Foot/Ankle News

SAN ANTONIO — Implementing a multidisciplinary improvement program helped reduce bowel complications among patients recovering from orthopedic surgery, according to study results presented at the American College of Gastroenterology Annual Meeting.

A 53-year-old woman with rheumatoid arthritis on oral prednisone presented to a podiatric surgeon after a lifelong history of hallux valgus and lesser toe deformities. After failure of conservative management options, she opted for surgical management with first metatarsophalangeal joint arthroplasty with a double-stem silastic implant. Hammertoe deformities of her second through fifth digits were treated with lesser metatarsal head resections with transarticular pin fixation. The patient’s postoperative period was unremarkable, but after about 2 months, she noticed recurrence of the deformity of the lesser toes. She also developed a painful plantar prominence at the hallux metatarsophalangeal with return of the valgus deformity. After 4 years of persistent pain, she was referred to orthopedic surgery for further evaluation.

The EFORT webinar on Sequelae of Calcaneal Fractures will be held Monday 25 November 2019, 19:00-20:00 CET.

CHICAGO — Use of a new total ankle prosthesis improved the experience of patients with end-stage arthritis, according to results from a study presented at the American Orthopedic Foot & Ankle Society Annual Meeting.

CHICAGO — Cheilectomy may be a reliable procedure for treatment of hallux rigidus, with low revision and pain recurrence rates among patients, according to results presented at the American Orthopaedic Foot & Ankle Society Annual Meeting.

The minimally invasive midsubstance surgical technique for acute midsubstance Achilles tendon ruptures passes sutures longitudinally through the distal Achilles stump and anchors proximal sutures into the calcaneus for early range of motion and weight-bearing.

DENVER — At the Orthopaedic Trauma Association Annual Meeting, Edward Rooney, MD, spoke about a midterm follow-up study on stable Weber B-type ankle fractures. He said investigators found stable ankle fractures, which normally are treated operatively, may be treated nonoperatively with promising results.

Better clinical outcomes, which included a greater percentage of patients who returned to sport, were seen after repair for chronic ankle instability in patients with low signal intensity in the anterior talofibular ligament based on preoperative MRI, according to recently published results.

CHICAGO — At the American Orthopaedic Foot and Ankle Society Annual Meeting, Steven M. Raikin, MD, discussed a study that looked at opioid consumption after outpatient foot and ankle surgery. He said patients were being prescribed more opioids than they needed. On average patients took about half of the narcotics they were prescribed at the time of surgery.

CHICAGO — At the American Orthopaedic Foot & Ankle Society Annual Meeting, Judith F. Baumhauer, MD, discussed results using the Orthopaedic Foot & Ankle Outcomes Research Network Registry. She said this registry could be a good instrument for data collection and that it may help researchers look at different foot and ankle conditions and find the best way to treat patients.