Sports Nutrition and Ortho Congress December 08-09,2016 Philadelphia,USA

Biography:

FREY Alain, MD, 53 years old, is an emergency and sport medecine doctor. Since 2012, he’s the chief od the Department Medical of the French National Sport Institute (INSEP) in Paris. Before he was the chief of  the emergency departement in Poissy, hospital near Paris. He works also in the french federation of Judo and modern Pentathlon and he’s member of the french  medical committee of the national olympic commitee. He’s participated in a lot of congress in Emergency and Sport medecine.

PAPON Pierre, MD, 33 years old, is a young sport medical doctor working at INSEP.     
 

Abstract:

Purpose of the study:The lesion of DFTS are often unknow during  ankle trauma. We wanted to see the incidence of this lesion and to validate the specific clinical signs.

Materiel and method:Between March, 2015 and March, 2016, we included any ankle trauma of our high-level sportsmen. They all benefited from an  initial clinical examination diligently of the Ottawa rules and a ultrasound  realized in 3 days. If there was a lesion of the AITFL in ultrasound, a MRI and stress radiographies were realized. A protocol of treatment was proposed: functional treatment if distension of AITFL, hiking boots if isolated rupture of AITFL, plaster if rupture of AITFL and lesion of  inter osseous membrane without diasthasis, surgery if diasthasis. All were seen again to day 8 with reeducation,  day 30 and between 4 and 6 months after their trauma.

Results:126 ankle sprains were analyzed (77 M, 49 F) with 28 lesion of DFTS (22.2 %). On day 8, the sensibility and the specificity of the main clinical signs are respectively: AITFL palpation ( 0.94/0.86), lateral rotation test (0.72/0.97), dorsal flexion compression test (0.72/0.97), squeeze test (0.24/0.97). In ultrasound as in MRI, besides the AITFL, are observed 8 inter-osseous membranes lesions, one PITFL lesion, 2 anterior MCL lesion and 8 TFA lesion. 15 functional treatment, 8 hiking boots and  5 plaster. The return to sport at the same level was made between 3 and 12 weeks according to the gravity.

Conclusion:This ligamentary lesion is frequent and affects several sports. The clinical examination repeated to day 8, coupled with ultrasound, seems to be the best compromise to adapt the management.

Biography:

Abstract:

Introduction:

Wound complications within the immediate perioperative period for lower extremity amputation at any level ranges from 13 to 79%. More than half of readmissions following TMA, BKA and AKA, specifically, are due to wound related complications . Although multiple risk factors contribute to suture line complications a major factor is inadequate perfusion to the suture line. Fluorescence angiography allows for intraoperative assessment of suture line perfusion and facilitates intraoperative modifications to ensure adequate perfusion to the suture line exists prior to leaving the operating room.

Materials and Methods:

Fluorescence angiography was used in 27 cases (26 patients) requiring lower extremity amputation ranging from digital to above knee amputation to assess microperfusion of the flaps after creation and closure. Results of this imaging was used to guide the need for modification to ensure adequate perfusion to the amputation site prior to leaving the operating room.

Biography:

Dr Ibrahim Abuomira is an Lecturer of of orthopedic, Alazhar University,Egypt. He is a consultant in Deformity correction and limb lengthening, Pediatric Orthopedic surgery, got his M.D. from  Institute  cliinico humanitus, Milano University, Italy at 2007-2010. And he got his PH.D. at  Al-Azhar University at 2011. Member of Egypt ASAMI, Member of international ASAMI,Member of American Academy for CP

Abstract:

The trauma after vascular disease is the most common indication for amputation in patients under the age of fifty. Amputations due to traumatic lacerations have a number of unique characteristics not found in vascular disease. The remaining stump often has an excellent blood supply and the patient is usually young and in good general condition and is expected to regain a high level of function. The use of prothesis has many complications,  irritation and skin Issues, general fatigue, reduced mobility, poor balance, instability, or a fear of falling, current prosthetic not meeting your needs, back pain and intact limb pain. The Ilizarov method is a reliable method for the lengthening foot stump. The technique of distraction osteogenesis can also be used to improve the quality of life of patients with short foot amputation stumps by giving them a better mechanical stump that is more effective than prosthetic use, and for the function of the adjacent joint.

Biography:

Dr Ibrahim Abuomira is an Lecturer of of orthopedic, Alazhar University,Egypt. He is a consultant in Deformity correction and limb lengthening, Pediatric Orthopedic surgery, got his M.D. from  Institute  cliinico humanitus, Milano University, Italy at 2007-2010. And he got his PH.D. at  Al-Azhar University at 2011. Member of Egypt ASAMI, Member of international ASAMI,Member of American Academy for CP

Abstract:

Poliomyelitis first occurred nearly 6000 years ago in the time of the ancient Egyptian. Poliomyelitis is still a common condition in developing countries. Immunization has decreased the number of new patients, but still there are many patients (old polio patient). With skeletal growth, fixed soft tissue and deformities develop in the foot in poliomyelitis. Conventional operative treatment of this deformity involves corrective osteotomies, arthrodesis, extensive tissue release and tendon transfers, may result in neurovascular injury and soft tissue problems. Leg shortening and complex foot deformity are common in patients with deformity after poliomyelitis. This study aims to find out the special technique for deformity correction of the foot for restore plantigrade foot and improve ambulation. The Ilizarov method of gentle, gradual correction of this deformity has become a treatment option for poliomyelitis foot deformity. This method is considered to be safe than traditional methods of the treatment.

