Page 44 - 2020 ISAKOS Newsletter Volume I

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The second FAST Course was held on May 27-28, 2019, in the new and innovative Amsterdam Skills Center, an annex to the Amsterdam University Medical Center, location AMC. This annual course is organized by the Academic Center for Evidence-based Sports medicine (ACES), with faculty from orthopaedic surgery, radiology, sports medicine, and physical therapy. The course is approved by ISAKOS and ESSKA.
The program featured extensive arthroscopic and open laboratory hands-on practical sessions, lectures, case discussions, and live surgical procedures. The course, which was attended by 28 participants from all over the world, was intentionally kept small scale in order to allow ample time for each participant to practice various surgical procedures.
In the laboratory hands-on sessions, anterior and posterior arthroscopic procedures and open surgical procedures were practiced on cadaveric preparations. One workstation and one instructor per two participants, combined with sufficient time, allowed for effective hands-on training.
The anterior arthroscopic procedures included portal placement, synovectomy, removal of osteophytes or osseous impingement, microfracture of an introduced osteochondral talar defect, lateral ligament reconstruction, sinus tarsi arthroscopy, and tendoscopy. The posterior procedures covered portal placement, release of the sheath of the flexor hallucis longus tendon, removal of the hypertrophic posterior process of talus or of the os trigonum, ankle joint inspection, subtalar debridement and fusion, treatment of retrocalcaneal bursitis, and removal of Haglund’s exostosis.
The open procedures that were practised were stabilization of the tibiofibular syndesmosis, reconstruction of the anterior talofibular ligament, medial malleolar osteotomy for accessing the talar dome, and the lift-drill-fill-fix (LDFF) technique for treating an osteochondral defect.
The lectures covered surgical anatomy, complications and salvage procedures, indications for and outcomes of ankle arthrodesis versus total ankle replacement, osteotomy procedures around the ankle, injection therapies, special sports injury cases, and innovations in ankle surgery. All lectures included lively discussions with the participants. The special flavor was the emphasis on teamwork for the diagnosis and treatment of sports injuries of foot and ankle.
The participants felt that the second FAST course was an excellent learning experience and that the brand new Amsterdam Skills Center was an awesome venue. The arthroscopic and practical hands-on sessions and live- surgery sessions scored a median rating of 3.9 of 4. Each participant was awarded 13 CME credits.
42 ISAKOS NEWSLETTER 2020: VOLUME I
Second FAST (Foot and
Ankle Arthroscopy Sports
Traumatology) Course