Preliminary event program AOTrauma Course Advanced Principles of Fracture Management

Transcription

1 Preliminary event program AOTrauma Course Advanced Principles of Fracture Management Precourse online activities: November 3 December 2, 2017 December 3 to 8, 2017 Davos, Switzerland Postcourse online activity: December 9 22, 2017 Lecture hall: Aspen 1

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3 The first AO Course was held in Davos in 1960 these early courses pioneered psychomotor techniques by teaching practical skills of AO Techniques. Since those early days over 455,000 surgeons and 155,000 ORP from over 110 countries have attended AO Courses. Content Floor plan Value statement The AO Principles of fracture management Welcome Goal of the course Target participants Learning objectives Course description Chairpersons Faculty Precourse online activities Sunday, December 3, 2017 Monday, December 4, 2017 Tuesday, December 5, 2017 Wednesday, December 6, 2017 Thursday, December 7, 2017 Friday, December 8, 2017 Postcourse online activity Event organization Event information Event venue Principles of AO Educational Events Business centre Wireless network Exhibitions AO Research Institute Davos (ARI) Sponsors Upcoming AO Courses Davos 2018

4 Welcome Dear AOTrauma course participant, Welcome to AOTrauma s Davos Courses AOTrauma provides a wide range of relevant courses designed to meet your specific professional needs. We are confident that you will find your course as well as the networking experiences professionally rewarding. With a global reputation for innovation, leadership, and excellence in Continuing Medical Education (CME), the AOTrauma Clinical Division and the AO Education Institute are transforming education. AOTrauma is constantly expanding its portfolio of educational activities available to you. Continuing Medical Education is no longer just about face-to-face courses. Portfolios are being created to address the specific clinical problems that you encounter every day. Visit the AOTrauma home page ( as new assets are being added every week. The AOTrauma Davos Courses offers more than just a course experience. Your primary focus is active engagement in your course. In addition, we encourage you to: Interact with over 300 international faculty and discuss the specific issues you face Expand your professional network by establishing new relationships with colleagues that include faculty and participants from over 80 countries Visit and speak with staff and surgeons from the AO Foundation s Clinical Divisions and Institutes. Both the exhibits in the AO World and the Insight into the AO Center Davos allow you to learn about the AO s ongoing activities and the resources available to support you in your clinical work 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 with the elite AOTrauma organization, we invite you to become a member of AOTrauma. Membership for medical doctors (and DO s) requires only a completed AOTrauma Basic Principles Course and the payment of a reasonable yearly fee. 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.

5 Goal of the course The AOTrauma Course Advanced Principles of Fracture Management is part of a newly developed educational program teaching current concepts and fundamental principles in the treatment of complex injuries, incorporating the latest techniques in operative fracture management. The AOTrauma Advanced Principles course builds upon the AO Principles and techniques learned in the AOTrauma Basic Principles course and focuses on more complex injuries. Target participants The AOTrauma Course Advanced Principles of Fracture Management is targeted at certified orthopedic and trauma surgeons who are at the threshold of becoming independent surgeons and taking over decision-making responsibility for the treatment of complex injuries. Participants must have completed the AOTrauma Course Basic Principles of Fracture Management and must be actively involved in trauma management. Learning objectives At the end of this course, participants will be able to: Apply reduction techniques in fracture management with attention to soft-tissues Assess and treat complex diaphyseal and (peri)articular fractures Demonstrate strategies for assessing and treating open fractures and soft-tissue injuries Initiate appropriate management for patients with pelvic injuries and polytrauma Recognize complications and manage accordingly Course description This AOTrauma Advanced Principles of Fracture Management course is one of several competency-based curriculum events in 2016 which are built around a specific framework of competencies and learning outcomes. They feature a balanced mix of educational methods with a strong focus on interactive sessions. Online precourse self-assessment prepares participants for the course and allows the faculty to tailor the course to the needs of the participants. Before attending the course, participants are expected to complete an online module on reduction techniques. The course will be taught in a modular format. Each module consists of several evidence-based lectures, which will cover the key information required. Discussing cases in small groups will help participants understand decisionmaking processes and further develop management skills. Debates and interactive sessions will promote interactivity between faculty and course participants. In practical exercises participants will be trained in the application of various techniques. Participants may also bring their own cases for discussion with the faculty. After the course an online postcourse self-assessment will provide participants with important feedback on how much they have learned.

