AOFAS Consensus Group Approach to the Progressive Collapsing Foot Deformity

Description

On November 2, 2019, a group of experts met to review and discuss classic and recent literature on Adult Acquired Flatfoot Deformity. The participants have developed a series of consensus statements and proposed a new nomenclature ("Progressive Collapsing Foot Deformity," or PCFD) and classification system for the problem. 

Join participants from the Expert Consensus Meeting for a live, in-depth discussion of the new consensus statements and their application in the diagnosis and treatment of PCFD. Registration is free for AOFAS members and all orthopaedic residents and fellows!

Agenda

• Introduction – Scott J. Ellis, MD and Mark E. Easley, MD
• Case Studies presented by:
• Cesar de Cesar Netto, MD, PhD
• Jonathan T. Deland, MD
• Lew S. Schon, MD
• Mark S. Myerson, MD
• David B. Thordarson, MD
• Bruce J. Sangeorzan, MD
• Beat Hintermann, MD
• Jeffrey E. Johnson, MD

Course Objectives

At the conclusion of this webinar, you will be able to:

• Discuss the rationale for the newly proposed nomenclature ("Progressive Collapsing Foot Deformity," or PCFD)
• Review the recently proposed classification system for the pathology
• Highlight and summarize the expert consensus statements in regards to diagnosis and treatment of Progressive Collapsing Foot Deformity

AOFAS Mission Statement

The mission of the American Orthopaedic Foot & Ankle Society is to improve lives through exceptional orthopaedic foot and ankle care.

Target Audience

This course is designed for the experienced foot and ankle surgeon, the generalist orthopaedic surgeon interested in expanding their scope of practice into foot and ankle, post-residency fellows and residents who treat acute and chronic problems of the foot and ankle, and allied health professionals who work in foot and ankle care.

 
  Statement of Need

A need for this educational activity has been determined based on previous course/meeting evaluations, practice gap analysis, membership surveys, and the AOFAS educational curriculum. The content of this course was based on current issues and topics provided by AOFAS membership and leadership.

Program

The AOFAS attests that the person(s) responsible for the development of this educational activity did so independently and were not influenced by commercial supporters.

Accreditation

The American Orthopaedic Foot & Ankle Society (AOFAS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians.

Credit Designation Statement

The AOFAS designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CME Certificates

Participants are required to participate in the live program, answer the evaluation and claim CME at the end of the webinar.

Disclaimer

The material presented in this continuing medical education activity has been made available by the American Orthopaedic Foot & Ankle Society (AOFAS) for educational purposes only. This material is not intended to represent the only, nor necessarily the best, methods or procedures appropriate for the medical situation discussed, but rather is intended to present an approach, view, statement, or opinion of the authors or presenters, which may be helpful or of interest, to other practitioners.

Methods, techniques, and procedures demonstrated, and views and opinions expressed by speakers, presenters, and faculty are their own, and do not necessarily represent those of the AOFAS, nor does presentation on the program represent or constitute endorsement or promotion by the AOFAS. The AOFAS expressly disclaims any warranties or guarantees, expressed or implied, and shall not be liable for damages of any kind in connection with the material, methods, information, techniques, opinions, or procedures expressed, presented, or demonstrated.

A need for this educational activity has been determined based on previous course evaluations and the AOFAS educational curriculum. The content of this course was based on current issues and topics provided by AOFAS membership and leadership. For more information on the AOFAS CME mission, visit aofas.org/education.

AOFAS requires all instructors, planners, and other individuals in a position to control or influence the content of an educational activity to disclose all relevant financial relationships or affiliations during the past 12 months with any commercial interest (any entity producing, marketing, re-selling, or distributing healthcare goods and services consumed by, or used on patients). All identified conflicts of interest must be resolved and the education content vetted by AOFAS for fair balance, scientific objectivity, and appropriateness. AOFAS also requires faculty to disclose when off-label/unapproved uses of a product are discussed in a CME activity. AOFAS attests that the persons responsible for the development of this educational activity did so independently and were not influenced by commercial supporters. All financial disclosures will be provided to meeting attendees in the final program materials.

