Baltimore Limb Deformity Course

The 36th Annual Baltimore Limb Deformity Course will take place August 19-23, 2026 at the Four Seasons Hotel in Baltimore.
Online registration is now open for the Baltimore Limb Deformity Course, two Pre-Courses, and one Post-Course. Registration is open through August 14, 2026, but if you register by May 31st, you will receive an early bird discount! You can also register by printing out the registration form and sending the completed form to the fax number or to the mailing address that is listed on the form. If you are not using your own personal credit card to charge the fees, please complete and return the Third Party Credit Card Authorization Form so that we have a valid signature on file.
This Course is intended for orthopedic surgeons, podiatrists, and allied health professionals who treat lower extremity deformities. No prior experience required.
The 2024 Course was attended by over 220 clinicians from 34 foreign countries and 31 U.S. states.
Please see below links for more information about our 2026 courses, Course venue, travel options, and contact information.
- Course Objectives
- Baltimore Limb Deformity Course
- Pre-Course | Cadaver Lab: Osteomoties Around the Knee: Principles, d bePlanning, and Execution
- Pre-Course | Cadaver Lab: Tibia and Below
- Post-Course | Cadaver Lab: Disaster Response
- Hotel Information
- Parking
- Getting to Our Course
- Attire
- Scholarships
- Course Materials Order Form
- Contact Information
- American Disabilities Act
- Disclosure Policy
- What Participants Have Said About the Course
- 2025 Course Sponsors

Course Objectives
Introduce basic and advanced concepts in limb alignment, corrective osteotomies, and internal and external fixation for limb reconstruction, including lengthening and realignment. Topics to be covered:
- Single-level and double-level tibial and femoral deformities
- Sagittal and oblique plane deformities
- Rotational deformities
- Foot and ankle deformities
- Monolateral/circular external fixation
- Acute correction techniques
- Gait implications for angular and rotational deformities
- Measurement of deformity on digital radiographs
- Consequences of joint malorientation and malalignment
- Limb lengthening techniques
Following completion of this event, participants will be able to:
- Describe simple and complex lower limb deformities in pediatric and adult patients
- Interpret advances in the field of limb reconstruction and deformity correction
- Identify the optimal location of osteotomies
- Recognize the methodology of minimally invasive internal and external fixation
- Analyze deformities of the lower limb using electronic media technology
- Formulate treatment decisions designed to yield better clinical outcomes

Baltimore Limb Deformity Course
Dates: Thursday, August 20 – Saturday, August 22, 2026
Chairman: Philip McClure, MD
Chairman Emeritus: John Herzenberg, MD
Directors: Michael Assayag, MD, Janet Conway, MD, Connor Green, MD, and Noman Siddiqui, DPM
Registration Fee: $1,325–$1,845
- Highlights of the 2026 Course will include:
- Internationally renowned faculty
- Hands-on sawbone labs
- Option to choose a lab group that focuses on adult orthopedics, pediatric orthopedics, or foot/ankle applications (group assignments based on order of paid registration)
- Option to choose break-out sessions on adult orthopedic, pediatric orthopedic, and foot/ankle topics
- Interactive pediatric orthopedics, adult orthopedics, and foot/ankle participant case presentations
- Receive a copy of The Art of Limb Alignment, Twelfth Edition
- Innovative apps:
- Multiplier: This app predicts values at maturity (upper and lower limb length discrepancy, bone length, lower extremity length, height, and timing of epiphysiodesis)
- Bone Ninja Sensei: This iPad app teaching tool was developed by Drs. Standard and Herzenberg at the International Center for Limb Lengthening, Sinai Hospital of Baltimore. Bone Ninja Sensei is designed to help surgeons analyze deformities. Note: Please bring your iPad if you have one. The Bone Ninja Sensei app works only on iPad devices.

