PELVIC RECONSTRUCTION

Transcription

1 Mayo Clinic Department of Orthopedic Surgery Graz University Department of Orthopedic Surgery Presents 2nd International Symposium on PELVIC RECONSTRUCTION May 8-10, 2003 Mayo Clinic Rochester, Minnesota Course Directors Dr. Franklin Sim Dr. David Lewallen Dr. Robert Trousdale Dr. Reinhart Windhager

2 General Information COURSE DESCRIPTION This course will include teaching and anatomical demonstrations in three challenging areas of pelvic surgery. Reconstruction of the pelvis and acetabulum presents a complex and challenging area. With the proliferation of revision total hip arthroplasty, management of bone deficiency in the acetabulum is an increasing problem. In recent years there have been improved methods to deal with this difficult situation, depending on the type and extent of bone loss. Another challenging area for the orthopedic surgeon is DDH. As a consequence of improved and earlier diagnosis, patients present to surgeons with borderline dysplastic hip joints with or without osteoarthritic changes in which it is often difficult to determine the proper surgical procedure. Recent developments include innovative pelvic osteotomies to deal with these conditions. However, their infrequent nature does not provide adequate training and education in this area. The third topic to be covered in this symposium will be tumors in the pelvic region which are challenging both from an oncological as well as reconstructive point of view which comprise the most severe problems in reconstructive pelvic surgery. A highlight of the symposium will be a hands-on anatomy workshop. This will give participants the opportunity to work with leading experts in the field during the hands-on workshop on cadaver specimens. COURSE LEARNING OBJECTIVES Evaluate anatomy and mechanics of the pelvis and hip Assess dysplastic conditions of the pelvis and hip Choose treatment rationale and surgical options Demonstrate surgical techniques of various pelvic osteotomies in the laboratory Recognize the advantages and disadvantages of different surgical approaches to the hip Assess the failed total hip and the different options for revision acetabular surgery Manage major acetabular bone defects in revision surgery Demonstrate various revision surgical techniques in the laboratory Appraise evaluation and pathology of tumors of the pelvis Assess various procedures for pelvic reconstruction of the tumor resection Demonstrate resection techniques for pelvic tumors in various regions (I, II, III, IV in laboratory) Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course. INTENDED AUDIENCE This course is designed for orthopedic surgeons with particular interest in pelvic reconstruction. CREDIT This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Mayo Foundation and the University of Graz. Mayo Foundation is accredited by the ACCME to provide continuing medical education for physicians.

3 The Mayo Foundation designates this educational activity for a maximum of 23.5 category 1 credit towards the AMA Physician s Recognition Award. Each physician should claim only those credits that he/she actually spent in the educational activity. POSTERS Participants are invited to submit a poster for presentation. If interested, please send a brief abstract (<250 words) to cordes.channon@mayo.edu or FAX to the attention of Channon Cordes at If your presentation is selected you will receive further information prior to the course. EDUCATIONAL GRANTS This course is supported in part by educational grants from industry, in accordance with ACCME Standards. At the time of this printing, a complete listing of commercial supporters was not available. Appropriate acknowledgment will be given to all supporters in the final program. DATE AND LOCATION The 2nd International Symposium on Reconstructive Surgery of the Pelvis will be held Mayo 8 through May 10, 2003, at the Mayo Clinic, Rochester, Minnesota. Course headquarters will be located in Geffen Auditorium on the subway level of the Gonda Building, Mayo Clinic, 200 First Street Southwest, Rochester Minnesota, and the Anatomy Laboratory on the ninth floor of the Stabile Building, 150 Third Street, Southwest, Rochester, Minnesota. Mayo Clinic is the world s largest private medical center and proud to be hosting the 2nd International Symposium on Reconstructive Surgery of the Pelvis. REGISTRATION To register, complete the attached registration form and return by mail or fax. The registration fee includes tuition, comprehensive course syllabus, continental breakfasts, break refreshments, and welcome reception. Early registration is strongly advised. A letter of confirmation will be sent upon receipt of payment and completed registration form. Please present the confirmation letter when checking in at the meeting registration desk. CANCELLATION POLICY Your registration fee, less a $75 administrative fee, will be refunded when written notification is received by the Mayo Clinic before April 24, No refunds will be made after April 24, TRAVEL Rochester, Minnesota is a friendly city that greets thousands of visitors from around the world each year. The city is serviced by a modern international airport with multiple flights daily from Chicago and Minneapolis via American or Northwest Airlines. Access to and from the airport is provided by taxi cab and shuttle service. The airport is located approximately 10 driving miles from the Mayo Clinic complex.

