Comprehensive Fixation for the Ankle and Foot: A Resident's Course
Surgical Skills

Comprehensive Fixation for the Ankle and Foot: A Resident's Course

November 10, 2022 - November 11, 2022

Chicago, IL Marriott O’Hare Chicago
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Agenda 

Day 1
7:00 – 7:30 am     Check-in/Breakfast

Lecture 
7:30 – 7:45 am      Fundamentals of K-Wires, Steinman Pins, Cerclage
                                   Wire Fixation / Tension Banding Techniques
7:45 – 8:00 am     Mechanics of Staple Fixation


Lab Exercise I K-wire Splintage / Tension Band Techniques

8:00 – 8:20 am     Intramedullary Rod/Digital IPJ Fusion (5 minute lecture)

8:20 – 8:40 am     K-wire Splintage and Tension Band wire Technique (5 minute lecture)

                                  - 5 th Metatarsal Avulsion Fracture

8:40 – 8:55 am    Break

Lecture
8:55 – 9:10 am     Anatomy of a Screw / Screw Design and Function

9:10 – 9:25 am     Principles and Biomechanics of Osteotomies and Fractures
                                                                        (add CBWO mechanics)

Lab Exercise II Lag Screw Techniques
9:25 – 9:35 am    Use of Small Fragment Instrumentation & Lag Screw Techniques 

9:35 – 9:45 am    Cancellous Screw - Lag Technique 

                                  4.0 mm partially threaded cancellous screw

9:45 – 9:55 am    Standard Cortical Screw - Lag Technique 

                                 3.5 mm & 2.7 mm cortical screws

Lab Exercise III & IV Hallux Valgus - Osteotomies & Screw Fixation
9:55 – 10:15 am    Oblique Akin Osteotomy - 2.7 mm screw 

10:15 - 10:30 am   Distal Metaphyseal / Chevron Osteotomy with 2.7 mm or 3.5 mm screw

10:30 – 10:55 am  Dorsiflexory Wedge Osteotomy – 3.5mm cortical screw 

                                    "T" Sleeve / Standard Screw Technique


Lecture
10:55 – 11:30 am    Plate Fixation/Implant Design/Function

11:30 – 12:20 pm    Lunch


Lab Exercise V Forefoot Arthrodesis

12:20 – 12:45 pm    Hallux IPJ Fusion- Screw fixation (5 minute lecture)

12:45 – 1:25 pm      1st MPJ Arthrodesis (10 minute lecture

Lab Exercise VI First Metatarsal Osteotomies: Screw and Plate Fixation
1:25 – 2:00 pm        Dorsiflexory Wedge Osteotomy (5 minute lecture)

                                     3.5 mm lag screw & medial plate

2:00 – 2:15 pm Break


Lab Exercise VII Midfoot Arthrodesis

2:15 – 2:50 pm      Lapidus (10 min lecture)

                                    - 2 Cross 3.5mm cortical screws & 1 st metatarsal to 2nd metatarsal or 

                                   medial cuneiform screw
2:50 – 3:20 pm     Lisfranc Disruption/Acute and Neglected (10 min Lecture)

                                   - 1st, 2nd, and 3rd tarsal metatarsal joint arthrodesis

3:20 – 3:50 pm     Navicular-Cuneiform Joint Arthrodesis (10 min lecture)

                                   -3 screws


Lab Exercise VIII Rearfoot Arthrodesis

3:50 – 4:30 pm    Triple Arthrodesis (15 min lecture)


Lab Exercise IX Ankle / TTC Fusion
4:30 – 5:10 pm    Supramalleolar Osteotomies (10 min lecture)

5:10 – 5:50 pm    Ankle Joint Arthrodesis (10 min lecture)

5:50 – 6:25 pm    Tibia-Talar-Calcaneal Joint Arthrodesis
 

6:25 – 6:35 pm    Open Panel Discussion of Today's Material

Day 2
7:30 – 8:00 am     Check-in/Breakfast

Lecture 
8:00 – 8:15 am     Metatarsal Fractures/Jones Fracture
8:15 – 8:30 am     Midfoot Fractures

8:30 – 8:45 am     Talar Fractures

8:45 – 9:05 pm     Principles and Techniques of External Fixation


Lab Exercise X External Fixation 

9:05 – 9:25 am    Small Delta Frame - 1 st Metatarsal 
9:25 – 9:45 am    Large Delta Frame - Pilon Fracture 

9:45 – 10:00 am Break
 

Lecture
10:00 – 10:25 am    Modified Lauge Hansen / Weber Classification
10:25 – 10:45 am    Malleolar Fractures/Osseous Repair Techniques

10:45 – 11:05 am    Syndesmosis-evaluation & treatment of Acute/Chronic Injury

11:05 – 11:25 am    Diabetic and Osteopenic Ankle Fractures/Comminuted Fibula

11:25 – 11:45 am    Open Panel Discussion
 

11:45 – 12:30 pm Lunch

Lab Exercise X Malleolar Fractures
12:30 – 12:50 pm    Weber A 
12:50 – 12:35 pm    Weber B 

12:35 – 1:00 pm      Weber C 

1:00 – 1:25 pm        Fibular Lengthening / Plate Distraction Device
 

Lecture 
1:25 – 1:55 pm       Management of Nonunion
1:55 – 2:20 pm      Tibial Osteotomies

2:20 – 3:05 pm      Open Panel Discussion on Ankle Fracture Management
 

3:05 – 3:20 pm Break 

LLAB Exercise XI Complex Fractures
3:20 – 4:00 pm     Calcaneal Fracture (15 minute lecture)
4:00 – 4:40 pm     Pilon Fracture (15 minute lecture)

4:40 – 5:00 pm     Open Panel Discussion of Today's Material

5:00 pm                  Adjourn