AO Trauma Masters Course—Foot and Ankle
Miami, Florida, United States of America
19 Aug 2021 - 22 Aug 2021
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Thursday, 19 Aug 2021 (Day 1)
Start End Title Moderators/Faculty Location/Documents Duration
15:00 17:00 Other
Registration of participants
120
17:00 19:00 Opening remarks
Opening ceremony and AO Trauma reception
Orfan Arafah; Stephen Benirschke; Michael Clare; Husam Darwish; Mandeep Dhillon; Alexandre Godoy-Santos; Allan Liew; Cristian Ortiz; Stefan Rammelt; Lori Reed; Michael Swords 120
Friday, 20 Aug 2021 (Day 2)
Start End Title Moderators/Faculty Location/Documents Duration
08:00 08:10 Opening remarks
Welcome and introduction to the course
Husam Darwish; Lori Reed 10
08:10 10:10 Module 1: Ankle fractures
Upon completion of this module, participants will be able to:
- Correctly identify and treat ankle fractures and associated soft-tissue injuries
- Conduct appropriate investigations for a preoperative plan of fracture fixation
- Utilize appropriate surgical incisions
- Restore ankle anatomy using adequate reduction techniques
- Explain current management principles for patients with ankle fractures
- Identify, prevent, and treat complications associated with ankle fractures and fracture dislocation
- Describe additional treatment options in patients with neuropathy
Alexandre Godoy-Santos 120
08:10 09:20 Discussion (small group)
Round table discussion 1
Ankle fractures
Orfan Arafah; Michael Clare; Husam Darwish; Mandeep Dhillon; Alexandre Godoy-Santos; Michael Swords 70
09:20 09:35 Lecture
Keynote lecture—ankle fractures
Husam Darwish 15
09:35 10:10 Debate
Plenary session—ankle fractures
Alexandre Godoy-Santos 35
10:10 10:30 Coffee break 20
10:30 12:20 Module 2: Ankle trauma—pilon fractures
Upon completion of this module, participants will be able to:
- Describe principles of soft-tissue handling in severe open fractures
- Explain the indications for fibular fixation in the emergency setting
- List the benefits and objectives of transarticular external fixation
- Determine the adequate image investigation and timing
- Formulate a plan for bone reconstruction in severe fractures with bone loss
- Identify the anatomy of the fracture in order to plan surgical approaches and fixation
- Discuss surgical approaches—indications, advantages, pitfalls, and complications
- Define the steps to anatomical fracture reduction
- Indicate internal fixation according to the biomechanical needs of the fracture lines
- Outline an adequate postoperative management plan
- Comprehend the differences between types B and C pilon fractures
- Understand the usefulness of a fracture distractor in the reduction process
Allan Liew 110
10:30 11:30 Discussion (small group)
Round table discussion 2
Pilon fractures
Michael Clare; Alexandre Godoy-Santos; Allan Liew; Cristian Ortiz; Stefan Rammelt; Michael Swords 60
11:30 11:45 Lecture
Keynote lecture—pilon fractures
Michael Clare 15
11:45 12:20 Debate
Plenary session—pilon fractures
Allan Liew 35
12:20 13:20 Lunch break 60
13:20 15:20 Module 3: Hindfoot trauma—calcaneal fractures
Upon completion of this module, participants will be able to:
- Identify the various patterns of calcaneal fractures and their peculiarities
- Explain the anatomy of the fracture lines
- Demonstrate the fracture lines in x-rays and CT scans
- Understand the importance of classification on treatment decision
- Identify comorbidities that greatly influence treatment
- Plan an appropriate management of soft-tissue injury
- Comprehend the urgency in treating avulsion fractures of the tuberosity
- Plan a stable fixation of avulsion fractures of the tuberosity
- Describe advantages and disadvantages of the various surgical approaches to fix an articular fracture
- Outline the reduction strategy of articular fractures
- Discuss fixation options of articular fractures
- List complications of calcaneal fractures
- Identify sustentacular fractures and discuss the steps of surgical treatment
- Recognize calcaneal fracture-dislocations and associated peroneal tendon dislocations and plan a surgical approach
- Outline an adequate postoperative management plan
Stefan Rammelt 120
13:20 14:30 Discussion (small group)
Round table discussion 3
Calcaneal fractures
