Surgical Complications of the Foot and Ankle

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					               Surgical Complications
                of the Foot and Ankle




Balloon Over Mountains.Credit: Kim Ashley, Albuquerque Convention & Visitors Bureau.




   November 6-7, 2009
 Hyatt Regency Albuquerque
 Albuquerque, New Mexico

    Course Chair: J. Chris Coetzee, MD




                          Comprehensive two-day program
                              Program Information

                                                      DESCRIPTION
      COURSE CHAIR                                    The topics outlined in this course will be
      J. Chris Coetzee, MD                            explored with respect to known and potential
      Eden Prairie, Minnesota                         complications. A case-based, in-depth
      FACULTY                                         analysis will include both didactic discussions
      Robert B. Anderson, MD                          (explaining the etiology of the complication,
      Charlotte, North Carolina                       and the pathophysiology once it occurs) and
                                                      a case-based analysis on practical methods
      Gregory C. Berlet, MD
                                                      to achieve a satisfactory resolution. Panel
      Columbus, Ohio
                                                      discussions will enhance education through
      Paul Fortin, MD                                 debate on available methodology to correct
      Royal Oak, Michigan                             disorders. An experienced faculty will present
      Steven L. Haddad, MD                            their views on managing difficult foot and ankle
      Glenview, Illinois                              complications, both primary and referred.
      Jeffrey E. Johnson, MD
      St. Louis, Missouri                             Attendees are urged to bring their difficult
                                                      complications and will have the opportunity
      William C. McGarvey, MD
                                                      to consult with faculty in finding a successful
      Katy, Texas
                                                      resolution.
      Mark S. Myerson, MD
      Baltimore, Maryland
                                                      COURSE OBJECTIVES
      Bruce J. Sangeorzan, MD
                                                      Program goals are to facilitate higher levels of
      Seattle, Washington
                                                      physician competencies, improve health care
      David B. Thordarson, MD                         delivery and subsequent outcomes of patient
      Los Angeles, California                         care, promote the highest level of patient
                          Faculty subject to change   safety, and further advance the specialty of
                                                      orthopaedic surgery of the foot and ankle.

    This two day comprehensive problem-oriented       Upon completion of this course, participants
    course will focus on complications associated     will be able to:
    with the management of foot and ankle
    surgery through a series of didactic lectures     •   Identify ways to avoid, analyze and
    and case-based discussions. Illustrated during        manage complications
    the didactic component will be evidence-          •   Identify and apply strategies to improve
    based information on managing complications           patient outcomes
    supported by case-based solutions developed       •   Analyze case-based approaches to deal
    in practical clinical practice. The experienced       with complications of the foot and ankle
    faculty will provide in-depth information on
    predictable and unpredictable complications
    from a procedure, how to avoid them, and
                                                      TARGET AUDIENCE
    how to manage them should they occur.
                                                      This course is designed to educate the
                                                      seasoned veteran foot and ankle surgeon as
                                                      well as the orthopaedic surgeon interested in
                                                      expanding their scope of practice into foot and
                                                      ankle. Allied health professionals will also reap
                                                      the benefits of attending this unique program.




