
Nailed It Ortho
OITE/Board Review: F&A- 10: Foot Trauma- Calcaneus
Oct 19, 2022
Dr. Cole, a professional in orthopaedics, and Dr. Woolwine, an expert in orthopaedic education, dive into the complexities of foot trauma, especially calcaneus fractures. They reflect on their fellowship experiences and the evolution of their study methods. The discussion includes the management of calcaneus fractures, highlighting risks like smoking and diabetes. They also explain the Sanders classification system, which aids in evaluating fracture severity. Their insights on diagnosing and treating displaced fractures are invaluable for aspiring orthopaedic surgeons.
23:55
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Quick takeaways
- Understanding the impact of smoking cessation and blood sugar management is crucial for improving postoperative outcomes in calcaneus fracture patients.
- Utilizing the Sanders classification system helps in discerning fracture severity and guides treatment decisions for optimal recovery in foot trauma.
Deep dives
Understanding Calcaneus Fractures
Calcaneus fractures typically result from high-energy injuries, such as falls from heights or automobile accidents, due to strong axial forces to the hindfoot. When assessing these injuries, it is crucial to evaluate the patient's smoking status and blood sugar levels, especially if they are diabetic, as these factors significantly influence postoperative outcomes. Smokers are advised to quit for at least three months before surgery to reduce complications, while managing diabetes through medication can be vital for controlling blood sugar levels during hospitalization. This understanding is essential for optimizing patient recovery and minimizing the risk of complications related to these injuries.
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