AOTrauma Masters Course Current Concepts Tips from the Masters

Transcription

1 Event program AOTrauma Masters Course Current Concepts Tips from the Masters Difficult Cases through the Eyes of Master Surgeons December 2 7, 2018 Davos, Switzerland Lecture hall: Sanada 1 Home to Trauma & Orthopedics

2 AOTrauma Masters Course Current Concepts Tips from the Masters Floor plan C Pr om W C en W W C ad e Office 32 el Landwasser Breakout sessions Group discussions Groups 1 to 25 Lift Lift Lift Le v Foyer C2 Office 31 Aspen 1 Aspen 2 Parsenn Foyer B3 Chamonix Lift Lift KNGW KNGW Lift M Gr ia le ts ez ch za nin e flo o r KNGW WC WC Lift Pischa Schacht Aussenluft Strela Rinerhorn Foyer B2 27 W W C C Lift Jakobshorn el Ku r W C pa rk W C nbb W C 3 Lift Lift W C Le v Forum Foyer C1 20 Faculty/Participants and Information desk Lift AO World Cloakroom Passage Main entrance Dischma Flüela Sertig Lecture hall Schwarzhorn Sanada 1 Seehorn Wisshorn Sanada 2 Faculty Support Center Faculty Lounge Altein ce tran n en Mai Ducan Foyer B cm 38 Gitterrost Fortluft ca / Zivilschutz x nport Medie W W C C REI60 TA KNGW R6 LUFTRAUM ODER SCHACHT? ANGABEN WEICHEN IN GRUNDLAGEN VONEINANDER AB! Lift KNGW e Industry exhibition 50 Studio REI6 Le v Davos 0 el Ta ls tra ss Coffee break Lift KNGW KNGW Satelitt 30 REI60 UK REI60 se tras Tals Passage REI 2

3 AOTrauma Masters Course Current Concepts Tips from the Masters 3 The AO Foundation's flagship educational event, the Davos Courses, offer surgeons at all stages of their career outstanding educational and networking opportunities. Experience this pioneering spirit of peer-to-peer collaboration and skills that will help advance your career. This year the AO Foundation celebrates it's 60th anniversary and there will be several special events during the Davos Courses 2018 to mark 60 years of transforming surgery and changing lives. Content 2 Floor plan 4 Mission Purpose statement 4 The AO principles of fracture management 5 Welcome 6 Course structure 6 Goal of the course 6 Target participants 6 Learning objectives 6 Course description 7 Chairpersons Faculty 8 Self-directed learning modules Learning objectives 9 Self-directed learning modules Chairpersons and faculty 14 Sunday, December 2, Monday, December 3, Tuesday, December 4, Wednesday, December 5, Thursday, December 6, Friday, December 7, Event organization 28 Event venue and opening times 29 Exhibitions Sponsors 30 Business center Wireless network 31 Event information 32 AO Foundation Principles of AO Educational Events 33 AO Research Institute Davos (ARI) 34 Upcoming AO Courses Davos 2019

4 4 AOTrauma Masters Course Current Concepts Tips from the Masters Mission The AO's mission is promoting excellence in patient care and outcomes in trauma and musculoskeletal disorders. Purpose statement AOTrauma is committed to improve patient care outcomes through the highest quality education. We strive to combine the right knowledge and surgical skills that empower the orthopedic and trauma surgeons to put theory into practice and to improve fracture management for the benefi t of the patient. The AO principles of fracture management Fracture reduction and fixation to restore anatomical relationships. 1 2 Fracture fixation providing absolute or relative stability, as required by the personality of the fracture, the patient, and the injury. Early and safe mobilization and rehabilitation of the injured part and the patient as a whole. 4 3 Preservation of the blood supply to soft-tissues and bone by gentle reduction techniques and careful handling.

5 AOTrauma Masters Course Current Concepts Tips from the Masters 5 Welcome Dear AOTrauma course participant Welcome to AOTrauma s Davos Courses We provide a wide range of relevant courses designed to meet your specific professional needs. We are confident that you will find your course and the networking experiences professionally rewarding. With a global reputation for innovation, leadership, and excellence in continuing medical education (CME), AOTrauma and the AO Education Institute are transforming education by expanding the educational activities available to you. CME is not just about face-to-face courses. Our educational offerings address the specific clinical problems that you encounter every day. Visit our website ( to see the latest educational activities. At the Davos Courses AOTrauma offers you a chance to actively engage in your course and the opportunity to: interact with over 300 international faculty expand your professional network by building contacts and new relationships with colleagues that include faculty and participants from over 80 countries meet with staff and surgeons from the AO Foundation s clinical divisions, institutes, and initiatives visit exhibits in the AO World and our headquarters on the Insight into the AO Center Davos tour, giving you an overview of the AO s ongoing activities and resources available to support you in your clinical work experience the AO spirit of collegiality and camaraderie that is felt by participants and faculty alike Your current level of knowledge, attitudes, and skills will be challenged throughout the week. The best-in-class curriculum and faculty will provide you a memorable learning experience that will remain with you for a lifetime. If you enjoy the experience during this week and would like to stay in touch, we invite you to become a member of AOTrauma. Medical doctors (and DO s) who have completed AOTrauma Basic Principles Course are eligible for membership, contact us to find out more. Yours sincerely, Wa'el Taha Chairperson AOTrauma Education Commission Kodi Kojima Chairperson AOTrauma International Board PS: Your experiences with us, over the next few days, will result in the realization of new and meaningful knowledge, skills, and understanding that we hope will translate into improved patient care.

6 6 AOTrauma Masters Course Current Concepts Tips from the Masters Course structure This 5-day, Masters-level course comprises three 1-day modules. Participants also select two modules from a wide choice of 1-day self-directed learning modules. Goal of the course The course will demonstrate how senior AO surgeons collect data, organize and use evidence-based medicine to plan, and operationalize a very tough clinical trauma case. This will be shown in multiple ways in different anatomical scenarios so participants can learn how to plan and organize their next difficult trauma case. Target participants Surgeons who are experienced in the care of the trauma patient, but who wish to have an in-depth look at many very difficult clinical problems. Participants will want to look over the shoulder of the senior AO surgeon as they solve the toughest trauma cases. Learning objectives Upon completion of this course participants will be better able to: Apply evidence-based medicine to decision making in difficult and complex trauma cases Apply biomechanical principles to decision making in difficult and complex trauma cases Develop and implement a preoperative plan for all stages of difficult trauma cases Implement operative treatment decisions with planned clinical outcomes Recognize and manage unusual and rare clinical problems Identify performance gaps in practice and implement strategies to fill these gaps Course description This course is delivered as three to four case-based modules per day, thereby covering 10 difficult trauma fractures and injuries in depth over 3 days. Each module is delivered by one very experienced AOTrauma faculty member who will present a challenging trauma scenario that requires in-depth investigation, planning, operative intervention, and rehabilitation. Participants work through every step of the case along with the faculty member, and the faculty member then presents their plan, outcomes, best available evidence, and their philosophy on the management of the problem. During each module, participants will form small groups of three to make a preoperative plan one or more groups will be invited to present their plan and there will be awards for the best plans throughout the course.

