News

 While open recession of the gastrocnemius carries with it a nearly 5% sural nerve injury,
we show that endoscopically resected, the sural nerve carries with it an injury rate of less than half
that of open procedures. A recent systematic review including 11 studies pooled risk of sural nerve
injury endoscopically was 3%. We plan on a prospective study to bring more power to our conclusion
that endoscopic gastrocnemius recession is a safe procedure and likely to be ameliorated with USS.

This review demonstrated that non-operatively managed Achilles tendon ruptures can
result in favourable long term functional outcomes, as demonstrated by the results of the MOXFQ
scores, in all three domains, especially regarding the walking/standing and pain subgroups. Further
to this we demonstrated a re-rupture rate consistent with established literature.
 

Protocols involving early weight bearing and mobility should be considered when
conservatively managing patients with primary Achilles tendon ruptures.

This talk goes over the changes to the Foot and Ankle MBS items.