Course program AOTrauma Course Advanced Principles of Fracture Management for Swiss Surgeon. Lecture hall: Strela-Rinerhorn

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1 Course program AOTrauma Course Advanced Principles of Fracture Management for Swiss Surgeon December 7 11, 2015 Davos, Switzerland Lecture hall: Strela-Rinerhorn

2 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 Course structure 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 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 Goal of the course AOTrauma Course Advanced Principles of Fracture Management for Swiss Surgeons is part of a newly developed educational program teaching current concepts and fundamental principles in the treatment of 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 for Swiss Surgeons is targeted at surgeons at the threshold of becoming independent surgeons and taking over decision-making responsibility for the treatment of complex injuries. It builds upon the AO Principles and techniques of the Basic Principles course, making it necessary for participants to have completed the AOTrauma Course Basic Principles of Fracture Management and must be actively involved in trauma management. Course objectives At the end of this course, participants will be able to: Apply reduction techniques in fracture management with attention to the soft tissue Assess and treat complex fractures utilizing advanced techniques Demonstrate strategies for assessing and treating open fractures and soft-tissue injuries, as well as managing the polytrauma patient Evaluate, classify, and formulate a treatment plan for pelvic injuries and acetabular fractures Recognize complications and manage accordingly Course description This AOTrauma Advanced Principles of Fracture Management for Swiss Surgeons course is one of several competency-based curriculum events in 2015 which are based on 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 to understand decisionmaking and 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 help participants to assess how much they have learned.

5 Chairpersons Oliver Borens Lausanne, Switzerland Yves Acklin Chur, Switzerland Faculty Assal Mathieu Switzerland Candrian Christian Switzerland Helmy Näder Switzerland Hotz Thomas Switzerland Lenzlinger Philipp Switzerland Petek Daniel Switzerland Rancan Mario Switzerland Rosenkranz Jan Switzerland Stillhard Philipp Switzerland Sutter Paul-Martin Switzerland Tannast Moritz Switzerland Thein Eric Switzerland Guest lecturer Rüedi Thomas Switzerland Sommer Christoph Switzerland Course organization AOTrauma Claudia Güntensperger AOTrauma Education Clavadelerstrasse Davos Platz, Switzerland Phone Fax cguentensperger@aotrauma.org

6 Sunday, December 6, 2015 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 20:00 FOUNDERS' RECEPTION Monday, December 7, 2015 TIME AGENDA ITEM WHO LOCATION Strela-Rinerhorn Module 1 Update in general concepts and polytrauma care At the end of this module, participants will be able to: Describe the role of soft-tissues in fracture healing Select appropriate techniques of closed reduction with attention to the soft tissues Identify patients that can safely have early total care Consider the suitability of damage control surgery Set priorities for management of injuries Identify techniques for emergency stabilization of pelvic ring fractures Moderator: O Borens 08:00 08:15 Welcome and introduction O Borens, Y Acklin 08:15 08:30 Why do not all fractures heal? Y Acklin 08:30 08:45 New trends in closed reduction techniques P Lenzlinger 08:45 09:00 Soft-tissue handling in fracture treatment C Candrian 09:00 09:15 State of the art in the management of multiple injured patients J Rosenkranz 09:15 09:20 Evaluation 09:20 09:40 COFFEE BREAK 09:40 10:40 Discussion groups 1 Fractures of the upper extremity Group 1 Strela-Rinerhorn Group 2 Landwasser 11 Group 3 Landwasser 12 Group 4 Landwasser 13 Faculty P Lenzlinger, J Rosenkranz D Petek, M Tannast M Rancan, N Helmy C Candrian, T Hotz

7 10:40 10:45 LOCATION CHANGE TO LECTURE HALL 10:45 11:00 Management of pelvic ring injuries M Tannast 11:00 11:15 Management of acetabular fractures M Tannast 11:15 11:20 Evaluation Module 2 Fractures of the upper extremity At the end of this module, participants will be able to: Identify the expected outcomes and appropriate treatment options for clavicular fractures Evaluate evidence for fixation of proximal humeral fractures versus replacement Identify the indications for surgical treatment of humeral shaft fractures Define strategies in the treatment of elbow fracture dislocations Explain the key issues in the debate about treatment of distal radial fractures Describe the surgical approaches for open reduction and fixation of the wrist Moderator: PM Sutter 11:20-11:35 Fractures of the clavicle: when and how to operate-indications and methods of fixation P Lenzlinger 11:35-11:50 Proximal humeral fractures to fix, replace, or treat nonoperatively? Y Acklin 11:50-11:55 Evaluation 11:55-14:00 LUNCH BREAK LOCATION Jakobshorn 14:00-15:15 Practical exercise 1 Proximal humerus fixation of an 11-C1 four-fragment fracture using a proximal humerus internal locking system P Lenzlinger 15:15-15:20 LOCATION CHANGE TO LECTURE HALL 15:20-15:35 Distal intraarticular humeral fractures and complications T Hotz 15:35-15:50 Complex humeral shaft fractures PM Sutter 15:50-16:05 Pin positioning in upper extremity fractures P Stillhard 16:05 16:25 COFFEE BREAK LOCATION Jakobshorn 16:25-17:55 Practical exercise 2 Fixation of a 13-C1.3 distal humeral fracture using a locking compression plate M Rancan

