Course program AOTrauma Course Pelvic and Acetabular Fracture Management. December 7-11, 2015,Davos, Switzerland. Lecture hall: Pischa/Parsenn

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1 Course program AOTrauma Course Pelvic and Acetabular Fracture Management December 7-11, 2015,Davos, Switzerland Lecture hall: Pischa/Parsenn

2 AOTrauma Course Pelvic and Acetabular Fracture Management page 2 of 22 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 250,000 surgeons and 135,000 ORP staff from over 110 countries have attended AO Courses we now launch AOTrauma to move our education to the next level. Content Floor plan Value statement The AO Principles Dear AOTrauma course participant Goal of the course Target participants Learning objectives Course description Chairpersons Faculty Course organization Sunday, December 6, 2015 Monday, December 7, 2015 Tuesday, December 8, 2015 Wednesday, December 9, 2015 Thursday, December 10, 2015 Friday, December 11, 2015 Course logistics Course venue Business center Wireless network Course information Exhibitions AO Research Institute Davos (ARI) Sponsors Upcoming AO Courses Davos 2016

3 AOTrauma Course Pelvic and Acetabular Fracture Management page 3 of 22 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. Kodi Kojima Jack Wilber Photo Photo Kodi Kojima Chairperson AOTrauma Education Commission Jack Wilber Chairperson AOTrauma International Board

4 AOTrauma Course Pelvic and Acetabular Fracture Management page 4 of 22 Goal of the course The AOTrauma Course Acetabular and Pelvic Fracture Management aims to convey to experienced participants an understanding of the initial evaluation, stabilization, and definitive treatment of patients with fractures and dislocations of the pelvic ring, acetabulum, or both. The AO Principles as well as the latest techniques and up-todate evidence will be incorporated into the course, guiding participants in developing the knowledge and skills needed to treat these injuries and improve patient outcomes. Target participants Participants must be fully trained orthopedic and/or trauma surgeons with subspecialty interest in the treatment of pelvic and acetabular fractures. They must have already completed the AOTrauma Courses Principles in Operative Fracture Management and Advances in Operative Fracture Management. Course objectives At the end of this course participants will be able to: Define key elements in the initial evaluation of pelvic and acetabular fractures Classify pelvic and acetabular injuries and recognize the implication for treatment Apply emergency treatment and stabilization techniques for pelvic ring injuries and initial management of acetabular fractures Demonstrate appropriate decision-making strategies Define indications and apply surgical approaches to the pelvis and acetabulum Specify indications and perform techniques of internal and external fixation Course description Surgeons participating in this course will learn how to address the severely injured patient in an emergency situation, how to evaluate, diagnose, and classify pelvic ring and acetabular injuries, and determine appropriate timing and indications for interventions. They will be able to apply knowledge and skills in selection and performance of the surgical approach for specific injuries and definitive reconstruction of complex fractures. A faculty of world experts will cover key concepts of pelvis and acetabulum diagnosis and treatment in six modules. Simulation exercises including dissection of anatomical specimens will expose participants to the essentials of the surgical approach and related anatomy. Artificial bone model practicals will give participants experience in the application of different reduction and fixation techniques. All concepts will be expanded and reinforced in interactive group discussions, emphasizing the diagnosis, evaluation, indications, treatment modalities, decision-making processes, and complications.

5 AOTrauma Course Pelvic and Acetabular Fracture Management page 5 of 22 Chairpersons Keith Mayo Seattle, USA Faculty Matej Cimerman Ljubljana, Slovenia Alzahrani Abdullah Saudi Arabia abdzh@hotmail.com Barla Jorge Argentina jorge.barla@hospitalitaliano.org.ar Cimerman Matej Slovenia matej.cimerman@kclj.si Ferguson Tania USA taniaferguson@yahoo.com Gautier Emanuel Switzerland Emanuel.Gautier@h-fr.ch Johnson, FRCSI Eric USA tibiafx1@earthlink.net Kregor Philip USA philip.kregor@gmail.com Kristan Anze Slovenia anze.kristan@kclj.si Lindahl Jan Finland jan.lindahl@hus.fi Matta Joel USA jmatta@earthlink.net Mayo Keith USA mayok@comcast.net Morrey Christopher Australia cmorrey@coc.net.au Oransky Michel Italy oransky103@gmail.com Peter Robin Switzerland robin.peter@unige.ch Ramos Edgardo Mexico bastian6@gmail.com Sawaguchi Takeshi Japan sawaguch@mxq.mesh.ne.jp Sims Stephen USA ssims01@me.com Stephen David Canada david.stephen@sunnybrook.ca Stover Michael USA mstov@me.com Weil Yoram Israel weily@hadassah.org.il Course organization AOTrauma Marianne Lozza AOTrauma Education Clavadelerstrasse Davos Platz, Switzerland Phone Fax mlozza@aotrauma.org

