IFFAS Triennial Meeting
San Francisco, California, September 12-14, 2002
      SCIENTIFIC PROGRAM
THURSDAY, SEPTEMBER 12, 2002

8:30am - 10:05am
SESSION 1 – ANKLE PROBLEMS
 

PART 1: ANKLE ARTHRODESIS AND GAIT STUDIES
Moderators: Michæl Stephens and James Sammarco

  • Gait Analysis and Functional Outcomes of Isolated Ankle Arthrodesis – Daniels
  • Gait Before and After Total Ankle Arthroplasty with a Comparison to Arthrodesis – Miller
  • Reconstructive Surgery in Sequelæ of Ankle Fractures – Giannini
  • Anterior Tension Device for Ankle Arthrodesis – Fadel
  • Anterior Tension Band Plate for Ankle or Pan-Talar Arthrodesis – Zell
  • Hindfoot Arthrodesis with Vascularized Fibular Graft – Fujii

PART 2: OSTEOCHONDRAL INJURIES
Moderators: Eric Anderson and E. Greer Richardson

  • Selection of surgical treatment for osteochondral lesion of talus – Miyanaga
  • Arthroscopic Treatment of Osteochondral Lesions of the Talus – Robinson
  • Treatment of Talar Osteochondral Lesions Using Local Osteochondral Graft – Sammarco
  • Computerized Matching of Autologous Grafts for the Treatment of Medial Talar OCD Lesions by Osteochondral Transplantation – Shute
  • Is the Fragment of Osteochondritis Dissecans of the Talus Reusable? – Yasumura

10:35am - 12:20pm
SESSION 2 – HINDFOOT PROBLEMS
 

PART 1: HINDFOOT ARTHRODESIS
Moderators: Suguru Inokuchi and Pierce Scranton

  • Arthroscopic Subtalar Arthrodesis – Gurbani
  • Influence of Screw Type on Obtained Contact Area and Contact Force in a Cadaveric Subtalar Arthrodesis Model – Hintermann
  • Percutaneous Placement of 7.3-mm Cannulated Screw for Hindfoot Fusions: A Cadaveric Dissection – Sexton
  • Isolated Talonavicular Arthrodesis for Talonavicular Arthritis – Cheng
  • Triple Arthrodesis – 6 Years Clinical Follow-Up – Huang
  • Triple Arthrodesis in the Neurologically Normal Adult – A Minimum Ten-Year Follow-up Study – Smith
  • Use of Bone Graft Substitutes in Ankle/Hindfoot Fusion – Thordarson
  • Clinical Results Harvesting Autogenous Cancellous Graft from the Ipsilateral Proximal Tibia for Use in Foot and Ankle Surgery – Early

PART 2: TARSAL TUNNEL
Moderators: (TBA) and Glenn Pfeffer

  • The postoperative Follow-up of Tarsal Tunnel Syndrome – Shimamura
  • Tarsal Tunnel Syndrome Associated with an Accessory Muscle – Kinoshita
  • Synovial Sarcoma: an Unusual Presentation as Tarsal Tunnel Syndrome – Prata

12:35pm - 1:35pm
LUNCHTIME SYMPOSIUM: POSTERIOR TIBIAL TENDON INSUFFICIENCY
Moderators: Mark Myerson and Woo Chun Lee

  • What is the Rationale and Technique for Hindfoot Osteotomy and Tendon Transfer? – Saxby
  • What is the Specific Role for Lateral Column Lengthening? – Hintermann
  • How and Why do I Treat the Torn Spring Ligament and Deltoid? – Easley
  • Is the Triple Arthrodesis a Reliable Operation for Stage III Deformity? – Ripstein
  • Are there Indications for Subtalar Arthrodesis in the Adult Acquired Flatfoot? – Giannini
  • How to Salvage the Stage IV Deformity and Hindfoot Malunion – Myerson

1:50pm - 3:15pm
SESSION 3 – HALLUX VALGUS: PROXIMAL PROCEDURES AND RELATED CONCEPTS
Moderators: Ramon Viladot and John Gould

PART 1

  • The Lapidus Procedure as Salvage for Failed Bunion Surgeries: A Prospective Cohort Study – Resig
  • Hallux Varus – Transfer of the EDL of the Second Toe: A New Concept – Diebold
  • First Ray Mobility and Related Factors Following Corrective Hallux Valgus Surgery in Men – Shurnas
  • Varus Stress Radiography of the First Metatarsophalangeal Joint for Decision-Making of Hallux Valgus Surgery – Tanaka
  • Scarf-Akin Osteotomy Combined with Modified McBride Procedure: A Retrospective Study of 91 Cases – Brice

