Journal of the American Podiatric Medical Association

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Limb Salvage with Chopart’s Amputation and Tendon Balancing

by Alexander M. Reyzelman, Suhad Hadi and David G. Armstrong

J. Am. Podiatr. Med. Assoc. 1999, 89(2), 100-103; https://doi.org/10.7547/87507315-89-2-100 - 1 Feb 1999

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For several decades, Chopart’s amputation has met with some skepticism owing to reports of significant equinus deformity developing soon after the procedure is performed. However, with appropriate tendon balancing, which generally includes anterior tibial tendon transfer and tendo Achillis lengthening, this level of [...] Read more.

For several decades, Chopart’s amputation has met with some skepticism owing to reports of significant equinus deformity developing soon after the procedure is performed. However, with appropriate tendon balancing, which generally includes anterior tibial tendon transfer and tendo Achillis lengthening, this level of amputation is often more functional than slightly more distal amputations, such as Lisfranc or short transmetatarsal amputations. The authors offer a rationale for this observation, which includes a discussion of the longitudinal and transverse arch concept of the foot. This concept dictates that the shorter the midfoot-level amputation, the more likely the patient is to develop an equinovarus deformity, thus exposing the fifth metatarsal base and cuboid to weightbearing stress and a high risk of ulceration. Chopart’s amputation, in eliminating the cuboid, often obviates the potential varus deformity and thus can have a more acceptable long-term result. (J Am Podiatr Med Assoc 89(2): 100-103, 1999) Full article

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Planovalgus Foot Deformity. Current Status

by Lynn T. Staheli

J. Am. Podiatr. Med. Assoc. 1999, 89(2), 94-99; https://doi.org/10.7547/87507315-89-2-94 - 1 Feb 1999

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Abstract

Flatfoot may be classified as pathologic or physiologic. Pathologic flatfoot is often characterized by stiffness of the foot, causes disability, and requires treatment. Physiologic flatfoot is a normal variation; it causes no disability and tends to improve with time. Physiologic flatfoot is most [...] Read more.

Flatfoot may be classified as pathologic or physiologic. Pathologic flatfoot is often characterized by stiffness of the foot, causes disability, and requires treatment. Physiologic flatfoot is a normal variation; it causes no disability and tends to improve with time. Physiologic flatfoot is most common in individuals who are loose-jointed, are obese, or usually wore shoes during childhood. Treatment of children with physiologic flatfoot with orthoses or shoe modifications not only is ineffective but is uncomfortable and embarrassing for the child and is associated with lowered self-esteem in adult life. (J Am Podiatr Med Assoc 89(2): 94-99, 1999) Full article

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Retrospective Review of Endoscopic Plantar Fasciotomy. 1994 Through 1997

by Paul A. Stone and Lise P. McClure

J. Am. Podiatr. Med. Assoc. 1999, 89(2), 89-93; https://doi.org/10.7547/87507315-89-2-89 - 1 Feb 1999

Cited by 16 | Viewed by 67

Abstract

In the September 1996 issue of the Journal of the American Podiatric Medical Association, the authors published a retrospective review of their experiences with and results of plantar fasciotomy from 1992 through 1994. Since then, patients who underwent endoscopic plantar fasciotomy from 1994 [...] Read more.

In the September 1996 issue of the Journal of the American Podiatric Medical Association, the authors published a retrospective review of their experiences with and results of plantar fasciotomy from 1992 through 1994. Since then, patients who underwent endoscopic plantar fasciotomy from 1994 through 1997 have been reviewed by utilizing materials and methods identical to those used in the original study. This article provides an update of the results of endoscopic plantar fasciotomy and compares them with the results described in the 1996 study. (J Am Podiatr Med Assoc 89(2): 89-93, 1999)
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Long-term Follow-up of Heel Spur Surgery. A 10-Year Retrospective Study

by Praveen K. Vohra, Renato J. Giorgini, Ellen Sobel, Christopher J. Japour, Marcello A. Villalba and Tomasz Rostkowski

J. Am. Podiatr. Med. Assoc. 1999, 89(2), 81-88; https://doi.org/10.7547/87507315-89-2-81 - 1 Feb 1999

Cited by 28 | Viewed by 162

Abstract

A comparative retrospective study of 48 open heel spur surgeries and 20 endoscopic plantar fasciotomies was conducted involving 59 patients over a 10-year period. There was a significant reduction in heel pain at the time of follow-up (average, 3 years) for both groups. [...] Read more.

