Journal of the American Podiatric Medical Association

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Looking Outside of Podiatric Medicine

by Richard B. Viehe

J. Am. Podiatr. Med. Assoc. 2002, 92(10), 597-598; https://doi.org/10.7547/87507315-92-10-597 - 1 Nov 2002

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I have made the comment that the profession of podiatric medicine has arrived. What does that mean? [...] Full article

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Scientific Analysis of Phenol Nail Surgery

by Jeffrey S. Boberg, M. Shane Frederiksen and Francois M. Harton

J. Am. Podiatr. Med. Assoc. 2002, 92(10), 575-579; https://doi.org/10.7547/87507315-92-10-575 - 1 Nov 2002

Cited by 38 | Viewed by 174

Abstract

Chemical matrixectomy using phenol is one of the most common surgical procedures for the permanent removal of toenails. The concentration of phenol solution and duration of its application have varied widely and have not been subjected to scientific study. The authors studied the [...] Read more.

Chemical matrixectomy using phenol is one of the most common surgical procedures for the permanent removal of toenails. The concentration of phenol solution and duration of its application have varied widely and have not been subjected to scientific study. The authors studied the histologic effects of phenol on the nail matrix and determined the optimal concentration of phenol and time the phenol solution needs to be in contact with the nail bed. (J Am Podiatr Med Assoc 92(10): 575-579, 2002) Full article

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Tendon Reconstruction in Posterior Tibial Tendon Dysfunction

by Richard J. Zirm

J. Am. Podiatr. Med. Assoc. 2002, 92(10), 570-574; https://doi.org/10.7547/87507315-92-10-570 - 1 Nov 2002

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Successful treatment of posterior tibial tendon dysfunction depends on accurate staging and the appropriate selection of surgical procedures. Magnetic resonance imaging is the most sensitive diagnostic modality for evaluating the tendon and is also the best predictor of clinical outcome following surgery. Procedural [...] Read more.

Successful treatment of posterior tibial tendon dysfunction depends on accurate staging and the appropriate selection of surgical procedures. Magnetic resonance imaging is the most sensitive diagnostic modality for evaluating the tendon and is also the best predictor of clinical outcome following surgery. Procedural selection for patients with posterior tibial tendon dysfunction depends on many factors, including the underlying cause, age, weight, apex of the deformity, and relative integrity of the posterior tibial tendon. (J Am Podiatr Med Assoc 92(10): 570-574, 2002) Full article

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Hammer Toe Correction by Arthrodesis of the Proximal Interphalangeal Joint Using a Cortical Bone Allograft Pin

by Stephen J. Miller

J. Am. Podiatr. Med. Assoc. 2002, 92(10), 563-569; https://doi.org/10.7547/87507315-92-10-563 - 1 Nov 2002

Cited by 31 | Viewed by 74

Abstract

In hammer toe correction by means of digital fusion, fixation so that the bone can unite while maintaining appropriate realignment can be a challenge. Metal fixation pins can be associated with many problems and potential complications. The author presents a method of rigid [...] Read more.

In hammer toe correction by means of digital fusion, fixation so that the bone can unite while maintaining appropriate realignment can be a challenge. Metal fixation pins can be associated with many problems and potential complications. The author presents a method of rigid internal fixation using 2.4-mm-diameter pins fashioned out of freeze-dried allogeneic cortical bone. These devices avoid most of the risks of metal pins. Proximal interphalangeal joint arthrodesis using cortical bone pins was performed on 26 toes in 18 patients with very few complications. The author concludes that use of cortical bone pins can yield successful results in most cases. The outcomes of the fusions can be further enhanced by using flexor digitorum longus tendon transfer. (J Am Podiatr Med Assoc 92(10): 563-569, 2002) Full article

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Follow-up of the Isolated Medial Approach to Hallux Abducto Valgus Correction Without Interspace Release

by Jeffrey S. Boberg and Molly S. Judge

J. Am. Podiatr. Med. Assoc. 2002, 92(10), 555-562; https://doi.org/10.7547/87507315-92-10-555 - 1 Nov 2002

Cited by 10 | Viewed by 39

Abstract

A retrospective radiographic review was performed of 29 patients (37 feet) who underwent an isolated medial approach for correction of hallux abducto valgus deformity from March 1993 to November 1998. Only those patients who had a traditional Austin-type osteotomy with a reducible first [...] Read more.

