About Lecture

About Lecture

About Lecture

Great toe arthrodesis has long been considered the gold-standard surgical treatment for a variety of first metatarsophalangeal joint pathologies. This lecture will review the indications for arthrodesis and explore alternative treatment options when fusion may not be the most appropriate choice. Through case examples and practical surgical tips, participants will examine clinical decision-making, technique considerations, and factors that influence successful patient outcomes.

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Corticosteroid injections are commonly used to manage pain and inflammation involving joints and tendons, but their benefits must be balanced against potential risks and appropriate treatment frequency. This lecture will review the mechanism of action of corticosteroids and examine the benefits, risks, and safety considerations associated with injection therapy. Participants will also discuss appropriate use and alternatives to corticosteroid injections when these treatments may not be suitable or effective.

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Bone tumors of the foot and ankle are uncommon but can present with nonspecific clinical findings, making early recognition and appropriate evaluation essential. This lecture will review the demographics and incidence of benign and malignant bone tumors, with emphasis on recognizing their characteristic radiographic appearances. Participants will learn to identify suspicious lesions requiring biopsy and understand when early referral and a multidisciplinary approach are necessary for appropriate diagnosis and treatment.

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This lecture will review the evaluation and classification of congenital foot syndactyly and discuss key considerations for determining when surgical release is indicated. Participants will also explore surgical timing and techniques for safely and effectively releasing syndactyly.

About Lecture

Subungual melanoma is a rare but potentially life-threatening malignancy that can be difficult to recognize and is often diagnosed at a later stage. This lecture will review the clinical features that should raise suspicion for subungual melanoma, along with appropriate diagnostic methods and evaluation. Surgical decision-making and current treatment options will also be discussed, including factors that influence the extent of surgical intervention and overall patient care.

About Lecture

About Lecture

Clubfoot is a complex congenital deformity that requires early recognition and a structured approach to achieve and maintain correction. This lecture will review the underlying pathology of clubfoot and the principles of the Ponseti treatment protocol, including factors that contribute to successful correction. Surgical treatment options will be discussed for resistant or recurrent deformities, along with the challenges of maintaining correction and addressing recurrence.

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Equinus is a common but often underrecognized condition that can significantly affect foot and ankle biomechanics and contribute to a range of clinical problems. This lecture will review the underlying etiologies of equinus and examine the biomechanical changes associated with limited ankle dorsiflexion. Participants will explore objective methods for evaluating equinus, treatment options and expected outcomes, and the potential sequelae of untreated or undiagnosed equinus.

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Distinguishing Charcot neuroarthropathy from osteomyelitis in the diabetic foot can be challenging because both conditions may present with overlapping clinical and imaging findings. This lecture will review the pathophysiology and clinical presentation of Charcot neuroarthropathy and osteomyelitis and examine the key features that help differentiate the two. Participants will also evaluate the diagnostic tests used to distinguish Charcot changes from bone infection and develop an appropriate approach to diagnosis.

About Lecture

About Lecture

About Lecture

Calcaneal osteotomy is an important tool for correcting hindfoot deformity and restoring appropriate foot biomechanics, but selecting the optimal procedure requires careful preoperative assessment. This lecture will review the rationale for calcaneal osteotomy, methods for analyzing deformity, and factors that guide selection of the appropriate osteotomy. The relationship between osteotomy selection and surgical mechanics (SM) will be discussed, along with current literature to support evidence-based decision-making and optimize surgical outcomes.

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Syndesmotic injury is an important component of many ankle fractures, and accurate reduction is essential for restoring ankle stability and optimizing long-term outcomes. This lecture will review how to recognize syndesmotic malreduction and explain its clinical significance in ankle fracture repair. Participants will examine strategies to avoid malreduction and compare different techniques for achieving accurate and stable syndesmotic fixation.

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About Lecture

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About Lecture

Charcot reconstruction can be complicated by nonunion and hardware failure, particularly in the midfoot where mechanical stress and compromised bone quality can make achieving and maintaining union challenging. This lecture will examine the factors that contribute to nonunion in midfoot Charcot and discuss strategies for temporarily managing these difficult cases. Options for addressing large bone voids during revision surgery will also be reviewed, with emphasis on restoring stability and achieving successful reconstruction.

About Lecture

About Lecture

About Lecture

Neuroischemic infected wounds are limb threatening. In this presentation, Mario Ponticello, DPM, DABFAS, MAPWCA will explore the pathway to managing this devastating condition.

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About Lecture

Distinguishing Charcot neuroarthropathy from osteomyelitis can be challenging, particularly when the two conditions present with similar clinical and imaging findings or coexist in the same patient. This lecture will examine the key clinical, laboratory, and imaging features that can assist in differentiating these conditions. Participants will compare the diagnostic accuracy and limitations of commonly used tests, including inflammatory markers, MRI, nuclear imaging, and bone biopsy, and develop an evidence-based approach to evaluating patients with suspected Charcot neuroarthropathy, osteomyelitis, or both.

About Lecture

About Lecture

About Lecture

Ankle fracture management in medically compromised patients presents unique challenges that require careful consideration of fracture pattern, patient comorbidities, and surgical risk. This lecture will review the identification and assessment of common ankle fracture patterns, with emphasis on determining when surgical intervention is appropriate and how to optimize fixation. Postoperative management, expected recovery, and potential complications will also be discussed, including strategies to minimize complications and improve outcomes in high-risk patients.

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The management of posterior malleolus fractures remains an important and evolving consideration in ankle fracture surgery. This lecture will review the clinical and radiographic factors that influence the decision to surgically fix the posterior malleolus, including its role in ankle stability and syndesmotic function. Participants will also examine the rationale for fixation and review current surgical techniques and approaches for achieving appropriate reduction and stable fixation.

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Diabetic plantar forefoot ulcers are often driven by repetitive pressure and abnormal mechanical loading, making offloading a critical component of treatment. This lecture will review the underlying causes of plantar forefoot ulceration and examine the role of floating metatarsal osteotomy as a surgical offloading procedure. Indications for the procedure, patient selection, and surgical technique will be discussed, with emphasis on reducing plantar pressure and promoting ulcer healing and prevention of recurrence.

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Chronic limb-threatening ischemia (CLTI) in no-option patients presents a significant challenge when conventional revascularization is no longer feasible. This lecture will explore the identification of appropriate candidates for deep venous arterialization as an alternative limb-salvage strategy. Through a review of clinical experience and patient outcomes, participants will examine the role of this procedure in promoting wound healing, avoiding major amputation, and determining when sufficient perfusion and tissue healing have been achieved to allow definitive wound closure.

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The guillotine transmetatarsal amputation can be an effective limb-preservation strategy for patients with severe forefoot infection when immediate definitive closure is not advisable. This lecture will review the clinical indications for performing a guillotine transmetatarsal amputation and examine its role in achieving infection control while preserving as much functional limb length as possible. Participants will also explore the benefits of a staged approach, from the initial amputation and management of the open wound through definitive closure or reconstruction.

About Lecture