20171st November - Vigyan Bhavan2nd November - Lady Hardinge Medical College (Auditorium)

GLOBAL CLUBFOOT CONFERENCE

“We are children from Delhi, born with clubfoot.Today we play football because clubfoot can be treated”

CURE International India began its services from April 2009 with a goal to eradicate disabil-ity caused by clubfoot in India. At present over 38,000 children are enrolled in this program nationwide. With over 150 children born with clubfoot in India every day, the role of CURE International India in establishing free clubfoot clinics is very relevant and significant. Through this initiative, CURE International India aims to enlighten the public that clubfoot can be treated and if neglected, leads to permanent disability. Every month an average of 1000 new children are enrolled from 254 designated weekly club-foot clinics across all the 29 states in India.

Clubfoot is a congenital deformity that severely twists the foot both downward and inward, making walking difficult or impossible. 2 out of every 1000 children are born with clubfoot in every country of the world regardless of race or geographic region. Over 2,20,000 children, in the low in-come countries are born each year with clubfoot. In India more than 50,000 children are born with Clubfoot every year if not treated all these children will be vulnerable to societal stigma.There are approximately 8,000,000 adults worldwide who are physically disabled with clubfoot who could have been cured if treated at an early stage.

CURE India organised the first Clubfoot Conference in Feb 2013 at the Vigyan Bhawan where the Hon. Vice President of India Shri Hamid Ansari inaugurated the event in the pres-ence of Hon. Chief Minister of Delhi Smt. Sheila Dikshit. The second National Clubfoot conference was held at the Maulana Azad Medical college, New Delhi in April 2015.

“We are children from Delhi, born with clubfoot.Today we play football because clubfoot can be treated”

Day 1 (Wed 1st Nov 2017) – Vigyan Bhavan : 9am – 6pm

Sessions will include1. Plenary lectures by international faculty 2. Symposia 3. Panel discussions 4. Case discussions 5. Free paper and posters 6. Audit of each state programme

Suggested topics & faculty- Epidemiology and genetics of clubfoot : recent advances - Clubfoot scoring: how and why? - Pitfalls in Ponseti treatment and how to manage them- Management of relapses after Ponseti treatment - Atypical / complex clubfeet : challenges and management- The India Clubfoot Programme

Symposia :1. Symposium on walking age clubfoot Points to be covered- Upper age limit for Ponseti casting?- How is the older child different? Pathoanatomy / soft tissue stiffness / bony changes- Role of x-rays and advanced imaging- Weekly or 2 weekly?- Sequential or simultaneous correction of bilateral clubfeet?- Above knee or below knee casts?- Plaster of Paris v/s fiberglass synthetic casts- TA tenotomy or open release?- Role of early tibialis anterior tendon transfer- Ideal brace (FAB or AFO) and duration of bracing- Additional soft tissue or bony procedures- How to report outcomes (scoring system for older children)?

2. Symposium on syndromic clubfoot Points to be covered- Common syndromes associated with clubfoot?- Tips and tricks in Ponseti casting in syndromic feet- Success of Ponseti in different syndromes- Management of feet resistant to Ponseti- Management of relapses in syndromic feet

Panel discussions (15 mins each) : 1.5 hours- Braces in clubfoot: which is the best? - Adherence with bracing (why is it necessary & how to ensure fidelity?)- How to run an effective and efficient model Clubfoot Clinic?- Barriers to treatment of clubfoot (Indian experience v/s global perspective) - Role of various stakeholders in ensuring complete and compulsory treat ment of all children born with clubfeet (Govt MoH / state programme manag ers & counselors / State Medical Directors / ASHA / District Early Intervention centre (DEIC) / Rotary International / Global Clubfoot Initiative (GCI) / Ponseti International (PIA)- Research opportunities in clubfoot

Case Discussions

- Interesting cases with audience participation

Free papers

- Best Paper and Best Poster Awards

Audit of regional programme Inauguration Venue: Vigyan Bhavan

Dinner and Fellowship

Day 2 (Thurs 2nd Nov 2017) – Lady Hardinge Swarn Jayanti Auditorium : 9am – 3pm

Workshops separate for doctors & counsellors

1. Basic Workshop (Ponseti Refresher Training) 9am – 3pmWho can attend: Residents & PGs from CURE Clinics (1 -2 per clinic) in teaching hospitals / doctors from new clinic locations Format: - Lectures as per Ponseti curriculum - Casting demos on foot models - Hands-on casting on children with clubfoot - Demo of TA tenotomy - Prizes for best scoring / best cast application

2. 3 Advanced Workshops (in the form of 2 hour ICLs running sequentially)Who can attend : Senior doctors / clinic in-charges / foreign delegates - Syndromic and complex clubfeet (syndromes associated with clubfoot / challenges / results in different syndromes / modified casting technique / tips and tricks / additional procedures)