The material presented in this continuing medical education activity has been made available by the American Orthopaedic Foot & Ankle Society (AOFAS) for educational purposes only. This material is not intended to represent the only, nor necessarily the best, methods or procedures appropriate for the medical situation discussed, but rather is intended to present an approach, view, statement, or opinion of the authors or presenters, which may be helpful or of interest to other practitioners. Methods, techniques, and procedures demonstrated and views and opinions expressed by speakers, presenters, and faculty are their own, and do not necessarily represent those of AOFAS, nor does presentation on the program represent or constitute endorsement or promotion by AOFAS. AOFAS expressly disclaims any warranties or guarantees, expressed or implied, and shall not be liable for damages of any kind in connection with the material, methods, information, techniques, opinions, or procedures expressed, presented, or demonstrated.

FDA Statement
Some drugs or medical devices demonstrated at this meeting have not been cleared by the FDA or have been cleared by the FDA for specific purposes only. The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or medical devices he or she wishes to use in clinical practice. AOFAS policy provides that “off label” uses of a drug or medical device may be described in its CME activities so long as the “off label” use of the drug or medical device is also specifically disclosed (i.e., it must be disclosed that the FDA has not cleared the drug or device for the described purpose). Any drug or medical device is being used “off label” if the described use is not set forth on the products approval label.

Faculty/Planner Disclosure Declaration
As an Accreditation Council for Continuing Medical Education (ACCME) provider, AOFAS has the obligation to ensure the delivery of education that is balanced and free of commercial bias. To achieve this, it is the policy of the AOFAS that all CME-related board members, committee members (“planners”), faculty, and appropriate staff disclose in writing to the learners’ all financial relationships that you have had in the past 24 months with ineligible companies. An “ineligible company” are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

In addition to faculty members, commentators from the floor are charged with verbally disclosing any interests immediately prior to speaking. All disclosures are provided in this final program distributed at the meeting to all program participants.

In accordance with AOFAS policy:
Faculty participation in this educational activity will be predicated upon timely submission and review of AOFAS disclosure. An individual who refuses to disclose all financial relationships will be disqualified from being a planning committee member, a teacher, or an author of CME, and cannot have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity. Non-compliance will result in a faculty member being stricken from the program.

An indication of the participant’s disclosure appears after his or her name as well as the ineligible company that provided the support. AOFAS does not view the existence of these disclosed interests or commitments as necessarily implying bias or decreasing the value of the author’s participation in this activity. In addition to ensuring that presentations be free of bias, faculty members are required to ensure that all material presented and discussed will be based on best- available evidence.

Webinar Faculty Disclosures
    
Scott J. Ellis, MD
Wright Medical – Speaker’s Bureau/Presenter, Paid Consultant
Paragon 28 – Speaker’s Bureau/Presenter, Paid Consultant
Foot and Ankle International - Medical/Orthopaedic publications editorial/governing board
AOFAS - Board member/committee appointments for a society

Mark E. Easley, MD
Exactech Inc. – Royalties, Paid Consultant, Research Support
Wolters Kluwer Health – Lippincott Williams & Wilkins - Royalties, Financial or Material Support from Publishers
Elsevier - Royalties, Financial or Material Support from Publishers
IFFAS - Board member/committee appointments for a society

Cesar de Cesar Netto, MD, PhD
Paragon28 – Royalties, Paid Consultant, Research Support
Zimmer – Paid Consultant
Ossio – Paid Consultant
CurveBeam – Paid Consultant, Stock or Stock Options, Research Support
Nextremity – Paid Consultant
Foot and Ankle International - Medical/Orthopaedic publications editorial/governing board
AAOS - Board member/committee appointments for a society
American Orthopaedic Foot and Ankle Society - Board member/committee appointments for a society
International Weightbearing CT Society - Board member/committee appointments for a society

Jonathan T. Deland, MD
Arthrex Inc – Royalties
Zimmer – Royalties
Lima Corporate – Unpaid Consultant
Wright Medical Group N.V. – Stock or Stock Options

Lew C. Schon, MD
Arthrex Inc - Royalties
Darco - Royalties
Aircast(DJ) - Royalties
DJ Orthopaedics - Royalties
Wright Medical Group N.V. - Royalties
Zimmer – Royalties, Speaker's Bureau/Presenter
Elsevier - Royalties, Financial or Material Support from Publishers
AAOS - Board member/committee appointments for a society

