2025 AOFAS Annual Meeting-Paper Session 2C

Video Transcription

Video Summary

The session, moderated by Albert Anastasio, featured several presentations on foot and ankle research. Dr. Daniel Bomfield presented a randomized controlled trial comparing a global rehabilitation program versus conventional ankle-focused rehab in chronic lateral ankle instability. The global program, emphasizing whole-body movement and balance, led to significantly better functional outcomes and lower recurrence of ankle sprains at six months. Dr. Stephen Hadley examined fear of re-injury following augmented Brostrom procedures, finding that nearly two-thirds of patients reported activity limitations due to fear, which correlated with worse functional outcomes. He suggested addressing psychological factors alongside mechanical repair to improve recovery. Dr. Elaha Ziabari compared biomechanical gait outcomes after Brostrom repair versus allograft reconstruction for chronic ankle instability, concluding that Brostrom more effectively restored normal ankle mechanics and joint stability. Amanda Zhang studied late bone marrow edema linked to a discontinued bioresorbable polymer suture anchor, noting that about one-third of patients developed symptomatic edema, especially younger females; management was mainly conservative. Juan Tian introduced a minimally invasive peritenon-protection technique for Achilles tendon repair, demonstrating superior suture strength and tendon healing in early results. Finally, Rashid Sagar analyzed six-month recovery outcomes after acute Achilles rupture repair, highlighting that most patients experience significant functional improvement and minimal pain at this clinically relevant milestone. The session emphasized integrating global rehabilitation, addressing psychological factors, and refining surgical techniques to optimize patient outcomes in foot and ankle care.

Keywords

foot and ankle research

chronic lateral ankle instability

global rehabilitation program

augmented Brostrom procedure

fear of re-injury

biomechanical gait outcomes

bioresorbable polymer suture anchor

minimally invasive Achilles tendon repair

acute Achilles rupture recovery