2024 AOSSM Annual Meeting Recordings-Concurrent Session B: More than Just an Ankle Sprain

Video Transcription

Video Summary

This transcript discusses various advanced techniques and considerations in orthopedic surgery, specifically focusing on the treatment of Achilles tendon ruptures and high ankle sprains. Dr. Ferkel, presenting on Achilles tendon management in athletes, emphasizes surgical intervention using minimally invasive techniques such as the PARS repair system. He explains that these methods allow better cosmetic outcomes, quicker recovery, and lower complication rates compared to open surgery, and also promotes early blood flow restriction therapy (BFR) to enhance muscle and tendon recovery without overstressing the healing tissue.<br /><br />Dr. Hatemanek and other panelists highlight drawbacks of using traditional sutures, advocating for the use of specialized, flat suture tapes to reduce knot stacks and potentially improve patient outcomes. When treating high ankle sprains with syndesmotic injuries, there's a consensus on using MRI or weight-bearing CT for better diagnosis and applying customized surgical techniques like tightrope devices and suture tape to stabilize the joint effectively.<br /><br />The panelists also stress the importance of understanding the full 360-degree ring of stability surrounding syndesmotic injuries, ensuring attention to both the lateral and medial aspects, possibly even addressing posterior malleolar fractures conservatively when necessary. The discussion briefly mentions altering post-operative protocols to avoid misalignment and over-stretching during recovery, ensuring optimal joint stability and function, particularly in high-performance athletes. <br /><br />Overall, the surgeons advocate for a tailored approach, incorporating the latest surgical advancements and post-operative care techniques, to achieve the best possible outcomes in managing these complex injuries.

Asset Caption

9:40 am - 10:40 am

Meta Tag

Concept Deltoid Ligament

Concept Blood Flow Restriction Therapy

Concept Syndesmotic Ankle Diastasis

Concept Achilles Tendon Rupture

Concept Ankle Instability

Speaker Lorena Bejarano-Pineda, MD

Speaker Kirk A. McCullough, MD

Speaker Alex Brady, MS

Speaker Bradley S. Lambert, PhD

Speaker Jeremy Silver, MD, MS

Speaker Eric Ferkel, MD

Speaker C. Thomas Haytmanek, MD

Speaker Kenneth Hunt, MD

Keywords

Lorena Bejarano-Pineda, MD

Kirk A. McCullough, MD

Alex Brady, MS

Bradley S. Lambert, PhD

Jeremy Silver, MD, MS

Eric Ferkel, MD

C. Thomas Haytmanek, MD

Kenneth Hunt, MD

orthopedic surgery

Achilles tendon ruptures

high ankle sprains

PARS repair system

minimally invasive techniques

blood flow restriction therapy

specialized suture tapes

syndesmotic injuries

tightrope devices

post-operative protocols

joint stability

Deltoid Ligament

Blood Flow Restriction Therapy

Syndesmotic Ankle Diastasis

Achilles Tendon Rupture

Ankle Instability