AOTrauma Course Managing Pediatric Musculoskeletal Injuries

Transcription

1 Event program AOTrauma Course Managing Pediatric Musculoskeletal Injuries December 2 6, 2018 Davos, Switzerland Lecture hall: Jakobshorn Home to Trauma & Orthopedics

2 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 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 Practical exercise Lecture hall 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 Flüela Sertig Dischma Main entrance Schwarzhorn Sanada 1 Seehorn Wisshorn Sanada 2 Faculty Support Center Faculty Lounge Passage 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 Course Managing Pediatric Musculoskeletal Injuries 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 Goal of the course 6 Target participants 6 Learning objectives 6 Course description 7 Chairpersons Faculty 8 Sunday, December 2, Monday, December 3, Tuesday, December 4, Wednesday, December 5, Thursday, December 6, Event organization 19 Event venue and opening times 20 Exhibitions Sponsors 21 Business center Wireless network 22 Event information 23 AO Foundation Principles of AO Educational Events 24 AO Research Institute Davos (ARI) 25 Upcoming AO Courses Davos 2019

4 4 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 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 Course Managing Pediatric Musculoskeletal Injuries 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 Course Managing Pediatric Musculoskeletal Injuries Goal of the course The AOTrauma Course Managing Pediatric Musculoskeletal Injuries aims to create a clinically centered learning environment where the current principles and techniques of fracture management in children and adolescents are demonstrated, applied, and discussed. In this course, modern concepts in pediatric fracture care are covered. During the practical exercises, participants will practice the methods presented and discussed in this course. In addition, principles of managing a polytraumatized child, and issues in managing the child and family are discussed. A special session on principles in managing bone and joint infection in children is included. Target participants This course is for traumatologists, orthopedic surgeons, and other surgeons who are actively engaged in pediatric fracture care and who want to enhance their level of expertise in this field. Ideally, participants have completed the AOTrauma Course Basic Principles of Fracture Management. They must be able to communicate appropriately in English. Learning objectives Upon completion of this course participants will be able to: Recognize how bone characteristics and fracture classification are different in children and adolescents compared with adults, and describe how this affects bone healing and fracture management Evaluate a range of nonsurgical and surgical options for the treatment of common pediatric fractures Manage pediatric fractures according to biological and mechanical principles and apply appropriate techniques and technologies Apply treatment strategies for pediatric fractures based on available evidence and discuss areas of controversy Provide strategies for the prevention and management of complications associated with pediatric fractures Explain the issues related to managing the child and family and principles of managing a polytraumatized child Identify basic guidelines in managing bone and joint infection in children Course description The unique format of the course provides key lectures, practical exercises, closed round-table discussions, and open plenary discussions in an interactive environment. Related topics are explored and current surgical and nonsurgical treatment for pediatric fractures are evaluated, with emphasis on preventing complications.

7 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 7 Chairperson Co-Chairperson Jamil Soni Pontifical Catholic University of Paraná Curitiba, Brazil Mamoun Kremli AlMaarefa Colleges / Dallah Hospital Riyadh, Saudi Arabia International Faculty Daniel Green Hospital for Special Surgery New York USA James Hui National University Hospital Singapore Singapore Singapore Khalid Khoshhal College of Medicine, Taibah University Almadinah Almunawwarah Saudi Arabia Pedro Mendes INTO Rio de Janeiro Brazil Unni Narayanan The Hospital for Sick Children Toronto Canada Sergio Nossa Instituto de Ortopedia Infantil Roosevelt Bogota Colombia Aik Saw University of Malaya Medical Center Kuala Lumpur Malaysia Regional Faculty Arnold Besselaar Catharina Ziekenhuis Eindhoven Netherlands Jonathan Dwyer University Hospital of North Midlands Stoke-on-Trent United Kingdom Matej Kastelec Clinical Centre Ljubljana Ljubljana Slovenia Dorien Schneidmueller Berufsgenossenschaftliche Unfallklinik Murnau Murnau Germany National Faculty Nicolas Lutz Centre hospitalier univ. Vaudois (CHUV) Lausanne Switzerland

