Scientific Program

FOOT AND ANKLE CONGRESS 13-14 MARCH 2015
THE LORD CHARLES HOTEL – SOMERSET WEST
PROVISIONAL SCIENTIFIC PROGRAM
FRIDAY 13 MARCH 2015
07H00-07H50
Delegate Registration
07H50-08H00
Welcome and Announcements
SESSION 1
HALLUX VALGUS
Moderator Chris Coetzee
08h00-08h10
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What do I consider to be a severe hallux valgus deformity and
why?
Mark Myerson
08h10-08h20
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How do I approach the problem of recurrent hallux valgus?
Chris Coetzee
08h20-08h30
-
Tightropes,wedge plates for correction of hallux valgus? They
all seem to fail.
Bryan Den Hartog
08h30-08h40
-
This princess wanted to do yoga following her bunion surgery
and all she can do now is wear flat shoes. How can I manage
this stiff hallux following bunion surgery?
Bryan Den Hartog
08h40-08h50
-
How do I approach malunion of a metatarsal osteotomy?
There is no motion of the hallux and overload of the 2nd
metatarsal.
Chris Coetzee
08h50-09h00
-
My approach to correction of hallux varus.
Bryan Den Hartog
09h00-09h10
-
This is a real disaster. AVN, shortening and a really unhappy
patient. Should I lengthen the hallux or shorten the lesser
metatarsals?
Mark Myerson
09h10-09h20
-
When do I do a modified Lapidus procedure and when the
originalLapidus?
Chris Coetzee
1
09h20-09h40
-
09h40-10H00
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SESSION 2
Case presentation by moderator to Panel.
Mark Myerson, Bryan Den Hartog, Chris Narramore
TEA
HALLUX RIGIDUS
Moderator Bryan Den Hartog
10h00-10h10
-
Why and when does cheilectomy for hallux rigidusfail?
Mark Myerson
10h10-10h20
-
What do I do for a failed hallux MP implant arthroplasty?
Chris Coetzee
10h20-10h30
-
I did a straightforward arthrodesis of the hallux but there
are now problems with the IP joint. What did I do wrong?
Do I have to redo the MP fusion or fuse the IP joint?
Bryan den Hartog
10h30-10h35
-
When it goes bad after arthrodesis o the hallux MP joint, it
is really bad.
Mark Myerson
10h35-10h40
-
My technique for interpositionarthroplasty.
Bryan Den Hartog
10h40-11h00
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Case presentation by moderator to Panel
Mark Myerson, Chris Coetzee, Graham McCollum
Techniques and tips
SESSION 3
LESSER TOEDEFORMITIES Moderator Mark Myerson
11h00-11h10
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My toes are so floppy and crooked that they catch on
everything.
Mark Myerson
11h10-11h20
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Her toe sticks up in the air. What is it about this Weil
osteotomy?
Chris Coetzee
11h20-11h30
-
The bunionette sounds so simple, but it actually gives
me nightmares.
Bryan den Hartog
11h30-11h40
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My technique for the modified Weil osteotomy.
Mark Myerson
11h40-11h50
-
This 2nd toe MP joint seems a little subluxated. Can I repair
the plate or should I just stiffen up the toe with a k-wire?
Chris Coetzee
11h50-12h00
-
Can AVN of the lesser metatarsal head be salvaged?
Mark Myerson
Techniques and tips:
2
12h00-12h05
This toe is looking a little blue. Should I take the pin out
or wait a while?
Bryan den Hartog
12h05-12h10
-
How do I decide between a k-wire or some expensive
device to fix the toe?
Chris Coetzee
12h10-12h25
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Post-operative pain management in foot and ankle
surgery.
Dr S Oosthuizen
12h25-12h45
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Case presentations by moderator to Panel
Chris Coetzee, Bryan Den Hartog, Paulo Ferrao
12h45-13h45
LUNCH
SESSION 4
THE MIDFOOT
Moderator Chris Coetzee
13H45-13H55
-
What solutions do I have for a painful 4th and 5thtarsometatarsal joint?
Bryan Den Hartog
13h55-14h05
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How do I manage a non-union and malunion of the
mid foot joints?
Mark Meyerson
14h05-14h15
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My partner did a hind foot arthrodesis and now the mid foot
is really deformed. Now what?
Bryan Den Hartog
14h15-14h25
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Someone missed this Lisfranc injury which is now 6 weeks
out. Can I still fix it or should I go straight to fusion?
