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April 30 - May 1, 2010 Student education Center Auditorium 3300 Grand Avenue Des Moines, Iowa 13.5 hr s CPME ( pendin g) SECond AnnuAl dES MoinES univErSity Foot & Ankle Surgery Symposium Program Chair – Michael S. Lee, D.P.M., FACFAS Program Co-Chair – Collin Pehde, D.P.M., AACFAS Continuing Education Credit Des Moines University – College of Podiatric PurPoSe: This symposium is designed for foot and ankle Medicine and Surgery is approved by the surgeons who want to enhance their knowledge of Hallux Council of Podiatric Medical Education as a sponsor of continuing education in Podiatric Valgus, ankle arthroscopy, the painful forefoot, gentleman’s Medicine. This program has been reviewed trauma, the Charcot foot, the diificult hindfoot and complex and approved for 13.5 continuing education contact hours. reconstruction. Des Moines university Foot & Ankle Surgery Symposium April 30-May 1, 2010 AGEndA Friday, April 30 9:20 - 9:40 Lateral Calcaneal Flap for Posterior Heel Wounds Collin Pehde, DPM, AACFAS 12:55 p.m. Welcome and Announcements 9:40 - 10:00 Question & answer session Michael S. Lee, DPM, FACFAS Break/visit exhibitors and sponsors Hallux valgus (1 - 3 p.m.) Arthoscopy (10:15 - 12:15 p.m.) 1:00 - 1:20 Medial Dissection of the First MPJ Paul Dayton, DPM, FACFAS 10:15 - 10:35 Practical aspect and complications Don Buddecke, DPM, FACFAS 1:20 - 1:40 1st MPJ Fusions for Hallux Valgus Troy Boffeli, DPM, FACFAS 10:35 - 10:55 Subtalar Joint Arthroscopy Jeff Christiansen, DPM, FACFAS 1:40 - 2:00 The Geriatric Bunion Eric Barp, DPM, FACFAS 10:55 - 11:15 TBD Scott Nelson, DPM, FACFAS 2:00 - 2:20 The Lapidus Sean Grambart, DPM, FACFAS 11:15 - 11:35 Tendonoscopy, Fact or Fiction? Jeff Christiansen, DPM, FACFAS 2:20 - 2:40 revision Hallux Valgus Surgery Jeff Christiansen, DPM, FACFAS 11:35 - 11:55 Arthroscopic Ankle Arthrodesis Michael Lee, DPM, FACFAS 2:40 - 2:50 Question and answer session 11:55 - 12:05 Question & answer session Break/visit exhibitors and sponsors Break/visit exhibitors and sponsors Gentleman’s trauma (3 - 5 p.m.) 12:15 - 1:00 Box lunch 3:00 - 3:20 5th Metatarsal Fractures Sean Grambart, DPM, FACFAS the Painful Forefoot (1 - 3:00 p.m.) 3:20 - 3:40 Navicular Fractures 1:00 - 1:20 Freibergs Infarction Jill Frerichs, DPM, FACFAS Eric Barp, DPM, FACFAS 3:40 - 4:00 Central Metatarsal Fractures 1:20 - 1:40 Tailor’s Bunions Don Buddecke, DPM, FACFAS Troy Boffeli, DPM, FACFAS 4:00 - 4:20 Syndesmotic Injuries, 1:40 - 2:00 The Painful 2nd MPJ Michael S. Lee, DPM, FACFAS Jill Frerichs, DPM, FACFAS 4:20 - 4:40 Calcaneal Fractures, 2:00 - 2:20 Morton’s Foot Troy Boffeli, DPM, FACFAS Jeff Christiansen, DPM, FACFAS 4:40 - 5:00 Question & answer session 2:20 - 2:40 Hallux rigidus Sean Grambart, DPM, FACFAS Break/visit exhibitors and sponsors 2:40 - 3:00 Question & answer session 5:00 - 6:00 Welcome reception (Student Education Center) Break/visit exhibitors and sponsors 6:00 - 7:30 Abstract Presentation/Fireside Chat (Student Education Center Commons) difficult rearfoot (3:15 - 5:15 p.m.) 7:30 - 7:50 Question and answer session 3:15 - 3:35 Tendon Transfers Eric Barp, FACFAS 3:35 - 3:55 rigid Adult Acquired Flatfoot Saturday, May 1 Sean Grambart, DPM, FACFAS 7:30 - 8 a.m. Continental breakfast 3:55 - 4:15 Keck and Kelly Heel osteotomy the Soft tissues (8 - 10:00 a.m.) Troy Boffeli, DPM, FACFAS 8:00 - 8:20 Management of Hallux ulcers 4:15 - 4:35 Hindfoot nonunions Collin Pehde, DPM, AACFAS Jeff Christiansen, DPM, FACFAS 8:20 - 8:40 Damage Control and Soft Tissue Preservation 4:35 - 4:55 Modern Techniques in Bone Grafting in extremity Trauma Paul Dayton, DPM, FACFAS Paul Dayton, DPM, FACFAS 4:55 - 5:15 Lecture, TBD 8:40 - 9:00 Local rotational Flaps 5:15 - 5:30 Question and answer session Troy Boffeli, DPM, FACFAS Adjournment 9:00 - 9:20 TBD Des Moines university Foot & Ankle Surgery Symposium April 30-May 1, 2010 FACult y Michael S. Lee, DPM, FACFAS, earned his tion. Dr. Barp is a board member of the Paul Dayton, DPM, FACFAS, earned his Doctor of Podiatric Medicine degree at State Board of Podiatric Medical exam- Doctor of Podiatric Medicine degree Des Moines university. He then complet- iners, which is a governor-appointed po- at the California College of Podiatric ed a three-year foot and ankle surgical sition, and adjunct assistant professor in Medicine. He then completed a Podiatric residency at the Western Pennsylvania Des Moines university’s College of Podi- Surgical residency at Kaiser Foundation Hospital in