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PODCAST

Foot & Ankle International

SAGE Publications

Foot & Ankle International (FAI), in publication since 1980, is the official journal of the American Orthopaedic Foot & Ankle Society (AOFAS). This monthly medical journal emphasizes surgical and medical management as it relates to the foot and ankle with a specific focus on reconstructive, trauma, and sports-related conditions utilizing the latest technological advances.

health & fitness medicine

All Episodes

10:49

FAI June 2017 Podcast: Operative Treatment of...

Foot & Ankle International ·

2017/06/01

Traumatic hallux valgus is an increasingly common injury in the athletic population and represents a unique variant of turf toe. Failure to appropriately recognize and treat these injuries can lead to continued pain, decreased performance, progressive deformities, and ultimately degeneration of the hallux metatarsophalangeal joint. Limited literature currently exists to assist in the diagnosis, management, and operative treatment. Overall, good operative results were obtained, with 74% of patients

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11:48

FAI May 2017 Podcast: Patient Factors Associated With...

Foot & Ankle International ·

2017/05/01

Few authors have investigated patients’ expectations from foot and ankle surgery. In this study, we aimed to examine relationships between patients’ preoperative expectations and their demographic and clinical characteristics. We hypothesized that patients with more disability and those with anxiety or depressive symptoms would have greater expectations. The results of this study may help inform surgeons’ preoperative discussions with their patients regarding realistic expectations from surgery

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15:19

FAI April 2017 Podcast: Histological Analysis of...

Foot & Ankle International ·

2017/03/31

The purpose of this study was to perform a histological comparative analysis of tibiotalar joint samples taken from areas of osteolysis adjacent to total ankle arthroplasties vs control synovial specimens to determine the reaction to and presence of polyethylene (PE) particles. This study is the largest ankle arthroplasty histological analysis to show that areas of osteolysis consist of abundant polyethylene wear particles, present both intracellularly and extracellularly. Furthermore, these areas

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14:58

FAI March 2017 Podcast: Plantar Plate Repair for...

Foot & Ankle International ·

2017/03/01

Lesser metatarsophalangeal (MTP) joint instability is a common cause of forefoot pain. Advances in operative technique and instrumentation have made it possible to anatomically treat plantar plate tears through a dorsal approach. Our goal was to evaluate the subjective, functional, and radiographic outcomes of plantar plate repair (PPR) from a dorsal approach. We found that the plantar plate could be repaired through a dorsal approach with reliable outcomes. PPR was a viable option to anatomically

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11:23

FAI February 2017 Podcast: Correlation of Physical...

Foot & Ankle International ·

2017/01/18

Functional recovery following total ankle arthroplasty (TAA) is assessed with patient-reportedmetrics, but physical performance tests may allow for a more accurate assessment of patientfunction. We quantified correlations between patient-reported measures and physicalperformance tests in patients after TAA to determine the usefulness of physical performancetests in post-TAA assessment. The lack of strong correlations between the 2 sets of metrics indicates that they provide different information

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14:03

FAI January 2017 Podcast: Treatment of Plantar...

Foot & Ankle International ·

2016/12/28

This study examined the effect of botulinum toxin upon plantar fasciitis through a randomized, controlled, and blinded trial. Between 2012 and 2015, 50 patients presented with plantar fasciitis. Twenty-five patients each randomly received an IncobotulinumtoxinA (IBTA) or saline injection of their affected foot. Pre- and postinjection function and pain were graded with the Foot and Ankle Ability Measures (FAAM) and visual analog scale (VAS), respectively. All 50 study patients who randomly received

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12:34

FAI December 2016 Podcast: Symptom Resolution and...

Foot & Ankle International ·

2016/11/30

Patients’ perception of outcomes is not always defined by the absence of limitations/symptoms (resolution), but can also be characterized by behavioral adaptation and cognitive coping arising in cases with residual deficits. Patient-reported outcome measures (PROs) are designed to measure levels of function or symptoms, largely missing whether patients are coping with ongoing limitations. This study aimed to broaden the conventional definition of a “satisfactory” outcome following ankle

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13:57

FAI November 2016 Podcast: A Coding System for...

Foot & Ankle International ·

2016/11/01

Repeated surgery can be a measure of failure of the primary surgery. Future reoperations might be avoided if the cause is recognized and procedures or devices modified accordingly. Reoperations result in costs to both patient and the health care system. This paper proposes a new classification system for reoperations in end-stage ankle arthritis, and analyzes reoperation rates for ankle joint replacement and arthrodesis surgeries from a multicenter database. The new coding system presented here was

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11:50

FAI October 2016 Podcast: Comparison of All-Inside...

Foot & Ankle International ·

2016/09/30

No reported study has compared clinical and radiologic outcomes between an all-inside arthroscopic modified Broström operation (MBO) and an open MBO. The purpose of this study was to compare clinical and radiologic outcomes of all-inside arthroscopic and open MBOs. THe study found that there was no difference in the clinical or radiologic outcome between the all-inside arthroscopic MBO and open MBO for the treatment of lateral ankle instability at up to 1 year after surgery. An all-inside

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14:19

FAI September 2016 Podcast: Preoperative PROMIS...