8 8 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 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 TIME AGENDA ITEM WHO LOCATION Jakobshorn 08:00 08:10 Opening session: Introduction to the course Course objectives Logistical information including remarks about educational methods/ formats and expectations J Soni, M Kremli Module 1 Fundamentals of managing pediatric fractures Moderator: J Soni Define normal children s anatomy and physiology Recognize the relevance of age in relation to injury pattern and optimum treatment of the whole child and family Explain the relationship of age to modeling capacity and define acceptable limits of malunion Describe the impact of growth disturbance in the management of pediatric fractures 08:10 08:25 Plenary session audience response system (ARS) evaluation of warm-up cases to promote understanding of modeling capacity J Dwyer 08:25 08:50 The influence of growth and modeling in pediatric fractures A Saw 08:50 09:15 Conservative treatment of children s fractures A Besselaar 09:15 09:30 Surgical treatment of children s fractures D Green 09:30 09:40 Plenary session ARS reevaluation of warm-up cases to promote understanding of modeling capacity J Dwyer

9 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 9 Monday, December 3, 2018 TIME AGENDA ITEM WHO LOCATION Jakobshorn Module 2 Assessment and planning Moderator: J Hui Identify how to use appropriate imaging and other assessment techniques with the correct frequency to plan management, monitor treatment, and define outcomes Describe available classification systems, how to use them, and why? Describe available validated outcome measures for different injury patterns Establish principles of recognized predictors associated with satisfactory long-term outcomes to avoid overinvestigation and/or overtreatment Identify recognized predictors that demand longer term review to avoid poor outcomes 09:40 10:00 The AO Pediatric Comprehensive Classification of Long-Bone Fractures (PCCF) and the AO Comprehensive Injury Automatic Classifier (AOCOIAC) 10:00 10:20 Plenary session ARS evaluation of cases shown in the previous lecture to highlight useful applications of classification D Schneidmueller N Lutz 10:20 10:40 COFFEE BREAK Module 3 Decision-making Moderator: M Kastelec Understand the biomechanics aspects of elastic stable intramedullary nailing (ESIN) Recognize the correct indication for ESIN Understand correctly the ESIN method 10:40 11:00 Principles of elastic nails hints and pitfalls M Kremli 11:00 12:00 Round table discussion 1 Clinical decision-making Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 12:00 12:10 Summary: Key learning points presented by tables 1 6 Brief presentation by the moderator of take-home messages D Green, M Kastelec J Hui, A Besselaar K Khoshhal, D Schneidmueller P Mendes, N Lutz U Narayanan, A Saw S Nossa, J Dwyer M Kastelec 12:10 13:40 LUNCH BREAK

10 10 AOTrauma Course Managing Pediatric Musculoskeletal Injuries Monday, December 3, 2018 TIME AGENDA ITEM WHO LOCATION Jakobshorn Module 4 Lower limb femoral fractures Moderator: A Besselaar Evaluate the range of treatment options for epiphyseal, metaphyseal, and diaphyseal femoral fractures Define indications for and principles of femoral traction Perform the technique for ESIN of femoral fractures and discuss limitations Understand the technique for the adolescent lateral femoral nail (ALFN) in adolescents Compare and contrast treatment options in children of different ages, ie, casting, traction, plating, external fixation, intramedullary devices 13:40 13:50 Plenary session ARS evaluation of warm-up cases to demonstrate principles in management of common femoral fractures A Besselaar 13:50 14:05 Treatment of femoral shaft fractures in different pediatric age groups J Dwyer 14:05 15:20 Round table discussion 2 Treating femoral fractures in children and adolescents Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 D Green, M Kastelec J Hui, A Besselaar K Khoshhal, D Schneidmueller P Mendes, N Lutz U Narayanan, A Saw S Nossa, J Dwyer 15:20 15:40 COFFEE BREAK LOCATION Strela-Rinerhorn 15:40 16:15 Practical exercise 1 Elastic stable intramedullary nailing (ESIN) in the femur retrograde and anterograde techniques 16:15 16:45 Practical exercise 2 Adolescent lateral femoral nail (ALFN) (demonstration) Femoral neck fracture with LCP hip plate A Besselaar, D Schneidmueller J Dwyer, U Narayanan 16:45 16:50 LOCATION CHANGE TO LECTURE HALL 16:50 17:00 Plenary session ARS reevaluation of warm-up cases demonstrating the principles in management of common femoral fractures 17:00 17:15 Summary: Key learning points presented by tables 1 6 Brief presentation by the moderator of take-home messages relating to management of common femoral fractures A Besselaar A Besselaar 17:15 17:20 Summary, evaluation, and take-home messages J Soni