7 AOTrauma Masters Course Current Concepts Tips from the Masters 7 Overall Chairperson Chairperson Co-Chairperson Friedrich Baumgaertel Private Practice Koblenz, Germany Michael Miranda Hartford Hospital Hartford, USA Christoph Sommer Kantonsspital Graubünden Chur, Switzerland International Faculty Richard Buckley Foothill Medical Center, University of Calgary Calgary Canada Peter Cole Regions Hospital St. Paul USA Kodi Kojima University of Sao Paulo Sao Paulo Brazil Cong Feng Luo Shanghai Sixth People's Hospital Shanghai China Muhammad Wajid Shalamar Medical & Dental College Lahore Pakistan Regional Faculty Simon Lambert University College London London United Kingdom Hospital NHS Foundation Trust National Faculty Olivier Borens Centre hospitalier univ. Vaudois (CHUV) Lausanne Switzerland Marius Keel Clinic Hirslanden Zürich Switzerland

8 8 AOTrauma Masters Course Current Concepts Tips from the Masters Self-directed learning modules Learning objectives Fracture-Related Infection Upon completion of this module participants will be able to: Describe what the surgeon can do to help prevent acute infection Perform an appropriate diagnostic workup for postoperative fracture-related infection Describe strategies for the treatment of acute postsurgical fracture-related infection Describe the technique for reconstruction of the infected nonunion Recognize the extent of debridement that is required to successfully treat fracture-related infection Outline techniques used in the debridement of bone and soft-tissue Describe techniques to manage bone defects after debridement Nonunion Upon completion of this module participants will be able to: Classify and diagnose the different types of nonunion Analyze the causative factors of failed fracture healing Formulate a treatment plan for each type of nonunion Explain the treatment strategies for nonunion complicated with infection and critical bone loss Malunion Upon completion of this module participants will be able to: Perform x-ray evaluation and deformity analysis Use a preoperative template to measure and plan correction of malunion Analyze and plan to correct complex long-bone deformities Pelvic Injuries Acute and Definitive Care Upon completion of this module participants will be able to: Demonstrate and understand adequate management of life-threatening pelvic injuries Apply the correct surgical approach, reduction technique, and osteosynthesis to the pelvic ring Apply specific management of pelvic injuries related to age, trauma energy, and bone quality Recognize the ongoing controversies in acute and definitive treatment of pelvic injuries Acetabulum the Fracture and the Approach Upon completion of this module participants will be able to: Describe and understand applied anatomy and imaging to define the different fracture patterns Apply and define the correct approach, reduction technique, and osteosynthesis to the acetabulum Apply specific fracture management related to age, trauma energy, and bone quality Recognize controversies in modern acetabular fracture surgery Polytrauma Upon completion of this module participants will be able to: Define and recognize a polytrauma patient from the clinical presentation Understand changes in blood work that occur with polytrauma patients and how a clinician should react Identify key clinical parameters that will direct surgical management and timing of care for polytrauma patients Use up-to-date principles to manage a polytrauma patient based upon their clinical reaction to resuscitation Recognize that polytrauma is a disease that will affect a patient and their family for a lifetime Soft-Tissue Coverage for the Nonmicrovascular Surgeon Upon completion of this module participants will be able to: Apply knowledge of soft-tissue anatomy to patients with open fractures Select and perform appropriate simple flaps for soft-tissue injuries Limb Salvage and Amputation Upon completion of this module participants will be able to: Identify key issues in decision-making between limb salvage versus amputation Identify and select the treatment options for bone defects

9 AOTrauma Masters Course Current Concepts Tips from the Masters 9 Chairperson Co-Chairperson Fracture-Related Infection Chang-Wug Oh Kyungpook National University Hospital Daegu, South Korea Michael Sirkin New Jersey Medical School Newark, USA International Faculty Matheus Azi Manoel Victorino Hospital Salvador Brazil Frankie Leung Queen Mary Hospital Pok Fu Lam Hong Kong Sohail Muzammil Combined Military Hospital Multan Cantt Pakistan Stephen Sims Carolinas Medical Center Charlotte USA David Stephen Sunnybrook HSC Toronto Canada Regional Faculty Iain McFadyen University Hospital of North Midlands Stoke-on-Trent United Kingdom National Faculty Olivier Borens Centre hospitalier univ. Vaudois (CHUV) Lausanne Switzerland

10 10 AOTrauma Masters Course Current Concepts Tips from the Masters Chairperson Co-Chairperson Nonunion Malunion Jong Keon Oh Korea University Guro Hospital Seoul, South Korea Jonathan Monk Ashford & St Peter's Hospital Surrey, United Kingdom International Faculty Timothy Achor University of Texas at Houston Houston USA William Belangero UNICAMP Campinas Brazil Mark Lee University of California, Davis Sacramento USA Ki-Chul Park Hanyang University Guri Hospital Guri South Korea Fouad Sadek Pelvic and Hip Clinic Cairo Egypt Regional Faculty David Elliott St Peters Hospital Chertsey United Kingdom Steven Velkes Rabin Medical Center Petah Tikva Israel National Faculty Martin Stoddart AO Research Institute Davos Switzerland Guest Lecturer Sean Nork Harborview Medical Center Seattle USA

11 AOTrauma Masters Course Current Concepts Tips from the Masters 11 Chairperson Co-Chairperson Pelvic Injuries Acute and Definitive Care Acetabulum the Fracture and the Approach Matej Cimerman University Clinical Centre Ljubljana Ljubljana, Slovenia Jorge Barla Hospital Italiano de Buenos Aires Buenos Aires, Argentina International Faculty Abdullah Alzahrani King Abdulaziz Medical City Riyadh Saudi Arabia Zsolt Balogh John Hunter Hospital Newcastle Australia Keith Mayo Wyss Hip and Pelvis Center Seattle USA Adrien RoaZoppi Policlínica Metropolitana Caracas Venezuela Regional Faculty Axel Gänsslen Klinikum der Stadt Wolfsburg Wolfsburg Germany Jérôme Tonetti CHU Grenoble Alpes Grenoble France National Faculty Marius Keel Clinic Hirslanden Zürich Switzerland Guest Lecturer Pol Maria Rommens University Medical Center Mainz Germany Johannes Gutenberg University

12 12 AOTrauma Masters Course Current Concepts Tips from the Masters Chairperson Polytrauma Richard Buckley Foothill Medical Center, University of Calgary Calgary, Canada International Faculty Osama Farouk Assiut University Hospitals Assiut Egypt Claudia Medina IPS Universitaria Clínica León XIII Medellín Colombia Yu-Ping Su Taipei Veterans General Hospital Taipei City Taiwan Regional Faculty Peter Panagiotis Giannoudis Leeds General Infi rmary University Hospital Leeds United Kingdom John McMaster John Radcliffe Hospital Oxford United Kingdom Klaus-Dieter Schaser Universitätsklinikum Carl Gustav Carus Dresden Germany Inger Schipper Leiden University Medical Center Leiden Netherlands

