PRESIDENT’S PERSPECTIVE - aofas.org Documents/2014-Winter-InStride.… · Framed as a progressive dining tour, I . like to refer to this adventure as the first “mobile Gala.”

Dear Colleagues, The AOFAS is on a roll. You thought our organization couldn’t get any better, but it has! Education remains one of our three pivotal missions and we will achieve new heights with

the 2014 IFFAS / AOFAS Meetings, September 19 – 23, in Chicago. A total of 563 abstracts have been submitted for consideration for these joint meetings – a full 50% increase over the 2013 AOFAS Annual Meeting. The difficult decision of choosing only 80 papers for podium presentations is now in the capable hands of the IFFAS and AOFAS program committees. Complementing the pure science portion of this two-meetings-in-one-event will be 13 non-overlapping symposia covering every aspect of your practice, and I hope you all plan to attend. Of course, opportunities for engaging, networking, and reaching out to friends

and colleagues are also important. The first kick-off social event of the IFFAS Meeting will be a beautiful reception at Navy Pier, Chicago’s top visitor attraction, which offers spectacular views of our host city along with an amusement area which includes a working replica of the original Ferris wheel (which you should plan on riding). The international flavor of

the IFFAS Meeting will be highlighted, and we look forward to greeting and getting to know colleagues from around the world at this special event. Our last night in Chicago during the AOFAS Meeting will be the Gala Event. Framed as a progressive dining tour, I like to refer to this adventure as the first “mobile Gala.” Participants will travel short distances aboard a coach bus

spiked with commentary highlights of the city’s history and architecture. The entire Gala crowd will visit a superb restaurant for appetizers, and then when you thought you had achieved satiety, you will be whisked to one of three outstanding restaurants for dinner with old and new friends. This concept of “restaurant roulette” will provide excitement as your bus pulls up to a destination that only the driver will know. Unlike real roulette, however, you can’t lose, as all participating restaurants possess the highest culinary quality and atmosphere. This will be followed by all of us coming together for dessert at yet another great restaurant/bar, where you can regale the glories of gastronomic delights. After the formal event is over, you may stay on as long as you wish for drinks and socializing. Plan to join us for this ticketed event that will be the most unique gala the AOFAS has ever presented. In addition to the Annual Meeting information, I would like to highlight some of the other happenings in

PRESIDENT’S PERSPECTIVE

Steven L. Haddad, MD

In this issue …President’s Perspective ...................... 1-2

IFFAS / AOFAS 2014 Meetings ........ 1,6-8

Specialty Day 2014 ................................ 3

Thanks to 2013-2014 Committees ...... 4-5

International Society Profiles ................. 9

Calendar ............................................... 10

Resident Review Course .....................11

Complete Foot Care Course .................11

2013 OEF Donor Recognition ..........12-13

Health Volunteers Overseas ................ 14

Visiting Professor Program .................. 14

Website Corner ................................... 14

Coding Corner ...................................... 15

Membership Matters ........................... 16

In Memoriam ....................................... 16

IN~STRIDEVolume 28, Issue 1 ~ Winter 2014

It is my hope that you too will become inspired to help in some way during these exciting times for foot and ankle care.

continued on page 2

Learn • Engage • ConnectFrom start to finish, the 5th Triennial Scientific Meeting of the International Federation of Foot & Ankle Societies (IFFAS) and the AOFAS Annual Meeting, September 19-23, 2014 in Chicago, will be about the business of learning, networking, and international collaboration.

IFFAS President Mitsuo Kinoshita, MD, AOFAS President Steven Haddad, MD, and their organizing committees chaired by IFFAS Vice President / Program Chair Charles Saltzman, MD, and AOFAS Program Chair Chris Coetzee, MD, invite you to this meeting that will inspire an international

exchange of ideas, science, education, and collegiality.

Spotlight on education: A global exchange of ideas

and experiences Although two distinct meetings with one comprehensive, coordinated program between them,

the common feature of each program is the commitment

to providing the highest quality, most interesting, and clinically relevant material related to foot and ankle injuries and conditions. Under the guidance of the IFFAS and AOFAS Program Committees a complementary program

AOFAS to host IFFAS in September

R E C O N S T R U C T I O N • S P O R T S M E D I C I N E • T R A U M A • T E C H N O L O G Y

continued on page 6

AMERICAN ORTHOPAEDIC FOOT & ANKLE SOCIETY2

IN~STRIDE Volume 28, Issue 1 Winter 2014 © 2014 AOFAS

6300 North River Road, Suite 510 Rosemont, IL 60018phone 800-235-4855 and 847-698-4654fax 847-692-3315email [email protected] • www.footcaremd.org

Thomas H. Lee, MD, Medical Editor

AOFAS 2013-2014 Board of Directors

Steven L. Haddad, MD, President

Bruce J. Sangeorzan, MD, President-Elect

Mark E. Easley, MD, Vice President

Thomas H. Lee, MD, Secretary

Jeffrey E. Johnson, MD, Treasurer

Lew C. Schon, MD, Immediate Past President

Judith F. Baumhauer, MD, MPH, Past President

Bruce E. Cohen, MD, Member-at-Large

Timothy R. Daniels, MD, Member-at-Large

Sheldon S. Lin, MD, Member-at-Large

Selene G. Parekh, MD, MBA, Member-at-Large

AOFAS StaffLousanne (Zan) Lofgren, CAE, Executive Director [email protected] Northrup, Director of Education [email protected] Bierman, Director of Membership & Marketing [email protected] Olea, Director of Information Technology [email protected] Hicks, Public Education Manager [email protected] Leighton, FAI Managing Editor and Research Manager, [email protected] Palmer Cook, Programs Coordinator [email protected] Gilsenan, Finance Administrator [email protected]

our great organization. The Society’s membership continues to grow. We have the excitement of our new Resident Members and Fellow Members, and as we went to press, we had 85 applicants for the 72 spots in the 2014 AOFAS-sponsored Orthopaedic Foot & Ankle Match for 2015-2016 fellowships, giving program directors a host of qualified individuals to recruit. The past few years have shown that bringing residents to our Annual Meetings through our Resident Scholarship Program is the best way to let them see the scientific rigor and excitement of our specialty, the mutual respect we have for one another, and the collegiality of our members. Selected Resident Scholars will attend the IFFAS / AOFAS Meetings, September 19-23, in Chicago. There is no doubt that many will be able to see their future in our discipline and choose to pursue a foot and ankle fellowship. Bringing more bright minds into our arena will help us all to become better practitioners. Our roster will also increase with the new membership category, Associate Member – Basic Sciences, approved with a Bylaws change at last summer’s annual business meeting. This will welcome and recognize PhD researchers working to advance foot and ankle orthopaedics. Given their important contributions at the core of our discipline, the Board is excited to review the first applicants and present them for your approval at future business meetings. Encourage established foot and ankle researchers to apply and begin reaping the benefits of our multi-faceted Society.

