ORTHOCON 2018 Nepalgunj, Banke February Day One 15 th February 2018

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1 ORTHOCON 2018 Nepalgunj, Banke February Day One 15 th February Registration Hall A Hall B Trauma I (Lower Limb) Coordinator: Dr. Rajesh Kumar Chaudhary. Arthroplasty Session Coordinator: Dr. Kapil Mani KC Session Chairs: Prof. MP Shrivastav / Dr. Suresh Pandey Session Chairs: Prof Dirgha Raj RC/ Prof Arjun Lamichhane. Time Title presenter Time Title Presenter Surgical Hip Dislocation: a safe approach for global access to hip joint. Advantages and disadvantages of solid nail over conventional nail in displaced tibial shaft fracture management. Dr. Bibek Banskota ICL - Cementing Technique in Arthroplasty: Dr. Subhas B Shah ICL - Low Cost Indigenous Total Knee Replacement: Dr. Sanjay K Srivastava Dr. L Prakash ICL Polytrauma management Prof. Heiner Winker Value of tip apex distance in predicting failure of cephalomedullary fixation of intertrochanteric hip fractures. Dr. Rajendra A ICL Knee preservation Surgery Dr Sanjay Rastogi Bohler s angle in predicting the functional outcome of Dr. Sharan Mallya displaced intra-articular calcaneal fracture Simultaneous Bilateral total knee arthroplasty: our experience in a tertiary referral center ICL - Management of infected non-union. Prof Ravi Mittal Ansul Rajbhandari Is it always necessary to interlock the shaft of tibia and Dr. Pramod Lamichhane Functional Outcome Of primary Total Hip femur fracture? Dr Suman Babu Arthroplasty using Harris Hip Score in Study of fracture shaft of femur and its treatment with Marahatta Dr. Krishna Sapkota Arthritic Hip. Kuntcher nail Functional outcome of patients with intertrochanteric fracture after surgery. Dr. Subhas B Shah ICL - Doping in Sports; Role of a Doctor in preventing Doping. Dr. Saroj Krishna Shrestha Tea Break Panel discussion Case 1. Total knee arthroplasty in unstable knee with medial tibial bone loss. Case 2. Total hip arthroplasty in Severely deformed hip. Moderator: Dr Kapil Mani KC Panelist: Dr Deepak P Mahara, Dr Chakra Raj Pandey, Dr Dirgha Raj RC, Dr Pashupati Chaudhary 1

2 Trauma II (Upper Limb) Coordinator: Dr. Laxman Rijal Arthroscopy and Sports Session (ASON) Coordinator: Dr. Nagmani Singh Session Chairs: Prof. Ved P Lakhanpal/ Dr.Bharat Khatri Session Chairs: Prof. Bachchu Ram KC/ Dr. Sailaj Ranjitkar Time Title Presenter Time Title Presenter Use of Cobra external fixator for treatment of distal radius fractures. Additional ulno radial pinning for prevention of metaphyseal collapse in distal radius fracture: a comparative study Dr. Niraj Ranjeet ICL - PCL Reconstruction: Onlay technique. Prof. Ravi Mittal Dr. Prateyenta Raj Onta Salvaging Mangled Upper Limb. An outcome study. Dr. Shilu Shrestha ICL - Meniscus Repair; Changing Trends; Dr. Chakra Raj Pandey Distal humerus fracture - Plan it well Plan it logically Dr. A. K. Agrawal Results of Arthroscopic Partial Meniscectomy for Lateral Discoid Meniscus Tears Associated with New Technique Dr. Navin Karn Does a radiologically acceptable reduction really change the Dr. Upendra jung functional outcome? Thapa Outcome of intramedullary nailing in pediatric diaphyseal forearm bone fracture. Dr. Poojan K Rokaya Precontoured Clavicular locking plate with broad lateral end for operative treatment of clavicle fracture. Dr. Kapil Mani KC Open degloving injuries: a single center experience with Dr. Sumit Agrawal primary suturing of skin ICL - Affordable and sustainable orthopedics. Dr. L Prakash Early exploration of radial nerve with secondary injuries in humeral shaft fracture is not justifiable. Rehabilitation following Bankart Repair: A case series and changing trends. Dr. Ishwar Sharma Kandel Prajeet Poudyal ICL - Patellar Instability & MPFL Reconstruction; Short-term outcome of trans-portal Single bundle anatomic ACL reconstruction in a tertiary center. Prof Arjun Lamichhane Dr. Bishnu Pokhrel ICL - Postoperative complications of ACL Prof Amit Joshi Reconstruction; Short Video/ Case Presentations Synovial Chondromatosis of hip. Dr. Binod Serchan Knee pain due to rare meniscal pathology. Dr. Rupesh K. Vaidya Panel Discussion- Decision making in ligament injuries of Knee. Moderator: Dr. Sudeep Man Vaidya Panelist: Prof Shishir Lakhey, Dr. Ishor Pradhan, Dr. Sanjay Srivastava, Prof Ravi Mittal, Dr. Chakra Raj Pandey LUNCH 2

