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Foot & Ankle International (FAI), in publication since 1980, is the official journal of the American Orthopaedic Foot & Ankle Society (AOFAS). This monthly medical journal emphasizes surgical and medical management as it relates to the foot and ankle with a specific focus on reconstructive, trauma, and sports-related conditions utilizing the latest technological advances.
 
The Digital Orthopaedics Conference San Francisco (DOCSF) was created to bridge the worlds of digital health and clinical orthopaedics and thereby catalyze the adoption of technology in musculoskeletal care. This podcast series features key speakers and highlights from the live event. Why orthopaedics? We believe that embedding digital technologies in a narrow integrated vertical is more likely to affect change than targeting one-fifth of the U.S. economy. We also believe that if a conferenc ...
 
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show series
 
Few studies have reported the outcomes following minimally invasive medial displacement calcaneal osteotomy (MDCO) for correction of pes planovalgus deformities. In conclusion, patients with higher ASA classification, current tobacco use, and higher BMI were at higher risk for osteotomy healing complications after minimally invasive MDCO procedures…
 
Five articles from the January 2021 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to sele…
 
Healthcare is in transition, not just in the U.S. but in Europe as well. The COVID pandemic has sped up the transition to digital medicine and it would be interesting to know how other countries are dealing with the transition. In this episode, we are privileged to hear from Roberto Ascione, CEO at Healthware Group, a next-generation integrated con…
 
Welcome to DOCSF365, a website committed to bringing digital health to musculoskeletal care. We believe you can find in this site knowledge and skills you need to lead digital innovation in your practice. In this short introduction, our host, Stefano Bini welcomes you to the site and shares his goals and plans to bring Digital Orthopedics to your f…
 
Patient-reported outcome measures are an increasingly important tool for assessing the impact of treatments orthopedic surgeons render. Despite their importance, they can present a burden. We examined the validity and utility of a computerized adaptive testing (CAT) method to reduce the number of questions on the Foot and Ankle Ability Measure (FAA…
 
Adult medial patellofemoral ligament (MPFL) reconstruction techniques are not appropriate for the skeletally immature patient given the proximity of the distal femoral physis. Biomechanical consequences of reconstructions aimed at avoiding the physis have not been adequately studied. In conclusion, in this cadaveric simulation, the epiphyseal techn…
 
Five articles from the December 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to sel…
 
Tendinopathy is a debilitating tendon disorder that affects millions of Americans and costs billions of health care dollars every year. High mobility group box 1 (HMGB1), a known tissue damage signaling molecule, has been identified as a mediator in the development of tendinopathy due to mechanical overloading of tendons in mice. Metformin (Met), a…
 
Blood flow restriction therapy (BFRT) has been increasingly applied to improve athletic performance and injury recovery. Validation of BFRT has lagged behind commercialization, and currently the mechanism by which this therapy acts is unknown. BFRT is one type of ischemic therapy, which involves exercising with blood flow restriction. Repetitive re…
 
Five articles from the November 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to sel…
 
Jones fractures of the proximal fifth metatarsal are predisposed to delayed union and nonunion due to a tenuous blood supply. Solid intramedullary (IM) screw fixation is recommended to improve healing, traditionally followed by delayed weightbearing (DWB). However, early weightbearing (EWB) postoperatively may facilitate functional recovery. The pu…
 
Tibial spine fractures (TSFs) are relatively rare pediatric injuries. Postoperative arthrofibrosis remains the most common complication, with few studies having examined factors associated with its development. In conclusion, surgeons should be cognizant of arthrofibrosis risk in younger patients with concomitant ACL tears and traumatic injuries no…
 
Five articles from the October 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to sele…
 
Aligning patient and surgeon expectations may improve patient satisfaction and outcomes. This study aimed to assess differences in expectations of foot and ankle surgery between patients and their surgeons. In conclusion, more than two-thirds of patients had significantly higher expectations than their surgeons. Higher BMI was associated with highe…
 
Five articles from the September 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to se…
 
In 2016, the US Food and Drug Administration (FDA) approved the use of a polyvinyl alcohol (PVA) hydrogel implant for the surgical management of hallux rigidus. Though recent studies have evaluated the safety and efficacy of the implant, no study has compared outcomes following PVA implantation with those following traditional joint-preserving proc…
 