13 AOTrauma Masters Course Current Concepts Tips from the Masters 13 Chairperson Co-Chairperson Soft-Tissue Coverage for the Nonmicrovascular Surgeon Limb Salvage and Amputation Juan Concha Sandoval Universidad del Cauca Popayan, Colombia Waleed Abdulwahid Alsaadan Medical City Teaching Complex Baghdad, Iraq International Faculty Khalid Alawadi Rashid Hospital Dubai United Arab Emirates Jay Bridgeman Missouri Orthopedic Institute Columbia USA Vincenzo Giordano Hospital Municipal Miguel Couto Rio de Janeiro Brazil Christiano Saliba Uliana Hospital do Trabalhador Curitiba Brazil Yuan-Kun Tu E-DA Hospital Kaohsiung Taiwan David Volgas University of Missouri Columbia USA Regional Faculty Eladio Saura-Sanchez University Hospital of Elche Elche Spain Guest Lecturer Chang-Wug Oh Kyungpook National University Hospital Daegu South Korea

14 14 AOTrauma Masters Course Current Concepts Tips from the Masters Sunday, December 2, 2018 TIME AGENDA ITEM 15:00 Opening of the Congress Center 15:00 17:00 Registration of participants 17:00 18:00 Opening ceremony 18:00 19:00 FOUNDERS RECEPTION Monday, December 3, 2018 LOCATION Sanada 1 08:00 08:10 Introduction to the course: Goals, objectives, faculty, plan for the course and evaluation M Miranda, C Sommer Module 1 Malunion Moderator: M Miranda 08:10 08:20 What is the case? What do we know about this clinical problem? 08:20 08:40 Preoperative findings (ie. initial x-rays, videos, etc) 08:40 09:00 Small groups: Develop a preoperative plan One group presents their plan 09:00 09:20 Preoperative plan of Master 09:20 09:40 Implementation of the plan and long-term result 09:40 09:55 Discussion, questions, and conclusions of best practice Best participant group preoperative plan 09:55 10:10 COFFEE BREAK Module 2 Pilon Moderator: C Sommer 10:10 10:20 What is the case? What do we know about this clinical problem? 10:20 10:40 Preoperative findings (ie. initial x-rays, videos, etc) 10:40 11:00 Small groups: Develop a preoperative plan One group presents their plan 11: 00 11:20 Preoperative plan of Master 11:20 11:40 Implementation of the plan and long-term result 11:40 12:00 Discussion, questions, and conclusions of best practice Best participant group preoperative plan 12:00 13:00 LUNCH BREAK

15 AOTrauma Masters Course Current Concepts Tips from the Masters 15 Monday, December 3, 2018 LOCATION Sanada 1 Module 3 Distal Humerus Moderator: S Lambert 13:00 13:20 What is the case? What do we know about this clinical problem? 13:20 13:30 Preoperative findings (ie. initial x-rays, videos, etc) 13:30 14:00 Small groups: Develop a preoperative plan One group presents their plan 14:00 14:10 Preoperative plan of Master 14:10 14:20 Implementation of the plan and long-term result 14:20 14:40 Discussion, questions, and conclusions of best practice Best/most innovative participant group preoperative plan 14:40 15:00 COFFEE BREAK Practical exercise on complex distal humeral fracture 15:00 15:05 Introduction to the practical session part 1 15:05 15:35 Part 1 Analysis of morphology of distal humeral fractures Analysis of fracture reduction outcomes 15:35 16:00 Presentation of analyses by tables entry of data into Excel file 16:00 16:15 Summary of morphological analyses 16:15 16:20 LOCATION CHANGE TO PRACTICAL EXERCISE ROOM LOCATION Davos 2 16:20 16:25 Introduction to the practical session part 2 16:25 16:50 Part 2 Application of the analyses to the distal humeral bone model Investigation of techniques of plate-based osteosynthesis 16:50 17:20 Presentation of dry bone exercise by table entry of data into Excel file 17:20 17:25 LOCATION CHANGE TO LECTURE HALL 17:25 17:45 Summary of the practical exercise and take-home messages change of practice 17:45 18:00 Discussion, questions, and conclusions of best practice

16 16 AOTrauma Masters Course Current Concepts Tips from the Masters Tuesday, December 4, 2018 Fracture-Related Infection LOCATION Dischma 08:00 08:10 Welcome and introduction to today's module Module 1 Acute surgical-site infection in fracture care 08:10 08:40 Interactive case discussion on a mismanaged case with fracture/ injury 08:40 09:00 Surgical-site infection prevention evidence 09:00 09:15 Diagnostic work-up for infection state-of-the art-bloodwork, fl uid analysis, and imaging 09:15 09:35 Strategy to prevent infection in open fractures debridement, wound care, fi x a t i on 09:35 10:00 Acute (early/delayed onset) infection strategies and algorithm CW Oh, M Sirkin Moderator: CW Oh I McFadyen S Muzammil O Borens S Sims F Leung 10:00 10:10 Question and answer session CW Oh Module 3 LOCATION Dischma Management of bone defect after infection control 16:35 17:00 Interactive case discussion on an infected case with bone defect 17:00 17:15 Case-based lecture bone defect induced membrane technique how to make it successfully 17:15 17:30 Case-based lecture bone defect bone transport in infected nonunion tips and pitfalls Moderator: CW Oh I McFadyen D Stephen CW Oh 17:30 17:40 Question and answer session CW Oh 17:40 17:50 Summary, evaluation, and take-home messages 17:45 20:30 AO WORLD NIGHT CW Oh, M Sirkin 10:10 10:30 COFFEE BREAK 10:30 12:00 Discussion group 1 Prevention and management of fracture-related infection Group 21 Landwasser 21 Group 22 Landwasser 22 Group 23 Landwasser 23 Group 34 Dischma All faculty 12:00 13:30 LUNCH BREAK Module 2 Management of chronic osteomyelitis 13:30 14:00 Interactive case discussion on a mismanaged case with infected nonunion Moderator: M Sirkin O Borens 14:00 14:20 Local antibiotic delivery updates M Sirkin 14:20 14:40 Chronic infections debridement of bone and soft-tissue 14:40 14:55 Soft-tissue defects for orthopedists eg, bead pouch, wound VAC M Azi S Muzammil 14:55 15:05 Question and answer session M Sirkin 15:05 15:10 LOCATION CHANGE TO DISCUSSION GROUPS 15:10 16:20 Discussion group 2 Surgical management of chronic osteomyelitis Group 21 Landwasser 21 Group 22 Landwasser 22 Group 23 Landwasser 23 Group 34 Dischma All faculty 16:20 16:35 COFFEE BREAK

