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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

18:43

FAI March 2024 Podcast: Primary Ankle Fusion Using an...

Foot & Ankle International ·

2024/03/25

Type C3 distal tibial plafond fractures consistently show poor outcomes with high complication rates and significant risk of posttraumatic arthritis. We describe a minimally invasive technique of performing a primary ankle fusion using an anterograde tibial nail and compare our early results to traditional methods of fixation. In conclusion, C3 distal tibial plafond fractures are difficult to manage and there has not been a satisfactory method of treating them that allows early return to work,

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11:20

FAI February 2024 Podcast: Immediate Unprotected...

Foot & Ankle International ·

2024/02/16

Postoperative care protocols for ankle fracture surgery remain controversial with variability among care providers. This prospective controlled trial compared 12-week postoperative outcomes for immediate unprotected weightbearing (IMWB) vs nonweightbearing (NWB) for 2 weeks in a splint followed by weightbearing as tolerated (WBAT) in a boot after surgical fixation of selected low-energy ankle fractures without superior articular involvement. In conclusion, in this short-term and relatively

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13:46

FAI January 2024 Podcast: Outcomes After Proximal...

Foot & Ankle International ·

2024/01/31

Evidence from prospective short-term studies suggest that proximal medial gastrocnemius recession is a safe and efficient procedure to treat chronic plantar fasciitis resistant to nonoperative treatment. The aim of this study was to evaluate the long-term clinical outcomes of proximal medial gastrocnemius recession and stretching compared to a stretching exercise protocol for patients with chronic plantar fasciitis and an isolated gastrocnemius contracture (IGC). In conclusion, this study

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16:12

FAI December 2023 Podcast: Outcomes After Hallux...

Foot & Ankle International ·

2023/12/13

Hallux interphalangeal joint arthrodesis (HIPJA) is indicated for a variety of pathologies. Despite high nonunion rates, techniques remain unchanged. The aim of this study is to examine nonunion and complication rates and describe risk factors for treatment failure. In conclusion, our cohort represents the largest single-center series of HIPJA procedures published to date. We found relatively high nonunion and reoperation rates with standard current techniques. Click here to read the article

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11:47

FAI November 2023 Podcast: Outcomes of Total Ankle...

Foot & Ankle International ·

2023/11/27

Ankle arthritis that develops after fracture accounts for a significant portion of ankle arthritis necessitating total ankle arthroplasty (TAA). It remains unknown whether TAA in postfracture patients produces equivalent outcomes to those without fracture history. The purpose of this study was to evaluate the medium-term outcomes of TAA in postfracture ankle arthritis compared to those without fracture history. In conclusion, in this single-center, retrospective comparative study, we found total

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13:25

FAI October 2023 Podcast: Adverse Events After Ankle...

Foot & Ankle International ·

2023/10/19

Ankle fractures are common orthopaedic injuries that may be indicated for open reduction internal fixation (ORIF). Although the negative impact of tobacco use on perioperative outcomes of ankle fracture ORIF has been described, the potential impact of cannabis use on related outcomes is not as well established. In conclusion, patients with tobacco use (alone or with cannabis) were at greater odds of 90-day adverse events following ankle fracture ORIF, but cannabis only users were not. Click

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17:04

FAI September 2023 Podcast: The Fate of Delayed...

Foot & Ankle International ·

2023/09/14

Nonunion remains the most common major complication of ankle arthrodesis. Although previous studies have reported delayed union or nonunion rates, few have elaborated on the clinical course of patients experiencing delayed union. In this retrospective cohort study, we sought to understand the trajectory of patients with delayed union by determining the rate of clinical success and failure and whether the extent of fusion on computed tomography scan (CT) was associated with outcomes. In

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12:50

FAI August 2023 Podcast: Broström Repair With and...

Foot & Ankle International ·

2023/08/10

An augmented Broström repair with nonabsorbable suture tape has demonstrated strength and stiffness more similar to the native anterior talofibular ligament (ATFL) compared to Broström repair alone at the time of repair in cadaveric models for the treatment of lateral ankle instability. The study purpose was to compare minimum 2-year patient-reported outcomes (PROs) following treatment of ATFL injuries with Broström repair with vs without suture tape augmentation. In conclusion, at median

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19:15

FAI July 2023 Podcast: Association of Preexisting...

Foot & Ankle International ·

2023/07/13

Arthroscopic ankle arthrodesis (AAA) is a successful treatment for end-stage ankle arthritis. A significant early complication of AAA is symptomatic nonunion. Published nonunion rates range from 8% to 13%. Longer term, there is concern that it predisposes to subtalar joint (STJ) fusion. To better understand these risks, we undertook a retrospective investigation of primary AAA. In conclusion, as the largest study of AAA in the literature, our findings suggest prior triple fusion is a major

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14:07

FAI June 2023 Podcast: Does Patient-Reported Outcome...

Foot & Ankle International ·

2023/06/05

Patient-reported outcome measures (PROMs) can help predict clinical outcomes and improve shared clinical decision-making discussions. There remains a paucity of research assessing how the use of PROMs may drive improved patient experience and patient activation. In conclusion, highly rated foot and ankle surgeons who show and discuss PROM results may not improve patient experience or activation and may, in fact, decrease understanding or patient activation in select populations. Future work is

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18:58

FAI May 2023 Podcast: Risks Associated With Posterior...