2
                           Program Information

STATEMENT OF NEED                                 DISCLOSURE STATEMENT
A need for this educational activity has          CONFLICT OF INTEREST
been determined based on previous course          In accordance with the guidelines of the
evaluations and the AOFAS educational             ACCME, the AOFAS requires all instructors,
curriculum. The content of this course was        planners and other individuals in a position
based on current issues and topics provided       to control or influence the content of an
by AOFAS membership and leadership.               educational activity to disclose all relevant
                                                  financial relationships or affiliations during
PROGRAM                                           the past 12 months with any commercial
The AOFAS attests that the persons                interest (any entity producing, marketing,
responsible for the development of this           re-selling, or distributing health care goods
educational activity did so independently         and services consumed by, or used on
and were not influenced by commercial              patients). All identified conflicts of interest
supporters.                                       must be resolved and the education content
                                                  vetted by the AOFAS for fair balance,
ACCREDITATION                                     scientific objectivity and appropriateness.
The AOFAS is accredited by the Accreditation      The AOFAS also requires faculty to disclose
Council for Continuing Medical Education          when off-label/unapproved uses of a product
(ACCME) to provide continuing medical             are discussed in a CME activity. Any and all
education for physicians.                         financial disclosures will be provided in the
                                                  final program that is distributed at the meeting
                                                  to program participants.
AMA/PRA
The AOFAS designates this educational
activity for a maximum of 15.5 AMA PRA
Category 1 creditsTM. Physicians should only
claim credit commensurate with the extent
of their participation in the activity. Credits
subject to program changes.


PROGRAM FORMAT
The program will be held at the Hyatt Regency
Albuquerque located in Albuquerque,
New Mexico. The educational sessions will be
held November 6 from 6:30 am – 5:00 pm
and from 7:00 am – 5:00 pm on
             .
November 7 Registration fee includes
continental breakfasts, breaks, lunches,
and the Welcome Reception on Friday
evening. On-site registration begins Thursday,
November 5 from 4:00 – 9:00 pm at the Hyatt
Regency Albuquerque. Directions to the Hyatt
Regency Albuquerque will be included in your
registration confirmation letter or you may call
the AOFAS Executive Office at 800-235-4855
or 847-698-4654 (outside the U.S.) for more
information.




  www.aofas.org • aofasinfo@aofas.org • 800-235-4855 or 847-698-4654 (outside the U.S.)             3
            Program and Registration Information

    DISCLAIMER                                         CANCELLATION / REFUNDS
    The material presented in this continuing          Requests to cancel registration and obtain
    medical education program is made available        a refund must be received in writing at the
    by the AOFAS for educational purposes only.        AOFAS Executive Office by the key deadlines
    The methods, techniques and procedures             shown (see box).
    demonstrated and views and opinions                Mail:   6300 North River Road
    expressed by speakers, presenters and faculty              Suite 510
    during this program are on their own, and                  Rosemont, IL 60018
    do not represent those of the AOFAS nor
                                                       Fax:    847-692-3315
    does presentation on the program represent
    or constitute endorsement or promotion by          E-mail: Registration@aofas.org
    the AOFAS. The AOFAS expressly disclaims
    any warranties or guaranties, expressed or         KEY REGISTRATION DEADLINES
    implied, and shall not be liable for damages       October 9, 2009
    of any kind in connection with the material,          Deadline for 100% Cancellation Refund
    methods, information, techniques, opinions         October 23, 2009
    or procedures expressed, presented or                 Deadline for 50% Cancellation Refund
    demonstrated.                                         (Less $100 processing fee)

    EDUCATIONAL PROGRAM                                The AOFAS reserves the right to cancel the
    MISSION                                            course 30 days prior to the course date.
    The mission of the AOFAS is to foster,             Should this occur, course registrants will
    promote, support, augment, develop, and            be notified by mail at the address indicated
    encourage investigative knowledge of the           on the registration form. Persons who
    medical and surgical care of the foot and          registered at least 30 days prior to the date of
    ankle in children and adults. It is the goal       course cancellation will also be contacted by
    of the AOFAS to provide physicians who             telephone. Registration fees will be refunded
    have an interest in foot and ankle surgery         in full. However, costs incurred by the
    with exposure to new knowledge, skills and         registrants, such as airline or hotel penalties,
    operative techniques which can optimize care       are the responsibility of the registrant.
    in the treatment of foot and ankle disorders.
    These goals are met through seminars,              COURSE POLICIES
    symposia, outside speakers, and educational        Course sessions, food functions and
    exhibits which have been designed based on         exhibits are for course participants only.
    evaluation procedure and needs assessment          The AOFAS regrets that spouses, families
    brought forth by the members. Programs             and unregistered staff are not permitted in
    are outlined, developed and approved by the        these areas. If you have not received your
    Education Committee and by the AOFAS               registration confirmation within one week
    Board of Directors. This material is useful to     of your departure for the course, please
    physician assistants and others with a special     contact the AOFAS Executive Office at
    interest in foot and ankle surgery. Continuing     aofasinfo@aofas.org or call 800-235-4855 or
    medical education through the AOFAS is             847-698-4654 (outside the U.S.). The AOFAS
    available as either scientific meetings or          will not be responsible for expenses incurred
    seminars.                                          by an individual who is not confirmed and for
                                                       whom space is not available at the course.
    EXHIBITS                                           Recording of the sessions is prohibited.
    Technical exhibits will be on display Friday and
    Saturday.




