Although virtual reality simulators have established construct validity, no studies proven transfer of skills from a simulator to improved in vivo surgical skill. The current authors hypothesized that simulation training would improve residents' basic arthroscopic performance and safety. Twenty-two orthopedic surgery trainees were randomized into or standard practice groups. At baseline testing, all the participants performed simulator-based testing supervised, diagnostic shoulder...

Background: The technical skills required to perform arthroscopy are multifaceted and require supervised training repetition. Obtaining this basic arthroscopic skill set can be costly time-consuming. Simulation may represent a viable source for skills. Our goal was evaluate the correlation between timed task performance on an shoulder simulator both resident experience experience. Methods: Twenty-seven residents were voluntarily recruited from orthopaedic residency program. Each subject...

Background: Attainment of the technical skill necessary to safely perform arthroscopic procedures requires instruction orthopaedic surgery residents in basic skills. Although previous studies involving shoulder arthroscopy simulators have demonstrated a correlation between task performance and level prior experience, data demonstrating simulator with surgical setting are scarce. Our goal was evaluate timed an cadaveric model. Methods: Subjects were recruited from among attending surgeons...

Background: The purpose of this study was to determine whether low-fidelity arthroscopic simulation training improves basic ankle arthroscopy performance and efficiency among orthopedic trainees. Methods: Twenty-nine surgery trainees with varying levels experience in were randomized into either or standard practice groups. At baseline testing, all participants performed simulator-based testing a cadaveric diagnostic video recording. group subsequently received 4 one-on-one, 15-minute...

Hammertoe is a common foot deformity that originates from the proximal interphalangeal joint of lesser toes. The involves an imbalance between muscles and tendons control toe movement, leading to deformity. Hammertoes can result various factors, including genetic predisposition, ill-fitting footwear, trauma, or underlying medical conditions such as neuromuscular disorders diabetic neuropathy. As progresses, patients may experience pain, difficulty walking, development corns calluses on...

Background: Displaced intraarticular calcaneal fractures (DIACFs) are associated with high rates of posttraumatic arthritis. Traditional management open subtalar arthrodesis often results in revision and complications. Acute has shown success Sanders III IV calcaneus fractures, favorable return-to-work radiographic fusion outcomes. This study evaluates the percutaneous reduction posterior arthroscopic (C-PASTA) for acute fractures. Methods: A retrospective reviewed 22 patients DIACFs treated...

Immediately following a lateral ligament reconstruction of the ankle, strength repair is far less than that native anterior talofibular (ATFL). Additionally, early functional rehabilitation has been shown to increase laxity repair. We hypothesized Broström procedure augmented with suture-tape construct would allow while maintaining patient reported outcomes within military population.This study retrospective 93 consecutive patients chronic ankle instability were treated construct. Subjects...

Weightbearing restrictions following foot and ankle surgery require the use of appropriate assistive devices for nonweightbearing ambulation during recovery period. Selecting an device that safely optimizes mobility participation in daily activities is important to patient compliance satisfaction. The purpose this study was compare physiologic demand, perceived exertion, preference between a hands-free single crutch (HFSC) standard axillary crutches (SACs) patients.Using 44 preoperative...

Posterior malleolar fractures within a trimalleolar ankle fracture pattern are challenging to manage. arthroscopy provides means assess the intra-articular and syndesmotic reductions, while removing loose bodies. The purpose of this study was determine radiographic patient reported outcomes posterior arthroscopic reduction internal fixation (PARIF) in fractures.From November 2015 March 2019, we prospectively enrolled consecutive that underwent PARIF by single surgeon. Preoperative...

Background: The visual analog scale (VAS) is considered a reliable and validated measure of patient-reported acute pain. Patient-reported outcome measures are becoming the standard care throughout orthopedic community, but interpretation clinical applications still under investigation. aim current study was to compare preoperative VAS scores reported at same visit nursing staff treating surgeon. Our hypothesis that there would be no difference in reported. Methods: This retrospective cohort...

Ankle arthroscopy has emerged as a viable treatment option for multiple ankle pathologies and continues to have expanding indications technology techniques improve. Historically, used skeletal traction, it transitioned noninvasive soft-tissue distraction because of high rates iatrogenic complications. Although decreased complications, be both cumbersome time-consuming. Thus we propose 1-step simple technique that uses an external positioning arm allow the surgeon apply manual traction in...

Patient-reported outcome measures (PROMs) are taking a more prominent role in orthopedics as health care seeks to define treatment outcomes. The visual analog scale (VAS) is considered reliable measure of acute pain. A previous study found that operative candidates' VAS pain score was significantly higher when reported the surgeon compared nurse. This study's aim examine whether this phenomenon occurs patients do not undergo an procedure. We hypothesized patients' scores vs nurse would be...

Chronic Achilles tendon defects are commonly associated with substantial impairment in gait and push-off strength, leading to decreased function

Achilles tendon ruptures commonly occur in physically active individuals and drastically alter the ability to perform recreational activities1,2. Many patients want continue participating activities, which can be facilitated by operatively treating injury a timely fashion, maximizing their functional recovery. The Percutaneous Repair System (PARS) Jig (Arthrex) utilized with acute mid-substance ruptures3,4.Begin positioning patient prone thigh tourniquet on operative side. Mark 3-cm...

Adult acquired flatfoot deformity (AAFD), formerly known as posterior tibial tendon (PTT) dysfunction, is one of the most common problems foot and ankle. It was first described failure but has since been revealed ligamentous in addition. AAFD a spectrum deformities that ranges from tenosynovitis (stage I) to (stages II-IV). Regarding mild stage I II disease, it once standard perform an open synovectomy completely removing inflamed synovium; this procedure required large 6-cm medial ankle...

In order to maintain nonweightbearing restrictions of the lower extremity, an assistive device must be utilized. Currently most devices require restricted limb held in a static position while contralateral extremity provides forward propulsion. Atrophy and disuse conditions ensue rapidly, slowing healing prolonging recovery. A hands-free single crutch (HFSC) utilizes both extremities, potentially reducing atrophy. The purpose this study was examine electromyographic (EMG) differences between...