Biography:

Pr. Yves Jammes has completed his MD  and DSci degrees in Faculty of Medicine of Marseille and has been an assistant professor in Mc Gill University (CA). He is the director of the “fatigue” team in UMR MD2 and a  scientific consultant in the Podiatric School of Marseille. He has published 223 papers in reputed journals.

 

 

Abstract:

In patients with foot malalignment and/or abnormal arch foot,  four weeks of foot orthoses could increase the gait distance and attenuate the post-6MWT (6-min walk test) posture alterations. Indeed,  we already reported these benefits of foot orthoses  in individuals with no foot malalignment  (Vie et al., Effect of the 6-minute walk test on plantar loading and capability to produce ankle plantar flexion forces. Gait Posture in press).

In 10 normal weight and 10 overweight patients with foot malalignment and/or abnormal arch foot, the benefits of four weeks of custom-molded orthosis intervention (D30) were examined on the 6MWT gait distance, the scores of fatigue sensation, (Pichot and MFI fatigue scales) and the post-6MWT sway of the center of pressure (CoP).

One month of foot orthosis intervention significantly improved the ambulatory performances during the 6MWT, attenuated bodily fatigue sensation after the 6MWT, and reduced the post-6MWT CoP deviations, the benefits of insoles being significantly accentuated in overweight subjects.

Biography:

Antonio Gonçalves is graduated in Medicine at the Bahia Foundation for Science Development - FBDC (1996), Specialization - Medical Residency in Orthopedics and Traumatology at COT - Martagão (1997-1999) and Pediatric Orthopaedics and Foot Surgery in HCRP-USP (2000- 2001). He is currently Orthopedist of Sister Dulce Social Works (OSID) of the Orthopedics and Traumatology Clinic (COT), Doctor's Office - Medical Center Fernando Filgueiras, coordinator of Orthopedics Child Hospital Pediatric of Social Works of Sister Dulce (since 2001), Coordinator Child Trauma Suburban Hospital (since 2010). Since 2001 staff  in Orthopedics and Traumatology COT.  Master degree in Healthy Tecnology at Escola Bahiana de Medicina (EBM).

Abstract:

Objective: Evaluate the radiograph as a method of measuring effectiveness of Ponseti technique for the treatment of unilateral congenital clubfeet using plain radiography. Methods: We conducted a descriptive, retrospective study from medical record data on patients with congenital idiopathic unilateral clubfoot, with ages ranging from 48 to 177 months. Patients underwent radiographs in anteroposterior and profile, load and angles were traced to measure the relationship between the tarsal bones of the middle and hind foot of the treaty and normal.

Results: The final average Pirani score was 0.35. Statistical analysis showed that the calcaneus-fifth metatarsal angle on the anteroposterior view, tibial-calcaniano profile and the horizontal-calcaneus profile also showed when subjected to the comparison test similarity, with p values> 0.05. Other angles did not show statistical similarity when compared with the foot control (p <0.01). All angles were within the normal range when compared to literature data. There was no significant correlation between radiographic results and parameter based on Pirani score.

Conclusion: Radiography is not an appropriate method to evaluate the effectiveness of the results of the Ponseti method in cases of unilateral idiopathic congenital clubfeet and may be indicated for after infancy or in treatments of neglected cases. There was no significant correlation between radiographic findings and clinical parameters used to assess correction.

Biography:

Antonio Gonçalves is graduated in Medicine at the Bahia Foundation for Science Development - FBDC (1996), Specialization - Medical Residency in Orthopedics and Traumatology at COT - Martagão (1997-1999) and Pediatric Orthopaedics and Foot Surgery in HCRP-USP (2000- 2001). He is currently Orthopedist of Sister Dulce Social Works (OSID) of the Orthopedics and Traumatology Clinic (COT), Doctor's Office - Medical Center Fernando Filgueiras, coordinator of Orthopedics Child Hospital Pediatric of Social Works of Sister Dulce (since 2001), Coordinator Child Trauma Suburban Hospital (since 2010). Since 2001 staff  in Orthopedics and Traumatology COT.  Master degree in Healthy Tecnology at Escola Bahiana de Medicina (EBM).

Abstract:

Background: The Ponseti method has been shown to be the most effective treatment for congenital clubfoot. The current challenge is to establish sustainable national clubfoot treatment programs that utilize the Ponseti method and integrate it within a nation’s governmental health system. The Brazilian Ponseti Program (Programa Ponseti Brasil) has increased awareness of the utility of the Ponseti method and has trained >500 Brazilian orthopaedic surgeons in it.

Methods: A group of 18 of those surgeons had been able to reproduce the Ponseti clubfoot treatment, and compiled their initial results through structured spreadsheet.

Results: The study compiled 1040 patients for a total of 1621 feet. The average follow-up time was 2.3 years with an average correction time of approximately 3 months. Patients required an average of 6.40 casts to achieve correction.