Ask the Expert with James W. Brodsky, MD-Ask the Expert with James W. Brodsky, MD

Video Transcription

Video Summary

In this video, a case is presented involving a 35-year-old male with a distal tibial fracture and subsequent varus malunion, leading to arthritis in the tibiotalar joint. The trauma surgeon aims to save the joint, while the presenter questions if joint sacrificing procedures, such as fusion, might be necessary. Opinions from the group include obtaining weight-bearing CT scans, attempting to correct the deformity and offload the ankle joint, challenging joint preservation procedures, and considering the use of an external fixator for realignment. Stress x-rays and ankle distraction are also discussed as potential treatment options. Concerns about the skin condition and the timing of osteophyte resections or joint exploration are raised.<br /><br />The video is a webinar featuring orthopedic surgeons discussing challenging foot and ankle cases. The cases discussed include joint alignment issues, metatarsal-head dislocation, and complex foot deformities. The surgeons present different treatment strategies, including realignment surgeries, fusions, and combination procedures. They also analyze the risks and benefits of each approach and emphasize the importance of addressing all parts of the foot for optimal results. <br /><br />No credits were mentioned in the summary.

Keywords

distal tibial fracture

varus malunion

arthritis

tibiotalar joint

joint preservation

fusion

weight-bearing CT scans

deformity correction

ankle joint offloading

external fixator

stress x-rays

ankle distraction

skin condition concerns

osteophyte resections

webinar