Today's News

Friday, March 12, 2004

Specialty Day focuses on orthopaedic subspecialties

By Jeannie Glickson

This year's Specialty Day, the 17th of its kind, will give orthopaedic surgeons the opportunity to focus on education within 13 subspecialty societies. The member organizations of the Council of Musculoskeletal Specialty Societies will put their knowledge and resources to work as they deliver educational lessons and encourage growth during Specialty Day, Saturday, March 13.

AOFAS
Meeting in the Moscone Center, rooms 304, 306 and 308, the American Orthopaedic Foot and Ankle Society (AOFAS) will begin its program at 7 a.m., with an "early bird" symposium on "Maximizing Your Professional Efficiency and Profitability," moderated by Brian G. Donley, MD. After the session, Glen B. Ffeffer, MD, and Stephen F. Conti, MD, will provide a presidential welcome.

Four symposia will be presented throughout the day, including "Orthobiologics-Are they worth it?" with Thomas Einhorn, MD and E. Ruth Chaytor, MD, moderating; "The science and science fiction of cartilage repair" with Carol C. Frey, MD, and Steven K. Newfield, MD, moderating; "Treatment options of distal Achilles tendinopathy," moderated by Jeffrey E. Johnson, MD, and Benedict F. DiGiovanni, MD; and "Masters techniques: Difficult reconstructions," with moderators Robert S. Adelaar, MD, and Michael Castro, MD.

AAOS President James H. Herndon, MD, the AOFAS presidential guest speaker, will discuss "The future of subspecialization in orthopaedics" and answer questions. Following Dr. Herndon's address, G. James Sammarco, MD, will facilitate a de-bate on "The surgical treatment of dislocating peroneal tendons."

In addition, the program will feature sessions on several general topics, including the forefoot, sports, the ankle and the tendon. An AOFAS business meeting will follow the program, from 4:45 to 5 p.m.

AOSSM
Louis C. Almekinders, MD, will deliver opening remarks and announcements at 8 a.m. for the American Orthopaedic Society for Sports Medicine (AOSSM) meeting in the Continental Ballroom of the Moscone Center. The nine scientific sessions that AOSSM has scheduled during the day will feature presentations on the full range of orthopaedic sports medicine topics.

The first three sessions will focus on the knee, particularly on preventing anterior cruciate ligament injuries, treating articular cartilage injuries, and the posterolateral corner. Other sessions will focus on shoulder instability, the ankle/foot/lower extremity, shoulder/rotator cuff, basic science/knee, elbow/tendinopathy, and compliations and adverse reactions.

This year there will also be two Spotlights on Surgical Techniques: one on the surgical management of clavicle injuries for athletes and a second on how to differentiate between turf toe and sesamoid injuries.

A symposium on "Current surgical procedures in and around the knee" will detail indications for concurrent osteotomy and other knee-related reconstructive surgery, as well as the possible complications and technical challenges involved with concurrent knee procedures.

Frank R. Noyes, MD, will deliver the Kennedy Lectureship: "Why is it so hard to do what's right? Lessons in sports medicine body building." The afternoon program will feature a Current Concepts lecture on "Tendinopathy in the lower extremity: Surgical and non-surgical treatment," with Nicola Maffulli, MD, MS, PhD, FRCS, presiding.

ASES
Meeting in Rooms 2005, 2007, 2009 and 2011 in the Moscone Convention Center West, the American Shoulder and Elbow Surgeons (ASES) will begin the day at 7:25 with a welcome from James E. Tibone, MD, immediate past president, and James P. Bradley, MD, 2004 meeting program chair.

The society will feature three symposia, "Instability in the athlete: Anteroir, posterior and MDI," moderated by Jeffrey Abrams, MD; "Complex elbow fractures," moderated by Bernard F. Morrey, MD, and "Arthroscopic rotator cuff repair-Where are we today?" led by Stephen S. Burkhart, MD.

Eight special sessions are included in the full day, with 34 paper presentations. The sessions center on glenohumeral instability; elbow; glenohumeral arthroplasty I; glenohumeral arthroplasty II; arthroscopic rotator cuff repairs; open rotator cuff repairs; general issues; and thermal capsulorrhaphy complications.

Four "how-to video" presenations round out the day: arthroscopic portal placement; exam of the elbow; surgical options for lateral epicondylitis, and tuberosity management in proximal humerus fractures.

ASSH
The American Society for Surgery of the Hand (ASSH) will meet in the Moscone Convention Center West, Rooms 3002, 3004, 3006 and 3008, beginning at 8 a.m. with an introduction and welcome from Roy A. Meals, MD, ASSH president, and an overview from Edward Diao, MD, Specialty Day chair, 2004.