17 AOTrauma Masters Course Current Concepts Tips from the Masters 17 Tuesday, December 4, 2018 Nonunion LOCATION Flüela 08:00 08:10 Welcome and introduction to today s module 08:10 08:25 A unifi ed theory of bone healing and nonunion JK Oh, J Monk D Elliott 08:25 08:35 Question and answer session All faculty Module 1 Types of nonunion Moderator: D Elliott 08:35 08:50 Case-based lecture hypertrophic nonunion why and what now? 08:50 09:05 Case-based lecture oligotrophic and atrophic nonunion diagnosis how? 09:05 09:20 Case-based lecture with supporting evidence nonunion after minimally invasive plate osteosynthesis (MIPO) what can go wrong? 09:20 09:30 09:30 10:00 10:00 10:10 10:10 10:20 10:20 10:30 Case-based discussion how to manage this case? Atrophic nonunion with malalignment Introduction of a case, basic information Working in small groups: Develop a preoperative plan (15 mins) Several groups present their plan (15 mins) What has been done for the patient? Outcome? Plenary discussion An evidence-based summary lecture atrophic nonunion with malalignment 10:30 10:50 COFFEE BREAK Module 2 Complicated nonunion with bone loss and complex problems 10:50 11:05 Evidence-based lecture treatment options for severe bone loss 11:05 11:20 Evidence-based lecture treatment strategies for periprosthetic nonunion 11:20 11:35 Evidence-based lecture treatment strategies for infected nonunion S Velkes W Belangero KC Park Presenter: M Lee Moderator: F Sadek Moderator: W Belangero S Velkes D Elliott F Sadek 11:35 11:45 Discussion W Belangero 11:45 12:00 Case-based lecture bone transport over plate / nail 12:00 12:20 Case-based lecture Masquelet technique JK Oh JK Oh 12:20 12:30 Discussion W Belangero 12:30 13:50 LUNCH BREAK LOCATION Flüela 13:50 14:05 Interactive case discussion nonunion after nailing revision with another nail or plate 14:05 14:20 Interactive case discussion nonunion with a broken implant 14:20 14:30 14:30 15:00 15:00 15:10 15:10 15:20 15:20 15:30 Case-based discussion how to manage this case? Periarticular nonunion Introduction of a case, basic information Working in small groups: Develop a preoperative plan (15 mins) Several groups present their plan (15 mins) What has been done for the patient? Outcome? Plenary discussion An evidence-based summary lecture periarticular nonunion 15:30 15:50 COFFEE BREAK KC Park D Elliott Presenter: T Achor Moderator: J Monk Module 3 Difficult areas and new advances Moderator: J Monk 15:50 16:05 Bone grafting in nonunion tips and pitfalls in the use of autograft and allograft 16:05 16:20 Bone substitutes and advances for enhancing bone healing 16:20 16:35 Use of reamer irrigator aspirator (RIA) systems pitfalls and complications T Achor M Stoddart J Monk 16:35 16:40 Discussion J Monk 16:40 16:50 16:50 17:20 17:20 17:30 17:30 17:40 17:40 17:50 Case-based discussion how to manage this case? Nonunion with critical-size bone loss Introduction of a case, basic information Working in small groups: Develop a preoperative plan (15 mins) Several groups present their plan (15 mins) What has been done for the patient? Outcome? Plenary discussion An evidence-based summary lecture nonunion with critical bone defect 17:50 18:00 Summary, evaluation, and take-home messages 17:45 20:30 AO WORLD NIGHT Presenter: S Velkes Moderator: M Lee J Monk

18 18 AOTrauma Masters Course Current Concepts Tips from the Masters Tuesday, December 4, 2018 Pelvic Injuries Acute and Definitive Care LOCATION Sertig 08:00 08:10 Welcome and introduction to today's module M Cimerman, J Barla Module 1 Pelvis acute care Moderator: Z Balogh 08:10 08:35 Keynote lecture state-of-the art management of the hemodynamically unstable trauma patient 08:35 08:45 Clinical assessment of the patient with an unstable pelvic injury 08:45 09:00 Rationale for acute stabilization of the unstable pelvis when, why, and how? 09:00 09:40 Plenary case discussion acute stabilization methods pros and cons 09:40 10:00 COFFEE BREAK Z Balogh A Alzahrani Z Balogh All faculty Module 3 LOCATION Sertig Postoperative care and special considerations Moderator: K Mayo 15:30 15:45 Complications of pelvic surgery A RoaZoppi 15:45 16:00 Postoperative care and rehabilitation A Gänsslen 16:00 16:15 Long-term results of pelvic injuries M Cimerman 16:15 17:00 Plenary case discussion special considerations All faculty 17:00 17:15 Salvage, late reconstructions J Barla 17:15 17:30 Guest lecture pelvic fracture in the elderly patient 17:30 17:45 Summary, evaluation, and take-home messages 17:45 20:30 AO WORLD NIGHT P Rommens M Cimerman, J Barla 10:00 10:15 Hemorrhage control I packing A Gänsslen 10:15 10:30 Hemorrhage control II angioembolization 10:30 10:45 Hemorrhage control III intraaortic balloon 10:45 12:00 Plenary case discussion hemorrhage control is there enough evidence for consensus? Z Balogh J Tonetti All faculty 12:00 13:00 LUNCH BREAK Module 2 Definitive care Moderator: A Gänsslen 13:00 13:15 Defi nitive stabilization of the pelvic ring an overview 13:15 13:30 Anterior pelvis indications and technique 13:30 13:45 Posterior stabilization from plates to sacroiliac (SI) screws 13:45 14:00 Lumbosacral fi xation indications and technique 14:00 15:10 Plenary case discussion definitive fixation all roads lead to Rome? A RoaZoppi A Alzahrani J Tonetti M Keel All faculty 15:10 15:30 COFFEE BREAK

19 AOTrauma Masters Course Current Concepts Tips from the Masters 19 Tuesday, December 4, 2018 Polytrauma LOCATION Sanada 1 08:00 08:20 Welcome and introduction to the course and today s module, pre-test polytrauma factoids you must know R Buckley 08:20 08:30 Mark the pre-test questions R Buckley 08:30 08:35 LOCATION CHANGE TO DISCUSSION GROUPS 08:35 10:10 Discussion group 1 Group 21 Landwasser 21 Group 22 Landwasser 22 Group 23 Landwasser 23 Group 41 Sanada 1 10:10 10:30 COFFEE BREAK R Buckley, O Farouk I Schipper, YP Su J McMaster, C Medina P Giannoudis, KD Schaser LOCATION Sanada 1 16:35 16:50 Summary lecture 4 questions Damage control orthopedics how not to prolong care but be safe? evidence-based facts 16:50 17:05 Summary lecture 5 questions When can I proceed with early total care but be safe? evidence-based facts 17:05 17:20 Summary lecture 6 questions Long-term outcome of polytrauma patients and how to do the best job with their care? evidence-based facts YP Su O Farouk J McMaster 17:20 17:35 Post-test questions R Buckley 10:30 12:15 Plenary case discussion cases that went badly (patient death or disability) and why? Summary of key points / questions 12:15 13:45 LUNCH BREAK All faculty 17:35 17:40 Summary, evaluation, and take-home messages 17:45 20:30 AO WORLD NIGHT R Buckley 13:45 15:30 Plenary case discussion polytrauma case you, the participant, must keep the patient alive and provide the best clinical outcome R Buckley, I Schipper All faculty 15:30 15:50 COFFEE BREAK 15:50 16:05 Summary lecture 1 questions The latest defi nition of polytrauma / trauma scoring scales why are they useful? evidence-based facts 16:05 16:20 Summary lecture 2 questions What is the latest with blood parameters in a polytrauma patient and how to react clinically? evidence-based facts 16:20 16:35 Summary lecture 3 questions Ten functions of a trauma team to be successful for the patient evidencebased facts C Medina P Giannoudis KD Schaser

