AAOS/AOFAS Prevalent Procedures in

Foot and Ankle Trauma and Reconstruction:Retooling to Prepare You for the Next Decade

May 4 – 6, 2017OLC Education & Conference Center, Rosemont, IL

Bryan D. Den Hartog, MDJ. Chris Coetzee, MD

Course Directors

FINAL PROGRAM SCHEDULE

19.5CME

Credits

AAOS/AOFAS Prevalent Procedures in Foot and Ankle Trauma and Reconstruction: Retooling to Prepare You for the Next Decade

May 4-6, 2017 Rosemont, IL

The AAOS and the American Orthopaedic Foot & Ankle Society (AOFAS) extend sincere appreciation to the following companies for an educational grant in support

of this program.

Silver Level

DePuy Synthes Zimmer Biomet

AAOS/AOFAS Prevalent Procedures in Foot and Ankle Trauma and Reconstruction: Retooling to Prepare You for the

Next DecadeMay 4-6, 2017; Rosemont, IL

The American Academy of Orthopaedic Surgeons (AAOS) and the American Orthopaedic Foot & Ankle Society (AOFAS) gratefully acknowledges the following companies for providing equipment for this course.

EQUIPMENT DONATIONS Acumed

Arthrex

ConMed

DePuy Mitek

DePuy Synthes

Smith & Nephew

Stryker

Wright Medical

Zimmer Biomet

AAOS/AOFAS Prevalent Procedures in Foot and Ankle Trauma and Reconstruction: Retooling to Prepare You for the Next Decade. #3077 May 4-6, 2017, OLC Education and Conference Center, Rosemont, IL Bryan D. Den Hartog, MD and J. Chris Coetzee, MD, Course Directors SCHEDULE CMEs: 19.5

as of 4/26/17 Content and faculty subject to change

THURSDAY, MAY 4 3:30 pm Course Registration / Exhibits

FOREFOOT Moderator: J. Chris Coetzee, MD 4:00 Welcome and Introductions Bryan D. Den Hartog, MD and J. Chris Coetzee, MD

4:10 Approach to Bunions: Large and Small

Distal Osteotomies- Chevron/Akin, Super-Chevron, Scarf (with video technique) Phinit Phisitkul, MD and Bryan D. Den Hartog, MD PRE-RECORDED VIDEO DEMONSTRATION 4:20 Proximal Osteotomies- Lapidus

How to make this procedure more consistent with minimal incision techniques and new fixation procedures.

John G. Anderson, MD 4:30 Hammertoe Deformities: With and without MTP Instability

Which implants to use. What is done differently if MTP joint instability? Anand M. Vora, MD PRE-RECORDED VIDEO DEMONSTRATION 4:40 MT Osteotomies: Weil vs. MT Shortening Donald R. Bohay, MD 4:50 Plate Rich Plasma-Indications for Foot and Ankle

Any evidence for? Technique, how to set up in office. Jeffrey D. Seybold, MD PRE-RECORDED VIDEO DEMONSTRATION 5:00 Ingrown Toenail: Technique, Set up, Advantages and Financials Patrick B. Ebeling, MD

5:10 5th Metatarsal Fractures • Jones (Indications, Technique and NEW tips on how to get the right

screw placement everytime. Fractured shaft, Plantar plates) • Diaphyseal Stress Fractures; special considerations • Styloid Fractures; when and how to treat

Bryan D. Den Hartog, M.D.