Chris Coetzee
14h25-14h35
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I promised this rugby player that he would get back to
playing quickly after this stress fracture of the 5th
metatarsal but he has a non-union. What did I miss?
Bryan Den Hartog
14h35-14h45
-
The navicular fracture seemed easy, now I have a non
union and a malunion. What now?
Chris Coetzee
14h45-14h55
-
How do I avoid non-union of arthrodesis of the midfoot?
Bryan Den Hartog
14h55-15h15
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Case presentation by moderator to Panel.
Mark Myerson, Bryan Den Hartog, Jacques Jonck
SESSION 5
15H15-15H25
FLATFOOT
-
Moderator Bryan Den Hartog
When and why does surgery for the flexible flatfoot fail?
Bryan Den Hartog
3
15h25-15h35
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I asked Chris Coetzee for advice with this flatfoot. I did
a FDL transfer but the deformity is still present and
she hurts.
Mark Myerson
15h35-15h45
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Taking out the tarsal coalition was easy, but now the foot
is even flatter. What now?
Chris Coetzee
15h45-15h55
-
I learned about this repair of the deltoid ligament but it
does not work. Now what?
Mark Myerson
15h55-16h25
-
TEA
My techniques and tips:
16h25-16h30
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My approach to reconstruction of the spring ligament.
Mark Myerson
16h30-16h35
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My technique for lateral column lengthening.
Chris Coetzee
16h35-16h40
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When do I use an allograft for posterior tibial tendon
rupture?
Mark Myerson
SESSION 6
THE ACHILLES AND OTHER TENDON PROBLEMS
Moderator Chris Coetzee
16h40-16h50
-
The peroneals are still torn after repeated surgeries.
What now?
Mark Myerson
16h50-17h00
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I thought that putting the dislocated peroneals back was
easy but now she is back with recurring dislocation.
What now?
Chris Coetzee
17h00-17h10
-
Wow, there does not seem to be anything left here. How
am I going to span this huge gap in the Achilles?
Bryan Den Hartog
17h10-17h20
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What is that lump over the front of my ankle doctor? It
has been there since I saw you three months ago.
Mark Myerson
17h20-17h25
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My technique for an Achilles allograft
Mark Myerson
17h25-17h30
-
Is it worthwhile trying to fix a chronic rupture of the FHL?
Chris Coetzee
Techniques and tips
4
17h30-17h35
-
My technique for managing this chronic rupture of the
anteriortibial tendon.
Bran Den Hartog
17h35-17h55
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Case presentations to panel.
Mark Myerson, Bran Den Hartog, Nick Saragas
17h55
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Conclusion.
18h00
-
Welcome Function immediately after end of scientific program
Venue: Congress area
Dress: Casual
SATURDAY 14 MARCH 2015
SESSION 7
HINDFOOT
Moderator Mark Myerson
08h00-08h10
-
Malunion of a calcaneus fracture? I thought that all that
ever happened was a little arthritis.
Chris Coetzee
08h10-08h20
-
How I correct a valgus malunion after a triple arthrodesis.
Mark Myerson
08h20-08h30
-
This hind foot is really weird. I think that I have to do a TTC
fusion, but should I rod it or plate it?
Bryan Den Hartog
08h30-08h40
-
How I correct a varusmalunion after a triple arthrodesis.
Chris Coetzee
08h40-08h50
-
Can I really correct a malunion of this talus fracture with
osteotomy, or should I just go straight to the triple
arthrodesis?
Bryan Den Hartog
08h50-09h00
-
I thought that I had seen it all, but this is the second non
union of a calcaneus fracture that I have seen this year.
Weird. What am I going to do?
Mark Meyerson
09h00-09h05
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How I treat a wound dehiscence after a calcaneus fracture.
Bryan Den Hartog
09h05-09h10
-
How I perform a bone block arthrodesis of the subtalar joint.
Mark Myerson
09h10-09h30
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Case presentations by moderator to panel.
Chris Coetzee, Bryan Den Hartog, Willem de Kock
Techniques and tips:
5
SESSION 8
ANKLE INJURY
Moderator Chris Coetzee
09h30-09h40
-
I have been telling everyone to use these sutures to hold
thesyndesmosis, but there is recurrent diastasis and he
wants to play football. What now?
Chris Coetzee
09h40-09h50
-
The fibula is still short and malrotated. Should I do
something now even though he is asymptomatic?
Mark Myerson
09h50-10h00
-
How do I manage AVN of the talus? I thought that it
Was easy but there is no body left even to fuse the ankle.