The first session, led by Mark Safran, MD, will target the shoulder and humerus. Following this will be a session on miscellaneous topics such as flexor tendons, Dupuytrens and MCP in rheumatoid patients, moderated by Dr. Diao. The third session will focus on the elbow, with Mark S. Cohen, MD, moderating. Thomas E. Trumble, MD, will moderate a discussion of the distal radius in the fourth session.

Following lunch, the fifth session will focus on miscelleaneous topics such as joint injuries, nerve (cubital tunnel and radial tunnel) and brachial plexus injuries with Scott W. Wolfe, MD, as moderator. The sixth session, led by Dr. Diao, will focus on the thumb. The wrist will be the subject of the seventh and final session of the day, moderated by Michael Bednar, MD.

Seven point/counterpoint prepsen-tations during the day will focus on areas such as radial head fractures, biceps tendon ruptures, total elbow arthroplasty, and scope versus non-scope.

AANA
The Arthroscopy Association of North America (AANA) will begin the day in the Grand Ballrom, Salon B, of the San Francisco Hilton and Towers. Brian Day, MD, president, and Richard K. N. Ryu, MD, educa-tion committee chair, will open the meeting at 7:50 a.m.

AANA will present eight symposia, beginning with the "Instability of the shoulder," moderated by Dr. Ryu. The second will focus on the rotator cuff and subacromial space pathology, moderated by Wesley M. Nottage, MD. The third symposium, moderated by Robert A. Pedowitz, MD, will focus on "Miscellaneous conditions of the shoulder." This will include indications and techniques for arthroscopic pancapsular release for the stiff shoulder and arthroscopic management of glenohumeral arthritis and arthroscopic management of glenohumeral arthritis.

The fourth symposia, "Controversies in shoulder arthroscopy," mod-erated by Alan S. Curtis, MD, will include two "point-counterpoint" discussions: "Are mini-open rotator cuff repair the preferred technique for treating full-thickness rotator cuff tears?" and "Should first-time anterior shoulder dislocators be immediately stabilized?"

The afternoon session will begin with a symposium on "Meniscus surgery," with Julie A. Dodds, MD, presiding. It will be followed by "Articular cartilage," led by Scott E. Powell, MD. A point-counterpoint discussion will take place during the session on whether microfracture for defects of the articular cartilage is a safe and effective treatment alternative. The seventh symposium will target knee ligament injuries and will be moderated by John B. O'Donnell, MD.

The final symposium of the day will center on "Miscellaneous knee conditions," with William R. Beach, MD, moderating. This will include a point-counterpoint discussion of "Arthroscopic debridement of the degenerative knee is a valuable treatment alternative.

Spine Associations
The Federation of Spine Associations will hold its sessions in Rooms 3014, 3016 and 3018 of the Moscone Convention Center West. The Federation includes the American Spinal Injury Association (ASIA), the Cervical Spine Research Society (CSRS), the North American Spine Society (NASS), and the Scoliosis Research Society (SRS).

Program Chair Alexander R. Vac-caro, MD, will deliver a welcome and brief report. The first session of the day, presented by ASIA, will focus on paralytic spinal deformities, preventing late spinal deformity following pediatric spinal cord injury and surgical management of paralytic scoliosis. Dr. Vaccaro and Gregory D. Carlson, MD, will moderate the presentations.

SRS will present the second sec-tion, with moderators Todd J. Albert, MD, and Steve M. Mardjetko, MD. Presentations will cover "Basic science consideration in motion preservation-unconstrained pure moment-six-degree-of-freedom biomechanical testing of instrumentation and wear debris," "SB charite disc replacement," "Background and clinical experience in vertebral body stapling for idiopathic scoliosis," "The pros and cons to saving the L5-S1 motion segment in a long scoliosis fusion construct," "Kaneda Anterior Spinal System and bone-on-bone fusion in restructing the required levels of anterior instrumentation," and "The use of video-assisted thoraco-scopic surgery to reduce morbidity and minimize fusion levels in scoliosis surgery."

In the afternoon session, CSRS will present "Controversies in cervical spine surgery," moderated by Harry N. Herkowitz, MD. "One level anterior cervical discectomy and fusion" will be presented, followed by "Cervical spine fixation following multilevel anterior cervical corpectomy for myelopathy." The program will conclude with a symposium on cervical disc replacement.