Mark S. Myerson, MD
Biomet – Royalties
Paragon28 – Royalties
DePuy Synthes – Royalties
Wright Medical – Royalties
Integra – Royalties
Paragon28 – Paid Consultant, Stock or Stock Options
Suturegard – Unpaid Consultant, Stock or Stock Options
Integra – Unpaid Consultant
Crossroads – Stock or Stock Options
Bio2 – Stock or Stock Options
Elsevier - Royalties, Financial or Material Support from Publishers

David B. Thordarson, MD
Stryker – Paid Consultant
Bio 2 – Stock or Stock Options
AOFAS - Board member/committee appointments for a society

Bruce J. Sangeorzan, MD
This individual reported nothing to disclose

Beat Hintermann, MD
This individual reported nothing to disclose

Jeffrey E. Johnson, MD
Anthrex, Inc – Paid Consultant
Stryker – Paid Consultant
CrossRoads Medical – Stock or Stock Options
Extremity Development Company – Stock or Stock Options
Foot and Ankle International - Medical/Orthopaedic publications editorial/governing board
AOFAS – Board member/committee appointments for a society

EDUCATION COMMITTEE DISCLOSURES (Planners)

Mohamed Abd-Ella, MD
This individual reported nothing to disclose

Jonathon D. Backus, MD
American Orthopaedic Foot and Ankle Society: Board or committee member
Foot and Ankle International: Editorial or governing board
Medline UNITE: Paid Consultant

Daniel C Farber, MD
AAOS: Board or committee member
American Orthopaedic Foot and Ankle Society: Board or committee member
DJ Orthopaedic Foot and Ankle Society: Board or committee member
Foot and Ankle Online: Editorial or governing board
JMEA: Stock or stock Options
Trace Medical Concepts: Paid consultant

Alena Frey
Staff
This individual reported nothing to disclose

Lauren Elizabeth Geaney, MD 
American Orthopaedic Foot and Ankle Society: Board or committee member 
Arthrex, Inc: Research support
Connecticut Orthopaedic Society: Board or committee member Paragon 28: Paid consultant
Techniques in Orthopaedics: Editorial or governing board

Thomas M Hearty, MD
American Orthopaedic Foot and Ankle Society: Board or committee member 
Orthobullets: Editorial or governing board

Kelly K. Hynes, MD
This individual reported nothing to disclose

Carroll Jones, MD
Acumed, LLC: Research support
American Orthopaedic Foot and Ankle Society: Board or committee member
Artelon: IP royalties, Paid consultant, Paid presenter or speaker
Arthrex, Inc: IP royalties
BoneSupport: Paid consultant
Bone Support(Cerament): Paid presenter or speaker
Celling Biosciences: Paid presenter or speaker
Nuvasive: Paid consultant
Osteoremedies: Paid consultant
Smith & Nephew: Paid consultant
Wright Medical Technology, Inc: IP royalties, Paid consultant, Paid presenter or speaker,, Research                support

James Robert Lachman, MD
This individual reported nothing to disclose

Elizabeth Martin, MD
American Orthopaedic Foot and Ankle Society: Board or committee member 

James Meeker, MD
This individual reported nothing to disclose

Julie Murkowski
Staff
This individual reported nothing to disclose

Irvin Oh, MD
Innomed: IP royalties

Christian A. Ortiz, MD
This individual reported nothing to disclose

Vinod Kumar Panchbhavi, MD, FACS
AAOS: Board or committee member
American Orthopaedic Foot and Ankle Society: Board or committee member
Foot and Ankle InternationalTechniques in Foot & Ankle SurgeryOrthopedia.com: Editorial or governing board 
Stryker: Paid presenter or speaker
Wolters Kluwer Health - Lippincott Williams & Wilkins: Publishing royalties, financial or material support

Charles Saltzman, MD
This individual reported nothing to disclose

João Filipe Vide, MD
American Orthopaedic Foot and Ankle Society: Board or committee member
European Federation of National Associations of Orthopedics and Traumatology: Board or committee member

Brian M Weatherford, MD
BESPA Global: Paid consultant 
Orthobullets: Paid consultant 
Synthes: Paid presenter or speaker

Richard Zell, MD
This individual reported nothing to disclose

Jacob Rothschild Zide, MD
Orthofix: Paid consultant