PART 2

  • Hallux Valgus – Surgical Treatment of Proximal First Metatarsal Opening Wedge Osteotomy: A Late Follow-up – Salomao
  • How to Secure the First Metatarsophalangeal and Lisfranc Joint Fusion – Barouk
  • Complications of the Scarf Procedure – Kundert
  • Surgical Procedure for Hallux Valgus Accompanied by Flatfoot Deformity – Yamamoto

3:30pm - 5:00pm
SESSION 4 – HALLUX VALGUS: DISTAL PROCEDURES AND OTHER FOREFOOT PROBLEMS
Moderators: Sylvia Resch and Andrea Cracchiolo

PART 1: DISTAL PROCEDURES AND RELATED CONCEPTS

  • Biplanar Chevron Osteotomy Nery
  • Hallux Valgus – Osteotomy in Distal Chevron with Capsuloplasty Through Harpoon – Ortiz
  • Linear Distal Metatarsal Osteotomy (LDMO) in Hallux Valgus Surgery – Giannini
  • Clinical results of modified Mitchell's procedure for hallux valgus – Yamamoto
  • The Recognition of Associated Deformities with Hallux Valgus – Toolan
  • Forefoot Block versus Ankle Block: A Prospective Randomized Trial – Smoot

PART 2: OTHER FOREFOOT PROBLEMS

  • Soft-Tissue Release for Hammertoes – Bénichou
  • Operative Repair of Fourth and Fifth Toe Corns – Kennedy
  • Corrective Treatments of Pincer Nail Deformity with Super Elastic Wire – Machida

 

FRIDAY, SEPTEMBER 13, 2002

7:00am - 8:00am
EARLY BIRD SESSION – TOTAL ANKLE REPLACEMENT
Moderator: Thomas Clanton

8:00am - 9:35am
SESSION 5 – ANKLE SPRAINS
Moderators: Francesco Malerba and Carol Frey

  • The Structure of the Anterior Talofibular Ligament of the Ankle: Histological and Immunohistochemical Study – Kumai
  • Diagnosing the Condition of Injured Ligaments Using Stess X-Rays for Chronic Lateral Ankle Instability – Hashimoto
  • Diagnosis and Treatment for Tibiofibular Syndesmosis Disruption – Takao
  • Ankle Arthroscopy for Anterolateral Corner Impingement – Marks
  • Nerve Injuries and Pain Syndromes After Ankle Sprain – Melamed
  • Magnetic Resonance Imaging in the Diagnosis of Tibiofibular Syndesmosis Injury – Oæ
  • Arthroscopic treatment for chronic ankle instability – Alloza
  • Anterolateral Impingement of the Ankle – Magalhæs
  • Reconstruction of the Lateral Ankle Ligaments in Patients with Long-Standing Ankle Instability Using Bone-Patellartendon Graft: A Preliminary Report – Sugimoto

9:35am - 9:50am
PRESIDENTIAL ADDRESS – HISTORY OF INTERNATIONAL FOOT AND ANKLE ORTHOPÆDICS
Yoshinori Takakura, M.D., IFFAS President

9:50am - 10:05am
SPECIAL ADDRESS – GOING FORWARD IN FOOT & ANKLE ORTHOPÆDICS
Michael Coughlin, M.D., IFFAS President-Elect

10:35am - 12:20pm
SESSION 6 – FLATFOOT AND CONGENITAL DEFORMITIES

PART 1: FLATFOOT
Moderators: Hans Kuester and Lamar Fleming

  • A Biomechanical Study of the Effect of the Subtalar Arthroereisis on the Adult Flexible Flatfoot – Arangio
  • Effect of Triceps Suræ Contracture Force on Plantar Foot Pressure Distribution – Aronow
  • The Relevance of Functional Assessment of Flexible Flatfoot – Benedetti
  • Evaluation of the Longitudinal Arch of the Foot in Os Tibiale Externum in the Non-Symptomatic Athlete – Komeda

PART 2: FLATFOOT
Moderators: Hans Kuester and Lamar Fleming

  • Subtalar Implant for Correction of Flatfoot – Berglund
  • Further on the "T" – Osteotomy of the Calcaneum – Pandey
  • Technique of Endoscopic Gastrocnemius Recession – Trevino

