Journal of the American Podiatric Medical Association

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Medicare: The Good, the Bad, and the Ugly

by Robert D. “Doug” Sowell

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 65; https://doi.org/10.7547/87507315-92-1-65 - 1 Jan 2002

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Since 1966, Medicare has provided government health insurance for senior citizens [...] Full article

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Cerebral Vascular Accident in the Infected Diabetic Ulcer Patient

by Patricia L. Abu-Rumman, Brent P. Nixon and David G. Armstrong

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 59-60; https://doi.org/10.7547/87507315-92-1-59 - 1 Jan 2002

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To the Editor [...] Full article

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Third-Party Reimbursement for Lower-Extremity Wound Care

by Harry Goldsmith and Matthew G. Garoufalis

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 54-58; https://doi.org/10.7547/87507315-92-1-54 - 1 Jan 2002

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This article describes the treatment of lower-extremity wounds, specifically foot and ankle ulcerations, in the context of reimbursement for treatments rendered. Therefore, such issues as standard of care, documentation, classification of foot wounds, coding, and reimbursement are discussed. (J Am Podiatr Med Assoc [...] Read more.

This article describes the treatment of lower-extremity wounds, specifically foot and ankle ulcerations, in the context of reimbursement for treatments rendered. Therefore, such issues as standard of care, documentation, classification of foot wounds, coding, and reimbursement are discussed. (J Am Podiatr Med Assoc 92(1): 54-58, 2002) Full article

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Offloading Properties of a Rocker Insole. A Preliminary Study

by Robert G. Frykberg, LaWanda F. Bailey, Amanda Matz, Lisa A. Panthel and Gina Ruesch

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 48-53; https://doi.org/10.7547/87507315-92-1-48 - 1 Jan 2002

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Abstract

Multiple offloading modalities are currently used in the management of diabetic plantar foot ulcerations. A relatively new device, the Rocker Insole, was tested for its ability to relieve plantar forefoot pressures when inserted into a surgical boot as compared to a patient’s customary [...] Read more.

Multiple offloading modalities are currently used in the management of diabetic plantar foot ulcerations. A relatively new device, the Rocker Insole, was tested for its ability to relieve plantar forefoot pressures when inserted into a surgical boot as compared to a patient’s customary footwear and the surgical boot alone. The Rocker Insole significantly reduced forefoot pressures by 48% when worn inside the surgical boot. Mean peak pressures unexpectedly increased 12% when the surgical boot was worn alone. This preliminary investigation suggests that when worn in conjunction with a surgical boot, the Rocker Insole can effectively offload plantar forefoot pressures and may be useful in the management of plantar metatarsal ulcerations. (J Am Podiatr Med Assoc 92(1): 48-53, 2002) Full article

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Use of Clinical Laboratory Parameters to Evaluate Wound Healing Potential in Diabetes Mellitus

by Patricia L. Abu-Rumman, David G. Armstrong and Brent P. Nixon

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 38-47; https://doi.org/10.7547/87507315-92-1-38 - 1 Jan 2002

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Abstract

Clinicians caring for chronic wounds can easily overlook nutritional status. Patients with diabetes are at high risk for primary and secondary malnutrition. Although profiles exist defining the extent of the deficiency, the process of wound healing and the interactions of the macronutrients and [...] Read more.

Clinicians caring for chronic wounds can easily overlook nutritional status. Patients with diabetes are at high risk for primary and secondary malnutrition. Although profiles exist defining the extent of the deficiency, the process of wound healing and the interactions of the macronutrients and micronutrients necessary to accomplish it must first be understood. In elderly patients with diabetes, additional factors such as liver and renal function, the interdependence of the immune system, and protein synthesis, also must be considered. This article provides a practical format to assist clinicians in better evaluating this often difficult-to-assess area of care. (J Am Podiatr Med Assoc 92(1): 38-47, 2002) Full article

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Cellular Senescence and Matrix Metalloproteinase Activity in Chronic Wounds. Relevance to Debridement and New Technologies

by Gerit D. Mulder and Jerry S. Vande Berg

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 34-37; https://doi.org/10.7547/87507315-92-1-34 - 1 Jan 2002

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Abstract

A prolonged inflammatory response may adversely affect wound closure. Delayed wound closure and extended exposure to chronic wound fluid may also affect cellular activity in a wound bed and result in cellular senescence. Prolonged inflammation and cellular senescence may adversely affect the efficacy [...] Read more.

A prolonged inflammatory response may adversely affect wound closure. Delayed wound closure and extended exposure to chronic wound fluid may also affect cellular activity in a wound bed and result in cellular senescence. Prolonged inflammation and cellular senescence may adversely affect the efficacy of topically-applied biological agents, including growth factors. Appropriate wound bed preparation and debridement are necessary to improve clinical outcomes of new technologies.(J Am Podiatr Med Assoc 92(1): 34-37, 2002) Full article

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Dressing Selection in Chronic Wound Management

by Susie Seaman

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 24-33; https://doi.org/10.7547/87507315-92-1-24 - 1 Jan 2002

Cited by 159 | Viewed by 51

Abstract

The concept of moist wound healing has been examined and gradually accepted by wound care clinicians during the last 40 years, and has led to the development of hundreds of dressings that support a moist wound environment. This article discusses the characteristics of [...] Read more.