Foot & Ankle International ·

2023/05/16

The use of posterior ankle and hindfoot arthroscopy (PAHA) has been expanding over time. Many new indications have been reported in the literature. The primary objective of this study was to report the rate of PAHA complication in a large cohort of patients and describe their potential associations with demographical and surgical variables. In conclusion, the complication rate in this cohort that was treated with posterior ankle and/or hindfoot arthroscopy was 6.8%. Most complications were due to

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14:20

FAI April 2023 Podcast: Outcomes of Salvage...

Foot & Ankle International ·

2023/04/11

The number of total ankle arthroplasty (TAA) procedures increased rapidly in the last years and so have its complications. The main pillars in treating failed TAA are revision total ankle arthroplasty (RTAA), revision total ankle arthrodesis (RAA), or revision tibiotalocalcaneal fusion (RTTC). To evaluate these options, we compared clinical, radiologic, and patient-reported outcomes. In conclusion, this retrospective study suggests lower failure rates, increased short-term survival and a better

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20:32

FAI March 2023 Podcast: Patient Satisfaction and Pain...

Foot & Ankle International ·

2023/03/13

The deep peroneal nerve (DPN) plays a role in afferent nociceptive dorsal midfoot joint pain perception. DPN neurectomy for treatment of symptomatic dorsal midfoot osteoarthritis allows early mobilization and weightbearing. The purpose of our study was to evaluate the patient satisfaction and pain relief after DPN neurectomy for treatment of chronic dorsal midfoot pain due to osteoarthritis. In conclusion, in this cohort, DPN neurectomy appeared to be a reasonable surgical alternative to

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19:18

FAI January 2023 Podcast: Early-Term Results of the...

Foot & Ankle International ·

2023/01/13

Although considerable literature can be found on the outcome of total ankle replacement (TAR), only a few studies have reported the results of the fixed-bearing Cadence prosthesis. This noninventor study reports a consecutive series of 60 Cadence TAR systems with a mean of 2.9 years’ follow-up, focusing on clinical and radiographic outcomes and early complications. This study is the first to assess true postoperative radiographic ankle prosthesis range of motion (ROM) and to report an unanticipated

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15:00

FAI December 2022 Podcast: Minimum 5-Year Follow-up...

Foot & Ankle International ·

2022/12/19

Isolated Weber B, AO (Association for the Study of Internal Fixation) type 44B ankle fractures with no fracture to the medial side are the most common type of ankle fracture and may be treated with internal fixation or without surgery. This study aimed to determine if surgery is superior to nonsurgical management for the treatment of these fractures after a minimum 5-year follow-up. In conclusion, the results of this study suggest that in terms of patient-reported outcomes, surgical management

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17:36

FAI November 2022 Podcast: Compensation of Dynamic...

Foot & Ankle International ·

2022/09/28

There is an ongoing discussion on how to best stabilize syndesmotic injuries. Previous studies have indicated a better quality of reduction of the distal tibiofibular joint (DTFJ) for the suture button systems compared to syndesmotic screw fixation. Still, the reason for this superiority remains unclear. The aims of this retrospective study were to (1) analyze the deviation of the tibial and fibular drilling tunnels of the suture button system and (2) to compare these to the quality of reduction of

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11:46

FAI October 2022 Podcast: Significant Factors of High...

Foot & Ankle International ·

2022/09/28

Limited research exists about high performance postsurgical tibial plafond fractures. This study aimed to identify aspects of the plafond fracture injury and care associated with “high performance” based on Patient Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) scores. In conclusion, significant independent factors associated with high performance after tibial plafond fracture are lower BMI, closed fracture, and OTA/AO 43-B (partial articular) fracture. To view

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18:57

FAI September 2022 Podcast: Augmenting Osteochondral...

Foot & Ankle International ·

2022/09/12

Osteochondral autograft transplant (OAT) is often used to treat large osteochondral lesions of the talus and is generally associated with good outcomes. The addition of adjuncts such as cartilage extracellular matrix with bone marrow aspirate concentrate (ECM-BMAC) may further improve the OAT procedure but have not been thoroughly studied. We hypothesized that the placement of ECM-BMAC around the OAT graft would improve radiographic and patient-reported outcomes following OAT. In conclusion, the

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17:26

FAI August 2022 Podcast: Treatment of Infected...

Foot & Ankle International ·

2022/08/05

Revision surgery in the presence of infection carries high risks. We describe our results using a new technique to treat these challenging problems. We treated infected nonunions with cavitary voids with adjuvant antibiotic loaded calcium sulfate–hydroxyapatite paste composite and autologous bone graft (ABG) layer technique coupled with stable fixation. In conclusion, layered autologous bone grafting with adjuvant antibiotic-loaded calcium sulfate–hydroxyapatite paste has been shown to be effective

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10:19

FAI July 2022 Podcast: Avoiding Fifth Metatarsal...

Foot & Ankle International ·

2022/07/05

Multiple case reports of fifth metatarsal (MT) intramedullary fixation highlight symptomatic hardware with screw head impingement on the cuboid. We developed a fifth MT intramedullary screw trajectory model using weightbearing computed tomography data. The goal was to assess for cuboid impingement with simulated intramedullary screw position. In conclusion, the ideal guidewire placement for fifth MT intramedullary fixation is directly against the cuboid. Approximately 95% of patients would have

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122 results

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