In Collaboration with the Romanian Society for Surgery of the Hand (RSSH) Program and Abstracts | View ePosters | View Photos Download PDF of Oral Presentation Abstracts

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Tuesday January 10, 2017
7:00 am - 8:00 am	Continental Breakfast
8:00 am - 12:00 pm	Ultrasound Course: Application for Upper Extremity SOLD OUT (Separate Registration Required) Course Chair: Jeffrey Brault, DO Course Faculty: Bryan K. Ganter, MD; Andrea J. Boon, MD; Jay Smith, MD; Jacob L. Sellon, MD; Darryl E. Barnes, MD; Keith A. Bengtson, MD, Mark H. Winemiller, MD; Brian Jurbala, MD This 4 hour workshop is designed to give an overview of how ultrasound can be incorporated into a hand practice. Utilizing both lecture and hands on experience, faculty will review examination protocols of the wrist and hand, and how to evaluate common compression neuropathies and musculoskeletal pathologies and demonstrate ultrasound guided procedures employed for the treatment of upper extremity conditions. Objectives: Following this session, the participant will be able to: Describe US appearance of normal tissues seen in the Upper Extremity Recognize common U.S. guided procedures performed in the Upper Extremity Identify the normal sonographic appearance and location of the Upper Extremity nerves. Demonstrate understanding of a basic ultrasound evaluation of the elbow, wrist and hand. 8:00 am - 8:10 am Welcome & Introduction Jeffrey S. Brault, DO 8:10 am - 8:30 am Basics of U.S. and Common Usages In A Hand Practice Jay Smith, MD 8:30 am - 9:00 am Common U.S. Procedures Done In Hand Practice Jeffrey S. Brault, DO 9:00 am - 9:30 am Use of U.S. For Evaluation Of Peripheral Nerves Of The U.E. Andrea J. Boon, MD 9:30 am - 10:00 am The Top 10 Reasons I use Ultrasound in My Surgical Practice Brian Jurbala, MD 10:00 am - 10:15 am Coffee Break 10:15 am - 11:15 am US Evaluation Of The Elbow, Wrist And Hand Jacob L. Sellon, MD 11:15 am - 12:00 pm Self-Directed Breakout Sessions Needle Guidance - With Phantoms Keith A. Bengtson, MD; Bryan K. Ganter, MD; Mark H. Winemiller, MD Special US Evaluation Techniques Of the UE Jacob L. Sellon, MD; Darryl E. Barnes, MD; Brian Jurbala, MD Neuro-Vascular Evaluation Of UE Andrea J. Boon, MD; Jay Smith, MD; Jeffrey S. Brault, DO
1:00 pm - 6:00 pm	Comprehensive Wide Awake Hand Surgery Course (Separate Registration Required) Course Chair: Donald H. Lalonde, MD Course Faculty: Jin Bo Tang MD; Wyndell H. Merritt MD; Warren C. Hammert MD; Peter C. Amadio MD; Peter J. Stern MD; Gilles Candelier MD An advanced half day course designed to explain new innovations in injection and operative pearls for each of most elective and trauma operations in hand surgery including distal radius fracture with WALANT (Wide Awake Local Anesthesia No Tourniquet). We will explore tips and tricks for most operations, safety issues, and many other areas with plenty of time for questions and discussion. Objectives: Following this session, the participant will be able to: Perform most hand trauma surgery including distal radius fracture with WALANT. Get better outcomes with flexor tendon repair, tenolysis, and tendon transfer. Inject local anesthesia with minimal patient discomfort for most operations. Reverse finger epinephrine vasoconstriction with phentolamine. Perform most common hand operations with WALANT. View Pre-Course Links 1:00 pm - 1:10 pm Introduction WALANT: From The Ivory Tower To Emerging Countries Peter J. Stern, MD 1:10 pm - 1:50 pm General Principles Donald H. Lalonde, MD 1:50 pm - 2:10 pm Flexor Tendon Surgery Jin Bo Tang, MD 2:10 pm - 2:40 pm Flexors, Tendon Transfers, Tenolysis, Extensors, Complex Reconstruction Donald H. Lalonde 2:40 pm - 3:00 pm Sagittal Band Repair, Intrinsic Transfer, Relative Motion Splinting and WALANT Wyndell H. Merritt, MD 3:00 pm - 3:10 pm Coffee Break 3:10 pm - 3:20 pm Cubital Tunnel Jin Bo Tang, MD 3:20 pm - 3:40 pm Carpal Tunnel, Cubital Tunnel, Lacertus (Pronator) Release Donald H. Lalonde, MD 3:40 pm - 3:45 pm Lacertus Gilles Candelier, MD 3:45 pm - 3:55 pm Phalanx Fractures Jin Bo Tang, MD 3:55 pm - 4:00 pm Hand Fractures Donald H. Lalonde, MD 4:00 pm - 4:15 pm Wrist and Distal Radius Fractures Gilles Candelier, MD 4:15 pm - 4:20 pm Reconstructive Hand And Wrist Surgery Gilles Candelier, MD 4:20 pm - 4:35 pm Thumb Basal Joint Arthritis and MP Arthroplasty Peter C. Amadio, MD 4:35 pm - 4:45 pm Basal Joint Arthritis, Arthroscopy and TFCC Donald H. Lalonde, MD 4:45 pm - 5:05 pm Dupuytrens and Digit Widget Warren C. Hammert, MD 5:05 pm - 5:10 pm Amputations PIP Joint Arthroplasty, Skin Cancers Donald H. Lalonde, MD 5:10 pm - 5:15 pm Dupuytren's, DeQuervain, Trigger Finger Donald H. Lalonde, MD 5:15 pm - 5:30 pm Personal Tips and Tricks Peter C. Amadio, MD 5:30 pm - 6:00 pm Discussion and Q&A
Wednesday January 11, 2017
6:00 am - 7:30 am	Continental Breakfast
6:00 am - 7:00 am	AAHS Instructional Courses
101	The Challenge of Solving Boutonniere and Swan Neck Deformities: What We've Learned From Our Mistakes Chair: Donald H. Lalonde, MD Instructors: Jeff Ecker, MD; Alexander Georgescu, MD, PhD; Julianne Howell, PT, MS, CHT Surgeons and therapists will provide their successes and failures with the surgical and non-surgical treatments of boutonniere and swan neck deformities. Objectives: Following this session, the participant will be able to: Provide their patients with a successful relative motion flexion splinting program to correct boutonniere deformities. Delay the occurrence of fixed swan neck deformities with figure of 8 swan neck rings in their patients. Perform operations that work for flexible swan neck deformity. Better understand the challenges of surgery for boutonniere deformity.
102	Complications of Wrist Surgery Chair: Gregory I. Bain, MD Instructors: Jeffrey Greenberg, MD; Jorge L. Orbay, MD; Aviva Wolff, OTR, CHT, EdD
103	Complex Elbow Reconstruction: Avoiding Complications Chair: Stephen D. Trigg, MD Instructors: Scott G. Edwards, MD; Donald H. Lee, MD; John Indalecio, CHT This instructional course will review the indications and treatment options for patients requiring complex elbow reconstructions, with a special focus on minimizing complications associated with treatment. Objectives: Following this session, the participant will be able to: Discuss elbow anatomy and kinematics. Identify complications associated with elbow injuries and surgical treatment. Discuss how to avoid complications in reconstructive surgery of the elbow
104	When Reconstructions Fail or Are Unsalvageable: Use of Spare Parts Chair: Miguel Pirela-Cruz, MD Instructors: Bogdan Aldes, MD; Amit Gupta, MD
105	Indications, Technical Pearls and How To Avoid Complications Using Functional Muscle Transfers Chair: Jennifer Giuffre, MD Instructors: Ines C. Lin, MD; Shelly S. Noland, MD; Heather Baltzer, MD This course will focus on the restoration of elbow flexion, shoulder abduction, shoulder external rotation, finger flexion, elbow extension and finger extension using various functional muscle transfers including gracilis, latissimus, trapezius and biceps muscles. Indications for functional muscle transfer and technical pearls to obtain a successful transfer while avoiding complications will be discussed. Objectives: Following this session, the participant will be able to: Identify indications for using a functional muscle transfer in the upper extremity. Identify options for functional restoration of the upper extremity. Understand technical pearls to optimize success of the muscle transfer and avoid complications.
106	Complications of Flexor Tendon Injuries/Repair Chair: Steve K. Lee, MD Instructors: Jamie T. Shores, MD; Nina Suh, MD; Ileana Matei, MD; Octavia Olariu, CHT This instructional course will have an expert panel discussing all aspects of complications of flexor tendon injuries and repair. Topics to be presented will include: rupture, adhesions with loss of motion, flexion contractures, infections, wound breakdown. It will be case based with an emphasis on tips and pearls to address these potentially devastating problems. Objectives: Following this session, the participant will be able to: Identify the most common and troublesome complications of flexor tendon repair and how to diagnose them. Put into clinical practice surgical techniques and methods to effectively treat these complications. Recall latest literature regarding evidence for treatment and their outcomes.
107	Lessons Learned From A Pediatric Hand Surgeon Chair: Scott N. Oishi, MD Instructors: Dan A. Zlotolow, MD; Alexander J. Davit, MD; Christine A. Ho, MD; Paul J. Bonzani, MHS OTR/L, CHT Pediatric patients present unique issues because of the developing brain, open physes, and remodeling potential. As a result, timing of surgery as well as type of procedure performed are many times dependent on the age of the patient. The objective of this course is to discuss these issues from the perspective of experienced pediatric hand surgeons. Objectives: Following this session, the participant will be able to: To better understand the issues associated with treating the developing pediatric patient. To understand how the age of the patient alters the treatment in terms of non-operative as well as operative approaches. To have a better understanding of the effect of anesthesia on the developing brain.
108	The Painful Upper Extremity: The Gift of Pain Chair: Wyndell H. Merritt, MD Instructors: Seth D. Dodds, MD; Catherine Curtin, MD; Dennis Martin, CHT This instructional course will address the unsolved problem of disproportionate pain levels and our blindness to the precise cause found in RSD/CRPS patients. Our panel explores why there is so little agreement or evidence-based knowledge about this problem, hypothesizes a possible mechanism for cause, and points out what can be done to prevent recurrence or exacerbation when we must operate on these patients, along with the importance of hand therapy assessment and current hand therapy measures that seem promising. We must try to summon up similar Paul Brand compassion for these unfortunate patients. Objectives: Following this session, the participant will be able to: Discuss why the study of this topic has been so difficult. Identify measures to prevent recurrence of RSD/CRPS with elective surgery. Examine practical principles of management and prevention. Discuss newer hand therapy methods of assessment and treatment.
7:15 am - 7:30 am	AAHS President and Program Chairs Welcome (Not for Credit) Peter M. Murray, MD; AAHS President Marco Rizzo, MD; AAHS Program Chair Terri Wolfe, OTR/L, CHT; AAHS Therapist Chair
7:30 am - 7:45 am	Invited ASHT President (Not for Credit) Gary Solomon, MBA, OTR/L, CHT Patient Safety; Avoiding the Traumatic Injury Trilogy of Errors The talk will address the importance of communication between the therapist and surgeon to maximize outcomes, manage complications rapidly, and educate in available safety products and technology. Objectives: Following this session, the participant will be able to: Discuss communication techniques to better the therapist and surgeon relationship.
7:45 am - 8:00 am	2016 Vargas Award Presentation (Not for Credit) Recipient: Aviva Wolff, OTR, CHT, EdD
8:00 am - 9:00 am	Panel I: Surgical Error: Wrong Site, Side, Person, or Procedure Moderator: David C. Ring, MD Panelists: Thomas Hunt, MD; WP Andrew Lee, MD; Peter JL Jebson, MD The rate of surgery at the wrong site, side, person, or procedure has not decreased in spite of safety measures such as "sign your site" and the WHO Universal Protocol. Hand surgery is prone to wrong procedures because there are 2 sides and 10 digits—more opportunities to get it wrong. This panel will go through examples of wrong procedures as a point of discussion for effective safety measures a culture of safety. Objectives: Following this session, the participant will be able to: Discuss the systems available to help prevent wrong site, side, person or procedure in surgery. Explain the reasons why protocols alone are not enough to prevent these types of errors. Implement key elements of the safety culture into your practice.
