2021 Annual Meeting Foot & Ankle Access Pass-Questions and Answers: Foot and Ankle

Video Transcription

Video Summary

At a medical talk, experts discussed ankle fracture management, highlighting intraoperative techniques like using body weight instead of leg holders for stability. They prefer abrasion chondroplasty over microfracture to promote healing without damaging bone. Second-look arthroscopy rates are low, mainly due to stiffness rather than lesion issues. Identifying subtle ankle instability post-trauma is crucial, as undiagnosed ligament injury often leads to arthritis. Optimal clinical setup involves knee extension with manual distraction, though some cases require flexion. Research showed limited cartilage visualization in common fractures, emphasizing challenges in treatment. Caution in microfracture use is advised to avoid worsening subchondral damage.

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Rohan Bhimani, MD, MBA; Jeff Hassebrock, MD; Norman Waldrop, MD

Keywords

ankle fracture management

intraoperative techniques

abrasion chondroplasty

ankle instability diagnosis

microfracture caution