The concept of moist wound healing has been examined and gradually accepted by wound care clinicians during the last 40 years, and has led to the development of hundreds of dressings that support a moist wound environment. This article discusses the characteristics of an ideal dressing in an effort to assist clinicians in making appropriate dressing choices from common categories, including transparent films, hydrocolloids, foams, absorptive wound fillers, hydrogels, collagens, and gauzes. Reimbursement issues are also discussed. (J Am Podiatr Med Assoc 92(1): 24-33, 2002) Full article

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Wound Treatment with Human Skin Equivalent

by Sumit K. De, Ernane D. Reis and Morris D. Kerstein

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 19-23; https://doi.org/10.7547/87507315-92-1-19 - 1 Jan 2002

Cited by 16 | Viewed by 52

Abstract

Skin grafting provides an effective means of closing chronic wounds. Autografts and allografts are used most often in skin grafting, but Apligraf, a tissue-engineered bilayered human skin equivalent, provides another safe and effective grafting option for treating diabetic, venous, and pressure ulcers. This [...] Read more.

Skin grafting provides an effective means of closing chronic wounds. Autografts and allografts are used most often in skin grafting, but Apligraf, a tissue-engineered bilayered human skin equivalent, provides another safe and effective grafting option for treating diabetic, venous, and pressure ulcers. This skin equivalent has an epidermis and dermis similar to human skin, largely due to its derivation from neonatal foreskin. Apligraf is also easily accessible and has shown little immunoreactivity. (J Am Podiatr Med Assoc 92(1): 19-23, 2002) Full article

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The Role of Matrix Metalloproteinases in Wound Healing

by David G. Armstrong and Edward B. Jude

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 12-18; https://doi.org/10.7547/87507315-92-1-12 - 1 Jan 2002

Cited by 293 | Viewed by 134

Abstract

The structure, classification, function, and regulation of matrix metalloproteinases in normal and abnormal wound healing is discussed. Results from key studies suggest that neutrophil-derived matrix metalloproteinase 8 (MMP-8) is the predominant collagenase present in normal healing wounds, and that overexpression and activation of [...] Read more.

The structure, classification, function, and regulation of matrix metalloproteinases in normal and abnormal wound healing is discussed. Results from key studies suggest that neutrophil-derived matrix metalloproteinase 8 (MMP-8) is the predominant collagenase present in normal healing wounds, and that overexpression and activation of this collagenase may be involved in the pathogenesis of nonhealing chronic leg ulcers. Excessive collagenolytic activity in these chronic wounds is possible because of the reduced levels of tissue inhibitor metalloproteinase 1 (TIMP-1). However, until recently, there have been no studies evaluating levels of matrix metalloproteinase or tissue inhibitors of metalloproteinase activity in chronic diabetic foot wounds. Improving basic knowledge and pharmaceutical intervention in this area ultimately may help clinicians identify and proactively intervene in an effort to prevent normal wounds from becoming chronic. This may prevent the high prevalence of morbidity associated with this significant health problem. (J Am Podiatr Med Assoc 92(1): 12-18, 2002) Full article

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Standardizing Wound Treatment Procedures for Advanced Technologies

by Gerit D. Mulder

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 7-11; https://doi.org/10.7547/87507315-92-1-7 - 1 Jan 2002

Cited by 5 | Viewed by 47

Abstract

New drugs and tissue replacements are currently being approved and integrated into treatment regimens for chronic wounds. This article focuses on a standardized procedure for the use of specific growth factor, a recombinant human platelet-derived growth factor (rhPDGF-BB) manufactured for topical administration. The [...] Read more.

New drugs and tissue replacements are currently being approved and integrated into treatment regimens for chronic wounds. This article focuses on a standardized procedure for the use of specific growth factor, a recombinant human platelet-derived growth factor (rhPDGF-BB) manufactured for topical administration. The recommendations made in this article may not reflect product recommendations made by the manufacturer of the drug. Clinicians must be able to support any off-label indication for use of a product. (J Am Podiatr Med Assoc 92(1): 7-11, 2002) Full article

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The Diabetic Foot 2001. A Summary of the Proceedings of the American Diabetes Association’s 61st Scientific Symposium

by Robert G. Frykberg and David G. Armstrong

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 2-6; https://doi.org/10.7547/87507315-92-1-2 - 1 Jan 2002

Cited by 6 | Viewed by 53

Abstract

This review discusses some of the significant studies and events from the 61st American Diabetes Association’s Scientific Symposium. Many of the issues raised at the meeting will form building blocks for future research into offloading, footwear, wound classification, wound healing, tissue engineering, and [...] Read more.

This review discusses some of the significant studies and events from the 61st American Diabetes Association’s Scientific Symposium. Many of the issues raised at the meeting will form building blocks for future research into offloading, footwear, wound classification, wound healing, tissue engineering, and psychological aspects of therapy and prevention. (J Am Podiatr Med Assoc 92(1): 2-6, 2002) Full article

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INTRODUCTION

by Robert G. Frykberg

J. Am. Podiatr. Med. Assoc. 2002, 92(1), 1; https://doi.org/10.7547/87507315-92-1-1 - 1 Jan 2002

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Abstract

Foot problems are a leading cause of hospitalization for the 16 million people in the United States who have diabetes mellitus [...] Full article

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J. Am. Podiatr. Med. Assoc., Volume 92, Issue 1 (01 2002) – 12 articles , Pages 1-65

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