4
                     Accommodations & Travel

                                                 and restaurants of famed Old Town, tour the
                                                 local museums, zoo or wineries, play a round
                                                 of golf or a game of tennis, or take a drive to
                                                 Santa Fe and Taos to see southwestern design
                                                 at its best. Complete area activity information
                                                 is available from the Albuquerque Convention
                                                 & Visitors Bureau at www.itsatrip.org.


HOTEL                                            TRAVEL
                                                 Progressive Travel Management Inc. is the
Hyatt Regency Albuquerque
                                                 preferred travel agency for the AOFAS for
330 Tijeras NW
                                                 your airline reservations. For personalized and
Albuquerque, NM 87102
                                                 professional service, please contact:
Phone: 505-842-1234; Fax: 505-843-2710
www.Albuquerque.Hyatt.com                        Tomi M. Gaudio, account manager for AOFAS
                                                 Phone: 847-348-3600 or 877-366-0366 (Toll Free)
A block of guest rooms is being held at a        E-mail: tomi@progressivetravel.net
rate of $137 for single or double occupancy.
                                                 Please identify yourself as an AOFAS meeting
This special room rate will be available until
                                                 attendee.
Monday, October 5, 2009 or until the group
block is sold out, whichever comes first.
                                                 American Airlines has been designated the
Early registration is encouraged. Deposit and
                                                 preferred carrier for all AOFAS meetings.
cancellation penalties apply; please ask for
                                                 Please contact Tomi for reservations or
these details when making your reservation.
                                                 attendees in North America may also call
                                                 American Airlines Meeting Services directly
Reservations may be made as follows:
                                                 at 800-433-1790 to make airline reservations.
• Call the hotel directly at 800-233-1234 or
                                                 Travelers outside North America may contact
  505-842-1234
                                                 American’s Oneworld Alliance Partners
• Online hotel link at www.aofas.org             directly. You must reference AOFAS File
  (Medical Professionals page)                   Number A58N9AC to receive the AOFAS
• Online Hyatt group rate page                   discount on American Airlines.
  www.albuquerque.hyatt.com/
  groupbooking/albuqaofa2009                     GROUND TRANSPORTATION
Reference the AOFAS Surgical Complications       Sunport Shuttle (independently operated)
Course to receive discounted rate.               Phone: 505-883-4966
                                                 $11 one-way first person; $5 second person
Hyatt Regency Albuquerque rooms and              $20 round-trip; $5 second person each way
amenities include spacious guest rooms
with views of the city or mountains, Hyatt       Albuquerque Cab - Phone: 505-883-4888
Grand BedsTM fitted with luxurious linens,        Yellow Cab - Phone: 505-243-7777
Hyatt iPod stereo / generous work desk with      Cab - $18 - $20 one-way from airport (approx.)
T-Mobile wireless high-speed Internet access,
full-service business center, rooftop pool       Valet Parking (No R.V. or oversize vehicles)
with hot tubs, 24-hour Stay Fit gym, fitness      $16 per night with in/out privileges.
concierge / Yoga Away, massage services by       Clearance 6’8” .
appointment, and more.
                                                 Self Park - $12 per day with in/out privileges.
Enjoy Albuquerque before and after the           Handicapped Parking: 6 car spaces and 3 van
meeting. Take in the spectacular mountain        spaces
view from atop Sandia Peak, visit the shops