PART 3: CONGENITAL DEFORMITIES
Osny Salomao and Lowell Lutter

  • Correction of Neglected and Recurrent Clubfoot Using the Ilizarov External Fixator – Ferreira
  • The Pathological Anatomy of the Talus in Clubfeet – Fernandes
  • The C-sign of Talocalcaneal Coalition. Is It Useful for Diagnosis? – Taniguchi
  • Correction of Foot Length Discrepancies through Tarsal Osteotomies and Progressive Foot Lengthening – Ferreira

10:25am - 12:20pm
SESSION 7 – DIABETES AND AMPUTATION SURGERY
Moderators: MS Dhillon and John McDermott

PART 1: DIABETES

  • To Investigate the Biomechanical Properties of Plantar Soft Tissues in Diabetic Patients Using an Ultrasound Indentation – Chan
  • Assessment of Foot Fungus Infection in Diabetic Patients – Batista
  • Plantar Pressures in a Modified Total Contact Cast versus a Diabetic Walking Boot – Brodsky
  • Epidemiology of Foot Deformities and Foot Ulcers in Diabetic Patients – Batista
  • Cutaneous Thermal Sensitivity Assessment in Diabetic Patients – Martins
  • Outcome and Recurrence Rate of Diabetic Foot Ulcers Treated by a Total Contact Cast: Short-Term Follow-up – Matricali
  • The Effect of Ankle Position on Plantar Pressure in a Short-Leg Walking Boot – Brodsky

PART 2: AMPUTATION AND SOFT-TISSUE RECONSTRUCTION SURGERY

  • Improved Soft-Tissue Reconstruction of the Foot and Ankle with Perforator Flaps – Duffy, Jr.
  • Heel Pad Migration: Comparison of Symes versus Boyd Amputations – Madsen
  • Fibular Segment Bone Bridging in Transtibial Amputation – Guedes de S. Pinto

12:35pm - 1:35pm
LUNCHTIME SYMPOSIUM (First Room): HALLUX RIGIDUS
Moderators: (TBA) and Zelman Simonovich

  • Introduction, Grading, Defining Problems, Measuring MPE, Hypermobility, etc. – Shurnas
  • Cheilectomy: A 10-year follow-up – Mann
  • Cheilectomy with Phalangeal Osteotomy – Smith
  • Treatment of Grade 1 and 2 Hallux Rigidus with Modified Waterman Osteotomy – Kofoed
  • Capsular Interposition Arthroplasty for Severe Hallux Rigidus – Hamilton
  • Keller Arthroplasty for Severe Hallux Rigidus – Park
  • Dissolving MTP Joint Implant – Giannini
  • MTP Fusion for Severe Hallux Rigidus – Stephens

12:35pm - 1:35pm
LUNCHTIME SYMPOSIUM (Second Room):CALCANEAL FRACTURES
Moderator: David Thordarson

  • Summary of Nonoperative versus Operative Treatment – Thordarson
  • Minimally Invasive Treatment – Carr
  • Management of Open Calcaneal Fractures – Lawrence
  • Technique of Open Treatment of Calcaneal Fractures – Early
  • Delayed Reconstruction of Malunited Calcaneal Fractures with Distraction
  • Arthrodesis and Osteotomies – Brage
  • Results of Open Treatment of Calcaneal Fractures – Benirschke

1:50pm - 3:15pm
SESSION 8 – ACHILLES AND OTHER TENDON INJURIES
Moderators: Mauricio Morales and Harold Kitaoka

PART 1: ACHILLES INJURIES AND RELATED CONCEPTS

  • The Non-Operative Treatment of Acute Achilles Tendon Ruptures – Josey
  • Achilles Tendon Rupture – Brazilian Survey – Nery
  • Acute Rupture of the Achilles Tendon: Therapeutic Procedures – Fiks
  • Posterior Ankle Impingement and Anomalous Muscles – Sullivan
  • PDGFBB Protects Human Tenocytes from the Deleterious Effect of Dexamethasone – Wong

PART 2: OTHER TENDON INJURIES AND RELATED CONCEPTS

  • Bioabsorbable Screws for Tendon Fixation in the Foot and Ankle – Clanton
  • Mechanical Testing of Ethibond and Panacryl: A Comparison of Forces Required to Induce Suture Knot Failure – Bibbo
  • Pullout Characteristics for Suture Anchors – Scranton, Jr
  • Pathology of Pain in the Posterior Aspect of the Ankle in Ballet Dancers – Haraishi

