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Influence of Podiatry on Orthopedic Surgery at a Level I Trauma Center
Journal article   Peer reviewed

Influence of Podiatry on Orthopedic Surgery at a Level I Trauma Center

Andre M. Jakoi, Andrew B. Old, Craig A. O'Neill, Benjamjamin E. Stein, Eric P. Stander, Joseph Rosenblatt and Martin J. Herman
Orthopedics (Thorofare, N.J.), v 37(6), pp E571-E575
01 Jun 2014
PMID: 24972439

Abstract

Life Sciences & Biomedicine Orthopedics Science & Technology
Level I trauma centers frequently see trauma at or below the ankle, which requires consultation with the orthopedic surgery department. However, as podiatry programs begin to firmly establish themselves in more Level I trauma centers, their consultations increase, ultimately taking those once seen by orthopedic surgery. A review of the literature demonstrates that this paradigm shift has yet to be discussed. The purpose of this study was to determine how many, if any, lower extremity fracture consultations a newly developed podiatry program would take from the orthopedic surgery department. A retrospective review was performed of emergency department records from January 2007 to December 2011. Seventeen different emergency department diagnoses were used to search the database. Ultimately, each patient's emergency department course was researched. Several trends were noted. First, if trauma surgery was involved, only the orthopedic surgery department was consulted for any injuries at or below the ankle. Second, the emergency department tended to consult the podiatry program only between the hours of 8 AM and 6 PM. Third, as the podiatry program became more established, their number of consultations increased yearly, and, coincidentally, the orthopedic surgery department's consultations decreased. Finally, high-energy traumas involved only the orthopedic surgery department. Whether the orthopedic surgery department or podiatry program is consulted regarding trauma surgery is likely hospital dependent.

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
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