AO SEC Course on Nonoperative Fracture Treatment. June 17 19, 2010 University Teaching Hospital, Lusaka/Zambia

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1 AO SEC Course on Nonoperative Fracture Treatment June 17 19, 2010 University Teaching Hospital, Lusaka/Zambia

2 2 AO Foundation Socio Economic Committee AO Foundation Socio Economic Committee 3 A word of welcome Mission statement of AO Education Welcome to the AO SEC Course on Nonoperative Fracture Treatment in Lusaka. The Socio Economic Committee (SEC) represents the social conscience of the AO Foundation (AOF), an international, not-for-profi t, surgeon-driven organization. Its primary goal is to improve the care for the injured and maimed by conducting and facilitating appropriate teaching and teaching events. Our mission is to continuously set standards in postgraduate medical education and to foster the sharing of medically guided expertise in a worldwide network of healthcare professionals to improve patient care in trauma or disorders of the musculoskeletal system. In economically less developed countries courses on and programs involving nonoperative fracture treatment deliver essential knowledge and skills to manage fractures correctly even in situations with limited facilities. This course can be offered to you thanks to the excellent and constructive support we have received from the national organizing committee. Together we have designed an AO SEC course suited to your country s individual requirements. We would like to thank all those faculty members who dedicate a lot of time away from their hospitals and homes to come and teach on AO SEC courses to improve patient care. We hope that your expectations for this course will be more than met and that every one of you will return home enriched with new knowledge and skills to help us meet our ultimate goal improving patient care. Paul J Demmer Chairman of the SEC Member of the Board of Trustees - Africa

3 4 AO Foundation Socio Economic Committee AO Foundation Socio Economic Committee 5 Course objectives Course faculty This course is an instructional course with the objective to provide doctors and other members of the Health Care Team with a guideline for basic nonoperative treatment of common fractures and to enable them to recognize those fractures that need operative treatment in a specialist unit. Structure of the course Presentations Practical exercises Group discussions Content This course will address: Fracture healing Fracture classification Treatment of shaft fractures Treatment of articular fractures Hands-on exercises Learning outcomes By the end of the course participants will be able to: Describe and classify common fractures Describe the basic principles for of fracture treatment Prepare and use the non-operative methods of fracture treatment Anticipate potential pitfalls and complications in fracture care Identify fractures that would better be treated operatively Plan appropriate care for patients on non-operative fracture treatment Formulate systems for maintaining safe standards of practice The faculty of this course is composed of International course director Paul J Demmer Local course chairman J Munthali National faculty F Chibeza M Chowa G Lastroni S Lungu E Makasa M Mbelenga C Moyo H Mugala O Ngwata D Sakala C Shumba E Simwanza B Sonkwe

4 6 AO Foundation Socio Economic Committee AO Foundation Socio Economic Committee 7 Course organization Course information Socio Economic Committee sec@aofoundation.org Contact address Dr James Munthali Orthopaedic & Trauma Surgeon University of Zambia School of Medicine Box Lusaka ZAMBIA Mobile: jcmunthali@yahoo.com Course venue University Teaching Hospital, Lusaka /Zambia Security It is compulsory to wear your badge during the course for lectures and workshops. Portable telephones Please note that it is not permitted to use portable telephones in lecture hall and in workshop room. Insurance Participants are not insured by the course organizers against accidents or other risks. Personal belongings left in the hotel are the responsibility of the individual participant. Dress code Casual Course language English

5 8 AO Foundation Socio Economic Committee AO Foundation Socio Economic Committee 9 Thursday, June 17, 2010 Thursday, June 17, :00 Introduction/organization J Munthali 09:10 Objectives of the course J Munthali Fracture basics 09:15 Description of fractures B Sonkwe (Universal AO Classification of long bones) 09:35 Reading an X-Ray (examples to show principles) All / H Mugala / S Lungu 09:55 Fracture healing E Makasa 10:05 Complications of a fracture J Munthali 15:30 Practical exercise IV Application of the above elbow POP 16:00 END OF DAY H Mugala / G Lastroni 10:25 TEA BREAK 10:40 Open fractures S Lungu / G Lastroni 11:00 Basic rules of fracture treatment E Simwanza 11:15 Nonoperative fracture treatment methods M Chowa 11:35 Paediatric fractures G Lastroni 11:40 What have we learned so far? M Chowa Fractures of the four long bones 11:45 Long bone fracture treatment principles C Moyo 11:55 Fractures of the shaft of the humerus C Shumba 12:05 Fractures of the shafts of the radius and ulna H Mugala / D Sakala 12:20 Fractures of the shafts of the tibia and fibula S Lungu 12:40 Fractures of the shaft of the femur C Moyo 13:00 LUNCH 14:00 Practical exercise I Equipment check: POP and traction devices (6 or 8 participants per station) 14:15 Practical exercise II Application of the U-slab 1500 Practical exercise III Application of the Humerus splint J Munthali C Shumba C Moyo 15:15 TEA BREAK

