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FAI June 2024 Podcast: Revision Total Ankle Arthroplasty Using the INBONE II System

Foot & Ankle International - June 20, 2024 13:29 - 27 minutes ★★★★ - 17 ratings
The utilization of total ankle arthroplasty (TAA) for managing severe ankle osteoarthritis has become increasingly common, leading to a higher occurrence of revision TAA procedures because of failure of primary TAA. This study aims to examine the clinical results associated with revision TAA u...

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FAI May 2024 Podcast: Discrepancies Between Intraoperative and Postoperative Ankle Motion Measured for Anterior-Approach Total Ankle Arthroplasty

Foot & Ankle International - May 07, 2024 16:59 - 19 minutes ★★★★ - 17 ratings
Although intraoperative ankle motion serves as a foundational reference for anticipated motion after surgery and guides the addition of procedures to enhance ankle motion in total ankle arthroplasty (TAA), the relationship between intraoperative and postoperative ankle motion remains unclear. ...

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FAI April 2024 Podcast: Statistical Fragility Analysis of Open Reduction Internal Fixation vs Primary Arthrodesis to Treat Lisfranc Injuries: A Systematic Review

Foot & Ankle International - April 23, 2024 13:42 - 14 minutes ★★★★ - 17 ratings
There is a lack of consensus in the use of open reduction internal fixation (ORIF) vs primary arthrodesis (PA) in the management of Lisfranc injuries. Statistical fragility represents the number of events needed to flip statistical significance and provides context to interpret P values of out...

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FAI March 2024 Podcast: Primary Ankle Fusion Using an Antegrade Nail Into the Talus for Early Treatment of OTA Type C3 Distal Tibial Plafond Fractures: A Preliminary Report

Foot & Ankle International - March 25, 2024 13:18 - 18 minutes ★★★★ - 17 ratings
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 t...

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FAI February 2024 Podcast: Immediate Unprotected Weightbearing vs 2 Weeks Nonweightbearing After Open Reduction Internal Fixation of Ankle Fractures

Foot & Ankle International - February 16, 2024 16:54 - 11 minutes ★★★★ - 17 ratings
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 followe...

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FAI January 2024 Podcast: Outcomes After Proximal Medial Gastrocnemius Recession and Stretching vs Stretching as Treatment of Chronic Plantar Fasciitis at 6-Year Follow-up

Foot & Ankle International - January 31, 2024 20:27 - 13 minutes ★★★★ - 17 ratings
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 g...

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FAI December 2023 Podcast: Outcomes After Hallux Interphalangeal Joint Arthrodesis

Foot & Ankle International - December 13, 2023 17:07 - 16 minutes ★★★★ - 17 ratings
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 co...

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FAI November 2023 Podcast: Outcomes of Total Ankle Arthroplasty in Postfracture Ankle Arthritis

Foot & Ankle International - November 27, 2023 15:38 - 11 minutes ★★★★ - 17 ratings
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...

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FAI October 2023 Podcast: Adverse Events After Ankle Fracture Open Reduction Internal Fixation Among Patients With and Without Documented Cannabis and Tobacco Use

Foot & Ankle International - October 19, 2023 17:41 - 13 minutes ★★★★ - 17 ratings
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...

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FAI September 2023 Podcast: The Fate of Delayed Unions After Isolated Ankle Fusion

Foot & Ankle International - September 14, 2023 14:25 - 17 minutes ★★★★ - 17 ratings
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 ...

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FAI August 2023 Podcast: Broström Repair With and Without Augmentation: Comparison of Outcomes at Median Follow-up of 5 Years

Foot & Ankle International - August 10, 2023 15:16 - 12 minutes ★★★★ - 17 ratings
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 st...

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FAI July 2023 Podcast: Association of Preexisting Triple Fusion and Arthroscopic Ankle Arthrodesis nonunion

Foot & Ankle International - July 13, 2023 19:08 - 19 minutes ★★★★ - 17 ratings
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 bet...

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FAI June 2023 Podcast: Does Patient-Reported Outcome Measures Use at New Foot and Ankle Patient Clinic Visits Improve Patient Activation, Experience, and Satisfaction?

Foot & Ankle International - June 05, 2023 16:47 - 14 minutes ★★★★ - 17 ratings
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...

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FAI May 2023 Podcast: Risks Associated With Posterior Ankle Hindfoot Arthroscopy Complications

Foot & Ankle International - May 16, 2023 14:20 - 18 minutes ★★★★ - 17 ratings
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 associati...

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FAI April 2023 Podcast: Outcomes of Salvage Procedures for Failed Total Ankle Arthroplasty

Foot & Ankle International - April 11, 2023 13:39 - 14 minutes ★★★★ - 17 ratings
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). T...

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FAI March 2023 Podcast: Patient Satisfaction and Pain Relief After Deep Peroneal Nerve Neurectomy for Midfoot Arthritis: A Preliminary Short Report

Foot & Ankle International - March 13, 2023 13:09 - 20 minutes ★★★★ - 17 ratings
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 pa...

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FAI January 2023 Podcast: Early-Term Results of the Cadence Total Ankle Prosthesis: An European Noninventor Study

Foot & Ankle International - January 13, 2023 16:26 - 19 minutes ★★★★ - 17 ratings
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, ...