- Beyond Ponseti – role of surgeries in clubfoot (role of soft tissue releases in resistant cases / surgeries for relapses / video technique of Tibialis anterior tendon transfer / management of the residual bean shaped foot deformity / role of bony surgeries / triple arthrodesis / role of external fixators – Ilizarov and JESS)

- Journal Club and literature review

(Top 30 articles on clubfoot – 3 mins presentation / 1 min discussion per paper)

3. Workshops for Counsellors / Programme staff

Valedictory by 3pm

Dr. Shafique Pirani

Dr. Nogrove penny

Dr. Chris Lavy

Dr. Steve Mannion

Dr. Mathew Dobbs

Case Discussions

- Interesting cases with audience participation

Free papers

- Best Paper and Best Poster Awards

Audit of regional programme Inauguration Venue: Vigyan Bhavan

Dinner and Fellowship

Day 2 (Thurs 2nd Nov 2017) – Lady Hardinge Swarn Jayanti Auditorium : 9am – 3pm

Workshops separate for doctors & counsellors

1. Basic Workshop (Ponseti Refresher Training) 9am – 3pmWho can attend: Residents & PGs from CURE Clinics (1 -2 per clinic) in teaching hospitals / doctors from new clinic locations Format: - Lectures as per Ponseti curriculum - Casting demos on foot models - Hands-on casting on children with clubfoot - Demo of TA tenotomy - Prizes for best scoring / best cast application

2. 3 Advanced Workshops (in the form of 2 hour ICLs running sequentially)Who can attend : Senior doctors / clinic in-charges / foreign delegates - Syndromic and complex clubfeet (syndromes associated with clubfoot / challenges / results in different syndromes / modified casting technique / tips and tricks / additional procedures)

- Beyond Ponseti – role of surgeries in clubfoot (role of soft tissue releases in resistant cases / surgeries for relapses / video technique of Tibialis anterior tendon transfer / management of the residual bean shaped foot deformity / role of bony surgeries / triple arthrodesis / role of external fixators – Ilizarov and JESS)

- Journal Club and literature review

(Top 30 articles on clubfoot – 3 mins presentation / 1 min discussion per paper)

3. Workshops for Counsellors / Programme staff

Valedictory by 3pm

Dr. Robert Cady

Mr. Michiel Steenbeek

Dr. Harold V Bose

Dr. Dan Cosma

Paper SubmissionNote: Please email papers to gcc@clubfootindia.inDoctors/authors are invited to submit papers on clubfoot on the following topicsTopic 1 – Case studies by doctorsTopic 2 – Review of current literature on clubfootTopic 3 – Barrier to treatment for clubfoot Topic 4 – Role of Teaching Institutes in standardising quality care for clubfootTopic 5 – Role of Counsellor in ensuring five year follow up in care for clubfootTopic 6 – Role of district Hospital in providing care for clubfootTopic 7 – Role of District Early Intervention Centre (DEIC) in ensuring compulsory and complete treatmentTopic 8 – Role of Accredited Social Health Activist (ASHA’s) in identifying all children born with clubfoot in IndiaTopic 9 – Role of Rotary in the eradication of disability from clubfoot globallyTopic 10 – Role of Global Clubfoot Initiative in the eradication of disability from clubfoot globally

Organising Chairman

Dr. Mathew Varghese, Hon. Medical Director, CURE International India, (HOD-Department of Orthopaedics), St. Stephen’s Hospital, New Delhi

Panel Discussions

Present scenario of Clubfoot care.

Future of clubfoot care globally.

Breakout sessions1. Casting Techniques.2. Pirani Score.3. Foot Abduction Brace.4. Clubfoot Program Management.

Event highlights1. VVIP to inaugurate global call for a World free of disability from clubfoot2. Knowledge sharing by International and National leaders on clubfoot management3. Parents testimonies

For more information visitwww.clubfootindia.inFor any query mail

info@clubfootindia.in or Call:

88000 20501

Scientific CommitteeChairPerson – Dr. Alaric AroojisCo-Chairperson- Dr. Shobha AroraDr. PashupatiDr. Ajai SinghDr. Vineet AroraDr. Sukalyan DeyDr. A.K. ManavDr. Pulak SharmaDr. John SantoshiDr. Rudra Prasad

Finance CommitteeChiarPerson- Dr. Anil DhalCo-Chairperson- Rtn. Vijay K JainMr. Joselyn MartinRtn. Pradeep Bahri

Events and Logistics CommitteeChairperson - Dr. Anil AgarwalCo-Chairperson- Dr. Shah Alam KhanDr. Vikas GuptaDr. Alok SoodDr. Ravi GaurRtn. Amar Nath Goyal

Global Clubfoot Conference Partners