The AOFAS has a number of programs that demonstrate the commitment of our members to service and to furthering their education. The Humanitarian Services Committee is currently interviewing applicants for this year’s Vietnam Project to balance the expertise of the surgeon teams with the needs of the patient population there. Competition is stiff for the 2014 Traveling Fellowship Program with 15 applicants for five coveted spots. The interest in these programs is high, which is particularly impressive as both require significant time away from practice and family. To me, it proves that as a profession we will continue to follow paths to learn and to benefit patients. Our younger members continue to work diligently to educate patients and the public by developing content for our own popular public-education site FootCareMD.org. Of the 65 procedure-based articles I discussed in my last column, 42 are now published on FootCareMD and others will soon be available. Graphics and photos have been added to the articles so our patients and the public will have a better understanding of what we can do to help them in their quest for normalcy in function. A secondary benefit for our patients comes from our members’ thought-provoking research. Our Research Committee has been flooded with grant applications this year. The committee is conducting a blind review of 26 grant applications, up from 13 applications submitted last year – a full 100% increase. Having so many projects to

consider for funding can only improve the quality of the data that we are producing. Other important initiatives include moving forward our OFAR patient-reported outcomes project and taking steps toward offering scored and recorded CME for FAI that will help members fulfill ABOS MOC requirements. The collective whole may seem overwhelming, but it is well under control by a host of members serving on committees and the Board of Directors, all taking personal time to enhance your professional life. It is my hope that you too will become inspired to help in some way during these exciting times for foot and ankle care. You will find that contributing for the benefit of your colleagues will bring internal gratification not matched by even the greatest day of pursuing personal interests and hobbies. Take your membership to the next level and your actions will benefit our professional world and your own many times over. Perhaps the most gratifying part of my role with the AOFAS this year is attempting to help members with local issues affecting their practice. Please continue to solicit help when the burden becomes taxing for you. Our Society and I will do what we can to bring peace to your local strife. No one member should fight a battle alone. Our 2,000-plus legion stands with you. Thank you again for allowing me to contribute to these initiatives. As always, I sincerely appreciate your confidence and support.

Steven L. Haddad, MD

AOFAS

President’s Perspective continued from page 1

IN~STRIDE • WINTER 2014 3

AOFAS members and colleagues come together Saturday, March 15, 2014 for the AOFAS Specialty Day, on the last day of the AAOS Annual Meeting in New Orleans. The meeting will be in the Great Hall B of the Morial Convention Center, 7:00 am – 5:00 pm. In keeping with past Specialty Day meetings, the program will appeal to foot and ankle specialists and orthopaedic generalists alike. “Attendees will receive solid information compressed into one non-stop day of education,” says Program Chair Chris Coetzee, MD. “The program will be full of valuable pearls and stimulating debate from faculty experts addressing all aspects of foot and ankle conditions with discussion augmented by case examples to effectively illustrate their key points. I personally urge attendees to challenge the faculty and make this meeting as interactive as possible.” In addition to the invited symposia speakers, original, cutting-edge research presentations of exceptional quality have been scheduled throughout the day.

Specialty Day sessions include:• Early Bird Symposium: How to Maximize

Ancillary Services in the Surgical Center and Clinic

• Original Research Papers

• Focused Symposia, including - Management of the Ligamentous

Issues around Ankle Fractures - Management of the Weekend Warrior:

The Aging Athlete - Peroneal Tendons: Structural

Abnormalities - Forefoot Surgery: The Evolution of

Bunion Surgery - Ankle Replacement - Arthroscopy in Ankle Fractures

• I Showed Up At the Wrong Port While the Boat Sailed Away … Shoulda’, Coulda’, Woulda’

AOFAS business and collegialityAll AOFAS Active and Associate Members – Osteopathic are encouraged to engage in the decision making of the Society by attending the Interim Business Meeting at 12:05 pm, immediately prior to the lunch hour. All AOFAS members are also invited to the Member Reception taking place at the conclusion of the scientific program in the Great Hall Foyer.

CME: Specialty Day / AAOS MeetingCertificates of attendance at the AAOS and

Specialty Day meetings are only available to print at kiosks in the convention center. Please print your CME certificate(s) at the end of the meeting. It is important to check in as soon as you arrive at the AAOS meeting as the AAOS transcript system will not allow you to claim CME credit for any educational activities you participated in before you officially check-in to the AAOS meeting (including AOFAS Specialty Day). CME certificates will not be sent to participants.

AccreditationThe AOFAS is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education.

AMA PRA Category 1 Credit™ DesignationThe AOFAS designates this live Specialty Day educational activity for a maximum of 9 AMA PRA Category 1 Credits™. The CME credit system is an honor system and you should claim only the number of credits for the learning activities in which you actively participated. AOFAS

Specialty Day 2014 offers non-stop day of education

(866) 400-0035


AWARDS & SCHOLARSHIPS COMMITTEEDaniel Lehman, MD, ChairBenedict DiGiovanni, MDAndrew Elliott, MDIan Le, MDVinod Panchbhavi, MDVinayak Sathe, MBBSNaomi Shields, MDRichard Zell, MD

CPT/RUC COMMITTEEPeter Mangone, MD, Chair, and RUC Advisor (AMA)R. Dale Blasier, MD, AAOS RUC Representative (AMA)Michael Brage, MDBrett Grebing, MDMatthew Mitchell, MDMurali Moorthy, MDChristopher Nicholson, MDF. Ray Nickel, MDTye Ouzounian, MD, Alternate RUC Advisor (AMA)David Pedowitz, MD, Alternate CPT Advisor (AMA)Walter Pedowitz, MD, CPT Advisor (AMA)Paul Spiegl, MDRaymond Sullivan, MDTroy Watson, MD

EDUCATION COMMITTEEWilliam McGarvey, MD, ChairJohn Campbell, MDJ. Kent Ellington, MDTodd Irwin, MDJeremy McCormick, MDG. Andrew Murphy, MDJames Sferra, MDW. Bret Smith, DORuth Thomas, MD, Rep. to BOS Education Cmte; Liaison, Evidence Based Medicine CmteThomas Clanton, MD, 2013 Sports Course Chair (ex-officio)J. Chris Coetzee, MD, 2014 Program Cmte Chair (ex-officio)Justin Greisberg, MD, 2015 Program Chair (ex-officio)Carroll Jones, III, MD, 2014 Complete Foot Course Chair (ex-officio)Thomas Lee, MD, 2014 Advanced Foot Course Chair (ex-officio)David Thordarson, MD, FAI Editor-in-Chief (ex-officio)Steven Weinfeld, MD, Industry Relations Cmte Chair (ex-officio)

EVIDENCE BASED MEDICINE COMMITTEESandra Klein, MD, ChairAvrill Berkman, MDPatrick Ebeling, MDTodd Kim, MDAnthony Perera, MBChBPhinit Phisitkul, MD

Ruth Thomas, MD, Liaison to Education CmteEmilio Wagner, MDJames Meeker, MD, Fellow Member (ex-officio)

FAI CME COMMITTEEPatrick Ebeling, MD, ChairMark Easley, MDJ. Kent Ellington, MDAnish Kadakia, MDChristopher Kreulen, MDFlorian Nickisch, MDBruce Sangeorzan, MDAnand Vora, MDDavid Thordarson, MD, FAI Editor-in-Chief

FAI EDITORIAL BOARDDavid Thordarson, MD, Chair and Editor-in-ChiefJohn Campbell, MDChristopher Chiodo, MDJ. Chris Coetzee, MDMichael Pinzur, MDRuth Thomas, MDRobert Vander Griend, MDWilliam Ledoux, PhD (ex-officio)Robin Queen, PhD (ex-officio)

FAI MANAGERIAL BOARDCharles Saltzman, MD, ChairJames Brodsky, MD, Chair-ElectRobert Anderson, MDDonald Bohay, MDChristopher DiGiovanni, MDJeffrey Johnson, MDJudith Smith, MDKeith Wapner, MDE. Greer Richardson, MD, Past Editor-in-Chief (ex-officio)David Thordarson, MD, Editor-in-Chief (ex-officio)

FELLOWSHIP MATCH COMMITTEEDaniel Farber, MD, Chair, Rep to BOS Match Oversight CmteMichael Aronow, MDJames Brodsky, MDBrian Clowers, MDJustin Greisberg, MD

