Preliminary event program AOTrauma Course Basic Principles of Fracture Management

Transcription

1 Preliminary event program AOTrauma Course Basic Principles of Fracture Management Precourse online activities: November 2 December 1, 2018 Course: December 2 7, 2018, Davos, Switzerland Postcourse online activity: December 8 21, 2018 Lecture hall: Aspen

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3 The first AO Course was held in Davos in 1960 these early courses pioneered psychomotor techniques by teaching practical skills of AO Techniques. Since those early days over 455,000 surgeons and 155,000 ORP from over 110 countries have attended AO Courses. Content Floor plan Value statement The AO Principles of fracture management Welcome Goal of the course Target participants Learning objectives Course description Chairpersons Faculty Sunday, December 2, 2018 Monday, December 3, 2018 Tuesday, December 4, 2018 Wednesday, December 5, 2018 Thursday, December 6, 2018 Friday, December 7, 2018 Event organization Event information Event venue Principles of AO Educational Events Business centre Wireless network Exhibitions AO Research Institute Davos (ARI) Sponsors Upcoming AO Courses Davos 2019

4 Welcome Dear AOTrauma course participant, Welcome to AOTrauma s Davos Courses AOTrauma provides a wide range of relevant courses designed to meet your specific professional needs. We are confident that you will find your course as well as the networking experiences professionally rewarding. With a global reputation for innovation, leadership, and excellence in Continuing Medical Education (CME), the AOTrauma Clinical Division and the AO Education Institute are transforming education. AOTrauma is constantly expanding its portfolio of educational activities available to you. Continuing Medical Education is not just about face-to-face courses. Portfolios address the specific clinical problems that you encounter every day. Visit the AOTrauma home page ( to sample the new assets which are being added constantly. The AOTrauma Davos Courses offer 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 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, Institutes and Initiatives. 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 Experience the 'AO Spirit' of collegiality and camaraderie that is felt by participants and faculty alike at the Davos Courses Your current level of knowledge, attitudes, and skills will be challenged throughout the week. The best-in-class curriculum and faculty will provide you a memorable learning experience that will remain with you for a lifetime. If you enjoy the experience during this week and would like to stay in touch with the elite AOTrauma organization, we invite you to become a member of AOTrauma. Membership for medical doctors (and DO s) requires only a completed AOTrauma Basic Principles Course and the payment of a reasonable yearly fee. Yours sincerely, Wa'el Taha Chairperson AOTrauma Education Commission Kodi Kojima Chairperson AOTrauma International Board PS: Your experiences with us, over the next few days, will result in the realization of new and meaningful knowledge, skills, and understanding that we hope will translate into improved patient care.

5 Goal of the course The AOTrauma Course Basic Principles of Fracture Management is part of a newly developed educational program teaching fundamental principles and current concepts in the treatment of injuries, incorporating the latest techniques in operative fracture management. The AOTrauma Basic Principles course is the initial step along the path of lifelong learning in the area of operative fracture management, and the main focus of this course is on teaching the basic principles of fracture management. Target participants The AOTrauma Course Basic Principles of Fracture Management is targeted at surgical trainees and also open to certified orthopedic and trauma surgeons who are interested in furthering their knowledge and skills in operative fracture management. Learning objectives At the end of this course participants will be able to: Discuss the concepts of stability, their influence on bone healing, and how to apply implants to achieve appropriate stability Plan a treatment based on assessment, imaging, classification, and decision-making Apply reduction techniques in fracture management with attention to the importance of the soft-tissue Use appropriate fixation techniques to treat diaphyseal and simple (peri)articular fractures Identify and discuss the special problems related to: Fractures in the immature skeleton Pelvic injuries Osteoporotic fractures Postoperative infection Delayed union and/or nonunion Plan the initial treatment of the polytraumatized patient Course description This AOTrauma Basic Principles of Fracture Management course is part of AOTrauma's educational program for residents and 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 online modules on bone healing and classification. The course will consist of several evidence-based lectures which will cover the key information required. In practical exercises participants will be trained in the application of various techniques. The AO Skills Lab consists of ten stations where participants will learn about the principles of fractures and test fracture management options. Discussing cases in small groups will help participants to understand decisionmaking processes and further develop management skills. After the course an online postcourse self-assessment will provide participants with important feedback on how much they have learned.

