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ScienceDaily
Nearly 4 out of 5 diabetic patients with severe cases of a disabling condition called Charcot foot were able to walk normally again following surgery, a Loyola Medicine study has found.
The study by orthopaedic surgeons Michael Pinzur, M.D., and Adam Schiff, M.D., is published in Foot & Ankle International, the official journal of the American Orthopaedic Foot & Ankle Society.
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Podiatry Today
Following primary procedures in the diabetic foot, reconstructive surgery may be required to ensure optimal wound closure. Accordingly, these authors discuss salient considerations for patient selection and wound preparation techniques, and offer pearls on a variety of flaps ranging from rotational flaps and local muscle flaps to pedicle flaps and perforator flaps.
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HealthDay News via Medical Xpress
Telemedicine follow-up enables more comprehensive diabetes foot ulcer care, according to a study published online Nov. 29 in the Journal of Clinical Nursing.
Beate-Christin Hope Kolltveit, R.N., from the Western Norway University of Applied Science in Bergen, and colleagues assessed the implications of telemedicine adoption for diabetes-related foot care on health professionals through field observation and interviews.
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Podiatry Management
In most practices, there’s a
tight race between opioids and
antibiotics as your most common
prescriptions. Obviously,
each one has its own issues,
but pound for pound, you probably
spend more of your
time worrying about
opioid complications
than antibiotics. If we
get past the allergic
response, diarrhea
and pseudomembranous
colitis, antibiotics
aren’t that big a
deal. But opioids are.
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Lower Extremity Review
Recovery of triceps surae muscle strength, as indicated by heel-rise test performance, is associated with the ability to return to jogging and other athletic activities after an Achilles tendon repair, according to research from Teikyo University School of Medicine in Tokyo, Japan.
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Journal of Orthopaedic Surgery and Research
Calcaneal insufficiency avulsion fractures often present with neuropathic etiology, such as Charcot neuroarthropathy. Under the same surgical procedures, the outcomes of CIA fractures are less desirable, compared to the outcomes of the traumatic calcaneal avulsion fractures. Here, the study suggests Achilles tenodesis technique using suture anchor after resection of the CIA fracture fragments could provide satisfactory clinical results in the cases of surgically indicated CIA fractures.
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Podiatry Today
Medicare is a national program but Medicare Administrative Contractors administer it on a local level. At the time of this writing, there are eight MACs in the country. The MACs can choose to issue Local Coverage Determinations to offer compliance guidance for certain procedures.
Seven out of the eight MACs have LCDs regarding debridement of chronic ulcers. Some of them have a restriction that will not allow payment for debridement to the depth of muscle/fascia (CPT 11043) and/or bone (CPT 11044) if one performs debridement in an office setting. This is wrong for multiple reasons and Medicare should not do this.
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ACFAOM
An ACFAOM Certified Clinical Podiatric Medical Assistant (CCPMA) can perform routine nail care, pre-treatment foot exams, collect client health information correctly, set up a sterile field and much more. Click here for additional information about the CCPMA qualification and its potential value for your practice.
| | CURRENT RESEARCH ARTICLE OF INTEREST |
Journal of Biomechanics
The foot progression angle is an important measurement related to knee loading, pain, and function for individuals with knee osteoarthritis, however current measurement methods require camera-based motion capture or floor-embedded force plates confining foot progression angle assessment to facilities with specialized equipment.
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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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