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Foot & Ankle Trauma Panel DiscussionAndrew Haskell, MD Moderator

Bob Anderson, MD

Rick Coughlin, MD

Kyle Dickson, MD

Rich Gellman, MD

Kirstina Olson, MD

Kim Workman, MD

Case 1

• 22 yo man, motorcycle accident

• Presents with deformed, swollen leg

• slight tingling in toes, otherwise DNVI

• Trauma workup reveals pulmonary contusion

• Closed fracture

Case 1 Case 1

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Case 1 Case 1

Case 1

Different Case, lots of screws

Case 2

• 45 yo man, ski accident, ORIF in Canada

• Non-smoker, non-diabetic

• Presents 3 weeks post-op after fall

• Patient heard a crack and notes the leg is deformed

• DNVI

• Skin intact

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Case 2 Case 2

Case 3

• 55 yo woman, osteoporosis

• twisted ankle on sidewalk, unable to walk

• skin intact, DNVI

Case 3

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Case 3 Case 4

• 62 yo woman fell getting off horse

• isloated ankle injury, obvious deformity

• skin intact, + blisters, DNVI

Case 4 Case 4

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Case 4 Case 4b

Case 4b Case 4b

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Case 5

• 18 yo 250lb high school senior football player

• scholarship bound

• closed injury at practice

Case 5

Case 52 weeks of non-weight bearing

Case 56 weeks of non-weight bearing

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Case 512 weeks of non-weight bearing

Case 5

Case 5 Case 6

• 46 yo man in MVC

• Isolated trauma to ankle

• Skin intact, DNVI

• non-smoker

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Case 6 Case 6

Case 6 Case 6

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Case 6 Case 7

• 35 yo woman, office worker, non-smoker

• Tripped on steps landing on heel

• Presents with swollen foot, unable to walk

• Skin intact, no blisters

Case 7 Case 7

Lateral Medial

Sinus Tarsi Approach

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Case 7 Case 7

Case 8

• If the same case involved a 55 year old male construction worker

• hurt on the job

• smoker

• would your treatment plan change?

Case 8

• 33 year old man fall from roof at work

• isolated injury

• non-smoker

• no blisters

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Case 8 Case 8

Case 8 Case 8

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Case 8 Case 8

Case 9

• 27 yo woman, motorcycle accident

• isolated injury

• boot protected skin

• non smoker

Case 9

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Case 9 Case 9

Case 9 Case 9