CMS Open Payment Database Analysis of Industry Payments for Foot and Ankle Surgery Research

2022 ◽  
Author(s):  
Dominick J Casciato ◽  
Robert W Mendicino
Keyword(s):  
Foot And Ankle ◽  
Database Analysis ◽  
Ankle Surgery ◽  
Surgery Research

scholarly journals The new era of foot and ankle surgery research in Latin America

2019 ◽  
Vol 13 (4) ◽  
pp. 237
Author(s):  
Jose Antonio Veiga Sanhudo ◽  
Marco Túlio Costa
Keyword(s):  
Latin America ◽  
Foot And Ankle ◽  
New Era ◽  
Ankle Surgery ◽  
Surgery Research ◽  
America Latina

Caros leitores, durante os últimos anos a diretoria da ABTPé e os membros do corpo editorial da revista vêm trabalhando arduamente com intuito de aprimorar o nosso periódico. Recentemente, recebemos a ajuda e apoio dos amigos da América Latina, Portugal e Espanha.​Com o objetivo principal de obter indexação em bases de dados científicas renomadas e também de diminuir os custos de produção, a diretoria da ABTPé em conjunto com todo o corpo editorial da revista e parceiros da América Latina e região Ibérica iniciaram no ano passado um processo de fusão dos periódicos.​Em janeiro de 2020 esta modificação estará concluída e a nossa revista passará a ser mais abrangente, mais forte e com mais chances de aprovação em novas bases de dados científicas. Esse processo exigiu mudanças em todo o corpo editorial, que foram finalizadas durante o mês de dezembro. O Prof. Dr. Alexandre Leme Godoy-Santos foi nomeado o novo Editor Chefe da revista e a composição do Corpo Editorial foi construída com todos os países envolvidos.Essa é uma ação estratégica para o Brasil - ABTPé - e para a Região - FLAMECIPP, no posicionamento global. E um avanço na parceria com Portugal e Espanha.​Agradecemos o excepcional trabalho realizado pelo Dr. Jorge Mitsuo Mizusaki e sua equipe que impulsionaram a revista.   Nosso reconhecimento a confiança e ao apoio fundamental do Conselho Editorial (2007-2019) representado pelo Prof. Dr. Manlio Mario Marco Napoli, Prof. Dr. Osny Salomão, Prof. Dr. Sérgio Bruschini, Prof. Dr. Roberto Santin e Dr. Egydio de Carvalho, que entenderam que a evolução da revista passa pela maior visibilidade internacional.   Desejamos sucesso a nova equipe, com votos de um excelente trabalho para levar a nova revista a patamares ainda mais altos.   Novo corpo editorial: Alexandre Leme Godoy-Santos - BrasilCristian Ortiz - ChileDaniel Baumfeld - BrasilGabriel Khazen - VenezuelaLuis Hermida - MexicoMarcelo Pires Prado - BrasilMarco Túlio Costa - BrasilMario Herrera - EspanhaPablo Sotelano - ArgentinaPaulo Felicíssimo - PortugalSantiago Guerrero - Colômbia 

The Problem with Measuring Patient Perceptions of Outcome with Existing Outcome Measures in Foot and Ankle Surgery

2003 ◽  
Vol 24 (1) ◽  
pp. 56-60 ◽  
Author(s):  
Jan Parker ◽  
Christopher J. Nester ◽  
Andrew F. Long ◽  
Jim Barrie
Keyword(s):  
Quality Of Life ◽  
Outcome Measures ◽  
Patient Perceptions ◽  
Foot And Ankle ◽  
General Health Status ◽  
Foot Surgery ◽  
Ankle Surgery ◽  
Surgery Research ◽  
The Many

Quality outcome measures are the cornerstone of clinical research. A review of outcome measures used in foot and ankle surgery research reveals that the issues of validity, reliability and responsiveness of outcome measures have not been addressed. Most reports in the literature have attempted to evaluate patient perceptions of outcome following foot surgery. Underlying the many difficulties with these outcome measures is a lack of understanding of what patients perceive to be important in terms of outcome. Consequently none of the existing outcome measures can claim to be valid measures of patient perceptions of outcome, as there has been no research uncovering these perceptions. In addition, measures of general health status and quality of life in relation to outcome of foot and ankle surgery have been largely ignored to date.

