Debriding guidelines in Podiatry

hmcdonald · Dec 17, 2009

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Hi all,
I recently had a questioned raised in relation to a definition of debriding within the scope of general Podiatry practice and how much debriding is allowed ? Are there guidelines limiting/outlining/defining the limitations of Podiatric debridement in general practice?
I look forward to your learned responses.

Tuckersm · Dec 18, 2009

You will find that most guidelines will limit debridement to soft tissue for the general podiatrist,

The Pod Board of Victoria has the following guideline

Under the Health Professions Registration Act 2005, there is no legislated restriction on the scope of practice of podiatrists. However, in the interests of public safety the Board advises it does not regard a podiatrist competentto safely perform reconstructive and/or plastic surgical procedures (eg osteectomy, neurectomy, tenotomy) unless the following requirements are met:
1. Practitioners must possess, or be eligible for, Fellowship of the Australasian College of Podiatric Surgeons (FACPS). Eligibility for Fellowship may be accepted by the Board following a review of a podiatrist’s surgical qualifications and due examination as required by the Panel of Examiners of the Australasian College of Podiatric Surgeons to ensure equivalence with Australian standards in podiatric surgery. Other podiatrists are advised to restrict their scope of surgical practice to those procedures which are components of the undergraduate podiatry curricula within Australian universities.
2. Registrars (trainees) of the Australasian College of Podiatric Surgeons may undertake such procedures as part of Fellowship training but only under the direct supervision of a fellow of the College.
3. Podiatrists with overseas qualifications who believe they should be recognised by the Podiatrists Registration Board of Victoria to perform reconstructive and or plastic surgical procedures (eg osteectomy, neurectomy, tenotomy) must submit themselves for review by the Australasian College of Podiatric Surgeons (the peak professional body for podiatric surgery in Australia).
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LuckyLisfranc · Dec 18, 2009

I have raised this issue with Board members in my state previously. They typically have a guarded response.

The classic situation of which I am confronted with is necrotic bone penetrating an apical digital ulcer. The bone is virtually falling out into your lap.

Many is the time that a distal phalanx has been removed as part of my debridement of these lesions....what else can you do?

If only we were all allowed to just do a 5 second percutaneus flexor tenotomy (without having a FACPS) they would never occur in the first place....

LL

hmcdonald Welcome New Poster

Tuckersm Well-Known Member

LuckyLisfranc Well-Known Member

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