6 Chairperson Brett Crist University of Missouri Columbia, USA Co-Chairperson An Sermon University Hospitals Gasthuisberg, Leuven, Belgium International Faculty Raid Abutalib King Fahad Hospital Madinah Saudi Arabia Hayder Al-Saadi Rashid Hospital Dubai UAE Sara Bernal UMAE HTOLV Instituto Mexicano del seguro Distrito federal Mexico social Brian Buck University of Missouri Springfield USA Chih-Hui Chen Taichung Veterans General Hospital Taichung Taiwan Gregory Della Rocca Duke University School of Medicine Durham USA Tim Gregg Wellington Regional Hospital Wellington New Zealand Anthony Harris University of Florida - Shands Jacksonville Jacksonville USA Khaled Hussein Nini Hospital Tripoli Lebanon Madhav Karunakar Carolinas Medical Center Charlotte USA Apipop Kritsaneephaiboon Prince of Songkla University Hat Yai, Songkla Thailand Tomohiro Matsumura Tokyo Nishi Tokusyukai Hospital Akishima city Japan Gavino Merchan Suarez Hospital de la Policia Guayaquil Guayaquil Ecuador Rafael Neiman Sutter Roseville Medical Center Carmichael USA Mauro Nuñez Hospital del Trauma San José Costa Rica Michael Sirkin New Jersey Medical School Newark USA Mark Vrahas Cedars-Sinai Medical Center Los Angeles USA Regional Faculty George Babis National and Kapodistrian University of Athens Athens Greece Medical School / Konstantopouleio General Hospital Drago Brilej Celje General Hospital Celje Slovenia Anna Ekman Södersjukhuset, Stockholm Stockholm Sweden Advait Gandhe Queen Alexandra Hospital Portsmouth United Kingdom Uğur Gönç Liv Hospital Ankara Turkey Thomas Gösling Klinikum Braunschweig Brausnchweig Germany Mark Hatton Nottingham University Hospitals Nottingham United Kingdom Tal Luria Rabin medical center, Beilinson Campus Petach Tiqua Israel Inger Schipper Leiden University Medical Center Leiden Netherlands Andrey Smirnov East-Tallinn Central Hospital Tallinn Estonia Yoram Weil Hadassah Hebrew University Medical Center Jersalem Israel

7 Precourse online activities November 3 December 2, 2017 Task 1 Online precourse self-assessment (30 min) The online precourse self-assessment consists of questions on your profile and expertise as well as of a set of multiple-choice questions with direct feedback. Your participation will help us to focus on your needs at the upcoming event. Please complete the e-learning module "Fracture Reduction" after the precourse self-assessment and before attending the course, because faculty will build on your newly acquired knowledge. Task 2 E-learning module Fracture Reduction (20 min)

8 Sunday, December 3, 2017 TIME AGENDA ITEM WHO 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

9 Monday, December 4, 2017 TIME AGENDA ITEM WHO LOCATION Aspen 08:00 08:15 Welcome and introduction to the course How to get the most out of your course B Crist A Sermon Module 1 Review of the principles and new techniques Moderator: A Sermon At the end of this module, participants will be able to: Review concepts of relative and absolute stable stability Demonstrate appropriate techniques of direct and indirect reduction with attention to the soft-tissues Describe the role of soft-tissues in fracture healing Identify clinical indications for locked plating List the techniques to minimize radiation exposure 08:15 08:30 Direct and indirect reduction indications and techniques M Vrahas 08:30 08:45 Locked plating when to use, not to use, how to use C Chen 08:45 09:00 Minimally invasive osteosynthesis minimizing surgical footprints G Merchan Suarez 09:00 09:10 Radiation safety R Abutalib 09:10 09:30 Module 1 discussion and summary A Sermon 09:30 10:00 COFFEE BREAK 10:00 12:15 Practical exercise 1 including discussion group 1 Reduction techniques M Vrahas 12:15 13:15 LUNCH BREAK Module 2 Diaphyseal lower extremity fractures: tibia Moderator: Y Weil At the end of this module, participants will be able to: Describe the decision-making process for the management of complex diaphyseal tibial fractures Explain the technical aspects of plating tibial shaft fractures List the adjunct techniques for proximal and distal tibial fractures 13:15 13:25 Tibial plate fixation indications and techniques I Schipper 13:25 13:35 Tibial intramedullary nailing what are the techniques for proximal and distal fractures? T Gösling