9:00 am - 9:30am	Coffee Break
9:30 am - 10:30 am	Panel II: Worst Complications Moderator: William C. Pederson, MD Panelists: Donald H. Lalonde, MD; Warren C. Hammert, MD; A. Lee Osterman, MD; Gary Solomon, MBA, OTR/L, CHT See experts in the field reveal their worst complications with an honest appraisal of what went wrong and their approach to taking care of the problem. This panel presents hand surgeons who have many years of experience in the field. They will enlighten us as to how to avoid complications ourselves in the future. Objectives: Following this session, the participant will be able to: Discuss how to avoid complications on the procedures. Examine the management of severe complications when they occur. Identify the complexity of complications and how they can best be managed. Apply non-surgical approaches to surgical complications
10:30 am - 11:30 am	Panel III: Patient Safety Moderator: Kevin C. Chung, MD Panelists: Matthew M. Tomaino, MD; John R. Fowler, MD; Marco Rizzo, MD; Marie Pace, OTR/L, CHT This panel will trace the patient safety movement to identify key initiatives that led to the international attention on protecting patients from harm. Because of the invasiveness of surgical procedures, a number of organizations have proposed and enacted patient safety programs to mitigate the risk of patient harm from procedural activities. A few of these programs are evidenced based, but a number relies on intuition only. Because of the resources needed to invest in safety programs, we will critically examine the conceptual framework needed to structure a safety program. We will also discussed failed safety experiments to dissect the causes of successful and failed programs in guiding future activities. Objectives: Following this session, the participant will be able to: Explain the genesis of patient safety activities. Engage in local and national program of patient safety initiatives. Identify programs that can be successful based on scientific data. Propose potential initiatives that can promote patient safety in one’s practice.
11:30 am - 12:15 pm	Invited Guest Lecture Individualized Medicine: A View at the Crossroads of Promise and Practice Alexander S. Parker, PhD In June of 2000, President Clinton held a press conference with Craig Venter and Francis Collins to announce the successful sequencing of the human genome and declare that this achievement "will revolutionize the diagnosis and treatment of most if not all human disease". Since that time, while we have seen significant advances in research, many have wondered about the impact to the practice medicine that was promised back in June of 2000. Dr. Parker will discuss how Mayo Clinic has moved genomic-based medicine "from promise to practice" by sharing several examples of significant impact happening in the clinic today. Moreover, he will discuss the future of "individualized medicine" as we move deeper into what is being called the fourth industrial revolution of big data and connectivity. Objectives: Following this session, the participant will be able to: Define the term "individualized medicine" and discuss the role of genomics in this movement. Identify areas of medicine where individualized medicine is making an impact on patient care today. Identify 5 key challenge areas for the future growth of individualized medicine
12:30 pm - 5:00 pm	Hands-On Surgical Skills Course (Separate Registration Required) Chair: Warren C. Hammert, MD Co-Chair: Jeffrey Lawton, MD The AAHS Principles of Internal Fixation in the Wrist and Hand Workshop is a Surgical Skills Course designed to provide participants an opportunity to learn techniques for internal fixation and technical pearls in wrist and hand fractures from an expert faculty panel and put them into practice in a hands-on sawbone workshop. Objectives: Following this session, the participant will be able to: Demonstrate on a saw bone model the application of basic principles of lag screw fixation, neutralization plate, and compression plating in hand fractures. Recognize fracture patterns and plan reduction of distal radius and perform volar plating n a distal radius sawbone model. Discuss surgical options for management of articular fractures and dislocations in the hand and perform them in sawbone model. Explain indications and demonstrate technique for fixation of scaphoid fractures in a sawbone model.
12:30 pm - 2:30 pm	Therapist Panel: Mysteries of the Wrist: What's New, What's True and What Can Therapists Do!!! (Separate Registration Required) Chair: Terri Wolfe, OTR/L, CHT Instructors: Aviva Wolff, OTR, CHT, EdD; Julianne Howell, PT, MS, CHT; This 2 hour panel will provide current concepts and future direction and practical applications of treatment and surgery for TFCC and STT including surgical indications, best therapy treatment options, evaluation with new techniques for your patients with tough wrist pain and functional problems. Objectives: Following this session, the participant will be able to: Review current concepts and future direction and practical applications of treatment and surgery for TFCC and STT. Identify the different effective surgical approaches for TFCC and STT. Describe the therapy treatment options best practice for wrist ligament injuries. Recognize evidenced based non operative treatment for STT and TFCC injuries. Discuss therapy changing new techniques for your patients with wrist pain and functional problems.
5:00 pm - 6:00 pm	Mentors Reception Invitation Only
6:30 pm - 8:00 pm	Welcome Reception in Exhibit Hall
Thursday January 12, 2017
6:00 am - 7:30 am	Continental Breakfast with Exhibitors
6:00 am - 7:30 am	MOC Instructional Course
109	Dupuytren's Chair: Prosper Benhaim, MD Instructors: John D. Lubahn, MD; Marco Rizzo, MD; Argentina Vidrascu, MD This MOC course will provide a concentrated review of the basic science, anatomy, clinical features, therapeutic options, outcome studies, and potential complications of Dupuytren's disease. Treatment options will be covered, including the indications and relative advantages/disadvantages of newer treatments, such as needle aponeurotomy and collagenase injection. The attendee will be better able to evaluate treatment options that are individualized to the patient, with a clear understanding of the relative advantages and disadvantages of each treatment modality, both acutely and long term. Technical aspects of conventional surgery, needle aponeurotomy, and collagenase injection will be discussed to maximize efficacy and patient safety. Objectives: Following this session, the participant will be able to: Understand the genetics and basic science of Dupuytren's disease. Review the detailed anatomy pertinent to Dupuytren's disease. Identify the common and uncommon clinical features of Dupuytren's disease, and their implications for the patient. Review the numerous treatment options, including specific indications, alternatives, complications, and limitations of each approach. Critically analyze the advantages and disadvantages of each treatment approach, selecting an approach that fits each individual patient. Develop an approach that balances the relative morbidity and recurrence rate of each approach.
6:30 am - 7:30 am	AAHS Instructional Courses
110	Complications of Upper Extremity Tumor Surgery Chair: Edward A. Athanasian, MD Instructors: Peter M. Murray, MD; Peter JL Jebson, MD; Sanja Kakar, MD Complications are commonly seen in the treatment of patients with hand and upper extremity tumors. Complication risks can be decreased with optimal patient assessment, biopsy and treatment. This course will present case specific examples of complications seen in the treatment of patients with hand and upper extremity tumor surgery. Topics will include biopsy, misdiagnosis, unplanned excision and soft tissue complications seen after surgery and radiation. Objectives: Following this session, the participant will be able to: Discuss guidelines for biopsy which minimize patient risks. Identify the risks of unplanned excision, and treatment. Examine strategies to minimize risks and optimize patient outcomes.
111	Recalcitrant Tennis Elbow Chair: Thomas B. Hughes, MD Instructors: Moreo Beppo, MD; Christopher O. Bayne, MD; Gayle K. Severance, MS, OTR/L, CHT What is a failure? How much of what we do for tennis elbow is related to managing patient expectations and employing activity modification techniques. When surgical intervention is required, what is likely to lead to a successful outcome and what will leave patients with persistent issues. Lateral Epicondylitis is a complex disease process for which we have significants deficiencies in our understanding of the etiology, natural history, and treatment options. This panel will discuss these difficult issues and help to develop a treatment algorithm to guide practitioners. Options for those that have persistent symptoms will be discussed in detail. Objectives: Following this session, the participant will be able to: Learners will be able to diagnoses lateral epicondylitis and Understand those techniques that may avoid "failure". Surgical techniques will be learned that may limit the persistent symptoms common with treatment and lead to better outcomes. Options for the surgical treatment of "failed surgery" will be addressed and evaluated.
112	Complications Of Free Tissue Flaps Chair: Jeffrey Friedrich, MD Instructors: Kyle R. Eberlin, MD; Galen Perdikis, MD; Lauren DeTullio, CHT Free tissue transfer is a set of techniques that can solve even the most challenging hand reconstructive problems. Most of the time, these operations go well, and the procedure is beneficial for the patient and rewarding for the physician. However, complications of free tissue transfer can be some of the most difficult challenges the reconstructive hand surgeon faces. This course will describe the common complications associated with free flaps including acute vascular dysfunction, partial or complete flap loss, donor defects and long-term complications. The panelists will also discuss strategies to overcome these challenging complications. Objectives: Following this session, the participant will be able to: Describe the most common acute complications associated with free tissue transfer. Discuss management of acute flap complications. Discuss reconstructive options following partial or complete flap loss. Describe long-term complications of free tissue transfer and the management thereof.
113	MCP and PIP Arthroplasty: The Good, Bad And Ugly Chair: Scott F. Duncan, MD Instructors: Peter J. Stern, MD; Jeanine Beasley, CHT MCP and PIP joint arthroplasty have gone through an evolution of materials and designs. There is also some debate, as well as surgeon preference, to surgical approaches for placing these implants; especially when it comes to PIP joint arthroplasty. Outcomes for these patients can be challenging and the primary outcome of pain relief has been fairly reliable with range of motion being much more unpredictable. This course will review the indications and surgical techniques of MCP and PIP joint arthroplasty, as well as how to optimize outcomes in the small joint arthroplasty patient. Consideration of both surface replacement implants and silicone implants will be presented. The course will also discuss potential pitfalls and complications, and try to provide pearls for avoiding such situations. The final part of this instructional course lecture will then review what to do when you do run into complications and what salvage options are available. We will discuss the gamut of revision arthroplasty all the way to fusion, as well as consideration of both surface replacement implants and silicone implants. At the end of this course, attendees should be able to understand the different surgical approaches, different types of implants, and how to achieve more predictable outcomes in the patients that they perform these procedures on. Objectives: Following this session, the participant will be able to: Understand the difference in surgical approaches and when to choose a specific approach. Review the different designs and materials for small joint arthroplasty, and why certain ones have advantages over others from varying perspectives. Discuss how to mitigate complications and maximize outcomes. Recognize what to do in revision situations.
114	The Failed Scaphoid Fracture Chair: T. Greg Sommerkamp, MD Instructors: Michael Sandow, MD; Kim McVeigh, MBA, OTR/L, CHT This one hour ICL will address the failed scaphoid fracture resulting in nonunion with or without AVN. A brief description of the entire continuum of scaphoid fracture pathology will then be addressed ranging from the simple acute scaphoid fracture, followed by the subacute fracture / delayed union with cystic resorption, to the stable nonunion with AVN, wrapping up with the ‘triple threat' of the unstable nonunion + humpbacked collapse+ AVN. The modern criteria that define an unstable scaphoid fracture will be emphasized, as these ultimately can lead to nonunion if not recognized and treated properly a variety of vascularized bone grafts as well as osteochondral arthroplasty will be presented by a distinguished international faculty. Rehabilitation of scaphoid nonunions will be addressed as well. A significant amount of time will be dedicated to panel / audience Q&A based on difficult clinical case examples that will be thrown at the distinguished panel of international experts. Objectives: Following this session, the participant will be able to: Identify the modern criteria that define an unstable scaphoid fracture which eventually can lead to nonunion if not recognized and treated properly. Correctly identify and classify the various stages of scaphoid fracture pathology along the entire continuum…starting with the acute fracture, progressing to the subacute fracture / delayed union with cystic resorption, to the frank nonunion, and ultimately those with the ‘triple threat' of nonunion + AVN + humpback collapse. List and differentiate the relative advantages and disadvantages of the various techniques used to stabilize scaphoid delayed unions and nonunions, including percutaneous fixation, AARIF (arthroscopic assisted reduction and internal fixation), and ORIF with and without bone grafting. List and differentiate the relative advantages and disadvantages of the various techniques used to stabilize stable delayed unions / nonunions of the scaphoid with cystic resorption. List and differentiate the relative advantages and disadvantages of the various techniques used to treat the simple scaphoid nonunion vs the ‘triple threat' nonunion with humpback collapse + AVN.
