2021 AOFAS Annual Meeting (On-Demand)-Concurrent Paper Session 4A: Trauma

Video Transcription

Video Summary

In summary, the first presentation discussed a study on the impact of time to surgical intervention on patient-reported outcomes after ankle fractures. The study found that the timing of surgical intervention did not significantly affect wound complications, delayed union, or nonunion rates. However, severe ankle fractures were associated with worse long-term patient-reported outcomes. The second presentation investigated injuries to the first tarsal metatarsal joint in Lisfranc injuries. The study found that injury to the first tarsal metatarsal joint was present in 87% of Lisfranc injuries and that joint incongruity and fractures in the articular surface of the joint were common. The third presentation focused on post-operative infection rates after Achilles tendon surgery. The study found that operations requiring large incisions, such as reconstructive surgery, had significantly higher rates of post-operative infection. Minimally invasive treatments and smaller incisions had lower infection rates. The fourth presentation evaluated the use of blood flow restriction therapy in Achilles tendon recovery. The study found that blood flow restriction therapy led to significant advantages in calf strength compared to standard therapy at three-month follow-up. However, there was no significant difference in calf atrophy. Overall, these studies provide insights into the impact of surgical intervention timing, the management of Lisfranc injuries, the incidence of post-operative infections, and the use of blood flow restriction therapy in Achilles tendon recovery.

Keywords

surgical intervention timing

patient-reported outcomes

ankle fractures

Lisfranc injuries

joint incongruity

post-operative infection rates

Achilles tendon surgery

large incisions

minimally invasive treatments

blood flow restriction therapy