20 20 AOTrauma Masters Course Current Concepts Tips from the Masters Tuesday, December 4, 2018 Soft-Tissue Coverage for the Nonmicrovascular Surgeon LOCATION Forum 08:00 08:05 Welcome and introduction to today s module 08:05 08:30 Interactive case-based discussion on a mismanaged case Module 1 Principles of soft-tissue management and stabilization of the wound 08:30 08:45 Why does soft-tissue matter? factors that affect healing 08:45 09:00 Principles of normal and damaged soft-tissue management, strategies, and techniques to minimize surgicalsite infection 09:00 09:15 Wound conditioning dressings and local antibiotic therapy J Concha V Giordano Moderator: C Saliba YK Tu D Volgas J Bridgeman 09:15 09:30 Negative-pressure wound therapy D Volgas 09:30 09:45 Planning soft-tissue surgery reconstructive ladder K Alawadi 09:45 10:15 Interactive case-based discussion D Volgas 10:15 10:40 COFFEE BREAK Module 2 Upper extremity coverage Moderator: E Saura-Sanchez 10:40 10:55 Soft-tissue coverage of the fi ngers thumb coverage 10:55 11:10 Fasciotomies for forearm and hand compartment syndrome J Bridgeman K Alawadi 11:10 11:25 Radial forearm fl ap J Bridgeman LOCATION Forum Module 3 Lower extremity coverage Moderator: V Giordano 13:30 13:45 Fasciocutaneous fl aps basic concepts K Alawadi 13:45 14:00 Saphenous fl ap YK Tu 14:00 14:15 Sural reverse fl ap D Volgas 14:15 14:30 Lateral supramalleolar fl ap K Alawadi 14:30 14:50 Leg muscle fl aps gastrocnemius and soleus J Concha 14:50 15:05 When local fl aps are not enough YK Tu 15:05 15:30 COFFEE BREAK 15:30 17:05 Discussion group 1 Soft-tissue coverage Group 18 Landwasser 18 Group 19 Landwasser 19 Group 20 Landwasser 20 Group 30 Forum 17:05 17:10 LOCATION CHANGE TO LECTURE HALL 17:10 17:20 Summary, evaluation, and take-home messages 17:45 20:30 AO WORLD NIGHT All faculty W Abdulwahid 11:25 12:00 Interactive case-based discussion upper extremity J Bridgeman 12:00 13:30 LUNCH BREAK

21 AOTrauma Masters Course Current Concepts Tips from the Masters 21 Wednesday, December 5, 2018 LOCATION Sanada 1 Module 4 Proximal Femur Moderator: M Wajid 08:00 08:10 What is the case? What do we know about this clinical problem? 08:10 08:30 Preoperative findings (ie. initial x-rays, videos, etc) 08:30 08:50 Small groups: Develop a preoperative plan One group presents their plan 08:50 09:10 Preoperative plan of Master 09:10 09:30 Implementation of the plan and long-term result 09:30 09:50 Discussion, questions, and conclusions of best practice Best participant group preoperative plan 09:50 10:10 COFFEE BREAK Module 5 Tibial Plateau Moderator: CF Luo 10:10 10:20 What is the case? What do we know about this clinical problem? 10:20 10:40 Preoperative findings (ie. initial x-rays, videos, etc) 10:40 11:00 Small groups: Develop a preoperative plan One group presents their plan 11: 00 11:20 Preoperative plan of Master 11:20 11:40 Implementation of the plan and long-term result 11:40 12:00 Discussion, questions, and conclusions of best practice Best participant group preoperative plan 12:00 13:30 LUNCH BREAK

22 22 AOTrauma Masters Course Current Concepts Tips from the Masters Wednesday, December 5, 2018 LOCATION Sanada 1 Module 6 Acetabulum Moderator: M Keel 13:30 13:40 What is the case? What do we know about this clinical problem? 13:40 14:00 Preoperative findings (ie. initial x-rays, videos, etc) 14:00 14:20 Small groups: Develop a preoperative plan One group presents their plan 14:20 14:40 Preoperative plan of Master 14:40 15:00 Implementation of the plan and long-term result 15:00 15:20 Discussion, questions, and conclusions of best practice Best participant group preoperative plan 15:20 15:40 COFFEE BREAK Module 7 Infection Moderator: O Borens 15:40 15:50 What is the case? What do we know about this clinical problem? 15:50 16:10 Preoperative findings (ie. initial x-rays, videos, etc) 16:10 16:30 Small groups: Develop a preoperative plan One group presents their plan 16:30 16:50 Preoperative plan of Master 16:50 17:10 Implementation of the plan and long-term result 17:10 17:30 Discussion, questions, and conclusions of best practice Best participant group preoperative plan

23 AOTrauma Masters Course Current Concepts Tips from the Masters 23 Thursday, December 6, 2018 Fracture-Related Infection LOCATION Dischma 08:00 08:10 Welcome and introduction to today's module Module 1 Acute surgical-site infection in fracture care 08:10 08:40 Interactive case discussion on a mismanaged case with fracture/injury 08:40 09:00 Surgical-site infection prevention evidence 09:00 09:15 Diagnostic work-up for infection state-of-the art-bloodwork, fl uid analysis, and imaging 09:15 09:35 Strategy to prevent infection in open fractures debridement, wound care, fi x a t i on 09:35 10:00 Acute (early/delayed onset) infection strategies and algorithm CW Oh, M Sirkin Moderator: CW Oh I McFadyen S Muzammil O Borens S Sims F Leung 10:00 10:10 Question and answer session CW Oh Module 3 LOCATION Dischma Management of bone defect after infection control 16:35 17:00 Interactive case discussion on an infected case with bone defect 17:00 17:15 Case-based lecture bone defect induced membrane technique how to make it successfully 17:15 17:30 Case-based lecture bone defect bone transport in infected nonunion tips and pitfalls Moderator: CW Oh I McFadyen D Stephen CW Oh 17:30 17:40 Question and answer session CW Oh 17:40 17:50 Summary, evaluation, and take-home messages CW Oh, M Sirkin 10:10 10:30 COFFEE BREAK 10:30 12:00 Discussion group 1 Prevention and management of fracture-related infection Group 21 Landwasser 21 Group 22 Landwasser 22 Group 23 Landwasser 23 Group 34 Dischma All faculty 12:00 13:30 LUNCH BREAK Module 2 Management of chronic osteomyelitis 13:30 14:00 Interactive case discussion on a mismanaged case with infected nonunion Moderator: M Sirkin O Borens 14:00 14:20 Local antibiotic delivery updates M Sirkin 14:20 14:40 Chronic infections debridement of bone and soft-tissue 14:40 14:55 Soft-tissue defects for orthopedists eg, bead pouch, wound VAC M Azi S Muzammil 14:55 15:05 Question and answer session M Sirkin 15:05 15:10 LOCATION CHANGE TO DISCUSSION GROUPS 15:10 16:20 Discussion group 2 Surgical management of chronic osteomyelitis Group 21 Landwasser 21 Group 22 Landwasser 22 Group 23 Landwasser 23 Group 34 Dischma All faculty 16:20 16:35 COFFEE BREAK