115	Thumb CMC Arthritis: Avoiding Complications In Management Chair: William W. Dzwierzynski, MD Instructors: Jeffrey Yao, MD; Jonathan Tueting, MD; Ghazi Rayan, MD; Katie Froelich, CHT Arthritis of the metacarpal-trapezial joint of the thumb is one of the most common arthritic condition of the hand. A variety of surgical options are available to alleviate this condition. While surgical results usually give exellent pain relieve, complications of the procedure may occur. Proper planning can avoid these pitfalls and complications. Objectives: Following this session, the participant will be able to: Describe the common treatment options for basal joint arthritis of the thumb. Recognize complications associated with treatment for arthritis of the thumb. Discuss methods to avoid operative complications. Discuss surgical options surgical complication and recalcitrant pain
116	Failed Fingertip Injuries: How to Manage? Chair: Nash H. Naam, MD Instructors: Hein Ter Linden, MD; Antonio Forte, MD; Dragos Zamfirescu, MD; Kimberly G. Kraft, PT, DPT
7:45 am - 7:50 am	Presidential & Program Chairs Welcome (Not for Credit) Peter M. Murray, MD; AAHS President Marco Rizzo, MD; AAHS Program Chair Terri Wolfe, OTR/L, CHT; AAHS Therapist Chair
7:50 am - 7:55 am	RSSH President Welcome (Not for Credit) Alexandru Georgescu, MD, PhD
7:55 am - 8:00 am	ASSH President Welcome (Not for Credit) Ghazi Rayan, MD
8:00 am - 8:45 am	Panel IV: Iatrogenic Nerve Injury Moderator: Michael Wood, MD Panelists: Amy M. Moore, MD; Peter J. Stern, MD; A. Lee Osterman, MD Iatrogenic nerve injury is more prone to occur with certain procedures and surgical situations. An awareness of these conditions is an important preventative measure. When an iatrogenic nerve injury is encountered early recognition and appropriate management is important to minimize long term functional impairment and liability risk. Objectives: Following this session, the participant will be able to: Increase awareness of the most common procedures with a high risk of iatrogenic nerve injury. Prepare a post-injury treatment plan to minimize functional impairment and liability risk.
8:45 am - 9:15 am	Presidential Address Introduction: William C. Pederson, MD In the Event of a Water Landing... Use Your Seat Cushion Peter M. Murray, MD An overview of the current state of health care as it relates to medical errors, emphasizing the need for increased attention to patient safety. In particular I will discuss how an integrated health care team can enable and enhance the delivery of high quality, safest patient care. Objectives: Following this session, the participant will be able to: Describe the current state of medical care as it relates to medical errors. Identify 5 key functions of a highly effective health care team. Develop how the team based approach to medical care delivery can enhance patient safety.
9:15 am - 10:00 am	Invited Guest Speaker Man's Inhumanity to Man Peter J. Stern, MD Ethical controversies faced by hand surgeons are outlined. Controversies discussed will include surgical misadventures, poor knowledge of anatomy, greed, new technology, incompetence, negligence, and negligence. Objectives: Following this session, the participant will be able to: Recognize and manage misconduct in patient care. Discuss how to communication complications occur during surgery. Identify patients in whom surgery is not indicated.
10:00 am - 10:30 am	Coffee Break with Exhibitors
10:30 am - 11:30 am	Concurrent Scientific Abstract Session I Moderator: William C. Pederson, MD Panelists: Scott N. Oishi, MD Kevin J. Little, MD Paul J. Bonzani, MHS OTR/L, CHT 10:30 am - 10:32 am 1. Pediatric Hand Fractures: Epidemiology and Patterns of Management Rebecca Hartley, MD; Josh Lam, MD; Ceilidh Anne Kinlin, MScPT; Karen Hulin-Poli, MScOT; Robertson Harrop, MD, MSc, FRCSC, FACS; Franki O.G. Fraulin, MD, FRCSC University of Calgary, Calgary, AB, Canada 10:32 am - 10:34 am 2. What About the Children? Incidence of Radial Nerve Palsy in Pediatric Humeral Shaft Fractures Maureen A O'Shaughnessy, MD; Todd Milbrandt, MD; Laura Lewallen, MD; Kapil Mehrotra, MD; A Noelle Larson, MD Mayo Clinic, Rochester, MN 10:34 am - 10:36 am 3. A Retrospective Review of 10 Years of Pediatric Both Bone Forearm Fractures: Comparison of Single Bone versus Both Bone Fixation Tyler Keller, MD; Ashley Miller, MD; Kevin J. Little, MD University of Cincinnati, Cincinnati, OH 10:36 am - 10:38 am 4. Salter-Harris Fractures of the Distal Phalanx: is it Time to Define Optimal Surgical Treatment? Waleed Gibreel, MBBS; Ali Charafeddine, MD; Karim Bakri, MBBS Mayo Clinic, Department of Plastic Surgery, Rochester, MN 10:38 am - 10:40 am 5. Pediatric Hand Fractures: Predicting Which Fractures Require Specialized Care by a Hand Surgeon Rebecca L Hartley, MD; Ceilidh Anne Kinlin, MScPT; Josh Lam, MD; Karen Hulin-Poli, MScOT; Claire Temple-Oberle, MD, MSc, FRCSC; Rob Harrop, MD, MSc, FRCSC, FACS; Frankie OG Fraulin, MD, FRCSC University of Calgary, Calgary, AB, Canada 10:40 am - 10:42 am 6. First Pediatric Hand Transplant- Outcome at One Year Lin Lin Gao, MD1; David L. Colen, MD1; L. Scott Levin, MD, FACS1; Benjamin Chang, MD; FACS2 1University of Pennyslvania, Philadelphia, PA; 2Perelman School of Medicine, Philadelphia, PA 10:42 am - 10:50 am Panel Discussion 10:50 am - 10:52 am 7. Pediatric Ganglion Cysts: A Single Surgeon Experience Joseph Meyerson, MD1; Linda Pan, BS1; Maya Spaeth, MD2; Gregory Pearson, MD1 1The Ohio State University, Columbus, OH 2Nationwide Childrens, Columbus, OH 10:52 am - 10:54 am 8. Pediatric Elbow Arthroscopy: Indications and Complications Steven M. Andelman, MD; Kristen M. Meier, MD, MS; Joung Heon Kim, BS1; William J Rubenstein, BS1; Michael R. Hausman, MD Mount Sinai School of Medicine, New York, NY 10:54 am - 10:56 am 9. Conjoined Versus Isolated Shoulder Tendon Transfers in Brachial Plexus Birth Palsy William Smith, MD1; Dustin Greenhill, MD1; Scott Kozin, MD2; Dan Zlotolow, MD2 1Temple University Hospital, Philadelphia, PA; 2Shriners Hospital for Children Philadelphia, Philadelphia, PA 10:56 am - 10:58 am 10. Variability of PROMIS Domains across Hand Conditions Casey Beleckas, BS; Jason Guattery, MS; Melissa Wright, MD; Ryan P. Calfee, MD, MSc Washington University in St. Louis School of Medicine, St Louis, MO 10:58 am - 11:00 am 11. Restoration of Finger Flexion in Children Using Functioning Free Gracilis Transfer Mohamed Mostafa Kotb, MD; Orth, Hand and Recosntructive Microsurgery Unit, Orthopedic Deprtment, Assiut University Hospital, Assiut, Egypt 11:00 am - 11:02 am 12. Effect of Alternating Inter-Manual Training on Hand Shaping During Grasp in Children With Unilateral Spastic Cerebral Palsy Aviva Wolff, EdD, OTR, CHT1; Howard Hillstrom, PhD1; Andrew Gordon, PhD2 1Hospital for Special Surgery, New York, NY; 2Teachers College Columbia University, New York, NY 11:02 am - 11:10 am Panel Discussion 11:10 am - 11:12 am 13. Does Age Contribute to Outcomes for Elbow Release in Arthrogryposis Christopher Richards, MD, MS1; Dan Zlotolow, MD2; Rey Natividad Ramirez, MD1; 1Cooper University Hospital, Camden, NJ; 2Shriners Hospital for Children Philadelphia, Philadelphia, PA 11:12 am - 11:14 am 14. Multiple Enchondromas of the Hand in Children: Long Term Follow up of Mean 15.4 years Assaf Kadar, MD; Steven L. Moran, MD Mayo Clinic, Rochester, MN 11:14 am - 11:16 am 15. WITHDRAWN 11:16 am - 11:18 am 16. Intramedullary Venous Drainage System for Distal Finger Tip Replantations H. Purisa, MD1; Muhammed besir Ozturk, MD2; F. Kabakas, MD3; IB Ozcelik, MD1; Berkan Mersa, MD1; I. Sezer, MD1 1Hand and Microsurgery, ist-el hand surgery microsurgery, Istanbul, Turkey, 2Medeniyet University, istanbul, Turkey, 3Hand and Microsurgery, GOP Hospital, Istanbul, Turkey 11:18 am - 11:20 am 17. Comparison of Patient-Reported Outcomes after Traumatic Upper Extremity Amputation: Replantation versus Prosthetic Rehabilitation Mitchell A Pet, MD1; Shane D Morrison, MD, MS1; Jacob S Mack, BS2; Erika D Sears, MD, MS2; Thomas Wright, MD1; Kenneth R Means Jr, MD3; James P Higgins, MD4; Jason H Ko, MD5; Paul S Cederna, MD2; Theodore A Kung, MD2; Alisha Lussiez, BS2 1University of Washington, Seattle, WA, 2The University of Michigan, Ann Arbor, MI, 3Union Memorial Hospital, Baltimore, MD; 4Curtis National Hand Center, Baltimore, MD; 5Northwestern University, Chicago, IL 11:20 am - 11:22 am 18. Patients Transferred for Upper Extremity Amputation: Do All Level I Trauma Centers Participate? Shantum Misra, BA1, Suzanne C. Wilkens, MD2; Neal C. Chen, MD3; Kyle R Eberlin, MD3 1George Washington University School of Medicine and Health Sciences, Washington, DC; 2Harvard University, Boston, MA; 3Massachusetts General Hospital, Cambridge, MA 11:22 am - 11:30 am Panel Discussion