10 13:35 13:55 Case-based panel discussion Y Weil, I Schipper, T Gösling, T Matsamura, T Luria 13:55 14:05 Module 2 discussion and summary Y Weil Module 3 Diaphyseal lower extremity fractures: femur Moderator: M Vrahas At the end of this module, participants will be able to: List the indications for external fixation of femoral shaft fractures Identify the indications for use of plates in femoral shaft fractures Utilize nailing techniques for complex diaphyseal fractures 14:05 14:15 Current treatment options of subtrochanteric femur fractures D Brilej 14:15 14:25 Plating femoral shaft fractures indications and techniques S Bernal 14:25 14:45 Case-based panel discussion M Vrahas, S Bernal, D Brilej 14:45 14:55 Module 3 discussion and summary M Vrahas 14:55 15:25 COFFEE BREAK Module 4 Diaphyseal upper extremity fractures: humerus Moderator: A Smirnov At the end of this module, participants will be able to: Identify the indications for surgical treatment of humeral shaft fractures Discuss plating and nailing techniques for humeral shaft fractures 15:25 15:35 Plating indications and techniques for Humeral Shaft Fractures T Marsumura 15:35 15:45 Intramedullary nailing indications and techniques for Humeral Shaft Fractures T Luria 15:45 16:05 Case-based panel discussion A Smirnov, D Brillej, S Bernal, T Matsumura, T Luria 16:05 16:15 Module 4 discussion and summary A Smirnov

11 Tuesday, December 5, 2017 TIME AGENDA ITEM WHO LOCATION Aspen Module 5 Articular fractures: shoulder Moderator: K Hussein At the end of this module, participants will be able to: Identify the expected outcomes and appropriate treatment options for clavicular fractures Identify the indications for surgical treatment of proximal humeral fractures Evaluate evidence for fixation of proximal humeral fractures versus replacement 08:00 08:10 Fractures of the clavicle when and how to operate indications and methods of fixation T Gregg 08:10 08:20 Proximal humerus indications and techniques for open reduction and internal fixation (ORIF) R Neiman 08:20 08:30 Proximal humerus indications and outcomes for arthroplasty A Gandhe 08:30 08:40 Module 5 discussion and summary K Hussein 08:40 08:45 LOCATION CHANGE TO PRACTICAL EXERCISE 08:45 10:10 Discussion group 2 Upper extremity fractures decision making and methods of stabilization Group 1 Landwasser 1 Group 2 Landwasser 2 Group 3 Landwasser 3 Group 4 Landwasser 4 Group 5 Landwasser 5 Group 6 Landwasser 6 Group 7 Landwasser 7 Group 8 Landwasser 8 Group 9 Landwasser 9 Group 46 Aspen A Harris, T Matsumura T Gösling, G Merchan Suarez M Vrahas, M Nuñez Y Weil, A Smirnov G Della Rocca, A Kritsaneephaiboon B Buck, H Al-Saadi A Ekman, K Hussein T Gregg, U Gönç A Gandhe, C Chen I Schipper, D Brilej 10:10 10:35 COFFEE BREAK 10:35 11:55 Practical exercise 2 Fixation of a four-part proximal humeral fracture R Neiman, A Gandhe

