Greenbrier Medical Institute

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1 The 4th Annual Upper Extremity Summit: What s New in Hand Surgery and the Foot/Ankle Surgery at The Greenbrier Medical Institute World Class Healthcare Co-Sponsored by the Southern Orthopaedic Association The Greenbrier White Sulphur Springs, West Virginia June 6, 2015 Course Directors: Ethan R. Wiesler, MD L. Andrew Koman, MD Christopher Tuohy, MD Benjamin R. Graves, MD Honored Professors: Bobby Chhabra, MD Peter Evans, MD, PhD Lee Osterman, MD Daniel Nagle, MD

2 FACULTY 2 Bobby Chhabra, MD James K. DeOrio, MD Nicole Deal, MD Peter Evans, MD, PhD Professor, University of Virginia, Charlottesville, VA Associate Professor, Duke University Medical Center, Durham, NC Assistant Professor, University of Virginia, Charlottesville, VA Director, Upper Extremity Center, Cleveland Clinic, Cleveland, OH R. Glenn Gaston, MD OrthoCarolina Hand Center, Charlotte, NC Benjamin R. Graves, MD Assistant Professor, Wake Forest School of Medicine, Winston-Salem, NC L. Andrew Koman, MD Professor and Chair, Wake Forest School of Medicine, Winston-Salem, NC Fraser Leversedge, MD John D. Lubahn, MD Daniel Nagle, MD James Nunley, MD Professor, Duke University Medical Center, Durham, NC Professor, University of Pittsburgh, Medical Center, Erie, PA Professor, Northwestern University, Chicago, IL Professor, Duke University Medical Center, Durham, NC A. Lee Osterman, MD Chief, Division of Hand Surgery, Dept. of Orthopaedic Surgery at Thomas Jefferson Medical College Robert Santrock, MD Ellen Satteson, MD Robert D. Teasdall, MD Christopher Tuohy, MD Ethan Wiesler, MD Professor, West Virginia University, Morgantown, WV Resident, Wake Forest School of Medicine, Winston-Salem, NC Professor, Wake Forest School of Medicine, Winston-Salem, NC Assistant Professor - Wake Forest School of Medicine, Winston-Salem, NC Professor - Wake Forest School of Medicine, Winston-Salem, NC

3 ACCREDITATION INFORMATION PROGRAM COMMITTEE ACCREDITATION INFORMATION 2015 PROGRAM COMMITTEE The following orthopaedic surgeons are gratefully acknowledged for their contribution to the development of the scientific program: L. Andrew Koman, MD Ethan Wiesler, MD Mary Lee Rippey MISSION The Mission is to provide an update on the state-of-the-art care of the upper extremity and foot & ankle. TARGET AUDIENCE The 4th Annual Hand and Upper Extremity Summit: What s New in Hand Surgery and Foot/Ankle has been developed primarily to meet the needs of orthopaedic and trauma surgeons, residents, and fellows who specialize in the areas of Upper Extremity and Foot & Ankle. CME CREDIT This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Academy of Orthopaedic Surgeons and the Southern Orthopaedic Association. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians. The American Academy of Orthopaedic Surgeons designates this live activity for a maximum of 7 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity PURPOSE 1. To provide the attendees principles of diagnosis, management, and referral for upper extremity conditions including Dupuytrens contracture; elbow, wrist and forearm fracture (adult and children); shoulder, elbow and wrist conditions; non-union complications; compartmental syndrome (CRPS). In addition, an update on ICD 10 and procedure codes will be provided and; 2. Engage in professional interactions with colleagues and faculties which will improve their knowledge base and clinical expertise; and 3. Discuss and critique clinical care and research findings in the hand and upper extremity and foot/ankle. OBJECTIVES Educational objectives will be met through a combination of guest lectures and case presentations. The following objectives will be addressed during the Scientific Program, such that at the conclusion of this course the attendees should be able to:

4 ACCREDITATION & FINANCIAL DISCLOSURE 4 OBJECTIVES (cont.) Objective 2: Understand the current treatment options available for nerve damaged upper extremity that are within the grasp of all treating physicians. Objective 3: Be able to come to a consensus about the use and evaluation of upper extremity evaluation modules (i.e. quick DASH). Objective 4: Be able to perform and appropriately utilize the wound VAC and adjunctive options from this technology for hand and upper extremity wound care. Objective 5: Be familiar with current technologies in upper extremity trauma. Objective 6: Understand management options for ankle arthritis including ankle fusion and total ankle replacement. Objective 7: Understand current management of bunions. Objective 8: Understand state-of-the-art management techniques for ankle sprain, tendon Achilles repair. These educational objectives will be obtained through guest lectureships and case presentations.