A comparative retrospective study of 48 open heel spur surgeries and 20 endoscopic plantar fasciotomies was conducted involving 59 patients over a 10-year period. There was a significant reduction in heel pain at the time of follow-up (average, 3 years) for both groups. Overall, 85% of procedures were associated with patient satisfaction with the results, and patients said that they would recommend heel spur surgery for relief of severe heel pain in 94% of cases. Factors influencing the postoperative outcome, such as duration of preoperative symptoms, extent of conservative care, and obesity, are discussed. (J Am Podiatr Med Assoc 89(2): 81-88, 1999) Full article

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The Effects of Increasing Heel Height on Forefoot Peak Pressure

by Mark G. Mandato and Elizabeth Nester

J. Am. Podiatr. Med. Assoc. 1999, 89(2), 75-80; https://doi.org/10.7547/87507315-89-2-75 - 1 Feb 1999

Cited by 73 | Viewed by 127

Abstract

The purpose of this study was to determine the effect of increasing heel height on peak forefoot pressure. Thirty-five women were examined while wearing sneakers and shoes with 2-inch and 3-inch heels. An in-shoe pressure-measurement system was used to document the magnitude and [...] Read more.

The purpose of this study was to determine the effect of increasing heel height on peak forefoot pressure. Thirty-five women were examined while wearing sneakers and shoes with 2-inch and 3-inch heels. An in-shoe pressure-measurement system was used to document the magnitude and location of plantar peak pressures. Pressure under the forefoot was found to increase significantly with increasing heel height. As the heel height increased, the peak pressure shifted toward the first metatarsal and the hallux. The reproducibility of data obtained with the in-shoe pressure-measurement system was tested in five subjects; the data were found to be reproducible to within approximately 3% of measured pressures. (J Am Podiatr Med Assoc 89(2): 75-80, 1999) Full article

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Heel Pain in Children Diagnosis and Treatment

by Choll W. Kim, Kevin Shea and Henry G. Chambers

J. Am. Podiatr. Med. Assoc. 1999, 89(2), 67-74; https://doi.org/10.7547/87507315-89-2-67 (registering DOI) - 1 Feb 1999

Cited by 15 | Viewed by 94

Abstract

Heel pain in children is common, and its evaluation is challenging. Medical history and physical examination may be unrevealing owing to children’s limited communication skills. Often, advanced laboratory and imaging studies are required to make an accurate diagnosis. The most common causes of [...] Read more.

Heel pain in children is common, and its evaluation is challenging. Medical history and physical examination may be unrevealing owing to children’s limited communication skills. Often, advanced laboratory and imaging studies are required to make an accurate diagnosis. The most common causes of heel pain in children are apophysitis, enthesopathy, and overuse syndromes such as tendinitis. Juvenile rheumatoid arthritis is relatively uncommon. In very active children, occult fractures must also be evaluated. Pain unrelated to activity may indicate tumors, infection, or congenital problems. In general, heel pain in children is treated nonoperatively. For fractures in particular, children are less likely than adults to receive surgical treatment. Full article

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Three-Dimensional Movement of the Foot During the Stance Phase of Walking

by Mark W. Cornwall and Thomas G. McPoil

J. Am. Podiatr. Med. Assoc. 1999, 89(2), 56-66; https://doi.org/10.7547/87507315-89-2-56 - 1 Feb 1999

Cited by 73 | Viewed by 66

Abstract

This study presents research on typical movement of the rearfoot during walking. The data demonstrate the global nature of foot pronation and supination during gait. Study participants (N = 153) walked along a walkway while the angular displacement of the calcaneus, navicular, and [...] Read more.

This study presents research on typical movement of the rearfoot during walking. The data demonstrate the global nature of foot pronation and supination during gait. Study participants (N = 153) walked along a walkway while the angular displacement of the calcaneus, navicular, and first metatarsal relative to the tibia was measured; three-dimensional movement patterns for all three bones were very similar. This study provides additional information on how the foot functions during walking. This information should help to define and refine clinical management strategies for treating foot dysfunction. Full article

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J. Am. Podiatr. Med. Assoc., Volume 89, Issue 2 (02 1999) – 7 articles , Pages 56-103

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