6 Chairperson Marinis Pirpiris Epworth Hospital Richmond, Australia Co-Chairperson Sergei Fischer Universidade Federal do Paraná - Hospital do Trabalhador Curitiba, Brazil International Faculty Mazen Abdalla An-Najah university hospital Nablus Palestine Hayder Abdul Hadi Rashid Hospital Dubai United Arab Emirates Akram Al Shoubaki Al Essra Hospital Amman Jordan Lisa Blackrick University of Pittsburgh Medical Center Pittsburgh USA Ralph Christian Santa Casa de São Paulo São Paulo Brazil Derek Donegan Hospital of the University of Pennsylvania Philadelphia USA Ayman El Sharawy Muscat Privat Hospital Muscat Oman Osvaldo Gonzalez Riveros Instituto de prevision social Asuncion Paraguay Noratep Kulachote Medicine Ramathibodi Hospital, Mahidol Bangkok Thailand university Jean Pierre Leung Notre Dame de Chartres Hospital Baguio City Philippines Seung-Jae Lim Samsung Medical Center Seoul South Korea John Munz University of Texas Health Science Houston USA Center at Houston Jorge Tabachnik Hospital Policial Montevideo Uruguay Vivek Trikha JPNA Trauma Centre, A.I.I.M.S., New New Delhi India Delhi José Arturo Xicará Rodríguez Hospital La Democracia Quetzaltenango Guatemala Regional Faculty Hector Aguado Hospital Clínico Universitario Valladolid Valladolid Spain David Hahn Queens Medical Centre Nottingham, University Nottingham United Kingdom Hospital Yaniv Keren Rambam health care campus Haifa Israel Odette Koch Military Hospital Thaba Tshwane Pretoria South Africa Renate Krassnig Medical University Graz Graz Austria Jacquelyn McMillan Crosshouse Hospital Ayrshire United Kingdom Ufuk Ozkaya Taksim Research and Education Hospital Istanbul Turkey Reedik Pääsuke Tartu University Hospital Tartu Estonia Andrei Ursache Spitalul Clinic de Urgenta Floreasca Bucuresti Romania Michael Verhofstad Erasmus University Medical Center Rotterdam The Netherlands Yoram Weil Hadassah Hebrew University Medical Center Jersalem Israel National Faculty Markus Windolf AO Foundation Davos Switzerland

7 Precourse online activities November 2 December 1, 2018 Task 1 Online precourse self-assessment (30 minutes) The online precourse self-assessment consists of questions on your profile and expertise as well as of a set of multiple-choice questions with direct feedback. Your participation will help us to focus on your needs at the upcoming event. Please complete the two elearning modules "Biology of bone healing" and "The Müller/AO Classification of Fractures" after the precourse self-assessment and before attending the course, because faculty will build on your newly acquired knowledge. Task 2 Task 3 elearning module Biology of bone healing (20 minutes) Overview of updated AO/OTA Fracture and Dislocation Classification

8 Sunday, December 2, 2018 TIME AGENDA ITEM WHO 15:00 Opening of the Congress Center 15:00 17:00 Registration of participants 17:00 18:00 Opening ceremony 18:00 19:00 FOUNDERS' RECEPTION

9 Monday, December 3, 2018 TIME AGENDA ITEM WHO LOCATION: Aspen (lectures) and Foyer C2 (practicals) 08:00 08:10 Welcome and introduction M Pirpiris, S Fischer Module 1 Injury pattern (soft-tissue and bone) and biology of bone healing Moderator: JP Leung At the end of this module participants will be able to: Describe how patient-related factors affect the management of fractures Describe the importance of soft-tissue in fracture healing Use the AO/OTA Fracture and Dislocation Classification to describe a fracture 08:10 08:20 The AO world from history to lifelong learning S Fischer 08:20 08:30 Influence of the patient factors and the injury mechanism on fracture management L Blackrick 08:30 08:45 The (soft-tissue) injury a high priority consideration M Pirpiris 08:45 08:55 Principles of external fixation JP Leung 08:55 09:10 Update AO/OTA fracture and dislocation classification compendium A El Sharawy 09:10 09:30 COFFEE BREAK Module 2 Stability and biomechanics of bone healing Moderator: J Munz At the end of this module participants will be able to: Explain the biology of fracture healing and how it is affected by fracture treatment Define absolute and relative stability and describe their effects on fracture healing Describe the biomechanics of locking compression plates (LCPs) and how to achieve different types of stability Explain the principles and steps of the lag screw technique 09:30 09:50 Absolute stability biomechanics, techniques, and fracture healing V Trikha 09:50 10:10 Relative stability biomechanics, techniques, and fracture healing D Hahn 10:10 10:25 The use of plates in fracture fixation M Verhofstad 10:25 10:30 LOCATION CHANGE TO PRACTICAL EXERCISE

