STANDARD OF CARE
Ambulatory Foot Surgery includes: Minimal Incision Surgery,
Percutaneous Surgery, Arthroscopic Surgery, Minimal Invasive
Surgery, other Surgical Foot Procedures.
Here is some terminology for you to learn, so you can have a
productive appointment with your podiatrist.
Predominately practitioner's office and outpatient facilities.
2. Laboratory Tests
Based on the patient's medical history and the podiatrist's
clinical judgment. X-rays are recommended for bone surgery,
weight bearing, partial weight bearing, or non-weight bearing.
Radiological angles need not be physically measured and recorded
if the podiatric surgeon deems a visual inspection of the x-ray
adequate to his or her needs.
-Surgery can be performed at any time and location on which the
patient mutually agree.
appropriate surgical scrub and draping of the surgical field
depends upon the surgical technique utilized.
Optional, depending upon type of procedure and patient's
Local and other forms of anesthesia may be administered by the
podiatrist and/or appropriately trained personnel.
The staging of medical and/or surgical procedures, commonly
referred to as serial surgery, may be indicated on certain
conditions. The Academy of Ambulatory Foot and Ankle Surgery
recognizes this as a mode of treatment, when the podiatric
practitioner and patient are in agreement.
The performance of multiple medical and/or surgical procedures
during any single treatment session is deemed by the Academy of
Ambulatory Foot and Ankle Surgery as being proper and
justifiable when the patient has multiple complaints. Patient
history and examination, coupled with social clinical judgment,
should augment this decision. Of course, both patient and the
podiatric practitioner must mutually agree.
Specialized podiatric surgical instruments including side
cutting bone scalpels (surgical burs) may be utilized.
10. Incision Size
Incision may vary from a puncture to a larger incision.
Sutures or other specialized skin closures are at the discretion
of the podiatric surgeon.
12. External Fixation
Bandage, Unna boot, splints, postoperative shoe, or cast may be
is not generally required and is at the discretion of the
are often sufficient. Wet dressings may be utilized at the
discretion of the
podiatric surgeon, depending upon the nature of the procedure.
Peri-operative and/or prophylactic antibiotics
In the presence of a purulent or suspicious
exudate, culture and sensitivity testing is indicated.
Appropriate antibiotics should be utilized in the treatment of
infections. Peri-operative and/or prophylactic antibiotics may
be utilized at the discretion of the podiatric surgeon.
Localized purulent infections need only be cultured if there are
appropriate risk factors present.
15. Medical Records
Entries on patient records may be handwritten, typed, or
depending on the office policy of the podiatrist who creates and
utilizes the records. Standardized operative reports and
postoperative instructions regarding routine surgical procedures
are acceptable if the type of procedure is identified and any
significant differences are included. It is not necessary to
record every negative finding on every visit. There is no
standardized type of charting that must be used. Medical charts
should be accurate and reflect the actual care and treatment of