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The AO Trauma Symposium—Complex Foot and Ankle Fracture (Event Code: e23004755) is an advanced educational program designed to address the intricate surgical, biomechanical, and decision-making challenges of severe lower extremity trauma. Organized by AO Trauma, a clinical division of the AO Foundation, this comprehensive event provides practicing orthopaedic surgeons, trauma specialists, and foot and ankle subspecialists with an evidence-based exploration of high-energy injuries, complex articular disruptions, and revision scenarios across the ankle, hindfoot, midfoot, and forefoot. Complex trauma in this region presents unique surgical difficulties due to tight articular tolerances, fragile soft-tissue envelopes, and high risks of post-traumatic complications. To address these demands, the symposium equips clinicians with modern diagnostic algorithms, structured preoperative planning strategies, and advanced internal and external fixation principles. Throughout the symposium, the academic curriculum systematically covers critical anatomical zones and high-energy injury mechanisms. Primary focus areas include staging protocols, soft-tissue management, and targeted surgical approaches for severe pilon fractures, complex malleolar disruptions, and syndesmotic instability. For hindfoot trauma, expert faculty guide participants through open versus minimally invasive fixation strategies for intra-articular calcaneal fractures, as well as reduction tactics and blood supply preservation for talar body and neck injuries. The curriculum also addresses midfoot and forefoot trauma, highlighting subtle and high-energy Lisfranc dislocations, Chopart fracture-dislocations, and the criteria for selecting open reduction internal fixation versus primary arthrodesis. Complementing primary fracture management, dedicated sessions evaluate soft-tissue coverage, compartment syndrome monitoring, infection control, and salvage techniques for malunions, nonunions, and post-traumatic arthritis. The educational framework emphasizes interactive peer discussion and practical decision-making rather than passive didactic learning. Program activities combine concise, expert-led mini-lectures on contemporary literature with small-group case discussions. In these interactive working sessions, participants collaborate with regional and international faculty to evaluate real-world patient cases, review preoperative imaging, and formulate surgical treatment plans. Plenary debates further encourage critical analysis of ongoing controversies in reconstructive trauma surgery, enabling attendees to compare biomechanical constructs, fixation methods, and functional long-term outcomes. Tailored for experienced surgeons who actively manage complex extremity trauma, the symposium assumes a strong foundation in core orthopaedic principles; prior completion of the AO Trauma Basic Principles Course is strongly recommended. Delivered in English, the symposium provides formal Continuing Medical Education (CME) accreditation and awards an official AO Trauma Certificate of Attendance upon completion, reflecting a commitment to surgical excellence and improved patient care.
Optimal incisions and soft tissue handling for pilon fractures.
Plating techniques and external fixation in complex distal tibia trauma.
Management of talar neck and body fractures to prevent avascular necrosis.
Extensile lateral vs. sinus tarsi approaches for calcaneal fixation.
Diagnosis and surgical stabilization of tarsometatarsal joint complexes.
Managing crush injuries and multiple metatarsal fractures.
Addressing wound breakdown and infection in foot and ankle surgery.
Salvage procedures and corrective osteotomies for failed fixations.
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