6 10 AO Foundation Socio Economic Committee AO Foundation Socio Economic Committee 11 Friday, June 18, 2010 Friday, June 18, 2010 Injuries around the upper extremity & joints 09:00 Injuries around the shoulder joint J Munthali 1. Dislocation of the sterno-clavicular joint 2. Fractures of the clavicle 3. Dislocation of the acromio-clavicular joint 4. Fractures of the scapula 5. Dislocation of the shoulder 6. Fractures of the upper end of the humerus 10:00 Injuries around the elbow joint E Simwanza 1. Supracondylar fractures of the humerus 2. Fractures of the lateral condyle of the humerus 3. Fractures of the medial epicondyle of the humerus 4. Dislocation of the elbow joint 5. Fractures of the head of the radius 6. Fractures of the olecranon 10:45 TEA BREAK 11:00 Injuries around the wrist joint E Makasa 1. Fractures at the distal end of the radius 2. Fractures of the scaphoid 3. Dislocation of the lunate 11:45 Fractures of the metacarpals and fingers M Chowa 1. Fractures of the metacarpals 2. Bennett s fracture 3. Phalangeal fractures and dislocations 12:45 Management of the injured hand and correct immobilization M Chowa 13:00 LUNCH 14:00 Practical exercise V Collar and cuff 14:10 Practical exercise VI Reduction of shoulder dislocation 14:25 Practical exercise VII Reduction technique for supra-condylar fractures 14:40 Practical exercise VIII Reduction technique for elbow dislocation 14:50 TEA BRAKE 15:05 Practical exercise IX Reduction Techniques for the distal end of the radius and application of a below elbow POP 15:35 Practical exercise X Application of a thumb spica 15:55 Practical exercise XI Burkhalter POP 16:30 END OF DAY H Mugala J Munthali E Simwanza C Moyo H Mugala M Chowa M Chowa

7 12 AO Foundation Socio Economic Committee AO Foundation Socio Economic Committee 13 Saturday, June 19, 2010 Saturday, June 19, 2010 Injuries around the lower extremity & joints 09:00 Injuries and fractures around the hip joint B Sonkwe 1. Dislocation of the hip joint 2. Fractures of the neck of the femur 3. Slipped Epiphysis of the femoral head 4. Intertrochanteric fractures 10:00 Injuries around the knee joint E Makasa 1. Fractures of one or both femoral condyles 2. Fractures of the patella 3. Fractures of the tibial spine 4. Fractures of one or both tibial condyles 5. Dislocation of the knee joint 10:45 TEA BREAK 11:00 Injuries around the ankle joint M Mbelenga 1. Surgical anatomy of the ankle joint 2. Sprains of the ankle joint 3. Fractures of the ankle joint 12:15 Fractures of the pelvis J Munthali 12:30 Management of fractures of the spine and spinal injuries C Shumba 13:00 LUNCH 14:00 Practical exercise XII Reduction technique of hip dislocation (demo) 14:15 Practical exercise XIII Application of skin traction for femur fractures 14:45 Practical exercise XIV Application of a cervical collar for C-spine injury + log roll 15:00 TEA BREAK 15:15 Practical exercise XV and demo on reduction of a dislocated knee 15:25 Practical exercise XVI Technique of application of skeletal traction (demo) 15:35 Practical exercise XVII Application of below knee POP for different types of ankle fractures B Sonkwe M Chowa C Shumba E Makasa C Moyo M Mbelenga 16:05 Summary of the course and Faculty handing out of the certificates END OF COURSE 11:45 Injuries and fractures of the foot M Chowa 1. Fractures of the calcaneum 2. Fractures and dislocations of the talus 3. Fracture dislocations of the mid-tarsal and tarso-metatarsal joint 4. Fractures of the metatarsals 5. Fractures and dislocation of the toes

8 14 AO Foundation Socio Economic Committee AO Foundation Socio Economic Committee 15

9 AO Foundation Socio Economic Committee (SEC) Clavadelerstrasse Davos Switzerland Phone: Fax:

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