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ACFAOM
Dr. Ali Sadreih will be the guest on today's Meet the Masters audio-conference (at 9 PM ET) with host, and former ACFAOM president, Dr. Bret Ribotsky. Dr. Sadreih is an America's innovative foot and ankle surgeon, based out of Los Angeles, who is leader in the field of Aesthetic Foot Surgery. His revolutionary procedures combine plastic surgery and reconstructive techniques with the knowledge he had gained as a DPM... click here to learn more.
Podiatry Today
Kristine Hoffman DPM, FACFAS, and Yvonne Weber, DPM, FACFAS write: "A 57-year-old male presented to our clinic with pain and blue discoloration to his right hallux of one month's duration. The patient, a mechanic, noted that the pain was greatest at night and improved slightly when he was ambulating at work. The patient denied any symptoms of intermittent claudication but noted a past medical history of gout and diabetes mellitus that had been diagnosed six months ago. He also had a previous history of tobacco use but quit using tobacco 26 years ago. The patient could not identify any trauma or triggering event for his current symptoms."
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Podiatry Management
Surgical site infections lead to
increased morbidity, mortality, length
of stay, and healthcare costs. Diabetes, especially when complicated by neuropathy, is a known contributing factor that increases the risk
for post-operative infection.
Limb
amputation is associated with significant overall morbidity and mortality
and is burdened by a high incidence
of amputation stump infections and/
or dehiscence. These complications
often lead to surgical revision, increased morbidity, mortality, and
lengthened hospital stay.
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Lower Extremity Review
Call them cellular and tissue-based products, bioengineered tissues, or skin substitutes. Regardless of the nomenclature, the use of advanced biologic therapies for treatment of diabetic foot ulcers has grown dramatically in recent years. And the options are welcomed as clinicians seek to cope with the large percentage of these wounds that fail to heal even with the most rigorous application of conventional techniques.
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Orthopedics Today
Researchers who compared anatomic allograft reconstruction with lateral ankle repair for treatment of lateral ankle instability found similar benefits for the procedures, including high patient satisfaction and no revisions.
Researchers identified 61 patients who underwent repair and 25 patients who underwent anatomic allograft reconstruction for the anterior talofibular ligament alone or in combination with the calcaneofibular ligament. Investigators had patients complete a subjective questionnaire at a 2-year minimum follow-up.
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Journal of Foot and Ankle Research
Diabetic toe ulcers are a potentially devastating complication of diabetes. In recent years, the percutaneous flexor tenotomy procedure for the correction of flexible claw and hammer-toe contraction deformities has been proposed as a safe and effective technique for facilitating the healing of toe-deformity related diabetic ulcers. The aim of this review is to critically appraise the evidence for the effectiveness of this surgical procedure in achieving ulcer healing, prevention of re-ulceration, and to summarize the rate of post-operative complications.
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Podiatry Today
Question: What strategies do you employ for effectively using heel raises and heel lifts in your orthotic prescriptions? Answer: Rarely are the left and right side of the human body exactly the same, according to Jeffrey Cusack, DPM. He says the resultant compensatory pelvic tilt in response to the asymmetric leg length may lead to sacroiliac arthralgia or even compression on the sciatic nerve. In this case, Dr. Cusack says equalization of the legs with an appropriate lift can be quite useful.
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| | PRACTICE MANAGEMENT PEARLS FROM THE INSTITUTE FOR PODIATRIC EXCELLENCE AND DEVELOPMENT (IPED) |
Physicians Practice
Maintaining high morale among office staff is important year-round, but summer can pose special challenges and opportunities. On the negative side, employees may be prone to a touch of the blahs on sunny days while they're confined indoors, attending to the business of the practice. Vacations help, but for most staff that's a relatively small slice of what can otherwise seem like a long summer.
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| | CURRENT RESEARCH ARTICLE OF INTEREST |
Medical & Biological Engineering & Computing
In the study of biomechanics of different foot types, temporal or spatial parameters derived from plantar pressure are often used. However, there is no comparative study of complexity and regularity of the center of pressure during the stance phase among pes valgus, pes cavus, hallux valgus and normal foot. We aim to analyze whether CoP sample entropy characteristics differ among these four foot types.
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Disclaimer: Stories and advertisements from sources other than ACFAOM do not reflect ACFAOM's positions or policies and there is no implied endorsement by ACFAOM of any products or services. Content from sources other than that identified as being from ACFAOM appears in the Foot & Ankle Weekly to enhance readers' understanding of how media coverage shapes perceptions of podiatric orthopedics and medicine, and to educate readers about what their patients and other healthcare professionals are seeing in both professional journals and the popular press.
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