Friday, February 25, 2005
Special Day puts subspecialties in spotlightBy Susan A. Nowicki, APR
The 18th Annual Specialty Day, will be held on Saturday, February 26. This year's program will give orthopaedic surgeons the opportunity to focus on education within 13 subspecialty areas through programs offered by the member organizations of the Council of Musculoskeletal Specialty Societies (COMSS). Although advance registration is now closed, onsite registration is available beginning at 7:30 a.m. today, Friday, February 25 the Washington, D.C., Convention Center. Specialty Day meetings will be held in several locations within the convention center as well as at the Grand Hyatt Washington Hotel.
CME credits may be earned by those who attend the Specialty Society meetings. Each physician should claim only those credits that he/she actually spent in the activity.
The program includes a mixture of symposia and papers on "What's Current." Surgical technique tips and ample time for interactive discussion will also be provided. An AOFAS business meeting will follow the scientific program, from 4:45 to 4:55 p.m.
The first five sessions will focus on the knee: ACL, knee, articular cartilage, meniscus/articular cartilage - basic research and patellofemoral. Other sessions will focus on rotator cuff, shoulder instability, thrower's shoulder, elbow and miscellaneous topics. This year the program will also feature two "Spotlights on Surgical Techniques" including one on "Single-Versus Two-Bundle ACL Reconstruction," moderated by Bernard R. Bach Jr., MD, and "How I do Arthroscopic Rotator Interval Closure, "with Larry D. Field, MD.
Thomas L. Wickiewicz, MD, will moderate a symposium on osteotomy and William G. Clancy, Jr., MD, will deliver the Kennedy Lectureship.
The program will conclude with a debate on "Treatment for Lateral Epicondylitis," moderated by Louis C. Almekinders, MD. Upon completion of the debate, program participants should be able to evaluate various conservative and operative treatment options for lateral epicondylitis and to understand the evidence for each different treatment modality.
The society will feature 11sessions on a variety of topics, including rotator cuff, moderated by Joseph P. Iannotti, MD, PhD; shoulder fractures, moderated by Steven B. Lippitt, MD; elbow trauma, moderated by Shawn W. O'Driscoll, MD, PhD; glenohumeral instability, moderated by Mark D. Lazarus, MD; basic science, moderated by Louis J. Soslowsky, PhD; shoulder arthritis and arthroplasty, moderated by Tom R. Norris, MD; outcomes, moderated by Robin R. Richards, MD; rotator cuff II, moderated by Robert J. Neviaser, MD; shoulder arthroplasty (Glenoid), moderated by Robert H. Cofield, MD; elbow II, moderated by Neal El Attrache, MD; and general/miscellaneous shoulder, moderated by William N. Levine, MD.
The meeting will be highlighted by presentation of the Neer Award. In addition, six "how-to video" presentations will round out the day: "Suture Passing Techniques in Arthroscopic Rotator Cuff Repair"; "Locking Humeral Plate Fixation for Proximal Humerus Fracture"; "Surgical Exposure for Distal Humerus Fractures"; "Adjunctive Techniques in Arthroscopic Bankart Repair"; "Pectoralis Major Transfer for Subscapularis Deficiency"; and "Elbow Arthroscopy Basics."
The intent is to capture the insights usually available from the experts only at hands on skills courses. Both the general orthopaedic surgeon who carries out occasional hand surgical procedures and the hand specialist is sure to gain insights that will simplify intra-operative challenges by emphasizing tips and pitfalls.
A series of short lectures by faculty well versed in each of the procedures will be presented with emphasis on technique. The most up-to-date procedures will be considered. Pitfalls to avoid will be stressed. Additional presentations will concentrate on why some popular procedures fail. By the conclusion of the day, all participants will have increased their technical knowledge of hand surgical procedures.
The first session, led by Dr. Bednar, will cover a variety of hand topics, including Syndactyly release, polydactyly reconstruction - thumb and fingers, fingertip injuries, phalangeal and metacarpal fractures, flexor tendon lacerations, tendon transfers and tumors. The session will continue with presentations focusing on PIP fracture - dislocation and distal radius fracture; Matthew M. Tomaino, MD, will serve as moderator.
Following lunch, the second session will focus on issues of the wrist and forearm, with Mark S. Cohen, MD, moderating. Topics to be covered include distal radio-ulnar joint, carpal fractures and dislocations as well as scapholunate ligament instability. Immediately following, Alexander Y. Shin, MD, will moderate a discussion on nerve compression.
The third session will focus on the elbow, with Dr. Shin moderating as well.
The program will be presented in eight sections, beginning with a session on "Rotator Cuff," moderated by James C. Esch, MD. It will include a "point-counterpoint" discussion on the premise "Large to Massive Rotator Cuff Tears Should be Managed." The second will focus on "Common Shoulder Challenges, moderated by John S. Rogerson, MD. The third section, moderated by Jeffrey S. Abrams, MD, will focus on "Instability." This session will also feature a "point-counterpoint" discussion: "Unidirectional Anterior Instability in the Contact/Collision Athlete Should be Managed." The fourth session, "Ankle/Elbow," will be moderated by James P. Tasto, MD.
