BIOS Core Topics in Orthopaedics - Foot and Ankle Trauma

Description

The webinar series organized by the British Indian Orthopedic Society features its fifth installment focusing on foot and ankle surgeries. The session begins with a welcome address urging attendees to mute their microphones and encouraging questions through a chat function. The agenda includes three key presentations: Mr. Mahadevan on Calcaneal fractures, Mr. Kakawani on talus fractures, and Mr. Makwana discussing Lisfranc fractures, followed by a discussion session at the end.



### Summary of Key Presentations:

1. **Calcaneal Fractures**: Mr. Mahadevan discusses the epidemiology and mechanisms of calcaneal fractures, emphasizing assessment techniques. He outlines the mechanism of injury usually involves high forces, particularly axial loads from falls which can lead to extensive bruising and associated injuries. Treatment decisions are influenced by factors such as patient age, overall health, and fracture severity. The discussion includes postoperative care and future considerations like the risk of post-traumatic arthritis.



2. **Talus Fractures**: Mr. Kakawani highlights the unique aspects of the talus, including its low blood supply and high instability due to its bony architecture. He discusses the types of fractures, imaging techniques, classifications, and the management of associated injuries. Special attention is given to the implications of soft tissue injury and the importance of maintaining anatomical integrity post-surgery to prevent complications like avascular necrosis.



3. **Lisfranc Injuries**: Mr. Makwana addresses the complex anatomy of the Lisfranc joint, mechanisms of injury, and the critical management strategies for these fractures. He notes the historically low incidence of Lisfranc fractures and highlights the importance of anatomical reduction during treatment. The discussion includes classifications, imaging requirements, and options for fixation—usually leaning towards surgical intervention for displaced fractures.



### Discussion Highlights:

The webinar allowed for an interactive discussion among orthopedic surgeons regarding management strategies for foot and ankle injuries, especially the controversies surrounding calcaneal and Lisfranc fractures. Key insights included the assessment of open fractures, treatment options emphasizing soft tissue preservation, and the implications of delay in surgical intervention on patient outcomes.



The session concluded with a call for further engagement in future webinars and a thank you to the speakers and participants for their insightful contributions.

DOI: 10.1302/3114-221845

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