11 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 11 Tuesday, December 4, 2018 TIME AGENDA ITEM WHO LOCATION Jakobshorn Module 5 Lower limb knee injuries Moderator: M Kremli Relate mechanisms to patterns of injury around the knee Identify pediatric knee injuries early Evaluate different treatment methods for complex knee injuries Describe the treatment options Anticipate complications and evaluate options for management 08:00 08:10 Plenary session ARS evaluation of warm-up cases important knee injuries in children 08:10 08:55 Round table discussion 3 Treating knee injuries in children of different ages Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 08:55 09:05 Plenary session ARS reevaluation of warm-up cases important knee injuries in children 09:05 09:20 Summary: Key learning points presented by tables 1 6 Brief presentation by the moderator of take-home messages relating to pediatric knee injuries D Green D Green, J Hui K Khoshhal, P Mendes U Narayanan, S Nossa A Saw, A Besselaar J Dwyer, M Kastelec D Schneidmueller, N Lutz D Green D Green Module 6 Lower limb tibial, fibular, and ankle injuries Moderator: D Schneidmueller Recognize the range of treatment options of tibial diaphyseal fractures Describe the presentation of compartment syndrome Describe the pattern of triplane fractures Apply principles of fracture reduction and fixation that maintain the function of the physis 09:20 09:35 Special ankle fractures in children triplane/tillaux M Kastelec 09:35 09:45 Plenary session ARS evaluation of warm-up cases common tibial fractures and important ankle injuries 09:45 10:30 Round table discussion 4 Tibial diaphysis and distal tibial fractures Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 10:30 10:45 Plenary session ARS reevaluation of warm-up cases common tibial fractures and important ankle injuries S Nossa D Green, J Hui K Khoshhal, P Mendes U Narayanan, S Nossa A Saw, A Besselaar J Dwyer, M Kastelec D Schneidmueller, N Lutz S Nossa 10:45 11:15 COFFEE BREAK

12 12 AOTrauma Course Managing Pediatric Musculoskeletal Injuries Tuesday, December 4, 2018 TIME AGENDA ITEM WHO LOCATION Strela-Rinerhorn 11:15 11:55 Practical exercise 3 Triplane fractures J Dwyer, N Lutz 11:55 12:00 LOCATION CHANGE TO LECTURE HALL LOCATION Jakobshorn 12:00 12:15 Summary: Key learning points presented by tables 1 6 Brief presentation by the moderator of take-home messages relating to injuries of the tibia and ankle D Schneidmueller 12:15 13:45 LUNCH BREAK Module 7 Entire lower limb Moderator: J Soni Apply many methods of treatment to specific fractures of the entire lower limb Consider many options of fixation following the major principles recommended for children and adolescents 13:45 14:30 Round table discussion 5 Pediatric lower limb injuries Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 D Green, J Hui K Khoshhal, P Mendes U Narayanan, S Nossa A Saw, A Besselaar J Dwyer, M Kastelec D Schneidmueller, N Lutz Module 8 Upper limb shoulder and humerus Moderator: M Kremli Identify indications for operative intervention Describe assessment of injuries associated with musculoskeletal trauma around the shoulder, eg, peripheral nerve injury, brachial plexus injury, vascular injury, labral tears 14:30 14:40 Plenary session ARS evaluation of warm-up cases common injuries around the shoulder in children K Khoshhal 14:40 15:20 Round table discussion 6 Shoulder girdle and humerus Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 15:20 15:30 Plenary session ARS reevaluation of warm-up cases common injuries around the shoulder in children D Green, J Hui K Khoshhal, P Mendes U Narayanan, S Nossa A Saw, A Besselaar J Dwyer, M Kastelec D Schneidmueller, N Lutz K Khoshhal 15:30 15:45 Summary of shoulder and humerus A Saw 15:45 16:05 COFFEE BREAK

