14SS55: Why I Dont Do That

Anymore

Accreditation Statement:
The American College of Foot and Ankle Surgeons is approved by the Council on Podiatric Medical
Education as a provider of continuing education in podiatric medicine.

Designation Statement:
The American College of Foot and Ankle Surgeons designates these educational activities for CPME
Continuing Education Contact Hours. Physicians should only claim credit commensurate with the extent
of their participation in the activity.

Learning Objectives:
At the conclusion of this activity, the participant will be able to:

1. Understand common foot and ankle procedures and their evolution to current day practice.
2. Identify important pearls and pitfalls gleaned from case based discussions.
3. Evaluate treatment approaches and their application to your practice for individual patient needs.
4. Differentiate a variety of surgical approaches and when they are the best option for the patient.

Instructions
1. Watch the online video presentations.

2. Fill in your contact information on the CE Test.

3. Complete the CE Test.

4. Complete the Evaluation form.

5. E-Mail your CE Test and Evaluation form to: eLearning@acfas.org

Submit by E-mail
OR

Mail your CE Test and Evaluation form to

American College of Foot & Ankle Surgeons Print Form
Education Curriculum & Alliances Department
8725 W. Higgins Road, Suite 555
Chicago, IL 60631-2724

6. Please allow 6 - 8 weeks to receive your CE confirmation.

* Please note: the minimum passing score is 70%.

Pg. 1
 14SS55: Why I Dont Do That
Anymore

Questions

1. Traditional open Achilles rupture repair is:

a. Superior to mini-open repair

b. Superior to conservative treatment
c. Prevents scar adhesions
d. Preserves the paratenon
e. None of the above

2. Which of the following is true regarding mini-open repair of Achilles tendon ruptures?

a. It has been shown in studies to be sufficiently strong

b. It has been associated with a higher re-rupture rate than traditional open repair
c. It requires longer immobilization than traditional open
d. All of the above statements are true
e. None of the above statements are true

3. Which of the following is true Mini-open Achilles tendon rupture repair:

a. Reduces the incident of scar tissue formation

b. Yields a cosmetically better result than traditional open techniques
c. Allows the patient to participate in early physical therapy
d. Can be used in all patient ages
e. All of the above

4. Which of the following is true regarding a lateral release?

a. Most surgeons perform it because of their own habits/training

b. Most patients are happier with a lateral release
c. A lateral release cannot cause avascular necrosis (AVN) of the first metatarsal head
d. A lateral release is the sole cause of a hallux varus
e. A lateral release cannot cause a contracted hallux

5. A lateral release must be necessary for a reduction of an inter-metatarsal angle.

a. True
b. False

Pg. 2
 14SS55: Why I Dont Do That
Anymore

Questions (Contd.)

6. Which of the following is not true?

a. The position of the sesamoid is unaffected by the hallux valgus correction

b. A sesamoid release is not needed for reduction of an inter-metatarsal angle
c. When performing a distal osteotomy and a lateral release, there is very low risk of injury to
the vascular supply of the first metatarsal bone
d. When performing a distal metaphyseal osteotomy, the lateral aspect of the joint accounts for
nearly two thirds of the vascular supply
e. Studies have demonstrated that the rate of AVN associated with an osteotomy alone is lower
than with an osteotomy with a lateral release

7. The at risk structure in the posterior subtalar joint with an isolated medial approach is:

a. The peroneal tendons

b. The flexor hallucis longus tendon
c. The dorsalis pedis
d. The Achilles tendon
e. None of the above

8. The father of the triple arthrodesis procedure is:

a. Ryerson
b. Lee
c. Grossman
d. Shuberth
e. Hamilton

9. Which joint is spared in a modified triple arthrodesis?

a. Talo-navicular
b. Sub-talar
c. Ankle
d. Calcaneal cuboid
e. None of the above

Pg. 3
 14SS55: Why I Dont Do That
Anymore

Questions (Contd.)

10. Of all the invasive treatments for heel pain, the only one covered by most insurances is:

a. Platelet-rich plasma (PRP)

b. Botulinum toxin
c. Extracorporeal radiofrequency (ERF)
d. Cryosurgery
e. Radiofrequency

11. According to the most recent ACFAS clinical practice guidelines, all of the following
treatments are in the first tier options except:

a. Orthotics
b. Injections
c. Night splint
d. Nonsteroidal anti-inflammatory drugs (NSAIDs)
e. Extracorporeal shock wave therapy (ESWT)

12. Most heel pain is caused by:

a. A high body mass index

b. Trauma
c. Neurologic issues
d. Mechanical issues
e. Other

Pg. 4
 14SS55: Why I Dont Do That
Anymore

CE Test
Please type your information.

ACFAS ID #

Name:

Company:

Address 1:

Address 2:

City:

State: Zip Code:

Daytime Phone:

E-mail:

Signature:

Please select your answer.

Question Answers

1 a b c d e
2 a b c d e
3 a b c d e
4 a b c d e
5 a b c d e
6 a b c d e
7 a b c d e
8 a b c d e
9 a b c d e
10 a b c d e
11 a b c d e
12 a b c d e

Pg. 5
 14SS55: Why I Dont Do That
Anymore

Evaluation
1. The course achieved its learning objectives.

strongly agree agree neutral disagree strongly disagree

2. The course was relevant to my clinical learning needs.

strongly agree agree neutral disagree strongly disagree

3. The course was relevant to my personal learning needs.

strongly agree agree neutral disagree strongly disagree

4. The electronic method of instruction was conducive to learning.

strongly agree agree neutral disagree strongly disagree

5. The course validated my current practice.

strongly agree agree neutral disagree strongly disagree

6. I plan to change my practice based on what I learned in the course.

strongly agree agree neutral disagree strongly disagree

7. Any suggestions for the ACFAS e-Learning program?

_______________________________________________________________________________

E-Mail your CE Test and Evaluation form to: eLearning@acfas.org

Submit by E-mail
OR

Mail your CE Test and Evaluation form to:

American College of Foot & Ankle Surgeons Print Form
Education Curriculum & Alliances Department
8725 W. Higgins Road, Suite 555
Chicago, IL 60631-2724

Pg. 6