24 24 AOTrauma Masters Course Current Concepts Tips from the Masters Thursday, December 6, 2018 Malunion LOCATION Flüela 08:00 08:05 Welcome and introduction to today s module JK Oh Module 1 Deformity analysis and planning Moderator: W Belangero 08:05 08:20 X-ray evaluation and deformity analysis malalignment test 08:20 08:35 Osteotomy selection advantages and disadvantages W Belangero KC Park 08:35 08:50 Discussion W Belangero Module 2 Diaphyseal malunions Moderator: M Lee 08:50 09:05 Indications and tips for correction D Elliott 09:05 09:20 Oblique osteotomy for correction of diaphyseal multiplanar deformity 09:20 09:35 Case-based lecture rotational malunion 09:35 09:55 COFFEE BREAK 09:55 10:05 10:05 10:35 10:35 10:45 10:45 10:55 10:55 11:05 Case-based discussion how to manage this case? Diaphyseal malunion Introduction of a case, basic information Working in small groups: Develop a preoperative plan (15 mins) Several groups present their plan (15 mins) What has been done for the patient? Outcome? Plenary discussion An evidence-based summary lecture diaphyseal malunion S Nork M Lee Presenter: JK Oh Moderator: T Achor Module 3 Specific malunions (part 1) Moderator: S Velkes LOCATION Flüela 14:10 14:25 Case-based lecture distal femoral malunion 14:25 15:25 Templating exercise 2 Deformities around the knee joint templating principles and axial restoration M Lee JK Oh 15:25 15:40 Discussion D Elliott 15:40 16:00 COFFEE BREAK Module 4 Specific malunions (part 2) Moderator: T Achor 16:00 16:15 Case-based lecture proximal humeral malunion 16:15 16:30 Case-based lecture distal tibial malunion 16:30 16:45 Case-based lecture nonunion in metabolic bone disease T Achor M Lee D Elliott 16:45 17:00 Discussion T Achor 17:00 17:10 Summary, evaluation, and take-home messages JK Oh 11:05 11:20 Case-based lecture proximal femoral malunion 11:20 12:20 Templating exercise 1 Malunion of the proximal femur F Sadek F Sadek 12:20 12:40 Discussion S Velkes 12:40 14:10 LUNCH BREAK

25 AOTrauma Masters Course Current Concepts Tips from the Masters 25 Thursday, December 6, 2018 Acetabulum the Fracture Polytrauma and the Approach LOCATION Sertig 08:00 08:10 Welcome and introduction to today's module M Cimerman, J Barla Module 1 Evaluation and surgical approach Moderator: J Barla 08:10 08:25 Applied anatomy is the basis of classifi cation 08:25 08:45 Imaging from classic to computed tomographic (CT) scan J Barla K Mayo 08:45 09:00 Choice of approach an overview M Cimerman 09:00 09:15 Kocher-Langenbeck how and why? A Gänsslen 09:15 09:40 Keynote lecture Gibson approach with trochanter fl ip osteotomy how to preserve femoral head circulation? 09:40 10:00 COFFEE BREAK 10:00 11:00 Plenary case discussion posterior approach M Keel All faculty 11:00 11:15 Ilioinguinal approach how and why? K Mayo 11:15 11:30 Iliomedial approach how and why? M Cimerman 11:30 11:45 Pararectus approach what is new? M Keel 11:45 12:00 Extensile approaches do we still need them? 12:00 13:30 LUNCH BREAK 13:30 13:45 Indications for combined anterior and posterior approaches 13:45 15:00 Plenary case discussion anterior approaches pros and cons, or all roads lead to Rome? 15:00 15:20 COFFEE BREAK 15:20 16:00 Plenary case discussion combined anterior and posterior approaches/extensile approaches 16:00 16:15 Geriatric acetabular fractures open reduction and external fi xation (ORIF) or arthroplasty? 16:15 16:45 Keynote lecture lifelong experience in acetabular surgery 16:45 17:30 Summary, evaluation, and take-home messages K Mayo J Barla All faculty All faculty M Keel K Mayo M Cimerman, J Barla LOCATION Sanada 1 08:00 08:20 Welcome and introduction to the course and today s module, pre-test polytrauma factoids you must know R Buckley 08:20 08:30 Mark the pre-test questions R Buckley 08:30 08:35 LOCATION CHANGE TO DISCUSSION GROUPS 08:35 10:10 Discussion group 1 Group 21 Landwasser 21 Group 22 Landwasser 22 Group 23 Landwasser 23 Group 41 Sanada 1 10:10 10:30 COFFEE BREAK 10:30 12:15 Plenary case discussion cases that went badly (patient death or disability) and why? Summary of key points / questions 12:15 13:45 LUNCH BREAK 13:45 15:30 Plenary case discussion polytrauma case you, the participant, must keep the patient alive and provide the best clinical outcome 15:30 15:50 COFFEE BREAK 15:50 16:05 Summary lecture 1 questions The latest defi nition of polytrauma / trauma scoring scales why are they useful? evidence-based facts 16:05 16:20 Summary lecture 2 questions What is the latest with blood parameters in a polytrauma patient and how to react clinically? evidence-based facts 16:20 16:35 Summary lecture 3 questions Ten functions of a trauma team to be successful for the patient evidencebased facts 16:35 16:50 Summary lecture 4 questions Damage control orthopedics how not to prolong care but be safe? evidence-based facts 16:50 17:05 Summary lecture 5 questions When can I proceed with early total care but be safe? evidence-based facts 17:05 17:20 Summary lecture 6 questions Long-term outcome of polytrauma patients and how to do the best job with their care? evidence-based facts R Buckley, O Farouk I Schipper, YP Su J McMaster, C Medina P Giannoudis, KD Schaser All faculty R Buckley, I Schipper All faculty C Medina P Giannoudis KD Schaser YP Su O Farouk J McMaster 17:20 17:35 Post-test questions R Buckley 17:35 17:40 Summary, evaluation, and take-home messages R Buckley

26 26 AOTrauma Masters Course Current Concepts Tips from the Masters Thursday, December 6, 2018 Limb Salvage and Amputation LOCATION Sanada 2 08:00 08:05 Welcome and introduction to today s module J Concha Module 1 Mangled extremity general issues Moderator: D Volgas 08:05 08:20 The polytraumatized patient with associated fractures 08:20 08:35 The mangled extremity scores outcome and utility 08:35 08:45 Case presentation and debate the severely traumatized lower limb 08:45 08:55 Case presentation and debate the severely traumatized lower limb I prefer salvage 08:55 09:05 Case presentation and debate the severely traumatized lower limb I prefer amputation 09:05 09:15 Case presentation and debate the severely traumatized lower limb what was done in this case? Module 2 Mangled extremity how to perform a successful amputation W Abdulwahid C Saliba J Concha V Giordano E Saura-Sanchez J Concha Moderator: J Bridgeman 09:15 09:25 Foot and ankle amputations V Giordano 09:25 09:35 Leg amputations (below knee) W Abdulwahid 09:35 09:45 Knee disarticulation C Saliba 09:45 09:55 Thigh amputations (above knee) E Saura-Sanchez 09:55 10:05 Bone-anchored osteointegrated prosthesis W Abdulwahid 10:05 10:15 Question and answer session All faculty LOCATION Sanada 2 Module 4 Limb salvage reconstruction Moderator: YK Tu 14:00 14:15 Bone grafting (autografts) E Saura-Sanchez 14:15 14:30 Bone substitutes evidence C Saliba 14:30 14:45 The induced membrane technique for treatment of large bone defects 14:45 15:00 Bone transport circular external fi xators 15:00 15:15 Bone transport transport over intramedullary nail or along a plate 15:15 15:30 The use of revision protheses, megaprotheses, or permanent spacers in complex trauma 15:30 15:55 COFFEE BREAK 15:55 17:20 Discussion group 1 Limb salvage and amputation Group 18 Landwasser 18 Group 19 Landwasser 19 Group 20 Landwasser 20 Group 42 Sanada 2 17:20 17:25 LOCATION CHANGE TO LECTURE HALL 17:25 17:30 Summary, evaluation, and take-home messages E Saura-Sanchez V Giordano CW Oh W Abdulwahid All faculty D Volgas 10:15 10:40 COFFEE BREAK Module 3 Limb salvage basics Moderator: K Alawadi 10:40 11:00 Interactive case-based discussion W Abdulwahid 11:00 11:15 Open tibial fractures how to fi x them? E Saura-Sanchez 11:15 11:30 Limb damage control and temporary vascular shunting 11:30 11:45 Difference in damage control between the civilian and military setting 11:45 12:00 Acute compartment syndrome diagnosis methods and compartment release 12:00 12:15 Acute shortening in open tibial fractures when and how? C Saliba W Abdulwahid D Volgas V Giordano 12:15 12:30 Question and answer session All faculty 12:30 14:00 LUNCH BREAK