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FAI December 2022 Podcast: Minimum 5-Year Follow-up Results: CROSSBAT (Combined Randomised and Observational Study of Surgery vs No Surgery for Type B Ankle Fracture Treatment)

Foot & Ankle International - December 19, 2022 16:39 - 15 minutes ★★★★ - 17 ratings
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 t...

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FAI November 2022 Podcast: Compensation of Dynamic Fixation Systems in the Quality of Reduction of Distal Tibiofibular Joint in Acute Syndesmotic Complex Injuries: A CT-Based Analysis

Foot & Ankle International - September 28, 2022 18:24 - 17 minutes ★★★★ - 17 ratings
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...

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FAI October 2022 Podcast: Significant Factors of High Performance Outcomes for Tibial Plafond Fractures

Foot & Ankle International - September 28, 2022 18:15 - 11 minutes ★★★★ - 17 ratings
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) s...

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FAI September 2022 Podcast: Augmenting Osteochondral Autograft Transplantation and Bone Marrow Aspirate Concentrate with Particulate Cartilage Extracellular Matrix Is Associated With Improved Outcomes

Foot & Ankle International - September 12, 2022 14:18 - 18 minutes ★★★★ - 17 ratings
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 pr...

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FAI August 2022 Podcast: Treatment of Infected Nonunions With Bone Defects Using Autologous Bone Graft and Absorbable Antibiotic-Loaded Calcium Sulfate–Hydroxyapatite Paste

Foot & Ankle International - August 05, 2022 15:05 - 17 minutes ★★★★ - 17 ratings
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 bon...

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FAI July 2022 Podcast: Avoiding Fifth Metatarsal Intramedullary Screw Head Cuboid Impingement: A Weightbearing Computed Tomography Anatomic Study

Foot & Ankle International - July 05, 2022 23:03 - 10 minutes ★★★★ - 17 ratings
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 impingeme...

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FAI June 2022 Podcast: Patient-Specific Instrumentation vs Standard Referencing in Total Ankle Arthroplasty: A Comparison of the Radiologic Outcome

Foot & Ankle International - June 06, 2022 16:57 - 8 minutes ★★★★ - 17 ratings
Existing literature on the superiority of patient-specific instrumentation (PSI) in total ankle arthroplasty (TAA) over standard referencing (SR) is limited. Advantages presented include better implant alignment, shorter operating times, and increased accuracy of implant size prediction. The aim...

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FAI May 2022 Podcast: Fibula Nail Outcomes in Soft Tissue Compromised Ankle Fractures

Foot & Ankle International - May 09, 2022 17:00 - 18 minutes ★★★★ - 17 ratings
The background of this study was to determine the clinical outcomes following fibula nail fixation and to identify the indication for the use of fibula nails in lower limb fractures. In conclusion, this multicenter study demonstrates that use of a fibula nail appears to be a safe approach to t...

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FAI April 2022 Podcast: Average 4-Year Outcomes of Distal Oblique First Metatarsal Osteotomy for Stage 1 to 3 Hallux Rigidus

Foot & Ankle International - April 11, 2022 16:35 - 13 minutes ★★★★ - 17 ratings
Hallux rigidus is the second most frequent pathology of the first ray. Surgical options for degenerative metatarsophalangeal joint disease are either joint destructive or conservative procedures. The hypothesis was that oblique distal shortening osteotomy of the first metatarsal is an effective ...

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FAI March 2022 Podcast: Association of First Metatarsal Pronation Correction With Patient-Reported Outcomes and Recurrence Rates in Hallux Valgus

Foot & Ankle International - March 04, 2022 16:57 - 15 minutes ★★★★ - 17 ratings
The purpose of this study was to determine if a postoperative decrease in first metatarsal pronation on 3-dimensional imaging was associated with changes in patient-reported outcomes as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) physical function, pain inte...

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FAI February 2022 Podcast: Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy of the Lesser Toes: Clinical, Radiologic, and Pedobarographic Outcomes

Foot & Ankle International - February 14, 2022 16:42 - 12 minutes ★★★★ - 17 ratings
The minimally invasive distal metatarsal metaphyseal osteotomy (DMMO) is a percutaneous operative technique with the aim to relieve the symptoms of metatarsalgia. To our knowledge, no previous research has analyzed both pre- and postoperative pedobarographic data including the changes in plantar...

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FAI January 2022 Podcast: Outcomes of Tibialis Anterior Tendon Reconstruction with Autograft or Allograft

Foot & Ankle International - January 14, 2022 16:25 - 9 minutes ★★★★ - 17 ratings
In cases of tibialis anterior tendon (TAT) ruptures associated with significant tendon defect, an interposition graft is often needed for reconstruction. Both auto- and allograft reconstructions have been described in the literature. Our hypothesis was that both graft types would have a good int...

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FAI December 2021 Podcast: Outcomes of 2B Adult Acquired Flatfoot Deformity Correction in Patients With and Without Spring Ligament Tear

Foot & Ankle International - November 29, 2021 18:13 - 20 minutes ★★★★ - 17 ratings
It is currently unclear how injury to the spring ligament (SL) affects the preoperative presentation of adult acquired flatfoot deformity (AAFD) or the outcome of operative reconstruction. The purposes of this study were to assess the preoperative features and pre- or postoperative function of p...