Master s Course: Canine Sports Medicine Traumatology

Transcription

1 Final Program Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 Renaissance Glendale Hotel and Spa Glendale, Arizona Directly Provided by

2 AOCMF AOSpine AOTrauma AOVET EDUCATION FELLOWSHIPS MEMBERSHIP RESEARCH AO North America 1700 Russell Road Paoli, PA

3 A Letter from the Course Chairpersons Dear Colleagues, It is with great pleasure that we welcome you to the inaugural AOVET Master s Course in Sports Medicine and Traumatology. Canine sporting events have become increasingly popular worldwide and performance expectations are often high. Dogs that compete in sporting activities such as field trial, agility, flyball, and racing experience a higher level of orthopedic trauma than the general population of dogs, and even minor injuries can negatively affect performance. Optimal diagnosis, treatment and post-operative management are necessary to maximize success and allow a return to performance. This novel course gathers the best available evidence and clinical experience to meet these needs. Through a unique expert-guided format, it will allow the development of skills specific to the sporting dog including nuances of patient evaluation, diagnostic assessment and the application of the AO Principles of fracture management. Participants will have the opportunity to interact with world-class faculty through interactive presentations, small group discussion forums and hands-on laboratory sessions. The complete patient approach is considered including discussion of the various sporting events, the musculoskeletal impact of repetitive motions, diagnostic imaging, soft tissue injuries, fractures of the distal extremities, splints & orthotics, and methods to improve recovery after injury. Operative techniques of various tendon and ligament Table of Contents CME Mission 4 Statement Course Description 5 Target Audience 6 Learner Objectives 6 Accreditation 6 Designation 6 Statement Faculty 7 8 Educational 9 15 Objectives Final Program Location Key 22 Presentation 23 Information Future Courses 24 repair methods, fracture repair, arthrodesis, and orthotic measurement and manufacturing are practiced in the laboratory setting to optimize the participants experience. Our ultimate goal for this course is to provide an educational experience that exceeds all of your expectations in advancing your knowledge and skills in the art and science of canine sporting injuries. We hope you are looking forward to your participation in the 2017 AOVET North America Master s Course: Canine Sports Medicine Traumatology. Both the course faculty and staff from AO North America look forward to seeing you in Phoenix. Sincerely, Mary Sarah Bergh, DVM, MS, DACVS, DACVSMR Alessandro Piras, DVM, ISVS

4 4 Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 CME Mission Statement The Continuing Medical Education (CME) mission of AO North America (AONA ) is to provide comprehensive multidisciplinary needs-based education to surgeons, fellows, and residents in the specialties of orthopedic, hand, craniomaxillofacial, spine, neurosurgery, and veterinary surgery in the areas of trauma (i.e., operative reduction and fixation), degenerative disorders, deformities, tumors and reconstruction. Expected results of AONA s CME activities for surgeons, fellows, and residents are to: Increase their knowledge base and surgical skill level Improve competence by applying advances of knowledge in patient care in the areas of trauma, degenerative disorders, deformities, tumors and reconstructive surgical techniques Address practice performance gaps by improving management of aspects of traumatic injuries and musculoskeletal disorders (i.e., pre-operative planning to post-operative care)

5 Master s Course: Canine Sports Medicine Traumatology September 7 9, Course Description Veterinary orthopedics is a rapidly growing field with new concepts and techniques constantly being developed. In fact, in response to this need, the American Veterinary Medical Association (AVMA), has recognized new specialty colleges. In 2010, the American College of Veterinary Sports Medicine and Rehabilitation was formed to advance the awareness, care and performance of sporting animals. Dogs that compete in sporting activities such as field trial, agility, flyball and racing / coursing, experience a higher level of orthopedic trauma than the general population of dogs, and even minor injuries can negatively affect performance. Optimal diagnosis, treatment and rehabilitation therapy is needed to maximize success and allow for a return to athletic function in most patients. Canine sporting activities have become more popular over the past several decades and this has increased the need for veterinarians skilled in diagnosing and treating these conditions. The level of skill needed for diagnosis and treatment of such injuries is often beyond the scope of what is possible to be taught in most veterinary schools. As both complex fractures and tendon / ligament injuries are encountered in canine athletes, adequate and complete educational coverage of this important set of topics is a necessity. Prerequisite Completion of the AOVET Small Animal Basic Principles course is a prerequisite for attending the Masters Course: Canine Sports Medicine Traumatology.