10 10:30 12:20 Practical exercise 1 Internal fixation with screws and plates absolute stability Y Weil, R Krassnig 12:20 13:20 LUNCH BREAK 13:20 14:30 Practical exercise 2 Principles of the internal fixator using the LCP D Donegan, N Kulachote 14:30 14:35 LOCATION CHANGE TO SKILLS LAB 14:35 16:55 AO Skills Lab A * Note: two teams run parallel (Red Team and Green Team) * Note: participants spend 10 minutes at each station, then rotate * Note: 20 minutes COFFEE BREAK after fifth run Station A Torque measurement of bone screws Station B Soft-tissue penetration during drilling Station C Heat generation during drilling Station D Mechanics of bone fractures Station E Techniques of reduction, part 1 Station F Techniques of reduction, part 2 Station G Mechanics of intramedullary fixation Station H Mechanics of plate fixation Station J Fracture healing and plate fixation Station K Difficult implant removal 14:35 16:55 AO Skills Lab B * Note: two teams run parallel (Red Team and Green Team) * Note: participants spend 10 minutes at each station, then rotate * Note: 20 minutes COFFEE BREAK after fifth run Station A Torque measurement of bone screws Station B Soft-tissue penetration during drilling Station C Heat generation during drilling Station D Mechanics of bone fractures Station E Techniques of reduction, part 1 Station F Techniques of reduction, part 2 Station G Mechanics of intramedullary fixation Station H Mechanics of plate fixation Station J Fracture healing and plate fixation Station K Difficult implant removal S Fischer M Abdalla O Gonzalez Riveros U Ozkaya J Tabachnik Y Weil, V Trikha M Verhofstad, D Hahn D Donegan N Kulachote, O Koch A Ursache R Christian M Pirpiris Y Keren H Aguado SJ Lim A El Sharawy J Munz, JP Leung R Pääsuke, L Blackrick A Al Shoubaki R Krassnig, H Abdul Hadi JA Xicará Rodríguez J McMillan 16:55 17:00 LOCATION CHANGE TO DISCUSSION GROUPS 17:00 18:00 Discussion group 1 General principles, classification, concepts of stability, their influence on bone healing, and how to apply implants to achieve appropriate stability Group 1 Landwasser 1 Group 2 Landwasser 2 Group 3 Landwasser 3 Group 4 Landwasser 4 Group 5 Landwasser 5 Group 6 Landwasser 6 R Pääsuke, M Abdalla H Abdul Hadi, H Aguado J Tabachnik, A Al Shoubaki V Trikha, R Christian A Ursache, D Donegan M Verhofstad, A El Sharawy

11 Group 7 Landwasser 7 Group 8 Landwasser 8 Group 9 Landwasser 9 Group 46 Aspen Y Weil, J Munz JA Xicará Rodríguez, D Hahn L Blackrick, Y Keren U Ozkaya, O Koch

12 Tuesday, December 4, 2018 TIME AGENDA ITEM WHO LOCATION: Aspen (lectures) and Foyer C2 (practicals) 08:00 08:15 Questions and conclusions injury pattern, biology of bone healing and stability J Munz Module 3 Surgical treatment of diaphyseal fractures Moderator: D Hahn At the end of this module participants will be able to: Describe the treatment goals for diaphyseal fractures Describe the treatment principle for diaphyseal fractures in the upper and lower extremities Determine the type of reduction and stability needed for diaphyseal fractures Explain the rationale behind preoperative planning and the importance of careful decision-making with regard to reduction technique, implant requirements, and fixation techniques 08:15 08:35 Principles of diaphyseal fracture management what is important in treating these fractures? 08:35 08:50 Reduction techniques of diaphyseal fractures principles and methods 08:50 09:05 Fractures of the femoral diaphysis (including subtrochanteric) management principles R Christian D Donegan H Aguado 09:05 09:25 Intramedullary (IM) nailing to ream or not to ream U Ozkaya 09:25 09:45 COFFEE BREAK 09:45 10:45 Practical exercise 3 Reamed IM nailing Tibial shaft fractures IM nailing with the expert tibia nail (ETN) (with reaming) with extractor SJ Lim, L Blackrick 10:45 10:55 LOCATION CHANGE TO DISCUSSION GROUPS 10:55 12:10 Discussion group 2 Management principles for the treatment of diaphyseal fractures Group 1 Landwasser 1 Group 2 Landwasser 2 Group 3 Landwasser 3 Group 4 Landwasser 4 Group 5 Landwasser 5 Group 6 Landwasser 6 Group 7 Landwasser 7 R Pääsuke, R Krassnig H Abdul Hadi, N Kulachote J Tabachnik, JP Leung V Trikha, SJ Lim A Ursache, J McMillan M Verhofstad, J Munz Y Weil, R Christian