10:30 am - 11:30 am	Concurrent Scientific Abstract Session II Moderator: Peter J. Evans, MD Panelists: Seth D. Dodds, MD Ryan D. Endress, MD Terri Wolfe, OTR/L, CHT 10:30 am - 10:32 am 19. Proximal Interphalangeal Joint Arthroplasty in Young Patients; An Analysis of 305 Consecutive Primary Arthroplasties Eric R. Wagner, MD; William Robinson, MD; Matthew Houdek, MD; Steven L. Moran, MD; Marco Rizzo, MD Mayo Clinic, Rochester, MN 10:32 am - 10:34 am 20. Treatment of Symptomatic Distal Interphalangeal Joint Arthritis with Open Cheilectomy Loukia K. Papatheodorou, MD; Edward Lin, MD; Dean G. Sotereanos, MD University of Pittsburgh, Pittsburgh, PA 10:34 am - 10:36 am 21. Proximal Interphalangeal Arthroplasty According to Finger; Do Border Digits Perform Worse Than Middle Digits? Eric R. Wagner, MD; William Robinson, MD; John Weston, MD; Steven L. Moran, MD; Marco Rizzo, MD Mayo Clinic, Rochester, MN 10:36 am - 10:38 am 22. Biomechanical Comparison of Subsidence of Trapeziectomy and Suture Button Suspension-plasty Versus Trapeziectomy and FCR Ligamentous Reconstruction for Thumb Carpometacarpal Arthritis. Benjamin Zellner, MD; Hani Matloub, MD; Cameron Best, MD; Monica Ramirez, MD; Samita Goyal, MD; Mei Wang, PhD Medical College of Wisconsin, Milwaukee, WI 10:38 am - 10:40 am 23. Outcomes after PIP Arthroplasty Dislocation; an Analysis Of 28 Consecutive Cases Eric R. Wagner, MD; Wanderman, MD; Steven L. Moran, MD; Marco Rizzo, MD; Mayo Clinic, Rochester, MN 10:40 am - 10:42 am 24. Effectiveness and Costs of Demineralized Bone Matrix in Wrist Fusion Procedures Jacqueline Rose Piggott, MD; Douglas Ross, MD, FRCSC; Christopher Doherty, MD; FRCSC Plastic and Reconstructive Surgery, St. Joseph's Health Care Center, Western University, London, ON, Canada 10:42 am - 10:50 am Panel Discussion 10:50 am - 10:52 am 25. The Diagnostic Clinical Value of Thumb Metacarpal Grind, Pressure-Shear, Flexion and Extension Tests for Carpometacarpal Osteoarthritis Yaron Sela, MD; Jodi Seftchick, CHT; Mark E. Baratz, MD University of Pittsburgh Medical Center, Pittsburgh, PA 10:52 am - 10:54 am 26. Outcomes of Stage III Thumb Carpometacarpal Joint Osteoarthritis Treated With Arthroscopic Fusion Esther Chow, MD United Christian Hospital, Hong Kong, Hong Kong 10:54 am - 10:56 am 27. The Impact of Age on Metacarpophalangeal Arthroplasty; An Analysis of 689 Consecutive Arthroplasties Eric R. Wagner, MD; William Robinson, MD; John Weston, MD; Steven L. Moran, MD; Marco Rizzo, MD Mayo Clinic, Rochester, MN 10:56 am - 10:58 am 28. Comparison of MRI, Arthrography and Arthroscopy in Diagnosing TFCC Injury Koji Abe, MD; Toshiyasu Nakamura, MD; PhD Clinical Research Center, International University of Health and Welfare, Tokyo, Japan 10:58 am - 11:00 am 29. "Diamond" Stress View Radiograph for Pre-Operative Evaluation of Thumb Metacarpophalangeal Joint Hyperextension Laxity Paul Austin Henkel, DO1; Jeffrey A Marchessault, MD; 1Wellmont Holston Valley Medical Center, Kingsport, TN; 2Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Kingsport, TN 11:00 am - 11:02 am 30. Reduction of the Thumb-tip Trajectory Area after Trapeziometacarpal Joint Fusion: a Cadaveric Study Toshiyasu Nakamura, MD, PhD1; Yusuke Kawano, MD2; Koji Abe, MD1; Mitsunori Tada, MD, PhD3 1Clinical Research Center, International University of Health and Welfare, Tokyo, Japan; 2Department of orthopaedic surgery, Keio University, Tokyo, Japan; 3National Institute of Advanced Industrial Science and Technology, Digital Human Research Center, Tokyo, Japan 11:02 am - 11:10 am Panel Discussion 11:10 am - 11:12 am 31. Prevalence of Radiocarpal and Midcarpal Arthritis Pedro Beredjiklian, MD; Matt Cantlon, MD; Andrew Miller, MD; Jonathan Shearin, MD Thomas Jefferson University Hospital, Philadelphia, PA 11:12 am - 11:14 am 32. Comparison of Surgical Outcomes in Partial versus Total Wrist Denervation Josha Woodward, MD, MCR1; Tuan Nguyen, MD, DSS, FACS2; Jenny Lee Nguyen, MD3; Michael Wheatly, MD2; Mary Russell, NP2; Stephen Peterson, MD2 1Rush University, Chicago, IL; 2Portland VA Medical Center, Portland, OR; 3Michigan State University, Lansing, MI 11:14 am - 11:16 am 33. Outcomes Following Pisiformectomy for Pisotriquetral Arthrosis Maureen O'Shaughnessy, MD; Marco Rizzo, MD; Laura Lewallen, MD; Kapil Mehrotra, MD; Steven L. Moran, MD Mayo Clinic, Rochester, MN 11:16 am - 11:18 am 34. Ulnar Shortening Osteotomy: Is it Necessary to Create Ulnar Neutral Variance? Loukia K. Papatheodorou, MD; Joel V. Ferreira, MD; Mark E. Baratz, MD; Dean G. Sotereanos, MD University of Pittsburgh, Pittsburgh, PA 11:18 am - 11:20 am 35. Total Wrist Arthroplasty in Patients Younger than 60 Years of Age; an analysis of 261 consecutive primary arthroplasties Eric R. Wagner, MD; Jason Srnec, BS; Casey M. DeDeugd, MD; Marco Rizzo, MD Mayo Clinic, Rochester, MN 11:20 am - 11:24 am 36. Complex Combined Thermal-crush Hand Trauma. Our 10 years Experience. Dinu Iuliu Dumitrascu, MD PhD1; Alexandru Georgescu, Prof, MD; PhD2 1UMF Cluj, Cluj-Napoca, Romania; 2Plastic Surgery and Reconstructive Microsurgery Clinic, UMF Iuliu Hatieganu, Cluj Napoca, Romania 11:24 am - 11:30 am Panel Discussion
11:30 am - 12:30 pm	Concurrent Scientific Abstract Session III Moderator: Warren C. Hammert, MD Panelists: Christina M. Ward, MD Jeffrey Lawton, MD Kim McVeigh, OT, CHT 11:30 am - 11:32 am 37. Micro-CT Study of the Intraosseous Vascularity of the Scaphoid Mohamed Morsy, MD1,2; Nick A van Alphen, MD1; Alexis T Laungani, MD1, Assaf Kadar, MD1; Steven L Moran, MD1 1Mayo Clinic, Rochester, MN; 2Assiut University, Assiut, Egypt 11:32 am - 11:34 am 38. Vascularized Dorsal Capsular Bone Grafting for Proximal Pole Scaphoid Nonunions with AVN Seth D Dodds, MD1; Shannon Fitzpatrick, MD2; Cynthia Tsai, BS2 1University of Miami, Miami, FL, 2Yale University, New Haven, CT 11:34 am - 11:36 am 39. Is Free Vascularized Bone Grafting Superior for Scaphoid Nonunion? William Aibinder, MD; Eric R. Wagner, MD; Allen Bishop, MD; Alexander Y. Shin, MD Mayo Clinic, Rochester, MN 11:36 am - 11:38 am 40. Internal Bone Grafting Technique for the Treatment of Scaphoid Non-Unions Hasan Utkan Aydin, MD; Sunil T. Thirkannad, MD Christine M Kleinert Institute for Hand and Microsurgery, Louisville, KY 11:38 am - 11:40 am 41. Scaphoid Nonunions with Segmental Defects Treated with Locking Plate Fixation and Pure Cancellous Grafting: First Clinical Report Scott G. Edwards, MD; Department of Orthopaedic Surgery, The CORE Institute, Phoenix, AZ 11:40 am - 11:42 am 42. Biomechanical Analysis of Screw Trajectory in the Reduction and Association of the Scaphoid and Lunate (RASL) Procedure Christina M. Beck, PhD; Philip Nasser, BS; Michael R. Hausman, MD; Steven M. Koehler, MD Mount Sinai Medical Center, New York, NY 11:42 am - 11:50 am Panel Discussion 11:50 am - 11:52 am 43. Infection Rates in Open Hand Fractures: Can Treatment Be Delayed? Mark Tait, MD1; John W. Bracey, MD1; Paulvalery Roulette, MD2, Daniel R Lewis, MD1; Bryan Loeffler, MD1 1OrthoCarolina Hand Center, Charlotte, NC; 2Carolinas Medical Center, Charlotte, NC 11:52 am - 11:54 am 44. Kirschner Wire Infection Rates in Hand Fractures Yeliz Cemal, BSc, MBChB, MRCS, MD1; Ioannis Kaloudis, MD1; Akhilesh Pradhan, Bsc2; Kshemendra Senarath-Yapa, MBBS, MRCS1; Ricardo Tejero, MBBS, MRCS1; Andreas Fox, BM BCh DM, FRSC (Plast)1 1Guy's & St Thomas' NHS Trust, London, United Kingdom; 2King's College University, London, United Kingdom 11:54 am - 11:56 am 45. Infection Rates of Buried vs. Exposed Kirschner Wires in Phalangeal, Metacarpal, and Distal Radius Fractures TJ Ridley, MD1; Christina Ward, MD2, Will Freking, BS1; Lauren Erickson, MS3 1University of Minnesota, St Paul, MN; 2Regions Hospital, St Paul, MN; 3HealthPartners Institute, Bloomington, MN 11:56 am - 11:58 am 46. Ultra Small Proximal Pole Scaphoid Nonunion Reconstruction with 1,2 Intercompartmental Supraretinacular Artery Vascularized Graft and Micro Screw Fixation Mark S Morris, MD; Jeffrey N. Lawton, MD; Andy F Zhu, MD; Kagan Ozer, MD University of Michigan, Ann Arbor, MI 11:58 am - 12:00 pm 47. Skyline and Carpal Shoot-Through Views Improve Detection of Dorsal Cortex Screw Penetration During Volar Plate Fixation of the Distal Radius: A Cadaveric Analysis. Kyle Stoops, MD1; Brandon Santoni, PhD1; Nicolette Clark, MS2; Amy Bauer, BS2; Christopher Shoji, BS2; Francisco A. Schwartz Fernandes, MD, MS, MBA2 1Foundation for Orthopaedic Research and Education, Tampa, FL; 2University of South Florida, Tampa, FL 12:00 pm - 12:02 pm 48. The Effect of Orthopedic Hardware on Patient and Surgical Team Scatter Radiation Exposure Utilizing Mini C-arm in a Simulated Wrist Fracture Fixation Model Michael T Groover, DO1; H. B. Bamberger; DO, FAOAO1; Jacob R Hinkley, BS2; Jenn Evans, DO1; Roland Gazaille, DO1 1Ohio University Grandview Medical Center, Dayton, OH; 2Des Moines University College of Osteopathic Medicine, Des Moines, IA 12:02 pm - 12:10 pm Panel Discussion 12:10 pm - 12:12 pm 49. Patient Demographics and Complications Following Operative Treatment Distal Radius Fractures: A Review of 260,953 Cases Kent T. Yamaguchi, MD; Robert C. Maciel, MS; Andrew R. Jensen, MD; Zorica Buser, PhD; Jason Ghodasra, MD; Jeffrey Wang, MD; Frank A. Petrigliano, MD; Casimir Dowd, MD UCLA, Los Angeles, CA 12:12 pm - 12:14 pm 50. Can We Identify a Threshold for Acceptable Radiographic Parameters of Distal Radius Fractures in Patients Over 65 Years Old? Caitlin J Symonette, MD; MSc; Joy MacDermid, BScPT, MSc; PhD; Ruby Grewal, MD; MSc; FRCSC University of Western Ontario; Roth MacFarlane Hand and Upper Limb Centre, London, ON, Canada 12:14 pm - 12:16 pm 51. Effect of Distal Radius Malreduction on Contact Between FPL Tendon and Volar Plate Caroline Nicole Wolfe, MD; Kagan Ozer, MD; Andy F Zhu, MD; Geoffrey Burns, MS University of Michigan, Ann Arbor, MI 12:16 pm - 12:18 pm 52. When is it Safe to Drive After Distal Radius Fracture Fixation Christopher Jones, MD1; Randle William Ramsey, DO2; Asif I Ilyas, MD1; Jack Abboudi, MD1; William Kirkpatrick, MD1; Tom Kalina, OTR3; Charles Leinberry, MD1 1Thomas Jefferson University Hospital, Philadelphia, PA; 2Philadelphia College of Osteopathic Medicine, Philadelphia, PA; 3Bryn Mawr Rehab Hospital, Malvern, PA 12:18 pm - 12:20 pm 53. Biomechanical Assessment of the Dorsal Spanning Bridge Plate in Distal Radius Fracture Fixation: Implications for Immediate Weight-Bearing Jerry I Huang, MD1; Bret Peterson, MD1; Kate D Bellevue, MD1; Nicolas Lee, MD2; Sean Smith, MSc2; Safa Herfat, PhD2 1University of Washington Medical Center, Seattle, WA; 2University of California San Francisco Medical Center, San Francisco, CA 12:20 pm - 12:22 pm 54. Distal Radius Fracture Patients Show Declined Ability of Dynamic Body Balancing. Koji Fujita, MD, PhD1; Hidetoshi Kaburagi, MD1; Akimoto Nimura, MD, PhD1; Takashi Miyamoto, MD, PhD1; Yoshiaki Wakabayashi, MD, PhD2; Yasuhiro Seki, MD3; Hiromichi Aoyama, MD4; Tetsuya Sato, MD5; Haruhiko Shimura, MD, PhD5; Shiro Suzuki, MD, PhD6; Kato Ryuichi, MD, PhD7; Atsushi Okawa, MD, PhD1 1Tokyo Medical and Dental University, Tokyo, Japan; 2Minato Red Cross Hospital, Yokohama?Kanagawa, Japan, 3Suwa Central Hospital, Nagano, Japan; 4JA Toride Medical Center, Ibaragi, Japan; 5Tokyo Bay Urayasuichikawa Medical Care Center, Chiba, Japan; 6Tamahokubu Medical Center, Tokyo, Japan; 7JA Kyosai Research Institute, Tokyo, Japan 12:22 pm - 12:30 pm Panel Discussion
