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The role of Achilles tendon lengthening in reducing forefoot plantar pressure and healing diabetic foot ulcerations has been well documented but its complication rate of 10% to 30% which includes heel ulceration, calcaneal gait, Achilles tendon rupture could be devastating. Selective plantar fascia release offers an alternative to Achilles tendon lengthening in the treatment of diabetic forefoot ulcerations.

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Recent advances in the technology and delivery system for Cyclical Topical Oxygen Therapy devices have made this therapy a highly successful and needed adjunct for faster and better collagen formation and wound healing, and a necessity to consider for more difficult and slowly healing wounds of all kinds. This talk will focus on the science and understanding of why and how this type of therapy works, the strong and recent research supporting and highlighting its effectiveness, and my clinical experience with the great benefits this therapy is offering patients toward successful and durable wound healing.

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The presentation will review the latest controversial topics in Achilles tendon repair including operative vs nonoperative treatment, timing of surgery, rehabilitation protocols, and use of biologics. I will also review results of a clinical consensus panel that I recently participated in on this subject.

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Current Hammer Toe Repair Concepts

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We don’t think twice about using antibiotics to treat a bacterial infection. Why is it that we hesitate to use an antifungal to treat a fungal infection? Onychomycosis IS an infection. It can spread within a toenail, from one toenail to another and from one patient to another. There are multiple drugs available, both oral and topical that can be used to treat this infection. This lecture will review the pathophysiology of the disease and the various treatments currently available.

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This presentation will review the uniqueness of Pedal melanoma

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This presentation will review the speakers personal observations and experiences in the performance of bunion surgery over 35 years

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There are many factors leading to re-ulceration in diabetic patients with amputation. These factors includes malnutrition, uncontrolled diabetes with nephropathy, peripheral vascular disease, renal disease and most importantly unaddressed biomechanical imbalance of the amputation stump. This lecture focuses on the importance of tendon and osseous balancing to prevent re-ulceration, re-amputation of a diabetic amputated stump.

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This lecture will teach practitioners about how to understand, prevent and treat growing pains. They will learn why the term “growing pains” is actually biomechanically based, and not just that the pediatric patient is “growing.” Understanding the biomechanical origins of “growing pains,” the practitioner with then be able to better understand common pediatric sports injuries, and the genesis of most adult foot and orthopedic kinetic chain problems. They will learn how to perform a quick and easy 5-minute functional assessment that can efficiently and accurately determine each patient’s foot type and how that justifies the need for intervention. Application of that information will allow participants to know exactly what type of functional orthotic is best suited for each patient, and thus how to select the correct orthotic prescription

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Getting a proper neutral impression of your patient’s foot is only the first step in obtaining a proper orthotic correction. Understanding the impact of forefoot position and mobility is critical to the success of your pediatric patient. This lecture will review the differences between rigid (congenital) forefoot varus and flexible (acquired) forefoot supinatus and their impact on gait and clinical symptomology. This discussion will cover age specific protocols for when to start considering posting the forefoot in the pediatric patient. It will cover why it is important to include extrinsic forefoot posting with many common pediatric conditions including but not limited to shin splints, severs, and knee/hip pain. As well this lecture will cover why failure to consider forefoot posting leads to many common orthotic complaints.

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This lecture is an overview of Pilon fracture management with supporting literature.

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A detailed review of the mechanism of action and latest clinical evidence for cyclically-pressurized Topical Wound Oxygen (TWO2) therapy, followed by an interactive hands-on session.

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You will learn the crucial areas to examine in a medical malpractice insurance policy and will be empowered to evaluate whether or not you are getting the protection you deserve.

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In this lecture we will go over how to use power point presentations in a patient encounter to improve care, reduce complexity and increased your bottom line.

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This presentation will outline the history and common mechanism of injury/patterns

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types of tar

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identify pathology associated with ocds

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Is good good enough? In order to be successful in today?s ever demanding world, we need to be great. Private practice is still alive and there are many practices that triumph over adversity in today?s health care environment. In this talk we will be discussing what makes a practice great and how to thrive and grow every single year without you working any harder. You will learn to make your practice a place that is fun and exciting, where patients want to go to get treated, and who refer their friends and family as well as how to hire and keep great staff that help grow your practice.

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From Balanced Inlays to Blake Inverted, the potential to exert and substantially alter the mechanics of an abnormally functioning foot has never been greater. Knowing when and how to incorporate currently ‘in vogue’ orthosis design principles can spell the difference between success and failure. This lecture will examine some of these modifications to improve the desired clinical outcome.

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With an increased awareness as well as an improvement in various imaging techniques, the diagnosis and successful management of a plantar plate tear has improved. Outcome studies indicate that a clinically acceptable result is directly dependent on the early recognition and differentiation of a plate tear from other commonly seen, and often mistaken syndromes affecting the 2nd and 3rd MPJ’s. This lecture will focus on plantar plate disruption (PPD) in certain demographics of the population. The functional anatomy of the 2nd MPJ will be explored, and examples of early and late-stage PPD will be presented. Finally, several non-surgical approaches to the management of both early as well as late stage PPD will be discussed.

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The diabetic patient presents with unique biomechanics and gait patterns. By understanding the deforming forces behind ulcer patterns, the most appropriate surgical off-loading procedure can be chosen. Many of these procedures have been evaluated in the literature and we will also look at what the evidence is for the discussed surgical off loading procedures.

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The naviculocuneiform joint arthrodesis was originally described almost one century ago for "extremely relaxed flat feet" in children. Although it is still a viable procedure for medial column instability and arthritis, it has lost its favor partially due to reported high nonunion rates. We will look at what the limited literature does state about nonunion rates and review the surgical steps, and provide tips to maximize union and success.

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This lecture discussed commonly encountered pathology that leads to soft tissue and bone infection in pediatric patients

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Management and evidence based practice guidelines for pedal gun shot wounds/Open fractures

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Discuss pre operative work up for flexible flat foot with concomitant spring ligament attenuation and/or deltoid ligament failure

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