13 Group 8 Landwasser 8 Group 9 Landwasser 9 Group 46 Aspen JA Xicará Rodríguez, D Donegan L Blackrick, A Al Shoubaki U Ozkaya, M Abdalla 12:10 13:10 LUNCH BREAK 13:10 13:25 Questions and conclusions diaphyseal fractures D Hahn Module 4 Treatment of articular fractures Moderator: S Fischer At the end of this module participants will be able to: Describe the treatment goals for articular fractures Define the key surgical principles to the management of articular fractures Determine the type of reduction and stability needed for articular fractures Outline the function and clinical indications for the tension band technique 13:25 13:40 Management principles for articular fractures how do they differ from diaphyseal fractures? A Al Shoubaki 13:40 13:55 Reduction techniques for articular fractures principles and methods R Pääsuke 13:55 14:10 Distal radial fractures which to fix, how to fix? H Abdul Hadi 14:10 14:25 Tension band principle and cerclage wiring Y Keren 14:25 14:40 Ankle fractures a systematic approach for their fixation O Koch 14:40 14:45 LOCATION CHANGE TO PRACTICAL EXERCISE 14:45 15:15 Practical exercise 4 Tension band wiring of the olecranon R Christian, J Tabachnik 15:15 16:15 Practical exercise 5 Management of a malleolar fracture type 44C J Tabachnik, R Christian 16:15 16:35 COFFEE BREAK 16:35 16:50 Preoperative planning rationale and how to do it M Pirpiris 16:50 17:05 Forearm fractures need understanding of principles for diaphyseal and articular fractures S Fischer

14 17:05 17:10 LOCATION CHANGE TO PRACTICAL EXERCISE 17:10 18:10 Practical exercise 6 (part 1) Preoperative planning plan your forearm operation M Pirpiris, S Fischer

15 Wednesday, December 5, 2018 Self Directed Learning Day Participants will choose their own program by selecting two of the following 4 modules: Morning modules: Approaches upper extremity Intramedullary nailing principles made easy Afternoon modules: Approaches lower extremity Avoiding and treating complications Chairpersons Sergei Fischer Universidade Federal do Paraná - Hospital do Trabalhador Curitiba, Brazil Martin Richardson University of Melbourne, Epworth Hospital Melbourne, Australia Faculty Approaches upper extremity Bore Bakota General Hospital Karlovac, University of Rijeka Karlovac Croatia Gregory Della Rocca University of Missouri Columbia USA Pavel Drac Hospital Olomouc Olomouc Czech Republic Christian Lozano Clinica Anglo Americana Lima Peru Luiz Henrique Penteado da Silva Instituto de Ortopedia e Traumatologia, I.O.T. Passo Fundo Brazil Terence Pun Queen Mary Hospital Hong Kong Hong Kong Intramedullary nailing principles made easy Vincenzo Giordano Hospital Municipal Miguel Couto Rio de Janeiro Brazil Mark Lee University of California, Davis Sacramento USA Jong-Keon Oh Korea University Guro Hospital Seoul South Korea Eladio Saura-Sanchez University Hospital of Elche Elche Spain Approaches lower extremity Jean-Claude D'Alleyrand Walter Reed National Military Medical Center Bethesda USA Anna Ekman Södersjukhuset, Stockholm Stockholm Sweden Mark Hatton Nottingham University Hospitals Nottingham United Kingdom Badri Narayan Royal Liverpool University Hospital Liverpool United Kingdom Jong-Keon Oh Korea University Guro Hospital Seoul South Korea Andrew Oppy Royal Melbourne Hospital and Epworth Hospital Kew Australia

16 Avoiding and treating complications Jorge Barla Hospital Italiano de Buenos Aires Buenos Aires Argentina Ralph Christian Santa Casa de São Paulo São Paulo Brazil Gregory Della Rocca University of Missouri Columbia USA Iain McFadyen University Hospital of North Staffordshire Stoke-on-Trent United Kingdom Michael Sirkin New Jersey Medical School New Jersey USA David Volgas University of Missouri Columbia USA

