The Foot & Ankle Weekly
Dec. 16, 2014

Attention ACFAOM members ONLY
ACFAOM
The very early registration deadline for the 2015 ACFAOM Annual Clinical Conference (to be held on July 22 in Orlando, Florida, the day before APMA's 'The National,' and FREE to all Fellows, Associates, and Members) is in a few days. The APMA is offering a special SUNSHINE coupon code worth $50 if you register before Dec. 21. for the special deal of $195 for up to 37 CECHs (8 from the ACFAOM Annual Clinical Conference and 29 from the APMA 'National'). Click here for more details!More

Exercise in individuals with diabetic neuropathy
Lower Extremity Review
Patients with diabetes and peripheral neuropathy can benefit from participation in mild to moderate aerobic, resistance, and balance activities. But they must take precautions to ensure exercise is safe as well as effective, particularly with regard to the risk of foot ulceration.More

Chronic foot, ankle pain can lead to neuroticism
Runner's World & Running Times
Are your feet and ankles driving you crazy? As in, literally crazy? They may well be if they're chronically painful, suggests research published in Foot & Ankle International. British researchers had 45 adults with chronic foot and ankle pain and 45 otherwise similar adults with no chronic pain complete a battery of diagnostic questionnaires. Patients with chronic foot and ankle pain had significantly higher neuroticism scores and were more likely to have symptoms consistent with anxiety and depression than those without chronic foot and ankle pain.More

Study shows proximal opening wedge, chevron osteotomy produced similar results
Orthopedics Today
Among patients with moderate-to-severe hallux valgus and increased intermetatarsal angle, proximal opening wedge osteotomy with wedge-plate fixation and proximal chevron osteotomy in combination with a distal soft-tissue procedure both offered predictably successful results, according to study results.More

Antifungal formulation improves penetration through nail plate
Skin & Allergy News
A new formulation of topical efinaconazole allows the antifungal to penetrate through the nail plate much better than do existing treatments for onychomycosis, according to a report in the December issue of Journal of Drugs in Dermatology. Poor nail penetration and diffusion through the thick, keratin-rich, lipid-containing barrier of the nail is the main factor limiting the effectiveness of current antifungals.More

Onychomycosis remains a major clinical challenge
Lower Extremity Review
Despite the ongoing development of new treatments, onychomycosis is still an extremely recalcitrant disease with high rates of relapse and reinfection, and the associated physical and cosmetic implications can negatively affect patients’ quality of life and self esteem.More

Comparing AFOs versus foot orthoses for adult-acquired flatfoot
Podiatry Today
Doug Richie Jr., DPM, FACFAS, writes, "I recently got an invitation to participate in a grand rounds presentation at the Western University School of Podiatric Medicine where two podiatric residents debated the question: 'What is the preferred treatment for adult-acquired flatfoot: ankle-foot orthoses (AFOs) or foot orthoses (FOs)?' Both of the residents did a good job of presenting the scientific evidence and theoretical evidence for each of the two interventions. However, the 'con' or downside of AFO treatment in the presentation brought out some recurring myths about bracing that deserve further evaluation."More

ONC data shows money is a major motivator for EHR adoption
By Scott E. Rupp
According to a data brief released recently by the Office of the National Coordinator for Health IT, financial incentives and potential penalties are key motivators for physicians adopting electronic health records since 2009. The brief, based on data from the 2013 National Ambulatory Medical Care Survey, details why physicians have chosen to adopt — or not adopt — EHRs.More

Benefits of payment reform yet to be seen, research suggests
FiercePracticeManagement
Despite the Affordable Care Act's creation of accountable care organizations and its push toward value-based medicine, some of the nation's highest-paid doctors still work largely under a fee-for-service model, according to an article from U.S. News & World Report. What's more, research by the UCLA Department of Urology and the Veterans' Health Administration suggests that providers who earn the most do so not by treating more patients, but by providing more services to individuals.More

The incidence of lower-extremity amputation and bone resection in diabetic foot ulcer patients treated with a human fibroblast-derived dermal substitute
Advances in Skin & Wound Care via PubMed
Diabetic foot ulcers (DFUs) are frequently recalcitrant and at risk for infection, which may lead to lower-extremity amputation or bone resection. Reporting the incidence of amputations/bone resections may shed light on the relationship of ulcer healing to serious complications. This study aimed to evaluate the incidence of amputations/bone resections in a randomized controlled trial comparing human fibroblast-derived dermal substitute plus conventional care with conventional care alone for the treatment of DFUs.More