Journal of the American Podiatric Medical Association

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Fighting to Level the Playing Field with Managed Care

by ROBERT D. “DOUG” Sowell

J. Am. Podiatr. Med. Assoc. 2001, 91(8), 443; https://doi.org/10.7547/87507315-91-8-443 - 1 Sep 2001

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The efforts of the Health Systems Committee of APMA during these past 12 months have varied—but all of those efforts strive to give our members the strategies and information they can use to adapt to the environment of managed care and to assist [...] Read more.

The efforts of the Health Systems Committee of APMA during these past 12 months have varied—but all of those efforts strive to give our members the strategies and information they can use to adapt to the environment of managed care and to assist our legislative committee in advocating for legislation that helps to level the playing field [...] Full article

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The CONSORT Statement: Revised Recommendations for Improving the Quality of Reports of Parallel-Group Randomized Trials

by David Moher, Kenneth F. Schulz, Douglas G. Altman and for the CONSORT Group

J. Am. Podiatr. Med. Assoc. 2001, 91(8), 437-442; https://doi.org/10.7547/87507315-91-8-437 - 1 Sep 2001

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Abstract

To comprehend the results of a randomized, controlled trial (RCT), readers must understand its design, conduct, analysis, and interpretation. That goal can be achieved only through complete transparency from authors. Despite several decades of educational efforts, the reporting of RCTs needs improvement. Investigators [...] Read more.

To comprehend the results of a randomized, controlled trial (RCT), readers must understand its design, conduct, analysis, and interpretation. That goal can be achieved only through complete transparency from authors. Despite several decades of educational efforts, the reporting of RCTs needs improvement. Investigators and editors developed the original CONSORT (Consolidated Standards of Reporting Trials) statement to help authors improve reporting by using a checklist and flow diagram. The revised CONSORT statement presented in this paper incorporates new evidence and addresses some criticisms of the original statement. The checklist items pertain to the content of the Title, Abstract, Introduction, Methods, Results, and Discussion. The revised checklist includes 22 items selected because empirical evidence indicates that not reporting the information is associated with biased estimates of treatment effect or because the information is essential to judge the reliability or relevance of the findings. We intended the flow diagram to depict the passage of participants through an RCT. The revised flow diagram depicts information from four stages of trial (enrollment, intervention allocation, follow-up, and analysis). The diagram explicitly includes the number of participants, for each intervention group, that are included in the primary data analysis. Inclusion of these numbers allows the reader to judge whether the authors have performed an intention-to-treat analysis. In sum, the CONSORT statement is intended to improve the reporting of an RCT, enabling readers to understand a trial’s conduct and to assess the validity of its results. (J Am Podiatr Med Assoc 91(8): 437-442, 2001) Full article

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Introduction

by Warren S. Joseph

J. Am. Podiatr. Med. Assoc. 2001, 91(8), 435-436; https://doi.org/10.7547/87507315-91-8-436 - 1 Sep 2001

Cited by 5 | Viewed by 46

Abstract

JAPMA is pleased to have been granted permission to reprint the Consolidated Standards of Reporting Trials (CONSORT) statement [...] Full article

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Arthrodesis of the Interphalangeal Joint of the Hallux. A Simple and Effective Technique

by Gerard V. Yu, Frank E. Vargo and Joel W. Brook

J. Am. Podiatr. Med. Assoc. 2001, 91(8), 427-434; https://doi.org/10.7547/87507315-91-8-427 - 1 Sep 2001

Cited by 6 | Viewed by 58

Abstract

The authors present a simple and effective technique to achieve arthrodesis of the hallucal interphalangeal joint. Stabilization is achieved by external fixation with crossing Kirschner wires joined together to create a single functional unit, a technique that avoids common problems often associated with [...] Read more.

The authors present a simple and effective technique to achieve arthrodesis of the hallucal interphalangeal joint. Stabilization is achieved by external fixation with crossing Kirschner wires joined together to create a single functional unit, a technique that avoids common problems often associated with Kirschner-wire fixation. The authors propose that this simple technique be considered for patients in whom it has been determined that screw fixation should not be used to obtain fusion of the interphalangeal joint. (J Am Podiatr Med Assoc 91(8): 427-434, 2001) Full article

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Posterior Facet Talocalcaneal Coalition

by Mark K. Brekke, Ron Lieberman, Ethel Wright and Donald R. Green

J. Am. Podiatr. Med. Assoc. 2001, 91(8), 422-426; https://doi.org/10.7547/87507315-91-8-422 - 1 Sep 2001

Cited by 7 | Viewed by 68

Abstract

Posterior facet talocalcaneal coalition is one of the rarest forms of talocalcaneal coalition. When a posterior facet coalition occurs, it typically involves a majority of the posterior facet articular surface. The authors present a rare form of posterior facet talocalcaneal coalition in an [...] Read more.

