME Showcase


"Current Concepts In Healing Chronic Diabetic Foot Ulcerations"

A Complimentary On-Demand CE/CME Webcast

This activity is supported by an educational grant from Advanced Biohealing.
This activity is sponsored by the North American Center For Continuing Medical Education (NACCME).

To access this Webcast, visit www.naccme.com/program/n-550/

Current Concepts In Diagnosing And Treating MRSA In The Diabetic Foot

This activity is supported by an education grant from Pfizer.
This activity is sponsored by the North American Center of Continuing Medical Education (NACCME).

To access this activity, visit www.naccme.com/program/n-528/
MRSA And Diabetic Foot Wounds: Where Do We Go From Here?


Archived Accredited Webcast with Q&A

This activity is supported by an educational grant from Pfizer. This activity is sponsored by the North American Center For Continuing Medical Education (NACCME).
PERIPHERAL ARTERIAL DISEASE (PAD) AND CRITICAL LIMB ISCHEMIA (CLI):
Managing Vascular and Wound Healing Challenges with Current and Emerging Technologies

Archived Accredited Webcast with Q&A

This activity is supported by an educational grant from Baxter Healthcare Corporation.

Podiatry Today News Wire





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