12 11:55 12:05 LOCATION CHANGE TO LECTURE HALL Module 6 Articular fractures: elbow/wrist Moderator: G Della Rocca At the end of this module, participants will be able to: Plan fixation and describe the different surgical approaches to the distal humerus Recognize the key concepts for managing elbow fracturedislocations Explain the key issues in the treatment of distal radial fractures 12:05 12:15 Intraarticular distal humeral fractures ORIF techniques, and outcomes G Babis 12:15 12:25 Fracture dislocations of the elbow management concepts B Buck 12:25 12:35 Intraarticular distal radial fractures indications for surgery and ORIF concepts T Luria 12:35 12:45 Module 6 discussion and summary G Della Rocca 12:45 14:00 LUNCH BREAK 14:00 15:30 Practical exercise 3 Fixation of a type 13-C1 fracture in the distal humerus using a locking plate G Babis B Buck 15:30 16:00 COFFEE BREAK Module 7 Articular fractures: knee Moderator: R Neiman At the end of this module, participants will be able to: Recognize ORIF principles and techniques for distal femur fractures List the emergency management principles for knee dislocations Evaluate surgical principles and techniques for ORIF of the tibial plateau 16:00 16:10 Distal femoral fractures current techniques A Kritsaneephaiboon 16:10 16:20 Knee dislocations principles of emergency management R Abutalib 16:20 16:30 Complex tibial plateau fractures current techniques U Gönç 16:30 16:45 Module 7 discussion and summary R Neiman

13 Wednesday, December 6, 2017 Self Directed Learning Day Participants will choose their own program by selecting two of the following 4 modules: Morning Modules: Lower Extremity Reduction Techniques Afternoon Modules: Upper Extremity Avoiding and Treating Complications Chairpersons Marinis Pirpiris Epworth Hospital Victoria, Australia An Sermon University Hospitals Gasthuisberg, Leuven, Belgium Faculty Lower Extremity Baumgaertel Friedrich University of Marburg Marburg Germany Bingham Roger Royal Melbourne Hospital Parkville Australia Della Rocca Gregory Duke University School of Medicine Durham USA Pirpiris Marinis Epworth Hospital Victoria Australia Putineanu Dan Cliniques Universitaires St. Luc Brussels Belgium Rikhter Oleksandr Hospital "Boris" Kyiv Ukraine Yang Minghui BeiJing Ji Shui Tan Hospital Beijing China Reduction Techniques Baumgaertel Friedrich University of Marburg Marburg Germany Bingham Roger Royal Melbourne Hospital Parkville Australia Hessmann Martin Academic Teaching Hospital Fulda Fulda Germany Kwek Ernest Tan Tock Seng Hospital Singapore Singapore Sermon An University Hospitals Gasthuisberg Leuven Belgium Vrahas Mark Cedars-Sinai Medical Center Los Angeles USA Upper Extremity Buck Brian University of Missouri Springfield USA Darwish Husam King Abdulaziz University Hospital Jeddah Saudi Arabia Gandhe Advait Queen Alexandra Hospital Portsmouth United Kingdom Odat Mahmoud Arab Medical Center Amman Jordan Roman Javier Hospital Clínico de la Pontificia Santiago Chile Universidad Católica de Chile Smirnov Andrey East-Tallinn Central Hospital Tallinn Estonia

14 Avoiding and Treating Complications Baumgaertel Friedrich University of Marburg Marburg Germany Brilej Drago Celje General Hospital Celje Slovenia Du Plessis Frederick University of the Freestate Bloemfontein South Africa Hussein Khaled Nini Hospital Tripoli- north Lebanon leban Kates Stephen Virginia Commonwealth University Glen Allen USA Levine Ari MetroHealth Medical Center Cleveland USA Velkes Steven Rabin Medical Center Petah-Tikva Israel

15 Wednesday, December 6, 2017 Lower Extremity TIME AGENDA ITEM WHO LOCATION Davos Module Biomechanics and Biology in lower extremity fracture union Moderator: D Putineanu Upon completion of this module, participants will be able to: Delineate the place of biomechanics and biology in femoral fractures Discuss the place for anatomical reduction in lower limb fractures Describe the limitations of plate fixation in periarticular shear fractures Describe the different ways to position patients to obtain proper imaging in lower extremity fracture surgery 08:00 08:05 Introduction D Putineanu 08:05 08:25 Fractured necks of femur why do they not heal and what are the options? 08:25 08:45 Subtrochanteric fractures and failure of fixation biomechanics or biology? 08:45 09:05 Comminuted shaft fractures should I reduce the displaced fragment 09:05 09:25 Not all distal femoral fractures are the same plates and the Hoffa fragment 09:25 09:45 Not all tibial plateau fractures are the same plates and the posterior tibial plateau M Pirpiris D Putineanu R Bingham F Baumgaertel G Della Rocca 09:45 10:05 Posterior Malleolar fractures do they matter? M Yang 10:05 10:30 COFFEE BREAK 10:30 11:30 Demonstration of supine, prone, and lateral positions for lower extremity surgery with intraoperative imaging O Rikhter 11:30 12:00 Questions and closing remarks D Putineanu 12:00 13:30 LUNCH

