Preserving Movement in Hallux MTPJ Arthritis
Preserving Movement in Hallux MTPJ Arthritis
Date: Thursday 26th November 2020
Time: 19:00 GMT
Duration: 90 Minutes
CPD Points: 1.5 (applied for)
The purpose of the discussion is to discuss a treatment algorithm suitable to preserve motion of the arthritic 1st MTPJ. The learning objectives are to gain an understanding of where each option falls along the progression of the disease. To better understand this will allow the clinician to better treat Hallux rigidus for the life span of the patient.
Topics covered in the following order:
Each presentation is approx 5 mins in duration followed by interactive Q&A:
– Injection Therapies. When and with what?
– Micronised Fat/ Lipogems. Is it the future?
– Chilectomy. MIS/arthroscopic/open
– Osteotomy options. When and how
– AMIC. A promising alternative solution?
– Spacers/Cartiva. Pitfalls and problems
– HemiCAP. The right solution for the right patient?
– Fusion. Problems and fuctional issues
Mr Pillai is Consultant Orthopaedic and Trauma Surgeon with University Hospitals Manchester, Wythenshaw with a specialist interest in Foot & Ankle Surgery. He trained in Orthopaedic and Foot surgery in the West of Scotland, and has undertaken further sub-specialist fellowships in Adelaide, South Australia and Oxford. Mr Pillai has also visited and worked with surgeons from SportsMed SA, Mater Hospital Sydney and Sir Charles Gardiner Hospital in Perth. Furthermore, Mr Pillai has completed a fellowship in Ilizarov techniques and limb deformity correction at the world renowned Russian Ilizarov Scientific Center in Kurgan, Siberia. He was initially appointed as Consultant to Ninewells University Hospital and Dundee Medical School in Scotland, before moving to the North West .
Mr Pillai is a member of both the British and American Orthopaedic Foot and Ankle Societies, AO Trauma UK, Foot & Ankle Scotland and The Limb Lengthening and Reconstruction Society. He holds honorary academic positions with the Universities of Adelaide , Manchester, Salford and Malaya . He is executive editor for Orthopaedics & Muscular Systems – Current Research and assistant editor for SurgWiki. He also sits on the editorial board for the ANZ Journal of Surgery and the American Medical Journal. He has published and presented widely in numerous national and international meetings. He is a surgical examiner for University of Salford and Royal College of Surgeons Edinburgh.
In 2015 Mr Pillai was elected to the research committee of the European Foot & Ankle Society .
Mr Pillai has treated members of the Team GB Olympic and Commonwealth games squad, Ultimate Fighting Championship and Professional Football .
Mr Eyre is a Yorkshire trained Orthopaedic Surgeon with a special interest in disorders of the Foot & Ankle.
He graduated from Leeds Medical School, and completed Higher Surgical Training in Yorkshire, with a focus on Lower Limb Orthopaedics, Trauma /Military surgery, and Foot & Ankle surgery.
His training continued with Fellowship training in Foot & Ankle and Trauma surgery in Leeds, and completed with a Fellowship at the prestigious Avon Orthopaedic Centre / Sports Orthopaedic Clinic, Bristol.
Here he acquired specialist skills in minimally invasive Foot & Ankle surgery; widely recognised to offer quicker healing and smaller scars.
His achievements have recently been recognised at a national level, with the award of The British Foot & Ankle Society Travelling Fellowship to Zurich, Switzerland, for further training in sports and ankle joint replacement surgery. Mr Eyre has presented at numerous national and international conferences, and has contributed to scientific literature in Trauma, Sports injury, and Orthopaedic surgery.
Mr Eyre is a keen teacher, and holds Honorary senior lecturer status at Leeds Medical School. He is a member of the Faculty of Surgical Trainers, and has a particular interest in designing computer software and simulators to aid surgical training.
Chief of Foot and Ankle Orthopedics at Humanitas San Pio X Milan, Italy
My path choice of international studies and my work have allowed me to carve an important role in the scientific community, particularly in foot and ankle surgery, and to participate in many international projects.
To date my surgery numbers are:
150 ankle replacements a year
over 600 foot surgeries a year
My innovations are:
A new arthroscopic surgical technique of cartilage repair
An innovative technique of prosthetic ankle surgery, with over 10 scientific articles published a year
My research numbers are:
Over 40 scientific publications indexed on Pubmed
An H-Index that has grown from 3 to 11 in the last year
Mr Adam Ajis is a Consultant Trauma & Orthopaedic Surgeon with a dedicated special interest in disorders of the foot and ankle.
