Educational Goals and Objectives

 The Geriatric Patient

After completing this module, the participant will be able to:

-Outline the steps in the basic assessment and management of fractures in the geriatric patient

-Present the basic approach to the geriatric patient with an HAV deformity

-list surgical treatment options for common forefoot deformities in the geriatric patient

-Enumerate nonsurgical and surgical management options for ankle arthritis and how these options are applied to the geriatric population

-Be aware of commonly prescribed medications to the geriatric patient and the potential effects on bone healing

-Discuss nonsurgical and surgical approaches with the geriatric patient and common hindfoot pathology

-Understand unique perioperative concerns in the geriatric patient

-Offer effective strategies for the treatment of chronic gout patient


Adult Acquires Flatfoot Deformity (AAFD)

After completing this module, the participant will be able to:

-Describe the basic objective and subjective parameters to the clinical approach of adult acquired flatfoot deformity

-Identify accepted indications for the utilization of subtalar arthroereisis

-Discuss the options for surgical treatment of the tibialis posterior tendon within the confines of a particular clinical level of involvement

-Define parameters and discuss utility of common calcaneal osteotomies for adult acquired flatfoot deformity

-Become cognizant of effective conservative modalities employed for nonsurgical management of adult acquired flatfoot

-Compare and contrast the utilization of isolated versus multiple hindfoot fusion techniques

-Present an organized approach to ankle involvement in end stage adult acquired flatfoot deformities.


The Lapidus Procedure

After completing this module, the participant will be able to:

 – describe the basic elements of the Lapidus bunionectomy procedure

– list the indication and contraindication of the Lapidus procedure

– discuss key elements of the HAV examination pertinent to consideration for the Lapidus procedure

– understand the concept of frontal plane component of an HAV deformity

– identify important steps for the successful completion of the Lapidus bunionectomy

– compare and contrast different fixations options and constructs

– present an organized approach to postoperative management

– advance strategies for the correction of complications associated with the Lapidus procedure


Infectious Disease

After completing this module, the participant will be able to:

-present an organized approach to evaluation and management principles of diabetic foot infections

-describe the basic objective and subjective tools and advanced techniques in the diagnosis of infection

-discuss the prevalence and effect of resistant organisms on the treatment and outcomes of infections

-offer effective strategies for the empiric treatment of infections

-list the different antibiotic regimens to treat MRSA infections

-understand current trends and recommendations for the management of hard to treat organisms

-advance strategies for the use of oral vs. intravenous antibiotics in diabetic foot bone infection

-debate different diagnostic testing methods for osteomyelitis

-be aware of the effects of penicillin allergies on the treatment of diabetic foot infections


Limb Salvage

After completing this module, the participant will be able to:

-elucidate the different modalities for the radiographic evaluation of osteomyelitis in the infected extremity

– list the surgical complications encountered in the limb salvage patient

– discuss the philosophy of and necessity for performing elective surgery in the high risk patient

– enumerate the essential elements of surgical removal of osteomyelitis

– be aware of the importance and evolution of the limb salvage concept

-recognize the importance of timing in the treatment of fulminant infection in the limb salvage patient

-outline the steps in the basic assessment of the high risk peripheral vascular disease patient

-describe the indications for and utility of new diagnostic techniques for the assessment of vascular insufficiency and tissue perfusion

– debate the pros and cons of amputation versus salvage

-advance current principles for the preservation of the limb in peripheral arterial disease

-recognize the importance of timing in the treatment of peripheral arterial disease and concomitant infection

-advance current principles and new techniques of revascularization for the preservation of the limb in peripheral arterial disease

– -via a series of case presentations and abstracts involving limb salvage patients, discuss and defend management   strategies for the treatment thereof


Wound Care / Ulcer Care

After completing this module, the participant will be able to:

-describe basic evaluation guidelines and treatment strategies for wounds/ulcers

-be aware of evidence based treatment recommendations for the edematous extremity

-promote the argument for the use of advanced techniques for the evaluation of wound healing

-discuss adjunctive treatment modalities for the augmentation of healing

-understand factors which impede wound healing

-list etiologies for the recidivism of wounds and ulcers

– become more familiar with the economic realities of the wound care patient and practice

– explain the essential nature of a multidisciplinary approach to the wound care and limb salvage patients

– summarize the utility and application of HBOT in the wound care patient

-describe the indications and utility of advance wound care products

-enumerate simple and novel surgical approaches to address the persistence or recurrence of wounds/ulcers

-outline the mechanism and treatment ramifications associated with pain in the wound care patient

-gain awareness of neoplastic transformation which can ensue in the chronic wound care patient

-formulate basic differential diagnoses associated with the edematous extremity

-illuminate the scientific basis for compression therapy in venous ulcerations

-discuss the history and evolution of evaluation and treatment of Charcot neuroarthropathy

– develop a clinical, diagnostic process for the early detection of charcot neuroarthropathy

– prescribe off-loading treatment for the charcot neuroarthropathy / wound care patient


Orthoplastics and Amputations

After completing this module, the participant will be able to:

-outline the basic principles of orthoplastics and the specific steps along the reconstructive ladder

-chronicle the spectrum of soft tissue coverage options for lower extremity reconstructive orthopedic cases with soft tissue deficits

-understand the specific indications for different types of soft tissue coverage options

-discuss the necessity of external fixation in cases of simultaneous deformity correction/osseous reconstruction and soft tissue deficit repair

-describe tendon balancing concepts as it applies to the limb salvage patient

-elucidate soft tissue coverage when performing foot amputations

-compare and contrast different anatomic levels of amputation of the foot and ankle in limb salvage