SPECIALTY-MS/MD/FRCS

Christopher Gi Diovanni Foot & Ankle Core knowledge in Orthopaedics Edition

Christopher Gi Diovanni Foot & Ankle Core knowledge in Orthopaedics Edition

Christopher Gi Diovanni Foot & Ankle Core knowledge in Orthopaedics Edition

Christopher Gi Diovanni Foot & Ankle Core knowledge in Orthopaedics Edition Thanks to the dedication of a few pioneering surgeons over the past 50 years, foot and ankle has risen from what was once a forgotten orthopaedic subspecialty to what is today a field at the forefront of modern medicine. Such unprecedented attention has stimulated a remarkable influx of quality research, top notch fellowship trained physicians, and cutting edge innovation.This evolution has enlightened both the public and the medical community at large as to the importance of foot function.We now recognize that many of our more veteran advancements in lower extremity function, such as hip or knee replacement, depend significantly

on—and are inseparable from—a well functioning foot and ankle complex.The days of ignoring this part of the anatomy as ‘just a foot problem’ are gone, and one need only look at the outcomes of polytrauma patients to acknowledge this.After all is said and done, these patients most often complain of their feet. Care of the foot has, partly by necessity, come a long way.
The maturation of foot and ankle into a full-fledged subspecialty of orthopaedic surgery was inevitable.This process, how-
ever, has been accelerated by certain individuals who, ahead of their time, displayed a greater appreciation of the unique attributes possessed by the foot. As any comparative anatomist will attest, the foot is what distinguishes us most as human beings.

It represents the most evolved structure of our human anatomy, and carries a tremendous responsibility relative to its size.These visionary surgeons were the first to incorporate these principles into clinical practice, laying the foundation for what is now the field of orthopaedic foot and ankle surgery. Nowadays, surgeons who have been inspired by the path of these leaders are fortunately commonplace, resulting in an exponential understanding of foot pathology which has revolutionized the treatment of foot problems. For example, our latest ankle arthroplasty designs are now generating cautious optimism of lasting success, improved surgical techniques have recently demonstrated more favorable and lower risk outcomes in calcaneal fracture management, and arthroscopy of the foot and ankle has now become an effective and routine tool in clinical practice.

Much of the medical research that has brought about these changes was based on retrospective case series and surgeon opinion, now referred to as level IV and V evidence.Although this has been instrumental in helping clinical science flourish, it is no longer sufficient to meet the demands of modern day medicine. Emphasis is now, appropriately, being placed on using evidencebased medicine to drive decisions. Level I and II research (prospective, randomized trials) is emerging as the standard by which
to judge all other existing information, because it is less subject to bias.

Christopher Gi Diovanni Foot & Ankle Core knowledge in Orthopaedics Edition

download

Tags

Related Articles

Close

Adblock Detected

Please consider supporting us by disabling your ad blocker