6 6 Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 Target Audience Enrollment is open to veterinary residents and practicing veterinarians especially those interested in diagnosing and treating sports related injuries in the canine patient. Learner Objectives At the conclusion of this Course, the participant should be able to: Describe complete evaluation of the canine athlete regarding examination, gait analysis and diagnostic imaging Describe muscle, tendon, and ligament healing and surgical methods for repair or replacement Recognize and apply AO Principles to fracture management in the canine athlete Identify and select appropriate techniques to problems such as nonunions, infections and technical errors that are critical for successful patient outcomes Discuss the importance of preoperative, intraoperative and postoperative planning and other aspects of the clinical decision making process, in small animal surgery and sports medicine traumatology Accreditation AO North America is a Registry of Approved Continuing Education (RACE) Provider (Number 244). Designation Statement This program was reviewed and approved by the AAVSB RACE program for 24.5 hours of continuing education credit in jurisdictions which recognize AAVSB RACE approval. Please contact the AAVSB RACE program if you have any comments/concerns regarding this program s validity or relevancy to the veterinary profession.

7 Master s Course: Canine Sports Medicine Traumatology September 7 9, Faculty The faculty of this Course is composed of Regional and International surgeons distinguished in the fields of veterinary orthopedics and sports medicine. AOVET Course Chairpersons National Mary Sarah Bergh, DVM, MS, DACVS, DACVSMR Associate Professor, Orthopedic Surgery Director, Canine Rehabilitation Services Lloyd Veterinary Medical Center Iowa State University Ames, Iowa International Alessandro Piras, DVM, ISVS Specialist in Veterinary Surgery Referral Centre for Orthopaedics and Canine Sports Medicine San Benedetto Veterinary Hospital Forli, Italy AOVET NA Course Evaluator Spencer A. Johnston, VMD, DACVS James and Marjorie Waggoner Professor Department Head, Small Animal Medicine and Surgery College of Veterinary Medicine University of Georgia Athens, Georgia Guest Lecturer Cynthia Otto, DVM, PhD, DACVECC, DACVSMR, CCRT Executive Director, Penn Vet Working Dog Center Associate Professor University of Pennsylvania Philadelphia, Pennsylvania

8 8 Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 Faculty (continued) AOVET NA Faculty Kenneth A. Bruecker, DVM, MS, DACVS, DACVSMR Medical Director and Chief of Surgery Veterinary Medical and Surgical Group Ventura, California Jon F. Dee, DVM, MS, DACVS, DACVSMR Veterinary Specialist VCA Hollywood Animal Hospital Adjunct Assistant Professor The Ohio State University University of Florida Hollywood, Florida Jonathan Dyce, MA, Vet. MB, MRCVS, DSAO, DACVS Associate Professor Small Animal Surgery Service College of Veterinary Medicine The Ohio State University Columbus, Ohio Denis J. Marcellin-Little, DEDV, DACVS, DACVSMR Professor, Orthopedic Surgery Department of Surgical and Radiological Sciences School of Veterinary Medicine University of California Davis Davis, California Faculty Lee A. Breshears, DVM, PhD, DACVS, DACVSMR Chief Medical Officer Animal Emergency & Speciality Center Parker, Colorado Wanda Gordon-Evans, DVM, PhD, DACVS, DACVSMR Associate Professor Veterinary Clinical Sciences University of Minnesota St. Paul, Minnesota Darryl Millis, DVM, MS, DACVS, DACVSMR Professor of Orthopedic Surgery Director, CARES Center for Veterinary Sports Medicine Department of Small Animal Clinical Sciences University of Tennessee College of Veterinary Medicine Knoxville, Tennessee Dirsko J.F. von Pfeil, Dr. med. vet., DVM, DACVS, DECVS, DACVSMR Staff Surgeon: Friendship Surgical Specialists D.C. Adjunct Professor: Michgian State University Washington, District of Columbia