8 Tuesday, December 08, 2015 TIME AGENDA ITEM WHO LOCATION Parsenn Module 2 Fractures of the upper extremity (cont) Moderator: Y Acklin 08:00 08:10 My best/worst case challenge N Helmy 08:10 08:25 Strategies in the treatment of fracture dislocations of the elbow T Hotz 08:25 08:40 Distal radial fractures conservative or operative treatment? M Rancan 08:40 08:45 Evaluation Module 3 Femoral fractures At the end of this module, participants will be able to: Outline the management of proximal femoral fractures in young patients and in the elderly Explain the biomechanics of the subtrochanteric region including the forces acting on the fracture fragments Identify the expected outcomes and appropriate treatment option for subtrochanteric fractures Assess the complexity of distal femoral fractures Compare the pros and cons of plating, screws, MIPO, IM nailing Determine the key factors for outcomes of femoral fractures Moderator: T Hotz 08:45 09:00 Femoral neck fractures different patients, different problems E Thein 09:00 09:15 Pitfalls in proximal femoral fractures D Petek 09:15 09:20 Evaluation 09:20 09:40 COFFEE BREAK LOCATION Jakobshorn 09:40 11:15 Practical exercise 3 Supraacetabular Ex Fix, C-Clamp, Standard Ex Fix for pelvis M Tannast 11:15 11:20 LOCATION CHANGE TO DISCUSSION GROUPS 11:20 12:20 Discussion groups 2 Fractures of the upper extremity Group 1 Strela-Rinerhorn Group 2 Landwasser 11 Faculty T Hotz, C Candrian P Lenzlinger, J.Rosenkranz

9 Group 3 Landwasser 12 Group 4 Landwasser 13 D Petek, E Thein M Rancan, N Helmy 12:20 12:25 LOCATION CHANGE TO LECTURE HALL 12:25 12:40 Femoral shaft fractures: antegrade or retrograde IM nailing? C Candrian 12:40 12:45 Evaluation 12:45 14:45 LUNCH BREAK 14:45 15:45 Discussion groups 3 Fractures of the femur Group 1 Strela-Rinerhorn Group 2 Landwasser 11 Group 3 Landwasser 12 Group 4 Landwasser 13 J Rosenkranz, P Lenzlinger E Thein, M TannastC Candrian, T Hotz D Petek, P Stillhard 15:30 15:50 COFFEE BREAK LOCATION Jakobshorn 16:00 17:15 Practical exercise 4 Fixation of an intraarticular type 33-C2.1 distal femoral fracture using a locking compression plate C Candrian Wednesday, December 09, 2015 TIME AGENDA ITEM WHO LOCATION Strela-Rinerhorn Module 3 Femoral fractures (cont) Moderator: N Helmy 08:00 08:10 My best/worst case challenge M Rancan 08:10-08:25 Periprosthetic femoral fractures N Helmy 08:25-08:40 Distal femoral fractures treatment options and outcomes J Rosenkranz 08:40 08:45 Evaluation 08:45-08:50 LOCATION CHANGE TO DISCUSSION GROUPS

10 08:50-09:50 Discussion groups 4 Fractures of the femur Group 1 Strela-Rinerhorn Group 2 Landwasser 11 Group 3 Landwasser 12 Group 4 Landwasser 13 D Petek, P Stillhard J Rosenkranz, P Lenzlinger M Tannast, E Thein C Candrian, T Hotz 09:50 10:10 COFFEE BREAK Module 4 Tibial fractures At the end of this module, participants will be able to: Recognize patterns of injury in tibial fractures Evaluate indications and techniques for extreme IM nailing of the tibia Assess complexity and outline a staged approach to treating soft tissues Describe the decision-making process for the management of articular tibial fractures Evaluate surgical options and techniques for ORIF of the tibial plateau and pilon fractures Moderator: D Petek 10:10-10:25 Tibial shaft fractures P Stillhard 10:25 10:40 Difficult case discussion tibia O Borens LOCATION Jakobshorn 10:40-12:00 Practical exercise 5 Locking compression plate percutaneous plate fixation of the tibia and fibula in a distal multifragmentary fracture of the lower leg (MIPO technique) P Stillhard 12:00 14:00 LUNCH BREAK 14:00 16:00 Panel discussion 16:00-16:15 Treatment of quadriceps and patellar tendon injuries D Petek N Helmy, M Rancan P Stillhard, D Petek T Hotz, C Candrian J Rosenkranz, P Lenzlinger 16:15-16:30 Treatment of complex patella fractures PM Sutter 16:30-16:45 Complex tibial plateau fractures: problems and solutions E Thein 16:45-17:00 Management of open tibial fractures N Helmy 17:00-17:05 Evaluation Thursday, December 10, 2015