16 Reduction Techniques TIME AGENDA ITEM WHO LOCATION Aspen Module Reduction techniques and methods Moderator: M Hessmann Upon completion of this module, participants will be able to: Explain forces of displacement and how to counteract Define types of reduction and explain indications for each List tools for reduction and their functions Recall methods of verifying reduction intraoperatively Demonstrate examples of reduction techniques in diaphyseal and articular fractures 08:00 08:05 Introduction M Hessmann 08:05 08:25 Distraction, muscle vectors, displacement forces, and ligamentotaxis F Baumgaertel 08:25 08:45 Types of direct and indirect reduction E Kwek 08:45 09:05 Tools of reduction Mark Vrahas 09:05 09:25 The use of imaging in MIPO plating E Kwek 09:25 09:50 COFFEE BREAK 09:50 10:10 Reduction of diaphyseal fractures R Bingham 10:10 10:30 Reduction of articular fractures M Hessmann 10:30 11:30 Case discussion of reduction examples A Sermon 11:30 12:00 Questions and discussion M Hessmann 12:00 13:30 LUNCH

17 Upper Extremity TIME AGENDA ITEM WHO LOCATION Davos Module Biomechanics and Biology in upper extremity fracture union Moderator: M Odat Upon completion of this module, participants will be able to: Describe the reasons for non union in upper limb fractures Discuss the limitations of plating in periarticular fractures Explain the biomechanics of stiffness in forearm fracture malunions Explain patient positioning and how to obtain appropriate intraoperative imaging 13:30 13:35 Introduction M Odat 13:35 13:55 Proximal Humeral fractures why do they not heal and what are the options? A Smirnov 13:55 14:15 Humeral shaft nonunions is it biology or biomechanics? H Darwish 14:15 14:35 MIPO plating in simple humeral fractures does it break the rules? 14:35 14:55 Distal humeral fractures and stability can we always achieve absolute stability? 14:55 15:15 Forearm malreduction and stiffness is it all biomechanics and can it be corrected? 15:15 15:35 Distal radial fractures does fracture specific fixation provide appropriate stability? B Buck M Odat A Gandhe J Roman 15:35 16:00 COFFEE BREAK 16:00 17:00 Demonstration of supine, prone, beach chair, and lateral positions for upper extremity surgery with intraoperative imaging A Smirnov 17:00 17:30 Questions and closing remarks M Odat

18 Avoiding and Treating Complications TIME AGENDA ITEM WHO LOCATION Aspen Module Avoiding and treating complications of fracture management Moderator: S Kates Upon completion of this module, participants will be able to: Identify and discuss the methods of staged fracture care Apply operative care according to the location and soft tissue condition of the fracture Recognize the indications and contraindications of osteotomy in the management of malunion Identify and discuss the indications for amputation 13:30 13:35 Introduction S Kates 13:35 13:55 What complications does damage control orthopaedics avoid? F Du Plessis 13:55 14:15 Do you need to stage all periarticular fractures? F Baumgaertel 14:15 14:35 What to do when periarticular wounds breakdown and fractures become infected? S Kates 14:35 14:55 Why the staging of open hand and foot injuries is different? D Brilej 14:55 15:15 The place of external fixation is definitive management of delayed presentation of open limb injuries K Hussein 15:15 15:35 Osteotomies in the correction of diaphyseal injuries A Levine 15:35 15:55 Questions and answers S Kates 15:55 16:15 COFFEE BREAK 16:15 16:35 Osteotomies in the correction of articular fractures S Velkes 16:35 16:55 What to do when the articular surface is destroyed? F Du Plessis 16:55 17:15 Amputations or salvage who decides? K Hussein 17:15 17:45 Questions, and closing remarks S Kates

