AANA24 Foot & Ankle All-Access Pass-CONCURRENT SCIENTIFIC SESSION 3C: Foot and Ankle Innovations

Video Transcription

Video Summary

The video features a comprehensive discussion on foot and ankle innovations, focusing on soft tissue repair, Achilles tendon rupture management, deltoid ligament repair, arthroscopic intervention for ankle fractures, and osteochondral lesion treatment.<br /><br />Dr. Eric Ferkel reviews lateral ankle instability, emphasizing the anatomy, epidemiology, and treatment algorithms for ankle sprains. He highlights the role of arthroscopic and open Brostrom repairs, augmentation options, and allograft reconstructions in chronic instability. Early physical therapy, functional testing, and blood flow restriction therapy aid postoperative recovery.<br /><br />Next, Achilles tendon rupture management is addressed, stressing that open repair reduces re-rupture risk compared to nonoperative treatment but carries wound complication risks. Minimally invasive techniques, such as percutaneous locked-suture systems, maintain tendon tension, improve strength, and accelerate rehabilitation while minimizing complications.<br /><br />Dr. Kevin Martin discusses deltoid ligament anatomy and the necessity of repairing deltoid and syndesmotic injuries together for ankle stability. Arthroscopy allows precise assessment and repair, varying from percutaneous suture anchor repairs in mild injuries to open, robust fixation in severe cases.<br /><br />Dr. Arianna Giannakos advocates routine arthroscopic evaluation in ankle fractures to identify cartilage injuries, loose bodies, and syndesmotic instability, which impact prognosis and long-term outcomes. Needle arthroscopy is minimally invasive and avoids ankle distraction.<br /><br />Finally, treatment of osteochondral lesions of the talus is covered, highlighting options from microfracture techniques for smaller lesions to osteochondral allografts and autologous chondrocyte implantation for larger defects, with careful consideration of concurrent ligament instability.<br /><br />Panel discussions suggest increasing surgical intervention for select ankle sprains, utilizing weight-bearing CT for surgical decision-making, and tailored deltoid repairs, stressing the importance of restoring anatomy to prevent chronic instability and arthritis.

Asset Caption

Introduction by Moderators: Richard D. Ferkel, M.D., FAANA, Kirk A. McCullough, M.D.

Keywords

foot and ankle innovations

soft tissue repair

Achilles tendon rupture

deltoid ligament repair

arthroscopic ankle fractures

osteochondral lesion treatment

lateral ankle instability

Brostrom repair

weight-bearing CT