                      Hotel Reservations: 800-233-1234 or 505-842-1234                             5
                     Program Schedule                    (subject to change)


            ,
    THURSDAY NOVEMBER 5                            8:20 am   Case Presentations for the Panel
                                                             Moderator: J. Chris Coetzee, MD
    4:00 – 9:00 pm   Registration
                                                             Panel: Robert B. Anderson, MD
                                                                    Steven L. Haddad, MD
          ,
    FRIDAY NOVEMBER 6                                               Mark S. Myerson, MD
    6:30 am   Continental Breakfast                                 Bruce J. Sangeorzan, MD

    7:00 am   Welcome and Program                  Lesser Toes
              Introduction
              J. Chris Coetzee, MD, Course Chair   8:40 am   My retiring partner corrects
                                                             hammer toes with an aggressive IP
       SESSION 1: The Forefoot and Midfoot                   joint resection. Thanks for referring
                                                             the short and floppy toes as you
    Moderator: J. Chris Coetzee, MD                          leave for Bermuda.
                                                             Mark S. Myerson, MD
    Bunion and Hallux Rigidus
                                                   8:45 am    The toe is now floating after a Weil
    7:05 am   The Akin osteotomy: Can you                     osteotomy. How do I sink it?
              overcorrect?                                   David B. Thordarson, MD
              Steven L. Haddad, MD
                                                   8:55 am   I did the perfect Weil osteotomy,
    7:10 am   Your toe is straight following the             but there is a callus under the 3rd!
              bunion correction, so why are you              Orthotic time?
              complaining that it’s too stiff to             Steven L. Haddad, MD
              wear heels? Fix it!
              Paul Fortin, MD                      9:05 am   Case Presentations for the Panel:
                                                             The Moderator Hates Lesser Toe
    7:15 am   Hallux varus after hallux valgus               Correction
              repair. Preventing a ping-pong                 Moderator: J. Chris Coetzee, MD
              match with the great toe.                      Panel: Steven L. Haddad, MD
              Bruce J. Sangeorzan, MD                               Mark S. Myerson, MD
    7:30 am   Traumatic hallux valgus. More                         David B. Thordarson, MD
              trauma for you than you thought.     9:20 – 9:50 am
              Robert B. Anderson, MD                          Break / Visit Exhibits
    7:40 am   Multiple whittling bunion            Moderator: Steven L. Haddad, MD
              procedures has led to a short first
              ray and painful lesser metatarsal    Bunionette
              overload. What are the options?
                                                   9:50 am   My surgeon starred in Friday
              Mark S. Myerson, MD
                                                             the 13th. How to manage excess
    7:50 am   Metatarsal osteotomy malunions:                resection of the 5th metatarsal
              Can they be re-cut?                            head.
              William C. McGarvey, MD                        Jeffrey E. Johnson, MD

    8:00 am   The 1st MT head “disappeared”        Sesamoids
              after a Chevron osteotomy.
                                                   10:00 am Elevatus, Cock-Up, Varus, and
              What now?
                                                            Valgus: No wonder the Greeks
              Gregory C. Berlet, MD
                                                            considered the sesamoid the seat
    8:10 am   My hallux rigidus cheilectomy and             of the soul.
              debridement always works. My                   Robert B. Anderson, MD
              patient thinks I’m deceptive but
              doesn’t want a fusion. Now what?
              David B. Thordarson, MD


