Questions, operative experience and evidence-led discussion.
Different surgeons have different persepctives about when to start weight bearing after surgery. It depends on factors like the bone, fracture patter, fixation etc. What are your preferred weight bearing and rehab protocol for the following? 1) Ankle surgeries 2) ACL recon 3) Meniscal repair 4) Distal femur fractures 5) TKA and THA
What fixation method for syndesmotic injuries? When to remove the screw if you use one? When to WBAT? When do you fix?
With modern functional rehabilitation protocols showing good outcomes, what patients with acute Achilles rupture are you still recommending surgery for? Does tendon gap on ultrasound in plantar flexion influence your decision?
For a Zone 1 avulsion fracture with a small but clearly displaced or rotated fragment, what makes you choose fixation rather than functional treatment? Do displacement measurements alone influence you, or are joint involvement and symptoms more important?