3 Guest Lecture: Keys to Health and Happiness (Prof. Dr. Ashok Kumar Banskota) NOA Oration: " Meeting Challanges in Pelvi-acetabular Trauma" ( Prof. Ramesh Sen) Chairpersons: Prof Buland Thapa (President NOA), Dr. Bimal Kumar Pandey (General Secretary NOA) Tea Break Pelvi-Acetabular Symposium Coordinator: Prof Dipak Shrestha Chairpersons: Prof. Heiner Winker/ Dr. Navin Karna Classification and Management of Pelvic Fracture Dr Suresh Upreti Classification and Management of Acetabular Fracture Dr Suresh Pandey Use of instruments in Pelvi-Acetabular Surgery Dr Sanjai Rastogi Kocher-Langenbeck Approach Dr S.K. Srivastava Illio-Inguinal Approach Prof. Shishir Lakhey Modified Stoppa Approach Dr Bibek Banskota Modified Ilio-Femoral Approach (Sen Approach) Prof Vinod.K.Thapa Panel Discussion 1. Bicolumnar acetabulum fracture with intra-pelvic dislocation of hip 2. Transverse acetabulum fracture with ipsilateral neck and shaft femur fracture Panelist: Prof. Ramesh Sen, Dr Sanjai Rastogi, Dr S.K. Srivastava, Prof. Shishir Lakhey, Dr Suresh Upreti, Dr Suresh Pandey, Dr Bibek Banskota Moderator: Prof Dipak Shrestha onwards Inuguration Ceremony Banquet Dinner 3

4 Day Two 16 th February Hall A Hall B NOA Award Session 1 Coordinator: Dr. Byapak Paudel Spine Session (ASSN) Coordinator: Dr. Bimal Kumar Pandey Session Chairs: Prof. Kiran Rijal / Dr. Anil Bahadur Shrestha Session Chairs: Prof Rohit Pokhrel/ Prof Yasushi Fujiwara Time Title presenter Time Title Presenter Nepal and Orthopedic Research: where do we stand? A bird s eye view of the PubMed and google scholar database? Dr. Nagmani Singh* Surgical Management of Adolescent Idiopathic Scoliosis: 5 years experience Reasons for Implant failure in our setup. Dr. Subin Byanjankar* The effect of the intercondylar notch shape and notch Treatment of Pott s Spine: Clinico-radiological Dr. Bibek Basukala* width index on anterior cruciate ligament injuries. outcome. ICL - Microscopic Posterior Decompression Comparative study of exposed versus buried K-wires for fixation of lateral condyle fracture in children. Dr. Sushil Shrestha # Surgery for Lumbar Stenosis: Facet Preserving Technique via enbloc Flavectomy in Semi- Circumferential Decompression Pedicle morphology of dorso-lumbar region in the Nepalese patient visiting KMC in relation to transpedicular screw fixation. Dr. Ajaya Regmi # Comparative study of immediate Vs delayed weight bearing in ankle sprain with below knee slab. Dr. Rajiv Hamal # Tip-apex distance in predicting dynamic hip screw cutout in stable intertrochanteric fractures of the femur. Dr. Pukar Rana # Relationship between traumatic spinal canal stenosis and neurologic deficits in thoracolumbar burst fracture. Dr. Laxman Sharma. # Functional outcome of mini-open carpal tunnel release in carpal tunnel syndrome. Dr. Sagun Pradhan # Implications of medial meniscal flounce on indicating medial meniscal tear in knee arthroscopy. Dr. Nabin Poudel. # Evaluation of functional outcome of distal third tibia fracture managed with plate on the antero-lateral surface of tibia. Dr. Jitendra Thakur # * - Yonezawa young orthopedic Surgeon award; # - Yonezawa best resident paper award Tea Break ICL - Contemporary techniques of management of odontoid fracture ICL - Surgical Outcomes of Pedicle Screw Fixation in Unstable Spine Injury: Comparison between plate system and rod system ICL - Disc, Pain generators, Percutaneous Full Endoscopic Management Case Based Panel Discussion Dr. Rajesh K Chaudhary Dr. Bishnu Babu Thapa Prof. Yasushi Fujiwara Prof Dipak Shrestha Prof. Yasutsugu Yukawa Dr. Byapak Paudel Moderator: Prof. Rabindra Lal Pradhan Panelists Prof. LL Shah, Prof. Fujiwara, Prof. Yukawa, Prof. Rohit Pokharel, Prof. Vinod Thapa, Prof. Ganesh Gurung, Prof. Dipak Shrestha) 4