The molecular mechanism of how femoroacetabular impingement (FAI) morphology leads to hip osteoarthritis (OA) is yet to be determined. Expression and location of inflammation-related molecules during early- and late-stage FAI have not been previously described. Moreover, characterization of intraarticular inflammation away from cam deformity as wel…
 
Five articles from the August 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to selec…
 
Characteristics of responders, or those who achieve a clinical improvement above the level of a minimal clinically important difference, have not been defined for total ankle arthroplasty (TAA). The purpose of this study was to determine patient characteristics that distinguish possible responders from possible nonresponders after TAA using criteri…
 
Injuries to the hamstring complex most commonly involve the proximal musculotendinous junction of the long head of the biceps femoris (MTJ-BFlh). Nonoperative management of these injuries is associated with prolonged rehabilitation and high risk of recurrence. To our knowledge, the surgical management of acute MTJ-BFlh injuries has not been previou…
 
Five articles from the July 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select …
 
Total ankle replacement (TAR) is becoming a more common alternative to ankle arthrodesis for the improvement of pain and function in end-stage arthritis of the ankle. The effects of end-stage arthritis of the ankle are similar to those of end-stage hip arthritis. There is a paucity of literature on patient-reported outcome measures (PROMs) followin…
 
We've had the COVID-19 pandemic for only three to four months now, but it has drastically changed much of life as we know it. The coronavirus cleared calendars, emptied restaurants, and wreaked havoc on local and national economies. It's like a bad movie that keeps going, and the ending is not yet in sight. Yet despite all of its negative consequen…
 
Do you think that the ease of spread and the wide infection rate of COVID-19 is influenced by technology? Was the pandemic a wake-up call to the healthcare system? These are some of the questions we will answer in today's session. Our special guest is Kevin Schulmer, one of the authors of the recently published article 'COVID-19 and Health Care's D…
 
While our brave healthcare workers continue to fight against the spread of the COVID pandemic, the healthcare industry as a business is suffering. The widespread economic shutdown enforced to reduce the risk of transmission affected hospitals and healthcare providers. Today's session focuses on the current healthcare economy (and what's left of it)…
 
We shop, do bank transactions, study, play, and do many other things online. So why not do doctor consultations online? U.S. healthcare has been slowly inching towards telehealth over the past couple of years, but the arrival of the COVID pandemic pushed telemedicine to the forefront. To limit the spread of the virus, telemedicine became an excelle…
 
There is no doubt that COVID-19 is the ultimate disruptor and accelerator of 2020. It has disrupted almost all aspects of our lives, especially healthcare, and though we'll find a cure, we will never be the same as before. In this episode, we'll learn the changes to individual orthopedics practices and the changes the academy is implementing to cop…
 
Do you remember the story of 'The Blind Men and the Elephant'? The fable tells of a group of blind men who attempted to learn what an elephant is by touching it. Each man touched a different part and created his version of reality from that limited experience and perspective. To be successful healthcare leaders, it's essential to recognize and unde…
 
Heroes are characters, fiction or real, who stand bravely in the face of danger, filled with courage, determination, and strength to overcome a challenging situation. Before COVID-19, when we think of heroes, we probably think of Abraham Lincoln, Nelson Mandela, Batman, and Superman as heroes. The arrival of COVID-19 shifted our perspective. Today,…
 
COVID-19 pandemic is changing the landscape of healthcare. The entire industry is facing a lot of challenges. We need global conversations to shed light on the pandemic's impact on the different practices and improve the preparedness of healthcare professionals. Today's featured guest is Prof. Brian Schwartz, a physician specializing in the treatme…
 
Arthroscopic anterior cruciate ligament (ACL) reconstruction (ACLR) with a bone–patellar tendon–bone graft (BTB) is a reliable surgical option for the control of anterior knee laxity after ACL injury. The addition of a lateral extra-articular tenodesis (LET) may improve control of rotation knee laxity and improve short-term graft survival in high-r…
 
Five articles from the June 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select …
 
This is the second half of the podcast with the brilliant IDEO team. In the first part, Dennis Boyle and Talya Brettler walked us through the design sprint process. If you missed the first session, you might want to go back and listen to it first. In this episode, Shawna joins Dennis and Talya in the discussion. They talk about the impact of COVID-…
 