6
                Program Schedule                       (subject to change)


Neuromas                                         12:00 – 1:00 pm
                                                            Lunch / Exhibit Hall
10:10 am My calcaneal fracture looks great,
         but the sural nerve “got in the way”                SESSION 2: Diabetes
         and the neuroma is causing severe
         issues.                                 Moderator: J. Chris Coetzee, MD
          Jeffrey E. Johnson, MD
                                                 1:00 pm   I treated a “simple” bimalleolar
10:20 am The Morton’s neuroma excision                     ankle fracture in a neuropathic
         failed. A 10-minute case and                      diabetic patient with a cast. Now
         months of misery.                                 we have a Charcot ankle. Fix,
          Gregory C. Berlet, MD                            forget or fuse?
                                                           David B. Thordarson, MD
10:30 am Case Presentations for the Panel
          Moderator: Steven L. Haddad, MD        1:10 pm   The Charcot midfoot looked fine
          Panel: Robert B. Anderson, MD                    for four months in a CROW boot.
                 Paul Fortin, MD                           Now the Roman Arch would make
                 Jeffrey E. Johnson, MD                    Caesar angry. Can I rebuild it?
Metatarsal                                                 Steven L. Haddad, MD

10:50 am Such a small bone, and a small          1:20 pm   The forefoot ulcer healed with a
         surgeon. Management of malunion/                  total contact cast but continued to
         nonunion of the metatarsals.                      recur faster than the auto industry
          William C. McGarvey, MD                          needs bailouts. Make it stop!
                                                           Paul Fortin, MD
11:05 am I injected the second
         metatarsophalangeal joint with          1:30 pm   Case Presentations for the Panel
         great pain relief for two months. So              Moderator: J. Chris Coetzee, MD
         I did it four more times. Why is the              Panel: Paul Fortin, MD
         joint dislocated and how should I                        Bruce J. Sangeorzan, MD
         fix it?                                                   David B. Thordarson, MD
          Bruce J. Sangeorzan, MD
                                                 Miscellaneous
Midfoot
                                                 2:00 pm   I was told not all Lisfranc injuries
11:15 am I fused the midfoot...sort of. How                are bad, but now the school’s
         do I manage the nonunion?                         quarterback can’t run or jump
          Jeffrey E. Johnson, MD                           and his father is upset! Get my
                                                           scholarship back.
11.25 am The fracture was missed in the                    J. Chris Coetzee, MD
         emergency department...by me!
         Can’t blame Dr. Greene.                 2:10 pm   I fused a 1st metatarsophalangeal
          Paul Fortin, MD                                  joint in a tri-athlete and she now
                                                           claims she can’t run. So, swim
11.35 am Non-union after talo-navicular fusion             and bike?
         for arthritis secondary to navicular              Robert B. Anderson, MD
         avascular necrosis. What a mess.
          David B. Thordarson, MD                2:20 pm   I removed the accessory navicular,
                                                           and did a great job flattening a
11.45 am Case Presentations for the Panel                  flatfoot. Impressive.
          Moderator: Steven L. Haddad, MD
                                                           Bruce J. Sangeorzan, MD
          Panel: Gregory C. Berlet, MD
                 Paul Fortin, MD
                 Jeffrey E. Johnson, MD
                                                                             continued on page 8
                 William C. McGarvey, MD


  www.aofas.org • aofasinfo@aofas.org • 800-235-4855 or 847-698-4654 (outside the U.S.)            7
                      Program Schedule                        (subject to change)

