Supracondylar humerus fractures are common pediatric injuries. Little is known about the risk factors for repeat operative procedures. A retrospective chart review of 709 patients treated a displaced supracondylar fracture was performed to identify return operating room during initial post-operative period. Deviations routine care were recorded and complication rates compared between Gartland type 2 3 using logistic regression. Type found have higher rate, and, specifically, more...

Submission Type: Hallux Valgus Research Level 3 - Retrospective cohort study, Case-control Meta-analysis of studies Introduction/Purpose: Fibromyalgia is a chronic disorder characterized by widespread pain, localized areas hyperesthesia, and pervasive fatigue. Worldwide, it affects 2.7% the population. Diagnostic criteria include point pain that notably excludes feet ankles without specific laboratory findings. Limited research has investigated how fibromyalgia diagnosis outcomes following...

For patients with hallux rigidus seeking a motion-sparing procedure, interposition arthroplasty is an alternative to fusion. The purpose of this study was report patient outcomes after interpositional for rigidus.All undergoing at our institution from 2001 2014 were identified and retrospective chart review performed. Follow-up conducted through telephone survey obtain survivorship, satisfaction, functional scores. Survivorship the procedure defined as no subsequent surgery on index...

Complications such as nonunion and infection following ankle arthrodesis can lead to increased patient morbidity financial burden from repeat operations. Improved knowledge of risk factors improve selection inform post-ankle surveillance protocols.This is a large retrospective, database study with structured query national insurance claims (PearlDiver Technologies) for patients treated 2015 2019 identified by International Classification Diseases, Tenth Revision (ICD-10), codes. Patients any...

Lisfranc injuries are among the most debilitating to foot. Characterization of first tarsometatarsal (TMT) joint involvement in is limited. Multiple studies have indicated that this damaged a variety injury patterns, but there sparse information regarding how often and what form.A retrospective review was performed operative fractures from 2010 2020 with patients identified by Combined Procedural Terminology codes. Hardcastle Myerson classifications computed tomography radiograph...

Large Achilles tendon defects pose a treatment challenge. The standard with turndown flap requires large extensile incision, puts the sural nerve at risk, and demands slow, careful rehabilitation. Dual allograft semitendinosus reconstruction is new clinical alternative that has theoretical advantages of smaller less dissection, stronger construct may allow for faster rehabilitation.In cadaver biomechanical model, we compared dual myofascial in terms (1) mechanical strength resistance to...

Background: Loeys-Dietz syndrome (LDS) commonly presents with foot deformities, such as talipes equinovarus (TEV), also known “clubfoot.” Although much is about the treatment of idiopathic TEV, very little TEV in LDS. Here, we summarize clinical characteristics patients LDS and compare patient-reported outcomes operative versus nonoperative treatment. Methods: We identified 47 from a cohort 252 who presented to our academic tertiary care hospital 2010 2016. A questionnaire, electronic health...

Category: Trauma; Ankle Introduction/Purpose: fractures are one of the most common types foot and ankle trauma requiring surgery. Prior studies have investigated association between obesity fracture on a general level, but not all broken down data by pattern subtypes. The aim this study was to investigate severity fractures, as classified single malleolar (isolated fibular, posterior or medial malleolar), bimalleolar, trimalleolar pilon Methods: We retrospectively patient charts 1,326...

Category: Hindfoot Introduction/Purpose: arthrodesis has demonstrated reliable long-term outcomes for treatment of symptomatic hindfoot arthritis, but the incidence nonunion talonavicular joint been reported as high 29%. Retrograde percutaneous insertion a dorsolateral screw in addition to standard medial distal proximal shown add significant construct stiffness across biomechanical testing. However, placement this may result increased neurovascular injury. The purpose cadaveric study was...

Category: Hindfoot, Sports Introduction/Purpose: Flexor hallucis longus (FHL) tendon transfer is a common surgical technique used for augmentation during the treatment of chronic Achilles tendinopathy and reconstruction. digitorum (FDL) represents viable alternative patients with failed FHL transfers or athletes where compromise hallux push off strength could negatively impact their level activity. There no reported clinical outcome data about this in current literature. Our study describes...