17 Wednesday, December 5, 2018 Approaches upper extremity (1st morning option) TIME AGENDA ITEM WHO LOCATION: Davos Module Approaches and positioning of upper extremity trauma made easy At the end of this module, participants will be able to: Describe the different ways to position patients for surgery of the upper extremity Apply the different surgical approaches used for the upper Extremity based on their indications List structures at risk for the different surgical exposures Recognize the limitations of the different surgical exposures of the upper extremity Explain how to obtain intraoperative imaging Moderator: M Richardson 08:00 08:05 Introduction M Richardson 08:05 08:15 Soft-tissue in upper extremity trauma B Bakota 08:15 08:40 Approaches to the shoulder: Delto-pectoral Deltoid split 08:40 09:05 Approaches to the humerus: Anterolateral Posterior 09:05 09:30 Approaches to the elbow: Lateral Medial 09:30 09:50 Approaches to the forearm: Volar/Henry Dorsal/Thompson 09:50 10:10 Approaches to the distal radius: Flexor Carpi Radialis (FCR) Dorsal (Volar lateral) C Lozano T Pun LH Penteado Da Silva G Della Rocca P Drac 10:10 10:40 COFFEE BREAK 10:40 11:40 Practical exercise demonstration of supine, prone, beach chair, and lateral positions for upper extremity surgery with intraoperative imaging G Della Rocca, C Lozano 11:40 12:00 Questions and closing remarks M Richardson 12:00 13:30 LUNCH BREAK

18 Intramedullary nailing principles made easy (2nd morning option) TIME AGENDA ITEM WHO LOCATION: Aspen Module Intramedullary nailing principles made easy Moderator: S Fischer At the end of this module, participants will be able to: Treat fractures and other musculoskeletal problems with IM nailing when indicated Select the IM nailing procedure based on the fracture, the patient, and the best available evidence Prepare the patient for the IM nailing procedure and plan and provide postoperative care Recognize intramedullary canal anatomy and the correct entry point for common situations Achieve reduction for diaphyseal fractures and maintain reduction during IM fixation 08:00 08:05 Welcome and introduction S Fischer 08:05 08:20 Biomechanical principles and nail design how does it work? V Giordano 08:20 08:35 Entry points selection how to avoid complications? JK Oh 08:35 08:50 Reduction techniques for diaphyseal fractures nailing (case-based lecture) 08:50 09:05 Principles of nailing translation to other long bones (clavicle, humerus, and others) 09:05 10:05 Case discussions Tibial shaft fracture Femoral shaft fracture Proximal femoral fracture S Fischer M Lee V Giordano, E. Saura- Sanchez, JK Oh 10:05 10:25 COFFEE BREAK 10:25 10:40 Limits of indications for tibial fractures and poller screw technique E Saura-Sanchez 10:40 11:40 Patient positioning and reduction for nailing MIPO tools Instruments for minimally invasive cerclage 11:40 11:55 Fractures of the proximal 1/3 of the femur tips to improve implant positioning and results S Fischer, V Giordano, JK Oh, M Lee, E Saura- Sanchez M Lee 11:55 12:00 Evaluation and summary S Fischer 12:00 13:30 LUNCH BREAK

19 Approaches lower extremity (1st afternoon option) TIME AGENDA ITEM WHO LOCATION: Davos Module Approaches and positioning of lower extremity trauma made easy At the end of this module, participants will be able to: Describe the different ways to position patients for surgery of the lower extremity Explain how to obtain imaging for intraoperative use List the different surgical approaches used in trauma surgery for the lower extremity and their indications Explain the limitations of exposures for the different approaches of the lower extremity Moderator: A Oppy 13:30 13:35 Introduction A Oppy 13:35 13:50 Soft-tissue in lower limb trauma JC D'Alleyrand 13:50 14:10 Approaches to the hip: Kocher Anterior Smith-Peterson Lateral Watson-Jones 14:10 14:20 Approaches to the femoral shaft: Lateral extensile 14:20 14:30 Supine approaches to the knee: Anterolateral Medial 14:30 14:50 Prone approaches to the knee: Posteromedial Direct posterior 14:50 15:10 Approaches to the ankle: Anterolateral Posteromedial A Ekman M Hatton B Narayan JK Oh A Oppy 15:10 15:40 COFFEE BREAK 15:40 16:40 Practical exercise demonstration of supine, prone, and lateral positions for lower extremity surgery with intraoperative imaging A Oppy, M Hatton 16:40 17:10 Questions and closing remarks A Oppy