FINANCE COMMITTEEJeffrey Johnson, MD, Chair, AOFAS/OEF TreasurerMark Easley, MD, AOFAS Vice PresidentSteven Haddad, MD, AOFAS PresidentThomas Lee, MD, AOFAS/OEF SecretaryBruce Sangeorzan, MD, AOFAS President-ElectLew Schon, MD, AOFAS Immediate Past PresidentTroy Watson, MD, OEF President (ex-officio)

HEALTH POLICY COMMITTEESteven Neufeld, MD, ChairNicholas Abidi, MDMichael Aronow, MD, AMA Alternate DelegateAvrill Berkman, MDBryan Den Hartog, MDPremjit Deol, DOTimothy Fitzgibbons, MD, AOFAS Governor (ACS)Alexandra Page, MDJoseph Park, MDAbhay Patel, MDGeoffrey Phillips, MDCraig Radnay, MD, MPHSteven Ross, MDKeith Wapner, MD, Rep. to ACS Orthopaedic Surgery Advisory CouncilPatrick Yoon, MDScott Koenig, MD, Resident Member (ex-officio)

HUMANITARIAN SERVICES COMMITTEEAaron Guyer, MD, Chair Jorge Acevedo, MDMario Adames, MDLoretta Chou, MDJoseph Daniel, DOBryan Den Hartog, MDAnne Johnson, MDLeland McCluskey, MDThomas McDonald, MDTracy Pesut, MDDaniel Rajan, MDMichael Romash, MDScott Shawen, MDPanagiotis Symeonidis, MDJ. Loch Trimingham, MDJ. Turner Vosseller, MDEva Asomugha, MD (7/15) Resident Member (ex-officio)Naomi Shields, MD, Past Chair (ex-officio)Ruth Thomas, MD, Past Chair (ex-officio)Robert Veith, MD, Medical Director, Prosthetic Outreach Foundation (ex-officio)

INDUSTRY RELATIONS COMMITTEESteven Weinfeld, MD, ChairMarc Chodos, MDRobert Leland, MDNaomi Shields, MD

MEMBERSHIP COMMITTEETerrence Philbin, DO, ChairJamal Ahmad, MDRebecca Cerrato, MDBrett Grebing, MDDavid Levine, MDD. Joshua Mayich, MDCristian Ortiz, MDYong-Wook Park, MDA. Brian Thomson, MDRichard Zell, MDDavid Garras, MD, Fellow Member (ex-officio)

Thanks to the volunteers who move AOFAS forward2013-2014 Committees


OFAR MANAGERIAL BOARDKenneth Hunt, MD, ChairIan Alexander, MDJudith Baumhauer, MD, MPHTimothy Daniels, MDChristopher DiGiovanni, MDSandra Klein, MD, Evidence Based Medicine Cmte ChairL. Daniel Latt, MD, PhD, Research Cmte ChairCharles Saltzman, MDNelson Soohoo, MDSteven Haddad, MD, AOFAS President (ex-officio)

ONLINE RESOURCES TASK FORCEJonathan Deland, MD, ChairEric Bluman, MD, PhD, Public Education Cmte ChairJ. Chris Coetzee, MD, Program Cmte ChairScott Ellis, MD, Young Physicians Cmte ChairRobert Gorman, III, MD, FootCareMD Subcmte ChairSteven Haddad, MD, AOFAS PresidentJohnny Lau, MD, Physician Resource Center Cmte ChairWilliam McGarvey, MD, Education Cmte ChairBruce Sangeorzan, MD, AOFAS President-Elect

PHYSICIAN RESOURCE CENTER COMMITTEEJohnny Lau, MD, ChairEric Bluman, MD, PhD, Public Education Cmte ChairJonathan Deland, MD, Online Resources Task Force ChairDaniel Farber, MDVinod Panchbhavi, MDJeremy Smith, MDAndrew Hsu, MD, Resident Member (ex-officio)

POST GRADUATE EDUCATION & TRAINING COMMITTEEPaul Juliano, MD, ChairSarah Anderson, MDMichael Aronow, MDUmur Aydogan, MDM. Truitt Cooper, MDSarang Desai, DOJ. Kent Ellington, MDJoseph Eremus, MDJustin Greisberg, MDThomas Harris, MDJames Holmes, MDAnish Kadakia, MDSimon Lee, MDJohn Maskill, MDMatthew Roberts, MDBrian Straus, MDMichael Johnson, MD, Fellow Member (ex-officio)

PROGRAM COMMITTEEJ. Chris Coetzee, MD, 2014 Program ChairRichard Alvarez, MDScott Ellis, MD, Young Physicians Cmte ChairJustin Greisberg, MD, 2015 Program Chair

L. Daniel Latt, MD, PhD, Research Cmte ChairDaniel Lehman, MD, Awards & Scholarships Cmte ChairWilliam McGarvey, MD, Education Cmte ChairGeorge Quill, MDDavid Thordarson, MD, FAI Editor-in-Chief

PUBLIC EDUCATION COMMITTEEEric Bluman, MD, PhD, ChairJoseph Daniel, DOJeffrey Feinblatt, MDKevin Kirk, DORobert Leland, MDScott Nemec, DOF. Ray Nickel, MDSelene Parekh, MDPaul Peters, MDSudheer Reddy, MDRobert Santrock, MD

FootCareMD SubcommitteeRobert Gorman, III, MD, ChairJamal Ahmad, MDHyong-Nyun Kim, MDDavid Porter, MD, PhDDavid Garras, MD, Fellow Member (ex-officio)

RESEARCH COMMITTEEL. Daniel Latt, MD, PhD, ChairSamuel Adams, MDIan Alexander, MDTimothy Beals, MDDominic Carreira, MDJoel Davis, MD, PhDLaura Dawson, DONorman Espinosa, MDKenneth Hunt, MD, OFAR Managerial Board ChairSusan Ishikawa, MDAnish Kadakia, MDJohn Ketz, MDHarold Kitaoka, MDSameh Labib, MDAlastair Younger, MBChBAndrew Hsu, MD, Resident Member (ex-officio)J. Benjamin Jackson, MD, Resident Member (ex-officio)Douglas Lucas, DO, Resident Member (ex-officio)

YOUNG PHYSICIANS COMMITTEEScott Ellis, MD, ChairJamal Ahmad, MDSudhir Belagaje, MDRoberto Bevoni, MDRebecca Cerrato, MDNicholas Cheney, DOBrian Clowers, MDMark Drakos, MDJohn Paul Elton, MDJustin Kane, MDBrian Kleiber, MDPaul Peters, MDSudheer Reddy, MDAshish Shah, MDJ. Turner Vosseller, MD

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AMERICAN ORTHOPAEDIC FOOT & ANKLE SOCIETY

is being developed to meet the diverse educational needs of attendees, with the result being an unprecedented educational program remarkable in its breadth, depth, and goal of bringing together orthopaedic foot and ankle surgeons from around the world.

The meetings will cover a wide and comprehensive range of topics that will embrace all surgical aspects of the specialty.

“It is this combination of innovative education and international camaraderie and collaboration within the foot and ankle community that will make your time in Chicago unforgettable,” says Dr. Saltzman.

“Nothing will be repeated from one meeting to the next, so it is important that registrants consider this THE single most comprehensive foot and ankle educational event to date,” reports Dr. Coetzee.

Both programs will include representation from around the world, bringing diversity and an international perspective in treatment options at every opportunity.

Organizers have structured the meetings with a combination of symposia and presentations of original research. From a record number of submissions, the IFFAS and AOFAS Program Committees will together select over 80 podium presentations and invite hundreds of additional authors to present e-Posters. Other program highlights include 13 symposia on topics with broad appeal including the latest evidence-based information, award-winning papers, and guest speakers.

“With so much being offered, we are confident that everyone can identify specific topics that will enhance their individualized needs in caring for the foot and ankle patient,” says Dr. Saltzman.