Pittsburgh, Pennsylvania. atric Medicine and Surgery. He is also a Hospital, Santa Clara California where Dr. Lee has been in practice in central member of the American College of Foot he was Chief resident from 1989-1990. Iowa for 10 years. He is board-certified and Ankle Surgeons. Dr. Barp practices He is board-certified by the American in both foot surgery and reconstructive with The Iowa Clinic in Des Moines. Board of Podiatric Surgery in foot sur- rearfoot and ankle surgery by the Ameri- gery and reconstructive rearfoot and can Board of Podiatric Surgery. Dr. Lee Troy Boffeli, DPM, FACFAS,, earned his ankle surgery. Dr. Dayton is currently is president of the American College of Doctor of Podiatric Medicine degree at the director of Trinity regional Medical Foot and Ankle Surgeons. He specializes Des Moines university. He completed Center PM&S 36 residency and is ad- in reconstruction of the foot and ankle, three years of postdoctoral surgical junct associate professor at Des Moines ankle arthroscopy, and foot and ankle training at Detroit Medical Center, university College of Podiatric Medi- injuries/trauma. Wayne State university School of Medi- cine. He serves as section editor for the cine, department of surgery. He is cur- Journal of Foot and Ankle Surgery and is Collin E. Pehde, DPM, AACFAS, earned his rently a staff surgeon and department the Scientific Chair for the Heartland Po- Doctor of Podiatric Medicine degree at head of the department of foot and ankle diatry Conference. Dr. Dayton has held Des Moines university, graduating with surgery at HealthPartners Medical numerous clinical appointments includ- distinction. He completed a one-year po- Group in St. Paul, Minnesota. Dr. Bofelli ing, The Board of Directors for Trimark diatric medical residency at the Western is also an adjunct clinical faculty member Physicians Group, Iowa Board of Podiat- Pennsylvania Hospital in Pittsburgh, at ohio College of Podiatric Medicine ric Medical examiners, Iowa Podiatric Pennsylvania, and a two-year podiatric and Des Moines university College of Medical Association and Chief of Staff surgical residency at the Harris County Podiatric Medicine and Surgery. Dr. at Trinity regional Medical Center. Dr. Podiatric Surgical residency program Bofelli is a diplomate, American Board of Dayton currently practices with Trimark in Houston, Texas. He joined DMu as Podiatric Surgery and is board certified Physicians Group in Fort Dodge Iowa. an assistant professor in the College of in reconstructive rearfoot/ankle surgery. Podiatric Medicine and Surgery in 2005. He has a special interest in surgery of Jill A. Frerichs, DPM, AACFAS, graduated Dr. Pehde practices in the university’s the foot and ankle including deformity from the university of Iowa and earned Foot and Ankle Institute. He has a strong reconstruction, fracture repair, arthritis her Doctor of Podiatric Medicine degree interest in the comprehensive care of the surgery, sports injuries and diabetic from Des Moines university. She was diabetic foot and developed DMu’s Limb wound surgery. a surgical resident at Grant Medical Preservation Center. Center in Columbus, ohio, from 2001 Don Buddecke, DPM, FACFAS, earned his to 2004. After two years of private prac- Eric Barp, DPM, FACFAS, earned his Doc- Doctor of Podiatric Medicine degree tice in Columbus, she became assistant tor of Podiatric Medicine degree from from Des Moines university in 1998. He professor of podiatric medicine at DMu, Des Moines university and completed completed his residency at Broadlawns where she practices in the university’s his residency at Broadlawns Medical Medical Center, Des Moines, Iowa, fol- Foot and Ankle Institute and lectures Center, Des Moines, where he was chief lowed by a fellowship at the Foot & Ankle on all topics of podiatric medicine and resident, 2002-2003. He is board-certi- Trauma and reconstruction. Dr. Bud- surgery throughout the first-, second- fied in rearfoot reconstructive and ankle decke is board-certified in foot surgery and third-year curriculum. She has con- surgery and in foot surgery and is a dip- and reconstructive rearfoot and ankle ducted research and published on topics lomat of the American Board of Podiatric surgery. He is a fellow in the American in foot and ankle surgery. Dr. Frerichs is Surgery. In 2005, he was chairman of the College of Foot and Ankle Surgeons, a a member of American Podiatric Medical Membership Committee of the Ameri- member of its education and scientific Association, American College of Foot can College