20 Avoiding and treating complications (2nd afternoon option) TIME AGENDA ITEM WHO LOCATION: Aspen Module Avoiding and treating complications of fracture management Moderator: R Christian At the end of this module, participants will be able to: Identify and discuss the methods of staged fracture care Apply operative care according to the location and softtissue condition of the fracture Recognize the indications and contraindications of osteotomy in the management of malunion Identify and discuss the indications for amputation 13:30 13:35 Introduction R Christian 13:35 13:55 What complications does damage control orthopedics avoid? I McFadyen 13:55 14:15 Do you need to stage all periarticular fractures? M Sirkin 14:15 14:35 What to do when periarticular wounds break down and fractures become infected? 14:35 14:55 The management of open bony deficits the place of shortening Masquelet and transport 14:55 15:15 The place of external fixation in definitive management of delayed presentation of open limb injuries D Volgas J Barla G Della Rocca 15:15 15:35 Osteotomies in the correction of diaphyseal injuries R Christian 15:35 15:55 Questions and answers G Della Roca 15:55 16:15 COFFEE BREAK 16:15 16:35 Osteotomies in the correction of articular fractures J Barla 16:35 16:55 What to do when the articular surface is destroyed? M Sirkin 16:55 17:15 Amputations or salvage how to decide? D Volgas 17:15 17:45 Questions and closing remarks R Christian

21 Thursday, December 6, 2018 TIME AGENDA ITEM WHO LOCATION: Aspen (lectures) and Foyer C2 (practicals) 08:00 09:10 Practical exercise 6 (part 2) Operate your plan fixation of a 2R2A,2U2C forearm fracture using the LCP 3.5 (8 and 11 holes) H Aguado, JA Xicará Rodríguez 09:10 09:15 LOCATION CHANGE TO LECTURE HALL 09:15 09:30 Femoral neck fractures JP Leung 09:30 09:45 Trochanteric fractures SJ Lim 09:45 10:00 Distal femoral fractures management principles M Pirpiris 10:00 10:15 Tibial plateau fractures S Fischer 10:15 10:30 Distal tibial fractures R Krassnig 10:30 10:50 COFFEE BREAK 10:50 12:10 Practical exercise 7 IM nailing of a proximal femur using a trochanteric femoral nail anti-rotation TFNA O Gonzalez Riveros, M Abdalla 12:10 12:20 LOCATION CHANGE TO DISCUSSION GROUPS 12:20 13:30 Discussion group 3 Management principles for the treatment of articular fractures Group 1 Landwasser 1 Group 2 Landwasser 2 Group 3 Landwasser 3 Group 4 Landwasser 4 Group 5 Landwasser 5 Group 6 Landwasser 6 Group 7 Landwasser 7 Group 8 Landwasser 8 Group 9 Landwasser 9 Group 46 Aspen R Pääsuke, D Donegan H Abdul Hadi, A El Sharawy J Tabachnik, R Christian V Trikha, O Gonzalez Riveros A Ursache, D Hahn M Verhofstad, Y Keren Y Weil, O Koch JA Xicará Rodríguez, R Krassnig L Blackrick, N Kulachote U Ozkaya, SJ Lim 13:30 14:30 LUNCH BREAK

22 14:30 14:50 Questions and conclusions treatment of articular fractures A Ursache Module 5 Emergency management, minimally invasive surgery and special fractures At the end of this module participants will be able to: Identify indications for minimally invasive osteosynthesis and when to use it Outline differences of fracture treatment in children and the elderly compared to those in adults Understand the dangers of radiation in the operating room and how to avoid them Outline the algorithm for polytrauma management and discuss the roles of the team members Recognize the pathology of severe pelvic trauma and identify the reasoning behind emergency pelvic stabilization Outline the treatment plan and priorities for open fractures List the causes and factors that lead to postoperative infection Name factors leading to delayed union and/or malunion Moderator: U Ozkaya 14:50 15:05 Minimally invasive osteosynthesis (MIS) when to use it? H Abdul Hadi 15:05 15:25 Radiation hazards in the operating room how to minimize? JA Xicará Rodríguez 15:25 15:40 Fractures in the growing skeleton how are they different? Y Weil 15:40 15:55 Fixation principles in osteoporotic bone the geriatric patient N Kulachote 15:55 16:05 Implant removal why, when, and how? M Verhofstad 16:05 16:25 COFFEE BREAK 16:25 16:40 Treatment algorithms for the polytrauma patient J Tabachnik 16:40 16:55 Indications and techniques for external fixation for damage control orthopedics and open fractures S Fischer 16:55 17:10 Emergency management of pelvic fractures a critical skill can save lives M Pirpiris 17:10 17:25 Management of open fractures J McMillan

