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Emerging insights on the trephine arthrodesis

April 26, 2016

Trephine arthrodesis in foot surgery is nothing new but for some reason, foot surgeons rarely consider it. Surgeons can utilize trephine arthrodesis for many of the joints in the foot, including but not limited to the subtalar joint, tarsometatarsal joints, intercuneiform joints and the naviculocuneiform joint. In my experience, arthrodesis of the second and third tarsometatarsal joints is the primary procedure for which I will choose a trephine arthrodesis technique.

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Understanding what drives the patient experience

April 26, 2016

In the rush of daily practice, it is easy to miss what patients are feeling. But often just a few minutes of mindful attention can make all the difference. Frequent communication and a brief explanation lessen the feeling of uncertainty and help create some predictability.

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Does your medical practice have a contingency plan?

April 12, 2016

Given that a majority of practices use digital health records, a simple power outage can have grave consequences. So you’re using an EHR. All your notes, all the patient data, your schedule, your task manager, everything is neatly stored in your computer.

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Keys to diagnosing and treating Lisfranc injuries

April 5, 2016

In the event of misdiagnosis or delayed diagnosis, Lisfranc injuries can lead to compromised vascular supply or persistent instability.

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Thousands of new ICD-10 codes slated for October release

March 21, 2016

The Centers for Medicare and Medicaid Services and Centers for Disease Control and Prevention have given the green light to adding 3,651 ICD-10 hospital inpatient procedure codes and about 1,900 ICD-10 diagnosis codes, beginning in fiscal year 2017.

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A closer look at an emerging plating system for first MPJ arthrodesis

March 15, 2016

The surgical approach to arthritis of the first metatarsophalangeal joint is a frequently debated topic. Non-surgical management of hallux rigidus with anti-inflammatory medications, corticosteroid injections or shoewear modifications can be successful in appropriately selected patients. The research has shown that resurfacing of the metatarsal to treat advanced hallux rigidus has promising results

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Limb salvage vs. amputation: A closer look at the evidence, costs and long-term outcomes

March 7, 2016

Given that diabetes remains the most common cause of non-traumatic amputation in the U.S., these authors strongly emphasize a multidisciplinary approach and provide a compelling review of the literature to assess key factors, costs and outcomes in choosing between limb salvage and amputation in this patient population. The definition of limb salvage is saving a lower extremity that would have otherwise been amputated. In addition to avoiding primary amputation, the goal of a limb preservation initiative is to achieve a plantigrade foot that provides the highest level of function with the shortest recovery period, even if that means a minor amputation and/or reconstructive foot surgery.

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Physicians can reduce stress through completions

February 23, 2016

To thrive, physicians should strive for completion.

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Treating a large fungating mass on the plantar foot

February 9, 2016

A 63-year-old African-American male presented with an enlarging hemorrhagic mass on the right foot. The tumor had been present for nearly one year and had continued to increase in size while limiting his normal gait function. He also had a mass in his right groin that he had noticed approximately four months after the appearance of the foot mass.

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When patients have medical emergencies in podiatry practices

January 19, 2016

As podiatrists, we see and treat a wide variety of patients with complex medical histories on a daily basis. When medical emergencies within the clinical setting threaten the life of patients, this challenges healthcare professionals to provide expeditious and satisfactory treatment

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