33-4 Trauma of the Foot and Ankle

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EDITORIAL

» It is with great pleasure that I serve as Guest Editor for this issue of ...

of Foot and Ankle Quarterly devoted to “Trauma of the Foot and Ankle.” The basic core principles of foot and ankle trauma management have stood the test of time. However, in recent years a massive volume of information has been published such that it is difficult to stay current on this challenging subspecialty of foot and ankle surgery. Therefore, the intent of this issue is to provide up-to-date information and review of pertinent literature on traumatic injuries of the foot and ankle from a level 1 trauma center of excellence. Accordingly, the Feature Article covers the use of advanced tips and tricks on foot and ankle trauma, which are useful for routine injuries as well as complex patients with particularly challenging or high-risk situations. A series of commentaries focusing on metatarsal, tarsal-metatarsal, midfoot, hindfoot and ankle injuries follows. We conclude with Audio Lectures detailing updates on two important topics relating to foot and ankle trauma – gunshot and crush injuries.

It is my hope that the readers of this issue will find it enjoyable to review, and will benefit from the surgical experience of this team of authors as much as I have.

Thomas S. Roukis, DPM, PhD, FACFAS


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The ideas and opinions expressed in Foot and Ankle Quarterly are those of the authors and do not necessarily reflect those of the Editor or the Publisher. Publication of an advertisement or other product mentioned in Foot and Ankle Quarterly should not be construed as an endorsement of the product of the manufacturer’s claims. Readers are encouraged to contact the manufacturer with any questions about the features or limitations of the products mentioned. The Publisher does not assume any responsibility for any injury and/or damage to any persons or property arising out of or related to any use of the material contained in this periodical. The reader is advised to check the appropriate medical literature and the product information currently provided by the manufacturer of each device or of each drug to be administered to verify the dosage, the method and duration of administration, or contraindications. It is the responsibility of the treating physician or other healthcare professionals, relying on independent experience and knowledge of the patient, to determine drug dosages and the best treatment for the patient.

Disclosure

Data Trace Publishing Company Continuing Education Mission Statement

Data Trace Publishing Company is committed to providing high-quality print and internet-based enduring continuing education programs, including lectures, feature articles, and condensations and commentaries on current clinical podiatric topics and medical risk management topics which lead to improved delivery of patient care and help reduce the potential for medical errors. These programs are provided to meet the educational needs of the podiatric medical profession and thereby enhance the quality of patient care.

Program Objectives

Foot and Ankle Quarterly (FAQ) is a unique program designed to help today’s podiatric physician manage an ever-increasing flow of information. After completing the Foot and Ankle Quarterly, Volume 33 program, the learner should be better able to: develop and refine a perspective on current treatment recommendations, updates, and advances pertinent to podiatric practice; evaluate the implications of the learned information as it pertains to the diagnosis and treatment of podiatric disorders and societal issues and barriers, and; apply current trends, standards, and best practices into learner’s own practice.

Data Trace Publishing Company Continuing Education Accreditation Statement

Data Trace Publishing Company is approved by the Council on Podiatric Medical Education (CPME) as a provider of continuing education in podiatric medicine. Data Trace Publishing Company has approved this activity for a maximum of 6 continuing education contact hours (CECHs). Physicians should claim only the contact hours commensurate with the extent of their participation in the activity.

Estimated time to complete activity: 6 hours
Date of release: February 15, 2023
Expiration Date: February 15, 2026 (unless further validated and extended by provider). For amended dates of activity expiration, please see FAQ Activity Effective Dates at www.datatrace.com).

Commercial Interests

No commercial interest provided financial support for this continuing education activity.

CECH Note

Participants of Volume 33, Issue 4 will receive a maximum of 6 CECHs for a correctly-completed CME Answer Form. In order to qualify for CECHs, a score of 70% or more must be achieved on the written examination material. Any participant who does not pass the first time may take the exam one additional time (within 90 days of receipt of results). One retake test may be taken for a fee of $15. You will be responsible for notifying your state of the number of contact hours you have received.

Participants are required to complete a course evaluation for use in developing future issues and to meet the unique educational needs of podiatric physicians.

FINANCIAL DISCLOSURE INFORMATION

It is the policy of Data Trace Publishing Company to ensure balance, independence, objectivity, and scientific rigor in all of its educational programs. All faculty, presenters, speakers, authors, and reviewers participating in any programs provided by Data Trace Publishing Company are expected to disclose any relevant financial relationships with CPME-defined commercial interests to the program audience. “Relevant financial relationships” are financial relationships of the individual (including those of the individual’s spouse or partner) in any amount occurring within the past 12 months that create a conflict of interest. A commercial interest is any organization manufacturing, producing, marketing, re-selling, or distributing healthcare goods or services consumed by or used on patients. The CPME mandates that the content of accredited activities be objective and independent of commercial bias. The intent of this policy is that readers may form their own judgements about the presentations, using independent review to resolve all identified conflicts of interest.

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Each continuing education planner and author has submitted a Conflict of Interest Disclosure in order to identify relevant financial relationships and resolve conflicts.