    Friday, November 6 continued
    2:30 pm     Cortisone injections worked well        6:30 – 7:30 pm
                for her metatarsalgia, but after                   Welcome Reception – Exhibit Hall
                10 injections she has no fat pad.
                Silicone implants?                              ,
                                                        SATURDAY NOVEMBER 7
                Gregory C. Berlet, MD
                                                        6:30 – 7:00 am
    2:40 pm     Case Presentations for the Panel                   Continental Breakfast
                Moderator: J. Chris Coetzee, MD
                                                        7:00 am   Announcements
                Panel: Robert B. Anderson, MD
                                                                  J. Chris Coetzee, MD, Course Chair
                       Gregory C. Berlet, MD
                       Paul Fortin, MD
                                                                  SESSION 3: The Hindfoot
                       Steven L. Haddad, MD
                                                        Moderator: Steven L. Haddad, MD
    3:10 – 3:30 pm
               Break / Visit Exhibits                   Triple Arthrodesis
    Moderator: Steven L. Haddad, MD                     7:00 am   Should I reduce the joints when I
                                                                  do a triple? The world of malunion.
    All the Kings Men...
                                                                  Steven L. Haddad, MD
    3:30 pm     Reflex sympathetic dystrophy after
                                                        Calcaneus Fractures
                open repair of an ankle fracture.
                The bone healed, so why are you         7:15 am   I fixed it without Bohler’s help.
                complaining?                                      So, what do I do with the painful,
                Paul Fortin, MD                                   flattened arthritic subtalar joint?
                                                                  William C. McGarvey, MD
    3:45 pm     Protocol for suspicion of
                osteomyelitis: What tests do I really   Talus Fractures
                believe and when is a debridement
                a debridement?                          7:30 am   Malunion: Can you really do a
                William C. McGarvey, MD                           joint-preserving operation?
                                                                  Paul Fortin, MD
    4:00 pm     I “fixed” the 5th MT stress fracture,
                but the screw broke.                    7:45 am   Case Presentations for the Panel:
                Robert B. Anderson, MD                            The Moderator Has No Three-
                                                                  Dimensional Sense
    4:15 pm     My patient was admitted for                       Moderator: Steven L. Haddad, MD
                a pulmonary embolus after an                      Panel: William C. McGarvey, MD
                Achilles repair. What are the current                    Mark S. Myerson, MD
                guidelines for anticoagulation?                          Bruce J. Sangeorzan, MD
                William C. McGarvey, MD                                  David B. Thordarson, MD

    Your Turn                                           Cavovarus Deformity
    4:30 pm     Audience Case Presentations /           8:10 am   The deformity seemed supple, so
                Questions                                         I did tendon transfers to correct
                Audience cases must be submitted                  the cavovarus foot. Was more
                to the AOFAS Executive Office in                   necessary?
                advance; select cases will be given               Gregory C. Berlet, MD
                five minutes for presentation and
                panel discussion.                       8:15 am   The calcaneal osteotomy and
                Moderator: Steven L. Haddad, MD                   dorsiflexion osteotomy of the 1st
                Panel: Robert B. Anderson, MD                     metatarsal lacked octane: How do
                       Paul Fortin, MD                            I fix persistent lateral overload?
                       William C. McGarvey, MD                    Bruce J. Sangeorzan, MD
                       Mark S. Myerson, MD

8
                 Program Schedule                       (subject to change)



8:30 am   The foot correction looks good, but    Tarsal Tunnel Syndrome
          now the ankle doesn’t dorsiflex.
                                                 10:40 am Tarsal tunnel release. Shooting
          Can I ever win?
                                                          success or burning failure?
          J. Chris Coetzee, MD
                                                            Jeffrey E. Johnson, MD
8:40 am   Case Presentations for the Panel:
                                                 ANKLE LIGAMENTS:
          The Moderator Can’t Let That Go
          Without a Few Cases                    Deltoid Ligament
          Moderator: Steven L. Haddad, MD
          Panel: Gregory C. Berlet, MD           10:50 am I did a triple for longstanding
                 J. Chris Coetzee, MD                     flatfoot. It looked good in a cast,
                 Bruce J. Sangeorzan, MD                  but now the ankle sags in valgus.
                                                          Could I just leave it in a cast for
9:00 – 9:30 am                                            life?
           Break / Visit Exhibits                           Jeffrey E. Johnson, MD