Pre-Course | Cadaver Lab: Osteomoties Around the Knee: Principles, Planning, and Execution
Very Limited Registration
Date: Wednesday, August 19, 2026
Course Times: 8:00 a.m. – 4:30 p.m. (bus promptly departs Hotel at 7:00 a.m.)
Directors: Michael Assayag, MD, Janet Conway, MD, and Wiemi Douoguih, MD
Registration Fee: $1,580
- This one-day orthopedic surgical course is designed to provide surgeons, fellows, and residents with a comprehensive understanding of knee osteotomy techniques used for joint preservation and deformity correction.
- Through a combination of lectures, hands-on sawbone workshops, and cadaveric surgical training, participants will learn the principles and execution of common proximal tibial and distal femoral osteotomies.
- The course emphasizes practical surgical skills, deformity analysis, preoperative planning, and intraoperative decision-making, allowing participants to translate concepts directly into clinical practice.
- Attendees will leave with a clear framework for evaluating limb alignment, selecting appropriate patients, planning osteotomies, and performing these procedures safely and reproducibly.
Learning objectives:
- Explain the biomechanical principles of knee osteotomy and joint preservation surgery.
- Perform systematic deformity analysis using long-leg radiographs.
- Identify appropriate indications and contraindications for HTO and DFO.
- Develop a reliable preoperative planning strategy for knee osteotomy procedures.
- Demonstrate methods to control tibial slope, rotation, and alignment.
- Recognize and prevent common complications in knee osteotomy surgery.

Pre-Course | Cadaver Lab: Tibia and Below
Limited Registration
Date: Wednesday, August 19, 2026
Course Times: 9:00 a.m. – 5:00 p.m. (bus promptly departs Hotel at 8:00 a.m.)
Directors: Noman Siddiqui, DPM and Connor Green, MD
Registration Fee: $1580
- This intensive, one-day CME cadaver lab focuses on advanced lower extremity surgical techniques, transitioning from soft tissue decompression and recession in the morning to complex reconstructive frames and bone transport in the afternoon.
- Morning Session: Soft Tissue and Minimally Invasive Surgical (MIS) Techniques
The morning focuses on functional lengthening, decompression, and minimally invasive (MIS) approaches:
- Compartment and Nerve Decompression: Prophylactic anterior compartment fasciotomy (longitudinal/transverse) and tarsal tunnel decompression with plantar fascial release.
- Muscle/Tendon Lengthening: Mastery of the Baumann (Deep) and Vulpius (Superficial) gastrocnemius-soleus recessions.
- Advanced Flaps: Harvest and rotation of the Medial Gastrocnemius Flap.
- MIS Osteotomies: Guided practice in minimally invasive approaches to the metatarsals, midfoot, and tibia.
- Afternoon Session: Specialized Reconstruction: The afternoon transitions into high-level deformity correction and limb salvage, split into three specialized tracks:
- Group A (Cable Transport): Led by Dr. Stephen Quinnan; focusing on internal bone transport mechanisms.
- Group B (Butt Frame): Led by Dr. Guido LaPorta; focusing on circular external fixation for complex foot and ankle stabilization.
- Group C (Transverse Tibial Transport): Focusing on specialized transport techniques for vascularity or segmental defects.
Learning objectives:
- Review functional lengthening, decompression, and minimally invasive surgical techniques.
- Demonstrate internal bone transport mechanisms.
- Perform circular external fixation for complex foot and ankle stabilization.
- Practice surgical techniques in hands-on cadaver labs under expert supervision.

Post-Course | Cadaver Lab: Disaster Response
Limited Registration
Date: Sunday, August 23, 2026
Course Times: 8:00 a.m. – 6:00 p.m. (bus promptly departs Hotel at 7:15 a.m.)
Directors: Philip McClure, MD and Roman Hayda, MD COL (Ret)
Registration Fee: $500
- This Course will focus on providing orthopedic care in the aftermath of local or international disasters. Attendees will learn from surgeons experienced in domestic and international disaster response, with a focus on disaster response principles and adapting to the resource limited environment.
- Surgical procedures will be performed on cadaveric specimens and will include both soft tissue procedures and provisional skeletal stabilization as well as common amputations and rotational flaps for coverage.
Learning objectives:
- Explore personal and team preparation considerations for disaster response.
- Describe common injuries encountered in the disaster environment.
- Identify challenges of caring for victims of a disaster.