27 AOTrauma Masters Course Current Concepts Tips from the Masters 27 Friday, December 7, 2018 LOCATION Sanada 1 Module 8 Multitrauma Moderator: K Kojima 08:00 08:10 What is the case? What do we know about this clinical problem? 08:10 08:30 Preoperative findings (ie. initial x-rays, videos, etc) 08:30 08:50 Small groups: Develop a preoperative plan One group presents their plan 08:50 09:10 Preoperative plan of Master 09:10 09:30 Implementation of the plan and long-term result 09:30 09:50 Discussion, questions, and conclusions of best practice Best participant group preoperative plan 09:50 10:10 COFFEE BREAK Module 9 Calcaneus Moderator: R Buckley 10:10 10:20 What is the case? What do we know about this clinical problem? 10:20 10:40 Preoperative findings (ie. initial x-rays, videos, etc) 10:40 11:00 Small groups: Develop a preoperative plan One group presents their plan 11: 00 11:20 Preoperative plan of Master 11:20 11:40 Implementation of the plan and long-term result 11:40 12:00 Discussion, questions, and conclusions of best practice Best participant group preoperative plan 12:00 12:30 BREAK WITH SANDWICHES Module 10 Scapula Moderator: P Cole 12:30 12:40 What is the case? What do we know about this clinical problem? 12:40 13:00 Preoperative findings (ie. initial x-rays, videos, etc) 13:00 13:20 Small groups: Develop a preoperative plan One group presents their plan 13:20 13:40 Preoperative plan of Master 13:40 14:00 Implementation of the plan and long-term result 14:00 14:20 Discussion, questions, and conclusions of best practice Best participant group preoperative plan 14:20 14:30 End of course evaluations, summary, and handouts M Miranda, C Sommer

28 28 AOTrauma Masters Course Current Concepts Tips from the Masters Event organization AOTrauma Education Bettina Bolliger Clavadelerstrasse Davos Switzerland Tel Fax bbolliger@aotrauma.org AO funding sources Unrestricted educational grants from different sources are collected and pooled together centrally by the AO Foundation. All events are planned and scheduled by local and regional AO surgeon groups based on local needs assessments. We rely on industrial/commercial partners for in-kind support to run simulations/skills training if educationally needed. Event venue and opening times Congress Center Davos Talstrasse 49A 7270 Davos, Switzerland Phone Fax General information Sunday 12:00 19:00 Monday to Thursday 07:30 19:00 Friday 07:30 16:00 AO World Sunday 14:00 17:00 Monday to Thursday 09:00 18:00 (Tuesday 20:30) Friday 09:00 15:30 Industry exhibition Sunday 14:00 17:00 Monday to Thursday 09:00 18:00 Friday 09:00 15:30

29 AOTrauma Masters Course Current Concepts Tips from the Masters 29 Exhibitions Experience a whole new AO World This year AO World has been transformed to give you a new insight into our history and activities. You are invited to view the latest publications at the AO library, fi nd out what benefi ts you are eligible for at the AO community and membership area, explore the AO's teaching and learning resources at the AO digital learning zone's interactive stations, visit AO research and innovations which this year includes AOTK's popular Meet the Experts sessions, and purchase mementos at the AO merchandise area. Experience the AO spirit, walk the timeline of the AO's history and development, and mingle with other participants. AO staff will be on-hand to ensure you get the most out of this experience. Exhibition partners Visit the exhibitions of our industry partners DePuy Synthes and Siemens, and the other exhibitors: Ethicon, SYNBONE, Digital Surgery, Invibio, Precision OS, Synoste, Victorinox, AO Alliance, Medical Insights. Media exhibitors Lehmanns Media can be found this year newly in the industry exhibition. Sponsors We thank our major industry partners DePuy Synthes and Siemens for contributing in-kind support (material and logistics) without which this event would not be possible. A special thanks to DePuy Synthes and Siemens for providing an unrestricted educational grant for this event. We also extend our thanks to the following co-sponsors (educational grants, in-kind support):

30 30 AOTrauma Masters Course Current Concepts Tips from the Masters Business center There are business center facilities in the Congress Center which are accessible to everybody. Services Internet and access Printer access AO Course website offering course-related information Opening hours 30 minutes before the first course of the day starts until 30 minutes after the last course ends Disclaimer The use of your own computer in the business center network is inherently not secure. We strongly recommend that you take appropriate actions to protect your computer against unauthorized use or theft (eg, Firewall, VPN-Connection, VirusScanner). AO cannot be held responsible for any data loss or theft. For further information or support please contact: AO Foundation Phone Wireless network How to connect to the AO Wireless LAN 1. Open the Wireless Network Connection Window 2. Choose the AO Business Network as shown in the print screen below and click on the Connect Button 3. Our AO Business Wireless Network requires a WPA network key: Network key: aowireless 4. Then click on the OK button

31 AOTrauma Masters Course Current Concepts Tips from the Masters 31 Event information Event fee AOTrauma Masters Course Current Concepts Tips from the Masters: CHF 3,980. Included in the event fee is the conference bag with documentation, coffee breaks, lunches, AO World Night, and course certificate. European CME Accreditation For this course the UEMS-EACCME in Brussels have granted 33 European CME credits (ECMEC s). Swiss CME Accreditation Additionally, an application has been made to the following Swiss societies: Schweizerische Gesellschaft für Chirurgie (SGC/SSC) Schweizerische Gesellschaft für Orthopädie und Traumatologie (SGO/SSO) Conflicts of Interest (COI) All disclosure information can be viewed at the event webpage: Course certificate The course certificates will be available at the end of the event at the general information desk. Evaluation guidelines All AOTrauma events apply the same evaluation process, which includes online before and after the event evaluation and on-site written questionnaires. This helps AOTrauma to ensure that we continue to meet your training needs. Intellectual property Event materials, presentations, and case studies are the intellectual property of the event faculty. All rights are reserved. Check hazards and legal restrictions on Recording, photographing, or copying lectures, practical exercises, case discussions, or any event materials is strictly forbidden. Participants violating intellectual property will be dismissed. The AO Foundation reserves the right to film, photograph, and audio record during its events. Participants must understand that in this context they may appear in these recorded materials. The AO Foundation assumes participants agree that these recorded materials may be used for the AO's marketing and other purposes, and that they may be made available to the public. Use of social media During the Davos Courses you can post about your experience using the #AODavosCourses2018. While we encourage you to share your Davos Courses experience with your online network, it is expressly forbidden to share any images or recordings from inside the course. Security Security checks will be conducted at the building entrance. Wearing a name tag is compulsory during lectures, practical exercises, and group discussions. No insurance The event organization does not take out insurance to cover any individual against accident, theft, or other risks. Use of mobile phones Use of mobile phones is not allowed in the lecture halls and in other rooms during educational activities. Please be considerate of others by turning off your mobile phone. Picture Gallery Check out aodavoscourses.org for a daily selection of pictures from the Davos Courses 2018, the best from last year's courses, and a selection of photographs from the first ever AO Davos Courses. Dress code Warm clothes and suitable shoes are advisable.