9 Master s Course: Canine Sports Medicine Traumatology September 7 9, AOVET Sports Medicine Traumatology Course Glendale, Arizona 2017 Educational Learners Objectives The Canine Athlete Overview of Sporting Events (Otto) Identify the primary movement patterns required for dogs competing in agility Rank canine sports based on the requirement for strength vs. stamina Compare and contrast the physical requirements of protection, sport and dock diving The Musculoskeletal Impact of Repetitive Motions (Bergh) Identify specific repetitive motions in working and sporting dogs List changes bone and soft tissues that can occur secondary to repetitive motions Describe how these changes can impact performance in working and sporting dogs Orthopedic Examination of the Sporting and Working Dog Thoracic Limb (Marcellin-Little) Recognize the importance of detailed examination of the musculoskeletal system in the canine athlete Describe how to examine and palpate the lower extremity Describe how to examine and palpate the elbow joint Describe how to examine and palpate the shoulder joint and surrounding muscles Orthopedic Examination of the Sporting and Working Dog Pelvic Limb (Bruecker) Describe how to perform a thorough examination of the pelvic limb Describe specific palpation techniques to identify common abnormalities and injuries seen in sporting and working dogs List differential diagnosis list for orthopedic abnormalities identified on bone, muscle, or joint palpation Normal Canine Gait (Gordon-Evans) Define and recognize the different types of normal canine gait patterns Describe the difference between kinetic and kinematic gait analysis Apply the knowledge gained when critically evaluating the literature Injuries of the High-Performance Dog (Otto) List an inventory of common agility injuries Describe how carpal injuries occur in flyball dogs Rank the types of orthopedic injuries in hunting dogs according to frequency

10 10 Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 AOVET Sports Medicine Traumatology Course Glendale, Arizona 2017 (continued) Educational Learners Objectives Injuries of the Working Dog (Breshears) Describe how the types of working dogs and the diversity of their environments relate to injury Define the nature of injuries associated with working dogs Discuss the incidence and distribution of injuries in working dogs Injuries of the Racing Dog (Piras) Identify the track related conditions that predispose to injuries Describe the causes of bone remodeling and stress adaptation List the most common fractures affecting central tarsal bone and accessory carpal bone Interactive Cases with Panel (Bergh, Millis, Otto, von Pfeil, Piras) Formulate a differential list based on presenting history and sporting or working field Formulate a plan for patient evaluation based on presenting history and sporting or working field Evaluate clinical cases based on orthopedic examination, gait evaluation and imaging studies Discuss the advantages and disadvantages of imaging studies to evaluate bone and soft tissue injuries Ligament Injuries Mechanism of Injury and Healing (Dyce) Classify ligamentous injury based upon severity Relate the structural changes of ligamentous healing to the recovery of strength and function Distinguish ligamentous injury which is amenable to repair from that which is an indication for arthrodesis Collateral Ligament Injuries: Diagnosis and Overview of Treatment Options (Marcellin-Little) Discuss how to detect the presence of collateral ligament injuries of the 6 major joints Describe how to repair collateral ligament injuries Recognize the importance of rehabilitation in dogs that have had a repair of a collateral ligament injury Muscle Injuries - Mechanism of Injury and Healing (Otto) List and describe types of muscle injuries Diagram the stages of healing for injured muscle Describe the pathology of fibrotic myopathy List the possible functional outcomes of muscle injury

11 Master s Course: Canine Sports Medicine Traumatology September 7 9, AOVET Sports Medicine Traumatology Course Glendale, Arizona 2017 (continued) Educational Learners Objectives Muscle Injuries: Diagnosis and Overview of Treatment Options (Millis) Review common muscle injuries and their identification in canine athletes Discuss indications and methods of non-surgical management of muscle injuries Discuss indications and methods of surgical management and post-operative care of muscle injuries Tendon Injuries Mechanism of Injury and Healing (Bergh) Identify high-risk activities for tendon injuries Describe types of tendon injuries List the stages of tendon healing Describe biomechanical effects of tendon injuries Tendon Injuries: Diagnosis and Overview of Treatment Options (Breshears) Review common tendon injuries and their identification in canine athletes Discuss indications and methods of non-surgical management of tendon injuries List and describe common suture patterns for repair of tendon injuries Discuss indications and methods of surgical management and post-operative care of tendon injuries Clinical Examination and Evaluation of Shoulder Instability (Piras) List active and passive stabilizers of the shoulder joint Recognize the most common types of shoulder instability Perform the clinical maneuvers necessary to identify different types of instability Treatment Options for Shoulder Instability (von Pfeil) Describe indications for surgical and non-surgical management of shoulder instability Compare and contrast the efficacy of various surgical options for shoulder stabilization Describe surgical approaches and stabilization methods for shoulder instability Discuss post-operative care options Interactive Case Discussion (Bergh, Marcellin-Little, Piras) Formulate a differential diagnosis list and diagnostic plan based on presenting history and clinical examination Interpret diagnostic tests and formulate surgical or non-surgical plan Discuss post-operative and /or rehabilitation plan