4 LODGING ACCOMMODATIONS Hotel reservations are the responsibility of the individual registrant. The Radisson Plaza Hotel and the Hilton Garden Inn are extending a special group rate of $99/Radisson and $89/Hilton Garden Inn plus taxes per night for a standard room. Rooms are available on a first-come bases, based upon the group block. Other room types may be available. Please contact either the Radisson Plaza Hotel or the Hilton Garden Inn for rates and availability. Reservations must be made directly with the hotel of choice before April 16, Telephone reservations may also be made by calling The Radisson Plaza Hotel at / or the Hilton Garden Inn at / To ensure accommodations and the discounted rate, please make your reservations by April 16, 2003, and identify yourself as a participant of the International Symposium on Pelvic Reconstruction. SOCIAL PROGRAMS Welcome Reception Thursday, May 8, 7:30 p.m. Attendees and their guest(s) are cordially invited to join the course faculty for the Welcome Reception on Thursday, May 8, 2003 at 7:30 p.m. to be held in the Grand Lobby of the Gonda Building at the Mayo Clinic. This casual reception welcomes you to Rochester, officially opens the course, and offers you the perfect opportunity to make connections with existing and new colleagues. The reception is open to conference attendees and a guest, registration is required. FACULTY Course Directors Franklin H. Sim, M.D.; David G. Lewallen, M.D.; Robert T. Trousdale, M.D. Mayo Faculty Wojciech Pawlina, M.D. Doris Wenger, M.D. Anthony Stans, M.D. Arlen Hanssen, M.D. Mark Pagnano, M.D. Daniel Berry, M.D. Krishnan Unni, M.D. Mary O Connor, M.D. Christopher Beauchamp, M.D. Sean Scully, M.D. Mark Dekutoski, M.D. Michael Rock, M.D. James Knoetgen, M.D. Michael Yaszemski, Ph.D. Guest Faculty Edmund Chao, Ph.D., Johns Hopkins, Baltimore, Maryland Reinhart Windhager, M.D., University of Graz, Austria Reinhold. Ganz, M.D., University of Bern, Switzerland Dennis Wenger M.D., University of California, San Diego, California Wayne Paprosky, M.D., Rush-Presbyterian-St. Lukes, Chicago, Illinois Allan Gross, M.D., University of Toronto, Canada Rainer Kotz, M.D., University of Vienna, Austria FACULTY DISCLOSURE Bruno Fuchs, M.D. Thomas Shives, M.D. Ian Dickey, M.D. David Jacofsky, M.D. Eric Dozois, M.D. As a provider accredited by ACCME, Mayo Foundation must ensure balance, independence, objectivity and scientific rigor in its educational activities. All faculty participating in a Mayo Foundation activity are required to disclose commitments to and/or relationships with pharmaceutical companies, biomedical device manufacturers or distributors, or others whose products or services may be considered to be related to the subject matter of the educational activity. Faculty will also disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of these commitments and/or relationships will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

