2025 AOFAS Annual Meeting-Paper Session 1B, Symposium 1B, Foundation Update and Awards, Symposium 2B

Video Transcription

Video Summary

The transcript summarizes a comprehensive meeting focusing on foot and ankle orthopedic surgery, covering multiple research presentations, clinical discussions, and awards. Key research topics include predictive models for outcomes after total ankle replacement (TAR), impact of patient factors such as age, smoking, and BMI on TAR outcomes, and long-term patient-reported outcomes post-TAR. Presentations highlight that patients with higher baseline disability and those with instability etiology show the most improvement after ankle replacement, while age does not significantly impact patient outcomes though younger patients have longer revision risk windows. Smoking increases postoperative complications and costs, whereas BMI-based surgical eligibility criteria do not effectively predict complications, suggesting BMI cutoffs may unjustly restrict access to care.<br /><br />A major theme is the evolving understanding and surgical management of Progressive Collapsing Foot Deformity (PCFD). Talks emphasize the critical role of soft tissues—the deltoid and spring ligaments—in PCFD pathogenesis and treatments, including ligament repair reinforced by internal bracing. Medial column procedures such as Lapicotton (plantar flexion distraction allograft fusion) and telenavicular arthrodesis are discussed as effective for correcting components of PCFD but come with challenges like nonunion risks and require careful patient selection. Hindfoot fusion failures leading to tibial-talar valgus and midfoot collapse are analyzed with recommendations for combined bony and ligamentous corrections, emphasizing three-dimensional alignment restoration under the talus.<br /><br />The meeting also honors distinguished contributors to the field through Pillar Awards recognizing dedication to education, research, and humanitarian efforts. Updates from the Orthopedic Foot & Ankle Foundation and Arthritis Foundation highlight ongoing support for research, fellowships, diversity initiatives, and humanitarian missions. Overall, the conference advances multidisciplinary knowledge on optimizing surgical outcomes, patient selection, and managing complex deformities in foot and ankle orthopedics.

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Paper Session 1B
Moderators: Adam P. Schiff, MD, and Cesar de Cesar Netto, MD, PhD

Symposium 1: Kenneth A. Johnson Symposium on Controversies in Foot and Ankle Surgery
Guest Nation Recognition and Introduction of Kenneth Johnson Speaker
David B. Thordarson, MD

KENNETH A. JOHNSON INTERNATIONAL SPEAKER
Caio A. Nery, MD, PhD
The Role of Deltoid and Spring Ligaments in the PCFD Genesis and Treatment

Foundation Update and Awards
Foundation Update

Presentation of the 2025 Pillars of the AOFAS: Ronald W. Smith, MD; E. Greer Richardson, MD; Pierce E. Scranton, MD

Presentation of the Legacy Pillars of the AOFAS: Kenneth A. Johnson, MD; J. Leonard Goldner, MD; Roger A. Mann, MD

Presentation of the Pinnacle Mission Partner Award to Stryker

Presentation of the Pierce E. Scranton Humanitarian Award to Naren Gurbani, MD

Arthritis Foundation Update

Symposium 2B: Understanding the Medial Column in PCFD
Moderator: Lorraine A.T. Boakye, MD

Keywords

foot and ankle orthopedic surgery

total ankle replacement

predictive models

patient outcomes

progressive collapsing foot deformity

soft tissue repair

deltoid ligament

spring ligament

ligament internal bracing

medial column procedures

Lapicotton fusion

telenavicular arthrodesis

hindfoot fusion failure

tibial-talar valgus

orthopedic research awards