12 12 Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 AOVET Sports Medicine Traumatology Course Glendale, Arizona 2017 (continued) Educational Learners Objectives Fractures of Metacarpal and Metatarsal Bones (Bergh) List activities which predispose canine athletes to metacarpal and metatarsal fractures Describe common fracture patterns of these bones Describe surgical approaches to the metabones List pros and cons of various methods of surgical and non-surgical treatment options Phalangeal Fractures (Piras) List activities which predispose canine athletes to phalangeal fractures Describe common fracture patterns of the phalanges Describe surgical approaches to the phalanges List pros and cons of various methods of surgical and non-surgical treatment options Ligamentous Injuries of the Metacarpo and Metatarso-Phalangeal Joints and Inter-Phalangeal Joints (Dyce) Describe the ligamentous anatomy of the metapodal-phalangeal and interphalangeal joints. Illustrate diagnosis of ligamentous injury of the metapodal-phalangeal and interphalangeal joints Review patient selection and the principles of management including coaptation, prosthetic reconstruction, arthrodesis and amputation. Digit Amputation (Gordon-Evans) Recognize indications for digit amputation for application in clinical cases Discuss the prognosis for digit amputation in terms of location and extent of injury Identify the digital anatomy to facilitate proper surgical amputation Fractures of the Distal Radius and Ulna (Piras) Describe the most common fracture patterns affecting the dorsal margin of the distal radius Illustrate the surgical options according to fragment size and time of presentation (chronic versus acute) Discuss the prognosis for return to racing according to age of the patient and severity of the injury Fractures of the Accessory Carpal Bone (Piras) Describe the classification of accessory carpal bone fractures Discuss the different method of internal fixation according to the type of injury Recognize the challenges associated to Type I fracture repair

13 Master s Course: Canine Sports Medicine Traumatology September 7 9, AOVET Sports Medicine Traumatology Course Glendale, Arizona 2017 (continued) Educational Learners Objectives Fractures of the Radial Carpal Bone (Piras) Differentiate the different possible ethiopathogenesis of fractures of the radial carpal bone Illustrate the most common fracture patterns affecting the radial carpal bone Discuss intraoperative challenges and most common complications associated with fracture repair Palmar Carpal Instability (Breshears) Describe relevant anatomy and mechanisms of injury for palmar carpal instability Outline a diagnostic approach to dogs with suspected carpal injury and summarize the features of the various types of palmar carpal instability List treatment options for palmar carpal instability and discuss the factors impacting the selection of both surgical and non-surgical options Partial Carpal Arthrodesis (Piras) Analyze and describe the different types of carpal instability List the most important steps to perform during the surgical procedure Recognize intra operative challenges and potential complications Pancarpal Arthrodesis (von Pfeil) List indications for pancarpal arthrodesis Describe surgical treatment steps of pancarpal arthrodesis List possible complications and methods to minimize them Discuss expected outcome following pancarpal arthrodesis Tarsal Instability (Millis) Review common sites of injury to the tarsus that result in instability Discuss methods of diagnosis of tarsal instability Describe methods of surgical and nonsurgical management of various causes of tarsal instability Partial Tarsal Arthrodesis (Bruecker) Identify and characterize tarsal injuries that require salvage with partial arthrodesis List steps to perform partial tarsal arthrodesis in accordance with the AO Principles of Orthopedics Describe appropriate management of these cases in the post-operative period and give a prognosis Pantarsal Arthrodesis (Piras) List indications for pantarsal arthrodesis Describe fixation methods and surgical approaches to perform pantarsal arthrodesis List possible post-operative complications and methods to minimize them Review post-operative care of pan-tarsal arthrodesis