6 AOTrauma Course Pelvic and Acetabular Fracture Management page 6 of 22 Sunday, December 6, :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

7 AOTrauma Course Pelvic and Acetabular Fracture Management page 7 of 22 Monday, December 7, 2015 TIME AGENDA ITEM WHO 08:00 08:30 Welcome, introduction, and PRE-TEST K Mayo, M Cimerman Module 1 Pelvis I Patient assessment and acute treatment Moderator: M Cimerman At the end of this module, participants will be able to: Explain the pelvic anatomy Describe imaging protocols and radiographic diagnosis Explain biomechanics, injury mechanism and classification Apply emergency treatment and stabilization Recognize concomitant injuries 08:30 08:45 Case-based anatomical and biomechanical analysis 1-3 problem cases to illustrate and address complications that can result from insufficient understanding of anatomy and biomechanics 08:45 09:00 Radiographic assessment and classification Address what the first x-ray / clinical data tells us 09:00 09:15 Clinical assessment of the pelvic ring (including associated visceral injuries, open fractures, soft tissue) 09:15 09:30 Acute management of pelvic ring disruption: hemorrhage control, role of angiography and packing M Cimerman A Kristan Y Weil E Ramos 09:30 10:00 Expert panel interactive discussion with cases All Faculty 10:00 10:20 COFFEE BREAK 10:20 12:00 Practical demonstration Demonstration of binder application Stabilization of the pelvic ring with a pelvic C clamp (Demonstration at each table) Practical exercise 1 Stabilization of the pelvic ring with an external fixator Iliac crest and supraacetabular insertion of Schanz screws A Kristan All Faculty 12:00 14:00 LUNCH

8 AOTrauma Course Pelvic and Acetabular Fracture Management page 8 of 22 14:00 15:00 Discussion groups 1 Small group discussions with cases from Module I (acute management, assessment, classification) All Faculty 15:00 15:05 LOCATION CHANGE TO LECTURE HALL Module 2 Pelvis II Decision making and definitive treatment Moderator: S Sims At the end of this module, participants will be able to: Describe surgical approaches to the pelvis Perform reduction and fixation techniques of the pelvic ring Complications and clinical outcomes Recognize the relevance of extreme ages to pelvic ring injury management 15:05 15:15 Decision making surgical indications M Stover 15:15 15:30 Anterior lesions (symphysis & pubic body & rami) T Sawaguchi 15:30 15:45 Transiliac fractures, SI fracture dislocations & SI joint D Stephen 15:45 16:00 Sacral fractures pelvic-based techniques S Sims 16:00 16:15 Sacral fractures and lumbarsacral fracture dislocations J Lindahl 16:15 16:35 COFFEE BREAK 16:35 17:45 Practical exercise 2 SI dislocation (anterior plating and iliosacral screw fixation) SI fracture-dislocation D Stephen, S Sims All Faculty

9 AOTrauma Course Pelvic and Acetabular Fracture Management page 9 of 22 Tuesday, December 8, 2015 TIME AGENDA ITEM WHO 08:00 09:25 Discussion groups 2 Pelvis definitive treatment All Faculty 09:25 09:30 LOCATION CHANGE TO LECTURE HALL 09:30 09:45 Complications and clinical outcomes A Kristan 09:45 10:00 Salvage, late reconstruction J Barla 10:00 10:15 Special considerations: pediatrics M Oransky 10:15 10:30 Special considerations: elderly patients T Sawaguchi 10:30 10:40 Discussion All Faculty 10:40 11:00 COFFEE BREAK 11:00 12:00 Practical exercise 3 Sacral fractures: iliosacral screw and a tension band plate All Faculty 12:00 14:00 LUNCH Module 3 Acetabulum injury assessment Moderator: T Ferguson At the end of this module, participants will be able to: Define the radiographic anatomy of the inominate bone Interpret imaging accurately to achieve a precise diagnosis Define applied anatomy and limits of exposure for all surgical approaches 14:00 14:30 Radiographic assessment/interpretation including classification E Gautier 14:30 14:45 How to trace an acetabular fracture onto the synbone model T Ferguson 14:45 14:50 LOCATION CHANGE TO DISCUSSION GROUPS 14:50 17:50 Discussion groups 3 Injury assessment and classification All Faculty 17:50 18:00 Summary of the module/day in the individual groups All Faculty

