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Foot Ankle Surgery Symposium


									                                               April 30 - May 1, 2010
                                               Student education Center Auditorium
                                               3300 Grand Avenue
                                               Des Moines, Iowa                                13.5 hr
                                                                                                ( pendin

                                                           SECond AnnuAl
                                                        dES MoinES univErSity

                                               Foot & Ankle
                                                    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

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
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
              or complete and mail this form to: des Moines university, Accounting/Foot & Ankle Symposium,
                                         3200 Grand Avenue, des Moines, iA 50312

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employer ____________________________________________________________                         inForMAtion
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                                                                                          Des Moines International Airport
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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.                              
                                                                                            • 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
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                                                                                          700 Grand Avenue
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                                                                                            • Full-service restaurant and
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                                                                                            • Health club and indoor pool
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For driving directions to find our campus,                                        Questions?
visit                                         Please contact Karen Crosby at 515-271-1374
                                                      Des Moines university Foot & Ankle Surgery Symposium April 30-May 1, 2010

                                                  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-

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