Background: Augmentation of talonavicular fusion with a retrograde percutaneous naviculocalcaneal screw has been shown to increase fixation stiffness double (subtalar and joint) arthrodesis. However, previous authors have speculated that neurovascular structures could be at risk in procedure. We investigated the safety this hypothesized high injury would found. Methods: Dorsolateral talonaviculocalcaneal was performed 17 fresh-frozen cadaver limbs. A 1.5-cm incision created over lateral...

HISTORY: A 38-year-old Major League Baseball player presented after feeling a pop in the plantar aspect of his left foot. Four days prior to injury, he noticed tightness arch foot medially and laterally. He experienced through center batting when rolling ankle while planting run out batter’s box. After diving back base on pick-off attempt, pain lateral side going up leg. PHYSICAL EXAMINATION: Left lower extremity neurovascularly intact with no atrophy or deformity. Exam demonstrated peroneal...

Category: Sports. Introduction/Purpose: Large segmental Achilles tendon defects present a difficult problem to treating surgeons. Multiple procedures have been utilized reconstruct these defects, but no studies evaluated the comparative tensile strength of various repair methods. Our institution has recently described use dual semitendinosus allograft for reconstruction. Advantages this procedure include eliminating donor site morbidity and providing an increased surface area healing...

Category: Midfoot/Forefoot Introduction/Purpose: Surgical treatment for osteoarthritis of the first metatarsophalangeal joint (MTPJ) includes cheilectomy or fusion advanced arthritis. In addition, procedures to preserve restore motion have demonstrated promising short-term results. Currently, no studies described long-term results following interpositional arthroplasty. Our institution has performed arthroplasty with autograft (joint capsule/extensor hallucis brevis) allograft (dermal...

Category: Bunion; Other Introduction/Purpose: Minimally Invasive Chevron and Akin (MICA) surgery is growing in popularity. There are now multiple studies comparing minimally invasive bunion correction to traditional open techniques. Many of these include percutaneous lateral soft tissue release using a specific blade, while others use an technique. To our knowledge, there no prior study confirming the accuracy via Our objective was evaluate precision release, both structures released percent...

Category: Midfoot/Forefoot; Trauma Introduction/Purpose: Lisfranc injuries are among the most debilitating to midfoot. Various classification systems have characterized injury patterns with specific focus on interval between base of second metatarsal and medial cuneiform as well importance ligamentous structures The restraints first tarsometatarsal (TMT) joint bony involvement these remains unclear. Improved knowledge how TMT is affected in will provide information best manage injuries....

Category: Other Introduction/Purpose: In 2019 the majority of U.S medical students were women (50.5%). Despite this, in Orthopaedic surgery had lowest representation female surgeons (5.8%). Previously, American Society for Surgery hand (ASSH) and Pediatric North America (POSNA) published their gender diversity data. However, no such study has been conducted largest membership organization foot ankle trained orthopaedic surgeons. This sought to investigate whether increased Orthoapedic Foot...

Category: Ankle Arthritis; Introduction/Purpose: Multimodal therapies are critical for limiting use of opioids postoperative pain control after orthopaedic procedures. Though NSAIDs and COX-2 inhibitors effective non-opioid adjuncts pain, animal models have demonstrated increased rates nonunion or delayed union in the presence NSAIDs. Nonunion results a protracted course that may warrant longer duration surveillance revision Retrospective studies meta-analyses investigating NSAID bone...

Category: Ankle; Ankle Arthritis Introduction/Purpose: Complications such as nonunion and infection following ankle arthrodesis can lead to increased patient morbidity financial burden from repeat operations. Improved knowledge on complication likelihood associated risk factors improve selection inform post-ankle surveillance protocols. Methods: This is a large retrospective, database study with structured query of national insurance claims (PearlDiver Technologies) for patients treated 2015...

Category: Ankle Introduction/Purpose: Injury to the syndesmotic ligaments can lead prolonged functional limitations and thus, long-term ankle mobility dysfunction if not diagnosed treated appropriately. Obesity has been studied in relation instability but there is a paucity of literature investigating risk associated with other bone fragility characteristics. Additionally, injury complexity Charcot patients remains unstudied. Methods: This large retrospective, database study structured query...