medicine

A Look Back At Times In My Career When I Was Humbled

January 22, 2015

One of my assignments for the upcoming 2015 Annual Scientific Meeting of the American College of Foot and Ankle Surgeons (ACFAS) is a discussion of the most humbling occurrences in my career. There have been many such occurrences in my 40 years of practice. However, I did seriously consider three examples of humbling experiences in my professional career

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College Commences Clinical Consensus Statement Development

January 21, 2015

In early 2013, the ACFAS Board of Directors approved funding to commence development of new clinical consensus statements. The Board sunsetted the College’s prior clinical practice guidelines (CPG) in 2011 as they did not meet the Institute of Medicine’s (IOM) standards for CPGs, and it would be cost-prohibitive to develop IOM-compliant CPGs. These new clinical consensus statements will be shorter, slightly less-evidence-based medicine (EBM) stringent, and more user friendly than the CPGs.

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Intermediate-Term Results of Partial Plantar Fascia Release with Microtenotomy Using Bipolar Radiofrequency Microtenotomy

January 21, 2015

Plantar fasciitis is a common condition, with most patients treated successfully with nonoperative management. Recalcitrant disease has been managed with surgical procedures that vary in design and associated morbidity

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Medial Malleolar Stress Fracture in an Adolescent Athlete

January 21, 2015

A stress fracture of the medial malleolus in adolescent athletes is a rare condition with poorly defined outcomes. Proper management requires early recognition, with treatment directed toward the athlete’s safe return to their sport.

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Surgical Outcomes After Excision of Pigmented Villonodular Synovitis Localized to the Ankle and Hindfoot Without Adjuvant Therapy

January 21, 2015

Although a benign disorder, pigmented villonodular synovitis (PVNS) has a high rate of recurrence.

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Understanding the Basics of Posterior Tibial Tendon Dysfunction and the Associated Flatfoot: Conservative and Surgical Thoughts

January 14, 2015

Follow this link: Understanding the Basics of Posterior Tibial Tendon Dysfunction and the Associated Flatfoot: Conservative and Surgical Thoughts

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Great toe necrosis predicts an unfavorable limb salvage prognosis

January 13, 2015

The initial location of necrosis may affect the limb salvage rate. This study of 130 patients with chronic toe ulcers or gangrene was performed to assess whether the location of initial necrosis in the toes affected limb salvage prognosis.

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The Podiatrist as a Member of the Sports Medicine Team

January 9, 2015

This article reviews the history of sports medicine highlighting the “jogging boom” of the 1970s and the advocacy of Dr George Sheehan which boosted the position of podiatry in sports medicine. Significant events in mainstream sports medicine that promoted the rise of podiatric medicine are discussed

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Ankle Arthrodesis After Failed Total Ankle Replacement: A Systematic Review of the Literature

January 5, 2015

Purpose: As the number of total ankle replacements (TARs) performed has risen, so has the need for revision. The purpose of this investigation was to perform a systematic review of clinical outcomes following a salvage ankle arthrodesis from a failed TAR to identify patient- and technique-specific prognostic factors and to determine the clinical outcomes and complications following an ankle arthrodesis for a failed TAR

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Bone Graft Substitute

January 1, 2015

Rapid bone graft incorporation for structural rigidity is essential.

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