CME OnDemand: 2025 Advanced Foot and Ankle Course-Symposium 3 & 4

Video Transcription

Video Summary

The AOFAS Advanced Foot and Ankle Virtual Course covers innovative approaches to complex foot and ankle conditions. Dr. Matthew Carty presents a transformative view of amputation, highlighting advanced surgical techniques like Agonist-Antagonist Myoneural Interfaces (AIMEs) that restore proprioception, sensation, and reduce pain, turning amputation into a form of functional limb restoration. These techniques improve muscle activation, limb volume preservation, and cortical remapping, facilitating high-level activities including athletics.<br /><br />Dr. Jeremy Smith discusses strategies for managing failed lateral ankle ligament reconstructions, emphasizing a thorough evaluation of the cause, whether surgical, biological, or patient-related. Revision options include arthroscopy, tendoscopy, augmented ligament repairs with suture tape or allograft, osteotomies to correct alignment, and biologics. Understanding patient history, physical exam, imaging, and dynamic studies is crucial for tailored treatment.<br /><br />Dr. Ben Jackson focuses on osteochondral lesions of the talus (OLTs), common yet often missed injuries in athletes. Diagnosis relies on a high index of suspicion and MRI imaging. He advocates for cartilage debridement and chondral abrasion over microfracture when possible to mitigate subchondral cyst formation, with prolonged non-weight-bearing and rehabilitation protocols. Failure to improve warrants re-evaluation for instability or alignment issues.<br /><br />The course also delves into complex cavovarus deformities, with pediatric experts Dr. Tony Riccio and Dr. Michelle Christie underscoring the importance of soft tissue balancing and staged procedures in children with neuropathies like Charcot-Marie-Tooth disease. Adult-focused talks by Drs. Christian Plass and Jesse Doty highlight comprehensive surgical menus from tendon transfers to osteotomies and fusions, emphasizing individualized treatment based on pathology, progression, and functional demands. Minimally invasive techniques are increasingly incorporated.<br /><br />Neurologic insights reveal ongoing research into genetic causes and potential therapies for neuromuscular disorders affecting foot deformities. The course stresses multidisciplinary collaboration and evolving technologies to improve patient outcomes in complex foot and ankle pathologies.

Asset Caption

Symposium 3 – Neurologic/Stroke
Moderator: Jeremy T. Smith, MD
Stroke
Gregory R. Waryasz, MD

Foot Drop
Sandra E. Klein, MD

Equinocavovarus
Max P. Michalski, MD

Transverse Tibial Bone Transport
Amgad M. Haleem Amin, MD, PhD

Cases and Discussion

5:30 – 7:00 pm Central Time (UTC-6)
Symposium 4 – Total Ankle Replacement
Moderator: Michael C. Aynardi, MD
Implant Considerations for TAR
Jensen K. Henry, MD

Supramalleolar Osteotomy with TAR
Constantine A. Demetracopoulos, MD

Algorithm for Deformity in TAR
Jeremy J. McCormick, MD

TAR Loosening
Elizabeth A. Cody, MD

Cases and Discussion

Keywords

AOFAS Advanced Foot and Ankle Virtual Course

amputation

Agonist-Antagonist Myoneural Interfaces (AIMEs)

proprioception restoration

limb volume preservation

cortical remapping

failed lateral ankle ligament reconstruction

arthroscopy

tendoscopy

augmented ligament repair

osteochondral lesions of the talus (OLTs)

cartilage debridement

cavovarus deformities

Charcot-Marie-Tooth disease

minimally invasive foot surgery