A retrospective radiographic review was performed of 29 patients (37 feet) who underwent an isolated medial approach for correction of hallux abducto valgus deformity from March 1993 to November 1998. Only those patients who had a traditional Austin-type osteotomy with a reducible first metatarsophalangeal joint and flexible first ray were included in the study. The average follow-up period for the entire study group was 18.4 months, with 13 patients (44.83%; 17 feet) having a follow-up period of longer than 2 years. The average decrease in the intermetatarsal angle was 9.89°, and the average decrease in the hallux abductus angle was 14.0°, results that correlated well with those of other studies on correction of hallux abducto valgus. No clinical or radiographic recurrence of hallux abducto valgus was noted throughout the follow-up period. The authors believe that an isolated medial approach to hallux abducto valgus correction without a lateral interspace release yields predictable results when performed in appropriately selected patients. (J Am Podiatr Med Assoc 92(10): 555-562, 2002) Full article

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Long-term Follow-up of the Green-Watermann Osteotomy for Hallux Limitus

by Jason B. Dickerson, Richard Green and Donald R. Green

J. Am. Podiatr. Med. Assoc. 2002, 92(10), 543-554; https://doi.org/10.7547/87507315-92-10-543 - 1 Nov 2002

Cited by 34 | Viewed by 68

Abstract

The authors undertook a retrospective analysis of the long-term efficacy of the Green-Watermann procedure for the treatment of painful hallux limitus or rigidus. Questionnaires were sent to 80 consecutive patients who had such procedures performed between 1990 and 1999. Medical records and radiographs [...] Read more.

The authors undertook a retrospective analysis of the long-term efficacy of the Green-Watermann procedure for the treatment of painful hallux limitus or rigidus. Questionnaires were sent to 80 consecutive patients who had such procedures performed between 1990 and 1999. Medical records and radiographs were reviewed for the 32 patients who completed the questionnaires, representing 40 Green-Watermann procedures. Twenty-four patients were able to return for clinical evaluation. The average length of follow-up was 4 years (range, 1 to 10 years). The questionnaires addressed pain before and after surgery, function after surgery, complications, and overall impression and satisfaction. Nearly all of the patients (30 of 32; 94%) reported that surgery had significantly relieved their hallux joint pain, and a slightly smaller proportion (28 of 32; 88%) felt that their chief complaints were at least 70% improved. Clinical evaluation revealed adequate range of motion at the first metatarsophalangeal joint. It is concluded that the Green-Watermann procedure is an effective treatment approach for hallux limitus and rigidus, resulting in a significant reduction in pain, an increase in function, and a high degree of patient satisfaction. (J Am Podiatr Med Assoc 92(10): 543-554, 2002) Full article

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Retrocalcaneal Exostosis. Anatomy and a New Surgical Approach

by Jeffrey S. Boberg and Michelle C. Anania

J. Am. Podiatr. Med. Assoc. 2002, 92(10), 537-542; https://doi.org/10.7547/87507315-92-10-537 - 1 Nov 2002

Cited by 7 | Viewed by 72

Abstract

Various procedures have been described for removing a retrocalcaneal exostosis. These procedures require partial or complete detachment of the insertion of the Achilles tendon and ultimate resection of the exostosis. The authors introduce a simplified technique to surgically excise a retrocalcaneal exostosis based [...] Read more.

Various procedures have been described for removing a retrocalcaneal exostosis. These procedures require partial or complete detachment of the insertion of the Achilles tendon and ultimate resection of the exostosis. The authors introduce a simplified technique to surgically excise a retrocalcaneal exostosis based on an important and newly reported anatomical relationship. The procedure is performed through a posterior transverse incision and requires little or no reflection of the Achilles tendon. Overall, the 14 patients studied retrospectively wore shoes and returned to usual activities fairly rapidly after this procedure; however, time until patients were free of pain averaged nearly 12 months. Two patients did not obtain relief and required additional surgery despite complete removal of the exostosis. These results challenge the assumption that retrocalcaneal pain is secondary to exostosis formation. (J Am Podiatr Med Assoc 92(10): 537-542, 2002) Full article

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Sectioning the Plantar Fascia. Effect on First Metatarsophalangeal Joint Motion

by Francois M. Harton, Steven A. Weiskopf and Robert M. Goecker

J. Am. Podiatr. Med. Assoc. 2002, 92(10), 532-536; https://doi.org/10.7547/87507315-92-10-532 - 1 Nov 2002

Cited by 14 | Viewed by 58

Abstract

A study on the effect of sectioning the plantar fascia on the range of motion at the first metatarsophalangeal joint is presented. Dorsiflexion and plantarflexion range-of-motion data from 18 patients who had no first metatarsophalangeal joint pathology and had undergone an in-step plantar [...] Read more.

A study on the effect of sectioning the plantar fascia on the range of motion at the first metatarsophalangeal joint is presented. Dorsiflexion and plantarflexion range-of-motion data from 18 patients who had no first metatarsophalangeal joint pathology and had undergone an in-step plantar fasciotomy for recalcitrant plantar fasciitis were analyzed. The average increase in dorsiflexion of the first metatarsophalangeal joint after plantar fascia release was 9.8°, which represented a statistically significant increase using a paired t-test. Thus release of the plantar fascia can be considered a potential adjunct to hallux limitus surgery. (J Am Podiatr Med Assoc 92(10): 532-536, 2002) Full article

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Introduction

by Donald R. Green

J. Am. Podiatr. Med. Assoc. 2002, 92(10), 531; https://doi.org/10.7547/87507315-92-10-531 - 1 Nov 2002

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The Podiatry Institute, based in Tucker, Georgia, with over 80 members scattered throughout the country, has made a strong commitment to education [...] Full article

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J. Am. Podiatr. Med. Assoc., Volume 92, Issue 10 (11 2002) – 9 articles , Pages 531-598

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