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Foot/Ankle News
Total talus replacement can be an alternative option for patients with avascular necrosis
The talus connects the foot to the lower leg and is crucial for foot and ankle mobility, but it receives a low blood supply compared to its neighboring bones — the tibia, fibula and calcaneus — resulting in difficult healing.
Bridge plating and primary arthrodesis show similar outcomes for Lisfranc stabilization
Both temporary bridge plating and primary arthrodesis had “good outcome scores” in the treatment of Lisfranc injuries, according to published results.
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Higher cefazolin dose does not decrease surgical site infection after foot, ankle surgery
Published results showed no statistically significant differences in the rate of surgical site infections after foot and ankle trauma surgery with use of 1g or 2g of cefazolin.
Distal tibial osteotomy may benefit older patients with medial ankle OA
Physically active older patients with medial ankle osteoarthritis may have good outcomes after distal tibial osteotomy with joint distraction, according to published results.
Ultrasound use slowed among podiatrists after CPT code separation
Following the CPT code separation for use of non-vascular extremity ultrasound, published results showed prior rapid growth in use among podiatrists decreased while a steady increase in use continued among radiologists.
Implant cost may correlate with total inpatient cost after TJA
Published results showed variation in total inpatient cost between different subspecialties of arthroplasty, with implant cost found to be the main driver of cost variation.
56-year-old woman with a right heel cutaneous lesion
A 56-year-old woman with no significant past medical history presented with 6-month history of a painless right heel cutaneous lesion. On exam, she had a non-tender melanotic lesion measuring approximately 2 cm x 2 cm with irregular borders and central ulceration involving the right medial heel pad (Figure 1). There was no palpable lymphadenopathy and the right lower extremity was neurovascularly intact.
Cast treatment may increase complications among children with distal fibula fracture, ankle sprain
Study results showed a large variation in the treatment of ankle sprains and Salter-Harris 1 distal fibula fractures by pediatric orthopedic surgeons, with increased complications found with cast treatment and continued pain reported as a common complication for both treatments.
Rivaroxaban superior to enoxaparin for VTE prevention after nonmajor orthopedic surgery
Treatment with rivaroxaban was more effective than enoxaparin for preventing venous thromboembolism during immobilization after lower-limb nonmajor orthopedic surgery, according to results of the PRONOMOS trial.
AAOS cancels annual meeting amid COVID-19 concerns
The American Academy of Orthopaedic Surgeons announced it has canceled its annual meeting scheduled for March 24-28, 2020, at the Orange County Convention Center in Orlando due to concerns surrounding the novel coronavirus.
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