13 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 13 Tuesday, December 4, 2018 TIME AGENDA ITEM WHO Module 9 Upper limb elbow injuries Moderator: J Dwyer Describe the late complications of lateral condylar fractures, eg, nonunion, malunion, tardy ulnar nerve palsy Recognize cubitus varus deformity from overgrowth, avascular necrosis from excessive surgical dissection Avoid missing the Monteggia lesion Perform intramedullary rod fixation of radial neck fractures 16:05 16:15 Plenary session ARS evaluation of warm-up cases important pediatric elbow injuries J Dwyer 16:15 16:25 Considerations about Monteggia lesion J Soni 16:25 17:10 Round table discussion 7 Pediatric elbow injuries Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 17:10 17:20 Plenary session ARS reevaluation of warm-up cases important pediatric elbow injuries 17:20 17:30 Summary: Key learning points presented by tables 1 6 Brief presentation by the moderator of take-home messages relating to pediatric elbow injuries 17:45 20:30 AO WORLD NIGHT D Green, J Hui K Khoshhal, P Mendes U Narayanan, S Nossa A Saw, A Besselaar J Dwyer, M Kastelec D Schneidmueller, N Lutz J Dwyer J Dwyer

14 14 AOTrauma Course Managing Pediatric Musculoskeletal Injuries Wednesday, December 5, 2018 TIME AGENDA ITEM WHO LOCATION Jakobshorn Module 10 Upper limb supracondylar fractures Moderator: U Narayanan Define the relative and absolute indications for internal fixation in pediatric elbow fractures Explain the classification of supracondylar fractures Apply different treatment modalities/methods of fixation List the treatment options and perform the most common techniques Anticipate, identify, and manage complications, eg, cubitus varus Discuss management of vascular and peripheral nerve injuries and compartment syndrome 08:00 08:10 Plenary session ARS evaluation of warm-up cases supracondylar fractures of the distal humerus P Mendes 08:10 08:25 Guidelines in treatment of supracondylar fractures in children U Narayanan 08:25 09:25 Round table discussion 8 Supracondylar fractures Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 09:25 09:45 Plenary session and take-home messages vascular/ peripheral nerve injuries associated with supracondylar fractures of the distal humerus 09:45 10:00 Plenary session ARS reevaluation of warm-up cases supracondylar fractures of the distal humerus 10:00 10:30 Plenary session "InQuizition" on nonunion, malunion, growth arrest, and missed Monteggia lesion A Saw, S Nossa A Besselaar, U Narayanan J Dwyer, P Mendes M Kastelec, K Khoshhal D Schneidmueller, J Hui N Lutz, D Green J Hui J Hui U Narayanan 10:30 11: 00 COFFEE BREAK Module 10 Upper limb supracondylar fractures (cont) Moderator: D Green LOCATION Strela-Rinerhorn 11:00 12:15 Practical exercise 4 Supracondylar humeral, lateral condyle, and medial epicondyle fractures J Hui, U Narayanan 12:15 13:45 LUNCH BREAK