10 AOTrauma Course Pelvic and Acetabular Fracture Management page 10 of 22 Wednesday, December 9, 2015 TIME AGENDA ITEM WHO Module 4 Acetabulum decision making and treatment Moderator: J Matta At the end of this module, participants will be able to: Define decision making parameters Manage fracture dislocation Explain selection and sequence of approach Outline reduction techniques/tools and where and how to apply Describe and apply direct and indirect reduction techniques 08:00 08:10 Decision making: operative vs nonoperative treatment R Peter 08:10 08:25 Decision making: choice of approach overview posterior/anterior J Matta 08:25 08:40 Factors influencing decision making: when in doubt/difficult decisions transverse family P Kregor 08:40 08:55 Factors influencing decision making: when in doubt/difficult decisions Associated both column K Mayo 08:55 09:10 Factors influencing decision making: when in doubt/difficult decisions Concomitant pelvic ring injury M Stover 09:10 09:25 Reduction and fixation through the Kocher-Langenbeck approach C Morrey 09:25 09:40 Reduction and fixation through the Gibson approach with trochanteric flip osteotomy and dislocation E Gautier 09:40 10:00 COFFEE BREAK 10:00 12:00 Practical exercise 4 TR + PW T-shaped C Morrey, P Kregor 12:00 14:00 LUNCH 14:00 14:15 Reduction and fixation through the ilioinguinal approach E Johnson 14:15 14:30 Reduction and fixation through endopelvic approaches J Lindahl 14:30 14:45 Reduction and fixation through the extended iliofemoral approach S Sims

11 AOTrauma Course Pelvic and Acetabular Fracture Management page 11 of 22 14:45 14:50 LOCATION CHANGE TO PRACTICAL EXERCISE 14:50 15:50 Practical exercise 5 Both column iiioinguinal approach E Johnson, T Ferguson All Faculty 15:50 16:10 COFFEE BREAK 16:10 17:40 Discussion groups 4 Acetabulum cases All Faculty

12 AOTrauma Course Pelvic and Acetabular Fracture Management page 12 of 22 Thursday, December 10, 2015 TIME AGENDA ITEM WHO Module 5 Approaches lab Moderator: K Mayo, M Cimerman GREEN TEAM All Faculty 07:15 07:30 Transfer to hospital Meeting point 07:15 main entrance Congress Center Preparation for the anatomical specimen laboratory 07:30 07:35 Introduction to anatomical specimen laboratory 07:35 08:40 Kocher-Langenbeck prone approach 08:40 09:30 Posterior approach to the pelvic ring (incl Wiltse) 09:30 10:00 Trochanteric osteotomy and surgical dislocation 10:00 10:30 COFFEE BREAK (position change) 10:30 12:10 Ilioinguinal approach Anterior approach to the sacroiliac joint Middle window Pfannenstiel component Pfannenstiel component 12:10 13:00 Extended iliofemoral approach (demonstration table) 13:00 14:30 LUNCH 14:30 16:00 Plenary discussion/question time Definitive treatment of pelvis 16:00 16:15 COFFEE BREAK 16:15 17:45 Plenary discussion/question time Definitive treatment of acetabulum 17:45 Transfer to Congress Center

13 AOTrauma Course Pelvic and Acetabular Fracture Management page 13 of 22 TIME AGENDA ITEM WHO RED TEAM 08:30-09:00 Transfer to the hospital Meeting point 08:45 main entrance Congress Center Moderator: S Sims, E Gautier All Faculty 09:00 10:30 Plenary discussion/question time Definitive treatment of pelvis 10:30 10:45 COFFEE BREAK 10:45 12:15 Plenary discussion/question time Definitive treatment of acetabulum 12:15 14:15 LUNCH 14:15-14:25 Preparation for the anatomical specimen laboratory 14:25 14:30 Introduction to anatomical specimen laboratory 14:30 15:35 Kocher-Langenbeck prone approach 15:35 16:25 Posterior approach to the pelvic ring (incl Wiltse) 16:25 16:55 Trochanteric osteotomy and surgical dislocation 16:55 17:25 Coffee break (position change) 17:25 19:05 Ilioinguinal approach Anterior approach to the sacroiliac joint Middle window Pfannenstiel component (demonstration 19:05 19:55 Extended iliofemoral approach (demonstration table) 19:55 Transfer to Congress Center