Orfan Arafah; Stephen Benirschke; Mandeep Dhillon; Alexandre Godoy-Santos; Stefan Rammelt; Michael Swords 70
14:30 14:45 Lecture
Keynote lecture—calcaneal fractures
Stephen Benirschke 15
14:45 15:20 Debate
Plenary session—calcaneal fractures
Stefan Rammelt 35
15:20 15:50 Coffee break 30
15:50 18:00 Module 4: Hindfoot trauma—talar fractures
Upon completion of this module, participants will be able to:
- Review talar blood supply
- Recognize the differences between central and peripheral talar fractures
- Plan a correct image investigation
- Recognize neck and body fractures
- Explain the anatomy of the fracture
- Indicate emergent reduction of dislocations
- Discuss advantages and disadvantages of single and double surgical approaches
- Explain the indications of approaches with malleolar osteotomies
- Plan an adequate reduction strategy
- Recognize the fracture distractor utility in the reduction process
- Consider plate fixation in neck fractures
- Outline an adequate postoperative management plan
- Discuss post-traumatic talar necrosis management
- Assess talar fracture-dislocations before and after reduction
- Understand the importance of CT scans after reduction of peritalar dislocation
- Discuss peripheral talar fractures treatment options—nonoperative resection or fixation
Michael Clare 130
15:50 17:00 Discussion (small group)
Round table discussion 4
Talar fractures
Orfan Arafah; Michael Clare; Allan Liew; Cristian Ortiz; Stefan Rammelt; Michael Swords 70
17:00 17:15 Lecture
Keynote lecture—talar fractures
Michael Swords 15
17:15 17:45 Debate
Plenary session—talar fractures
Michael Clare 30
17:45 18:00 Closing remarks
Summary, evaluation, and take home-massages
Husam Darwish; Lori Reed 15
Saturday, 21 Aug 2021 (Day 3)
Start End Title Moderators/Faculty Location/Documents Duration
08:00 08:10 Opening remarks
Introduction to today's module
Husam Darwish; Lori Reed 10
08:10 10:00 Module 5: Midfoot fractures
Upon completion of this module, participants will be able to:
- Recognize the wide variability of Lisfranc and Chopart injuries
- Review the mechanisms of trauma and their consequences
- Identify Lisfranc and Chopart ligamentous and osseous injuries in x-rays
- Indicate weight-bearing and stress x-rays
- Analyze CT scan images of Lisfranc and Chopart injuries
- Discuss nonoperative and surgical treatment
- List the principles of surgical treatment
- Plan surgical treatment timing
- Describe surgical approaches
- Discuss osteosynthesis versus primary arthrodesis indications and technique
- Explain the different methods of fixation (K-wires, screws, plates, external fixation)
- Outline an adequate postoperative management plan
- Discuss the indications for Lisfranc ligamentoplasty
- Describe complications and their management
Orfan Arafah 110
08:10 09:10 Discussion (small group)
Round table discussion 5
Midfoot fractures
Orfan Arafah; Stephen Benirschke; Michael Clare; Mandeep Dhillon; Allan Liew; Lori Reed 60
09:10 09:25 Lecture
Keynote lecture—midfoot fractures
Mandeep Dhillon 15
09:25 10:00 Debate
Plenary session—midfoot fractures
Orfan Arafah 35
10:00 10:20 Coffee break 20
10:20 18:20 Module 6: Severe soft-tissue injuries and amputations
Upon completion of this module, participants will be able to:
- Understand strategies of managing severe soft-tissue injuries
- Describe potential complications of soft-tissue injuries and pearls for preventing them
- Understand advantages/disadvantages of salvage versus amputation
- List the indications for amputations in complex foot and ankle injuries
- List amputation options for the treatment of complex foot and ankle injuries
- Outline the principles of planning and performing different amputations options
Michael Swords 480
10:20 11:20 Discussion (small group)
Round table discussion 6
Soft-tissue injuries and amputations
Orfan Arafah; Stephen Benirschke; Alexandre Godoy-Santos; Cristian Ortiz; Stefan Rammelt; Michael Swords 60
11:20 11:35 Lecture
Keynote lecture—soft-tissue injuries and amputations
Alexandre Godoy-Santos 15
11:35 12:10 Debate
Plenary session— soft-tissue injuries and amputations
Michael Swords 35
12:10 13:00 Lunch break 50
13:00 13:30 Other
Transfer to the anatomical specimen laboratory
Meeting point: 13:00 main entrance course venue
30
13:30 13:40 Other
Preparation for the anatomical specimen laboratory
10
13:40 13:50 Presentation