32 32 AOTrauma Masters Course Current Concepts Tips from the Masters AO Foundation Principles of AO Educational Events Academic independence Development of all curricula, design of scientific event programs, and selection of faculty are the sole responsibilities of volunteer surgeons from the AO network. All education is planned based on needs assessment data, designed and evaluated using concepts and evidence from the most current medical education research, and involving the expertise of the AO Education Institute ( Industry participation is not allowed during the entire curriculum development and planning process to ensure academic independence and to keep content free from bias. Compliance to accreditation and industry codes All planning, organization, and execution of educational activities follow existing codes for accreditation of high-quality education: Accreditation Criteria of the Accreditation Council for Continuing Medical Education, USA ( ACCME Standards for Commercial Support: Standards to Ensure Independence in CME Activities ( Criteria for Accreditation of Live Educational Events of the European Accreditation Council for Continuing Medical Education ( Branding and advertising No industry logos or advertising (with the exception of the AO Foundation and AO clinical divisions) are permitted in the area where educational activities take place. Sponsors providing financial or in-kind support are allowed to have a promotional booth or run activities outside the educational area with approval from the event chairperson. Use of technologies and products in simulations If case simulations are chosen as an educational method to educate skills, we only use technology approved by the AOTK System (AOTK) a large independent group of volunteer surgeons developing and peer-reviewing new technology (more information about the AOTK, its development and approval process can be found on the AO Foundation website: Personnel Industry staff are not allowed to interfere with the educational content or engage in educational activities during the event. Events that receive direct or indirect unrestricted educational grants or in-kind support from industry also follow the ethical codes of the medical industry, such as: Eucomed Guidelines on Interactions with Healthcare Professionals ( AdvaMed Code of Ethics on Interactions with Health Care Professionals (advamed.org) Mecomed Guidelines on Interactions with Healthcare Professionals (

33 AOTrauma Masters Course Current Concepts Tips from the Masters 33 AO Research Institute Davos (ARI) Mission The AO Foundation's mission is promoting excellence in patient care and outcomes in trauma and musculoskeletal disorders. AO Research Institute Davos (ARI) In its work to further the AO Foundation's mission, ARI's purpose is to advance patient care through innovative orthopedic research and development. Orthopedics concerns musculoskeletal, spine and cranio-maxillo-facial trauma, degenerative musculoskeletal diseases, infections, and congenital disorders. Goals Contribute high quality applied preclinical research and development focused towards clinical applications/solutions. Investigate and improve the performance of surgical procedures, devices and substances. Foster a close relationship with the AO medical community, academic societies, and universities. Provide research environment/support/training for AO clinicians. Meet with our team including our ARI Medical Research Fellows, establish contacts, freely discuss your clinical problems, ideas, and learn about the latest results from the ARI. Collaborative research programs Annulus fibrosus rupture Acute cartilage injury Osteochondral defect Craniomaxillofacial Imaging and planning of surgery, computer aided preoperative planning Medication-related osteonecrosis of the jaw Bone regeneration and 3-D printing Trauma Bone infection, including the development and testing of active anti-infective interventions Sensing implants for objective monitoring of fracture healing Development of smart surgical tools New implant concepts for optimized bone healing Prediction of subject-specific risk of proximal humeral fixation failure via computational tools Development of generic Asian pelvic bone model Patient outcomes and biomarkers Veterinary medicine Improving osteosynthesis for small and large animals Multidisciplinary 3R refinement of preclinical studies Bioreactor culture systems and mechanobiology Development, standardization, optimization, and improvement of preclinical models and methods Ex vivo testing using advanced biomechanical models Gene transfer: non-viral and viral Implant design using the finite element methods Implant positioning assistance, C-arm guided implant placement In-vivo and in-vitro quantification of bone turnover and scaffold degradation Medical additive manufacturing and biofabrication Medical CT image processing and analysis Polymers to deliver cells and biological factors, create potential space for tissue development, and guide the process of tissue regeneration Prototype development and production Stem cell therapies for the treatment of bone, intervertebral disc, and cartilage defects For the 2017 AO Research Institute Davos activity report and recent publications go to: Spine Degeneration and regeneration of the intervertebral disc Biomarkers and patient outcomes

34 34 AOTrauma Masters Course Current Concepts Tips from the Masters Upcoming AO Courses Davos 2019 AO Courses December 1 6, 2019 AOTrauma Course Basic Principles of Fracture Management AOTrauma Course Advances Principles of Fracture Management AOTrauma Course Advanced Principles of Fracture Management for Swiss Residents AOTrauma Masters Course Current Concepts AOTrauma Course Pelvic and Acetabulum Fractures AOTrauma Masters Course AOTrauma/AORecon Course Comprehensive Periprosthetic Fracture Management of the Hip and Knee AORecon Course Complex Total Hip and Knee Arthroplasty AO Courses December 8 12, 2019 AOTrauma Course Basic Principles of Fracture Management for Swiss Surgeons AOSpine Courses AOCMF Courses AOVET Masters Course Small Animal AOVET Masters Course Large Animal This course list is subject to further change. The final list of AO Davos Courses and worldwide courses will be available on in January 2019.

35 A91AT C Expand precision medicine through a complete imaging portfolio for orthopedic trauma, spine and CMF surgery Engineered to be truly patient-oriented, ARTIS pheno is a unique floor-mounted robotic C-arm system for individualized preprocedural planning, intraoperative guidance, and immediate checkup in 2D and 3D directly in the hybrid operating room regardless of patient condition or procedure complexity. To provide 3D capabilities that can be seamlessly integrated into clinical routine, we developed Cios Spin : a mobile 2D and 3D C-arm for intraoperative quality assurance. Delivering new insights and perspectives, Cios Spin gives you more certainty in surgical routine and full control over your procedures. The new Cios Select mobile C-arm now makes flat-panel detector technology available in the medium price segment. This means that routine surgery can now also benefit from better image quality at a higher resolution and very low radiation exposure. For standard surgical procedures in particular, patient care can be improved without high investment costs. ARTIS pheno As individual as your patients Cios Spin* New perspectives. Full control. Cios Select with FD Select smart surgical imaging * Cios Spin, with VA30 is pending 510(k) clearance, and is not yet commercially available in the United States or in other countries. Due to regulatory reasons, its future availability cannot be guaranteed. siemens-healthineers.com

36 Driving excellence and empowering the next generation AOTrauma membership Discover the advantages of joining the leading global trauma and orthopedic community, providing its members with education, research and networking opportunities worldwide. Apply for membership at Follow us on Join us and share your passion AOTrauma Clavadelerstrasse 8, 7270 Davos, Switzerland Phone , Fax ,