This, our 8th Journal Club, has been completely different from the other ones.

In fact, we had decided to take a “time break” to devote to ourselves!!

Considering the numerous events and meetings, national and international, which my team will take part in during the next months, I’ve decided indeed to grant us an evening in order to repeat, plan and enhance our presentations, in other words, the “talks” of the most important meetings.

This made me and my team feel more ready and experienced than before. But it was also a means of updating ourselves and evaluating the literature of every single topic indipendently.

As a matter of fact, when a topic is being presented at a conference, one must be prepared and know that the questions can be many, especially if the topic is interesting. Surely, the personal experience is essential, but along with being familiar with literature. And being able to comment it is even more essential.

Lateral ligament reconstruction

Luigi has shown us the lateral ankle ligament reconstruction technique. It is a mini-invasive technique which we invented in order to repair the anterior talofibular ligament of the lateral area of the ankle, whose fracture, often following considerable distorsions, can lead to an instable ankle and, in the most severe cases, to arthrosis.

Learning Curve

Camilla has talked to us about the “learning curve” of the ankle prosthesis. When does a surgen can truly define himself as an expert? After how many cases a surgeon can be a trained one, and not in training anymore? The pertinent literature is very vague about it and tends to compare the first 50 ankle prosthesis cases of a surgeon to his last 50 ones, but without taking into account a “cut-off” that is, the specific prostheses number after which a surgeon is considered fully formed.

Back to sports activity

Cristian, bringing the ankle prosthesis topic back again, has talked to us about the return to sports: it is possible to do sports again after a prosthesis? Which kind of sport is recommended? Are there any sports which must be absolutely avoided? These are all questions we tried to answer to, also taking into consideration the fact that the patients undergoing an ankle prosthesis are often young and active and dream of going back to a normal life as much as possible, without any restrictions.

AT-AMIC technique

Riccardo has talked to us about the “AT-AMIC” technique we’ve created, which allows us to repair the osteochondral lesions by arthroscopy, without any open access surgery. By now, we have already arrived to an average two-year “follow up”, and the results are truly compelling!

Stress fractures

Claudia raised the stress fractures topic: these can affect various areas of the foot, from the metatarsus to the talus bone or the heel bone. This pathology especially affects ballerinas, for the excess load applied to the foot and, particularly, to the metatarsus.
Knowing how to properly treat this pathology is very important, in these cases, where not needed treatment may bring the final abandonment of the activity.

Jacopo told us about a subject dear to us: “Posterior talar shifting floating-bearing Total Ankle Replacement”. It was one of our publications in which we described the “shifting” for a muscular factor, between 2 and 6 months from the implant.

Endosenotarsica implants

Federico showed us the preliminary results on endosenotarsica prostheses (endorthesis) used for the correction of pediatric flatfoot. It’s a mini-invasive procedure that exploiting the growth potential of the child’s foot gets a chance to fix without having to resort to more invasive interventions such as in adults.

It was a beautiful encounter: the arguments were not only interesting, but also high profile. Test us with questions of various kinds including some trick question was definitely a great way to challenge them and to improve ourselves.

As always … thanks!