AANA19 Foot & Ankle Access Pass-Questions and Answers_ Concurrent Scientific Session III_ Foot and Ankle-Dr. Najib Raymond Ussef, M.D.

Questions and Answers_ Concurrent Scientific Session III_ Foot and Ankle-Dr. Najib Raymond Ussef, M.D.

Video Transcription

Video Summary

The discussion covered Achilles tendon repair, noting tendon elongation occurs regardless of rehab protocol, but without functional impact. Beads used to measure elongation were laser-etched for stability, improving measurement accuracy. Postoperative NSAID use for fifth metatarsal fractures was debated; many avoid NSAIDs in high-risk cases to promote healing. Multimodal pain management, including preoperative Pregabalin, reduces opioid use and tolerance issues. Regarding ACL injuries, inflammatory marker profiles differ from simple haemarthrosis, suggesting injury-specific pathology potentially linked to cartilage or subchondral bone damage during trauma, underpinning post-traumatic arthritis development. Ongoing research aims to clarify these mechanisms for better outcomes.

Keywords

Achilles tendon repair

NSAID use in fractures

multimodal pain management

ACL injury inflammatory markers

post-traumatic arthritis