AANA25 Foot & Ankle Access Pass-CONCURRENT SESSION 3D: Foot & Ankle for the Weekend Warrior

Video Transcription

Video Summary

The video features a series of expert talks and discussions centered on foot and ankle injuries, primarily focusing on treatment approaches for stress fractures, syndesmotic lesions, Achilles tendon ruptures, and lateral ligament reconstruction in athletes.<br /><br />Rick Frokel opens by discussing stress fractures in professional athletes, highlighting importance of metabolic workup (vitamin D, calcium), bone healing aids (vitamin D, calcium, Forteo, shockwave therapy, BMAC), and surgical interventions for complex fractures like navicular and Jones fractures. He emphasizes aggressive treatment to reduce downtime and prevent recurrence.<br /><br />Guillermo Cardon presents a study on syndesmotic injury diagnosis, proposing a new MRI-based classification correlating well with arthroscopic findings, suggesting MRI as a reliable, less invasive diagnostic tool.<br /><br />Austin Wetzler discusses augmentation of Achilles tendon repair with a reinforced bioinductive implant (RBI) to strengthen repairs and promote healing, reporting excellent patient outcomes and early return to activities without complications. Though costly, RBI offers advantages in repairing anterior tendon deficiencies.<br /><br />Eric Ferckel addresses management of Achilles ruptures, advocating surgical repair for younger and athletic patients due to faster recovery and reduced re-rupture rates compared to non-operative treatment. He explains surgical techniques, emphasizing meticulous soft tissue management, tensioning, and tailored rehab protocols.<br /><br />Brian Law reviews operative management of Haglund’s deformity, comparing conservative vs. surgical choices, including open vs. endoscopic approaches, noting endoscopy offers faster recovery with less tissue disruption.<br /><br />Kevin Martin focuses on lateral ligament reconstruction (Brostrom) and augmentation, illustrating knotless anchor techniques and accelerated rehab protocols in athletes and military personnel. He highlights importance of maintaining repair tension, cautious rehab to avoid elongation, and balancing early return with repair integrity. He also discusses challenges of managing concurrent syndesmotic injuries.<br /><br />The session concludes with interactive Q&A exploring topics like DVT prophylaxis, biologic augmentation, surgical indications, rehab timelines, and surgical nuances. The overall emphasis is on tailored, evidence-based strategies combining advanced surgical techniques, metabolic optimization, and progressive rehabilitation to maximize outcomes and expedite return to sport.

Asset Caption

Keywords

foot injuries

ankle injuries

stress fractures

syndesmotic lesions

Achilles tendon rupture

lateral ligament reconstruction

bioinductive implant

MRI classification

surgical repair techniques

rehabilitation protocols