14 14 Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 AOVET Sports Medicine Traumatology Course Glendale, Arizona 2017 (continued) Educational Learners Objectives Articular Fractures of the Distal Tibia (Dyce) Classify articular fractures of the distal tibia Review the AO principles of articular fracture management specific to the distal tibia Discuss post-operative care and expected outcome following articular fractures of the distal tibia Fractures of the Talus (Bergh) Describe the common fracture patterns of the talus Describe repair methods and surgical approaches for fractures of the talus List complications of fractures of the talus and methods to minimize them Fractures of the Calcaneus (Bergh) Describe the common fracture patterns of the calcaneus Describe repair methods and surgical approaches List complications of fractures of the calcaneus and methods to minimize them Fractures of the Central Tarsal Bone and Numbered Tarsal Bones (Bergh) Describe the grading scheme of fractures of the central tarsal bone List imaging techniques to best evaluate fractures of the tarsal bones Describe surgical approaches and repair techniques for fractures of the central tarsal bone and numbered tarsal bone List complications and methods to minimize them Fractures of the Malleoli (Dyce) Define the effect of malleolar fracture on talocrural stability Review patient selection and the principles of management including coaptation, internal fixation, and temporary transarticular fixation Formulate prognosis for return to athletic performance Interactive Case Discussion Tarsal Injury (Bruecker) Critically work through the diagnostics of a tarsal injury case Develop and execute a plan for treatment Case Discussion Complications (Piras, Breshears, Dyce, Gordon-Evans) Evaluate the treatment plan from clinical cases and identify risk factors for complications and methods to minimize them Formulate a management plan to treat complications after surgical or non-surgical treatment of injury

15 Master s Course: Canine Sports Medicine Traumatology September 7 9, AOVET Sports Medicine Traumatology Course Glendale, Arizona 2017 (continued) Educational Learners Objectives Post-Operative Management of the Sporting Dog (Bruecker) Describe methods to properly manage the sporting and working dog in the immediate post-operative period Describe methods to properly manage the sporting and working dog in the short and long-term post-operative period Discuss the benefit of rehabilitation and re-conditioning therapy on the canine athlete Describe appropriate management of the sporting and working dog during rehabilitation and long-term follow-up Methods to Improve Motion (Marcellin-Little) Describe how to accurately assess joint motion Recognize situations that lead to loss of joint motion and the consequences of loss of joint motion Distinguish methods used to increase joint motion Bandages, Splints and Orthotics (von Pfeil) List indications for bandages, splints, and orthotics in the management of canine athletic injuries Describe common methods of bandaging and cast application state possible complications and describe methods to minimize them Describe types of commercially available and custom orthotics Describe expectations owners should have when using orthotics Regenerative Medicine Options and Indications (Millis) Review platelet rich plasma, stem cell therapy, and other regenerative options for management of sports medicine conditions in canine athletes Discuss the indications for regenerative medicine Describe the application of regenerative medicine therapies and the post-treatment care Outcome Assessment and Performance Expectations (Gordon-Evans) Recognize the importance of outcome assessment even in a non-academic environment Apply previously learned gait analysis material to assess outcome Apply the appropriate assessment tool for the recovery goal Relate performance expectations to the sustained injury and type of sport or working activity

16 16 Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 Masters Course Final Program Thursday, September 07, 2017 Time Agenda Item Lecturer 08:00 08:15 Opening and Introduction to the Course Bergh, Piras 08:15 12:00 EVALUATION OF NORMAL AND ABNORMAL MOVEMENT IN THE CANINE ATHLETE 08:15 08:30 The Canine Athlete Overview of Sporting Events Otto 08:30 08:45 The Musculoskeletal Impact of Repetitive Motions Bergh 08:45 09:05 Orthopedic Examination of the Sporting and Marcellin-Little Working Dog Thoracic Limb 09:05 09:20 Orthopedic Examination of the Sporting and Bruecker Working Dog Pelvic Limb 09:20 09:40 Normal Canine Gait Gordon-Evans 09:40 09:55 Injuries of the High-Performance Dog Otto 09:55 10:10 Injuries of the Working Dog Breshears 10:10 10:25 Injuries of the Racing Dog Piras 10:25 10:45 Coffee Break 10:45 11:45 Interactive Cases with Panel Moderator: Piras 11:45 12:00 Questions Bergh, Millis, Otto, von Pfeil 12:00 13:00 Lunch 13:00 15:45 MUSCULOSKELETAL SOFT TISSUE INJURIES 13:00 13:10 Ligament Injuries Mechanism of Injury Dyce and Healing 13:10 13:30 Collateral Ligament Injuries: Diagnosis and Marcellin-Little Overview of Treatment Options 13:30 13:40 Muscle Injuries Mechanism of Injury and Healing Otto 13:40 14:00 Muscle Injuries: Diagnosis and Overview of Millis Treatment Options 14:00 14:10 Tendon Injuries Mechanism of Injury and Healing Bergh 14:10 14:30 Tendon Injuries: Diagnosis and Overview of Breshears Treatment Options 14:30 14:50 Clinical Examination and Evaluation of Piras Shoulder Instability 14:50 15:10 Treatment Options for Shoulder Instability von Pfeil 15:10 15:45 Interactive Case Discussion Moderator: Piras Bergh, Marcellin-Little

