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High heels: Elevating the discussion

The biomechanical implications of high-heeled shoes are well known, and now dramatic weight-bearing images and new study findings are taking practitioner and patient awareness to the next level. But many women are still sacrificing their feet for fashion.

By Emily Delzell


Editor Message

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Out on a limb: Fashion sense

High fashion typically means bad news for lower extremity health. But that may be starting to change, and in ways that might surprise you.

By Jordana Bieze Foster


Departments

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Impact of AFO design on calf circumference

Preliminary research suggests the use of a kinetic return ankle foot orthosis is associated with small but significant short-term increases in calf circumference, which in turn suggests this type of device might reduce or protect against the risk of disuse muscle atrophy.

By Robert H. Meier, CO, BOCO; David C. Ruthsatz, CO, CPA; and Daniel Cipriani, PT, PhD

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Clinicians weigh the pros and cons of social media

There is considerable debate in medical circles as to whether healthcare practitioners should embrace social media, but online aficionados say they welcome the opportunity to exchange information, educate, connect, and potentially attract more patients.

By P.K. Daniel

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Offloading the diabetic foot: Effects of obesity

Increasing body mass index is associated with significantly increased peak plantar pressures regardless of the type of off­loading device used. However, it is possible to decrease plantar pressures in some regions of the foot with the use of offloading devices.

By Andrew J. Meyr, DPM, FACFAS; Kelly Pirozzi, DPM, AACFAS; and Matthew R. Wagoner, DPM

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Functional contributors to outcomes after TKA

The increasing utilization of total knee arthroplasty has led to increased efforts to identify variables that can be modified to help improve postoperative functional outcomes. These risk factors include patient weight, smoking, diabetes, infection, and joint range of motion.

By John Ryan Quinn, MD, and Ran Schwarzkopf, MD, MSc