Foot & Ankle International ·

2016/09/01

The use of patient-reported outcomes continues to expand beyond the scope of clinical research to involve standard of care assessments across orthopedic practices. It is currently unclear how to interpret and apply this information in the daily care of patients in a foot and ankle clinic. We prospectively examined the relationship between preoperative patient-reported outcomes (PROMIS Physical Function, Pain Interference and Depression scores), determined minimal clinical important differences for

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09:53

FAI August 2016 Podcast: Effectiveness of Allograft...

Foot & Ankle International ·

2016/08/01

Irreparable peroneus brevis tendon tears are uncommon, and there is scant evidence on which to base operative treatment. Options include tendon transfer, segmental resection with tenodesis to the peroneus longus tendon, and allograft reconstruction. However, the relative effectiveness of the latter 2 procedures in restoring peroneus brevis function has not been established. Allograft reconstruction of a peroneus brevis tendon tear in this model substantially restored distal tension when the peroneal

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14:12

FAI July 2016 Podcast: Long-term Follow-up of a...

Foot & Ankle International ·

2016/07/01

Hallux valgus is one of the most common foot deformities. This long-term follow-up study compared the results of 2 widely used operative treatments for hallux valgus: the scarf and chevron osteotomy. Both techniques showed similar results after 2 years of follow-up. At 14 years of follow-up, neither technique was superior in preventing recurrence. To view the article, click here.

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09:13

FAI June 2016 Podcast: Lesser Toe PIP Joint Resection...

Foot & Ankle International ·

2016/06/06

It is unclear whether proximal interphalangeal joint (PIPJ) resection or fusion leads to superior clinical outcome in patients undergoing hammertoe surgery. The purpose of this study was to prospectively evaluate a series of patients undergoing this surgery. Our randomized controlled study did not show any clinical outcome difference between PIPJ fusion and PIPJ resection. Both procedures resulted in good to excellent outcome in pain and activity scores. To view the article, click here.

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11:25

FAI May 2016 Podcast: Prospective, Randomized,...

Foot & Ankle International ·

2016/05/03

Although a variety of great toe implants have been tried in anattempt to maintain toe motion, the majority have failed with loosening, malalignment/dislocation, implant fragmentation and bone loss. In these cases, salvage to arthrodesis is more complicated and results in shortening of the ray or requires structural bone graft to reestablish length. This prospective study compared the efficacy and safety of this small (8/10 mm) hydrogel implant to the gold standard of a great toe arthrodesis for

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08:57

FAI April 2016 Podcast: Radiographic Severity of...

Foot & Ankle International ·

2016/04/01

It has been previously demonstrated that radiographic severity of arthritis predicts outcome following knee replacement. In certain circumstances, patients may undergo arthroplasty without severe radiographic disease. An example may be the patient with significant chondral damage unsuccessfully treated with arthroscopy. This patient may proceed to joint replacement when their radiographs would not normally merit such intervention. We investigated whether these findings were also applicable to total

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10:44

FAI March 2016 Podcast: Effect of Obesity on Clinical...

Foot & Ankle International ·

2016/03/23

Obesity is a known risk factor for the development of adult acquired flatfoot deformity (AAFD), but obesity’s effects on outcomes following AAFD reconstruction are unknown. The study hypothesized that obesity would negatively impact outcomes following joint-preserving stage II AAFD reconstruction. This study found that although obese patients had significantly worse symptoms, overall health, and NRS pain scores preoperatively, the short-term clinical and radiographic outcomes of stage II AAFD

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11:14

FAI February 2016 Podcast: Inconsistency in the...

Foot & Ankle International ·

2016/03/23

Systems for classifying complications have been proposed for many surgical subspecialties. The goal of this systematic review was to analyze the number and frequency of different terms used to identify complications in total ankle arthroplasty. We hypothesized that this terminology would be highly variable, supporting a need for a standardized system of reporting. The review showed that the reporting of complications and adverse outcomes for total ankle arthroplasty was highly variable. This lack

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12:38

FAI January 2016 Podcast: Effect of Obesity on Total...

Foot & Ankle International ·

2016/03/23

The prevalence of obesity in the United States is staggering. Currently, the effect of obesity on third-generation total ankle replacement (TAR) is unknown. This study concluded that total ankle arthroplasty in obese patients was a relatively safe procedure. Although obese patients after TAR had lower functional outcome scores compared to their nonobese counterpart, they did experience significant functional and pain improvements at most recent follow-up. To view the article, click here.

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15:02

FAI December 2015 Podcast: Non-Invasive Arterial...

Foot & Ankle International ·

2016/03/23

This study was designed to compare the findings of noninvasive arterial testing in patients with and without diabetic foot pathology. Combining the ABI (ankle brachial index) with TBI (toe brachial index) improved the ability to diagnose PAD (peripheral artery disease) in diabetic patients because the ABI has high specificity (low false positives) and the TBI has high sensitivity (low false negatives). The TBI was more reliable in patients with noncompressible arteries, medial artery calcinosis

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11:15

FAI November 2015 Podcast: Inflammatory Cytokines and...

Foot & Ankle International ·

2016/03/23

Posttraumatic osteoarthritis (PTOA) can occur after intra-articular fracture despite anatomic fracture reduction. It has been hypothesized that an early inflammatory response after intra-articular injury could lead to irreversible cartilage damage that progresses to PTOA. Therefore, in addition to meticulous fracture reduction, it would be ideal to prevent this initial inflammatory response but little is known about the composition of the synovial environment after intra-articular fracture. The

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