17 Master s Course: Canine Sports Medicine Traumatology September 7 9, Masters Course Final Program Thursday, September 07, 2017 (continued) Time Agenda Item Lecturer 15:45 16:05 Coffee Break and Travel to Lab 16:05 17:45 PRACTICAL EXERCISE I Moderators: Bergh, Piras Primary Ligament Repair Suture Techniques Tendon Repair Common Calcaneal Tendon to Calcaneous Through Bone Tunnel Collateral Ligaments of the Tarsus Prosthetic Materials through Bone Tunnels Lateral Tarsus Collateral Ligaments of the Tarsus Prosthetic Materials on Screws Medial Tarsus Collateral Ligaments of the Tarsus Bone Anchors 17:45 18:00 Questions All Faculty

18 18 Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 Masters Course Final Program Friday, September 08, 2017 Time Agenda Item Lecturer 08:00 10:20 INJURIES OF THE DISTAL ANTEBRACHIUM 08:00 08:20 Fractures of Metacarpal and Metatarsal Bones Bergh 08:20 08:40 Phalangeal Fractures Piras 08:40 09:00 Ligamentous Injuries of the Metacarpo and Dyce Metatarso Phalangeal Joints and Inter-Phalangeal Joints 09:00 09:20 Digit Amputation Gordon-Evans 09:20 09:40 Fractures of the Distal Radius and Ulna Piras 09:40 10:00 Fractures of the Accessory Carpal Bone Piras 10:00 10:20 Fractures of the Radial Carpal Bone Piras 10:20 10:40 Coffee Break and Travel to Lab 10:40 11:45 PRACTICAL EXERCISE II Moderators: Bergh, Piras Fracture of The Distal Radius and Ulna Fractures of Metacarpal Bones and Phalanges 11:45 12:00 Questions All Faculty 12:00 13:00 Lunch 13:00 15:00 CARPAL AND TARSAL INSTABILITY 13:00 13:20 Palmar Carpal Instability Breshears 13:20 13:40 Partial Carpal Arthrodesis Piras 13:40 14:00 Pancarpal Arthrodesis von Pfeil 14:00 14:20 Tarsal Instability Millis 14:20 14:40 Partial Tarsal Arthrodesis Bruecker 14:40 15:00 Pantarsal Arthrodesis Piras 15:00 15:20 Coffee Break and Travel to Lab

19 Master s Course: Canine Sports Medicine Traumatology September 7 9, Masters Course Final Program Friday, September 08, 2017 (continued) Time Agenda Item Lecturer 15:20 16:40 PRACTICAL EXERCISE III Moderators: Bergh, Piras Partial Carpal Arthrodesis Pancarpal Arthrodesis Pantarsal Arthrodesis 16:40 16:45 Travel to Firesides 16:45 18:00 Firesides Small Group Discussions 18:00 Adjourn for the Day 18:00 19:00 Reception

20 20 Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 Masters Course Final Program Saturday, September 09, 2017 Time Agenda Item Lecturer 08:00 10:00 TARSAL FRACTURES 08:00 08:20 Articular Fractures of the Distal Tibia Dyce 08:20 08:40 Fractures of the Talus Bergh 08:40 09:00 Fractures of the Calcaneus Bergh 09:00 09:20 Fractures of the Central Tarsal Bone and Bergh Numbered Tarsal Bones 09:20 09:40 Fractures of the Malleoli Dyce 09:40 10:00 Interactive Case Discussion Tarsal Injury Moderator: Bruecker 10:00 10:15 Questions All Faculty 10:15 10:35 Coffee Break 10:35 12:00 PRACTICAL EXERCISE IV Moderators: Bergh, Piras Fracture of the Medial, Lateral and Third Malleolus Fracture of the Calcaneus (Simple and Complex) Fracture of the Central Tarsal Bone Fracture of the Neck of the Talus 12:00 13:00 Lunch 13:00 15:30 POST-OPERATIVE MANAGEMENT AND OUTCOMES 13:00 13:55 Case Discussion Complications Moderator: Piras 13:55 14:15 Post-Operative Management of the Sporting Dog Breshears, Dyce, Gordon-Evans Bruecker 14:15 14:35 Methods to Improve Motion Marcellin-Little 14:35 15:05 Bandages, Splints and Orthotics von Pfeil 15:05 15:30 Coffee Break and Travel to Lab