5 Program Schedule THURSDAY, MAY 8, :30 a.m. Opening Addresses Session I: Anatomy and Biomechanics (7:40 8:30 a.m.) Chair: Dr. Franklin Sim 7:40 a.m. Surgical and Functional Anatomy Dr. Wojciech Pawlina 8:00 a.m. Biomechanics: Computer-Aided Preoperative Planning for Acetabular Osteotomy and Total Hip Arthroplasty Dr. Edmund Chao 8:20 a.m. Discussion Session II: Pelvic Osteotomies (8:30 10:10 a.m.) Moderator: Dr. Robert Trousdale 8:30 a.m. Anatomic Abnormalities and Natural History of Dysplasia Dr. Dennis Wenger 8:45 a.m. Clinical and Radiographic Evaluation of Patients with Dysplasia 9:00 a.m. Overview of Treatment Options/Patient Selection Dr. Anthony Stans 9:10 a.m. Triple Dr. Dennis Wenger 9:25 a.m. PAO Dr. Reinhold Ganz 9:40 a.m. Salvage Dr. Reinhart Windhager 9:55 a.m. Discussion 10:10 a.m. Coffee Break Poster Exhibit Session III: Prevention of Complications/Miscellaneous (10:30 11:30 a.m.) Moderator: Dr. Dennis Wenger 10:30 a.m. Complications in PAO 10:50 a.m. Femoroacetabular Impingement Diagnosis, Treatment, Results Dr. Reinhold Ganz 11:20 a.m. Discussion 11:30 a.m. Lunch Break Poster Exhibit Cadaver Workshop I: Pelvic Osteotomies 1:00 p.m. Triple Osteotomy Dr. Dennis Wenger & Dr. Anthony Stans 1:45 p.m. Hands On Workshop 2:30 p.m. PAO Dr. Reinhold Ganz & Dr. Robert Trousdale 3:15 p.m. Hands On Workshop 4:00 p.m. Chiari Dr. Reinhart Windhager & Dr. Dennis Wenger 4:45 p.m. Hands On Workshop 5:30 p.m. Discussion

6 6:00 p.m. End of Workshop 7:30 p.m. RECEPTION FOR PARTICIPANTS Gonda Lobby FRIDAY, MAY 9, 2003 Session IV: Acetabular Reconstruction During THA: Surgical Approaches (8:00 9:00 a.m.) Chair: Dr. Robert Trousdale 8:00 a.m. Posterior Approach 8:10 a.m. Anterolateral Approach Dr. David Lewallen 8:20 a.m. Transtrochanteric Approaches Dr. Arlen Hanssen 8:30 a.m. Extended Trochanteric Osteotomy and Transfemoral Approaches Dr. Wayne Paprosky 8:40 a.m. Discussion Session V: The Well-Fixed Acetabular Component: Removal Versus Retention (9:00 10:00 a.m.) Chair: Dr. Daniel Berry 9:00 a.m. Removal of the Acetabular Insert Dr. Mark Pagnano 9:10 a.m. Bone Grafting for Osteolysis Around the Well Fixed Shell Dr. Daniel Berry 9:20 a.m. Use of Constrained Acetabular Components for the Unstable Hip Dr. Arlen Hanssen 9:30 a.m. Removal of the Well Fixed Cup 9:40 a.m. Discussion 10:00 a.m. Coffee Break Session VI: Management of Major Acetabular Bone Defects (10:20 11:30 a.m.) Chair: Dr. David Lewallen 10:20 a.m. Classification of Acetabular Bone Deficiencies Dr. Mark Pagnano 10:30 a.m. Preoperative Planning of the Acetabular Reconstruction 10:40 a.m. Use of Ingrowth Hemispherical Cups Dr. Arlen Hanssen 10:50 a.m. Use of Large Segment Structural Bone Grafts Dr. Allan Gross 11:00 a.m. Use of Antiprotrusio Cages Dr. Daniel Berry 11:10 a.m. Use of Porous Tantalum in Acetabular Reconstruction Dr. David Lewallen

7 11:20 a.m. Discussion 11:30 1:00 Lunch Break Cadaver Workshop II: Acetabular Reconstruction During THA: Surgical Approaches (1:00 2:30 p.m.) Moderator: Dr. David Lewallen 1:00 p.m. Posterior Approach and Repair Versus Anterolateral Approach and Repair Dr. Arlen Hanssen 1:30 p.m. Extended Trochanteric Osteotomy and Rewiring Dr. Wayne Paprosky 2:00 p.m. Hands On Workshop The Well Fixed Acetabular Component: Removal versus Retention (2:30 5:00 p.m.) 2:30 p.m. Removal of a Well Fixed Cup 2:50 p.m. Creation and Repair of Cavitary Deficiency Dr. David Lewallen Insertion of Hemispherical Cup 3:10 p.m. Hands On Workshop 3:40 p.m. Creation and Repair of Segmental Deficiency Dr. Allan Gross 4:00 p.m. Insertion of Antiprotrusio Cage Dr. Daniel Berry 4:20 p.m. Hands On Workshop SATURDAY, MAY 10, 2003 Session VII: Pelvic Tumors Histopathology, Surgical Principles Chair: Dr. Thomas Shives 7:30 a.m. Pathology Dr. Krishnan Unni 7:50 a.m. Surgical Planning and Biopsy Dr. Reinhard Windhager 8:10 a.m. Special Imaging Techniques Dr. Doris Wenger 8:30 a.m. Internal Hemipelvectomy I-IV Dr. Franklin Sim 8:50 a.m. Results of treatment: Chondrosarcoma, Ewings, OGS Dr. Mary O Connor 9:10 a.m. Resection of the Sacrum Dr. Franklin Sim 9:30 a.m. Discussion 10:00 a.m. Coffee Break