5:30 Tendon Transfers; osteotomy/tendon transfer package with each Dx • Drop Foot Procedures (Bridle with gastroc slide or Perc heel cord) • Cavus Transfers DWYER/Lateral slide, post tib transfer?, DCO 1-MT • Flatfoot Transfers MDCO +/-Evans, FDL (stage 2’s)

Jeffrey E. Johnson, MD 6:00 Dinner / Exhibits

Case Discussions/Q&A Moderator: Bryan D. Den Hartog, MD Panel: Drs.,Kitaoka, Phistikul, , Seybold, Ebeling, Johnson, Anderson, Vora, Bohay MIDFOOT Moderator: Steven L. Haddad, MD 6:30 Osteotomies

• Cotton Osteotomy • Evans Osteotomy

James R. Holmes, MD

6:40 Tendon Transfers • Os Peroneum Excision Transfer of PL to 5th Metatarsal Base • FHL Transfers (Achilles, Absent Peroneals)

Brian C. Toolan, MD 6:50 Fusions

• 1-3 TMT ,1-MTP Jeffrey D. Seybold, MD

7:00 Trauma • Lisfranc Fracture Fixation (Screw vs Bridge plate, or combo) • Navicular Fractures (Screw and Plate Fixation)

Bruce J. Sangeorzan, MD

HINDFOOT/ANKLE Moderator: Anand M. Vora, MD 7:10 Tarsal Tunnel Release (Technique and role of amniotic tissue in scar tissue prevention.) Bryan D. Den Hartog, MD 7:20 Os Trigonum/Steida Process Excision

J. Chris Coetzee, MD 7:30 Ankle Instability Management:

• Broström With and Without Internal Brace • Andersonplasty • Tendon Weave

Anand M. Vora, MD 7:45 Subtalar Fusion (Medial and Lateral Approach)

• Double and Triple • Supramalleolar (Osteotomy)

Steven L. Haddad, MD FRACTURES Moderator: Harold Kitaoka, MD 8:00 Calcaneus Fractures: Sinus Tarsi Approach Bruce J. Sangeorzan, MD 8:10 Talar Neck/Body John G. Anderson, MD 8:20 Syndesmosis (Endo Button/Internal Brace Combo vs Screw or Combo) Robert B. Anderson, MD 8:30 Fibular/Bi-Malleolar, Tri-Malleolar, Pilon (Deltoid Repairs Acutely) Donald R. Bohay, MD 8:40 Calve Tightness: Lenthening Procedures Gastroc Slide; Medial Head only: V-cut vs. Endoscopic Phinit Phisitkul, MD 8:50 Q&A 9:00 Adjourn for the evening

FRIDAY, MAY 5 BREAKFAST IS NOT AVAILABLE AT THIS COURSE. FOR THOSE STAYING AT THE HAMPTON INN & SUITES, BREAKFAST IS AVAILABLE AT THE HOTEL BEGINNING AT 6 AM 6:30 am Registration, Prep for Lab, and Exhibits 7:00 am Introduction to the Lab Rules, Regulations and Safety Ro Simon, Senior Coordinator, Surgical Skills 7:15 am MOVE TO LAB 7:30-11:00 HANDS-ON SURGICAL SKILLS LAB Lab Leader: Bryan D. Den Hartog, MD Lab Instructors: Drs. J. Anderson, R. Anderson, Bohay, Coetzee, Ebeling, Haddad, Holmes, Johnson, Kitaoka, Phisitkul, Sangeorzan, Seybold, Toolan, Vora Bunions Goals: 7:30 – 7:40 Video 1: Distal/Shaft Osteotomies with Super Chevron: Drs. Coetzee, Den Hartog 7:40 – 7:45 Video 2: Lapidus/Proximal Procedures: Dr. Bohay 7:45 – 7:50 Video 3: Akin, Lateral Release, Capsule Closure: Dr. Holmes 7:50 – 9:00 Procedure 1: Extended Chevron, Scarf Procedure 2: Lapidus Procedure 3: Add-on procedures – Akin, Lateral release, Capsular Closure Lesser Toes Goals: 9:00 – 9:05 Video 4: Claw toe repair with stable MTPJ: Dr. Ebeling 9:05 – 9:15 Video 5: Claw toe repair with unstable MTPJ Weil vs Midshaft, Plantar Plate