21 Master s Course: Canine Sports Medicine Traumatology September 7 9, Masters Course Final Program Saturday, September 09, 2017 (continued) Time Agenda Item Lecturer 15:30 16:45 PRACTICAL EXERCISE V Moderators: Bergh, Piras Custom Splint Molding Molding for Custom Orthotic Plantar Tarsal Orthotic 16:45 16:50 Travel to Lecture Hall 16:50 17:10 Regenerative Medicine Options and Indications Millis 17:10 17:30 Outcome Assessment and Performance Gordon-Evans Expectations 17:30 18:00 Questions and Summary of Key Learning Points All Faculty 18:00 Course Adjourned Acknowledgement: AO North America gratefully acknowledges in-kind support for equipment and technical staff from Arthrex Vet Systems, DePuy Synthes, Ethicon and OrthoPets. AO North America gratefully acknowledges funding for its educational activities from the AO Foundation. The AO Foundation receives funding for education from Synthes GmbH.

22 22 Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 Location Key Activity Area Day Time Breakfast Cira BC Thursday Saturday Lectures Solana DC Thursday Saturday Labs Solana E Thursday Saturday Fireside Discussions A Hospitality 1 B Hospitality 3 C Sales Conference Room D Aurora D Friday Coffee Breaks Solana Foyer Thursday Saturday Lunch Cira BC Thursday Friday Saturday Reception Courtyard Friday Faculty Resource Center AO Course Office Solana F Solana Registration Desk NAME TAG IDENTIFICATION Gold Faculty Blue Participants Beige Vendors Note: AO North America (AONA) will have official photographers present at this Course; therefore, please note that any photographs taken at the meeting may be used in future AONA publications, on the AONA web site, or in other Society materials. Other picture taking and video or audio recording of lectures and labs is strictly prohibited. Please turn off all pagers and cellular phones.

23 Master s Course: Canine Sports Medicine Traumatology September 7 9, Presentation Information Faculty Disclosure It is the policy of AO North America to abide by the Accreditation Council for Continuing Medical Education Standards for Commercial Support. Standard 2: Disclosures Relevant to Potential Commercial Bias and Relevant Financial Relationships of Those with Control over CME Content, requires all planners, including course directors, chairs, and faculty, involved in the development of CME content to disclose their relevant financial relationships prior to participating in the activity. Relevant financial relationships will be disclosed to the activity audience. The intent of the disclosure is not to prevent a faculty with a relevant financial or other relationship from teaching, but to provide participants with information that might be of importance to their evaluation of content. All potential conflicts of interest have been resolved prior to the commencement of this activity. Conflict of Interest Resolution Statement When individuals in a position to control or influence the development of the content have reported financial relationships with one or more commercial interests, AO North America utilizes a process to identify and resolve potential conflicts to ensure that the content presented is free of commercial bias. Off-Label / Experimental Discussions Some medical devices used for teaching purposes and/or discussed in AO North America s educational activities may have been cleared by the FDA for specific uses only or may not yet be approved for any purpose. Faculty may discuss off-label, investigational, or experimental uses of products/devices in CME certified educational activities. Faculty have been advised that all recommendations involving clinical medicine in this CME activity are based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported or used in this CME activity in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection and analysis. Liability Statement AO North America faculty and staff assume no personal liability for the techniques or the use of any equipment and accessories used for teaching purposes in the laboratory. The certificate provided pertains only to the participants completion of the course and does not, in any way, attest to the proficiency of the participants clinical experience. Disclaimer AONA does not endorse nor promote the use of any product/device of commercial entities. Equipment used in this course is for teaching purposes only with the intent to enhance the learning experience.