19 Thursday, December 7, 2017 TIME AGENDA ITEM WHO LOCATION Foyer C2 08:00 09:15 Practical exercise 4 Distal femur fixation of an intraarticular type 33-C2.1 fracture using a distal femoral locking plate G Della Rocca A Kritsaneephaiboon 09:15 09:45 COFFEE BREAK 09:45 11:20 Discussion group 3 Lower extremity fractures of the femur Group 1 Landwasser 1 Group 2 Landwasser 2 Group 3 Landwasser 3 Group 4 Landwasser 4 Group 5 Landwasser 5 Group 6 Landwasser 6 Group 7 Landwasser 7 Group 8 Landwasser 8 Group 9 Landwasser 9 Group 46 Aspen M Hatton, G Babis M Karunakar, S Bernal T Luria, H Al-Saadi R Neiman, R Abutalib I Schipper, A Smirnov G Della Rocca, M Nuñez M Sirkin, G Merchan Suarez Y Weil, A Kritsaneephaiboon T Gregg, T Gösling A Gandhe, K Hussein 11:20 11:30 LOCATION CHANGE TO DISCUSSION GROUP 11:30 12:45 Practical exercise 5 Management of a type 41-C3 bicondylar tibial plateau fracture using a locking plate U Gönç, M Hatton 12:45 14:15 LUNCH BREAK Module 8 Injuries of the distal tibia, ankle, and foot Moderator: B Buck At the end of this module, participants will be able to: Assess complex malleolar fractures and plan appropriate treatment Prepare a preoperative plan including rationale for imaging, choice of approach, and surgical tactics for tibial pilon fractures Identify patterns of calcaneal injuries Explain the risk of complications following injuries to the talus Discuss the indications for surgical management of midfoot injuries and surgical principles 14:15 14:25 Complex ankle fractures Y Weil 14:25 14:35 Pilon fractures early and definitive treatment T Gregg

20 14:35 14:45 Talar neck fractures and complications M Karunakar 14:45 14:55 Calcaneal fractures predicting and avoiding problems S Bernal 14:55 15:05 Midfoot injuries (including Lisfranc, navicular, cuboid) G Della Rocca 15:05 15:15 Module 8 discussion and summary B Buck 15:15 15:40 COFFEE BREAK 15:40 17:10 Practical exercise 6 Management of a type 43-C3.2 tibial pilon fracture using a distal tibial locking plate T Gregg, Y Weil

21 Friday, December 8, 2017 TIME AGENDA ITEM WHO LOCATION Landwasser/Aspen 08:00 09:10 Discussion group 4 Lower extremity fractures of the tibia, ankle, and foot Group 1 Landwasser 1 Group 2 Landwasser 2 Group 3 Landwasser 3 Group 4 Landwasser 4 Group 5 Landwasser 5 Group 6 Landwasser 6 Group 7 Landwasser 7 Group 8 Landwasser 8 Group 9 Landwasser 9 Group 46 Aspen Y Weil, H Al-Saadi M Vrahas, G Babis M Sirkin, R Abutalib I Schipper, D Brilej R Neiman, C Chen T Luria, U Gönç M Karunakar, T Gösling A Gandhe, K Hussein A Harris, A Kritsaneephaiboon T Gregg, T Matsumura 09:10 09:20 LOCATION CHANGE TO LECTURE HALL Module 9 Articular fractures hip and pelvis Moderator: M Hatton At the end of this module, participants will be able to: Evaluate and plan appropriate fixation techniques for femoral neck fractures Compare treatment options and define principles of fixation for per- and intertrochanteric fractures Assess pelvic ring damage in patients with pelvic injuries Classify acetabular fractures and describe principles of management 09:20 09:30 Femoral neck fractures different patients, different problems A Ekman 09:30 09:40 Per- and intertrochanteric fractures treatment options and outcomes A Smirnov 09:40 09:50 Evaluation and emergency management of pelvic ring injuries A Harris 09:50 10:00 Acetabular fractures evaluation and decision making M Nuñez 10:00 10:10 Module 9 discussion and summary M Hatton 10:10 10:30 COFFEE BREAK Module 10 Potential life threatening problems Moderator: A Harris At the end of this module, participants will be able to: Set priorities for the management of the polytrauma patient Describe the systemic impact of injury