SESSION 4: Ligaments, Tendons and Nerves         Lateral Ligament Instability

Moderator: Mark S. Myerson, MD                   11:00 am Failure of the bullet-proof modified
                                                          Bröstrom. I need a stimulus
Posterior Tibial Tendon Dysfunction                       package to add stability.
9:30 am   Recurrence of deformity following                 Paul Fortin, MD
          calcaneal osteotomy and FDL            11:15 am Case Presentations for Faculty:
          tendon transfer. Now what?                      The Moderator Is Unstable
          Gregory C. Berlet, MD                             Moderator: Mark S. Myerson, MD
9:45 am   When I inserted a tenodesis screw                 Panel: Gregory C. Berlet, MD
                                                                   Paul Fortin, MD
          into the navicular, the medial
                                                                   Steven L. Haddad, MD
          tubercle of the navicular fractured,
                                                                   Jeffrey E. Johnson, MD
          leaving the transfer unstable.
          Mark S. Myerson, MD                    11:40 am – 12:40 pm
                                                           Lunch / Exhibit Hall
10:00 am Persistent lateral column
         pain following lateral column
                                                             SESSION 5: The Ankle
         lengthening. Should I have stuck to
         the medial column?                      Moderator: J. Chris Coetzee, MD
          Bruce J. Sangeorzan, MD
                                                 Osteochondritis Dissicans and Talar
10:10 am I did a subtalar fusion and now the     Avascular Necrosis
         patient is walking on the outside
         of his foot. How do I balance the       12:40 pm Osteochondritis dissicans: Drill
         imbalance I have created?                        baby drill! But there is still pain.
          Jeffrey E. Johnson, MD                          What next?
                                                            Gregory C. Berlet, MD
10:20 am Case Presentations for the Panel:
         Saving the Moderator through            12:50 pm Case Presentations for Faculty:
         Solution Cases                                   Dead Bone Dilemma
          Moderator: Mark Myerson, MD                       Moderator: J. Chris Coetzee, MD
          Panel: Gregory C. Berlet, MD                      Panel: Gregory C. Berlet, MD
                 Jeffrey E. Johnson, MD                            Paul Fortin, MD
                 Bruce J. Sangeorzan, MD                           David B. Thordarson, MD

                                                                           continued on page 10



                          View program updates at www.aofas.org                                   9
                        Program Schedule                      (subject to change)

     Saturday, November 7 continued

     Ankle Fractures                                    3:05 pm   My second generation ankle
                                                                  replacement is sinking through
     1:10 pm    Somehow tibial pilon fractures in
                                                                  the talus. I thought we learned
                Chicago frequently end up with
                                                                  something after all these years.
                malunions. Why and how
                                                                  Mark S. Myerson, MD
                to salvage?
                Steven L. Haddad, MD                    3:15 pm   Ankle replacements are wonderful
                                                                  but not easy: The world of United
     1:25 pm    The bimalleolar ankle fracture
                                                                  States ankle replacements.
                seemed simple on x-ray, but when
                                                                  Panel: Gregory C. Berlet, MD
                I opened the medial side I found a
                                                                         Steven L. Haddad, MD
                large traumatic cartilage defect.
                                                                         Mark S. Myerson, MD
                I think I can ignore it.
                Mark S. Myerson, MD                     ANKLE TENDONS:

     1:35 pm    My syndesmotic fixation failed.          Moderator: Steven L. Haddad, MD
                Fibula malreduction vs. ligament
                instability. How do I decide and        Achilles Tendon Disorders
                how do I fix it?                         4:20 pm   My primary repair is pathetic! The
                J. Chris Coetzee, MD                              patient has no push-off power and
     Ankle Arthrodesis                                            the repair failed. Tendon transfers,
                                                                  augmentation techniques, and
     1:45 pm    Malunion of an ankle arthrodesis...               working with the old tendon.
                I thought the gold standard was                   David B. Thordarson, MD
                supposed to be simple.
                Paul Fortin, MD                         4:30 pm   I took off the calcaneal pump bump
                                                                  but the patient still can’t wear
     2:05 pm    Case Presentations for the Panel:                 pumps. What now?
                Stop! Let’s Put the Faculty’s Feet to             William C. McGarvey, MD
                the Fire
                Moderator: J. Chris Coetzee, MD         Peroneal Tendon Problems
                Panel: Steven L. Haddad, MD             4:40 pm   I did a simple repair of a
                       William C. McGarvey, MD                    longitudinal split tear of the
                       Mark S. Myerson, MD                        peroneal tendon. She came back
     2:25 – 2:45 pm                                               with increasing swelling and pain,
                Break                                             and feels unstable. What to
                                                                  do next?
     Moderator: J. Chris Coetzee, MD                              Jeffrey E. Johnson, MD