“We are proud of the sheer comprehensiveness and depth of the

programs,” adds Dr. Coetzee, “It’s fair to say that no matter what an attendee needs from this meeting, they will find it on this program.”

“We crafted the symposia to cover every part

of foot and ankle anatomy, encompassing the most current treatment of primary and tertiary foot and ankle pathology. We will delve into minimally invasive techniques in sports, to large open complex reconstructive procedures in those who can no longer walk. From major trauma to lesser toes, no topic is excluded,” states Dr. Haddad. “The unique advantage of jointly holding the IFFAS and AOFAS Meetings is the breadth of thought leaders we have to choose

from to present new ideas, and reinforce traditional concepts. Experts from around the globe will merge thoughts to come to the best possible solutions for conditions presenting in our practices, with the common goal being patient benefit. There is no doubt that the primary mission of all educational events is providing useful content for the audience, and the IFFAS/ AOFAS Meetings will be unparalleled in achieving that goal.”

Bigger and betterAs the world of orthopaedic foot and ankle continues to grow, so does the range of corporate partners who will be ready to introduce you to the very latest in technology, devices, instruments, equipment, soft goods, bone & tissue

products, and much more. This year’s Exhibit Hall will feature more space for exhibiting companies and more first-time exhibitors than ever before. It will also be home to e-Poster viewing stations and a remote lounge for auxiliary viewing of the scientific sessions.

This year’s Exhibit Hall will open with the Welcome Reception event on Saturday, September 20, from 6:00 – 7:30 pm. Enjoy appetizers and beverages as you take your first walk through the expansive hall, meeting and greeting colleagues and company representatives. This is the ideal time to set up appointments with exhibitors for follow-up conversation during the meeting.

IFFAS and AOFAS are grateful for the continued support and generosity of its dedicated corporate partners and ask you to show your appreciation as well as you visit their booths.

Admission into the Exhibit Hall requires a name badge and is included in attendee, spouse, and guest registration fees. For safety concerns, no one under the age of 16 will be permitted in the hall at any time.

Share the experience“While you absorb all that science and learning, don’t forget to pursue collegiality as well. On behalf of AOFAS, Dr. Kinoshita and the IFFAS organizations, come prepared to interact with your friends, engage with our international colleagues, and embrace all aspects of the specialty,” adds Dr. Haddad.

Dr. Haddad with attendees Annual Meeting 2013

Exhibit Hall Annual Meeting 2013

e-Posters Annual Meeting 2013

Annual Meeting 2014 continued from page 1

6

Housing and Registration open March 15 at

www.aofas.org/annualmeeting

The printed Registration Brochure will be mailed to

AOFAS members in mid-April.


Chicago is your kind of townRanked as “one of the best travel cities in the US” by Condé Nast in its 2013 Reader’s Choice Awards, Chicago stands ready to welcome you with open arms. Known for its arts and culture, architecture, history, cuisine, tours and attractions, nightlife, sporting events, and lakefront setting, Chicago will quickly become one of your favorite destinations if it isn’t already.

The social events planned during the IFFAS / AOFAS Meetings will highlight some of the best Chicago has to offer. On Friday night following the first day of programming, plan to attend the IFFAS Opening Reception, in The Crystal Gardens at world-famous Navy Pier with its scenic views of the city’s skyline. Enjoy a two-hour cocktail reception indoors or out on the terrace before heading off to your own dinner plans and an evening on the town. Navy Pier remains open until 10:00 pm and features many restaurants and shops to enjoy before returning to the Hyatt Regency Chicago hotel.

Chicago Architecture Foundation River Cruise is an optional activity for spouses and guests scheduled for

Sunday morning,10:00 to 11:30 am. Just steps from the Hyatt Regency Chicago, guests board Chicago’s First Lady Fleet at 9:30 am. Tour guides will provide the history of more than 50 buildings along the historic Chicago River. The cruise runs rain or shine; covered seating is available.

Saving the best for last, Monday night’s social gathering will be a culinary adventure. Beginning at 6:00 pm, guests will depart the Hyatt Regency Chicago to begin the AOFAS Gala: Chicago Restaurant Progressive Dining Tour. Travel via deluxe coach buses for a mini sightseeing tour between each of three venues. Each restaurant will serve one course of a three-course meal with differing cuisine. This event will be highly interactive and social. More information and fees for this event will be provided in the Registration Brochure. This activity will fill quickly so be sure to keep this evening open to join in the fun.

If you are planning to come to town early or perhaps stay after the meetings, visit www.choosechicago.com and discover all that Chicago has to offer.

Travel made easyTwo airports serve Chicago travelers. As one of the world’s busiest airports, O’Hare Airport offers endless timetables for domestic and international flights and a host of airlines, including United Airlines, for which it is a hub. O’Hare Airport is located approximately 17 miles from downtown Chicago, which during peak times can take up to an hour by car. Allow ample local travel time so you do not miss your flight. Midway Airport is a smaller but active airport and accommodates several airlines, the

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largest of which is Southwest Airlines.AMERICAN AIRLINES is the preferred

carrier for AOFAS meetings and offers a 5% DISCOUNT OFF ANY FARE to Chicago (ORD) for this meeting. The discounted fare is available the week prior to the meetings and the week after the meetings (September 12-30) to allow for any desired personal time.

Take advantage of the savings by using any one of the following reservation methods:• Online at www.aa.com Enter Promotional Code 9994BO in the designated field• Attendees in North America: Call American Airlines Meeting

Services at 800-433-1790 Reference Promotional Code 9994BO• Attendees outside North America:

To be eligible for AA discount on international flights, one pure AA flight must be in the reservation. Reference Promotional Code 9994BO

Ms. Tomi Gaudio is the preferred travel account manager for the AOFAS. For personal, professional service, contact her at:

Phone: 847-348-3600 (extension 6) or 877-366-0366 (Toll Free)

E-mail: [email protected] Please identify yourself as an AOFAS meeting attendee.

Housing set to open March 15All meetings, exhibits, and planned activities for the IFFAS 5th Triennial Scientific Meeting and AOFAS Annual Meeting 2014 will be held at:

Hyatt Regency Chicago151 East Wacker Drive Chicago, Illinois 60601General Information: 312-565-1234www.chicagoregency.hyatt.com

A block of guest rooms is being held at the rate of $259 plus tax for single or double occupancy. There are no resort fees. This special rate will be available

until August 15, 2014 or until the group block is sold out, whichever comes first. Reduced rates will be available three days before and after the meeting based on availability. Hotel deposit and cancellation penalties apply; please review these details when making your reservation. The direct hotel reservation link will be available March 15 at www.aofas.org/annual meeting. The Hyatt Regency Chicago offers a wide array of services and amenities including: wired/wireless in-room internet access; state-of-the-art fitness center; full-service business center; Hyatt e-Concierge and on-site concierge; multilingual staff; currency exchange; room service (24 hours); several restaurants on-site; valet; and more. Hertz Rental Car is located conveniently in the East Tower Lobby. For car rental reservations and information please contact them directly at 312-819-3738. The Hyatt Regency Chicago is a non-smoking facility. AOFAS

Annual Meeting 2014 continued from page 7

Just clarifying …In September, the AOFAS will host the 5th Triennial Scientific Meeting of the International Federation of Foot & Ankle Societies (IFFAS). Founded in 1999, IFFAS grew out of increased collaboration among international orthopaedic foot and ankle societies around the world. It is an organization of organizations: regional federations of foot and ankle organizations whose members are orthopaedic surgeons specializing in medical and surgical care of the foot and ankle. IFFAS is governed by a council comprised of representatives of four regional organizations:• American Orthopaedic Foot & Ankle

Society• Asian Federation of Foot and Ankle

Surgeons• European Foot and Ankle Society• Latin American Federation of Medicine

and Surgery of the Foot and Leg

Hosting the IFFAS Triennial Scientific Meeting rotates among the four regional federations and the host organization

selects the venue and organizes the meeting. AOFAS, host for the 2014 meeting, selected Chicago as the meeting site as it offers world-class city interest for visitors and is an international travel hub. AOFAS is planning its annual meeting this year in conjunction with the IFFAS meeting, creating two distinct meetings with one comprehensive, coordinated program, one large Exhibit Hall, industry symposia, and engaging social events. The AOFAS and IFFAS program committees are working collaboratively in planning the scientific program. Mitsuo Kinoshita, MD, PhD (Japan), is the IFFAS president, and Charles Saltzman, MD (USA), is vice president/program chair. For more information on IFFAS, visit www.iffas.org. A warm welcome awaits all in Chicago, September 19-23, 2014. Information on housing, social events, and registration for both meetings will be available in mid-March at www.aofas.org/annualmeeting.