22 Evaluate the decision for early total care versus damage control List the key principles for mangled extremity decision making 10:30 10:40 State-of-the-art management of multiple-injured patients I Schipper 10:40 10:50 Mangled extremity: decision making salvage versus amputation H Al-Saadi 10:50 11:00 Module 10 discussion and summary A Harris Module 11 Complications Moderator: M Sirkin At the end of this module, participants will be able to: Recognize the reasons why fractures do not heal List the treatment principles for nonunions Discuss appropriate strategies for bone defects 11:00 11:10 Nonunions principles and common techniques K Hussein 11:10 11:20 Bone defects strategies (including biological membrane and bone transport) G Merchan Suarez 11:20 11:30 ARI the cutting edge on scaffolds ARI 11:30 11:40 Module 11 discussion and summary M Sirkin 11:40 12:10 BREAK WITH SANDWICHES 12:10 13:10 Discussion groups 5 Decision making in difficult fracture problems and polytrauma patients Group 1 Landwasser 1 Group 2 Landwasser 2 Group 3 Landwasser 3 Group 4 Landwasser 4 Group 5 Landwasser 5 Group 6 Landwasser 6 Group 7 Landwasser 7 Group 8 Landwasser 8 Group 9 Landwasser 9 Group 46 Aspen A Gandhe, A Smirnov A Ekman, M Nuñez G Della Rocca, G Merchan Suarez B Buck, T Matsumura M Vrahas, U Gönç M Sirkin, R Abutalib, R Neiman, C Chen M Karunakar, D Brilej M Hatton, S Bernal, Mexico A Harris, G Babis 13:10 13:20 LOCATION CHANGE TO LECTURE HALL Module 12 Special problems Moderator: A Ekman

23 At the end of this module, participants will be able to: Integrate the management principles for insufficiency fractures Identify the treatment principles for infected fractures after ORIF List the key treatment principles for periprosthetic fractures Recognize the key ways to stay out of trouble 13:20 13:30 Insufficiency fractures overview and fixation techniques T Gösling 13:30 13:40 Infection after ORIF management principles M Sirkin 13:40 13:50 Periprosthetic fractures M Karunakar 13:50 14:00 Violation of AO Principles Staying out of trouble M Hatton 14:00 14:10 Module 12 discussion and summary A Ekman 14:10 14:20 Closing remarks and end of course B Crist, A Sermon

24 Postcourse online activity December 9 22, 2017 Task 1 Online postcourse self-assessment (10 min) At the end of this course, you will receive an link to the postcourse self-assessment. Please take the opportunity to complete the self-assessment. This will help you to reflect on what you have learned during the event and also help us to improve future events.

25 Event organization AOTrauma Anja Sutter Clavadelerstrasse Davos, Switzerland Phone Fax asutter@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 information Event fee AOTrauma Course Advanced Principles of Fracture Management CHF Included in the event fee is the conference bag with documentation, coffee breaks, lunches, and AO World Night and course certificate. European CME Accreditation An application has been made to the UEMS-EACCME in Brussels for CME accreditation of this event. 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 welcome desk. Evaluation guidelines All AOTrauma events apply the same evaluation process, online pre- and post-event evaluation and on-site by paper and pencil 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 of 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 their events. Participants must

26 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 AO marketing and other purposes, and made available to the public. Security Security checks will be conducted at the entrance of the building. Wearing of a name tag is compulsory during lectures, workshops, and group discussions. No insurance The event organization does not take out insurance to cover any individual against accidents, thefts 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 2017, the best from last year's courses, and a selection of photographs from the first ever AO Davos Courses. Dress code Davos: warm clothes and suitable shoes are advisable.