24 24 Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 Future Courses Sponsored by AO North America Operative Treatment of Veterinary CMF Trauma and Reconstruction January 22 24, 2018 Las Vegas, Nevada Principles of Small Animal Fracture Management April 19 22, 2018 Columbus, Ohio Advanced Techniques in Small Animal Fracture Management April 19 22, 2018 Columbus, Ohio Principles of Small Animal Fracture Management September 08 11, 2018 San Diego, California Equine Masters Course September 08 09, 2018 San Diego, California Masters Course on Advanced Osteotomy - Small Animal September 08 10, 2018 San Diego, California Equine Principles of Fracture Management April 19 22, 2018 Columbus, Ohio These activities will be certified for continuing education credit. All courses are subject to modification. To register, please visit the AO North America website at AOVET is proud to offer the small animal course How to Avoid, Recognize, and Manage Complications in Small Animal Fracture Management. AOVET will additionally feature the equine Master s Level course Arthrodesis Techniques and Fracture Fixation, with dry and wet labs.

25 Save The Date. Visit for more information. Operative Treatment of Veterinary CMF Trauma and Reconstruction (with animal anatomic specimens) January 22 24, 2018 Oquendo Center Las Vegas, Nevada AO North America is a Registry of Approved Continuing Education (RACE) Provider (Number 244). This program was reviewed and approved by the AAVSB RACE program for 23.0 hours of continuing education credit in jurisdictions which recognize AAVSB RACE approval. Please contact the AAVSB RACE program if you have any comments/concerns regarding this program s validity or relevancy to the veterinary profession. Directly Provided by

26 Save The Date Principles in Small Animal Fracture Management Advanced Techniques in Small Animal Fracture Management Principles in Equine Fracture Management April 19 22, 2018 Hilton Columbus at Easton Hotel Columbus, Ohio For more information and to register, go to: Directly Provided by These activities will be certified for continuing education credit. All courses are subject to modification.

27 CaseBase Membership Tap into AOVET's world of expertise, and you will find everything you were looking for! Join us! Member Plus Ambassador Acknowledged BENEFIT OFFERINGS 135 CHF 135 CHF 135 CHF* *No fee for retired individuals Full-text premium online access to VCOT (archive dates back to 1988) V.C.O.T. deals with orthopaedics and traumatology in veterinary medicine, whilst also covering common approaches in human and veterinary medicine. The journal meets its readers demands by focusing on both traumatological and practical aspects. Articles of a high scientific standard are published in English by international authors. Review articles, original papers, clinical communications, case reports, letters to the Editor, as well as the latest news in basic research inform the reader about new operating techniques and improvements. VCOT is published 6 times a year. Access to VetMed Resource (Cabi) VetMed Resource is an internet site providing access to the world s largest database covering all areas of veterinary medicine. It is available to all members of AOVET to enable them to keep up to date with published research in veterinary medicine. The information in this resource includes the veterinary part of the CAB Abstracts Database which goes back to 1972, and is updated weekly, providing a unique collection of veterinary information. Full-text online access to Veterinary Surgery (core collection and retrospective content, generally back to 1997) Veterinary Surgery is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peerreviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient. Direct access to Orthovetsupersite Ability to submit and participate in online case discussions (CaseBase) The possibility for instant exchange of information with colleagues anytime, anywhere, strengthens the bonds of our professional community. Whether you wish to discuss a surgical procedure, the latest clinical findings, or hold an informal discussion with friends, the AOVET online CaseBase provides an excellent platform for any type of communication. Cases that are routine to some may be rare to others, and online feedback provides the instant exchange of knowledge necessary to solve a problem. This tool is yet another useful feature of the AOVET website that lets you tap into the organization s wealth of expertise. Full-text online access to selected cmf journals on ScienceDirect 10% discount on all AO publications Participation in interactive live webcasts Sampling of educational materials Access to AOVET member directory names and clinic associations Access to educational materials related to AOVET courses attended by member Full access to AOVET member directory details

28 Final Program Master s Course: Canine Sports Medicine Traumatology September 7 9, 2017 Renaissance Glendale Hotel and Spa Glendale, Arizona Course Location Renaissance Glendale Hotel and Spa 9495 W. Coyotes Boulevard Glendale, AZ Phone: Fax: AO North America 1700 Russell Road Paoli, PA by AO North America. All rights reserved. N17US9681FP 08/17