NASS will present "Bone grafting technologies: Cells, factors and scaffolds," moderated by Jeffrey C. Wang, MD. There will also be a presentation made by Scott Bruder, MD, on "Cells (bone marrow, spirate, marrow concentration) stem cell theory and practices." J. Kenneth Burkus, MD, will present "Factors (BMPs-rhBMP-2, rhBMP-7, BMP-14) basic science and clinical outcomes." Scott D. Boden, MD, will present "Alternate forms of BMP delivery (gene transfer, gene therapy) and practices."

AAHKS/Hip Society

The Hip Society/American Association of Hip and Knee Surgeons (AAHKS), will meet in the Gateway Ballroom 104 of the Moscone Convention Center at 8 a.m.. The morning will begin with remarks by Charles A. Engh, MD, president of the Hip Society. The daylong program will feature eight symposia.

"Hip fractures: Management options and conventions to total hip arthroplasty," will be moderated by Miguel Cabanela, MD. This will be followed by "The bearing surface in total hip arthroplasty," led by Clive Duncan, MD. During the session, participants will weigh the pros and cons of highly cross-linked polyethylene, ceramic articulation, and metal on metal.

William Harris, MD, will be the presidential guest speaker. His address will be followed by the third symposium: "Dislocation: The number one short-term problem after total hip replacement," with Robert Bourne, MD, presiding. In the fourth symposium, the subject will turn to "Osteonecrosis: What to do and when." Harry Rubash, MD, will moderate the panel.

In the fifth symposium, Joseph McCarthy, MD, will present the Hip Society Award Papers, including the Otto Aufranc, the John Charnley and the Frank Stinchfield awards.

The sixth symposium will focus on "Special issues in the young patient with labral pathology and early osteoarthritis," with Richard Santore, MD, moderating. The next symposium, on "Issues in revision surgery," will be moderated by with Cecil Rorabeck MD. The final AHKS symposium, on "Minimally invasive hip replacement surgery," moderated by James D'Antonio, MD, will focus on the two-incision technique including the learning curve, posterolateral approach and anterolateral approach.

Knee Society/AAHKS
The Knee Society and the AAHKS will hold a program in the Gateway Ballroom 103 of the Moscone Center, beginning at 8 a.m. with a welcome from Cecil H. Rorabec, MD, Knee Society president; Richard S. Laskin, MD, Knee Society educational committee co-chair; Robert L. Barrack, MD, Knee Society education committee co-chair; Clifford W. Colwell, MD, AAHKS president; and Thomas P. Vail, MD, AAHKS education committee chair.

The first symposium will center on "Unicompartmental knee arthroplasty," with moderator John J. Callaghan, MD, presiding. It will be followed by a session on "Minimally invasive knee arthroplasty," with Thomas P. Vail, MD, serving as moderator. A debate will be held during the session on the weighed risks and benefits of bilateral simultaneous knee replacements.

Knee Society awards will be presented during the morning session. Knee Society members only are invited to attend the society's business meeting from 11:50 a.m. to 1 p.m. The presidential address will be delivered after the lunch break by Dr. Rorabeck.

In the afternon, participants will hear a dialogue revolving around the question, "Can polyethylene wear be decreased?" A. Seth Greenwald, DPhil, will serve as moderator. In the final symposium for the Knee Soci-ety, the focus will turn to "New thoughts for old problems: Back to the future?" with Thomas S. Thorn-hill, MD, presiding. Topics will include "Soft tissue local anesthetic injection to reduce pain after total knee replacement: Does it really work?" and "Osteogenic protons in knee arthritis and arthroplasty."

LLRS
The Limb Lengthening and Reconstruction Society: ASAMI-North America will begin the day in the Moscone Convention Center West, Rooms 3009 and 3011, with a welcome from S. Robert Rozbruch, MD, program chair, at 8 a.m.

A Trauma Symposium in the morning, moderated by James Hutson, MD, will cover application of the Ilizarov method to acute trauma, tibial pleateau fractures (Schatzker 5, 6): open reduction/ internal fixation (ORIF) and circular fixation; pilon fractures, ORIF and circular fixation; tibial nonunions, and segmental bone defects. Doreen DiPasquale, MD, will moderate the "Foot and ankle" symposium that follows.

In the afternoon session, John G. Birch, MD, will moderate a presentation of the best papers from LLRS' 2003 annual meeting. These include "Insufficient sarcomereogenesis may contribute to the development of muscle contractures during limb lengthening;" "External fixation during postoperative chemotherapy;" "Biomechanical study of the tension of the fibular nerve and the importance of its compression in lower limb deformity correction;" and "New approaches to congenital shortening."

