BEFORE CHARCOT WITH OSTEOMYELITIS
DEBRIDEMENT
STAGED RECONSTRUCTION
6 MONTHS POST-DEBRIDEMENT
LIMB SALVAGE S Y M P O S I U M
This activity has been planned and implemented in accordance with the standards and requirements for approval of providers of continuing education in podiatric medicine through A joint provider agreement between Kent State University and Cardiovascular Innovations Foundation. Kent State University College of Podiatric Medicine is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. Kent State University College of Podiatric Medicine has approved this activity for a maximum of 8.0 continuing education contact hours.
ACCREDITATION STATEMENT
R E G I S T E R A T :www.cvinnovations.org
Bio-engineered Tissue Skin Graft
July 27–28, 2018Grand Hyatt Hotel | Denver, CO
LIMB SALVAGE SYMPOSIUMJULY 27 – 28, 2018
FRIDAY, JULY 27EDUCATIONAL GOALS & OBJECTIVES After completing this module, the participating podiatric physician will be able to:
3:00 – 5:00
Clinical Correlation3:30 Case studies: Residency competition
In order to facilitate learning, this session will be interactive. Case presentations will vary from surgical to non-surgical management, common and bizarre pathologic diagnoses with respect to disorders that present with respect to limb salvage.
» Via a series of case presentations and abstracts involving diabetic foot infections, ulcers and chronic wound discuss and defend management strategies for the treatment thereof
SATURDAY, JULY 287:00 – 7:30 Sign-in and Welcome – Continental breakfast provided
7:30 – 8:00
Limb Salvage 2018: Introduction 7:30 Multidisciplinary approach
Jeff Shook, DPM 7:45 Current state of CLI diagnosis
Mehdi Shishehbor, DO
» Discuss the necessity and benefits for approaching limb salvage from a multidisciplinary approach and relate the efficacy of this model.
» Define the intricacies of hemodynamic evaluation in the critical limb ischemia patient
8:00 – 9:30
Infectious Disease8:00 Emergent diabetic foot infections
TBD8:15 Utilization of inflammatory markers for diabetic foot infections
Jeff Manway, DPM 8:30 MRI evaluation of the infected foot
Larry Osher, DPM8:45 Making an accurate diagnosis of osteomyelitis
TBD9:00 Local antibiotic therapy in the management of osteomyelitis
Allen Jacobs, DPM9:15 Osteomyelitis of the 1st metatarsophalangeal joint
Elliot Walters, MD
» Present an organized approach to evaluation and management principles of diabetic foot infection
» Describe the basic objective and subjective tools and advanced techniques in the diagnosis of infection
» Offer effective strategies for the emergent treatment of diabetic foot infections
» Elucidate current trends and recommendations for the diagnosis of osteomyelitis
» Debate the different approaches for the management of osteomyelitis
» Discuss approach to the treatment of osteomyelitis of 1sy MPJ and the ramification of such treatment.
» Illustrate the efficacy of both medical and surgical management of digital osteomyelitis.
» List MRI findings suggestive and consistent with soft tissue and bone infections of the infected foot and ankle
9:30 – 10:00 Break
10:00 – 12:00
Limb Salvage: Wound Care / Wound Healing / Wound Coverage
10:00 ESRD and lower extremity ulceration Allen Jacobs, DPM
10:10 Glucose control and the limb salvage patient Jeremy Christensen, DPM
10:20 Wound care ethics: when ethical and legal are not the same Allen Jacobs, DPM
10:30 Wound Biofilm: Current perspectives & strategies on biofilm disruption and treatment Brian Lepow, DPM
10:40 Update on biologics and wound care Brian Lepow, DPM
10:50 Grafix and the healing rate of DFU’s Georgeanne Botek, DPM
11:00 Medical Management of PAD Teresa Carmen, MD
11:10 Split thickness skin grafting forcoverage of diabetic wounds Elliot Walters, MD
11:20 Equinus and the limb salvage patient TBD
11:30 Effectiveness of clinic based vs OR based debridement Elliot Walters, MD
11:40 Is TMA the definitive resolution for forefoot ulceration Allen Jacobs, DPM
11:50 Reverse sural flap for wound coverage Kenneth Morgan, DPM
» Elucidate modalities for the non-surgical management and evaluation of peripheral artery disease
» Defend the importance of glucose » Enumerate factors which impede wound healing » List etiologies for the recidivism of wounds/ulcers with
respect to patient adherence » Discuss the indications and utility of advance wound care
products » Depict the “universal efficacy” of a transmetatarsal
amputation in the limb salvage patient » Describe simple and novel surgical approaches to address
the persistence or recurrence of wounds/ulcers » Illustrate ortoplastic techniques for wound coverage
problems in the limb salvage patient
12:00 – 1:00 Lunch
1:00 – 3:00
Limb Salvage: Charcot Neuroarthropathy 1:00 Charcot: Where are we now?
TBD1:15 Non-reconstructive operative management of Charcot
Jeff Shook, DPM1:30 Bone Healing in Charcot
Larry Osher, DPM 1:45 Pan foot arthrodesis
Jeff Manway, DPM2:00 Midfoot reconstruction with plantar plate
Kenneth Morgan, DPM2:15 Lesser tarsal approach: Medial Fusion / Lateral Arthroplasty
Jeff Shook, DPM2:30 Superconstructs for Charcot
Jeremy Christensen, DPM2:45 Technique and positioning for IM nails
Jeff Manway, DPM
» Recognize the important role of glucose control and the effects of uncontrolled hyperglycemia on limb salvage
» Elucidate the psychological ramifications of the diabetic/Charcot process and the effect on decision making process in regards to treatment
» Define the indications and procedures involved in the non-reconstructive surgical approach to Charcot deformity and its sequelae
» Differentiate between normal and diabetic bone healing and the effects on treatment protocols
» List the objective signs for the recognition of the early Charcot process in order to avoid end stage Charcot deformity.
» Elucidate surgical treatment protocols for the reconstruction of deformities related to Charcot neuroarthropathy
» Defend a variety of different fixation techniques implemented for Charcot reconstruction