     Total Ankle Arthroplasty                           4:50 pm   Case Presentations for the Panel
                                                                  Moderator: Steven L. Haddad, MD
     2:45 pm    I was a little aggressive with the
                                                                  Panel: Jeffrey E. Johnson, MD
                saw and fractured the malleoli.
                                                                         William C. McGarvey, MD
                Does it matter?
                                                                         David B. Thordarson, MD
                Gregory C. Berlet, MD
                                                        5:05 pm   Closing Arguments
     2:55 pm    Everyone gets an ankle
                replacement in my practice. Varus,
                                                                  Course Adjourns
                valgus...I’m not afraid. Is edge
                loading a bad thing?
                Steven L. Haddad, MD




10
                                                                Registration Form
                                                                       November 6-7, 2009
Surgical Complications of the Foot and Ankle                           Albuquerque, New Mexico

Open to AOFAS and AAOS members, residents and fellows, non-member physicians, and allied
health professionals. If you fall outside these categories, please contact the AOFAS Executive Office.

PLEASE PRINT CLEARLY. Photocopy form for additional registrants.
Full Name: ________________________________________________                   Degree ______________
First Name/Nickname (for badge): ____________________________________________________
Company _________________________________________________________________________
Office Address ____________________________________________________________________
                       (NOTE: This address will be provided to attendees and exhibitors.)

City ___________________________________________State/Province_____________________
ZIP/Postal Code _________________________________Country __________________________
Office Phone ___________________________________Fax ______________________________
E-mail (required for confirmation) ____________________________________________________
ADA Compliance: Indicate below any on-site needs (i.e. dietary, audio/visual devices, etc.) or
send a separate e-mail to Registration@aofas.org by Oct. 16 to receive service(s) requested.
__________________________________________________________________________________

REGISTRATION FEES (U.S. Dollars)
One day registration is not available. All registrants must pay the full registration fee which
includes course materials, admission to the sessions, lab and exhibits, and indicated meals.

Login required. Please create new record ONLY if you do not already have one.

                                 On or before    After October 16
                                  October16         and on-site
AOFAS Member                          $695              $795
AAOS Member                           $795              $895
Non-member Physician                  $870              $970
International Attendee                $525              $625        Payment required at time of
Resident and Fellow                   $515              $565        registration. E-mail receipt
   (fax letter of verification
   to 847-692-3315)                                                 provided when processed.
Allied Health Professional            $515              $565
   (ATC, PT, PA, RN)                                                Credit card payments:

   TOTAL AMOUNT ENCLOSED                  $ ______________            Online: www.aofas.org

PAYMENT (Please review Cancellation/Refunds policy)                   Fax:      847-692-3315
  Check enclosed (payable to AOFAS)
  Credit Card:    VISA®      MasterCard®    AmEx®                     Phone: 800-235-4855 or
                                                                             847-698-4654
                                                                                (outside the U.S.)
Cardholder Name (please print)
__________________________________________________                  Check or credit card
                                                                    payments:
Number | | | | | | | | | | | | | | | | |
   Exp. | | | | |               Security # | | | | |                  Mail:     American Orthopaedic
         m m y y                                                                Foot & Ankle Society
Cardholder Signature                                                            22271 Network Place
                                                                                Chicago, IL 60673-1222
_________________________________________________