14 AOTrauma Course Pelvic and Acetabular Fracture Management page 14 of 22 Friday, December 11, 2015 TIME AGENDA ITEM WHO Module 6 Acetabulum additional topics Moderator: R Peter At the end of this module, participants will be able to: Define expected outcomes and complications management Define postoperative management protocols Recognize the difficulty of late salvage techniques Appreciate the hip surgery continuum 08:00 08:15 Special considerations pediatric acetabulum E Ramos 08:15 08:30 Special considerations geriatric acetabulum R Peter 08:30 08:40 Postoperative management (mobilization, motion, WB, perioperative pain management) A Alzahrani 08:40 08:50 Postoperative radiographic assessment (incl CT, residual and/or secondary displacement when to operate/revise?) A Alzahrani 08:50 09:05 Clinical outcomes (acetabulum) T Ferguson 09:05 09:25 Late reconstruction J Barla 09:25 09:40 Femoral head fractures P Kregor 09:40 10:00 COFFEE BREAK Closing Session 10:00 10:30 Keynote: An overview of the history and my experience in the treatment of pelvis and acetabular injuries J Matta 10:30 11:00 Keynote: Hip preservation overview E Gautier/ K Mayo 11:00 11:30 POST-TEST 11:30 11:50 Summary and take-home messages K Mayo, M Cimerman 11:50 LUNCH

15 AOTrauma Course Pelvic and Acetabular Fracture Management page 15 of 22 Course logistics Industrial Partner DePuy Synthes Luzernstrasse Zuchwil, Switzerland Tel Fax Website Course venue Congress Center Davos Talstrasse 49A 7270 Davos, Switzerland Phone Fax General information Sunday 12:00 17:00 Monday to Thursday 07:30 19:00 Friday 07:30 18:00 AO World and Industry exhibition Sunday 12:00 17:00 Monday to Friday 09:00 11:00 12:00 18:00 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

16 AOTrauma Course Pelvic and Acetabular Fracture Management page 16 of 22 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.

17 AOTrauma Course Pelvic and Acetabular Fracture Management page 17 of 22 Course information Course fee AOTrauma Course Acetabular and Pelvic Fracture Management CHF Included in the course fee are conference bag with documentation, coffee breaks, lunches, and AO World Night. CME accreditation An application has been made to the UEMS-EACCME for CME accreditation of this event. Evaluation guidelines All AOTrauma courses apply the same evaluation process with paper and pencil questionnaires. This will help AOTrauma to ensure that we continue to meet your training needs. In some regions, CME accreditation is dependent on the participant s evaluation results. Intellectual property Course materials, presentations, and case studies are the intellectual property of the course faculty. All rights are reserved. Check hazards and legal restrictions on Recording, photographing, or copying of lectures, practical exercises, case discussions, or any course 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 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 course 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 2015, 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. Hotels Participants who have not booked a package including hotel should settle their hotel bill directly when checking out. CWT travel office The CWT travel office will support you with flight confirmation or re-booking.

18 AOTrauma Course Pelvic and Acetabular Fracture Management page 18 of 22 Exhibitions AO World Visit the AO World in the main foyer of the Congress Center to explore the AO's Clinical Divisions, Initatives, and Institutes. Learn more about AOTrauma, AOSpine, AOCMF, AOVET, AORecon and AONeuro. View the wide range of print and electronic publications from the AO Education Institute. And discover ground-breaking research and development work from the AO Research Institute and the AO Technical Commission. While visiting the AO World you can learn about clinical research and take part in a study at the AO Clinical Investigation and Documentation booth. There are lots of opportunities to acquire AO branded merchandise to take home with you. Industry exhibitors Visit our industry partner DePuy Synthes, and other industry providers Invibio, Hectec GmbH, OPED AG, Siemens, Storz, and Synbone to discover their latest technology advances.

19 AOTrauma Course Pelvic and Acetabular Fracture Management page 19 of 22 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 Bisphosphonate-Related Osteonecrosis of the Jaw 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 Veterinary Medicine Improving osteosynthesis for small 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 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 For the 2014 AO Research Institute Davos activity report and recent publications go to:

20 AOTrauma Course Pelvic and Acetabular Fracture Management page 20 of 22 Sponsors We would like to thank our partner DePuy Synthes for their support without which this event would not be possible. A special thanks to our main sponsors: Audi Siemens We also extend our thanks to the following co-sponsors: BrainLab Credit Suisse Synbone

21 AOTrauma Course Pelvic and Acetabular Fracture Management page 21 of 22 Upcoming AO Courses Davos 2016 AO Courses December 4 9, 2016 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 AO Courses December 11 16, 2016 AOTrauma Course Basic Principles of Fracture Management for Swiss Surgeons AOSpine Courses AOCMF Course 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 2016.

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