ABFAS Procedure Categories Table
How to Use the Procedure Categories Table
The Procedure Categories table is designed to help you understand which procedures count toward the minimum requirements for Case Review. To be eligible, you must log all post-residency cases in PLS. From those logged cases, ABFAS will determine whether you meet the minimum of 30 cases (Foot or RRA, depending on the certification sought) and whether there are at least 8 cases that can be evaluated.
When reviewing the table, note that:
- Eligible Procedures count toward the 30-case minimum and the pool of cases from which ABFAS will select the 8 cases to evaluate.
- Core Procedures are a subset of Eligible Procedures. At least 8 cases submitted for Case Review must include a Core Procedure. This means you must have a minimum of 8 cases that contain procedures from categories marked as a Core Procedure.
- Procedures marked Not Eligible do not count toward either the 30-case minimum or the 8 cases evaluated in Case Review.
- You may qualify for Case Review with as few as 30 logged cases, provided all include at least one eligible procedure and at least 8 include Core Procedures. However, you are required to log all cases you perform after completing residency, not just the minimum needed for eligibility.
- There are additional factors that affect case selection. See Factors That Affect Case Selection for additional eligibility criteria.
Category | Procedure | Foot | Foot Core Need at least 8 | RRA Eligible Need at least 30 | RRA Core Need at least 8 |
1.1 | partial ostectomy/exostectomy. | No | No | No | No |
1.2 | phalangectomy. | No | No | No | No |
1.3 | arthroplasty (IPJ). | Yes | No | No | No |
1.4 | implant (IPJ) (silastic implant or spacer). | Yes | No | No | No |
1.5 | diaphysectomy. | No | No | No | No |
1.6 | phalangeal osteotomy. | Yes | No | No | No |
1.7 | fusion (IPJ). | Yes | No | No | No |
1.8 | amputation. | Yes | No | No | No |
1.9 | management of osseous tumor/neoplasm. | Yes | No | No | No |
1.10 | management of bone/joint infection. | Yes | No | No | No |
1.11 | open management of digital fracture/dislocation. | Yes | No | No | No |
1.12 | revision/repair of surgical outcome. | Yes | No | No | No |
1.13 | other osseous digital procedure not listed above | No | No | No | No |
2.1.1 | bunionectomy (partial ostectomy/Silver procedure), with or without capsulotendon balancing procedure. | Yes | No | No | No |
2.1.3 | bunionectomy with phalangeal osteotomy. | Yes | Yes | No | No |
2.1.4 | bunionectomy with distal first metatarsal osteotomy. | Yes | Yes | No | No |
2.1.5 | bunionectomy with first metatarsal base or shaft osteotomy. | Yes | Yes | No | No |
2.1.6 | bunionectomy with first metatarsocuneiform fusion. | Yes | Yes | No | No |
2.1.7 | MPJ fusion. | Yes | Yes | No | No |
2.1.8 | MPJ implant. | Yes | Yes | No | No |
2.1.9 | MPJ arthroplasty. | Yes | No | No | No |
2.1.10 | bunionectomy double correction with osteotomy and/or arthrodesis. | Yes | Yes | No | No |
2.2.1 | cheilectomy. | Yes | No | No | No |
2.2.2 | joint salvage with phalangeal osteotomy (Kessel-Bonney, enclavement). | Yes | Yes | No | No |
2.2.3 | joint salvage with distal metatarsal osteotomy. | Yes | Yes | No | No |
2.2.4 | joint salvage with first metatarsal shaft or base osteotomy. | Yes | Yes | No | No |
2.2.5 | joint salvage with first metatarsocuneiform fusion. | Yes | Yes | No | No |
2.2.6 | MTPJ fusion. | Yes | Yes | No | No |