of Foot and Ankle Surgeons affairs committee and a member of the and Ankle Surgeons and Iowa Podiatric and manuscript reviewer for the Journal exam committee, American Board of of Foot and Ankle Surgery, trauma sec- Podiatric Surgery. CoNTINueD oN NeXT PAGe Des Moines university Foot & Ankle Surgery Symposium April 30-May 1, 2010 FACult y continued Medical Association. ric Medicine and Surgery at Des Moines university. He was appointed associate Scott Nelson, DPM, FACFAS, earned his dean for clinical affairs in 1995, dean of Doctor of Podiatric Medicine degree at the college in 1997 and vice president Des Moines university. He completed for academic administration in 2002. his podiatric residency at The Western Dr. Yoho holds the rank of professor, is Pennsylvania Hospital in Pittsburgh and board-certified by the American Board surgical residency at Joint Township of Podiatric Surgery and is a fellow of District Memorial Hospital in St. Mary’s, the American College of Foot and Ankle ohio. Dr. Nelson is board-certified by Surgeons. Dr. Yoho has numerous scien- the American Board of Podiatric Sur- tific publications and serves on several gery in foot surgery and reconstructive national podiatric organizational boards rearfoot and ankle surgery. Dr. Nelson is currently president of the American Col- lege of Foot and Ankle Surgery, Division Bio info to come: 6 and also serves on the Nebraska Board of Health, Professions Board Committee, Jeff Christensen, DPM, FACFAS, Board of Podiatry. He is a manuscript re- everett, Washington viewer for the Journal of Foot and Ankle Sean Grambart, DPM, FACFAS, Surgery and the Journal of the Ameri- Springfield, Illinois can Podiatric Medical Association. Dr. Nelson is in private practice at Lakeside orthopedics in omaha Nebraska. Robert (Tim) M. Yoho, DPM, MS, FACFAS, received his bachelor’s degree from Grove City College and master’s degree in microbiology/biology from Duquesne university. He received his DPM de- gree from the ohio College of Podiatric Medicine. Following graduation, Dr. Yoho completed his residency training at riverside Hospital in Toledo, ohio. After seven years of private practice in West- ern Pennsylvania, Dr. Yoho accepted a faculty position in the College of Podiat- Des Moines university Foot & Ankle Surgery Symposium April 30-May 1, 2010 rEGiStr Ation Please register by April 16, 2010 use the fast and secure online form at www.dmu.edu/continuinged or complete and mail this form to: des Moines university, Accounting/Foot & Ankle Symposium, 3200 Grand Avenue, des Moines, iA 50312 Name _______________________________________________________________ Title ________________________________________________________________ HotEl employer ____________________________________________________________ inForMAtion License # ____________________________________________________________ These hotels offer shuttle service to Des Moines International Airport organization Address _________________________________________________ and to Des Moines University; City ______________________________________ State _______ Zip__________ please inquire at the hotel. e-mail address _______________________________________________________ renaissance Savery Hotel Phone number________________________________________________________ 401 Locust Street (Downtown Des Moines) 515-244-2151 or 800-514-4706 FEE Ask for the DMU special rate The fee for the symposium is $100 ($25 for Des Moines university students), • restaurant and lounge which includes continuing education credit, course materials, Friday reception, Saturday box lunch, and refreshments. des Moines Airport Heartland inn Professional $100 DMu Student $25 1901 Hackley Avenue 515-256-0603 or 800-334-3277 No refunds. Substitutions can be made at any time. www.heartlandinns.com • Continental breakfast • Several restaurants within ForM oF PAyMEnt short walking distance Payment by check: Make checks payable to Des Moines university. des Moines Marriott-downtown Payment by CreDIT CArD: Please fill out the information below 700 Grand Avenue Visa Mastercard Discover American express 515-245-5500 / www.marriott.com • Full-service restaurant and Credit card #: ______________________________________________________ lounge • Health club and indoor pool expiration date (month/year): _______ Security code:__________________ Signature: _________________________________________________________ (signature required for authorization of payment) For driving directions to find our campus, Questions? visit