23 Friday, December 7, 2018 TIME AGENDA ITEM WHO LOCATION: Aspen (lectures) and Foyer C2 (practicals) 08:00 09:00 Practical exercise 8 Fixation of a tibial shaft fracture using a large external fixator (modular frame construct) 09:00 10:10 Practical exercise 9 Stabilization of the pelvic ring using a large external fixator D Hahn, O Koch V Trikha, J Munz 10:10 10:30 COFFEE BREAK 10:30 10:45 Infection after osteosynthesis how to diagnose and manage M Abdalla 10:45 11:00 Delayed healing causes and treatment principles O Gonzalez Riveros 11:00 11:15 R&D of smart systems to help the surgeon advance patient care M Windolf 11:15 11:30 The future of fracture treatment S Fischer 11:30 11:35 LOCATION CHANGE TO DISCUSSION GROUPS 11:35 12:35 Discussion group 4 Final case discussion on selected topic: Polytrauma Complications Special fractures, eg, geriatric fractures, osteoporosis, periprosthetic fractures Group 1 Landwasser 1 Group 2 Landwasser 2 Group 3 Landwasser 3 Group 4 Landwasser 4 Group 5 Landwasser 5 Group 6 Landwasser 6 Group 7 Landwasser 7 Group 8 Landwasser 8 Group 9 Landwasser 9 Group 46 Aspen R Pääsuke, JP Leung H Abdul Hadi, SJ Lim J Tabachnik, J McMillan V Trikha, J Munz A Ursache, O Koch M Verhofstad, H Aguado Y Weil, R Krassnig JA Xicará Rodríguez, A Al Shoubaki L Blackrick, A El Sharawy U Ozkaya, O Gonzalez Riveros 12:35 12:40 LOCATION CHANGE TO LECTURE HALL 12:40 12:55 Violation of AO principles when it goes wrong M Pirpiris 12:55 13:25 Fracture theater All faculty

24 Group 1: absolute stability Group 2: relative stability Group 3: bone healing Group 4: diaphyseal fractures Group 5: articular fractures Group 6: MIPO 13:25 13:35 Closing remarks and end of course M Pirpiris, S Fischer 13:35 14:05 LUNCH WITH SANDWICHES

25 Postcourse online activity December 8 21, 2018 Online postcourse self-assessment (10 minutes) At the end of this course you will receive an link to the postcourse self-assessment. Please take the opportunity to complete the self-assessment. This will help you to reflect on what you have learned during the event and also help us to improve future events.

26 Event organization AOTrauma Education Anja Sutter Clavadelerstrasse Davos, Switzerland Phone Fax asutter@aotrauma.org AO funding sources Unrestricted educational grants from different sources are collected and pooled together centrally by the AO Foundation. All events are planned and scheduled by local and regional AO surgeon groups based on local needs assessments. We rely on industrial/commercial partners for in-kind support to run simulations/skills training if educationally needed. Event information Event fee AOTrauma Course Basic Principles of Fracture Management CHF Included in the event fee is the conference bag with documentation, coffee breaks, lunches, and AO World Night and course certificate. European CME Accreditation An application has been made to the UEMS-EACCME in Brussels for CME accreditation of this event. 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 welcome desk. Evaluation guidelines All AOTrauma events apply the same evaluation process, online pre- and post-event evaluation and on-site paper and pencil questionnaires. This helps AOTrauma to ensure that we continue to mee t your training needs. Intellectual property Event materials, presentations, and case studies are the intellectual property of the event faculty. All rights are reserved. Check hazards and legal restrictions on Recording, photographing, or copying of lectures, practical exercises, case discussions, or any event materials is strictly forbidden. Participants violating intellectual property will be dismissed.

27 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, practical exercises, and group discussions. No insurance The event organization does not take out insurance to cover any individual against accidents, thefts or other risks. Use of mobile phones Use of mobile phones is not allowed in the lecture halls and in other rooms during educational activities. Please be considerate of others by turning off your mobile phone. Picture Gallery Check out aodavoscourses.org for a daily selection of pictures from the Davos Courses 2017, the best from last year's courses, and a selection of photographs from the first ever AO Davos Courses. Dress code Warm clothes and suitable shoes are advisable.