The afternoon program will begin with a session on "Articular Cartilage/Meniscus Repair," with Nicholas A. Sgaglione, MD, presiding. It will be followed by a session on "Arthritis/Patellofemoral Instability," led by Robert E. Hunter, MD, and Jack M. Bert, MD. The seventh session will target "Ligament Instabilities" and will be moderated by Gregory C. Fanelli, MD. It will include two "point-counterpoint" sessions: "Are ACL Injuries Preventable with Training/Sport-Specific Exercise Programs?" and "The Preferred Tibial Fixation for PCL Reconstruction Employs a Transtibial Tunnel Method or a Posterior Inlay Technique."
The final symposium of the day will center on "What's New on the Horizon," with Richard L. Angelo, MD.
The objectives of the meeting are to:
Program Chair J. Kenneth Burkus, MD, will deliver a welcome and brief report beginning at 7:55 a.m. The first session of the day, presented by NASS, will focus on "Adult Scoliosis and Spinal Deformity: Salvaging Surgery That's Failed." Robert F. McLain, MD, will moderate the session. Presentations will cover progressive postoperative curves; salvaging failed hardware; managing pain after failed surgery; thoracic decompensation and lumbosacral degeneration.
ASIA will present the second section, with moderator Alexander R. Vaccaro, MD. Presentations will cover "The Need for Standardization in Fracture Imaging and Description," "A New Classification System for T-L Fractures," "Is There a Role for Minimally Invasive Surgical Treatment for T-L Trauma," "An Update on the Pharmacologic Management of SCI and Regeneration Technologies," and an "Update on Surgical Management Principles for Occipital-Cervical Injuries."
In the afternoon session, the SRS will present "The Immature Spine" moderated by William C. Horton III, MD, and Steven M. Mardjetko, MD. "Pulmonary Function/Spinal Growth"; "Infantile/Juvenile Idiopathic Scoliosis/The Growing Rod Experience"; "Vertical Expandable Titanium Rib Procedure/Experience to Date"; "Management of Congenital Scoliosis in Children Under Ten"; "Management of Neuromuscular Spinal Deformity in Small Children"; and "Scoliosis Associated with the Skeletal Dysplasias" will be presented. The program will conclude with a series of case presentations.
The CSRS will present a program on "Controversies in Cervical Spine Surgery," with Bruce V. Darden II, MD as moderator. Three symposiums will be offered. Topics include "Multilevel Cervical Spondylotic Myelopathy in the Neutral Spine"; and "State of the Art Emerging Technologies."
The first session, moderated by Dr. White, will focus on "Minimal Incision Surgery: Technique and Pitfalls." This will be followed by "Non-Arthroplasty Options for the Young Patient: Indications and Techniques," led by Miguel Cabanela, MD.
Henrik Malchau, MD, will be the presidential guest speaker. His address will examine "The Impact of a National Registry." The third symposium, "Arthroplasty Options for the Young Patient: Indications, Pros and Cons," moderated by William Harris, MD, will follow. The fourth symposium will examine "Perioperative Management in THA," with Mary I. O'Connor, MD, presiding.
The fifth symposium, moderated by Clive Duncan, MD, will focus on "Revision Techniques and Indications, Videos." The sixth symposium, "Current Controversies in THA," will be moderated by Robert Barrack, MD.
The first symposium will center on "Non-Arthroplasty Options in Medial OA," with moderator Arlen D. Hanssen, MD, presiding. It will be followed by sessions on "Uni-Compartmental Knees," with Richard Dr. Scott, MD, serving as moderator, and on "Computer Assisted Surgery," moderated by Daniel J. Berry, MD.
The presidential address will be delivered after the third symposium by Dr. Ritter. Knee Society Awards will be presented immediately afterwards and will include the 2005 Mark Coventry Award, the 2005 Chitranjan Ranawat Award and the 2005 John Insall Award. Following will be two scientific paper presentations on "WBC Gene Expression: A Novel Approach Toward the Diagnosis of Infection in Total Knee Arthroplasty" and "In Vivo Knee Forces after Total Knee Arthroplasty."
Knee Society members only are invited to attend the society's business meeting during lunch from 12:13 a.m. to 1:13 p.m.
In the afternoon, participants will hear a selection of scientific paper presentations on surgical pearls, customizing a TKA, balancing the valgus knee and revision knee balancing. They will be followed by four symposia. Topics include "Patellofemoral Joint," with Mary I. O'Connor, MD, moderating, and "Polyethylene," led by Michael D. Ries, MD. In the final symposium, the focus will turn to "Small Incision Total Knee Replacements" with Thomas S. Thornhill, MD, presiding.
