Melissa Cooney1
1Southern Adelaide Local Health Network, Adelaide, Australia
Abstract:
The Advanced Lead Clinician Orthopaedic Podiatrist at Southern Adelaide Local Health Network (SALHN) plays a key role in enhancing patient access to care and reducing elective surgery wait times. By supporting the Foot and Ankle Orthopaedic team, this role streamlines treatment pathways and improves resource efficiency. The credentialing of the podiatrist to independently perform percutaneous flexor tendon release has significantly improved access to high-quality care, leading to better health outcomes for patients.
Flexor tendon release is a procedure used to address musculoskeletal issues in patients with diabetes and/or peripheral neuropathy—conditions that reduce sensation and circulation, increasing the risk of complications from traditional surgery. When conservative treatments fail, tendon release can relieve pressure on the toes and improve foot function.
Podiatrists, with their specialized knowledge in foot biomechanics, are highly qualified to perform this procedure. Their expertise allows them to assess patients thoroughly and execute the procedure with precision, minimizing complications and promoting quicker recovery. This model not only enhances patient outcomes but also optimizes healthcare resources.
By enabling podiatrists to perform flexor tendon releases, this role has reduced the need for theatre-based surgical intervention, leading to shorter wait times and better patient satisfaction. It also highlights the success of role substitution in allied health, ensuring more equitable access to care.
Credentialing podiatrists to perform flexor tendon releases demonstrates clear benefits in improving care efficiency, patient outcomes, and the broader healthcare system.