When you think of design, you think of marketing, business, commerce, products, and probably architecture. The last place you'd expect to find a global design company is at a digital orthopedics conference. What is a global design brand doing in a DocSF summit, especially one that's focused on Covid19? Design thinking enhances creativity, and we al…
 
How does it feel to be a healthcare professional in one of the worst-hit regions of the Covid19 pandemic? In this episode, we hear the moving story straight from Dr. Luigi Zagra, Senior Orthopedic Surgeon at IRCCS Galeazzi, in Lombardy, Italy. Lombardy was the center of the coronavirus outbreak in February, and it has the highest number of deaths b…
 
Treatment for post-traumatic osteoarthritis (PTOA) of the ankle remains challenging. Distraction arthroplasty (DA) is an alternative for patients who are averse to or poor candidates for arthrodesis or joint replacement. The purpose of this study was to examine the role of microfracture (MFX) and concentrated bone marrow aspirate (CBMA) on the outc…
 
Preclinical studies suggest that for complete midsubstance anterior cruciate ligament (ACL) injuries, a suture repair of the ACL augmented with a protein implant placed in the gap between the torn ends (bridge-enhanced ACL repair [BEAR]) may be a viable alternative to ACL reconstruction (ACLR). In conclusion, BEAR resulted in noninferior patient-re…
 
Five articles from the May 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select t…
 
Surgery for degenerative foot and ankle conditions often results in a lengthy recovery. Current outcome measures do not accurately assess postoperative mobility, especially in older patients. The Life-Space Assessment (LSA), a questionnaire quantifying patients’ mobility after a medical event, was used in this study to assess perioperative mobility…
 
Safe return to play (RTP) after anterior cruciate ligament (ACL) reconstruction is critical to patient satisfaction. Enhanced rehabilitation after ACL reconstruction with appropriate objective criteria for RTP may reduce the risk of subsequent injury. The cost-effectiveness of an enhanced RTP (eRTP) strategy relative to standard post-ACL reconstruc…
 
Five articles from the April 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select…
 
This episode features a conversation with Dr. Jim Crutcher, Dr. Crutcher works at a large orthopaedic hospital in Seattle, Washington, one of the hardest hit cities in the United States. In an unprecedented move, the hospital has been converted into a covid-19 treatment facility. We will hear what impact this is having on his patients and their abi…
 
This episode features a conversation with Jean Noel Argenson, an orthopaedic surgeon working in Marseilles, France. Marseilles is the second largest city in France. France as of the taping of this episode has not been hit as hard as northern Italy. And yet they have already started taking precautionary measures and come up with several excellent id…
 
This episode features a conversation with Professor Tobias Winkler from the Charité hospital in Berlin, Germany. We will hear all about how Berlin and Charité hospitals in particular are ramping up capacity to stay ahead of the COVID-19 outbreaks rather than being reactive. It is an intriguing episode. Get more content: Browse episodes on the DOCSF…
 
This episode features a conversation with Tom Harte. Tom is an orthopaedic surgeon who chose to take a break from his training and effectively retire in order to start an outstanding digital health company called MyRecovery.ai. It was one of the first highly effective patient engagement platforms and has excellent traction in both Europe and the US…
 
This episode features a conversation with Dr. Luigi Zagra. As you will hear in his introduction, he is a very well-known orthopaedic surgeon who runs one of the largest orthopaedic hospitals in Europe. Prior to covid-19, they performed over 4,000 orthopaedic procedures a year. Today they perform only emergent surgery and their hospital is primarily…
 
Although the benefit of primary intramedullary (IM) screw fixation of fifth metatarsal Jones fractures in athletes is clear, limited data support its use in conventional patient populations. This study evaluated radiographic and functional outcomes following primary IM screw fixation in a series of Jones fractures to determine if similar excellent …
 
Although a sex-based balance in US graduate medical education has been well-documented, a discrepancy remains in orthopaedic surgery. In orthopaedic sports medicine, the representation of women as team physicians has not previously been characterized. In conclusion, women comprise a minority of team physicians in select NCAA Division I collegiate a…
 
Five articles from the March 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select…
 
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