scholarly journals Ultrasound-Guided Popliteal Nerve Block with Short-Acting Lidocaine in the Surgical Treatment of Ingrown Toenails

2021 ◽  
Vol 18 (10) ◽  
pp. 5059
Author(s):  
Beom Suk Kim ◽  
Kyungho Kim ◽  
Jonathan Day ◽  
Jesse Seilern Und Seilern Und Aspang ◽  
Jaeyoung Kim
Keyword(s):  
Surgical Treatment ◽  
Adverse Events ◽  
Nerve Block ◽  
Skin Penetration ◽  
Sensory Block ◽  
Foot And Ankle ◽  
Ingrown Toenail ◽  
Ankle Surgery ◽  
Ingrown Toenails ◽  
Digital Nerve Block

Background: Digital nerve block (DB) is a commonly utilized anesthetic procedure in ingrown toenail surgery. However, severe procedure-related pain has been reported. Although the popliteal sciatic nerve block (PB) is widely accepted in foot and ankle surgery, its use in ingrown toenail surgery has not been reported. Therefore, this study aimed to investigate the safety and effectiveness of PB in the surgical treatment of ingrown toenails. Methods: One-hundred-ten patients surgically treated for an ingrown toenail were enrolled. Sixty-six patients underwent DB, and 44 underwent PB. PB was performed under ultrasound-guidance via a 22-gauge needle with 15 mL of 1% lidocaine in the popliteal region. The visual analogue scale was used to assess pain at two-time points: pain with skin penetration and pain with the solution injection. Time to sensory block, duration of sensory block, need for additional injections, and adverse events were recorded. Results: PB group demonstrated significantly lower procedure-related pain than the DB group. Time to sensory block was significantly longer in the PB group (20.8 ± 4.6 versus 6.5 ± 1.6 minutes). The sensory block duration was significantly longer in the PB group (187.9 ± 22.0 versus 106.5 ± 19.1 minutes). Additional injections were required in 16 (24.2%) DB cases, while no additional injections were required in PB cases. Four adverse events occurred in the DB group and two in the PB group. Conclusion: PB was a less painful anesthetic procedure associated with a longer sensory block duration and fewer repeat injections compared with DB. The result of this study implicates that PB can be an alternative anesthetic option in the surgical treatment of ingrown toenails.

Excess Opioid Disposal Following Orthopaedic Surgery: A Randomized Clinical Trial

2020 ◽  
pp. 193864002098092
Author(s):  
Cornelia Keyser ◽  
Abhiram Bhashyam ◽  
Abdurrahman Abdurrob ◽  
Jeremy T. Smith ◽  
Eric Bluman ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Orthopaedic Surgery ◽  
Control Group ◽  
Foot And Ankle ◽  
Opioid Medication ◽  
Ankle Surgery ◽  
Randomized Control ◽  
Level I ◽  
To Receive ◽  
Experimental Group

Background Previous research indicates low disposal rates of excess postoperative narcotics, leaving them available for diversion or abuse. This study examined the effect of introducing a portable disposal device on excess opiate opioid disposal rates after lower extremity orthopaedic surgery. Methods This was a single site randomized control trial within an outpatient orthopaedic clinic. All patients 18 years or older, undergoing outpatient foot and ankle surgery between December 1, 2017 and August 1, 2018 were eligible. Patients were prospectively enrolled and randomized to receive standard opioid disposal instructions or a drug deactivation device at 2-week postoperative appointments. Participants completed an anonymous survey at 6-week postoperative appointments. Results Of the 75 patients surveyed, 68% (n = 26) of the experimental group and 56% (n = 21) of the control group had unused opioid medication. Of these, 84.6% of patients who were given Deterra Drug Deactivation System deactivation pouches safely disposed of excess medication, compared with 38% of controls (P = .003). When asked if they would use a disposal device for excess medication in the future, 97.4% (n = 37) of the experimental and 83.8% (n = 31) of the control group reported that they would. Conclusions Providing a portable disposal device with postoperative narcotic prescriptions may increase safe disposal rates of excess opioid medication following lower extremity orthopaedic surgery. Levels of Evidence Level I

scholarly journals Medical Malpractice Trends in Foot and Ankle Surgery

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0004
Author(s):  
Rishin J. Kadakia ◽  
Keith Orland ◽  
Akhil Sharma ◽  
Jie Chen ◽  
Craig C. Akoh ◽  
...  
Keyword(s):  
Medical Malpractice ◽  
Orthopaedic Surgery ◽  
Nonoperative Treatment ◽  
Anatomical Location ◽  
Foot And Ankle ◽  
Common Complication ◽  
Adult Females ◽  
Forefoot Surgery ◽  
Ankle Surgery ◽  
Malpractice Claims