11:30 am - 12:30 pm	Concurrent Scientific Abstract Session IV Moderator: Kyle R. Eberlin, MD Panelists: Amy M. Moore, MD Alexander J. Davit, MD Latha Satish, PhD 11:30 am - 11:32 am 55. The Role of the Central Band of the Interosseous Ligaments in Maintaining Ulnar Variance Jorge Luis Orbay, MD1, Fernando Levaro, MD2, Lauren Vernon, PhD1, Michael Cronin, DO3, Niurka Nunez, BS1, Jorge A Orbay,MD4 1The Miami Hand and Upper Extremity Institute, Miami, FL, 2Reconstructive Orthopedic Center, Houston, TX, 3Larkin Community Hospital, South Miami, FL, 4Columbia University, New York, NY 11:32 am - 11:34 am 56. Lymphedema Following Elective Hand and Wrist Surgery in Women who are Post Axillary Lymph Node Dissection: A Prospective, Cohort Study John W. Bracey, MD1; Mark Tait, MD1; Glenn Gaston, MD1; Lois Kathleen Osier, MD1; Susan M. Odum, PhD2; Bryan Loeffler, MD1; Robert Chadderdon, MD1; William Alan Ward, MD1 1OrthoCarolina Hand Center, Charlotte, NC; 2OrthoCarolina Research Institute, Charlotte, NC 11:34 am - 11:36 am 57. Touch Surgery™: Analysis of Surgical Simulation Validity and Training Potential Andrew Miller, MD1; Joseph T Labrum, BA2; Tulipan Jacob, MD1; Andrew G. Park, MD1; Asif I Ilyas, MD1 1Thomas Jefferson University Hospital, Philadelphia, PA; 2Sidney Kimmel Medical College, Philadelphia, PA 11:36 am - 11:38 am 58. Incidence of Serious Complications in Hand Surgery: A 10-Year Review Avi D Goodman, MD; Joseph A Gil, MD; Edward Akelman, MD; Arnold Peter C Weiss, MD Alpert Medical School of Brown University / Rhode Island Hospital, Providence, RI 11:38 am - 11:40 am 59. Patient Knowledge in Hand Surgery Pre- and Post- Consultation in the United States and Honduras: A Prospective Comparative Study Marc E. Walker, MD, MBA; Carolyn Chuang, BS; Craig Moores, MD; Matthew L Webb, AB; Samuel Buonocore, MD; J. Grant Thomson, MD Yale University, New Haven, CT 11:40 am - 11:42 am 60. Regional Variation of Medicare Payments for Hand Surgery Procedures the United States David R Veltre, MD1; Mark Yakavonis, MD1; Antonio Cusano, BS1; Robert L Parisien, MD1; Bruce Jobse, BA1; Josef Eichinger, MD2; Andrew Stein, MD1; Scott F.M. Duncan, MD; MPH, MBA1; Xinning Li, MD1 1Boston University, Boston, MA, 2Madigan Army Medical Center, Tacoma, WA 11:42 am - 11:50 am Panel Discussion 11:50 am - 11:52 am 61. The Majority of Patients Prefer Optional Follow-up for Simple Upper Extremity Fractures David Ring, MD, PhD1; Teun Teunis, MD2; Abigail Finger, BSc2, Michiel Hageman, MD, AMC3; Valentin Neuhaus, MD2 1Dell Medical School, Austin, TX; 2Massachusetts General Hospital, Boston, MA; 3Amsterdam, Netherlands 11:52 am - 11:54 am 62. The Role of External Fixation When Treating Terrible Triad Injuries Karan Dua, MD; Andrew Fischer, BS; Raymond A. Pensy, MD; W. Andrew Eglseder, MD; Joshua M. Abzug, MD University of Maryland School of Medicine, Baltimore, MD 11:54 am - 11:56 am 63. Treatment of Traumatic Elbow Instability with an Internal Joint Stabilizer Kristen M. Meier, MD, MS; Steven M. Andelman, MD; Steven M. Koehler, MD; Michael R. Hausman, MD Mount Sinai School of Medicine, New York, NY 11:56 am - 11:58 am 64. Outcomes after MCP Arthroplasty Dislocation; an Analysis of 28 Consecutive Cases Eric R. Wagner, MD; Nathan Wanderman, MD; Steven L. Moran, MD; Marco Rizzo, MD Mayo Clinic, Rochester, MN 11:58 am - 12:00 pm 65. Ulnar Nerve Complications Following Ulnar Collateral Ligament Reconstruction: A Systematic Review Jason B Clain, BS1; Mark Vitale, MD, MPH, ONS, PC, ONS2; David Ruchelsman, MD3 1Tufts University School of Medicine, Boston, MA; 2Foundation for Clinical Research and Education, Greenwich, CT; 3Hand Surgery PC, Newton Wellesley Hospital, Newton, MA 12:00 pm - 12:02 pm 66. Correlating Median Nerve Cross Sectional Area with Distal Sensory and Distal Motor Nerve Latencies Benson Pulikkottil, MD; Micah Schub, BS; Tiffany Kadow, MD; William Wang, BS; John R. Fowler, MD University of Pittsburgh Medical Center, Pittsburgh, PA 12:02 pm - 12:10 pm Panel Discussion 12:10 pm - 12:12 pm 67. Open Carpal Tunnel Release Outcomes: Performed with MAC v WALANT Tulipan Jacob, MD; Jonas Matzon, MD; Asif Ilyas, MD Thomas Jefferson University Hospital, Philadelphia, PA 12:12 pm - 12:14 pm 68. Incidence of Trigger Digits after Carpal Tunnel Release: A Nationwide, Population-Based Cohort Study Hsu-Tang Cheng, MD; Oscar J. Manrique, MD China Medical University Hospital, Taichung City, Taiwan 12:14 pm - 12:18 pm 69. Increasing the Accuracy of NIR Fluorescence Angiography in Assessing Flap Viability Using an Intraoperative Thermal Challenge Maximilian V. Muntean, MD, PhD; Filip Ardelean, MD, PhD; Ileana R. Matei, MD, PhD; Alexandru V. Georgescu, MD, PhD Plastic Surgery and Reconstructive Microsurgery Clinic, UMF Iuliu Hatieganu, Cluj Napoca, Romania 12:18 pm - 12:22 pm 70. Soft Tissue Defects Coverege in Fingers Using the Bilobed Digital Artery Perforator Flap Dinu Iuliu Dumitrascu, MD, PhD1; Alexandru Georgescu, Prof, MD, PhD2 1UMF Cluj, Cluj-Napoca, Romania; 2Plastic Surgery and Reconstructive Microsurgery Clinic, UMF Iuliu Hatieganu, Cluj Napoca, Romania 12:22 pm - 12:26 pm 71. Our Results in “Spaghetti Wrist” Injuries Associated with Soft Tissue Defects Alexandru V. Georgescu, MD, PhD; Ileana R. Matei, MD, PhD; Irina Capota, MD, PhD; Octavian Olaru, HT Plastic Surgery and Reconstructive Microsurgery Clinic, UMF Iuliu Hatieganu, Cluj Napoca, Romania 12:26 pm - 12:30 pm 72. The Use Of Propeller Perforator Flaps In Elbow Reconstruction Dinu Iuliu Dumitrascu, MD, PhD1; Alexandru Georgescu, Prof, MD, PhD2, UMF Cluj, Cluj-Napoca, Romania; Plastic Surgery and Reconstructive Microsurgery Clinic, UMF Iuliu Hatieganu, Cluj Napoca, Romania 12:30 pm - 12:35 pm Panel Discussion
12:30 pm - 2:00 pm	Industry Lunch Symposia (Not for Credit) Supported By AxoGen, Inc. Join AxoGen for a symposium on current concepts in peripheral nerve repair followed by a hands-on, innovative materials in nerve repair experience. "The Evolving Algorithm in Nerve Repair: An Interactive Case Based Exercise with the Experts." A panel of experts will discuss recent updates to peer reviewed literature and how their nerve repair algorithm is evolving through the introduction of new technologies. Challenging cases and their clinical outcomes will be shared and debated among the panel. Gregory Buncke, MD, FACS – Plastic Surgery, The Buncke Clinic Ivan Ducic, MD, PhD – Plastic Surgery, Head & Neck Institute Peter Evans, MD, PhD, FRCSC – Orthopedic Surgery, Cleveland Clinic Amy Moore, MD, FACS – Plastic & Reconstructive Surgery, Washington University Ian Valerio, MD, MBA, FACS – OSU Plastic Surgery, Ohio State University Supported By, Skeletal Dynamics These events are neither supported by nor endorsed by ASPS or AAHS.
2:00 pm - 4:00 pm	Hands-On Skills Labs: AxoGen, Arthrex, MicroAire (Not for Credit) AxoGen Hands- On Lab "The Evolving Algorithm in Nerve Repair: An Interactive Case Based Exercise with the Experts." Part II, Interactive Case-Based Debate and New Technology Introduction: The audience will participate in case reviews where the moderator will present challenging scenarios and poll the audience on their opinions. This interactive session will uncover areas of consensus and debate in the rapidly evolving area of nerve repair. Attendees will also get a special ‘first look” at a new material now available for peripheral nerve surgery. Gregory Buncke, MD, FACS – Plastic Surgery, The Buncke Clinic Ivan Ducic, MD, PhD – Plastic Surgery, Head & Neck Institute Peter Evans, MD, PhD, FRCSC – Orthopedic Surgery, Cleveland Clinic Amy Moore, MD, FACS – Plastic & Reconstructive Surgery, Washington University Ian Valerio, MD, MBA, FACS – OSU Plastic Surgery, Ohio State University Sign Up Here Arthrex Hands-On Lab InternalBrace™ Technology using the TX SwiveLock® for SL and UCL Pathologies Join us to experience Arthrex innovations and new technologies during a workshop highlighting InternalBrace™ applications for the hand and wrist. Novel methods for scapholunate reconstruction and UCL thumb pathologies using the 3.5mm DX SwiveLock® with InternalBrace™ technology will be discussed. A short lecture will be followed by a hands-on sawbones session to familiarize attendees with this new offering. Sign Up Here MicroAire Hands-On Lab MicroAire SmartRelease® Surgeon Training This concentrated cadaver-based bioskills course provides the training required to perform endoscopic carpal tunnel release surgery using the MicroAire SmartRelease® system. Participants will observe the technique in-person as demonstrated on a cadaver specimen by a faculty surgeon and will then have the opportunity to perform the procedure on their own cadaver specimen. Sign Up Here These events are neither supported by nor endorsed by ASPS or AAHS.
Friday January 13, 2017
6:00 am - 7:30 am	Continental Breakfast with Exhibitors
6:00 am - 7:30 am	MOC Instructional Course
117	Metacarpal Fractures Chair: Randip R. Bindra Instructors: Jeffrey N. Lawton, MD; Sheel Sharma, MD; Lynne Feehan, PT, PhD, CHT The course will cover management of articular and extra-articular fractures of the metacarpals from initial assessment to rehabilitation. Classification, injury patterns and indications for surgery will be discussed. The faculty will use clinical cases to demonstrate surgical approaches, principles and types of fixation and their outcomes and management of complications. Rehabilitation following conservative and operative management will also be discussed. Objectives: Following this session, the participant will be able to: Identify fracture pattern and formulate a management plan. Discuss surgical approach and type of fixation when required. Recognize complications of treatment and suggest intervention. Explain the principles of splinting and rehabilitation after metacarpal fractures.
