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CME on Foot and Ankle
Department of orthopaedics, AIIMS, Raipur organised a CME on Disorders Of Foot And Ankle on 21st august 2021 with the aim of sensitising medical professionals from different specialities about various domains of foot and ankle disorders as well as increasing the interdepartmental coordination in managing such disorders. The CME was attended by faculty and residents of various departments of AIIMS, Raipur. It was also streamed live for online audience through zoom. The CME was started by Prof Dr Alok C Agrawal, Head of The Department, Department of Orthopaedics with a message from Prof Dr Nitin M Nagarkar, Director of our institute. Prof Dr Alok C Agrawal presented his talk titled ankle and foot disorders : aiims experience. He summarised the triumphs as well as challenges of a wide range of foot and ankle disorders we have encountered at aims, Raipur. From traumatic injuries like Lisfrancs fracture dislocation to tumors like Xanthomas of Tendoachilles, he presented how we have managed such disorders and the results we have got. He concluded his talk with a beautiful line from Leonardo Da Vinci The human foot is a masterpiece of engineering and a work of art The next lecture on Radiology of foot and ankle was delivered by Dr Bikram K Kar, Associate Professor, Department of Orthopaedics. He described the radiological evaluation of foot and ankle and illustrated radiological findings in some common foot and ankle disorders. Next, Dr Harshal Sakale, Associate Professor, Department of Orthopaedics presented his talk on CTEV, the most common congenital foot and ankle disorder. He described the pathoanatomy, clinical presentation and treatment modalities available for CTEV in some detail. He concluded that the most important aspect of CTEV management are the understanding of the pathoanatomy and the method of reversing the abnormal anatomy. Whatever the type of clubfoot, one should always initiate treatment with Ponsetis serial casting method. Then Dr Satyaki Ganguly, Department of Dermatology delivered his lecture on Disorders of nail. He highlighted the most common infective, autoimmune and secondary disorders affecting nails of foot. He demonstrated through pictures some common afflictions of nail and their management. He also presented some nail findings as indicators of systemic disorders. Next, Dr Jiten Mishra from Department of Burns and Plastc Surgery presented his talk titled Basic soft tissue reconstruction around the foot and ankle joint. He reiterated the importance of foot and ankle as the base of our weight bearing axis and enumerated various reconstructive options available for managing the tissue defects in foot and ankle. Dr Jaydeep Nandi from Department of Physical medicine and rehabilitation delivered his
lecture on Material science of orthosis making. Through a video he demonstrated the steps of orthosis making. He also discussed in brief various materials used in orthosis making. The next lecture was delivered by Dr Raunak Kumar from Department of Physical medicine and rehabilitation on Gait cycle. He explained and demonstrated the various phases of normal gait cycle. He also discussed some abnormal gait patterns seen in some orthopaedics as well
as neurological disorders. Dr Rubic Ray, delivered a concise yet very informative lecture on diabetic foot. In this presentation apart from describing the pathophysiology and general management guidelines for diabetic foot, he stressed upon the importance of prevention and co-ordinated multispecialty care for this common disorder. The description of WIFI classification system for diabetic foot was the highlight of his lecture. The next speaker was Dr Vikram Pai from Department of AYUSH who delivered a lecture on Yoga for Feet. He started his presentation with a few lines differentiating yoga from exercises. He then described some yogaasanas which have been found to be helpful in foot
disorders, particularly heel pain. He concluded his presentation with a short description of reflexology. Next Dr Ankit Garg, Senior Resident, Department of Orthopaedics in a presentation titled Applied Anatomy of Foot described the peculiar structure of the human foot which allows bipedal stance as well as a stable gait. He described in brief the key concepts of ankle anatomy pertaining to ankle range of motion in three axes, the plantar arches and the role of
plantar fascia in maintaining the arch as well as in gait cycle. Then Dr Shilp Verma, Senior Resident, Department of Orthopaedics presented his talk on Congenital Disorders of Foot. He described in brief various coomon congenital disorders such as CTEV, polydactyly and pes cavus etc. At the end he presented a case of congenital dislocation of fibula with pes valgus deformity which was successfully managed here at AIIMS by Prof Dr Alok C Agrawal and team.
Dr Vishal Victor Kujur, Senior Resident, Department of Orthopaedics presented his lecture on Common Foot Disorders in Adults. He enumerated common conditions such as pes planus, pes cavus, tarsal tunnel syndrome. He described in some detail the pathophysiology and management of plantar fasciitis. The next lecture was by Dr Aradhana Shukla from Department of Physical medicine and rehabilitation on Rehabilitation principles of common ankle disorders. She described in brief the available rehabilitation modalities for foot and ankle disorders, particularly various disorders causing heel pain. She also shed light on rehabilitation following traumatic ankle and foot injuries.Dr Shubham Bhardwaj, junior resident, Department of Orthopaedics gave a presentation on leprosy of foot. He started off by reminding everyone that though the incidence of leprosy has decreased significantly, there are still many patients with deformities associated with leprosy. He described in brief various clinical presentations of leprosy in foot. He enumerated both surgical and nonsurgical management options available for these conditions. Dr Debashis Sarkar, Junior Resident, Department of Orthopaedics gave a talk on Charcot Foot. He enumerated the aetiologies, clinical presentation and management options available for charcot foot. Dr Santosh Kumar Yadav, Junior Resident, Department of Orthopaedics in a presentation titled Tumors of Foot enumerated the common benign and malignant lesions affecting the foot. He also described in brief the management of some of these lesions. Dr Deepak Garg, Junior Resident, Department of Orthopaedics presented a review of current literature and recent advances in foot and ankle disorders. Polyvinyl alcohol (PVA) hydrogel synthetic cartilage implant hemiarthroplasty and ankle replacement surgeries were the
highlights of his presentation. Dr Somok Banerjee, Junior Resident, Department of Orthopaedics gave a talk on Hallux Valgus. He enumerated the risk factors, briefly described the deformity and surgical and nonsurgical management options. Dr Bhaskar Rai, Junior Resident, Department of Orthopaedics presented Inflammatory disorders of foot. He discussed plantar faciitis, retrocalcaneal bursitis, gout, psoriatic and rheumatoid arthtitis in brief. Dr Dikhsant Saini, Junior Resident, Department of Orthopaedics presented Eponymal fractures of the foot. His description of Lover’s fracture elicited a hearty laugh from the audience. Dr Hritvansingh Parmar, physiotherapist delivered a lecture on Physiotherapy in Foot anbd Ankle disorders. He enumerated available physiotherapy modalities for plantar fasciitis and other foot disorders. He also discussed about orthosis for rocker bottom foot, flat foot etc. In the end Prof Dr Alok C Agrawal felicitated all the participants of this CME and thanked everyone for active participation in making it a grand success.