What is IFFAS? AAOS directory … have you added “foot & ankle” to your profile?The AAOS Find an Orthopaedist online directory enables its members to add anatomical specialties to their profiles to be seen by the public. If you have not already done so, you may want to add “foot & ankle” to your profile. Login to www.aaos.org and edit your profile accordingly.

Connect with the AOFAS

www.facebook.com/aofas1

www.twitter.com/aofas


British Orthopaedic Foot and Ankle Societyby Patricia Allen, FRCS(Orth), Leicester, UK, Hon Secretary BOFAS



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The British Orthopaedic Foot and Ankle Society started out as BOFSS (British Orthopaedic Foot Surgery Society) in 1975. It gained charitable status in 1980 and currently has over 400 members, predominantly orthopaedic and foot and ankle surgeons (both consultants and those in training), but also has affiliate members from various allied health professions. BOFAS aims to promote interest in foot and ankle surgery amongst orthopaedic surgeons and to encourage basic science and clinical research into foot and ankle surgery. It directs policy and achieves consensus in the treatment of foot and ankle pathology and allied medical issues. BOFAS also contributes to postgraduate training and continuing medical education and holds an Annual Scientific Meeting each year (November 5-7, 2014, Brighton), which includes instructional components for all levels of seniority. It also runs a Principles of Foot and Ankle

Surgery Course, aimed at orthopaedic surgeons in training, several times a year and contributes to the Annual British Orthopaedic Association (BOA) Annual Scientific Meeting and the BOA Instructional Course. The society encourages links with foot and ankle surgeons in other countries. It is a member of the European Foot and Ankle Society, which is one of the four regional federations of IFFAS. Membership in BOFAS is open to UK consultants with a special interest in foot and ankle surgery and is also open to international fellows. The society can be contacted via the British Orthopaedic Association, 35-43 Lincolns Inn Field, London WC2A, via its website www.bofas.org.uk or on Twitter @BOFAS_UK.

In 2002 at the Canadian Orthopedic Association (COA) meeting in Victoria, BC, Timothy Daniels, MD, along with Elly Trepman, MD, proposed the idea of a sub-specialized group in foot and ankle. The Canadian Orthopedic Foot and Ankle Society (COFAS) was formed during that meeting with a vision focused on patient care, research, and collaboration. The group initially involved interested surgeons discussing complicated cases via the internet. An interested group began meeting regularly and a political structure was formed and continues to exist. The COFAS foot and ankle symposium, originally started by Gordon Hunter, MB, FRCS, FRCSC, and Timothy Daniels, MD, is held every other year in Toronto and is the premier foot and ankle meeting in Canada. COFAS has also become more involved in the past five years with the foot and ankle portion of the annual COA meeting, and the collaboration between COFAS and COA has proved valuable for the success of COFAS. At the 2011 COA Annual Meeting in St. John’s, Newfoundland the COFAS logo was unveiled. In the early days of COFAS, members were requested to make a voluntary donation to provide support for the

organization. Partnering with COA has led to improved coordination of membership and COFAS now involves 80+ dues-paying active members. Residents and fellows are invited to become members free of charge. A website (www.canadafoot.ca), launched in 2010 by the efforts of Stephen Pinney, MD, serves to give patients information about foot and ankle surgery in Canada. The website includes a list of past presidents and Board members. COFAS has been successful in its collaborative multi-center research initiatives and was awarded the prestigious Roger A. Mann Award for the best clinical paper at the 2007 and 2012 AOFAS Annual Meetings. The ankle arthritis study was coordinated in Halifax under the supervision of Mark Glazebrook, MD. From its small beginnings COFAS has garnered international recognition for its clinical research and educational excellence. Future success for COFAS will depend on strong leadership and coordination of efforts with the COA office.

Canadian Orthopedic Foot and Ankle Societyby Peter Dryden, MD, FRCSC, Victoria, BC, Canada


February 4 - Recording Available CPT® CODING FOR FOOT AND ANKLE PROCEDURESModerator: Peter Mangone, MD

April 1IMAGING TECHNIQUESModerator: Steven Haddad, MD

May 6JOINT PRESERVATION TECHNIQUES FOR ANKLE ARTHRITISModerator: Paul Fortin, MD

June 3 THE ROLE OF ORTHOBIOLOGIC ADJUNCTS IN FOOT AND ANKLE FUSIONModerator: Sheldon Lin, MD

August 5 UPDATE ON COMMON FOOT FRACTURESModerator: Bruce Sangeorzan, MD

October 7 FOOT AND ANKLE REVIEWModerator: Scott Ellis, MD

November 4 SURGICAL TREATMENT OF THE CHARCOT FOOTModerator: Michael Pinzur, MD

AOFAS WEBINAR SERIES 2014 (8:00 – 9:30 pm CT)www.aofas.org/webinars

The Live Series is FREE for AOFAS Members and all orthopaedic residents / fellows (training program verification required) and is available for a fee to non-members. Registration closes on the Sunday prior to each live broadcast. Subscriptions to access recordings from past and upcoming sessions are available for purchase and may be viewed for one year after purchase. Live webinars provide 1.5 CME.

EDUCATIONAL OPPORTUNITIES Current as of 2-10-14

Visit www.aofas.org (Education / View Calendar) for details and updates.

AOFAS Members: Login to www.aofas.org for online registration at member rates.

March 15, 2014 • New Orleans, Louisiana

AOFAS SPECIALTY DAY Program Chair: J. Chris Coetzee, MDProgram: www.aofas.org/specialtyday • Registration: www.aaos.org

September 19-23, 2014 • Chicago, Illinois

October 24-25, 2014 • Charlotte, North Carolina AOFAS COMPLETE FOOT CARE COURSE Course Chair: Carroll Jones, MDwww.aofas.org/completefoot

IFFAS TRIENNIAL MEETING September 19-21

President: Mitsuo Kinoshita, MDVice President / Program Chair: Charles Saltzman, MDwww.iffas.org

AOFAS ANNUAL MEETING September 21-23

President: Steven Haddad, MDProgram Chair: J. Chris Coetzee, MDwww.aofas.org/annualmeeting

Photo credits: ©Cesar Russ Photography, courtesy of Choose Chicago

THE CHRIST HOSPITAL HEALTH NETWORKCINCINNATI, OHIO

FOOT & ANKLE SURGEONThe Christ Hospital Health Network is seeking a full-time foot & ankle surgeon to join our expanding musculoskeletal services in the Greater Cincinnati area. The candidate will be an outstanding, motivated clinician and surgeon who will be able to work in a collaborative environment and excel in our nationally recognized Orthopaedic service line. The candidate will be in an employed, mature practice with a guaranteed referral base on a full time basis. The position will include a highly competitive compensation with a full benefi ts package, including relocation assistance.