6:30 am - 7:30 am	AAHS/ASPN Instructional Courses
118	Indications, Techniques And Complications In Distal Radius Fracture Management Chair: Douglas Sammer, MD Instructors: Andrew Y. Zhang, MD; Jennifer Kargel, MD; Ileana Matei, MD; Cynthia C. Ivy, OT, OTD, M.E.d, CHT This instructional course will cover indications for operating on both acute fractures and established malunions. There will be a discussion of the roles and relative merits of external fixation (alone or augmented), pins and plaster, volar or dorsal plating, fragment specific fixation, and the role of arthroscopic assistance. In addition, there will be a focused section on management of the DRUJ, and a section focused on avoiding and managing complications associated with distal radius fracture management. Objectives: Following this session, the participant will be able to: Describe the indications for surgical management of acute, subacute, and malunited distal radius fractures. Discuss the pros and cons, and indications for various forms of fixation. Learn the standardized managing associated ulnar sided injuries and the DRUJ. Discuss the prevention as well as management of complications that can occur when treating distal radius fractures
119	Indications, Outcomes and Complications Of Wrist Arthroplasty/Hemiarthroplasty Chair: Brian D. Adams, MD Instructors: William Cooney, MD; Gregory Pitts, MS, OTR/L, CHT The course presents a case oriented approach by experienced faculty on the use of total wrist arthroplasty and hemiarthroplasty for the treatment of wrist arthritis using current implant systems. Current opinions and reviews of recent literature will be discussed to gain broader perspective on expected outcomes, with emphasis on optimizing the long term outcomes through proper patient selection and implantation technique. When to consider revision arthroplasty and salvage procedures, including use of current techniques, will also be demonstrated using specific cases. Objectives: Following this session, the participant will be able to: Review selection criteria to optimize outcomes. Identify causes for early complications and late implant loosening. Consider options for revision and salvage of failures.
120	Failed Phalangeal and Metacarpal Fracture Management Chair: Marco Rizzo, MD Instructors: Peter J. Evans, MD; Carlos H. Fernandes, MD; Lisa M. Cyr, OTD, OTR/L, CHT This instructional course will review the clinical presentation, radiographic findings and treatments of patients who have failed treatments for phalangeal and metacarpal fractures. Objectives: Following this session, the participant will be able to: Discuss unique injury patterns associated with metacarpal and phalangeal fractures. Identify different types of management for these injuries and common complications. Review methods for successful treatment of failed management of these injuries.
121	Complications Associated With Vascular Injury And Vasculopathy Of The Upper Extremity Chair: L. Andrew Koman, MD Instructors: Steve Haase, MD; Steven L. Moran, MD; James P. Higgins, MD; Paul J. Bonzani, MHS OTR/L, CHT This course will detail potential complications associated with the diagnosis and management of vascular injury and vasculopathy. Diseases affecting blood vessels including vascular abnormalities caused by degenerative, metabolic and inflammatory conditions, embolic diseases, coagulative disorders. Objectives: Following this session, the participant will be able to: Understand complications including false aneurysm after trauma Appreciate the potential complications after arterial reconstruction Discuss potential risks of periarterial sympathectomy
122	Updates in Nerve Imaging Chair: Robert Spinner, MD Instructors: Aaron G. Filler, MD; Line G. Jacques, MD High resolution imaging has become an extension of the physical examination of patients with peripheral nerve disorders. This instructional course illustrates the benefits of various imaging modalities used to diagnose and treat a wide variety of conditions, including nerve entrapments, injuries, tumors, and pain syndromes. Objectives: Following this session, the participant will be able to: Understand the utility of high resolution imaging in one's peripheral nerve practice. Understand the technical and technological advances being made by collaborations by surgeons and clinicians and radiologists and imaging scientists in terms of imaging of peripheral nerve. Understand the potential of high resolution imaging preoperatively, intraoperatively and postoperatively.
123	Management of Acute Nerve Injury Chair: Rajiv Midha, MD Instructors: Mark A. Mahan, MD, Alison K. Snyder Warwick, MD, Jonathan Isaacs, MD, Sharon Andruskiwec, PT, CHT This IC will focus on the current management of acute nerve injury. The format will consist of a small didactic component to present key considerations regarding the clinical presentation, pathology and pathophysiology of nerve injury. Majority of the time will entail an interactive session formatted around appropriate cases to allow the panel members to discuss and debate on management decision making and surgical strategies. Objectives: Following this session, the participant will be able to: Recognize patients presenting with acute nerve injury based on clinical and other criteria. Discuss options for the management of acute peripheral nerve trauma, depending on location, etiology and mechanism. Be aware of which patients require immediate surgery versus those that can be managed in a delayed manner. List surgical options available to manage acute nerve trauma.
124	Applications of Peripheral Nerve Surgical Techniques after Spinal Cord Injury and Other CNS Disorders Chair: Allan J. Belzberg, MD Instructors: Wilson Ray, MD; Catherine Curtin, MD; Ida Fox, MD, Justin M. Brown, MD Central nervous system injury can result in severe neurological deficit. Recently, peripheral nerve surgeons have devised novel approaches to augment function in these patients. Some of the techniques employed take advantage of nerve transfer surgery, while others utilize neuromodulation such as spinal cord stimulation. An experienced and expert panel have been assembled to present a variety of approaches and foster discussion the audience. Objectives: Following this session, the participant will be able to: Discuss central nervous system injury in comparison to peripheral nerve injury. Identify patients with possible surgical options to improve neurological function post CNS injury. Examine the current literature concerning augmenting CNS injury recovery.
7:45 am - 8:15 am	Annual Business Meeting (Not for Credit)
8:15 am - 8:45 am	Awards & Announcements (Not for Credit)
8:45 am - 9:30 am	Danyo Lecture Healthcare Reform; The Promise and the Reality Stuart L. Weinstein, MD In 2008, Barack Obama was elected president with a promise of introducing comprehensive healthcare reform. In 2010 the controversial ACA was passed. As the Obama administration ends and we transition to a new president and Congress this presentation will address the Promise of 2008 and the Reality of 2017. Objectives: Following this session, the participant will be able to: Define the Healthcare problems facing the United States. Discuss the current status of healthcare reform 6 years into the ACA.
9:30 am - 10:00 am	Coffee Break with Exhibitors
10:00 am - 11:00 am	Concurrent AAHS Scientific Abstract Session V Moderator: Julie E. Adams, MD Panelists: John D. Lubahn, MD Heather Baltzer, MD Terri Wolfe, OTR/L, CHT 10:00 am - 10:02 am 73. A Biomechanical Analysis of Two Constructs for Metacarpal Fixation: Is Bigger Better or Is There Strength in Numbers? Andre Cheah, MBBS, MBA1; Anthony Behn, MS2; Garet Comer, MD2; Jeffrey Yao, MD2 1National University Hospital, Singapore, Singapore; 2Stanford University, Redwood City, CA 10:02 am - 10:04 am 74. A Biomechanical Evaluation of a Two Suture Anchor Repair Technique for Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Injuries Joseph A Gil, MD; Alison Biercevicz, PhD; Christopher Got, MD; Edward Akelman, MD; Brown University, Providence, RI 10:04 am - 10:06 am 75. Acute Deep Infections of the Upper Extremity: The Utility Of Obtaining Atypical Cultures and Risk Factors for Culture Positivity Nikolas H Kazmers, MD, MSE; George W Fryhofer, AB; Daniel Gittings, MD; David J. Bozentka, MD; David R. Steinberg, MD; Benjamin L Gray, MD University of Pennsylvania, Philadelphia, PA 10:06 am - 10:08 am 76. Efficacy of a Low-Profile Functional Splint for Protecting the Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Joseph A Gil, MD; Kerry Ebert, MEd, OTR/L, CHT2; Keri Blanchard, OTR/L, CHT; Avi D Goodman, MD; Joseph Crisco, PhD; Julia A. Katarincic, MD Brown University, Providence, RI 10:08 am - 10:10 am 77. Rethinking Pyogenic Flexor Tenosynovitis: Biofilm Formation on Tendons and New Treatment Strategies Constantinos Ketonis, MD, PhD; Noreen Hickok, PhD; Asif Ilyas, MD Thomas Jefferson University, Philadelphia, PA 10:10 am - 10:12 am 78. The Role of the Triangular Fibrocartilage Complex (TFCC) in Axial Stability of the Forearm Andy F Zhu, MD; Kagan Ozer, MD; Geoffrey Burns, MS; Breana Siljander, BS; Jennifer F. Waljee, MD, MPH University of Michigan, Ann Arbor, MI 10:12 am - 10:20 am Panel Discussion 10:20 am - 10:22 am 79. Carpalmetacarpal Fractures: A New Classification to Direct Outcomes Safi Faruqui, DO1; Christopher Hogan, MD2 1TriHealth Hand Surgery Specialists, Cincinnati, OH; 2Naval Medical Center Portsmouth, Portsmouth, VA 10:22 am - 10:24 am 80. The Vascular Anatomy of the Capitate: New Discoveries Using Micro-CT Imaging Assaf Kadar, MD1,2; Mohamed Morsy, MD1; Yoo Joon Sur, MD, PhD1; A.T. Laungani, MD1; Osman Akdag, MD1; Steven L. Moran, MD1 1Mayo Clinic, Rochester, MN; 2Orthopedic Division, Tel Aviv Sourasky Medical Center Orthopaedic Division, Tel Aviv, Israel 10:24 am - 10:26 am 81. Prospective Evaluation of Opioid Consumption Following Hand Surgery Performed Wide Awake Versus With Sedation Andrew Miller, MD; Asif Ilyas, MD Thomas Jefferson University Hospital, Philadelphia, PA 10:26 am - 10:28 am 82. Physician Rating Scales Do Not Accurately Rate Physicians: A Systematic Review Matthew B Burn, MD; David M Lintner, MD; Pedro E Cosculluela, MD; Kevin E Varner, MD; Shari R Liberman, MD; Patrick C McCulloch, MD; Joshua D Harris, MD Houston Methodist Hospital, Houston, TX 10:28 am - 10:30 am 83. Ultrasonographic Evaluation of the Prevalence of Intracompartmental septum in de Quervain's Disease Patients Junko Sato, MD, PhD; Yoshinori Ishii, MD, PhD; Hideo Noguchi, MD Ishii Orthopaedic & Rehabilitation Clinic, Gyoda, Saitama, Japan 10:30 am - 10:32 am 84. Electrophysiological Study And Thumb Function Outcome Of Patients With Severe Carpal Tunnel Syndrome Who Had Modified Camitz Tendon Transfer And Open Carpal Tunnel Release Wing-Yuk Ip, MD; Claire Marie Durban, MD; Bernard Antolin, MD; Leonard li, MD United Christian Hospital, Hong Kong, Hong Kong 10:32 am - 10:40 am Panel Discussion 10:40 am - 10:42 am 85. Bidirectional Barbed Suture Repair in Flexor Tendons: A Novel Technique Jamie L Engel, MD; Joseph N Gabra, DEng; Andrew Esterle, MD; William Lanzinger, MD; John Elias, PhD Cleveland Clinic-Akron General Medical Center, Akron, OH 10:42 am - 10:44 am 86. The Effect of Orthopaedic Surgeon's Attire on Patient Confidence and Trust in a Suburban Setting Vince W. Lands, MD St Lukes University Health Network, Bethlehem, PA 10:44 am - 10:46 am 87. Fixation of Unstable Metacarpal Neck Fractures: Comparison of Crossed K-Wires and Intramedullary Headless Screw Fixation Eitan Melamed, MD; Omri Ayalon, MD; Matin Lendhey, Msc; Oran Kennedy, PhD; John T. Capo, MD NYU Hospital for Joint Diseases, New York, NY 10:46 am - 10:48 am 88. Clinical Application of Mathematical Long Bone Ratios to Calculate Appropriate Donor Limb Lengths in Bilateral Upper Limb Transplantations Justyn Lutfy, MD, CM1; Alexis Pietak, BSc Eng, BSc, PhD2; Shaun D. Mendenhall, MD1; Michael W. Neumeister, MD1 1Southern Illinois University School of Medicine, Springfield, IL; 2Tufts University, Medford, MA 10:48 am - 10:50 am 89. Intratendinous Injection of Hydrogel for Reseeding Decellularized Human Flexor Tendons Chao Long, AB; Michael G. Galvez, MD; Anais Legrand, MD; Lydia-Marie Joubert, PhD; Zhen Wang, MD; Arhana Chattopadhyay, BA; James Chang, MD; Paige Fox, MD, PhD Stanford University, Palo Alto, CA 10:50 am - 10:52 am 90. Efficacy of PROMIS Pain Scores and Likert Pain Scores to Assess Function Matthew J. St. John, MS, BA; Warren C. Hammert, MD; DDS, BS, Department of Orthopaedics, University of Rochester, Rochester, NY 10:52 am - 11:00 am Panel Discussion