1:50pm - 3:15pm
SESSION 9 – HALLUX ARTHRODESIS AND METATARSALGIA
Moderators: Greta Dereymæker and Michæl Shereff

PART 1: HALLUS METATARSOPHALANGEAL ARTHRODESIS AND RELATED CONCEPTS

  • Effectiveness of the Acumed Congruent Fusion Plate in the Treatment of Symptomatic Hallux Valgus and First Metatarsophalangeal Arthritis – Schmidt
  • Functional Outcome of Arthrodesis of the First Metatarsophalangeal Joint – Brodsky
  • Medium-Term Prospective Outcome Analysis of First Metatarsophalangeal Arthrodesis – Coetzee
  • Vertical Alignment of the Metatarsal Heads in Plantigrade Foot – Wang

PART 2: METATARSALGIA AND INTERMETATARSAL NEUROMA

  • Summary: The Effects of High Heeled Shoes on Pedal Pressure in Normal Women – Ressio
  • Radiographic Evaluation of the Rheumatic Foot – Mizusaki
  • Changes in the Radiographic Parameters of the Forefoot with Heel Elevation – Lee
  • Single Incision, Double Release of Adjacent Irritated Intermetatarsal Nerves with Single Nerve Excision – Hort
  • Postoperative Pain Control Using an Infusion Pump in Foot and Ankle Surgery – Asumi

3:30pm - 5:00pm
SESSION 10 – HEEL PAIN AND OTHER CAUSES OF FOOT PAIN
Moderators: Patrice Diebold and Lowell Gill

PART 1: RETROCALCANEAL PAIN

  • 2- to 10-Year Follow-up of Haglunds Deformity Treated by a Wedge Osteotomy – Anderson
  • Endoscopic Decompression for Retrocalcaneal Disorders – Sella
  • Surgical Treatment of Chronic Calcific Insertional Achilles Tendonitis with Calcaneal Exostectomy and Coronal Place Tendo Achilles Lengthening – Richardson
  • Insertional Tendonitis of the Tendo Achilles – Gould

PART 2: SUBCALCANEAL PAIN AND FOOT LESIONS CAUSED BY TUBERCULOSIS

  • Shockwave Application for Chronic Plantar Fasciitis in Running Athletes – A Prospective, Randomized, Placebo-controlled Trial – Rompe
  • Endoscopic Plantar Fascia Release – Case Series – Slater
  • Extracorporeal Shockwave Therapy for Plantar Fasciitis – Peled
  • Presentation of Tuberculosis as an Osteolytic Lesion in the Foot – Dhillon
  • Bone Tumors: Imagery with Histological Correlation – Benamou

3:30pm - 5:00pm
Session 11 – TENDON INJURIES: PERONEAL AND POSTERIOR TIBIAL
Moderators: Elisha Freund and Roger Mann

PART 1: PERONEAL TENDON INJURIES

  • Staged Reconstruction for Chronic Rupture of Both Peroneal Tendons Using Hunter Rod and Flexor Hallucis Longus (FHL): Long-Term Follow-up – Wapner
  • Tear of the Peroneal Tendons: Our Experience – Schwartz
  • Computed Tomographic Evaluation of the Recurrent Peroneal Tendon – Nakajima

PART 2: POSTERIOR TIBIAL TENDON INJURIES

  • Preliminary Gait Analysis Results after Posterior Tibial Tendon Reconstruction: A Prospective Study – Zubak
  • Recovery of the Posterior Tibial Muscle after Late Reconstruction Followingv Tendon Rupture – Valderrabano
  • Surgical Treatment of Acquired Flatfoot Deformity Among American Academic Foot and Ankle Surgeons – Pinney
  • Study of the Vascular Density of the Posterior Tibial Tendon in Cadavers – Prado
  • Outcome of Surgical Decompression in Stage I Tibialis Posterior Tendon Dysfunction – Sharma
  • The Third Ligament in the Spring Ligament Fibrocartilage Complex – Taniguchi

 

SATURDAY, SEPTEMBER 14, 2002

8:00am - 10:05am
Session 12 – HALLUX RIGIDUS AND MAJOR INJURIES TO THE FOOT
Moderators: Tim Daniels and (TBA)

