A New Trend of Social Media and Medicine: Analyzing the Quality and Educational Value of Ankle Sprain-Related Videos on TikTok

Category: Ankle; Sports Introduction/Purpose: Social media platforms, like TikTok, have become popular options for the distribution of healthcare information. Due to the lack of scientific oversight, the quality of healthcare-related videos has become a focus of the current literature. However, orthopaedic surgery has lagged behind other fields in acknowledging the widespread utilization of TikTok videos for medical information consumption. This study aims to assess the quality and educational benefits of ankle sprain-related TikTok videos. Methods: TikTok was queried using the hashtag “#anklesprainexercises". 100 videos were included after applying the exclusion criteria. The number of views, likes, shares, comments, and favorites was recorded. The content was graded using DISCERN (a well-validated informational analysis tool) and ASEES (a self-designed tool for exercise evaluation). Results: The total number of views of the 100 videos included was 6,483,412, with a median of 5,377.5 (IQR = 1,074- 20,275). The videos collectively received 385,847 likes, 3,642 comments, 55,574 favorites, and 14,918 shares with a median of 267.5 (IQR=41.5-1,678.0), 4.0 (IQR= 0.0-23.0), 42.0 (IQR= 4.8-264.5), and 13.0 (IQR= 1.8-67.8), respectively. General users uploaded more videos (68%) in comparison to healthcare professionals (32%). The dissemination statistics between the general users and healthcare professionals were statistically insignificant. There were significant differences in DISCERN 1, DISCERN 3, TOTAL DISCERN, and ASEES between the two groups. General users had a higher percentage of videos graded as “very poor” (61.8%) in comparison to healthcare professionals (34.4%). Neither general users nor healthcare professionals had videos graded “good” or “excellent”. Conclusion: Although TikTok is a powerful tool for information distribution, the educational value of the videos related to ankle sprain injury exercises was poor. With only 2% of videos receiving a grade of ‘fair,’ and no videos reaching a score of ‘good’ or ‘excellent’, healthcare professionals should be aware of the low-quality content easily accessible on TikTok

Analyzing the Quality and Educational Value of Achilles Tendinopathy-Related Videos on TikTok

Category: Ankle; Other Introduction/Purpose: Social media platforms, like TikTok, have become popular options for the consumption and distribution of healthcare information. Due to the lack of scientific oversight, the consistency of healthcare-related videos has become a focus of the current literature. However, orthopaedic surgery has lagged behind other specialties in acknowledging the widespread utilization of TikTok videos for medical information. This study aims to assess the quality and educational benefits of Achilles tendinopathy-related TikTok videos. Methods: TikTok was queried using the hashtags "#achillestendonexercises”, “achillestendonitisexercises", "achillestendinosisexercises" and "achillestendinopathyexercises". 100 videos (25 for each term) were included after applying the exclusion criteria. The number of views, likes, shares, comments, and favorites was recorded. The content was graded using DISCERN (a well-validated informational analysis tool) and ATEES (a self-designed tool for exercise evaluation). Results: The total number of views of the 100 videos was 1,647,148, with a median of 7,562.5 (IQR = 2,281- 19,575). The videos collectively received 73,765 likes, 1,125 comments, 14,491 favorites and 6,897 shares with a median of 283 (IQR= 73. 8-957.8), 7 (IQR= 1.8-16.0), 61.5 (IQR= 8.8-184.3), and 18.5 (IQR= 2.0-49.8), respectively. General users uploaded slightly less (48%) when compared to healthcare professionals (52%). Healthcare professionals had more videos graded as “very poor” (43.4%) in comparison to the general users (36.2%). General users had more videos graded as “poor” (63.8%) in comparison to healthcare professionals (54.7%). However, there were no significant differences between the groups on either of the video grading scales. Conclusion: Although TikTok is a powerful tool for information distribution, the educational value of the videos related to Achilles tendinopathy exercises was poor. With only 1% of videos receiving a grade of ‘fair,’ and no videos reaching a score of ‘good’ or ‘excellent’, healthcare professionals should be aware of the high viewership of low-quality content easily accessible on TikTok

Evaluating Failure Mechanisms for Total Talus Replacement: A Case Series

Category: Ankle Arthritis Introduction/Purpose: Talar collapse can occur from a variety of etiologies and may pose a unique challenge to the foot and ankle surgeon due to the complexity of the deformity and associated adjacent joint degenerative change. Total talus replacement (TTR) has emerged as an attractive option to help patients return to activities sooner than with arthrodesis and improve pain and joint mechanics postoperatively. However, there is limited long-term data on the most recent generation of implants. In this multi- institution case series, we present the severe complications that can occur after TTR, including instability, infection, and adjacent joint osteoarthritis. Methods: We present three cases from Duke University Hospital in Durham, North Carolina, and the Hospital for Special Surgery In New York City, New York. All three patients were treated with a total talus replacement (TTR) during their clinical course and experienced subsequent complications. Clinical data and radiographs were collected from chart review under an IRB-exempt protocol. Results: Case 1 demonstrates the risk of ligamentous insufficiency leading to dislocation following placement of a TTR. This case highlights the posterior instability due to soft tissue mobilization and division. Case 2 highlights the risk for adjacent joint degeneration with TTR. Case 3 presents an instance of non-union following a total ankle and total talus replacement (TATTR) with subtalar arthrodesis. To our knowledge, this represents the first case of nonunion following TTR in the literature. Finally, we discuss our institution’s experience with infection following TTR and possible contributing factors to this specific procedural risk. Conclusion: TTR shows promise in the properly selected patient with end-stage talar collapse. However, heterogeneous surgical techniques, implant composition, indications, and patient demographic variables complicate the interpretation of the literature. Moreover, few studies report mid-to long-term outcomes after this procedure and the occurrence of adjacent joint OA is likely underreported in the literature. Thus, until further, high-quality studies with long-term follow-up validate the positive early outcomes of TTR, we urge extreme caution in patient selection, choice of implants, and surgical techniques