Hotel Information
The Course venue is the Four Seasons Hotel (200 International Drive) in the heart of Baltimore’s Inner Harbor. This chic hotel is located 20 minutes from Baltimore-Washington International Airport (BWI) and 90 minutes from Washington Dulles International Airport (IAD).
The Four Seasons Hotel Baltimore has activated our promo code for the group discounted rate of $245/night plus taxes. This rate includes complimentary basic guest room internet connectivity. Reservations for our special room rate are honored on a space-available basis through Friday, July 24, 2026. It is highly recommended that you make your reservations early.
To make a reservation, either:
- Visit the Four Seasons Hotel website (FourSeasons.com/Baltimore)
- Select “Baltimore” as destination
- Enter check-in and check-out dates
- Update number of (adults and children)
- Select “Check Rates”
- Add promo code: 260817LIM click “Update Search”
- Attendees need to select the contracted dates. If you want to stay outside of the contracted dates, call the hotel to check availability.
-or-
- Call the hotel directly (+1.410.576.5800)
- Ask for in-house reservations
- Request the “Baltimore Limb Deformity” group block rate
-or-
- Email the hotel: reservations.baltimore@fourseasons.com
If you missed the opportunity to get a room in our room block at the Four Seasons, there are several other nearby hotels. The hotels listed below are located within an approximate three-block radius of the Four Seasons. Please contact them directly for availability.
Homewood Suites by Hilton Baltimore Inner Harbor
Hilton Garden Inn Baltimore Inner Harbor
Courtyard by Marriott Baltimore Downtown/Inner Harbor
Hyatt Place Baltimore Inner Harbor
Parking
For those driving to the Four Seasons Hotel daily, we have arranged for a discounted daytime valet parking rate of $15/day. This rate does not apply to self-parking during the day, nor to overnight parking (currently $50 for valet and $25 for self-parking per night).
Getting to Our Course
There is limited shuttle service available. The least expensive method of travel between any of the Baltimore-Washington airports (BWI, DCA, IAD) is via Uber or Lyft.
- BWI Airport: starting at $40 one way*
- Reagan National or Dulles International: starting at $165 one way*
*actual pricing may vary based on time of day
Attire
The attire is business casual for the meeting and resort casual for the BLDC Dinner. Participants in the Pre- and Post-Course cadaver labs will be provided with Bone Ninja scrubs at registration, and if time allows, you may find it easiest to change into your scrubs before boarding the bus to Sinai Hospital.
Scholarships
We hope to have sponsored scholarships available for the Course. As soon as scholarship availability is confirmed, we will post the scholarship application and deadline here on the Course website.
Course Materials Order Form
Download the Course Materials Order Form if you are interested in purchasing DVDs, USBs, or other Course materials. To purchase our textbooks, please visit Amazon.com by clicking on the links below:
A copy of The Art of Limb Alignment, Twelfth Edition, is included in the 3-day Course registration fee.
Contact Information
Please contact Wendy Robinson with any questions about the Baltimore Limb Deformity Course.
Phone: +1.410.601.9798
Fax: +1.410.601.0585
E-mail: LBH_BLDC@lifebridgehealth.org
Mailing Address:
Wendy Robinson
Baltimore Limb Deformity Course
Rubin Institute for Advanced Orthopedics
Sinai Hospital of Baltimore
2401 W. Belvedere Ave., Schoeneman #102
Baltimore, Maryland 21215 USA
American Disabilities Act
If you require special accommodations to attend or participate, please submit a notification of your needs to wrrobins@lifebridgehealth.org at least 30 days in advance of your arrival.
Disclosure Policy
It is the policy of Sinai Hospital of Baltimore, a LifeBridge Health Center, to comply with the Accreditation Council for Continuing Medical Education (ACCME) Standards for Integrity and Independence in Accredited Continuing Education. All faculty participating in sponsored or jointly sponsored programs by Sinai Hospital of Baltimore are required to disclose to the program audience any real or apparent conflict(s) of interest related to the content of their presentation(s). In accordance with the ACCME requirements on disclosure information, relationships of presenters with commercial interests (if any) will be distributed via email prior to the Course.
What Participants Have Said About the Course
- “Excellent faculty, lovely venue with great food and tea/coffee, great industry support, and passionate table tutors. Overall, very well organised and would highly recommend.”
- ” Good format and content – increased my practical knowledge.”
- “I regret not attending sooner; this is a course that ought to be included in the professional development of every orthopedic specialist, no matter their focus.”
- “This course is the best course I’ve ever been to! I have never learned so much at any other course, every single lab, and every single lecture is worth every penny!”
- “This was a great opportunity to network and learn from many esteemed colleagues. The food was excellent, as was the venue and all of the staff starting from the registration desk all through to the last waiter.”
- “Learned a lot from very knowledgeable faculty. The lab faculty was excellent.”
- “Overall, a professional and practical course, great organisation and great venue as well.”
2025 Course Sponsors
We would like to acknowledge and thank the following companies for their generous support of the 2024 Course:

