Evidence-based medicine has been defined as  "the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research."1 This definition emphasizes the need to balance the best evidence with clinical experience when making decisions with and for patients.   Application of Evidence-Based Orthopaedic Prinicples, therefore, will allow for rational integration of the latest techniques available for conservative and surgical treatment of disorders of the ankle and foot.  

Randomized clinical trials form the mainstay of Evidence-Based Orthopaedics.  Randomized clinical trials compare the results of different forms of treatment for the same condition in an optimally unbiased atmosphere.  These trials include evaluation of diagnostic tests, surgical procedures, meta-analyses, prognostic studies, and economic analyses.   Detailed analysis of such trials forms the basis of advancement of medical practice.

New York Foot and Ankle Institute is unique in its application of Evidence-Based Orthopaedics.  Not only do we regularly review randomized clinical trials of treatment techniques, we regularly develop and implement such trials with the cooperation and consent of our patients.   Please ask if you are interested in participating in such a trial.

REF:  Sackett, D. L.; Rosenberg, W. M.; Gray, J. A.; Haynes, R. B.; and Richardson, W. S.: Evidence based medicine: what it is and what it isn't.. British Med. J., 312: 71-72, 1996.