10:00 am - 11:00 am	Concurrent AAHS/ASPN Scientific Abstract Session VI Moderator: Robert Spinner, MD Panelists: Paige M. Fox, MD Allen T. Bishop, MD Christine Novak, PT, PHD 10:00 am - 10:02 am 91. Partial Radial Nerve Transfers for Patients with Isolated Traumatic Axillary Nerve Injuries Antony Hazel, MD; James Clune, MD; Helen Vasey, NP; Neil F. Jones, MD; Ranjan Gupta, MD University of Calfironia, Irvine, Orange, CA 10:02 am - 10:04 am 92. Recovery of Elbow Flexion After Delayed Nerve Reconstruction versus Free Functional Muscle Transfer for Traumatic Brachial Plexus Palsy: A Systematic Review Don Hoang, MD, MHS; Vivi W Chen, BS; Mitchel Seruya, MD Keck School of Medicine, University of Southern California, Los Angeles, CA 10:04 am - 10:06 am 93. Molecular Basis for the Utilization of a Novel Anti-fibrotic Agent to Minimize Perineural Fibrosis Following Nerve Repair Andrew Miller, MD1; Tulipan Jacob, MD1; Michael Rivlin, MD2; Pedro Beredjiklian, MD1; Andrzej Fertala, PhD1; Mark Wang, MD1 1Thomas Jefferson University Hospital, Philadelphia, PA, 2Massachusetts General Hospital, Harvard University, Boston, MA 10:06 am - 10:08 am 94. Outcomes of Digital Nerve Reconstruction Using Posterior Interosseous Nerve Autografts Brian Rinker, MD; Ryan Wilson, MD University of Kentucky, Lexington, KY 10:08 am - 10:10 am 95. The "TouchSurgery" Surgical Simulation App: A Comparative Analysis of Efficacy Using a Carpal Tunnel Release Module Kamil Amer, BS1; Asif Ilyas, MD2 1Temple University, Philadelphia, PA; 2Thomas Jefferson University Hospital, Philadelphia, PA 10:10 am - 10:15 am Panel Discussion 10:15 am - 10:17 am 96. Epineural Sheath Jacket Prevents Neuroma Formation in the Rat Sciatic Nerve Model Adam Bobkiewicz, MD1; Joanna Cwykiel, MSc2; Wojciech Francuzik, MD3; Maria Siemionow, MD, PhD, DSc1,2 1Poznan University of Medical Sciences, Poznan, Poland; 2University of Illinois at Chicago, Chicago, IL; 3Charité - Universitätsmedizin, Berlin, Germany 10:17 am - 10:19 am 97. Fibrin Glue Increases the Tensile Strength of Conduit-Assisted Primary Digital Nerve Repair Peter Tang, MD, MPH1; Jessica R Childe, DO, MS1; Steven Regal, MD1; Patrick J. Schimoler, MS2; Alexander Kharlamov, MD, PhD1; Mark C. Miller, PhD1 1Allegheny General Hospital, Pittsburgh, PA; 2University of Pittsburgh, Pittsburgh, PA 10:19 am - 10:21 am 98. In Vivo Tracking Of Amniotic Fluid Derived Stem Cells on Acellular Nerve Graft Xue Ma, MD, PhD; Tianyi David Luo, MD; Zhongyu Li, MD, PhD; Thomas L. Smith, PhD Wake Forest University, Winston Salem, NC 10:21 am - 10:23 am 99. Comparison Between Two Collagen Nerve Conduits and Nerve Autograft for Motor Nerve Regeneration in a Rat Model Eliana Saltzman, BA; Jordan Carolina Villa, MD; Joseph H Feinberg, MD; Steve K Lee, MD; Scott W Wolfe, MD Hospital for Special Surgery, New York, NY 10:23 am - 10:25 am 100. Study of Nerve Regeneration in Peripheral Nerve of Spontaneously Hypertensive Rats (SHR) Using Nerve Graft Covered with Vein Tube and Enriched with Platelet Rich Fibrin (PRF). Vinicius Atti, MD; Marcela Fernandes, MD; Figueiredo Gustavo, MD; Sandra Valente, PhD; Luis Renato Nakachima, MD; Carlos Henrique Fernandes, MD; João Baptista G Santos, MD; Flavio Fallopa, MD Universidade Federal de São Paulo, São Paulo, Brazil 10:25 am - 10:30 am Panel Discussion Moderators: Willem Pondaag, MD; Amgad S. Hanna, MD 10:30 am - 10:34 am 101. Anatomic and Histologic Evaluation of Brachialis to Anterior Interosseous Nerve Transfer Mark J Winston, MD; Eliana B Saltzman, BA; Steve K Lee, MD; Scott W Wolfe, MD Hospital for Special Surgery, New York, NY 10:34 am - 10:38 am 102. Bionic Hand Reconstruction Successfully Reduces Deafferentation Pain in Patients with Brachial Plexus Avulsion Injury Laura Antonia Hruby, MD; Stefan Salminger, MD; Johannes Mayer, MD; Agnes Sturma, Bsc Msc; Oskar C. Aszmann, MD; PhD Medical University of Vienna, Vienna, Austria 10:38 am - 10:41 am 103. Use of Processed Nerve Allografts to Repair Nerve Gap Injuries Greater than 25mm in the Hand Brian Rinker, MD1; Jozef Zoldos, MD2; Renata V. Weber, MD3, Jason H Ko, MD4, Wesley Thayer, MD, PhD5, Jeffrey Greenberg, MD6; Fraser J. Leversedge, MD7; Bauback Safa, MD, MBA, FACS8; Gregory M Buncke, MD8 1Division of Plastic Surgery, University of Kentucky, Lexington, KY, 2Arizona Center for Hand Surgery, Phoenix, AZ, 3Institute for Nerve, Hand and Reconstructive Surgery, Rutherford, NJ, 4Division of Plastic and Reconstructive Surgery, University of Washington, Seattle, WA, 5Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN, 6Indiana Hand to Shoulder Center, Indianapolis, IN, 7Department of Orthopaedic Surgery, Duke University, Durham, NC, 8The Buncke Clinic, San Francisco, CA 10:41 am - 10:46 am 104. Anterior Subcutaneous Transposition for persistent Ulnar Neuropathy after Neurolysis Justus L Groen, MD PhD1; Jort Van Gent, MD1; Miriam Datema, MD1; Job Eekhof, MD PhD2, Willem Pondaag, MD; PhD1; Martijn Malessy, MD; PhD1 1Department of Neurosurgery, Leiden University Medical Center, Leiden, Netherlands, 2Alrijne Leiden Hospital, Leiden, Netherlands 10:46 am - 10:50 am 105. The Dorsal Cutaneous Branch of the Ulnar Nerve as a Donor for Median Nerve Sensory Reconstruction: A Cadaveric Study Michael D Wigton, MD; Tianyi David Luo, MD; Ian R Smithson, MD; Wayne A Chen, MD; Benjamin Berwick, MS; Zhongyu Li, MD, PhD Wake Forest University, Winston Salem, NC 10:50 am - 10:54 am 106. Does Partial Muscle Reinnervation Preserve Future Reinnervation Potential? Jonathan Isaacs, MD; Satya Mallu, MD; Gaurangkumar Patel, BS; Pooja Shah, BS; Mary Shall, PhD3 Virginia Commonwealth University, Richmond, VA 10:54 am - 11:00 am Panel Discussion
11:00 am - 12:00 pm	AAHS/ASPN Joint Panel: Complications of Elective Peripheral Nerve Surgery Moderator: Gregory H. Borschel, MD; Mark Rekant, MD Panelists: John D. Lubahn, MD; Allen L. Van Beek, MD; David L. Brown, MD
12:00 pm - 1:00 pm	Lunch with Exhibitors
12:00 pm - 5:00 pm	HSE/ASRM Endowment Golf Tournament (Not for Credit) Mauna Lani South Golf Course
1:00 pm - 3:00 pm	Therapist Panel: National Strategies for Quality Improvement and Safe Practices in Therapy (Hand Therapy Managing In The ACA World) Moderator: Joy MacDermid, BScPT, PhD Panelists: Jeanine Beasley, EdD, OTR, CHT, FAOTA; Gregory Pitts, MS, OTR/L, CHT
1:00 pm - 5:00 pm	Comprehensive Hand Review Course (Separate Registration Required) Chair: Joshua M. Abzug, MD Co-Chair: Brian T. Carlsen, MD Experienced faculty will deliver a review of commonly encountered hand and upper extremity conditions using a combination of case based presentations and lectures. They will cover principles of diagnosis and treatment, while providing an overview of conditions encountered on board examinations and resident in-training examinations. The course is ideal for residents, fellows and hand therapists who wish to increase depth of knowledge in hand surgery as well as surgeons in practice seeking a knowledge update or preparing for a MOC exam. Objectives: Following this session, the participant will be able to: Discuss non-operative and operative treatment approaches for various commonly encountered disorders of the hand and wrist. Have an understanding of the different treatment options available for disorders of the hand and upper extremity. Recognize various uncommon and/or unusual clinical conditions of the hand and wrist including carpal and DRUJ conditions, peripheral nerve, tendon and other common problems. Compare different treatment methods to avoid complications and improve patient outcomes. 1:00 pm - 1:05 pm Introduction Joshua M. Abzug, MD & Brian T. Carlsen, MD 1:05 pm - 1:35 pm Distal Radius Fractures Lecture (10 mins) & Case Presentations (15 mins) Moderator: A. Lee Osterman, MD Panelist: Sanjeev Kakar, MD; Ngozi Akabudike, MD 1:35 pm - 2:00 pm Scaphoid Fractures/ Nonunions and SL Injuries Lecture (10 mins) & Case Presentations (15 mins) Moderator: Steve K. Lee, MD Panelist: Julie E. Adams, MD; Jason H. Ko, MD 2:00 pm - 2:25 pm Tendon Injuries Lecture (10 mins) & Case Presentations (15 mins) Moderator: David Bozentka, MD Panelist: Jack Ingari, MD; Jeffrey Yao, MD 2:25 pm - 2:50 pm Soft Tissue Coverage Lecture (10 mins) & Case Presentations (15 mins) Moderator: Jeffrey B. Friedrich, MD Panelist: James P. Higgins, MD; Ebrahim Paryavi, MD 2:50 pm- 3:05 pm BREAK 3:05 pm - 3:30 pm Dupuytren's Lecture (10 mins) & Case Presentations (10 mins) Moderator: Simon G. Talbot, MD Panelist: Renata V. Weber, MD; Alexander M. Spiess, MD 3:30 pm- 3:55 pm Congenital Anomalies Lecture (10 mins) & Case Presentations (10 mins) Moderator: Dan A. Zlotolow, MD Panelist: Kevin J. Little, MD; Joshua Abzug, MD 3:55 pm - 4:20 pm CMC Arthritis Lecture (10 mins) & Case Presentations (15 mins) Moderator: Warren C. Hammert, MD Panelist: Kyle R. Eberlin, MD; Mark Rekant, MD 4:20 pm- 4:45pm Compression Neuropathies Lecture (10 mins) & Case Presentations (15 mins) Moderator: Amy M. Moore, MD Panelist: Peter Tang, MD; Jonathan Isaacs, MD
7:00 pm - 10:00 pm	Annual Meeting Dinner Dance
Saturday January 14, 2017
6:00 am - 7:30 am	Continental Breakfast
6:30 am - 7:45 am	AAHS/ASPN/ASRM Instructional Courses
201	PIP Injuries: Avoiding Complications Chair: Ryan Calfee, MD Instructors: Michael C. Nicoson, MD; Ryan D. Endress, MD; Julie Adams, MD; Katherine K. Godwin, MS, OTR/L, CHT, CLT This course will discuss PIP fracture dislocations and the most common surgical treatments employed for the complex injuries. Emphasis will be placed on the detailed decision making and technical aspects of percutaneous and open treatments of these injuries. Speakers will share the pitfalls that they have encountered as well as their favorite technical tips for success. Interactive case reviews will follow formal presentations and will allow for audience participation. Objectives: Following this session, the participant will be able to: Recognize those PIP fracture dislocations that are best treated with surgical intervention. Describe PIP injury characteristics that predict failure with open or percutaneous treatment. Develop a logical step-wise approach to treatment PIP fracture dislocations.