Repair: Drs. Vora, Phisitkul 9:15 – 9:30 Video 6: Turf Toe Issues: Dr. R. Anderson 9:30 – 10:30 Procedure 4: Claw Toe Repair Procedure 5: Weil Osteotomy. Midshaft Osteotomy. Plantar Plate Repair Procedure 6: Turf Toe 5TH MT Fixation 10:30 – 10:35 Video 7: 5th MT fixation – Jones, Avulsions etc: Dr. Holmes 10:35– 11:00 Procedure 7: 5th MT fixation – Jones, Avulsions etc

11:00 MOVE TO WORKING LUNCH and EXHIBITS 11:15 Ankle Fracture and Discussion in Syndesmosis Fixation* Bryan D. Den Hartog, MD 12:15 MOVE TO LAB 12:30-4:05 HANDS-ON SURGICAL SKILLS LAB

Lab Leader: J. Chris Coetzee, MD Lab Instructors: Drs. J. Anderson, R. Anderson, Bohay,Den Hartog, Ebeling, Haddad, Holmes, Johnson, Kitaoka, Phisitkul, Sangeorzan, Seybold, Toolan, Vora Midfoot 12:30 –12:36 Video 8: Plantar flexion procedures for medial ray:

Base 1st MT, Cotton, Miller: Dr. Kitaoka 12:36 – 12:40 Video 9: Calcaneal osteotomy: Evans, Malerba: Dr. Sangeorzan 12:40 – 1:25 Procedure 8: Cotton Osteotomy, 1st MT base osteotomy, Miller Procedure 9: Evans, Malerba 1:25 – 1:30 Video 10: Lisfranc: Screws, Plates (exposure, what to protect etc): Dr. Seybold 1:30 – 1:40 Video 11: Sesamoid Excision: Medial and Lateral: Dr. R. Anderson 1:45 – 2:20 Procedure 10: Lisfranc Exposure and Repair Procedure 11: Sesamoid Excisions and Plantar Plate Repair Nerves 2:20 – 2:25 Video 12: Morton’s Neuroma Excision: Dr. Toolan 2:25 – 2:30 Video 13: Tarsal Tunnel Release: Dr. Den Hartog 2:30 – 3:00 Procedure 12: Morton’s Neuroma Excision Procedure 13: Tarsal Tunnel release Hindfoot/Ankle 3:00 – 3:10 Video 14: Surgical Approach to Talonavicular and Talocalcaneal Coalitions

Dr. Phisitkul 3:10 – 3:20 Video 15: Ankle Arthrodesis: Dr. Kitaoka 3:20 – 4:05 Procedure 14: Coalition resection, calcaneal navicular and medial facet. Procedure 15 Ankle fusion, lateral and anterior (plating and screw techniques)

4:05 MOVE TO LECTURES/EXHIBITS 4:15-4:30 Debrief and Surgeon Questions POST SURGERY 4:30 Return to play after foot and ankle surgery Robert B. Anderson, MD 4:40 How do you code for forefoot procedures? John G. Anderson, MD 4:45 In-office Procedures Donald R. Bohay, MD 4:55 Weight bearing status after foot and ankle surgery Brian C. Toolan, MD 5:00 Adjuvants for surgical healing – is there a place? Anand M. Vora, MD 5:10 Discussion/Q&A Moderator: Bryan D Den Hartog, MD 5:30 Cocktails and Refreshment Break / Exhibits 5:40-6:40 Advances in Ligament Repair; Advances in Ligament Repair*

Robert B. Anderson, MD, J. Chris Coetzee, MD, Anand M. Vora, MD *This industry spotlight session is non-cme.

The American Academy of Orthopaedic Surgeons is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education (CME) for physicians. The American Academy of Orthopaedic Surgeons designates this live activity for a maximum of 19.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SATURDAY, MAY 6 BREAKFAST IS NOT AVAILABLE AT THIS COURSE. FOR THOSE STAYING AT THE HAMPTON INN & SUITES, BREAKFAST IS AVAILABLE AT THE HOTEL BEGINNING AT 6 AM 6:30 Prepare for Lab / Exhibits HANDS-ON SURGICAL SKILLS LAB Lab Leader: J Chris Coetzee, MD Lab Instructors: Drs. J. Anderson, R. Anderson, Bohay, Den Hartog, Ebeling, Haddad, Holmes, Johnson, Kitaoka, Phistikul, Sangeorzan, Seybold, Toolan, Vora