11 TIME AGENDA ITEM WHO LOCATION Parsenn Module 4 Tibial fractures (cont) Moderator: E Thein 08:00 08:10 My best/worst case challenge P Stillhard 08:10 08:25 Pilon fractures: surgical approaches and plate positioning M Assal 08:25 08:40 Combined tibial plateau and shaft fractures: treatment strategies C Sommer 08:40 08:45 Evaluation 08:45-08:50 LOCATION CHANGE TO DISCUSSION GROUPS 08:50-09:50 Discussion groups 6 Fractures of the tibia Group 1 Strela-Rinerhorn Group 2 Landwasser 11 Group 3 Landwasser 12 Group 4 Landwasser 13 J Rosenkranz, M Assal N Helmy, M Rancan P Stillhard, D Petek T Hotz, C Candrian 09:50-10:10 COFFEE BREAK 10:10-10:25 Total knee arthroplasty in complex tibial plateau fractures O Borens 10:25 10:30 LOCATION CHANGE TO PRACTICAL EXCERSISES LOCATION Jakobshorn 10:30 12:00 Practical exercise 6 Management of a bicondylar tibial plateau fracture (41-C3) using a locking compression plate M Rancan 12:00-14:00 LUNCH BREAK 14:00 16:00 Panel discussion All Faculty Module 5 Foot fractures At the end of this module, participants will be able to: Identify patterns of calcaneal injuries Select and apply an appropriate classification system Request and interpret appropriate x-rays and CT scans Explain the risk of complications following injuries to the talus Discuss conservative and surgical options for management for midfoot injuries Plan on how to avoid complications in midfoot and Lisfranc injuries Assess complex malleolar fractures and plan appropriate treatment Moderator: M Assal

12 16:00-16:15 Calcaneal fractures: predicting and avoiding problems S Benirschke 16:15 16:20 Evaluation 16:20 16:25 LOCATION CHANGE TO PRACTICAL EXCERCISES LOCATION Jakobshorn 16:25 17:55 Practical exercise 7 ORIF of intraarticular calcaneal fractures using a calcaneal locking plate M Assal 18:00 AO WORLD NIGHT All Friday, December 11, 2015 TIME AGENDA ITEM WHO LOCATION Strela-Rinerhorn Module 5 Foot fractures (cont) Moderator: C Candrian 08:00 08:10 My best/worst case challenge J Rosenkranz 08:10 08:25 Is there anything new about ankle fractures? M Assal 08:25-08:40 State of the art in the management of talar fractures M Rancan 08:40-08:55 Midfoot and Lisfranc injuries and complications M Assal 08:55-09:00 Evaluation 09:00-09:05 LOCATION CHANGE TO DISCUSSION GROUPS 09:05-10:05 Discussion groups 8 Fractures of the ankle and foot Group 1 Strela-Rinerhorn Group 2 Landwasser 11 Group 3 Landwasser 12 Group 4 Landwasser 13 P Lenzlinger, J Rosenkranz D Petek, P Stillhard M Assal, C Candrian E Thein, N Helmy 10:05-10:25 COFFEE BREAK Module 6 Infections, soft tissue, nonunions At the end of this module, participants will be able to: Analyze current evidence associated with the management of soft-tissue Moderator : P Stillhard

13 injuries and open fractures Outline how to reduce infection rates Debate the role of surgical intervention and antibiotics in the management of infected implants Recognize failure to progress towards union early and analyze the reasons for such failure Outline the contribution of mechanical and biological factors Discuss appropriate strategies for intervention 10:25-10:40 Infection after ORIF shall we keep the implants? O Borens 10:40 10:55 Mangled extremity management: when is salvage reasonable? O Borens 10:55-11:10 General management of nonunions M Tannast 11:10-11:15 LOCATION CHANGE TO PRACTICAL EXERCISES LOCATION Jakobshorn 11:15 12:30 Practical exercise 8 Management of a type 43-C3.2 pilon tibial fracture using a distal tibia locking compression plate D Petek 12:30-12:50 LUNCH with Sandwiches 12:50 13:20 Interactive case discussion with the audience in the lecture hall O Borens, Y Acklin 13:20 13:35 The past and future of skeletal trauma management T Rüedi 13:35-13:40 Evaluation 13:40 14:00 Course feedback and closing remarks O Borens, Y Acklin Precourse online activities, November 1 December 7, 2015 Task 1 Online precourse self-assessment (30 min) The online precourse self-assessment consists of multiple-choice questions and a survey, and provides you with an overview of the important topics covered in the course. After the precourse self-assessment, please complete the elearning activity on fracture reduction before you arrive for the course because faculty will build on your newly acquired knowledge. Task 2 elearning activity: Fracture Reduction (20 min)

14 Postcourse online activities, December 14, 2015 January 15, 2016 Task 1 Online postcourse self-assessment (15 min) 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

15 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 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 Course information Course fee AOTrauma Course Advanced Principles of Fracture Management for Swiss Residents 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.

18 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 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 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 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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