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Article Authors and Lecturers

  • John S. Anderson, DPM (1. Data Trace Publishing Co.)
  • Garrett Biela, DPM (n.)
  • Joseph Cote, DPM (n.)
  • Firas Katmeh, DPM (n.)
  • Jacqueline Lucke, DPM (n.)
  • Teddy M. Musselman, DPM (1. Data Trace Publishing Co.)
  • Jason A. Piraino, DPM (1. Data Trace Publishing Co.)
  • Michael Radcliffe, DPM (n.)
  • Thomas S. Roukis, DPM, PhD (1. Data Trace Publishing Co.)
  • Jennifer So, DPM (n.)
  • Alexsandra Szajna, DPM (n.)
  • Isaac Wilmot, DPM (n.)
  • Lindsay Wynn, DPM (n.)

FAQ Journal Planning Committee

  • Chrissy Wesolowski (n.)
  • Kimberly Collignon (n.)
  • Lauren Molander (n.)
  • Stephanie Wu, DPM, MSc (n.)

Foot and Ankle Quarterly
33-4 Contributors

Guest Editor

Thomas S. Roukis, DPM, PhD, FACFAS
Past President (2014-2015), American College of Foot and Ankle Surgeons; Editor-in-Chief, Foot and Ankle Surgery: Techniques, Reports & Cases (FASTRAC); Clinical Professor, Department of Orthopaedic Surgery and Rehabilitation, Division of Foot and Ankle Surgery, University of Florida College of Medicine, Jacksonville, FL

 Contributors

John S. Anderson, DPM, FACFAS
Assistant Professor, Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

Garrett Biela, DPM
Podiatric Medicine and Surgery PGY-3 Resident, Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

Joseph Coté, DPM
Podiatric Medicine and Surgery PGY-3 Resident, Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

Firas Katmeh, DPM, MSH
Podiatric Medicine and Surgery PGY-1 Resident, Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

Jacqueline Lucke, DPM
Podiatric Medicine and Surgery PGY-3 Resident, Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

Teddy M. Musselman, DPM, FACFAS
Assistant Professor, Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

Jason A. Piraino, DPM, MS, FACFAS
Associate Professor, Chief, Division of Foot and Ankle Surgery, Director, Podiatric Medicine and Surgery Residency, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

Michael Radcliffe, DPM
Podiatric Medicine and Surgery PGY-2 Resident, Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

Jennifer So, DPM
Podiatric Medicine and Surgery PGY-2 Resident, Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

Alexsandra Szajna, DPM
Podiatric Medicine and Surgery PGY-1 Resident, Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

Isaac Wilmot, DPM
Podiatric Medicine and Surgery PGY-1 Resident, Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

Lindsay Wynn, DPM
Podiatric Medicine and Surgery PGY-2 Resident, Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Jacksonville, FL

In this Issue:

  • FEATURE ARTICLE: Tricks of the Trade: Pearls from 18 Years Working at Two Level 1 Trauma Centers
    Jason A. Piraino, DPM, MS, FACFAS
  • CONDENSATIONS and COMMENTARIES
    • Outcomes following Severe Distal Tibial, Ankle and/or Mid/Hindfoot Trauma: Comparison of Limb Salvage and Transtibial Amputation (OUTLET)
      Commentary by Lindsay Wynn, DPM
    • Population-Based Incidence and Epidemiology of 5,912 Foot Fractures
      Commentary by Firas Katmeh, DPM, MSH
    • The Main Cause of Unsatisfactory Outcomes of Treatment for Foot Injuries
      Commentary by Joseph Coté, DPM
    • Gunshot Wounds to the Foot and Ankle: Review of Cases from a Level 1 Trauma Center
      Commentary by Jennifer So, DPM
    • Operative Treatment of Acute Shaft and Neck Lesser Metatarsal Fractures: A Systematic Review of the Literature
      Commentary by Jacqueline Lucke, DPM
    • Functional Outcome of 103 Fractures of the Proximal Fifth Metatarsal Bone
      Commentary by Garrett Biela, DPM
    • Lisfranc Injuries: Fix or Fuse?
      Commentary by Isaac Wilmot, DPM
    • Calcaneal Fracture Fixation Using a New Interlocking Nail Reduces Complications Compared to Standard Locking Plates: Preliminary Results after 1.6 Years
      Commentary by Alexsandra Szajna, DPM
    • Supination Adduction Ankle Fractures are Associated with Arthritis and Poor Outcomes
      Commentary by Michael Radcliffe, DPM
    • Does Functional Outcome Depend on the Quality of the Fracture Fixation? Mid to Long-Term Outcomes of Ankle Fractures at Two University Teaching Hospitals
      Commentary by Firas Katmeh, DPM, MSH
  • AUDIO LECTURE 1: Application of External Fixation in the Setting of Gunshot Injuries to the Foot
    John S. Anderson, DPM, FACFAS
  • AUDIO LECTURE 2: Crush Injuries and the Management of Skin and Soft Tissues
    Teddy M. Musselman, DPM, FACFAS
  • CONTINUING EDUCATION QUESTIONNAIRE