27 Event venue 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 15:00 17:00 Monday to Thursday 09:00 17:00 (Thursday 20:30) Friday 09:00 15:30 Industry exhibition Sunday 15:00 19:00 Monday to Thursday 09:00 17:00 (Thursday 18:00) Friday 09:00 15:30

28 AO Foundation Principles of AO Educational Events 1) 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. 2) Compliance to accreditation and industry codes All planning, organization, and execution of educational activities follow existing codes for accreditation of highquality 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 ( 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 ( 3) Branding and advertising No industry logos or advertising (with the exception of the AO Foundation and AO Clinical Division) 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. 4) 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 peerreviewing new technology (more information about AOTK, its development and approval process can be found on the AO Foundation website: 5) Personnel Industry staff is not allowed to interfere with the educational content or engage in educational activities during the event.

29 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

30 Wireless network How to connect to the AO Wireless LAN Open the Wireless Network Connection Window Choose the AO Business Network as shown in the print screen below and click on the Connect Button. Our "AO Business" Wireless Network requires a WPA network key: Network key: aowireless Then click on the OK Button.

31 Exhibitions AO World Visit the AO World in the main foyer, home to the AO Clinical Divisions, AO Institutes and the AO Foundation Initiatives. Here you can explore membership opportunities, browse our print and electronic publications and learn about groundbreaking activities within the AO. Discover research, development, fellowships, and other opportunities available to you by visiting all the booths in the AO World. Industry exhibitors Visit the exhibitions of our major industry partners DePuy Synthes and Siemens, who are also contributing in-kind support (material and logistics), and the other exhibitors: SYNBONE, Ethicon, Carl Zeiss AG, Invibio, Victorinox, ICUC, and Moticon GmbH. -> further exhibitors to be confirmed Media exhibitors Lehmanns Media can be found at the entrance to the Congress Center.

32 AO Research Institute Davos (ARI) Mission Excellence in applied Preclinical Research and Development within trauma and disorders of the musculoskeletal system and translation of this knowledge to achieve more effective patient care worldwide. 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. At the AO World booths, 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 AO Research Institute Davos (ARI). Insight into the AO Center will show our infrastructure under one roof and enable you to meet some of our research team. Areas: Collaborative Research Programs Annulus Fibrosus Rupture Acute Cartilage Injury Craniomaxillofacial Imaging and planning of surgery, computer aided preoperative planning Medication-Related Osteonecrosis of the Jaw Bone Regeneration Spine Degeneration and regeneration of the intervertebral disc Fracture fixation in osteoporotic bone Trauma Bone infection, including the development and testing of active anti-infective interventions Fracture fixation in osteoporotic bone including intra-operative assessment of bone quality, augmentation techniques and prophylaxis Evaluation of the cortical and trabecular bone remodeling (with special regards to the porosity) in the proximal humerus and its impact on the fracture zones Development of smart surgical instruments and implant concepts for optimized bone healing Patient outcomes and biomarkers Veterinary Medicine Improving osteosynthesis for small and large animals Multidisciplinary Analysis of implant-specific functional anchorage with CT-technology Ex vivo testing using advanced biomechanical models In vivo studies using established or newly developed preclinical models Gene transfer- non-viral and viral Implant design using the Finite Element Methods Implant positioning assistance, C-arm guided implant placement Telemetric monitoring of bone healing In vivo and in vitro quantification of bone turnover and scaffold degradation Longitudinal analysis within in-vivo studies using CT-technology Medical 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

33 Stem cell therapies for the treatment of bone, intervertebral disc and cartilage defects Bioreactor culture systems and mechanobiology Surface modification of PEEK to improve tissue integration Thermosresponsive gel for delivery of antibiotics, stem cells, growth factors, transfected cells etc. 3R refinement of preclinical studies Development, standardization, optimization and improvement of preclinical models and methods For the 2016 AO Research Institute Davos activity report and recent publications go to:

34 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 for providing an unrestricted educational grant for this event. We also extend our thanks to the following co-sponsors (educational grants, in-kind support): Credit Suisse Synbone Ethicon

35 Upcoming AO Events Davos 2018 AO Courses December 3 8, 2018 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 Foot and Ankle AOTrauma Course Pediatrics AOTrauma Masters Kurs AORecon Course AO Courses December 10 14, 2018 AOTrauma Course Basic Principles of Fracture Management for Swiss Surgeons AOSpine Courses AOCMF Courses AONeuro Course AOVET Courses List subject to changes. The final Davos courses list as well as worldwide courses lists will be available on in January 2018.

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