THE CHRIST HOSPITAL HEALTH NETWORK ORGANIZATION: The Christ Hospital Health Network (TCHHN) is a regional system of care that extends The Christ Hospital’s nearly 125 years of superior care and leadership to more than 100 locations in the Greater Cincinnati area. The Network delivers integrated, individualized healthcare and wellness services through its comprehensive physician network, advanced specialty services and the region’s leading hospital, a 555-bed, not-for-profi t acute care facility.

In 2013, The Christ Hospital placed three patient care programs among the nation’s best in U.S. News & World Report’s Best Hospitals 2013-14 rankings. The Christ Hospital is nationally ranked for Orthopaedics (29), Geriatrics (29) and Diabetes & Endocrinology (31). The report also ranks The Christ Hospital as the #1 hospital in the Cincinnati metro area and #4 in the state of Ohio, with high performing programs in cancer; cardiology & heart surgery; ear, nose and throat; gastroenterology & GI surgery; gynecology; nephrology; neurology & neurosurgery; pulmonology; and urology. This is the 14th consecutive year The Christ Hospital has been recognized among the nation’s top 50 hospitals by U.S. News.

The Christ Hospital has also been recognized by National Research Corporation (NRC) for seventeen consecutive years as Cincinnati’s Most Preferred Hospital, and in 2010 achieved Magnet® Status from the American Nurses Credentialing Center.

Contact: Stephanie [email protected]

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Resident Review Course draws 53 attendeesLast fall’s AOFAS Resident Review Course in New York, New York welcomed 53 attendees and featured 14 members from the area as speakers. Led by Course Chair Matthew Roberts, MD, of Hospital for Special Surgery, the course covered 21 topics with presentations designed to help residents prepare for exams.

“This course was absolutely wonderful and very valuable,” said one attendee. “It was so worth my Saturday! I really appreciated the question-and-answer sessions for each topic.”

In addition, one session reviewed the humanitarian work done by some AOFAS members as a way of introducing the life of an orthopaedic foot and ankle specialist to residents.

Fifteen attendees indicated they were interested in becoming AOFAS Resident Members and were contacted with membership information shortly after the course.

Review Course presentations were videotaped and are now being edited for the AOFAS website. Subscriptions to view the presentations will be available in the spring.

AOFAS

Hold the date for the Complete Foot Care Course, October 24-25, 2014 in Charlotte, North Carolina. Remind your colleagues and staff that the AOFAS will sponsor this multidisciplinary course designed to emphasize the non-surgical team approach to foot and ankle care. “What makes the course unique is its integration of all aspects of foot and ankle care – making it an important component in the continuing education of the foot care team, including nurses, nurse practitioners, medical/physician assistants, orthopaedic technicians, physical therapists, prosthetists/orthotists, pedorthists, and athletic trainers,” says Carroll Jones, MD, Charlotte, North Carolina, course chair. The target audience is physicians and health care professionals involved in foot care, and the faculty will reflect this diverse audience. As in past years, the program will consist of a didactic

session in the morning, followed by comprehensive hands-on breakout sessions in the afternoon designed to address aspects of foot and ankle that are relevant to each participant’s specific practice. Case presentations will further demonstrate treatment principles and facilitate open discussion. For further course details, the complete program, exhibit opportunities, and registration and venue information, please visit www.aofas.org/completefoot or phone 800-235-4855 or 847-698-4654 (outside the US).

Complete Foot Care Course: Partners in Care


GOLD: $100,000 – $249,999

SILVER: $50,000 – $99,999

BRONZE: $25,000 – $49,999

COPPER: $5,000 – $24,999

COBALT : $1,000 – $4,999

The AOFAS and OEF gratefully acknowledge corporations that have generously contributed to advance the mission of the AOFAS through their donations to the OEF or designated through the Orthopaedic Research and Education Fund (OREF) from January 1, 2013 to December 31, 2013.

The mission of the OEF is to promote and execute the mission of the AOFAS in advancing education, research, and humanitarian endeavors. The OEF is a separate 501(c)(3) organization affiliated with the AOFAS.

Thank you to the 2013 OEF Corporate Donors

The AOFAS and the Outreach & Education Fund (OEF) gratefully acknowledge the following individuals for their charitable donations to the OEF in support of research, educational outreach, and humanitarian service.

The information below reflects donations made to the Outreach & Education Fund (OEF) between January 1, 2013 and December 31, 2013 and donations to the Orthopaedic Research & Education Foundation (OREF) with a designated gift to the OEF as of December 31, 2013.

Thank you to 2013 OEF Individual Donors

President’s Circle: $5,000 – $9,999 Thomas Lee, MD Supramalleolar: $2,500 – $4,999 Stacy Bacon, MD Talus: $1,000 – $2,499 Ian Alexander, MD Judith Baumhauer, MD, MPHPaul Cammack, MDMichael Clain, MDJonathan Deland, MDBryan Den Hartog, MD Timothy Fitzgibbons, MD

Justin Greisberg, MDSteven Haddad, MDSteven Herbst, MDW. Dean Jameson, MDDavid Kay, MD Harold Kitaoka, MDSimon Lee, MDDaniel Lehman, MDSheldon Lin, MDLousanne Lofgren, CAEMartin Mankey, MDG. Andrew Murphy, MDMark Myerson, MDMichael Pinzur, MDDavid Richardson, MDMark Sanders, MD

Bruce Sangeorzan, MDNaomi Shields, MDRaymond Sullivan, MDRuth Thomas, MDSaul Trevino, MDRobert Veith, MDJ. Turner Vosseller, MDKeith Wapner, MDSteven Weinfeld, MD Calcaneus: $500 – $999 Robert Adelaar, MDJamal Ahmad, MDGeorge Armstrong, Jr., MDBrett Barnes, MDDouglas Beaman, MD

Ross Benthien, MDWayne Berberian, MDG. Michael Blanchard, Jr., MDCharles Borgia, MDJeffrey Brodie, MDJohn Campbell, MDCary Chapman, MDLoretta Chou, MDMark Conklin, MDBenedict DiGiovanni, MDChristopher DiGiovanni, MDJohn DiPreta, MD Paul Docktor, MDMark Drakos, MDNaven Duggal, MDJohn Early, MD

13IN~STRIDE • WINTER 2014

Mark Easley, MDAndrew Elliott, MDScott Ellis, MDDaniel Farber, MDJeffrey Feinblatt, MDAdolph Flemister, MDJames Floyd, MDDavid Garras, MDDaniel Gelb, MDBenjamin Grear, MDThomas Harris, MDPaul Hecht, MDAnne Johnson, MDPaul Juliano, MDJohn Kennedy, MDJohn Ketz, MDJohn Kwon, MDDavid Levine, MDJohnny Lin, MDKevin Lutta, MDLeland McCluskey, MDWilliam McKibbin, MDJames Nunley, MDKirstina Olson, MD Martin O’Malley, MDYong-Wook Park, MDDavid Pedowitz, MDFernando Peña, MDDavid Porter, MDMatthew Roberts, MDKurt Rongstad, MDJames Santangelo, MDMark Scioli, MDSteven Shapiro, MDJ. Brannan Smoot, MDMichael Strauss, MDDavid Thordarson, MDBrian Toolan, MDNorman Turner, III, MDRobert Vander Griend, MDRyan Will, MDAlastair Younger, MBChB Alan Zonno, MD

Midfoot: $250 – $499 Salem Bakhit Al Nuaimi, MDHaruhito Aoki, MDWilliam Baylis, DOBen Beamond, MBBSRobert Erdin, III, MDJohn Gleason, MD