PART 1: HALLUX RIGIDUS

  • The Use of the Bioaction Implant in Hallus Rigidus – Schmidt
  • Great Toe Arthroscopy: Indications and Results – Kilbride
  • Treatment of Grade 2 and 3 Osteoarthritis of the First MTP Joint with an Uncemented Meniscal-bearing Total Joint Replacement: Preliminary Results – Kofoed
  • The Watermann Green Procedure in Hallus Rigidus – Schmidt

PART 2: CALCANEAL FRACTURES

  • Pseudo Os Trigonum Sign: Missed Posteromedial Talar Facet Fracture Leads to Poor Clinical Results – Giuffrida
  • Surgical Treatment of Displaced Intra-Articular Calcaneal Fractures – Giannini
  • The Anterolateral Calcaneal Plate: A New Fixation Pattern for ORIF of Comminuted Intra-articular Calcaneal Fractures Using an Updated Combined Medial and Lateral Approach and New Anterolateral Calcaneal Plate – Romash
  • Open Fractures of the Calcaneum – Livingstone
  • Percutaneous Balloon Reduction of Calcaneal Fractures – Reiley

PART 3: OTHER FRACTURES

  • Medial Column Fusion for Fragmented Avascular Necrosis and Severely Comminuted Fractures of the Tarsal Navicular – Bezwada
  • Navicular Dislocation is Similar to Perilunate Dislocation – Dhillon
  • Subtle Lesions of the Intercuneiform and Tarsometatarsal Joints Treated by Neoligament Plasty – Alloza
  • Stabilization of Lisfranc Joint Injuries: A Biomechanical Study – Lee

10:25am - 12:20pm
SESSION 13 – ANKLE FRACTURES
Moderators: Haruyasu Yamamoto and Robert Adelaar

PART 1: MALLEOLAR FRACTURES

  • Functional Outcome of the Foot and Ankle Following Free Fibula Graft Harvest – Thomas
  • Acute Fibular Malleolar Fracture:Plates versus Minimally Invasive Screws – Basile
  • Additional Soft Tissue Injury in Ankle Fracture On MRI – Chu
  • Arthroscopic Assessment of Occult Intraarticular Injury in Acute Ankle Fractures – Ferkel
  • CT Evaluation of the External Rotation Malalignment of the Distal Fibular – Fragment
  • Following PLR/SLR Ankle Fractures – Tang
  • The Issue of DVT Prophylaxis in Foot and Ankle Trauma Patients Wolf
  • The Evaluation of Clinical and Radiographic Prognostic Factors for the Surgically Treated Unstable Ankle Fractures – Jung

PART 2: TIBIAL PILON FRACTURES AND FRACTURES OF THE TALUS

  • Pathoanatomy of the Distal Tibial Pilon Fracture – Topliss
  • Fibula-Pro-Tibia: Treatment of Peri-Plafond Tibial Fractures – DeOrio
  • Long Follow-up of Fracture of the Talus – Inokuchi
  • Identification of Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle – Nunley
  • Anatomical Consideration of Vascularized Bone Graft Transfer from the Medial Calcaneal to the Talus – Tanaka

12:35pm - 2:05pm
LUNCHTIME SYMPOSIUM: DIAGNOSIS AND TREATMENT OF OSTEOCHONDRAL LESIONS OF THE TALUS
Moderator: Richard D. Ferkel

  • Natural History of Osteochondral Lesions of the Talus – Hintermann
  • Debridement, Drilling, and Microfracture of Osteochondral Lesions of the Talus – Ferkel
  • Osteochondral Autografting of OLT – Scranton
  • Osteochondral Allografting of OLT – Brage
  • Autologous Chondrocyte Implantation of OLT – Peterson

2:15pm - 3:15pm
SYMPOSIUM: ALTERNATIVES TO TOTAL ANKLE REPLACEMENT
Moderator: James Nunley

  • Ankle Arthritis: An Epidemic – Bristol
  • Ankle Arthrodesis: Will I Ever Do Another Ankle Fusion Again – Nunley
  • Distraction Arthroplasty – van Roermundi
  • Reconstructive Surgery in Sequelae of Ankle Fractures – Giannini
  • Resection Arthroplasty with Allograft Implantation for End-Stage Arthritis of the Ankle – Bragge
  • A New Method of Successfully Revascularizing the Talus with AVN – Yip
  • Arthroscopic Debridement, Micro fx Technique – Frey

3:15pm - 3:25pm
CLOSING CEREMONY

  • Announcement of Poster Awards and Final Remarks – Coughlin

 

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