limb salvage - cardiovascular innovations · 2018-06-28 · limb salvage symposium july 27 – 28,...
TRANSCRIPT
BEFORE CHARCOT WITH OSTEOMYELITIS
DEBRIDEMENT
STAGED RECONSTRUCTION
6 MONTHS POST-DEBRIDEMENT
LIMB SALVAGE S Y M P O S I U M
This activity has been planned and implemented in accordance with the standards and requirements for approval of providers of continuing education in podiatric medicine through A joint provider agreement between Kent State University and Cardiovascular Innovations Foundation. Kent State University College of Podiatric Medicine is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. Kent State University College of Podiatric Medicine has approved this activity for a maximum of 8.0 continuing education contact hours.
ACCREDITATION STATEMENT
R E G I S T E R A T :www.cvinnovations.org
Bio-engineered Tissue Skin Graft
July 27–28, 2018Grand Hyatt Hotel | Denver, CO
LIMB SALVAGE SYMPOSIUMJULY 27 – 28, 2018
FRIDAY, JULY 27EDUCATIONAL GOALS & OBJECTIVES After completing this module, the participating podiatric physician will be able to:
3:00 – 5:00
Clinical Correlation3:30 Case studies: Residency competition
In order to facilitate learning, this session will be interactive. Case presentations will vary from surgical to non-surgical management, common and bizarre pathologic diagnoses with respect to disorders that present with respect to limb salvage.
» Via a series of case presentations and abstracts involving diabetic foot infections, ulcers and chronic wound discuss and defend management strategies for the treatment thereof
SATURDAY, JULY 287:00 – 7:30 Sign-in and Welcome – Continental breakfast provided
7:30 – 8:00
Limb Salvage 2018: Introduction 7:30 Multidisciplinary approach
Jeff Shook, DPM 7:45 Current state of CLI diagnosis
Mehdi Shishehbor, DO
» Discuss the necessity and benefits for approaching limb salvage from a multidisciplinary approach and relate the efficacy of this model.
» Define the intricacies of hemodynamic evaluation in the critical limb ischemia patient
8:00 – 9:30
Infectious Disease8:00 Emergent diabetic foot infections
Jeff Shook, DPM8:15 Utilization of inflammatory markers for diabetic foot infections
Jeff Manway, DPM 8:30 MRI evaluation of the infected foot
Larry Osher, DPM8:45 Local antibiotic therapy in the management of osteomyelitis
Allen Jacobs, DPM9:00 Digital Osteo – amputation versus medical management
Jeff Shook, DPM9:15 Osteomyelitis of the 1st metatarsophalangeal joint
Elliot Walters, MD
» Present an organized approach to evaluation and management principles of diabetic foot infection
» Describe the basic objective and subjective tools and advanced techniques in the diagnosis of infection
» Offer effective strategies for the emergent treatment of diabetic foot infections
» Elucidate current trends and recommendations for the diagnosis of osteomyelitis
» Debate the different approaches for the management of osteomyelitis
» Discuss approach to the treatment of osteomyelitis of 1sy MPJ and the ramification of such treatment.
» Illustrate the efficacy of both medical and surgical management of digital osteomyelitis.
» List MRI findings suggestive and consistent with soft tissue and bone infections of the infected foot and ankle
9:30 – 10:00 Break
10:00 – 12:30
Limb Salvage: Wound Care / Wound Healing / Wound Coverage
10:00 Wound care basics and HBOT Robert Bartlett, MD
10:15 Essentials of venous stasis ulcers Steven Kravitz, DPM10:30 Diabetic Ulcers: concise review of recommended practice
Robert Bartlett, MD10:45 Venous ulcers/insufficiency: proper prescription writing for
compression therapy Steven Kravitz, DPM
11:00 ESRD and lower extremity ulceration Allen Jacobs, DPM
11:10 Glucose control and the limb salvage patient Jeremy Christensen, DPM
11:20 Wound care ethics: when ethical and legal are not the same Allen Jacobs, DPM
11:30 Medical management of PAD Teresa Carmen, MD
11:40 Split thickness skin grafting forcoverage of diabetic wounds Elliot Walters, MD
11:50 NPWT and the limb salvage patient Georgeanne Botek, DPM
12:00 Effectiveness of clinic based vs OR based debridement Elliot Walters, MD
12:10 Is TMA the definitive resolution for forefoot ulceration Allen Jacobs, DPM
12:20 Reverse sural flap for wound coverage Kenneth Morgan, DPM
» Elucidate modalities for the non-surgical management and evaluation of peripheral artery disease
» Defend the importance of glucose » Enumerate factors which impede wound healing » List etiologies for the recidivism of wounds/ulcers with
respect to patient adherence » Discuss the indications and utility of advance wound
care products » Depict the “universal efficacy” of a transmetatarsal
amputation in the limb salvage patient » Describe simple and novel surgical approaches to
address the persistence or recurrence of wounds/ulcers » Illustrate ortoplastic techniques for wound coverage
problems in the limb salvage patient » Outline the relationship between renal disease and
diminished capacity for wound healing » Chronicle the development of venous ulcers and
subsequent treatment recommendations via compression therapy
» State wound care basics and how hyperbaric oxygen may apply to the treatment thereof
12:30 – 1:30 Lunch
1:30 – 3:30
Limb Salvage: Charcot Neuroarthropathy 1:30 Charcot: Where are we now?
Allen Jacobs, DPM1:45 The magic of bone healing David Hahn, MD2:00 Bone Healing in Charcot neuroarthropathy
Larry Osher, DPM 2:15 New treatments for AVN of the talus
David Hahn, MD2:30 Pan foot arthrodesis Jeff Manway, DPM2:45 Midfoot reconstruction with plantar plate
Kenneth Morgan, DPM3:00 Superconstructs for Charcot reconstruction
Jeremy Christensen, DPM3:15 Technique and positioning for IM nails
Jeff Manway, DPM
» Outline a basic approach to the Charcot patient » Elucidate the psychological ramifications of the
diabetic/Charcot process and the effect on decision making process in regards to treatment
» Define the indications and procedures involved in the non-reconstructive surgical approach to Charcot deformity and its sequelae
» Differentiate between normal and diabetic bone healing and the effects on treatment protocols
» List current & new modalities for the treatment of AVN of the talus
» Elucidate surgical treatment protocols for the reconstruction of deformities related to Charcot neuroarthropathy
» Defend a variety of different fixation techniques implemented for Charcot reconstruction