8 Session VIII: Pelvic Tumors Reconstruction after Pelvic Resection Chair: Dr. Reinhard Windhager (Graz) 10:20 a.m. Biological Reconstruction Dr. Mary O Connor 10:32 a.m. Allograft Dr. Christopher Beauchamp 10:44 a.m. Endoprosthetic Reconstruction Dr. Rainer Kotz 11:56 a.m. Saddle Dr. Sean Scully 11:08 a.m. Spinopelvic Stabilization Dr. Mark Dekutoski 11:20 a.m. Surgical Management of Metastasis Dr. Michael Rock 11:32 a.m. Management of Soft Tissue Defects Dr. James Knoetgen 11:45 a.m. Discussion 12:00 p.m. Lunch Break Cadaver Workshop III: Resection & Reconstruction of Pelvic Tumors, Sacrum (1:30 6:00 p.m.) Moderator: Dr. Franklin Sim Demonstrators: Dr. Wojciech Pawlina Dr. Michael Rock Dr. James Knoetgen Dr. Franklin Sim Dr. Mary O Connor Dr. Reinhard Windhager Dr. Sean Scully Dr. Thomas Shives Dr. Michael Yaszemski Dr. Ian Dickey Dr. Bruno Fuchs Dr. David Jacofsky Dr. Rainer Kotz Dr. Kristy Weber Dr. Mark Dekutoski Dr. Eric Dozois 1:30 p.m. Resection PIII Dr. Mary O Connor and Dr. Franklin Sim 1:50 p.m. Sacral resection ventral part Dr. Michael Yaszemski and Dr. Eric Dozois 2:10 p.m. Hands On Workshop 2:50 p.m. Resection PI & II Dr. Rainer Kotz 3:20 p.m. Hands On Workshop 3:50 p.m. Sacral Resection Dorsal Part Dr. Thomas Shives and Dr. Mark Dekutoski 4:20 p.m. Hands On Workshop 4:50 p.m. Plastic Reconstruction Dr. James Knoetgen 5:20 p.m. Hands On Workshop 6:00 p.m. Adjourn Meeting

9 Registration Form 2nd International Symposium on Pelvic Reconstruction May 8-10, 2003 Mayo Clinic Rochester, Minnesota R2002P258 Mail form and payment to: Telephone: Channon Cordes Fax: Department of Orthopedic Surgery Website: First St SW Rochester, MN (Please print or type all information. You may duplicate this form for multiple registrations.) Name Degree First Name M.I. Last Name MD DO PhD PA NP Other Institution Medical Specialty What is your preferred mailing address? Choose one: Work Home Work Address City State/PV ZIP/PC Country Home Address City State/PV ZIP/PC Country Business Phone ( ) Home Phone ( ) Int l Phone (country code) (city code) (phone) FAX ( ) address Check box if you have special accommodation/dietary needs. If so, please indicate your needs here: WORKSHOPS: Space is limited, please indicate which workshops you would like to attend Cadaver Workshop I: Pelvic Osteotomies Cadaver Workshop II: Acetabular Reconstruction During THA: Surgical Approaches Cadaver Workshop III: Resection and Reconstruction of Pelvic Tumors & Sacrum RECEPTION PRE-REGISTRATION Yes, I will attend. (Complimentary) Yes, I will attend with one guest (Complimentary) No, I will not attend P A Y M E N T Registration Fee: Entire Course with labs $900 $ May 8, 2003, Osteotomy $325 $ May 9, 2003, Acetabulum $325 $ May 10, 2003, Pelvic Tumors $325 $ Total Payment Enclosed: $ Payment Method: [ ] Check Enclosed (make checks payable to Mayo Foundation) [ ] Visa [ ] MasterCard [ ] Discover Card Number Expiration Date Signature Date