15 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 15 Wednesday, December 5, 2018 TIME AGENDA ITEM WHO LOCATION Jakobshorn Module 11 Upper limb forearm and wrist fractures Moderator: K Khoshhal Explain how the forearm functions as a multiaxial joint, ie, flexion, extension, pronation, and supination Explain the methods of stabilization and fixation according to the level of fracture in the forearm and wrist Describe the indications for surgical treatment Perform ESIN techniques for forearm and radial neck fractures Discuss the indications for and application of other techniques 13:45 13:55 Plenary session ARS evaluation of warm-up cases forearm and wrist injuries K Khoshhal 13:55 14:10 Treatment of forearm fractures in children casting, ESIN or plating? M Kastelec 14:10 14:55 Round table discussion 9 Treating forearm and wrist fractures Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 14:55 15:05 Plenary session ARS reevaluation of warm-up cases forearm and wrist injuries 15:05 15:25 Summary: Key learning points presented by tables 1 6 Brief presentation by the moderator of take-home messages relating to injuries of the forearm and wrist A Saw, S Nossa A Besselaar, U Narayanan J Dwyer, P Mendes M Kastelec, K Khoshhal D Schneidmueller, J Hui N Lutz, D Green K Khoshhal S Nossa 15:25 15:45 COFFEE BREAK LOCATION Strela-Rinerhorn 15:45 17:00 Practical exercise 5 Elastic nailing of forearm and radial neck fractures M Kastelec, D Schneidmueller 17:00 17:05 Summary, evaluation, and take-home messages M Kremli

16 16 AOTrauma Course Managing Pediatric Musculoskeletal Injuries Thursday, December 6, 2018 TIME AGENDA ITEM WHO LOCATION Jakobshorn Module 12 Entire upper limb Moderator: A Saw Recognize different und unusual lesions of the upper limb Apply different options of treatment in special features 08:00 09:00 Round table discussion 10 Pediatric upper limb injuries Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 09:00 09:10 Question and answer session A Saw A Besselaar, P Mendes J Hui, N Lutz S Nossa, D Schneidmueller J Dwyer, A Saw D Green, M Kastelec U Narayanan, K Khoshhal Module 13 Managing the child and his or her family Moderator: N Lutz Identify and apply age-related distress-relieving and pain management strategies Recognize compartment syndrome Assess the influence of behavior in relation to pain, treatment, rehabilitation, follow-up, and compliance Describe the signs of nonaccidental injury recognize at-risk groups, eg, prewalking age and the disabled Ensure consideration of nonaccidental injury in the differential diagnosis 09:10 09:20 Plenary session ARS warm-up cases identifying nonaccidental injury, compartment syndrome, and differential diagnosis N Lutz 09:20 09:30 Pain management in children S Nossa 09:30 09:40 Management of compartment syndrome N Lutz 09:40 09:55 Do not miss nonaccidental injuries D Green 09:55 10:15 COFFEE BREAK

17 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 17 Thursday, December 6, 2018 TIME AGENDA ITEM WHO LOCATION Jakobshorn 10:15 11: 00 Round table discussion 11 Pain management, compartment syndrome, and nonaccidental injuries Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 11: 00 11:10 Plenary session ARS reevaluation of warm-up cases identifying nonaccidental injury, compartment syndrome, and differential diagnosis 11:10 11:20 Summary: Key learning points presented by tables 1 6 Brief presentation by the moderator of take-home messages relating to identification of nonaccidental injury, compartment syndrome, and differential diagnosis A Besselaar, P Mendes J Hui, N Lutz S Nossa, D Schneidmueller J Dwyer, A Saw D Green, M Kastelec U Narayanan, K Khoshhal N Lutz N Lutz Module 14 Management of bone and joint infection in children Moderator: P Mendes Identify and manage the critically sick child Recognize and treat bone and joint infection Recognize the value of a multidisciplinary team to treat bone and joint infection Recognize that septic arthritis is an emergency Manage septic arthritis and acute and subacute osteomyelitis 11:20 11:30 Plenary session ARS evaluation of warm-up cases presentation and management of acute bone and joint infection 11:30 12:15 Round table discussion 12 Management of septic arthritis, acute osteomyelitis, and iatrogenic infection Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 P Mendes A Besselaar, P Mendes J Hui, N Lutz S Nossa, D Schneidmueller J Dwyer, A Saw D Green, M Kastelec U Narayanan, K Khoshhal 12:15 13:45 LUNCH BREAK Module 14 Management of bone and joint infection in children (cont.) Moderator: S Nossa 13:45 14:15 Management of acute osteomyelitis/septic arthritis K Khoshhal 14:15 14:25 Plenary session ARS reevaluation of warm-up cases presentation and management of acute bone and joint infection 14:25 14:35 Summary: Key learning points presented by tables 1 6 Brief presentation by the moderator of take-home messages relating to presentation and management of acute bone and joint infection P Mendes S Nossa