He treats all conditions from routine to complex with no problem being too small. Surgical and non-surgical options will be given where possible and a personalised treatment plan will be offered.
Mr Ajis understands that every patient is unique and every treatment plan will be tailored to their specific situation. His quality of care, compassion and good communication will ensure every patient receives treatment of the highest standard and that every patient understands his/her condition and how different treatments work.
Mr Krishna Vemulapalli is an Orthopaedic Consultant at Barking Havering & Redbridge Hospitals NHS Trust since 2007. He completed his higher surgical training at The Royal London Hospital and the Percivall Pott Rotation. He specialises in Foot and Ankle surgery and Orthopaedic surgery for Children. He is also Honorary Senior Lecturer at Queen Mary University, London.
He is passionate about teaching and was instrumental in getting the Queens Hospital ‘Training Hospital of the Year 2014’ for Orthopaedics. He also has won several awards for outstanding patient Care and Teaching including ‘Trainer of Year 2015’ and ‘Highly Commended Clinical Supervisor of the year-PGMDE-UCL partners 2016’.
I am a dedicated foot and ankle surgeon with special interest in Sports injuries. I am trained at Newcastle and Sheffield and was a proud winner of BOFAS travelling fellowship at Zurich.
I have experience in all aspects of foot and ankle surgery, including Ankle replacement, Ankle ligaments and Achilles problems, key hole surgeries and forefoot deformities. I perform approximately 200 forefoot operations including bunion surgeries and arthritis of big toe, 50 hindfoot operations like ankle replacements and fusion and ankle arthroscopies each year.
Mr Carter is a full time specialist Foot and Ankle Surgeon based at the Queen Elizabeth University Hospital of Glasgow. He is UK trained in Edinburgh, Cardiff and Glasgow with European Fellowship placements in Vienna, Bordeux and Zurich. He is a specialist in modern foot and ankle techniques such as joint replacements (ankle and great toe) and bunion (hallux valgus) correction with compression screws avoiding the requirement of post operative plaster cast immobilisation. He also carries out traditional orthopaedic surgery such as complex hindfoot deformity correction and ankle fusions.
Mr Carter has a specialist interest in sports injuries of the foot and and and works regularly with a number of professional and elite level sports teams and organisations. He has a keen interest in rugby and regularly treats the Glasgow Warriors and SRU (Scottish Rugby Union) players. He regularly treats Premiership Football players from around Scotland in addition to Scottish Gymnasts, dancers and athletes from the Scottish Sports Institute. This group of patients has allowed him to develop techniques of early rehabilitation of many foot and ankle conditions such as ankle ligament reconstruction with the internal brace, achilles tendon repair and rehabilitation, syndesmotic injuries (high ankle sprain), ankle arthroscopy and cartilage treatments and plantar fasciitis.
Mark Farndon is a consultant orthopaedic surgeon with a busy NHS practice based in Harrogate, North Yorkshire. He is a specialist lower limb surgeon treating conditions of the knee, foot and ankle. He offers consultations and treatment for private patients at hospitals in Leeds and Harrogate.
Ros Miller, performs all aspects of foot and ankle surgery. Her specialist interest is in Minimally Invasive and Arthroscopic Foot and Ankle Surgery. She has developed techniques for Neuropathic Minimally Invasive Surgeries (NEMISIS) of the foot and ankle, which had particular relevance to diabetic foot pathologies. She also regularly performs surgery for Young Ankle Arthritis and Total Ankle Replacement Surgery.
Ros Miller graduated from the University of Aberdeen, MBChB, BSc Med Sci. She continued her Basic Surgical Training in Aberdeen in the North East of Scotland, before moving home to her native Glasgow on the West Coast of Scotland, where she completed her Higher Surgical Training.
Ros Miller visited Dr Mark Myerson, in Baltimore, USA in 2011 for a travelling fellowship. She took up her current Consultant post in February 2011. She now regularly visits and trains other surgeons both nationally and internationally.
Ros Miller now splits her time between her NHS Practice in Scotland and her Private Practice in both Scotland and the Harley Street Medical Street Medical Area, London, England.
Mr Siddique has been a Foot and Ankle Surgeon at the Freeman Hospital, Newcastle since 2000. He held Fellowship placements at Texas University, Stanmore University and a visiting Fellowship at Zurich.
He is actively involved in the clinical research in the field of foot and ankle surgery and has carried out research projects which have been successfully approved by the ethical committee.
Freeman Hospital is the only hospital nationally chosen for ankle replacement training. His pioneering work and surgical expertise have made the Freeman Hospital one of the top tertiary centres of excellence for ankle replacement in the UK.
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