Aaron Guyer, MDKeith Hill, MDDavid Howe, MDScott Karr, MDSatish Kashyap, MDDavid Katcherian, MDDavid Kim, MD Evgeny Krynetskiy, MDAlan Laing, MDJoshua Lamb, MDL. Daniel Latt, MDAlan League, MDKaren McRae, MDGregory Neely, MDJoão de Carvalho Neto, MDHideo Noguchi, MDChristopher Jon Pearce, MBChBPierce Scranton, Jr., MDWen Shen, MD David Sitler, MDRonald Smith, MDRobert Steele, MDYoshinori Takakura, MDRobert Treuting, MDJ. Loch Trimingham, MDBrian Tscholl, MDBrian Weatherby, MDLowell Weil, Sr., DPM

Hallux: $100 – $249 Michael Aronow, MDEvan Bash, MDRichard Beaver, MDJoseph Bellamy, MDLawrence Berson, MDClayton Bettin, MDAdam Bitterman, DOPaulo Cesar de Cesar, MDBrian Clowers, MDMarlene DeMaio, MDFrances Faro, MDJ. Robert Faux, MDBrett Feldman, MDDouglas Flory, MDScott Forman, MDLaura Bruse Gehrig, MDDaniel Guehlstorf, MDMariam Hakim-Zargar, MD William Henceroth, II, MDScott Holthusen, MD

Dennis Janisse, CPedPatricia Kolodziej, MDKurt Konkel, MDWilliam Krauss, DOAshkan Lahiji, MDRobert Leland, MDSteven Lillmars, DOXin Ma, MDJeremy McCormick, MDKeith Melancon, MDVitor Miranda, MDShana Miskovsky, MDAndrew Moore, MDMeir Nyska, MD Judith Oppenheim, MDCristian Ortiz, MD Vinod Panchbhavi, MDMark Perry, MDPaul Peters, MDEdward Pino, MDJuan Jose Ramirez Reyna, MDSourendra Raut, MDChristine Seaworth, MDSyndie Singer, MDAlessandro Souza de Faria, MDSteven Steinlauf, MDDonald Stewart, II, MDTetsuya Taguchi, MDElly Trepman, MDGabriele Verratti, MDDavid Wisdom, MDPatrick Yoon, MDChristopher Zingas, MD Joseph Zubak, MD Sesamoid: Up to $99 Magalie Angers, MDAlexej Barg, MDL. Samuel Barouk, MDAvrill Berkman, MDWilliam Boeck, MDDavid Boone, MDDominic Carreira, MDTimothy Charlton, MDXan Courville, MDFelipe Delocco, MDSarang Desai, DOPatrick Ebeling, MDJohn Femino, MDJohn Forrest, MD

Jun-ichi Fukushi, MDJohn Hsu, MDShepard Hurwitz, MDKaan Irgit, MDGillian Jackson, MBChBJun-Beom Kim, MDKevin Kirk, DOSandra Klein, MDHee-Joon Lim, MDTulio Makkozzay, MDJoshua Metzl, MD Roselle OleaChristina Pantazopoulos, DOChristian Plaass, MDPaul Plattner, MDChamnanni Rungprai, MDPaul Ryan, MDThomas San Giovanni, MDScott Shawen, MDWeidong Song, MDJuergen Walpert, MDMarkus Walther, MDKimberly Workman, MD

In Honor or In MemoryCharlotte A. Jost – In Honor of Naomi Shields, MD Charles L. Saltzman, MD – In Honor of Abraham Saltzman, MD The AOFAS and OEF gratefully acknowledge gifts received. Be assured that every effort is made to avoid errors. If your name has been accidentally omitted or reported incorrectly, please accept our sincere apologies and notify the AOFAS Executive Office. The OEF is a separate 501(c)(3) organization affiliated with the AOFAS.


Visiting Professor Program brings F & A education to residents

The AOFAS Visiting Professor Program provides an opportunity for orthopaedic residents to learn from a senior leader and other members of the Society. The Visiting Professor

typically spends a day and a half attending clinics, giving lectures, and going on grand rounds.

The most recent program took place in November 2013, when Eric Bluman,

MD, PhD, visited Tufts Medical Center in Boston, Massachusetts. The one-day program included lectures and a sawbones lab. Of the 15 resident attendees, 100% said the Visiting Professor Program increased their understanding of orthopaedic foot and ankle surgery and 80% said the visit changed or enhanced their perception of what a career as an orthopaedic foot and ankle specialist might be like.

“The case presentations and sawbones sessions were excellent,” said one attendee. “This academic day provided us with excellent exposure to new and classic foot and ankle topics.

Very valuable overall.”The Visiting Professor Program is

funded by donations from individuals and industry to the Society’s Outreach & Education Fund (OEF). Residency training programs without full-time orthopaedic foot and ankle faculty are given first priority among programs applying to host a Visiting Professor.

Check out Health Volunteers OverseasHealth Volunteers Overseas (HVO) is a network of health care professionals, organizations, corporations, and donors united in a common commitment to improving global health through education. The AOFAS is an organizational sponsor of HVO, and its work through volunteer training and education programs aligns with the Society’s mission and that of the

Outreach & Education Fund (OEF) to promote education and service in foot and ankle.

Since 1986, Health Volunteers Overseas (HVO) has worked to increase health care access in developing countries through clinical training and education programs. In more than 25 resource-poor nations throughout Africa, Asia, and Central and South America, HVO trains, mentors, and provides critical professional support to health care providers who care for the neediest

populations in the most difficult of circumstances.

HVO’s website, www.HVO.org, provides a wealth of information on sites and the types of volunteer specialists that are needed at these locations. Orthopaedic surgeons are needed at a number of sites around the world, and foot and ankle surgeons are specifically needed for hospitals in Phnom Penh, Cambodia, Wenzhou, China, and Moshi, Tanzania.

Eric Bluman, MD, PhD, Visiting Professor at Tufts

Medical Center

Interested in international service?

As reported in the Fall 2013 issue of In~Stride, the Public Education Committee continues its work to develop a new Treatments section of FootCareMD, the Society’s patient-education website. By February of this year, 42 new articles have been posted under the new Treatments tab, grouped by treatments of the ankle, big toe, heel and midfoot. A fifth category includes nonsurgical procedures such as injections. Most of the new treatment articles have been posted with photos and/or x-rays.

More articles are in review and all

are using a question-and-answer format to make the information more accessible to the public.

In addition, the Young Physicians Committee is working to submit fresh images to go with some articles. Later this year the FootCareMD site will be reevaluated for a possible upgrade to improve navigation and user-friendliness. Members can take advantage of these new articles by printing pages for patients or directing them to www.FootCareMD.org. On each

page there is a print icon at the top (see graphic). Printing from this icon will produce a page that includes the FootCareMD logo, any photos on the page, and a copyright statement.

New public-education articles debut on FootCareMD

WEBSITE CORNER


On October 1, 2014, the US will join the rest of the world in using ICD-10. The US, however, will be somewhat unique in that it will actually use ICD-10 for billing purposes. Medicare/Medicaid and commercial insurers will be required to use ICD-10, but workers compensation, liability insurers, and auto insurers will be exempt from the ICD-10 requirements under HIPAA. The number of diagnosis codes will expand from 14,000 to 69,000 and there will be up to seven characters to completely identify diagnosis categories. Laterality will also be new in ICD-10.

It will be important for orthopaedics surgeons to have a general understanding of ICD-10 because improper coding may result in payer denial or delay. The statement that “CPT gets you paid and diagnosis coding gets you denied” will continue to be true. You will need to work with the coders in your office to ensure that coding of office visits and conditions is complete and as specific as possible. It will also be important for orthopaedic practices to take concrete steps to ensure that their practices are prepared for potential payment delays as well as payment denials which may affect the bottom-line.