Posterior facet talocalcaneal coalition is one of the rarest forms of talocalcaneal coalition. When a posterior facet coalition occurs, it typically involves a majority of the posterior facet articular surface. The authors present a rare form of posterior facet talocalcaneal coalition in an 11- year-old girl. A brief review of the literature is provided, along with the case history, including radiographic findings and intraoperative and postoperative illustrations. (J Am Podiatr Med Assoc 91(8): 422-426, 2001) Full article

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Talar Fractures. Three Case Studies

by A. Louis Jimenez and James H. Morgan

J. Am. Podiatr. Med. Assoc. 2001, 91(8), 415-421; https://doi.org/10.7547/87507315-91-8-415 - 1 Sep 2001

Cited by 2 | Viewed by 71

Abstract

Three case studies of fractures are presented that demonstrate the potential morbidity that these injuries can cause as well as the acceptable outcomes if treated appropriately. Two of the cases are talar fracture dislocations; the third is an osteochondral fracture of the talus. [...] Read more.

Three case studies of fractures are presented that demonstrate the potential morbidity that these injuries can cause as well as the acceptable outcomes if treated appropriately. Two of the cases are talar fracture dislocations; the third is an osteochondral fracture of the talus. The importance of early treatment with open reduction and internal fixation is demonstrated. Success following surgical intervention in a nonhealed osteochondral fracture of the talus is also demonstrated. (J Am Podiatr Med Assoc 91(8): 415-421, 2001) Full article

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Hemophilic Arthropathy: Considerations in Management

by Thomas J. Chang, Shenin Mohamed and Julie Hambleton

J. Am. Podiatr. Med. Assoc. 2001, 91(8), 406-414; https://doi.org/10.7547/87507315-91-8-406 - 1 Sep 2001

Cited by 14 | Viewed by 54

Abstract

The authors evaluate nonsurgical and surgical approaches to treating patients with hemophilic arthropathy and review the functional and economic limitations imposed on treating these patients. Indications for surgery are discussed and a case study that incorporates both conservative and surgical management options is [...] Read more.

The authors evaluate nonsurgical and surgical approaches to treating patients with hemophilic arthropathy and review the functional and economic limitations imposed on treating these patients. Indications for surgery are discussed and a case study that incorporates both conservative and surgical management options is presented. While the advent of factor replacement therapy has dramatically changed the course of treatment and prognosis for patients with hemophilia, the authors argue that the economic burden of treating these patients is still very high. The authors recommend that proper conservative and surgical management options for patients with hemophilia should be based upon a thorough understanding of the disease process. (J Am Podiatr Med Assoc 91(8): 406-414, 2001) Full article

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Flake-Austin Modification of the STA-Peg Arthroereisis. A Retrospective Study

by Patricia Forg, Kent Feldman, Edward Flake and Donald R. Green

J. Am. Podiatr. Med. Assoc. 2001, 91(8), 394-405; https://doi.org/10.7547/87507315-91-8-394 - 1 Sep 2001

Cited by 27 | Viewed by 46

Abstract

The Smith subtalar arthroereisis implant (STA-peg) is used to correct severe collapsing pes valgoplanus in children. Flake and Austin modified the placement of this implant to block the leading wall of the lateral talus. Twenty-one patients with a total of 40 STA-peg procedures [...] Read more.

The Smith subtalar arthroereisis implant (STA-peg) is used to correct severe collapsing pes valgoplanus in children. Flake and Austin modified the placement of this implant to block the leading wall of the lateral talus. Twenty-one patients with a total of 40 STA-peg procedures were evaluated subjectively and objectively. The average age at the time of surgery was 9.7 years (4 to 16 years). The follow-up period averaged 36 months (12 to 90 months). The subjective, objective, and radiographic results were positive and the complication rate was low. A significant advantage of the Flake-Austin modification of the STA-peg placement in transverse planar dominant foot types is also noted. (J Am Podiatr Med Assoc 91(8): 394-405, 2001) Full article

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Open AccessArticle

Surgically Induced Charcot’s Foot

by William D. Fishco

J. Am. Podiatr. Med. Assoc. 2001, 91(8), 388-393; https://doi.org/10.7547/87507315-91-8-388 - 1 Sep 2001

Cited by 16 | Viewed by 49

Abstract

The neuropathic foot has the potential to develop Charcot arthropathy. This study describes multiple cases of Charcot’s foot following surgery. Of all the cases described, only one patient had any preexisting Charcot deformity or acute Charcot event. The study concludes that alterations of [...] Read more.

The neuropathic foot has the potential to develop Charcot arthropathy. This study describes multiple cases of Charcot’s foot following surgery. Of all the cases described, only one patient had any preexisting Charcot deformity or acute Charcot event. The study concludes that alterations of mechanical forces in the foot play an important role in triggering an acute Charcot episode. (J Am Podiatr Med Assoc 91(8): 388-393, 2001) Full article

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Introduction

by Donald R. Green

J. Am. Podiatr. Med. Assoc. 2001, 91(8), 387; https://doi.org/10.7547/87507315-91-8-387 - 1 Sep 2001

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Abstract

The Podiatry Institute is a nonprofit educational foundation originally developed under the guidance of E. Dalton McGlamry, DPM [...] Full article

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J. Am. Podiatr. Med. Assoc., Volume 91, Issue 8 (09 2001) – 10 articles

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