Bryan Den Hartog
10h10-10h20
-
This patient presented with a malunion of the tibialpilon
fracture. Should I do a supramalleolar osteotomy or
go straight to arthrodesis?
Mark Myerson
10h20-11h10
-
TEA
SESSION 9
ANKLE ARTHRITIS
Moderator Bryan Den Hartog
11h10-11h20
-
This arthroscopic ankle fusion was supposed to be
straightforward, but the foot and ankle are still a
little crooked. How do I correct this malunion?
Chris Coetzee
11h20-11h30
-
How do I manage a non-union of ankle arthrodesis?
Myerson wants me to replace the joint, Coetzee says
to refuse it properly, and I want to do a TTC. What
should I do?
Bryan Den Hartog
11h40-11h50
-
Wow, this ankle is deformed. Should I do an ankle
or a TTC arthrodesis?
Mark Myerson
11h50-11h55
-
How, why and when do I perform an intra-articular
plafondplasty of the medial ankle?
Mark Myerson
11h55-12h00
-
My favourite technique tip for bailing me out in the ankle.
Chris Coetzee
12h00-12h05
-
How to avoid a secondary translational deformity with a
supramalleolar osteotomy.
Mark Myerson
12h05-12h10
-
My favourite technique tip for bailing me out in the ankle.
Bryan Den Hartog
Techniques and tips:
6
SESSION 10
TENDONS AND LIGAMENTS
Moderator Bryan Den Hartog
12h10-12h20
-
She wants to go back to playing volleyball after I did her
Brostrum repair but the heel is in varus. Should I have
done a calcaneus osteotomy?
Bryan Den Hartog
12h20-12h30
-
How do I approach the correction of the patient with
a failed Brostrum procedure?
Chris Coetzee
12h30-12h35
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My technique for a percutaneous ankle ligament
reconstruction.
Mark Myerson
12h35-12h55
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Case presentations by moderator to panel.
Mark Myerson, Chris Coetzee, Dawid Burger
12h55-13h55
-
LUNCH
Techniques and tips:
SESSION 11
THE CAVUS FOOT Moderator Mark Myerson.
13h55-14h05
-
I was taught to do a triple arthrodesis to correct a rigid
cavus foot. Why is there recurrent deformity?
Mark Myerson
14h05-14h15
-
I over corrected the 1st metatarsal osteotomy. How am I
going to bail on this one?
Chris Coetzee
14h15-14h25
-
How do I decide between osteotomy and arthrodesis?
I made a mistake with this and the foot is still deformed.
Mark Myerson
14h25-14h35
-
I have this equinocavovarus foot deformity here. What
went wrong?
Bryan Den Hartog
14h35-14h40
-
My favourite cavus foot technique tip.
Bryan Den Hartog
14h40-14h45
-
My favourite cavus foot technique tip.
Mark Myerson
14h45-14h50
-
My favourite cavus foot technique tip.
Chris Coetzee
14h50-14h55
-
How I do an osteotomy for a cavus foot. The last time I
did one, the patient developed a tarsal tunnel syndrome.
Bryan Den Hartog
Techniques and tips:
7
SESSION 12
ANKLE REPLACEMENTS
Moderator Mark Myerson
14h55-15h05
-
Why is the ankle so stiff? It seemed to have nice motion
on the table.
Bryan Den Hartog
15h05-15h15
-
I should have listened to my own advice. Do not replace
avarus ankle deformity.
Chris Coetzee
15h15-15h25
-
Nonsense. Chris just does not know how to correct the
varus ankle deformity.
Mark Myerson
15h25-15h35
-
Now that the prosthesis has subsided and buried itself
into the calcaneus, should I fuse it or try another
replacement? Perhaps I can use a custom prosthesis.
Chris Coetzee
15h35-15h45
-
What are my limits to correcting ankle arthritis
associated with a flatfoot and valgus ankle deformity?
Mark Myerson
15h45-15h55
-
I am sick about this. The ankle is infected 6 months
following the replacement. What now?
Bryan Den Hartog
15h55-16h00
-
My technique for a bone block arthrodesis following
failed total ankle replacement.
Bryan Den Hartog
16h00-16h05
-
My technique for a bone block arthrodesis following
failed total ankle replacement.
Mark Myerson
16h05-16h10
-
How do I assess the ankle for instability when I am
doing ankle replacement. If it is unstable, how do I
fix it?
Chris Coetzee
16h10-16h30
-
Case presentations by moderator to panel.
Chris Coetzee, Bryan Den Hartog, Paulo Ferrao
16h30
-
Conclusion.
Techniques and tips:
8