Category: Other Introduction/Purpose: Medical malpractice lawsuits can place significant economic and psychologic burden on a provider. Orthopaedic surgery is one of the most common subspecialties involved in malpractice claims. There is currently no study examining malpractice lawsuits within foot and ankle surgery. Accordingly, the purpose of this work is to examine trends in malpractice claims in foot and ankle surgery. Methods: The Westlaw legal database was queried for lawsuits pertaining to foot and ankle surgery from 2008 to 2018. Only cases involving medical malpractice were included for analysis. All available details pertaining to the cases were collected. This included plaintiff demographic and geographic data. Details regarding the cases were also collected such as anatomical location, pathology, complications, and case outcomes. Results: Forty nine malpractice lawsuits pertaining to foot and ankle were identified. Most plaintiffs in these cases were adult females, and the majority of cases occurred in the northeast (53.1%). The most common anatomical region involved in claims involved the forefoot (29%). The majority of these claims involved surgery (65%). Infection was the most common complication seen in claims (22%). The jury ruled in favor of the defendant surgeon in most cases (73%). Conclusion: This is the first study to examine trends in medical malpractice within foot and ankle surgery. Infection was the most frequent complication seen in claims and forefoot surgery was the most common anatomic location. A large portion of claims resulted after nonoperative treatment. A better understanding of the trends within malpractice claims is crucial to developing strategies for prevention.

scholarly journals Incidence and Risk Factors of Symptomatic Venous Thromboembolism Following Foot and Ankle Surgery

2018 ◽  
Vol 40 (1) ◽  
pp. 98-104 ◽  
Author(s):  
Johanna Marie Richey ◽  
Miranda Lucia Ritterman Weintraub ◽  
John M. Schuberth
Keyword(s):  
Risk Factors ◽  
Hormone Replacement ◽  
Case Series ◽  
Foot And Ankle ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Ankle Surgery ◽  
History Of ◽  
Low Incidence ◽  
Predictive Risk

Background: The incidence rate of venous thrombotic events (VTEs) following foot and ankle surgery is low. Currently, there is no consensus regarding postoperative prophylaxis or evidence to support risk stratification. Methods: A 2-part study assessing the incidence and factors for the development of VTE was conducted: (1) a retrospective observational cohort study of 22 486 adults to calculate the overall incidence following foot and/or ankle surgery from January 2008 to May 2011 and (2) a retrospective matched case-control study to identify risk factors for development of VTE postsurgery. One control per VTE case matched on age and sex was randomly selected from the remaining patients. Results: The overall incidence of VTE was 0.9%. Predictive risk factors in bivariate analyses included obesity, history of VTE, history of trauma, use of hormonal replacement or oral contraception therapy, anatomic location of surgery, procedure duration 60 minutes or more, general anesthesia, postoperative nonweightbearing immobilization greater than 2 weeks, and use of anticoagulation. When significant variables from bivariate analyses were placed into the multivariable regression model, 4 remained statistically significant: adjusted odds ratio (aOR) for obesity, 6.1; history of VTE, 15.7; use of hormone replacement therapy, 8.9; and postoperative nonweightbearing immobilization greater than 2 weeks, 9.0. The risk of VTE increased significantly with 3 or more risk factors ( P = .001). Conclusion: The overall low incidence of VTE following foot and ankle surgery does not support routine prophylaxis for all patients. Among patients with 3 or more risk factors, the use of chemoprophylaxis may be warranted. Level of Evidence: Level III, retrospective case series.

Triceps Surae Contracture: Implications for Foot and Ankle Surgery

2013 ◽  
Vol 21 (7) ◽  
pp. 398-407 ◽  
Author(s):  
S. Abdulmassih ◽  
P. Phisitkul ◽  
J. E. Femino ◽  
A. Amendola
Keyword(s):  
Triceps Surae ◽  
Foot And Ankle ◽  
Ankle Surgery
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