2017 Program
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
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8:10 am - 8:30 am |
Basics of U.S. and Common Usages In A Hand Practice
Jay Smith, MD
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8:30 am - 9:00 am |
Common U.S. Procedures Done In Hand Practice
Jeffrey S. Brault, DO
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9:00 am - 9:30 am |
Use of U.S. For Evaluation Of Peripheral Nerves Of The U.E.
Andrea J. Boon, MD
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9:30 am - 10:00 am |
The Top 10 Reasons I use Ultrasound in My Surgical Practice
Brian Jurbala, MD
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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
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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
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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
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1:10 pm - 1:50 pm |
General Principles
Donald H. Lalonde, MD
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1:50 pm - 2:10 pm |
Flexor Tendon Surgery
Jin Bo Tang, MD
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2:10 pm - 2:40 pm |
Flexors, Tendon Transfers, Tenolysis, Extensors, Complex Reconstruction
Donald H. Lalonde
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2:40 pm - 3:00 pm |
Sagittal Band Repair, Intrinsic Transfer, Relative Motion Splinting and WALANT
Wyndell H. Merritt, MD
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3:00 pm - 3:10 pm |
Coffee Break |
3:10 pm - 3:20 pm |
Cubital Tunnel
Jin Bo Tang, MD
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3:20 pm - 3:40 pm |
Carpal Tunnel, Cubital Tunnel, Lacertus (Pronator) Release
Donald H. Lalonde, MD
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3:40 pm - 3:45 pm |
Lacertus
Gilles Candelier, MD
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3:45 pm - 3:55 pm |
Phalanx Fractures
Jin Bo Tang, MD
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3:55 pm - 4:00 pm |
Hand Fractures
Donald H. Lalonde, MD
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4:00 pm - 4:15 pm |
Wrist and Distal Radius Fractures
Gilles Candelier, MD
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4:15 pm - 4:20 pm |
Reconstructive Hand And Wrist Surgery
Gilles Candelier, MD
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4:20 pm - 4:35 pm |
Thumb Basal Joint Arthritis and MP Arthroplasty
Peter C. Amadio, MD
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4:35 pm - 4:45 pm |
Basal Joint Arthritis, Arthroscopy and TFCC
Donald H. Lalonde, MD
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4:45 pm - 5:05 pm |
Dupuytrens and Digit Widget
Warren C. Hammert, MD
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5:05 pm - 5:10 pm |
Amputations PIP Joint Arthroplasty, Skin Cancers
Donald H. Lalonde, MD
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5:10 pm - 5:15 pm |
Dupuytren's, DeQuervain, Trigger Finger
Donald H. Lalonde, MD
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5:15 pm - 5:30 pm |
Personal Tips and Tricks
Peter C. Amadio, MD
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5:30 pm - 6:00 pm |
Discussion and Q&A |
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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.
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102 |
Complications of Wrist Surgery
Chair: Gregory I. Bain, MD
Instructors: Jeffrey Greenberg, MD; Jorge L. Orbay, MD; Aviva Wolff, OTR, CHT, EdD
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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
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104 |
When Reconstructions Fail or Are Unsalvageable: Use of Spare Parts
Chair: Miguel Pirela-Cruz, MD
Instructors: Bogdan Aldes, MD; Amit Gupta, MD
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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.
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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.
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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.
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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.
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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
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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.
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7:45 am - 8:00 am |
2016 Vargas Award Presentation (Not for Credit)
Recipient: Aviva Wolff, OTR, CHT, EdD
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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.
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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
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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.
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11:30 am - 12:15 pm |
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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
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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.
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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.
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5:00 pm - 6:00 pm |
Mentors Reception Invitation Only |
6:30 pm - 8:00 pm |
Welcome Reception in Exhibit Hall |
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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.
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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.
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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.
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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.
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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.
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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.
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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
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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
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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
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7:50 am - 7:55 am |
RSSH President Welcome (Not for Credit)
Alexandru Georgescu, MD, PhD
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7:55 am - 8:00 am |
ASSH President Welcome (Not for Credit)
Ghazi Rayan, MD
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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.
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8:45 am - 9:15 am |
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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.
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9:15 am - 10:00 am |
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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.
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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
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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
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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
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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
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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.
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These events are neither supported by nor endorsed by ASPS or AAHS.
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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.
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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
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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.
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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.
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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
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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.
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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.
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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.
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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 |
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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10:52 am - 11:00 am |
Panel Discussion |
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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10:25 am - 10:30 am |
Panel Discussion
Moderators: Willem Pondaag, MD; Amgad S. Hanna, MD
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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
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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
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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
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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
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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
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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
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10:54 am - 11:00 am |
Panel Discussion |
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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7:00 pm - 10:00 pm |
Annual Meeting Dinner Dance |
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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.
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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.
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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
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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.
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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.
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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.
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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.
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208 |
Lymphatics
Chair: David Chang, MD, FACS
Instructors: Yukio Seki, MD; Joseph Dayan, MD
Update on advances made in surgical treatment of lymphedema.
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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
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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
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9:30 am - 10:00 am |
Coffee Break with Exhibitors |
10:00 am - 11:00 am |
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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.
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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
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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
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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
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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
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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
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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
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11:50 am - 12:00 pm |
Discussion |
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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.
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7:00 pm - 8:30 pm |
ASPN/ASRM Welcome Reception
AAHS Annual Meeting registrants may purchase tickets to the ASPN/ASRM Welcome Reception.
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