Title Muscle, tendon, ligaments Goals Techniques for various soft tissue procedures 7:00 – 7:05 Video 17: Proximal Gastroc lengthening: Dr. Phistikul 7:05 – 7:10 Video 18: Valpuis, Strayer: Dr. Seybold 7:10 – 7:20 Video 19: Brostrom and Modifications: Dr. Den Hartog 7:20 – 7:30 Video 20: Allograft or Autograft Anatomic Lateral Reconstruction: Dr. Holmes 7:30 – 7:45 Video 21: Deltoid Reconstruction: Dr. Haddad 7:45 – 9:30 Procedure 17: Proximal Gastroc release Procedure 18: Valpuis/ Strayer etc Procedure 19: Brostrom and modifications Procedure 20: Anatomic Lateral ligament reconstruction Procedure 21: Deltoid reconstruction 9:30 – 9:40 Video 22: Transfer of PTT to Dorsum of Foot For A Drop Foot Deformity.

Dr. Johnson 9:40 – 9:50 Video 23: Syndesmosis: Dr. John Anderson 9:50 – 10:30 Procedure 22: Transfer of PTT to Dorsum of Foot Procedure 23: Syndesmosis 10:30 – 10:35 Video 24: Management of Dislocated Peroneal Tendons: Dr. Haddad 10:35 – 10:40 Video 25: Simple Haglunds Excision (Medial or Lateral Approach)

Dr. Ebeling 10:40 – 10:50 Video 26: Midline Haglunds Excision with Achilles Reattachment

Dr. Bohay 10:50 – 11:00 Video 27: FHL Transfer for Achilles Tendinosis: Dr. Sangeorzan 11:00 – 11:50 Procedure 24: Peroneal Groove Deepening and Fibula Osteotomy Procedure 25 and 26: Haglunds Excision and Achilles Reattachment Procedure 27: FHL Transfer to Calcaneus 11:50 – 1:00 Optional Lab Time for dissection, procedures, etc 11:50 – 1:00 Exhibits 1:00 Course Adjourns

AAOS/AOFAS Prevalent Procedures in Foot and Ankle Trauma and Reconstruction: Retooling to Prepare You for the Next Decade. #3077 May 4-6, 2017, OLC Education and Conference Center, Rosemont, IL

COURSE DIRECTORS

Bryan D. Den Hartog, MD Des Moines Orthopaedic Surgeons West Des Moines, IA

J. Chris Coetzee, MD Twin Cities Orthopaedic Edina, MN

FACULTY

John G. Anderson, MD Orthopaedic Associates of Michigan Grand Rapids, MI

Robert B. Anderson, MD OrthoCarolina Charlotte, NC

Donald R. Bohay, MD Orthopaedic Associates of Michigan Grand Rapids, MI

Jeffrey E. Johnson, MD Washington University School of Medicine St. Louis, MO

Harold B. Kitaoka, MD Rochester, MN

Phinit Phistikul, MD University of Iowa Hospitals and Clinics Iowa City, IA

Patrick B. Ebeling, MD Twin Cities Orthopedics Burnsville, MN

Bruce J. Sangeorzan, MD Harborview Med Ctr-U of W Seattle,WA

Steven L. Haddad, MD Illinois Bone and Joint Institute , LLC Glenview, IL

Jeffrey D. Seybold, MD Twin Cities Orthopedics Edina, MN

James R. Holmes, MD University of Michigan Health System Ann Arbor, MI

Brian C. Toolan, MD University of Chicago Medicine Chicago, IL

Anand M. Vora, MD Illinois Bone & Joint Institute, LLC Libertyville, IL

AAOS STAFF Dawn Martinez Assistant, CME Courses Debbie Mazur Coordinator, CME Courses Ann O’Neill Manager, CME Course