A pediatric symbosium, led by David Feldman, MD, and William G. Mackenzie, MD, will follow. The-day long program will end with a tumor symposium, led by Joseph Lane, MD.

MSTS
A members-only business meeting begins at 7 a.m. for the Musculoskeletal Tumor Society (MSTS) in the Moscone Convention Center, Rooms 3009 and 3001. The program will begin with opening comments from J. Sybil Biermann, MD, program chair.

Session I will focus on "Novel techniques in the management of bone metastases," with moderator Kristy L. Weber, MD. The second session will be "Top basic science topics to impact on clinical practice in the next five years," R. Lor Randall, MD, presiding.

After lunch, the third session will cover "Collaborative research in orthopaedic oncology: How can you get involved?" Kimberley J. Templeton, MD, will serve as moderator. The fourth session will be an "Ask the experts: 'The details' in orthopaedic oncology." The session will employ the rapid response system to preset as well as audience questions about both preoperative and postoperative management. Dr. Biermann will preside.

ORA
A 7 a.m. meeting and overview will precede the session of the Orthopaedic Rehabilitation Association (ORA) in Moscone Convention Cen-ter West, Rooms 3010 and 3012. At 8 a.m., Program Chair Mary Ann E. Keenan, MD, will welcome participants to the half-day program

The first symposium, beginning at 8:15 a.m., will cover "Heterotopic ossification," and will include discussions on "Understanding the basic science of heterotopic bone formation," and heterotopic ossification in various situations, such as total joint arthroplasty, as a complication of trauma, and in the spinal cord of brain-injured patients. The symposium on "Gait problems," will include sessions on "Gait abnormalities associated with common orthopaedic problems," and "Quantifying the variability of a complex motor task specifically studying the gait of dysnkinetic children with cerebral palsy."

The Jacquelin Perry paper and award presentations will conclude the session at 12:30 p.m.

OTA
Meeting in the Moscone Conven-tion Center, Rooms 303 and 305, the Orthopaedic Trauma Association (OTA) will begin its program at 8 a.m., with a welcome from OTA President Marc F. Swiontowski, MD. The first session will focus on "Upper extremity-Controversial new fracture techniques," with Douglas R. Hanel, MD, moderating. Issues relating to clavicle, scapula, proximal humeral and distal radial fractures will be presented and discussed.

David C. Templeman, MD, will moderate the presentation of OTA's 2003 meeting highlight papers. The Edwin G. Bovill Award will be presented for the best paper of the 2003 annual meeting. The best poster will also be recognized. A members-only business meeting will be held during the lunch break.

In the first afternoon session, Donald A. Wiss, MD, will moderate a program on "Lower extremity -Controversial new fracture techniques." The session will focus on proximal tibial high energy fractures and elderly patients with ankle fractures.

The presidential guest lecturer is Phillip G. Spiegel, MD, former professor and chairman, department of orthopaedics, University of South Florida Medical Center in Tampa. Dr. Spiegel will offer "Perspectives on publish or perish."

Following the lecture, a session on hot trauma issues, moderated by M. Bradford Henley, MD, MVA, will include an update on the status of surgical navigations systems for orthopaedic trauma surgery, tips to op-timize coding for common fractures, and criteria for a surgeon to serve as an expert witness in musculoskeletal trauma patients.

The day's final session will brin an international perspective to the "Evolution of fracture fixation-Has it improved patient outcome?" Tho-mas Ruedi, MD, FACS, will lead the session.

POSNA
The Pediatric Orthopaedic Society of North American (POSNA) will meet in Rooms 3001 and 3002 of the Moscone Center West. The day will begin with opening remarks by Frances A. Farley, MD, chairman; and Charles T. Price, MD, president, at 8 a.m.

The morning session will be broken down into areas of vital concern to orthopaedists who work with children. A session on "Congenital disorders" will be moderated by Vernon T. Tolo, MD. "Neuromuscular disorders" will be moderated by Kenneth J. Noonan, MD. Eric Wall, MD will lead the discussion on "Sports." Mat-thew Bueche, MD, and Joseph A. Gerardi, DO, will close the morning with a discussion on "Pitfalls of pediatric orthopaedics."

In the afternoon session, POSNA will hold a practice management program on nurse practitioners, physician assistants and registered nurse first assistants. A "pro and con" debate will follow regarding a 17-year-old patient with asymptomatic hip dysplasia who was treated with a Ganz osteotomy, with Perry Schoenecker, MD, moderating. A second debate will review the case of a seven-month old baby with developmental dysplasia of the hip and no ossific nuleus treated with immediate closed reduction. Lori Karol, MD, will moderate the debate.

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Last modified 12/March/2004