5 NOA Award Session 2 Coordinator: Dr. Bibek Basukala Pediatric orthopedic Session Coordinator: Dr. Bibek Banskota Session Chairs: Prof. Ramesh P Singh/ Prof Pashupati Chaudhary Session Chairs: Prof. Achyut Rajbhandari/ Prof AK Banskota. Time Title Presenter Time Title Presenter Randomized controlled trial comparing outcome of retrograde nailing versus locked plating of extraarticular distal femoral fractures in adults. Dr. Chandra Bhushan Yadav # ICL - Congenital talipes equinovarus: ponseti and beyond Dr. Ashok K Banskota A randomized controlled trial comparing outcome of conservative versus operative treatment in traumatic thoracolumbar fractures without neurological deficit in adults. Outcome analysis of reverse oblique trochanteric fracture treated with proximal femoral nails. Functional outcome of intraarticular distal radius fracture treated with open reduction and internal fixation with dorsal plate. Association between intercondylar notch width and anterior Dr. Ashish Kumar # Goyal ICL - Bone and joint infection in Children Dr. Ishor Pradhan Dr. Rupesh Jung Belbase # ICL - Common injuries around the pediatric elbow Dr. Umash Karki # cruciate ligament injury. Dr. Ravi Bhandari # Treatment outcome of clavicle fractures: retrospective analysis of 7 years. Corticosteroid injection with or without thumb spica splint for De Quervain tenosynovitis. 8 Plate Epiphysiodesis: are we creating an intra-articular deformity? Mid-term results of surgery in hip dysplasia in walking age children: a prospective study Dr. Manoj Management of tubercular spondylitis in Kushwaha # children: 10 years experience in a tertiary care Dr. Ali Mafaz Rasheed. # hospital Case Based Panel discussion Dr. Abhiram Singh Dr. Ritesh Sinha Dr. Ansul Rajbhandary Dr. Ram Krishna Barakoti Modified Negative pressure wound therapy for large wound. Dr. Pabin Thapa Translation, cross-cultural adaptation and psychometric properties of the Nepali versions of different outcome measures. Normative values of navicular drop test and the effect of demographic parameters a cross sectional study. A prospective study of surgical site infection in orthopedic patients. Periprosthetic femur fracture treated with locking attachment plate. Binaya Kandel Umesh Adhikari Dr. Shiva Raj Paneru Dr. Heiner Winker Only # indicated are Yonezawa best resident award paper, rest are free paper Upper Extremity Trauma (Dr. Yam Gurung) 2. Lower Extremity Trauma (Dr. Birendra Chand) 3. Miscellaneous cases ( Dr. Rajendra Aryal) Moderator: Dr. Suresh Upreti, Dr. Rajesh K Chaudhary, Dr. Bibek Banskota. Panelist: Prof. Achyut Rajbhandari, Prof. Ashok K Banskota, Prof. Buland Thapa, Prof. GP Singh 5

6 Lunch Break Hall A Hall B Free Paper Session Coordinator: Dr. Dinesh Kumar Shrestha Miscellaneous Session Coordinator: Dr. Sushil Kumar Bhandari Session Chairs: Prof. DP Mahara/ Dr Supichai Charoenvareekul Session Chairs: Dr. Sudeep Man Vaidya/ Dr. Suraj Bajracharya Time Title Presenter Time Title Presenter Plastic surgery procedures by orthopedic surgeon at a tertiary care center. Dr. Pashupati Chaudhari Management of lower extremity soft tissue defect: an observational study. Dr. Manoj Kandel Outcome of total joint replacement in a orthopedic center. Dr. Prakash Gyawali Retrospective analysis of total knee arthroplasty Dr. Kapil Mani KC Early experience of total joint replacement in hips and knees. Dr. Shrawan Kumar Thapa Clinical Outcome of mucoid degeneration of ACL treated by arthroscopic debridment. Continuous double loop Endobutton technique for repair of acute AC joint dislocation: technique and early report. Primary repair of acute intra substance achillis tendon rupture and hyperaggressive rehabilitation protocol: an outcome study in atheletes and recreational sports person Reliability of clinical diagnosis in meniscal tears. Dr. Shishir Lakhey Dr. Kiran Gurung Dr. Nagmani Singh Dr. Abhishek Kumar Thakur Outcome of supracondylar fracture following open reduction and pinning at rural setting. Dr. Raghu N Devkota ICL Rural Orthopedic trauma care. Dr. Bhaskar Pant ICL- Fracture care in Rural Nepal Dr.Ramesh P SIngh Tea Break Improving Trauma care by improving the efficiency of novice medical doctors with principles of ABCDE. When not to amputate in Marjoline s ulcer? Case series and review of literature. Pathologic fracture secondary to fibrous dysplasia treated with curettage and rigid fixation: clinical outcome and review of literature. Giant cell tumor (GCT) of long bones outcome of various treatment methods. Limb salvage surgery in musculoskeletal tumor and challenge in underdeveloped country Dr. Rohit Shrestha Dr. Janith Singh Dr. Mandeep Pathak Dr. Dinesh Pandit Dr. Suresh Pandey 6