28 Event venue Congress Center Davos Talstrasse 49A 7270 Davos, Switzerland Phone Fax General information Sunday 12:00 19:00 Monday to Thursday 07:30 19:00 Friday 07:30 16:00 AO World Sunday 15:00 17:00 Monday to Thursday 09:00 17:00 (Tuesday 20:30) Friday 09:00 15:30 Industry exhibition Sunday 15:00 19:00 Monday to Thursday 09:00 17:00 (Tuesday 18:00) Friday 09:00 15:30

29 AO Foundation Principles of AO Educational Events 1) Academic independence Development of all curricula, design of scientific event programs, and selection of faculty are the sole responsibilities of volunteer surgeons from the AO network. All education is planned based on needs assessment data, designed and evaluated using concepts and evidence from the most current medical education research, and involving the expertise of the AO Education Institute ( Industry participation is not allowed during the entire curriculum development and planning process to ensure academic independence and to keep content free from bias. 2) Compliance to accreditation and industry codes All planning, organization, and execution of educational activities follow existing codes for accreditation of highquality education: Accreditation Criteria of the Accreditation Council for Continuing Medical Education, USA ( ACCME Standards for Commercial Support: Standards to Ensure Independence in CME Activities ( Criteria for Accreditation of Live Educational Events of the European Accreditation Council for Continuing Medical Education ( Events that receive direct or indirect unrestricted educational grants or in-kind support from industry also follow the ethical codes of the medical industry, such as: Eucomed Guidelines on Interactions with Healthcare Professionals ( AdvaMed Code of Ethics on Interactions with Health Care Professionals (advamed.org) Mecomed Guidelines on Interactions with Healthcare Professionals ( 3) Branding and advertising No industry logos or advertising (with the exception of the AO Foundation and AO Clinical Division) are permitted in the area where educational activities take place. Sponsors providing financial or in-kind support are allowed to have a promotional booth or run activities outside the educational area with approval from the event chairperson. 4) Use of technologies and products in simulations If case simulations are chosen as an educational method to educate skills, we only use technology approved by the AOTK System (AOTK) a large independent group of volunteer surgeons developing and peerreviewing new technology (more information about AOTK, its development and approval process can be found on the AO Foundation website: 5) Personnel Industry staff is not allowed to interfere with the educational content or engage in educational activities during the event.

30 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

31 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.

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

33 AO Research Institute Davos (ARI) Mission Excellence in applied Preclinical Research and Development within trauma and disorders of the musculoskeletal system and translation of this knowledge to achieve more effective patient care worldwide. Goals Contribute high quality applied Preclinical Research and Development focused towards clinical applications/solutions. Investigate and improve the performance of surgical procedures, devices and substances. Foster a close relationship with the AO medical community, academic societies, and universities. Provide research environment/support/training for AO clinicians. At the AO World booths, meet with our team including our ARI Medical Research Fellows, establish contacts, freely discuss your clinical problems, ideas, and learn about the latest results from the AO Research Institute Davos (ARI). Insight into the AO Center will show our infrastructure under one roof and enable you to meet some of our research team. Areas: Collaborative Research Programs Annulus Fibrosus Rupture Acute Cartilage Injury Craniomaxillofacial Imaging and planning of surgery, computer aided preoperative planning Medication-Related Osteonecrosis of the Jaw Bone Regeneration Spine Degeneration and regeneration of the intervertebral disc Fracture fixation in osteoporotic bone Trauma Bone infection, including the development and testing of active anti-infective interventions Fracture fixation in osteoporotic bone including intra-operative assessment of bone quality, augmentation techniques and prophylaxis Evaluation of the cortical and trabecular bone remodeling (with special regards to the porosity) in the proximal humerus and its impact on the fracture zones Development of smart surgical instruments and implant concepts for optimized bone healing Patient outcomes and biomarkers Veterinary Medicine Improving osteosynthesis for small and large animals Multidisciplinary Analysis of implant-specific functional anchorage with CT-technology Ex vivo testing using advanced biomechanical models In vivo studies using established or newly developed preclinical models Gene transfer- non-viral and viral Implant design using the Finite Element Methods Implant positioning assistance, C-arm guided implant placement Telemetric monitoring of bone healing In vivo and in vitro quantification of bone turnover and scaffold degradation Longitudinal analysis within in-vivo studies using CT-technology Medical image processing and analysis Polymers to deliver cells and biological factors, create potential space for tissue development and guide the process of tissue regeneration Prototype development and production

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

35 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): Credit Suisse Synbone Ethicon

36 Upcoming AO Events 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 Kurs AOTrauma/AORecon Course Comprehensive Periprosthetic Fracture Management of the Hip and Knee AORecon Course AO Courses December 8 12, 2019 AOTrauma Course Basic Principles of Fracture Management for Swiss Surgeons AOSpine Courses AOCMF Courses AOVET Courses List subject to changes. The final Davos courses list as well as worldwide courses lists will be available on in January 2019.

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