CME OnDemand: 2022 AOFAS Annual Meeting-Does the Reduction Matter? Non-Emergent Ankle Fractures and the Effect of Near-Anatomic Reduction Audio Poster

Does the Reduction Matter? Non-Emergent Ankle Fractures and the Effect of Near-Anatomic Reduction Audio Poster

Video Transcription

Video Summary

The video discusses the treatment and outcomes of ankle fractures. It states that ankle fractures are a common orthopedic injury, with around 130,000 occurring per year. Typically, patients with ankle fractures receive an X-ray in the emergency department or urgent care, and if malreduced, reduction is attempted and they are referred to an orthopedic specialist. The belief that near anatomic reduction improves outcomes in non-urgent ankle fractures is common, but there is no objective evidence to support this. The video presents a study that evaluated ankle fractures treated by a foot and ankle surgeon over a five-year period. The study found that the injured ankle's state before surgery did not significantly impact postoperative outcomes or patient well-being. The pain relief from reduction may not outweigh the discomfort associated with the procedure, and the effectiveness of reduction attempts was relatively low. Ultimately, the video concludes that near anatomic reduction may not be critical for good patient outcomes after surgery for neurovascularly intact non-urgent ankle fractures.

Asset Subtitle

Joseph C. Novack, Wesley J. Manz, Juliet Fink, Joseph E. Jacobson, MD, Rishin J. Kadakia, MD, Michelle M. Coleman, MD, PhD, Jason T. Bariteau, MD

Keywords

ankle fractures

treatment

outcomes

X-ray

reduction attempts