7 Free Paper Session Coordinator: Dr. Sagar Panthi Miscellaneous Session Coordinator: Dr. Prawesh Singh Bhandari Session Chairs: Prof. LL Shah / Dr. Dinesh Kumar Shrestha Session Chairs: Dr. Saroj Krishna Shrestha / Dr. Hari Sapkota Time Title presenter Time Title Presenter Clinical outcome following intra-articular triamcinolone injection in osteoarthritic knee at the community set up: a randomized double blind placebo controlled trial. Dr. Rohit Shrestha ICL - Iliac crest bone graft: technique of reducing donor site pain Dr. Rohit Pokhrel Posterior instrumentation of Thoraco lumbar spineal fracture in a hospital of western region. Dr. Yogendra Agrahari Management of Brachial Plexus Injury: our early experience at a tertiary referral center Dr. Shilu Shrestha Surgical management of congenital deformities of Spine. Quality of life in patients with spinal cord injury attending selected rehabilitation center of Nepal. Effect of Spinal Sagittal imbalance on functional disability in patients with degenerative spondylolisthesis. Epidemiology and surgical management of spinal injuries. Percutaneous short segment pedicle screw fixation in Thoraco lumbar fractures without neurological deficit using conventional instruments: outcome of over 4 years. Mid term result of surgery for upper cervical spine injuries: a prospective study. Dr. Rajesh K Chaudhary Dr. Rudra Marasini Dr. Ishwara Keerthi C Dr. Krishna Prasad Paudel Dr. Kiran Gurung Dr. Ram Krishna Barakoti Patient reported outcomes of the ponseti method for untreated idiopathic clubfeet in Nepalese patients treated between 1 to 5 years of age at a minimum of 10 years follow up. Evaluation and management of pediatric subtrochanteric femoral fracture with broad dynamic compression plate and proximal cancellous screw towards the neck. Pelvis-Acetabular surgeries: Nepal s perspective of treatment. A single center experience. Our experience in operative management of acetabulum fracture. Outcome of acetabulum fracture fixation at a tertiary referral center. Surgical stabilization of acetabular pelvis surgeries: in a periphery trauma hospital. Dr. Bibek Banskota Dr. Prateek Karki. Dr. Chakra Raj Pandey. Dr. Rabindra Regmi Dr. Pashupati Chaudhari Dr. Yogendra Agrahari Closing Ceremony + Prize Distribution AGM 1800 Cocktail Dinner 7

8 Posters for ORTHOCON S. No. Title of poster Presenter 1 Primary diaphyseal tuberculous osteomyelitis of tibia. Dr. Amin Kumar Shrestha 2 Percutaneous endoscopic cervical discectomy and osteophytes removal via an anterior transforaminal approach for radiculopathy : Technical notes and review Dr. Santosh Bashyal 3 A novel treatment for Giant cell tumor of distal radius by excision arthroplasty with reconstruction using acrylic prosthesis. 4 A Case of Recurrence of Chondromyxoid fibroma of Great toe. Dr Sharan Mallya Dr Sharan Mallya 5 6 A novel technique of surgical correction of forearm deformity due to traumatic distal ulnar physeal arrest- a case report Giant cell tumour of distal humerus treated with total elbow arthroplasty- A case report Dr. Pramod Baral Dr. Adhikari sushil 7 Intramuscular Myxoma of left thigh: A case report Dr. Umash Karki Vertebral Augmentation for Compression Fractures Complete Fracture Dislocation of Thoracolumbar Spine with Incomplete Paraplegia Aneurysmal Bone Cyst of Calcaneum Dr. Rajesh K Chaudhary Dr. Rajesh K Chaudhary Dr. Bikash Parajuli 11 Thumb reconstruction using iliac crest bone graft and reverse radial forearm flap Dr. Bikash Parajuli 12 Anatomical reconstruction of dorsal and volar radioulnar ligaments in neglected distal radioulnar joint dislocation. Dr. Bibek Basukala 8

9 Sofield Millar procedure: A technique to correct complex angular deformities of lower extremity Atypical Musculoskeletal Tuberculosis: Diagnostic Dilemma Growth Modulation using 8 plate for gradual correction of angular deformities of lower extremities Dr. Birendra Bahadur chand Dr. Rajendra Aryal Dr. Yam P Gurung 16 Bullet Injury of Spine: A case Report Dr. Dipendra Gurung 9

Surgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE

Surgical Care at the District Hospital 1 18 Orthopedic Trauma Key Points 2 18.1 Upper Extremity Injuries Clavicle Fractures Diagnose fractures from the history and by physical examination Treat with a