5 SCHEDULE 5 Saturday June 6, 2015 Hand and Upper Extremity 7:00-8:00 am Open for breakfast and exhibitors McKinley Room 7:50-8:00 am Welcome and Introduction - Ethan Wiesler, MD McKinley Room Current Controversies in Hand Surgery Session I Nicole Deal, MD 8:00-8:30 am Dupuytren s-xiaflex update and experience Bobby Chhabra, MD 8:30-9:00 am DRUJ Ethan Wiesler, MD 9:00-9:30 am Updates on Wrist Arthroscopy Glenn Gaston, MD 9:30-10:00 am Electrical Studies in CTS and CuTS Lee Osterman, MD 10:00-10:30 am Endoscopic releases: when & why? Lee Osterman, MD 10:30-11:00 am Break and visit with exhibitors 11:00-11:30 am Targeted Muscle Re-innervation Glenn Gaston, MD 11:30-12:00 pm Arthroscopic Elbow Lee Osterman, MD 12:00-1:00 pm *Lunch Current Controversies in Hand Surgery Session II Christopher Tuohy, MD 1:00-1:15 pm EMR: Beast or Burden L. Andrew Koman, MD 1:15-1:30 pm CRPS it s out there L. Andrew Koman, MD 1:30-1:45 pm Rotator cuff repairs Christopher Tuohy, MD 1:45-2:00 pm CTS-Biomechanics Peter Evans, MD, PhD 2:00-2:15 pm CMC Arthroplasty and long-term results Dan Nagle, MD 2:15-2:30 pm CPT/RUC process Dan Nagle, MD 2:30-3:00 pm Break and visit with exhibitors 3:00-3:15 pm Management of nonunion distal radius Glenn Gaston, MD 3:15-3:30 pm Childs Elbow: current management principles- When to transfer L. Andrew Koman, MD 3:30:3:45 pm Wrist fusion vs arthroplasty: are the new prostheses Sufficient Bobby Chhabra, MD 3:45-4:00 pm Compartment Syndrome L. Andrew Koman, MD 4:00-4:15 pm Distal biceps repair John Lubahn, MD 4:15-4:30 pm Management of distal unstable ulna Peter Evans, MD, PhD 4:30-5:00 pm Discussion/Adjourn

6 SCHEDULE 6 Saturday June 6, 2015 Foot and Ankle 7:00-8:00am Open for breakfast and exhibitors Room 8:00-8:10 Welcome and Introduction - James Nunley, MD Room What s New in The Treatment of Ankle Arthritis 8:00-8:30 am Osteotomy when are they indicated? James Nunley, MD 8:30-9:00 am What s New with Ankle Fusion Robert Santrock, MD 9:00-9:30 am Results of Total Ankle Replacement James K. DeOrio, MD 9:30-10:00 am Case presentation and discuss 10:00-10:30 am Break and visit with exhibitors What s New in Forefoot Surgery 10:30-11:00 am What s New in Bunion Surgery Robert Teasdall, MD 11:00-11:30 am Plantar Plate Are we missing the Diagnosis? James Nunley, MD 11:30-12:00 pm Problems Associated with Midfoot arthritis James K. DeOrio, MD 12:00-1:00 pm Lunch What s New in Trauma e 1:00-1:30 pm Ankle and Pilon Fractures Robert Teasdall, MD 1:30-2:00 pm Calcaneus Fractures Mini or wide open? Robert Santrock, MD 2:00-2:30 pm Talus and midfoot fractures James K. DeOrio, MD 2:30-3:00 pm Deltoid ligament repair vs Syndesmosis James Nunley, MD 3:00-3:30 pm Break What s New in Sports Injuries 3:30-4:00 pm OLT Talus James K. DeOrio 4:00-4:30 pm Achilles tendon repair James Nunley, MD 4:30-5:00 pm Ankle Ligament repair James Nunley, MD

For further information, please contact Mary Lee Rippey at or Thank you in advance for your support.

For further information, please contact Mary Lee Rippey at or Thank you in advance for your support. March 11, 2016 Re: The 5th Annual Extremity Summit to be held at the "Greenbrier Medical Institute" June 3-5; 2016 We would like to invite you to attend the 5th Annual CME Extremity course to be held at

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