2.2.7 | MTPJ implant. | Yes | Yes | No | No |
2.2.8 | MTPJ arthroplasty. | Yes | No | No | No |
2.3.1 | tendon transfer/lengthening procedure. | Yes | Yes | No | No |
2.3.2 | osteotomy (e.g. dorsiflexory). | Yes | Yes | No | No |
2.3.3 | metatarsocuneiform fusion (other than for hallux valgus or hallux limitus). | Yes | Yes | No | No |
2.3.4 | amputation. | Yes | No | No | No |
2.3.5 | management of osseous tumor/neoplasm (with or without bone graft). | Yes | Yes | No | No |
2.3.6 | management of bone/joint infection (with or without bone graft). | Yes | No | No | No |
2.3.7 | open management of fracture or MPJ dislocation. | Yes | Yes | No | No |
2.3.8 | corticotomy with callus distraction. | Yes | Yes | No | No |
2.3.10 | other first ray procedure not listed above. | No | No | No | No |
3.1 | excision of ossicle/sesamoid. | Yes | No | No | No |
3.2 | excision of neuroma. | Yes | No | No | No |
3.3 | removal of deep foreign body (excluding hardware removal). | No | No | No | No |
3.4 | plantar fasciotomy. | Yes | No | No | No |
3.5 | lesser MPJ capsulotendon balancing. | No | No | No | No |
3.6 | tendon repair, lengthening, or transfer involving the forefoot (including digital FDL transfer). | Yes | No | No | No |
3.7 | open management of dislocation (MPJ/tarsometatarsal). | Yes | Yes | No | No |
3.8 | incision and drainage/wide debridement of soft-tissue infection (includes foot, ankle or leg). | Yes | No | No | No |
3.9 | plantar fasciectomy/plantar fibroma resection. | Yes | No | No | No |
3.10 | excision of soft-tissue tumor/mass (without reconstructive surgery: includes foot, ankle or leg). | Yes | No | No | No |
3.12 | plastic surgery techniques (including skin graft, skin plasty, flaps, syndactylization, desyndactylization, and debulking procedures limited to the forefoot). | Yes | No | No | No |
3.13 | microscopic nerve/vascular repair (forefoot only) | No | No | No | No |
3.14 | other soft-tissue procedures not listed above (limited to the foot). | No | No | No | No |
3.16 | external neurolysis/decompression (including tarsal tunnel). | Yes | No | No | No |
3.17 | decompression of compartment syndrome (includes foot or leg). | Yes | Yes | No | No |
4.1 | partial ostectomy (includes foot, ankle or leg). | Yes | No | No | No |
4.2 | lesser MPJ arthroplasty. | No | No | No | No |
4.3 | bunionectomy of the fifth metatarsal without osteotomy. | Yes | No | No | No |
4.4 | metatarsal head resection (single or multiple). | Yes | No | No | No |
4.5 | lesser MPJ implant. | Yes | Yes | No | No |
4.6 | central metatarsal osteotomy. | Yes | Yes | No | No |
4.7 | bunionectomy of the fifth metatarsal with osteotomy. | Yes | Yes | No | No |
4.8 | open management of lesser metatarsal fracture(s). | Yes | Yes | No | No |
4.9 | harvesting of bone graft includes foot, ankle, and leg | No | No | No | No |
4.10 | amputation (lesser ray, TMA). | Yes | No | No | No |
4.11 | management of bone/joint infection distal to the tarsometatarsal joints (with or without bone graft). | Yes | No | No | No |
4.12 | management of bone tumor/neoplasm distal to the tarsometatarsal joints (with or without bone graft). | Yes | Yes | No | No |
4.13 | open management of tarsometatarsal fracture/dislocation. | Yes | Yes | No | No |
4.14 | multiple osteotomy management of metatarsus adductus. | Yes | Yes | No | No |
4.15 | tarsometatarsal fusion. | Yes | Yes | No | No |
4.16 | corticotomy/callus distraction of lesser metatarsal. | Yes | Yes | No | No |
