The Foot & Ankle Weekly
May. 26, 2015

ACFAOM 2015: Wednesday July 22, Orlando, Florida
ACFAOM's 2015 Annual Clinical Conference will be held at the Orlando World Center Marriott, Orlando, Florida, on July 22. During this 1-day, 8 CECHs, you will be an engaged and active participant in the whole learning process. The faculty members will act as coaches, and encourage participants to discuss their own ideas about the cases presented. Adult learning at its best! The response to this NEW form of podiatric CME at our annual meeting last year was extremely positive. "A better way to learn" said one participant. "Why don't we have more educational programs like this" said another. The morning session will focus on BIOMECHANICS, the afternoon on MEDICINE. The conference is FREE to ACFAOM members as a membership benefit, and non-members are welcome for a very nominal fee of $99. More

Dr. Bret Ribotsky of Meet the Masters
As some of you may have read in PM News, on Wednesday, May 20, Bret Ribotsky, DPM, FACFAOM, of Boca Raton, FL, and a past president of ACFAOM, was severely injured in a boating accident. Ribotsky was aboard a U.S. Coast Guard Patrol boat which crashed into a wall. He suffered multiple fractures of the feet, ankles, patella and lower back. He has undergone several surgical procedures at North Broward Hospital and is expected to be wheelchair bound for several months. We want him to know that all Foot & Ankle Weekly readers are thinking about him and wishing him well in his recovery.More

A literature-based guide to the conservative and surgical management of the acute Charcot foot and ankle
Diabetic Foot & Ankle
Acute Charcot neuroarthropathy of the foot and ankle presents with the insidious onset of a unilateral acutely edematous, erythematous and warm lower extremity. The acute stages are typically defined as Eichenholtz Stage 1, or Stage 0, which was first described by Shibata et al. in 1990. The ultimate goal of treatment is maintenance of a stable, plantigrade foot which can be easily shod, minimizing the risk of callus, ulceration, infection, and amputation. The gold standard of treatment is non-weight-bearing immobilization in a total contact cast. Surgical intervention remains controversial. A review of the literature was performed to provide an evidenced-based approach to the conservative and surgical management of acute Charcot neuroarthropathy of the foot and ankle. More

Percutaneous flexor tenotomy: A viable alternative for distal digital ulceration?
Podiatry Today
Combining a compelling case study with insights from the literature, this author discusses how the flexor tenotomy can be a treatment option for ulcerations on the distal tips of the toes in patients with diabetic neuropathy. More

Sildenafil may help heal scleroderma ulcers
MedPage Today
Sildenafil (Viagra) provided some benefits for digital ulcer healing in patients with systemic sclerosis, although the primary endpoint of a placebo-controlled trial was not met, French researchers reported.More

Study: Injury rates from high-heeled shoes have doubled
Montgomery Advertiser
Americans love wearing high-heeled shoes, and one survey reported that 62 percent of American women wore shoes with a 2-inch or greater heel on a regular basis. Those shoes are taking a toll. New research from the University of Alabama at Birmingham shows that high-heeled-shoe-related injuries doubled between 2002 and 2012. More

Treatment outcomes in type 1 diabetes could be improved across all age groups
T1D Exchange via News Medical
In a sweeping analysis assessing the current state of diabetes treatment in the U.S., T1D Exchange researchers conclude that there remains considerable room for improving treatment outcomes in type 1 diabetes across all age groups, but especially for adolescents and young adults. The analysis provides the most up-to-date picture of diabetes treatment, underscoring the need to address barriers to care and implement new therapies and technologies that can help type 1 patients achieve optimal metabolic control.More

Work-life balance in healthcare: Realign your priorities
By Catherine Iste
As a healthcare professional, your work requires you to be there for others, but how can you do that effectively if you haven't taken care of yourself? Now that you are acutely aware of where your hours go, it's time to look at what you can do realign your time with your priorities. Lisa Cole, MS, RN, FNP, has spent more than 35 years in the healthcare industry. Through her work, Cole has learned three areas that can help reduce stress now and help you be more present as a caregiver. More

Physicians: Boost patient compliance by starting cost conversation
The average annual health cost for a family of four in the U.S. has now reached $24,671, according to the latest Milliman Medical Index. That's a 6.3 percent increase over the past year, and the annual cost for a typical family has nearly tripled since 2001. It's of little surprise, then, that a recent awareness campaign hosted on social network Inspire revealed that roughly 20 percent of more than 700 respondents said they wished their doctors knew about their health cost burden.More

6 ways to improve patient satisfaction scores
Physicians Practice
Patient satisfaction is doubly important now that it is a payment metric. Make sure you are doing everything possible to get the top scores you deserve. Large physician practices and hospitals already have a portion of their payments linked to patient satisfaction. Over the next few years, it will be an integral portion of physician payment, including penalties possibly dwarfing those under meaningful use. More about this program, known as the Clinician & Group Consumer Assessment of Health Providers and Systems (CG-CAHPS) can be found on the Agency for Healthcare Research and Quality's website.More