18 18 AOTrauma Course Managing Pediatric Musculoskeletal Injuries Thursday, December 6, 2018 TIME AGENDA ITEM WHO LOCATION Jakobshorn Module 15 Serious musculoskeletal injuries in children Moderator: P Mendes Explain the differences in fracture management (open and closed) in pediatric polytrauma Recognize and react to spinal trauma (skeletal aspects) in children older than 10 years Explain the initial management of pediatric polytrauma 14:35 14:45 Plenary session ARS evaluation of warm-up cases management of open fractures, multiple skeletal injury, and polytrauma J Hui 14:45 15:00 Polytrauma management in children what is different? M Kremli 15:00 15:40 Round table discussion 13 Open fractures and skeletal aspects of polytrauma in children Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 A Besselaar, P Mendes J Hui, N Lutz S Nossa, D Schneidmueller J Dwyer, A Saw D Green, M Kastelec U Narayanan, K Khoshhal 15:40 16:10 COFFEE BREAK 16:10 16:50 Round table discussion 14 Spinal trauma, pelvis and acetabular fractures, and hip dislocations Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 16:50 17:00 Plenary session ARS reevaluation of warm-up cases management of open fractures, multiple skeletal injury, and polytrauma 17:00 17:10 Summary: Key learning points presented by tables 1 6 Brief presentation by the moderators of take-home messages relating to emergency management of open fractures, multiple skeletal injury, and polytrauma A Besselaar, P Mendes J Hui, N Lutz S Nossa, D Schneidmueller J Dwyer, M Kremli D Green, M Kastelec U Narayanan, K Khoshhal J Hui M Kastelec, P Mendes 17:10 17:20 Summary, evaluation, and take-home messages J Soni, M Kremli

19 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 19 Event organization AOTrauma Education Jana Kamber Clavadelerstrasse Davos Switzerland Tel Fax jkamber@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

20 20 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 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):

21 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 21 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

22 22 AOTrauma Course Managing Pediatric Musculoskeletal Injuries Event information Event fee AOTrauma Course Managing Pediatric Musculoskeletal Injuries: CHF 2,500. 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 grated 25 European CME credits (ECMEC). 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 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. Recording, photographing, or copying lectures, practical exercises, case discussions, or any event materials is strictly forbidden. Participants violating intellectual property will be dismissed.

23 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 23 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 (

24 24 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 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

25 AOTrauma Course Managing Pediatric Musculoskeletal Injuries 25 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.

26 Sharing a world of knowledge The pilot continues join us in Madrid, Spain April 28 May 1, 2019 AOTrauma Course Foot and Ankle Reconstruction (Course with Anatomical Specimen Dissection) Chairpersons: Xavier Martín Oliva (ES), Mandeep Dhillon (IN) AOTrauma Course Management of Fractures of the Hand and Wrist (Course with Anatomical Specimen Dissection) Chairpersons: Alex Lluch (ES), Fabio Suárez Romero (CO) AOTrauma Masters Course Elbow Trauma (Course with Anatomical Specimen Dissection) Chairpersons: Lars Adolfsson (SE), Samuel Antuña (ES) AOTrauma Masters Course Osteotomies of the Lower Extremity (Course with Anatomical Specimen Dissection) Chairpersons: Steffen Schröter (DE), Hans Philipp Lobenhoffer (DE) AOTrauma Masters Course Proximal Femoral Fractures (Course with Anatomical Specimen Dissection) Chairpersons: Filippo Randelli (IT), Josep Muñoz Vives (AD) For more information visit:

27 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

28 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 ,