A pediatrics symposium, moderated by David S. Feldman, MD, will cover fibula hemimella, limb deficiency, radial club hand, spinal distraction, internal lengthening nail for congenital anomalies, complex pediatric foot deformity and soft tissue contractures about the knee. Reggie C. Handy, MD, will moderate the "Bone Graft Substitutes and Bone Growth Stimulation" symposium that follows.
In the afternoon session, S. Robert Rozbruch, MD, will moderate a symposium on the foot and ankle that will cover pilton fractures, ankle/foot contractures, ankle distraction, complex foot deformity correction with osteotomy, new foot and ankle TSF applications and management of Charcot deformity.
The program will include five sessions. Session I will provide an update on "Evolving Techniques in the Management of Benign Bone Tumors," moderated by John P. Heiner, MD. The second session will provide a debate on "All Soft-Tissue Masses Need to be Biopsied Prior to Excision." James O. Johnston, MD, will serve as moderator; Allbert Aboulafia, MD will argue the pro position; Mary I. O'Connor, MD, will speak to the con position. Session III follows with another debate on "The Optimal Method of Reconstruction for Tumors of the Proximal Tibia? Resolved: An Allograft-Prosthetic Composite is the Preferred Reconstruction Over a Prosthesis for the Proximal Tibia." Brian McGrath, MD, will serve as moderator. Mark T. Scarborough, MD, will argue the pro side, while Jeffrey J. Eckardt, MD, will argue the con position.
In the afternoon, the fourth session will cover "The Detias" in Orthopaedic Oncology-Video Technique Presentations." Robert S. Bell, MD, will serve as moderator. The fifth and final session will address "Research: Grant Writing and Fund Procurement for Research in Orthopaedic Oncology." Michael D. Neel, MD, will serve as moderator.
A 7 a.m. business meeting, with Orthopaedic Rehabilitation Association (ORA) President Douglas G. Smith, MD, presiding, will precede the ORA's scientific session in Room 142A of the Washington Convention Center. Scientific sessions begin at 8 a.m.
The program will begin presentation of the Jacqueline Perry Award Paper and presentation of the Jacqueline Perry Award. A selection of free papers will follow. At 9:00 a.m. on "The Independent Medical Evaluation and Other Issues in Evaluative Medicine" will be presented. Gay R. Anderson, MD, will serve as moderator.
Following lunch, a panel on "Objectivity vs. Subjectivity in Claims of Spine Related 'Disability'" will be offered; Robert H. Haralson III, MD, MBA, AAOS executive director of medical affairs, will speak. Immediately following will be a presentation on "The Socio-Economics of the Claimant-Physician Interaction" by Raymond E. Bellamy, MD.
The final presentation will focus on "Psychological and Behavioral Considerations on the Interface Between Subjective Complaints and Objective Clinical Findings" by Gay R. Anderson, MD.
The first scientific session will be "Tricks and Trends in the Treatment of Ankle Fractures" with Paul Tornetta III, MD, moderating. Issues relating to the isolated SE fibular fracture, medial malleolus, posterior mallelous and syndesmotic fixation will be presented and discussed.
David C. Templeman, MD, will moderate the presentation of OTA's 2004 Meeting Highlight Papers. The Edwin G. Bovill Award will be presented for the best paper and best poster of the 2004 annual meeting. A members-only business meeting will be held during the lunch break; new members will also be introduced.
In the first afternoon session, James A. Goulet, MD, will moderate a program on "Non-Operative versus Operative Treatment of Common Fractures." The session will focus on humeral shaft, tibial shaft and tibial plateau.
The presidential guest lecturer will be a high profile federal government leader to be announced. The topic will be "Medical Liability: We Can Make a Difference!" Following the lecture, a session on the management of femur fractures, moderated by Ross K. Leighton, MD, will be offered. "Practice-Based Improvements" will be moderated by George J. Haidukewych, MD. The day's final session will cover "Introchanteric Hip Fractures." Andrew H. Schmidt, MD, will moderate.
Growth is the main factor that differentiates pediatric from adult orthopaedics. With that in mind, this year's POSNA Specialty Day program will have a morning symposium entitled "The Growth Plate and its Disorders: Basic Science and Clinical Application - A Tribute to Mercer Rang," which will be moderated by R. Tracey Ballock, MD. It will feature presentations by research leaders who will provide updates on advances in the understanding of basic science of growth plate function, especially the clinical applications of this knowledge. The symposium will be a tribute to Dr. Rang's contributions, as his never ending curiosity and interest in translational basic science studies are remembered.
The morning will conclude with a practice management session on setting up and running a busy pediatric fracture clinic. The focus will be on maximizing efficiency and quality care by careful planning, allocation of resources and utilization of technology. John Smith, MD, will moderate.
The afternoon program will be divided into three sections: innovative surgical techniques, an update on benign bone neoplasms and two discussions in the popular POSNA debate series. The first debate will discuss the "Best Treatment for a 13 year-old Male with Femoral Shaft Fracture." The second will discuss "The Best Treatment for 12 year-old Female with Stiff 85 Degree Right Thoracic Idiopathic Scoliosis."