202	Minimizing Complications in Tetraplegia Care Chair: Dan A. Zlotolow, MD Instructors: Ida K. Fox, MD; Ali Izadpanah, MD The care of the patient with Tetraplegia after Spinal Cord Injury is rewarding both for the patient and the surgeon. Established techniques such as tendon transfers are being supplemented and in some cases supplanted by nerve transfers. Optimizing treatment and minimizing risks requires an understanding of the indications, contraindications, and pitfalls of treatment. Our panel of experts will discuss a case based approach to treatment with emphasis on new techniques. Objectives: Following this session, the participant will be able to: Understand the role of nerve transfers in tetraplegia. Identify the potential complications of tendon transfers and nerve transfers in tetraplegia. Understand the optimal timing of surgical intervention. Appreciate a global approach to tetraplegia care.
203	Complications In Managing The Mangled Hand Chair: Karim Bakri, MD Instructors: Marc J. Richard, MD; Jerry I. Huang, MD; Alexandru Georgescu, MD, PhD; Kim McVeigh, MBA, OTR/L, CHT
204	Updates in Management of Neuropathic Pain after Trauma or Iatrogenic injury Chair: Kyle Eberlin, MD Instructors: Steve Lee, MD; Chris Winfree, MD; Michael Dorsi, MD, Ivica Ducic, MD This panel is designed to address the diagnosis and management of patients with neuropathic pain following trauma or iatrogenic nerve injury. This includes pain resulting from neuroma, nerve compression/irritation, partial or complete nerve injury, or soft tissue scarring. The panelists will share their experience with workup including the use of ultrasound and diagnostic nerve blocks, surgical techniques, and management algorithms. Illustrative cases will be presented for discussion. Objectives: Following this session, the participant will be able to: Review the causes of painful neuropathic conditions following trauma or iatrogenic nerve injury and the associated signs/symptoms. Discuss the utility of ultrasound and diagnostic nerve blocks for evaluation, as well as patient selection for surgery. Incorporate into practice the different treatment options including nerve reconstruction, neurectomy and burying, and flap coverage.
205	Updates in Management of Entrapment Neuropathies Chair: Eric Zager, MD Instructors: Ming Chan, MD; E. Gene Duene, MD; Amgad Hanna, MD; Renata Weber, MD In this course the current management of various entrapment neuropathies will be reviewed and updated. Diagnostic modalities, therapeutic options, indications for surgical intervention, surgical approaches and definitive decompression, management of complications will all be discussed in detail. We expect a lively discussion with the audience members, as there are still important issues that remain controversial in the management of the entrapment neuropathies. Objectives: Following this session, the participant will be able to: To discuss the important entrapment neuropathies, including natural history, pathophysiology, nonsurgical options for management, indications for surgery and surgical approaches. To evaluate the outcomes of various surgical approaches and their complications. To debate the controversial aspects of specific entrapment neuropathies and their management.
206	Complications of Nerve Transfer vs. Tendon Transfer Chair: Paul S. Cederna, MD, FACS Instructors: Steven L. Moran, MD; Milan Stevanovic, MD; William C. Pederson, MD As we strive the provide the best functional restoration following upper extremity injuries, there are many options available to us including nerve transfers and tendon transfers. In this course, we plan to investigate the risks, benefits, complications and possible consequences of the various procedures. We will have some of the world’s experts on this topic as the course instructors including William (Chris) Pederson, Milan Stevanovich, and Steve Moran. They will plan to discuss tendon transfers and nerve transfers for different upper extremity injuries, debate the benefits of each, and share with the audience their “preferred approaches”. We will also have them discuss unknown cases and give them the opportunity to justify their approach to management of that difficult clinical problem. It should be a highly educational and entertaining course.
207	Facial Reanimation Chair: Michael Klebuc, MD Instructors: Shai Rozen, MD, FACS; Eyal Gur, MD; Stefan U. Eisenhardt, MD A decade of change in facial paralysis surgery: What I do now that I didn't 10 years ago.
208	Lymphatics Chair: David Chang, MD, FACS Instructors: Yukio Seki, MD; Joseph Dayan, MD Update on advances made in surgical treatment of lymphedema.
8:00 am - 8:15 am	AAHS/ASPN/ASRM President's Welcome (Not for Credit) Peter M. Murray, MD; AAHS President Martijn Malessy, MD, PhD; ASPN President Charles E. Butler, MD; ASRM President David H. Song, MD, FACS; ASPS President
8:15 am - 9:30 am	AAHS/ASPN/ASRM Combined Panel: Reconstructive Surgery Are We Worth It? Moderator: Paul S. Cederna, MD Panelists: Kevin C. Chung, MD; A. Lee Dellon, MD; David H. Song, MD The AAHS/ASPN/ASRM Combined Panel is focused on reconstructive surgery and the “value” of various reconstructive approaches based on rapidity of recovery, return to work, patient reported outcome measures of satisfaction, and overall cost. Each of the panelists will specifically address controversial areas where there are many reconstructive options and decisions need to be made based on these complex issues. In fact, at times no reconstruction could be perceived as the appropriate intervention. For instance, we will address such difficult issues as, “A comparative effectiveness analysis of leg amputation versus flap reconstruction in the era of value-based practice”. It should be a lively, thought provoking, and interesting discussion. Objectives: Following this session, the participant will be able to: Identify the meaning and importance of "value based practice". Develop a comprehensive understanding of patient reported outcome measures of satisfaction. Articulate cost analysis approaches used by facilities and third party payers as they make decisions regarding surgical interventions. Develop a balanced view of complex reconstruction as it pertains to payers, patients, hospitals, and medical professional from other specialties. A Comparative Effectiveness Analysis of Leg Amputation versus Flap Reconstruction in the Era of Value-Based Practice Kevin C. Chung, MD Economic Cost Benefit of Neurolysis for Tarsal Tunnels Syndrome versus Best Medical Care in Diabetics with Neuropathy A. Lee Dellon, MD Building to Last. Breast Reconstruction in the Era of Heightened Cost Control. David H. Song, MD
9:30 am - 10:00 am	Coffee Break with Exhibitors
10:00 am - 11:00 am	aJoint Presidential Keynote Lecture Miles O'Brien (Journalist) Miles O'Brien is a veteran independent journalist who focuses on science, technology and aerospace. He is the science correspondent for PBS NewsHour, a producer and director for NOVA on PBS, and a correspondent for FRONTLINE and the National Science Foundation Science Nation series. He was scheduled to become the first journalist to fly on the space shuttle. The project ended with the loss of Columbia and her crew in 2003 - a story he told to the world in a critically acclaimed sixteen-hour marathon of live coverage. In February of 2014, a heavy equipment case fell on his forearm while he was on assignment. He developed Acute Compartment Syndrome, which necessitated the emergency amputation of his left arm above the elbow.
11:00 am - 12:00 pm	AAHS/ASPN/ASRM Joint Outstanding Paper Session Moderators: Marco Rizzo, MD; Lynda Yang, MD; Patrick Garvey, MD 11:00 am - 11:05 am AAHS #1 Simple Assessment of Global Bone Density and Osteoporosis Screening Utilizing Standard Radiographs of the Hand Joseph J. Schreiber, MD; Robin N Kamal, MD; Jeffrey Yao, MD Stanford University Medical Center, Redwood City, CA 11:05 am - 11:10 am AAHS #2 Are Opioids Necessary to Manage Post-Operative Pain after Carpal Tunnel Release? A Prospective Cohort Evaluation Andrew Miller, MD; Asif Ilyas, MD; Jonas Matzon, MD Thomas Jefferson University Hospital, Philadelphia, PA 11:10 am - 11:20 am Discussion 11:20 am - 11:25 am ASPN #1 The DNND (Diabetic Neuropathy Nerve Decompression) Study: A Controlled Randomized Double Blinded Prospective Study on The Effect Lower Extremity Nerve Decompression on Pain and Quality of Life in Patients with Painful Diabetic Neuropathy Shai Michael Rozen, MD1; Gil Wolfe, MD2; Philip Raskin, MD1; Steven Vernino, MD1; Geetha Pandian, MD1; Kathleen Wyne, MD3; Shiv Sharma, MD1; Joan Reisch, PhD1; Linda Hynan, PhD1; Rita Fulmer, RN1; Annamaria Salvadore, BS1 1University of Texas Southwestern Medical Center, Dallas, TX, 2University of Buffallo, Buffalo, NY 3The Ohio State University Wexner Medical Center, Columbus, OH 11:25 am - 11:30 am ASPN #2 Macaques Implanted with Regenerative Peripheral Nerve Interfaces (RPNIs) Control Prosthesis Finger Movements Stephen WP Kemp, PhD; Melanie G Urbanchek, PhD; Zachary T Irwin, PhD; Philip Vu, MSE; Shoshana L Woo, MD; Ian C Sando, MD; Jana D Moon, BS; Cynthia A Chestek, PhD; Paul S Cederna, MD University of Michigan, Ann Arbor, MI 11:30 am - 11:40 am Discussion 11:40 am – 11:45 am ASRM #1 Trainee Selection and Correlation with Cognitive and Microsurgical Technical Skills Mark V Schaverien, MD MEd MSc FRCS, MD; Charles E Butler, MD FACS; Jun Liu, PhD; Jesse C Selber, MD Anderson Cancer Center, Houston, TX 11:45 am – 11:50 am ASRM #2 Muscle Graft Volume Implanted in Regenerative Peripheral Nerve Interfaces Influences Electrical Signal Transduction Yaxi Hu, MD; Alixandra L VanBelkum, BA; Ian C Sando, MD; Racquel Sohasky, MD; Jana D Moon, BS; Stephen WP Kemp, PhD; Paul S Cederna, MD; Melanie G Urbanchek, PhD University of Michigan, Ann Arbor, MI 11:50 am - 12:00 pm Discussion
12:00 pm	Adjourn
2:00 pm - 4:00 pm	Hands-On Lab: Checkpoint Surgical (Not for CME) Enhancing Intra-operative Decision Making in Brachial Plexus Exploration and Repair, Nerve Transfers, Targeted Muscle Re-innervation and Complicated Revision Surgery using the Checkpoint Nerve Stimulator/Locator This program will discuss and demonstrate the use of the Checkpoint Nerve Stimulator/Locator in brachial plexus exploration and repair, complex peripheral nerve reconstruction cases, and the latest in nerve transfer indications in spinal cord injury. Additionally, intra-operative nerve assessment and clinical decision-making will be addressed, as well as the application of stimulation for nerve location and mapping in complex exposure cases and targeted muscle re-innervation. Lastly, we will discuss the use of the Checkpoint for prolonged intraoperative stimulation for enhanced nerve regeneration in nerve repair and nerve transfer procedures. Speakers: Scott H. Kozin, MD, Chief of Staff Shriners Hospital Philadelphia Justin Brown, MD, Director of the Neurosurgery Peripheral Nerve Program, University of California San Diego Jason H. Ko, MD, Assistant Professor of Surgery, Plastic and Orthopaedic Surgery, Northwestern Memorial Hospital Jovito Angeles, MD, Assistant Professor of Orthopedic Surgery, University of Chicago Sign Up Here These events are neither supported by nor endorsed by ASPS or AAHS.
7:00 pm - 8:30 pm	ASPN/ASRM Welcome Reception AAHS Annual Meeting registrants may purchase tickets to the ASPN/ASRM Welcome Reception.