www.dmu.edu/campus. Please contact Karen Crosby at 515-271-1374 or email@example.com Des Moines university Foot & Ankle Surgery Symposium April 30-May 1, 2010 objECtivES Minor modifications may be made. The participant will be able to: • Discuss the evaluation and treatment mies utilized to manage posterior tibial • recognize appropriate indications for of complex and difficult ankle frac- tendon dysfunction. medial approach double arthrodesis. tures. • Discuss how to appropriately manage • understand the surgical technique for • understand the etiology of peroneal ankle fractures in the neuropathic dia- medial approach double arthrodeisis. tendon injuries and understand how to betic, both nonoperative and surgical • Identify proper indications for ar- provide proper evaluation and subse- management. throscopic micro fracture of talar oCD quent treatment. • Discuss how to diagnose and treat lesions. • Identify the role of vitamin D in bone complications of diabetic ankle frac- • understand the surgical technique and metabolism. tures. pearls. • recognize the differences in bone den- • understand the critical importance of • understand the indications for al- sity in diabetic and non-diabetic patient early recognition of acute Charcot. lograft versus autograft. populations. • Discuss various management tech- • Demonstrate an understanding of the • understand indications for first tarso- niques and modalities including total indications for distraction arthrodesis. metatarsal arthrodesis. contact casting, posterior muscle • Describe the indications for calcanec- • Discuss internal fixation techniques group lengthening, use of bisphospho- tomies. for lapidus – the left coast technique. nate therapy, electrical stimulation and • understand the surgical techniques for • Discuss contemporary approaches to various types of off-loading. partial and total calcanectomies. evaluation of pilon fractures. • understand osteotomies for hallux • Describe the clinical and radiographic • Described both internal and external rigidus/limitus. finding of calcaneal varus. fixation techniques for pilon fractures. • Discuss current concepts of treating • Discuss the surgical techniques to ad- • understand evaluation and osteomy hallux rigidus/limitus. dress calcaneal varies deformities. planning for supramalleolar osteoto- • Discuss appropriate indications for • understand the use of lapidus arthrod- mies. midfoot osteotomy and medial arch esis. • Discuss various osteotomy options and reconstruction. • Discuss use of locked plate fixation indications. • understand the surgical technique for and lapidus arthrodesis. • understand clinical and radiographic midfoot osteotomy and medial arch • understand literature supporting early characteristics of lisfranc injuries in reconstruction. post-operative weight bearing of lapi- the athlete and review evidenced based • Discuss and interact with faculty re- dus arthrodesis. approach to treatment. garding their own difficult cases and • Describe the indications and use of the • Describe modern technique for per- discuss appropriate treatment options. evan’s lateral column lengthening. formance of the Austin bunionectomy • Discuss surgical pearls and technique revisited procedure and potential com- tips for lateral column lengthening. plications. • understand fixation options for lateral • Discuss various techniques for closure column lengthening. of large soft tissue defects. • Discuss pre-operative work up and • Describe an algorithmic approach to evaluation of calcaneal fractures. soft tissue closure. • understand reduction techniques and • Describe a modified surgical tech- operative pearls for orIF of the calca- nique for retrocalcaneal exostosis and neus. discuss post-operative protocol and • understand common complications complications. and techniques to reduce occurrence • Discuss and provide an overview of in the orIF cases. osteogenic enhancement materials and • Discuss common Charcot presenta- a rationale for the proper use of these tions and understand the rationale for products. Charcot reconstruction and risks. • recognize various complications of • Describe the rationale for combination complex cases and understand salvage fixation constructs. options. • understand exam pearls to reveal syn- • understand indications, technical desmosis injury and discuss reduction aspects, postoperative management, and fixation techniques for syndesmo- complication management and out- sis repair. comes for double calcaneal osteoto-
"Foot Ankle Surgery Symposium"