Current Management of Complex Ankle Fractures

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Accreditation Statement: The Orthopaedic Trauma Association (OTA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation: OTA designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Learning Objectives

After completing this activity, learners will be able to:

Understand the anatomic structures contributing to ankle stability
Understand the use of multiple incisions for complex injuries
Understand the salvage for failed fixation

Faculty

Moderator: Paul Tornetta, III, MD
Reza Firoozabadi, MD Daniel Horwitz, MD William Ricci, MD Stephen Kottmeier, MD

Original release date: 2/23/2022

Expiration date: 2/23/2025

Estimated time to complete activity: 1 hour

Statement of Need/Description/or Summary of Gap Analysis

A common problem that is challenging and has not been well covered recently. There have been changes in management since last addressed. Concepts on stability, multiple incision surgery, posterior malleolar injuries, syndesmotic injuries as well as salvage are all blossoming areas to cover.

Instructional Format: Online webcast consisting of slides and audio.

Method of Participation: There are no fees for members to participate in this activity. Non-members must pay $40. To participate in the activity, physicians will be required to take the following steps:

Read the learning objectives and faculty disclosures.
Participate in the activity.
Complete the activity evaluation.
Participants who successfully complete the evaluation will receive AMA PRA Category 1 Credits™.

Disclosures:

The Orthopaedic Trauma Association has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education (ACCME) Standards for Integrity and Independence in Accredited Continuing Education requiring mitigation of all conflicts of interest. Faculty declaring a relevant commercial interest must be identified in the activity syllabus and/or program.

In accordance with disclosure policies of OTA and the ACCME, every effort has been made to ensure all CME activities are balanced, independent, objective, and scientifically rigorous. These policies include complying with ACCME’s Standards for Integrity and Independence in Accredited Continuing Education and mitigating all relevant conflicts of interest for all individuals in control of content.

All of the relevant financial relationships listed for these individuals have been mitigated

Name of Individual	Individual's Role(s) in Activity	Disclosure Information and Relationship
Paul Tornetta III	Moderator	Submitted on: 10/21/2021 Journal of Orthopaedic Trauma: Editorial or governing board Smith & Nephew: IP royalties Wolters Kluwer Health - Lippincott Williams & Wilkins: Publishing royalties, financial or material support
Reza Firoozabadi	Speaker	Submitted on: 02/08/2022 AO North America Teaching Honorarium: Paid presenter or speaker Innomed: IP royalties Orthopaedic Trauma Association: Board or committee member Smith & Nephew: Paid consultant
Willliam Ricci	Speaker	Submitted on: 02/04/2022 Cable Fix LLC: Other financial or material support CrookedFoot Medical LLC: Other financial or material support HS2: Other financial or material support Journal of Orthopaedic Trauma: Editorial or governing board McGinley Orthopaedics: Other financial or material support MicroPort: IP royalties OKU Trauma/AAOS: Editorial or governing board OsteoCentric: Other financial or material support Primo MC LLC: Other financial or material support Rockwood & Green Fracture in Adults/Wolters Kluwer Health - Lippinott Williams & Wilkins: Editorial or governing board Smith & Nephew: IP royalties; Paid consultant Wolters Kluwer Health - Lippincott Williams & Wilkins: Publishing royalties, financial or material support
Dan Horwitz	Speaker	Submitted on: 11/02/2021 AAOS: Board or committee member Acumed, LLC: Paid consultant Biomet: IP royalties; Paid consultant FOT: Board or committee member Orthopaedic Trauma Association: Board or committee member Wolters Kluwer Health - Lippincott Williams & Wilkins: Editorial or governing board
Stephen Kottmeier	Speaker	Submitted on: 01/31/2022 AAOS: Board or committee member Orthopaedic Trauma Association: Board or committee member Wolters Kluwer Health - Lippincott Williams & Wilkins: Editorial or governing board
Alanna Kaiser	Staff	Submitted on: 01/09/2022 Illinois Alliance for CME: Board or committee member
Tara Luczak	Staff	No disclosures.
Brian Mullis, MD	Planner	Submitted on: 01/31/2022 American Orthopaedic Association: Board or committee member AO Research Committee: Board or committee member Indiana Orthopaedic Society: Board or committee member Journal of the American Academy of Orthopaedic Surgeons: Editorial or governing board Orthopaedic Trauma Association: Board or committee member Thieme: Publishing royalties, financial or material support Zimmer Biomet: IP royalties
Eben Carroll, MD	Planner	Submitted on: 01/24/2022 AO Foundation: Other financial or material support; Paid presenter or speaker AO North America: Board or committee member; Other financial or material support; Paid presenter or speaker; Research support DePuy, A Johnson & Johnson Company: Other financial or material support; Paid consultant; Paid presenter or speaker; Research support Globus Medical: IP royalties; Paid consultant; Paid presenter or speaker Orthopaedic Trauma Association: Board or committee member Smith & Nephew: Other financial or material support; Paid consultant; Paid presenter or speaker; Research support Synthes: Other financial or material support; Paid consultant; Paid presenter or speaker; Research support
David Weiss, MD	Planner	Submitted on: 02/08/2022 AAOS: Board or committee member Globus Medical: IP royalties; Paid consultant Orthopaedic Trauma Association: Board or committee member Saunders/Mosby-Elsevier: Publishing royalties, financial or material support Synthes: Paid consultant
Toan Le, MD	Planner	Submitted on: 02/07/2022 Orthopaedic Trauma Association: Board or committee member
Jennifer Bruggers, MD	Planner	Submitted on: 02/03/2022 Biocomposites: Paid consultant Johnson & Johnson: Paid consultant; Paid presenter or speaker
Michael Kain, MD	Planner	Submitted on: 01/20/2022 AAOS: Board or committee member New England Orthopaedic Society: Board or committee member Smith & Nephew: Paid consultant; Paid presenter or speaker
Janet Conway, MD	Planner	Submitted on: 02/05/2022 Biocomposites: Other financial or material support Bonesupport: Paid consultant DePuy Synthes: Other financial or material support MHE Coalition: Other financial or material support MicroGenDX: Paid consultant Orthofix, Inc.: Other financial or material support; Paid consultant OrthoPediatrics: Other financial or material support Pega Medical: Other financial or material support Smith & Nephew: Other financial or material support; Paid consultant Stryker: Other financial or material support TRELLIS: Research support University of Florida: IP royalties Zimmer: Other financial or material support Zimmer Biomet: Paid consultant

Disclaimer: The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by the OTA. In no event will the OTA be liable for any decision made or action taken in reliance upon the information provided through this CME activity.

Commercial Support: There is no commercial support for this activity