ICD-10 will include 21 chapters and will have tabular as well as alphabetical indexing. In the tabular section, orthopaedic surgeons and orthopaedic coders will be most interested in Chapter 13: Diseases of the Musculoskeletal and Connective tissue, Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities, and Chapter 19: Injuries, Poisoning, and Certain other Consequences of External cause. The alphabetical section will include an index of diseases and injury as well as external causes.

The coding in ICD-10 will be much more specific for orthopaedic conditions, especially fractures. As noted above, ICD-10 includes up to seven characters. The first three characters identify the category, and the next three characters are the etiology, anatomic site, or severity. In the case of fractures, the seventh character will range from the letter “A” to the letter “R.” This seventh character will determine whether the visit was initial or subsequent, whether the fracture was open or closed, and whether the healing was routine, delayed, non union and mal union. There are various

tools available to help facilitate coding for ICD-10. These include crosswalk tools that can help convert ICD-9 to ICD-10 as well as search-engines for codes based on data input such as the AAOS Code-X 2014.

The pneumonic LEOCFAR can be used to help locate fracture coding. The “L” refers to laterality, the “E” refers to encounter type, the “O” refers to open or closed, the “C” refers to category, the” F” refers to fracture pattern, the “A” refers to alignment, and the “R” refers to result. Inputting the data in this order will facilitate looking up codes and using crosswalk tools such as the AAOS Code-X 2014.

Practices should have an organized implementation program for physicians, coders, as well as medical staff such as nurses and medical technicians. Ideally, practices should have already started an implementation program since ICD-10 conversion is now less than nine months away. Training should focus on ICD-10 coding as well as reviewing physician documentation to see if the current level of physician documentation will allow the specificity as required by ICD-10. It will be important for physicians to meet regularly with coders so that each is aware of the ICD-10 requirements.

Orthopaedic surgeons must pay particular attention to the documentation of clinical notes. Surgeons must be more specific in identifying comorbidities. For instance, diabetes must be specified as type I or type II, or whether it is due to secondary causes. Additionally, if there is associated neuropathy or an ulcer, this must be noted. If there is both neuropathy and an ulcer, this would necessitate two different codes. One option is to have referring doctors list all the ICD-10 codes so that these do not need to be repeated when the orthopaedic surgeon submits for billing. Furthermore, in the case of open fractures, it must be specified whether it is a Gustillo I, II, or III. Healing must also be documented as routine, delayed, nonunion, or malunion. In the case of midshaft fractures it may be necessary to specify whether the fracture pattern is spiral

transverse or oblique. For deep venous thrombosis, it will be necessary to specify whether it is acute or chronic and also to identify the specific vein involved. Obesity will also need to be documented according to BMI since severity will be differentiated based on the absolute value.

Further considerations for practices are to limit vacations for staff in October as well as include pay for overtime since employees will have to spend increased time on documentation as well as administrative tasks. Some have recommended that practices take out a three to six month line of credit because of delayed or denied payments from private insurers and Medicare/Medicaid.

It is recommended that a practice have a steering committee that would include an MD, RN, orthopaedic coder, IT representative, and a risk manager. This steering committee would be responsible for contacting payers as well as implementing testing protocols to ensure that claims can be processed smoothly. Committee meetings should occur at least monthly and more frequently if problems develop. It is important to realize that payers may have varying degrees of readiness for ICD-10. Working with payers in advance of ICD-10 can help resolve problems that may adversely impact billing once ICD-10 is implemented.

Resources from the American Academy of Orthopaedic Surgeons:AAOS Orthopaedic Code-X 2014 NEWAAOS Musculoskeletal Coding Guide - 2014AAOS Procedure/ICD 9 Code Cross-Reference 2014Complete Global Service Data for Orthopaedic Surgery-2014Orthopaedic Code-X 2014 PC/MAC NEWVisit www3.aaos.org/product/ productpage.cfm?code=05380

CODING CORNER by Matthew Mitchell, MD, for the AOFAS CPT/RUC Committee

Category Etiology Anatomic Site

Severity

Encounter TypeHealing Status

Sequelae

Get ready now for ICD-10

New public-education articles debut on FootCareMD


MEMBERSHIP MATTERS

Frank Bersani, Sr., MD, 86, Emeritus Member, died in Syracuse, New York on March 17, 2013. Dr. Bersani received his medical degree from Syracuse University and orthopaedic residency from Columbia Presbyterian Hospital. He served as a Navy medical officer during the Korean War. He had a private practice in Syracuse, was a clinical professor at Upstate Medical University, and later served as an insurance consultant. Dr. Bersani enjoyed skiing, golfing, and listening to Italian Opera. He was known for his sense of humor and compassion. He was married to Margaret “Peggy” Gleason for 60 years. He is predeceased by his son, Frank, Jr., and survived by his sons, Michael, Thomas, Matthew, Stephen, and Christopher.

William Kermond, MD, 83, Emeritus Member, passed away on February 18, 2012 in Winchester, Massachusetts. Dr. Kermond was a graduate of the Royal College of Surgeons in London, England. He practiced medicine at Winchester Hospital and Massachusetts General Hospital, and was on the faculty at Harvard Medical School. He volunteered with Por Cristo, a charitable organization that provides orthopaedic training to medical staff and services to at-risk women and children in Latin America. Dr. Kermond was an avid golfer, tennis player, pilot, and sailor. He was the beloved husband of Evelyn (Conway) Kermond and loving father of Ellen Fador, Peter, Richard, Justin, and Louise Coakley.

In Memoriam

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The success of a member-driven organization relies upon the involvement of its members. The AOFAS membership remains actively engaged and as the Society continues to evolve, the spirit of teamwork is obvious. With a growing US and international membership, the AOFAS is proud of its accomplishments as it enters its 45th anniversary year. Look how far the Society has come because of you:• Membership will reach another

milestone: 2,100 by September. A new membership category has been created to welcome researchers focused on orthopaedic foot and ankle care into the organization.

• Educational programs are being delivered in various learning formats including online presentation in addition to popular in-person meetings and courses. The Webinar Series presents live broadcasts online at no cost to members on today’s most requested topics. CME credits are provided for live viewing. Started in 2012, access to online viewing of past webinars is available for purchase.

• The Society’s journal, Foot & Ankle International, is now offered online – in addition to print – at no additional cost to members; the online link provides members access in an easily searchable format to the full archives dating back to 1980.

• An outcomes research project is well underway. The Orthopaedic Foot & Ankle Outcomes Research Network (OFAR) will launch the third pilot study to assess and validate patient outcome instruments that all members will be able to use in the future to measure foot and ankle patient outcomes.

• Seventy-four Research Grants totaling more than $800,000 have been awarded since 1997. This funding enabled recipients to make 158 scientific presentations, publish 89 journal articles, and receive nearly $4.17 million in grants from other funding sources.

• FootCareMD continues to expand its content to meet patient-education needs. Another 30 new articles have recently been added.

• The AOFAS Fellowship Match now has more participating fellowship programs and more applicants than ever before. For the 2015-2016 Match, 85 complete applications have already been received with another 13 expressing interest or in the process of submitting documents. There are 72 positions available in the match.

• The Resident Scholarship and Traveling Fellowship Programs have grown steadily in interest and award recipients since their inception, providing for more young physicians to experience the stimulating world of foot and ankle.

• Members volunteered their time and talents to support Humanitarian Outreach to children and adults who would otherwise not be seen or treated without the Overseas Outreach Project to Vietnam. Since this project began in 2001, approximately 2,400 patients have been seen in clinics and more than 1,000 have received surgical care.

Thank you to all AOFAS members for your commitment, support, collaboration, andparticipation.

Go team AOFAS!

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