The First Ray: Session to Review Treatments of Wounds

July 27, 2017

Participating Organization Tracks, Session 1: First Metatarsal Phalangeal Joint: Achieving Better Outcomes
Friday, July 28
3:30–5:30 p.m.
Tennessee C

The first metatarsal phalangeal joint (MPJ) is a key area of the foot because of its unique biomechanics, its integral role in the function of the forefoot, and the possible impact of hallux valgus. A Friday session will examine the overall function of the first ray and how to best deal with complicated treatment issues.

The session, presented by the American Association for Women Podiatrists (AAWP), will feature speakers who will review the first MPJ’s biomechanics and anatomy, explain how to deal with wounds and amputations, and present elective surgical options.

“We want to give a complete picture of what goes on at the first MPJ, from the biomechanics to the different complications,” said Aparna Duggirala, DPM, AAWP immediate-past president. “This is not a session that is focused on just one thing. When we talk about all of these topics from the beginning to the end, it gives us a better understanding of why we use the treatments that we use.”

The faculty will consist of AAWP officials who will make didactic presentations before concluding the session with four case presentations. The presentations will be discussed by all faculty as a panel, which also will answer questions from the audience.

The session will open with short videos to demonstrate the biomechanics and anatomy of the first ray, followed by a review of conservative treatments by Karen Langone, DMP, AAWP first vice president.

“Dr. Langone does a lot of work on treatments using orthotics,” Dr. Duggirala said. “She also works with a lot of athletes, so she will go into shoe gear and modifications that can be done.”

Elizabeth Bass Daughtry, DPM, AAWP treasurer, will review the treatment of wounds using aggressive care and segue into the types of amputations at the first MPJ.

“Dr. Daughtry will cover first ray surgeries, including options for different types of pathologies, including hallux varus,” Dr. Duggirala said. “She will discuss several procedures being used, including some new procedures.”

The best approaches for dealing with complications will be explained by Erika A. Schwartz, DPM, AAWP scientific chair. Among the complications she will review are avascular necrosis, failed implants, hallux varus, and swollen fusions. 

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