4.17 | revision/repair of surgical outcome in the forefoot. | Yes | Yes | No | No |
4.18 | other osseous procedures not listed above (distal to the tarsometatarsal joint). | No | No | No | No |
4.19 | detachment/reattachment of Achilles tendon with partial ostectomy. | Yes | Yes | No | No |
5.1.1 | plastic surgery techniques involving the midfoot, rearfoot or ankle. | Yes | No | No | No |
5.1.2 | tendon transfer involving the midfoot, rearfoot, ankle, or leg. | Yes | Yes | No | No |
5.1.3 | tendon lengthening involving the midfoot, rearfoot, ankle, or leg. | Yes | Yes | No | No |
5.1.4 | soft-tissue repair of complex congenital foot/ankle deformity (clubfoot, vertical talus). | Yes | Yes | Yes | Yes |
5.1.5 | primary or secondary repair of ligamentous structures. | Yes | Yes | Yes | Yes |
5.1.6 | tendon augmentation/supplementation/restoration. | Yes | Yes | Yes | No |
5.1.7 | open synovectomy of the rearfoot/ankle. | No | No | No | No |
5.1.9 | other elective reconstructive rearfoot/ankle soft-tissue surgery not listed above. | No | No | No | No |
5.2.1 | ankle arthroscopy without the removal of loose body or other osteochondral debridement. | Yes | Yes | Yes | No |
5.2.3 | subtalar arthroereisis. | Yes | No | Yes | No |
5.2.4 | midfoot, rearfoot, or ankle fusion. | Yes | Yes | Yes | Yes |
5.2.5 | midfoot, rearfoot, or tibial osteotomy. | Yes | Yes | Yes | Yes |
5.2.6 | coalition resection. | Yes | Yes | Yes | Yes |
5.2.7 | open management of talar dome lesion (with or without osteotomy). | Yes | Yes | Yes | Yes |
5.2.8 | ankle arthrotomy/arthroscopy with the removal of a loose body or other osteochondral debridement. | Yes | Yes | Yes | Yes |
5.2.9 | ankle implant. | Yes | Yes | Yes | Yes |
5.2.10 | corticotomy or osteotomy with callus distraction/ correction of complex deformity of the midfoot, rearfoot, ankle, or tibia. | Yes | Yes | Yes | Yes |
5.2.11 | other elective reconstructive rearfoot/ankle osseous surgery not listed above. | No | No | No | No |
5.3.1 | repair of acute tendon injury. | Yes | Yes | Yes | Yes |
5.3.2 | repair of acute ligament injury. | Yes | Yes | Yes | Yes |
5.3.3 | microscopic nerve/vascular repair of the midfoot, rearfoot, or ankle. | Yes | Yes | Yes | Yes |
5.3.4 | excision of soft-tissue tumor/mass of the foot, ankle, or leg (with reconstructive surgery). | Yes | No | No | No |
5.3.6 | open repair of dislocation (proximal to tarsometatarsal joints). | Yes | Yes | Yes | Yes |
5.3.7 | other non-elective reconstructive rearfoot/ankle soft-tissue surgery not listed above. | No | No | No | No |
5.4.1 | open repair of adult midfoot fracture. | Yes | Yes | Yes | Yes |
5.4.2 | open repair of adult rearfoot fracture. | Yes | Yes | Yes | Yes |
5.4.3 | open repair of adult ankle fracture. | Yes | Yes | Yes | Yes |
5.4.4 | open repair of pediatric rearfoot/ankle fracture or dislocation. | Yes | Yes | Yes | Yes |
5.4.5 | management of bone tumor/neoplasm (with or without bone graft). | Yes | Yes | Yes | No |
5.4.6 | management of bone/joint infection (with or without bone graft). | Yes | No | Yes | No |
5.4.7 | amputation proximal to the tarsometatarsal joints. | Yes | No | Yes | No |
5.4.8 | other non-elective reconstructive rearfoot/ankle osseous surgery not listed above. | No | No | No | No |
5.4.9 | application of multiplanar external fixation midfoot, rearfoot, ankle (does not include mini or mono rails). | Yes | Yes | Yes | Yes |