Introduction to the lab
Husam Darwish; Lori Reed 10
13:50 17:50 Workshop (cadaver)
Anatomical specimen laboratory 1
- Anterior approach to the ankle with anterior plating
- Anterolateral approach to the ankle with lateral plating of the talar neck
- Posterolateral approach to the ankle with distraction arthrodesis of the subtalar joint
- Posteromedial approach to the ankle
- Extensile lateral approach with open reduction internal fixation (ORIF) of the calcaneus with full size plate
- Sinus tarsi approach with ORIF of the calcaneus with small plate
- Sustentaculum approach
Orfan Arafah; Stephen Benirschke; Michael Clare; Husam Darwish; Mandeep Dhillon; Alexandre Godoy-Santos; Allan Liew; Cristian Ortiz; Stefan Rammelt; Lori Reed; Michael Swords 240
17:50 18:00 Closing remarks
Summary, evaluation, and take home-messages
Husam Darwish; Lori Reed 10
18:00 18:20 Other
Transfer to the course venue
Meeting point: 18:00 entrance anatomical specimen laboratory
20
Sunday, 22 Aug 2021 (Day 4)
Start End Title Moderators/Faculty Location/Documents Duration
08:00 08:05 Opening remarks
Introduction to today's module
Husam Darwish; Lori Reed 5
08:05 09:40 Module 7: Posttraumatic hindfoot reconstruction
Upon completion of this module, participants will be able to:
- List different etiologies of hindfoot arthritis and their characteristics
- Comprehend the deformities associated with hindfoot arthritis
- Understand the relationship between forefoot, midfoot, and hindfoot deformities
- Describe the methods to assess the source of pain
- Plan an adequate radiological assessment
- Review the methods of nonoperative treatment
- Describe the methods and indications of operative treatment
- Discuss the features of hindfoot arthritis after calcaneal fractures
- Explain distinct levels of hindfoot arthrodesis
- List the objectives of a hindfoot arthrodesis
- Describe the correct alignment in a hindfoot arthrodesis
- Explain a subtalar distraction arthrodesis
- Comprehend the complications of a hindfoot arthrodesis
Stephen Benirschke 95
08:05 08:50 Discussion (small group)
Round table discussion 7
Post-traumatic hindfoot reconstruction
Stephen Benirschke; Michael Clare; Mandeep Dhillon; Alexandre Godoy-Santos; Allan Liew; Cristian Ortiz 45
08:50 09:05 Lecture
Keynote lecture—hindfoot reconstruction
Allan Liew 15
09:05 09:40 Debate
Plenary session—hindfoot reconstruction
Stephen Benirschke 35
09:40 10:00 Coffee break 20
10:00 17:20 Module 8:
Special fracture patterns, special consideration, techniques (syndesmotic injuries, Chaput fractures, traumatic osteochondral lesion of the talus (OLT), ankle arthroscopy/ankle fractures)
Upon completion of this module, participants will be able to:
- Discuss and understand unique fracture patterns and their implications
- Describe the implications and possible treatment options of OLTs
- Indications for ankle arthroscopy in ankle fractures
- Understand how to evaluate and treat syndesmotic injuries
Cristian Ortiz 440
10:00 10:15 Lecture
Syndesmotic injuries
Lori Reed 15
10:15 10:30 Lecture
Peripheral ankle fractures
Stefan Rammelt 15
10:30 10:45 Lecture
Traumatic OLT
Orfan Arafah 15
10:45 11:00 Lecture
Use of ankle arthroscopy in ankle fractures
Cristian Ortiz 15
11:00 11:35 Debate
Plenary session—special considerations
Cristian Ortiz 35
11:35 12:15 Lunch break 40
12:15 12:35 Other
Transfer to the anatomical specimen laboratory
Meeting point: 12:15 main entrance course venue
20
12:35 12:45 Other
Preparation for the anatomical specimen laboratory
10
12:45 16:45 Workshop (cadaver)
Anatomical specimen laboratory 2
- Anteromedial approach (talar neck and head)
- Talus - medial malleolar osteotomy
- Medial Chopart/Lisfranc approach with bridge plating/ORIF of the navicular bone
- Lateral Chopart/Lisfranc approach
- Gastroc slide
- Tibiotalocalcaneal arthrodesis nail - fibular osteotomy vs anterior approach+sinus tarsi approach
- Chopart amputation
Orfan Arafah; Stephen Benirschke; Michael Clare; Husam Darwish; Mandeep Dhillon; Alexandre Godoy-Santos; Allan Liew; Cristian Ortiz; Stefan Rammelt; Lori Reed; Michael Swords 240
16:45 17:00 Closing remarks
Summary of the course, evaluation, and take home-messages
Husam Darwish; Lori Reed 15
17:00 17:20 Other
Transfer to the course venue
Meeting point: 17:00 entrance anatomical specimen laboratory
20