Troy Wilde, DPM has joined OrthoArizona as a Foot and Ankle Hospitalist. Dr. Wilde, who attended Temple University School of Podiatric Medicine, later completed a three-year surgical residency at the University of Texas Health Science Center at San Antonio, will provide acute foot and ankle care within the hospital systems in the East Valley.
Troy Wilde, DPM Joins OrthoArizona

As OrthoArizona wrote in its October 26, 2017 news release, “His training there consisted of forefoot and rear foot surgery with an emphasis on trauma, diabetic reconstruction, and wound care. Dr. Wilde is certified by the American Board of Podiatric Surgeons and is qualified in foot surgery. He specifically treats trauma, sport injuries, and diabetic foot and ankle issues that arise, managing these problems both conservatively and surgically using a multi-team approach to care for his patients.”
“The addition of Dr. Wilde is the most recent example of growth within OrthoArizona’s Foot and Ankle division. The team is proud of its reputation as a leading foot and ankle referral center in the Southwest dedicated to developing protocols and quality standards in order to improve foot and ankle care and patient outcomes. OrthoArizona Foot and Ankle patients benefit from the collaborative care they receive from a dedicated team of experts, comprised of four fellowship-trained orthopedic surgeons, six podiatrists, and two foot and ankle hospitalists, including Dr. Wilde.”
Dr. Wilde told OTW, “As a Foot and Ankle Hospitalist, I am heavily involved in the acute care setting. This involves any trauma in the foot and ankle as well as infections and diabetic ulcerations. I have been well trained in all of these areas and through the private practice setting, cared for many sports-related injuries. I have spent time in a wound care facility using conservative and surgical management for wound healing. These skills will assist in the management of our patients coming through the hospital.”
“My main goal in which our group wants to establish in the next year is a protocol that will efficiently care for patients and provide a team approach for all patients. There are systemic issues that affect how to manage the problems with the foot and ankle. Establishing a team approach with specific protocols will benefit hospital systems to help patients receive proper care and decrease length of stay, which in turn will help reduce complications. This team will include infectious disease, vascular surgery, wound care, and the emergency department to help coordinate quality care to all patients.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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