AANA19 Foot & Ankle Access Pass-Questions and Answers_ Symposium - Foot and Ankle Challenges-Dr. Richard D. Ferkel, M.D.

Questions and Answers_ Symposium - Foot and Ankle Challenges-Dr. Richard D. Ferkel, M.D.

Video Transcription

Video Summary

The discussion covers treatment options for chronic tendinopathy after conservative therapies and PRP injections have failed. The typical approach begins with correcting biomechanics, physiotherapy, and shockwave therapy. If unsuccessful, PRP or overdistension injections are tried. Surgery is considered last, involving tendon stripping, nodule excision combined with PRP, or FHL tendon transfer for severe tendinosis. Additional topics include the use of massive allografts for large osteochondral lesions, showing promising long-term outcomes, and arthroscopic assessment and repair techniques for peroneal tendon tears, emphasizing minimally invasive approaches tailored to tear location.

Keywords

chronic tendinopathy

PRP injections

shockwave therapy

tendon surgery

arthroscopic peroneal tendon repair