CONFERENCE GLOBAL CLUBFOOT. We are children from Delhi, born with clubfoot. Today we play football because clubfoot can be treated

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1 We are children from Delhi, born with clubfoot. Today we play football because clubfoot can be treated GLOBAL CLUBFOOT CONFERENCE st November - Vigyan Bhavan 2nd November - Lady Hardinge Medical College (Auditorium)

Clubfoot is a congenital deformity that severely twists the foot both downward and inward, making walking difficult or impossible.

Over 2,20,000 children, in the low income countries are born each year with clubfoot.

there are approximately 8,000,000 adults worldwide who are physically disabled with clubfoot who could have been cured if treated at an early stage.

At present over 38,000 children are enrolled in this program nationwide.

2 Clubfoot is a congenital deformity that severely twists the foot both downward and inward, making walking difficult or impossible. 2 out of every 1000 children are born with clubfoot in every country of the world regardless of race or geographic region. Over 2,20,000 children, in the low income countries are born each year with clubfoot. In India more than 50,000 children are born with Clubfoot every year if not treated all these children will be vulnerable to societal stigma.there are approximately 8,000,000 adults worldwide who are physically disabled with clubfoot who could have been cured if treated at an early stage. CURE International India began its services from April 2009 with a goal to eradicate disability caused by clubfoot in India. At present over 38,000 children are enrolled in this program nationwide. With over 150 children born with clubfoot in India every day, the role of CURE International India in establishing free clubfoot clinics is very relevant and significant. Through this initiative, CURE International India aims to enlighten the public that clubfoot can be treated and if neglected, leads to permanent disability. Every month an average of 1000 new children are enrolled from 254 designated weekly clubfoot clinics across all the 29 states in India. CURE India organised the first Clubfoot Conference in Feb 2013 at the Vigyan Bhawan where the Hon. Vice President of India Shri Hamid Ansari inaugurated the event in the presence of Hon. Chief Minister of Delhi Smt. Sheila Dikshit. The second National Clubfoot conference was held at the Maulana Azad Medical college, New Delhi in April 2015.

Day 1 (Wed 1 st Nov 2017) Vigyan Bhavan : 9am 6pm Sessions will include 1. Plenary lectures by international faculty 2. Symposia 3. Panel discussions 4. Case discussions 5. Free paper and posters 6.

- Pitfalls in Ponseti treatment and how to manage them - Management of relapses after Ponseti treatment - Atypical / complex clubfeet : challenges and management - The India Clubfoot Programme

Pathoanatomy / soft tissue stiffness / bony changes - Role of x-rays and advanced imaging - Weekly or 2 weekly? - Sequential or simultaneous correction of bilateral clubfeet?

- Role of early tibialis anterior tendon transfer - Ideal brace (FAB or AFO) and duration of bracing - Additional soft tissue or bony procedures - How to report outcomes (scoring system for older

- Tips and tricks in Ponseti casting in syndromic feet - Success of Ponseti in different syndromes - Management of feet resistant to Ponseti - Management of relapses in syndromic feet Panel

3 Day 1 (Wed 1 st Nov 2017) Vigyan Bhavan : 9am 6pm Sessions will include 1. Plenary lectures by international faculty 2. Symposia 3. Panel discussions 4. Case discussions 5. Free paper and posters 6. Audit of each state programme Suggested topics & faculty - Epidemiology and genetics of clubfoot : recent advances - Clubfoot scoring: how and why? - Pitfalls in Ponseti treatment and how to manage them - Management of relapses after Ponseti treatment - Atypical / complex clubfeet : challenges and management - The India Clubfoot Programme Symposia : 1. Symposium on walking age clubfoot Points to be covered - Upper age limit for Ponseti casting? - How is the older child different? Pathoanatomy / soft tissue stiffness / bony changes - Role of x-rays and advanced imaging - Weekly or 2 weekly? - Sequential or simultaneous correction of bilateral clubfeet? - Above knee or below knee casts? - Plaster of Paris v/s fiberglass synthetic casts - TA tenotomy or open release? - Role of early tibialis anterior tendon transfer - Ideal brace (FAB or AFO) and duration of bracing - Additional soft tissue or bony procedures - How to report outcomes (scoring system for older children)? 2. Symposium on syndromic clubfoot Points to be covered - Common syndromes associated with clubfoot? - Tips and tricks in Ponseti casting in syndromic feet - Success of Ponseti in different syndromes - Management of feet resistant to Ponseti - Management of relapses in syndromic feet Panel discussions (15 mins each) : 1.5 hours - Braces in clubfoot: which is the best? - Adherence with bracing (why is it necessary & how to ensure fidelity?) - How to run an effective and efficient model Clubfoot Clinic? - Barriers to treatment of clubfoot (Indian experience v/s global perspective) - Role of various stakeholders in ensuring complete and compulsory treat ment of all children born with clubfeet (Govt MoH / state programme manag ers & counselors / State Medical Directors / ASHA / District Early Intervention centre (DEIC) / Rotary International / Global Clubfoot Initiative (GCI) / Ponseti International (PIA) - Research opportunities in clubfoot Dr. Shafique Pirani Dr. Nogrove penny Dr. Chris Lavy Dr. Mathew Dobbs Dr. Steve Mannion

Case Discussions - Interesting cases with audience participation Free papers - Best Paper and Best Poster Awards Audit of regional programme Inauguration Venue: Vigyan Bhavan Dr.

