The adult foot

Tollafield, David R.; Kilmartin, Tim; Prior, Trevor D

doi:10.1016/b978-0-443-07113-3.50018-4

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…The history of local anaesthetic (LA) use in podiatry could be one example of internalising prescribing as a behaviour on a profession wide level. Local anaesthetic was introduced as part of undergraduate podiatry training in Australia in 1978 [32] and has seen a wide uptake such that it is now seen by the profession as an essential skill. Findings from this survey support that LA has become an internalised behaviour in podiatry as LA's were a medication group non‐endorsed participants frequently used.…”

Section: Discussionmentioning

confidence: 99%

Australian podiatrists scheduled medicine prescribing practices and barriers and facilitators to endorsement: a cross‐sectional survey

Graham

Matricciani

Banwell

et al. 2022

Journal of Foot and Ankle Research

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Background Non-medical prescribing is one healthcare reform strategy that has the potential to create health system savings and offer equitable and timely access to scheduled medicines. Podiatrists are well positioned to create health system efficiencies through prescribing, however, only a small proportion of Australian podiatrists are endorsed to prescribe scheduled medicines. Since scheduled medicines prescribed by Australian podiatrists are not subsidised by the Government, there is a lack of data available on the prescribing practices of Australian podiatrists. The aim of this research was to investigate the prescribing practices among Australian podiatrists and to explore barriers and facilitators that influence participation in endorsement. Methods Participants in this quantitative, cross-sectional study were registered and practicing Australian podiatrists who were recruited through a combination of professional networks, social media, and personal contacts. Respondents were invited to complete a customised self-reported online survey, developed using previously published research, research team’s expertise, and was piloted with podiatrists. The survey contained three sections: demographic data including clinical experience, questions pertaining to prescribing practices, and barriers and facilitators of the endorsement pathway. Results Respondents (n = 225) were predominantly female, aged 25–45, working in the private sector. Approximately one quarter were endorsed (15%) or in training to become endorsed (11%). Of the 168 non-endorsed respondents, 66% reported that they would like to undertake training to become an endorsed prescriber. The most common indications reported for prescribing or recommending medications include nail surgery (71%), foot infections 474 (88%), post-operative pain (67%), and mycosis (95%). The most recommended Schedule 2 medications were ibuprofen, paracetamol, and topical terbinafine. The most prescribed Schedule 4 medicines among endorsed podiatrists included lignocaine (84%), cephalexin (68%), flucloxacillin (68%), and amoxicillin with clavulanic acid (61%). Conclusion Podiatrists predominantly prescribe scheduled medicines to assist pain, inflammatory, or infectious conditions. Only a small proportion of scheduled medicines available for prescription by podiatrists with endorsed status were reportedly prescribed. Many barriers exist in the current endorsement for podiatrists, particularly related to training processes, including mentor access and supervised practice opportunities. Suggestions to address these barriers require targeted enabling strategies.

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Section: Discussionmentioning

confidence: 99%

Australian podiatrists scheduled medicine prescribing practices and barriers and facilitators to endorsement: a cross‐sectional survey

Graham

Matricciani

Banwell

et al. 2022

Journal of Foot and Ankle Research

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The Etiology of Hallux Abductovalgus Described in Six Pieces

Meyr

2017

Evidence-Based Bunion Surgery

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Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint

Böck

Kristen

Kröner

et al. 2004

The Journal of Bone and Joint Surgery. British volume

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This study relates the extent of cartilage lesions within the first metatarsophalangeal joint to hallux valgus. We prospectively examined 265 first metatarsophalangeal joints of 196 patients with a mean age of 54.2 years at operation for the existence of cartilage lesions. Grade I lesions were found in 41 feet (15.5%), grade II in 82 (30.9%), grade III in 51 (19.3%), grade IV in 20 (7.5%). Only 71 (26.8%) showed no cartilage lesion. Cartilage lesions were found within the metatarsosesamoid and metatarsophalangeal compartments in 66 feet (34.0%), within the metatarsophalangeal compartment in 26 (13.4%) and within the metatarsosesamoid compartment in 102 (52.6%). A statistically significant correlation was found between the grade of cartilage lesion and the hallux valgus angle, both for the changes within the metatarsophalangeal and the metatarsosesamoid joints.

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The adult foot

Cited by 4 publications

References 20 publications

Australian podiatrists scheduled medicine prescribing practices and barriers and facilitators to endorsement: a cross‐sectional survey

Australian podiatrists scheduled medicine prescribing practices and barriers and facilitators to endorsement: a cross‐sectional survey

The Etiology of Hallux Abductovalgus Described in Six Pieces

Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint

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