Basic Workshop (Ponseti Refresher Training) 9am 3pm Who can attend: Residents & PGs from CURE Clinics (1-2 per clinic) in teaching hospitals / doctors from new clinic locations Format: - Lectures as

3 Advanced Workshops (in the form of 2 hour ICLs running sequentially) Who can attend : Senior doctors / clinic in-charges / foreign delegates - Syndromic and complex clubfeet (syndromes associated

4 Case Discussions - Interesting cases with audience participation Free papers - Best Paper and Best Poster Awards Audit of regional programme Inauguration Venue: Vigyan Bhavan Dr. Robert Cady Dinner and Fellowship Day 2 (Thurs 2 nd Nov 2017) Lady Hardinge Swarn Jayanti Auditorium : 9am 3pm Workshops separate for doctors & counsellors 1. Basic Workshop (Ponseti Refresher Training) 9am 3pm Who can attend: Residents & PGs from CURE Clinics (1-2 per clinic) in teaching hospitals / doctors from new clinic locations Format: - Lectures as per Ponseti curriculum - Casting demos on foot models - Hands-on casting on children with clubfoot - Demo of TA tenotomy - Prizes for best scoring / best cast application Mr. Michiel Steenbeek 2. 3 Advanced Workshops (in the form of 2 hour ICLs running sequentially) Who can attend : Senior doctors / clinic in-charges / foreign delegates - Syndromic and complex clubfeet (syndromes associated with clubfoot / challenges / results in different syndromes / modified casting technique / tips and tricks / additional procedures) - Beyond Ponseti role of surgeries in clubfoot (role of soft tissue releases in resistant cases / surgeries for relapses / video technique of Tibialis anterior tendon transfer / management of the residual bean shaped foot deformity / role of bony surgeries / triple arthrodesis / role of external fixators Ilizarov and JESS) Dr. Harold V Bose - Journal Club and literature review (Top 30 articles on clubfoot 3 mins presentation / 1 min discussion per paper) 3. Workshops for Counsellors / Programme staff Valedictory by 3pm Dr. Dan Cosma

Paper Submission Note: Please email papers to gcc@clubfootindia.

clubfoot Topic 4 Role of Teaching Institutes in standardising quality care for clubfoot Topic 5 Role of Counsellor in ensuring five year follow up in care for clubfoot Topic 6 Role of district

5 Paper Submission Note: Please papers to Doctors/authors are invited to submit papers on clubfoot on the following topics Topic 1 Case studies by doctors Topic 2 Review of current literature on clubfoot Topic 3 Barrier to treatment for clubfoot Topic 4 Role of Teaching Institutes in standardising quality care for clubfoot Topic 5 Role of Counsellor in ensuring five year follow up in care for clubfoot Topic 6 Role of district Hospital in providing care for clubfoot Topic 7 Role of District Early Intervention Centre (DEIC) in ensuring compulsory and complete treatment Topic 8 Role of Accredited Social Health Activist (ASHA s) in identifying all children born with clubfoot in India Topic 9 Role of Rotary in the eradication of disability from clubfoot globally Topic 10 Role of Global Clubfoot Initiative in the eradication of disability from clubfoot globally Breakout sessions 1. Casting Techniques. 2. Pirani Score. 3. Foot Abduction Brace. 4. Clubfoot Program Management. Panel Discussions Present scenario of Clubfoot care. Future of clubfoot care globally. Event highlights 1. VVIP to inaugurate global call for a World free of disability from clubfoot 2. Knowledge sharing by International and National leaders on clubfoot management 3. Parents testimonies Organising Chairman Dr. Mathew Varghese, Hon. Medical Director, CURE International India, (HOD-Department of Orthopaedics), St. Stephen s Hospital, New Delhi For more information visit For any query mail info@clubfootindia.in or Call:

6 Scientific Committee ChairPerson Dr. Alaric Aroojis Co-Chairperson- Dr. Shobha Arora Dr. Pashupati Dr. Ajai Singh Dr. Vineet Arora Dr. Sukalyan Dey Dr. A.K. Manav Dr. Pulak Sharma Dr. John Santoshi Dr. Rudra Prasad Finance Committee ChiarPerson- Dr. Anil Dhal Co-Chairperson- Rtn. Vijay K Jain Mr. Joselyn Martin Rtn. Pradeep Bahri Events and Logistics Committee Chairperson - Dr. Anil Agarwal Co-Chairperson- Dr. Shah Alam Khan Dr. Vikas Gupta Dr. Alok Sood Dr. Ravi Gaur Rtn. Amar Nath Goyal Global Clubfoot Conference Partners

Scientific Programme

Scientific Programme CCPOT Current Concepts in Paediatric Orthopaedics & Trauma Organised under the aegis of Pediatric Orthopaedic Foundation Academic Partners th th 7 & 8 April 2018 WelcomHotel Sheraton Saket, New Delhi Scientific