8:00-8:15 Break. 6:30-6:55 Registration and Case Discussion 6:55-7:00 Welcome and Introduction-Mazzocca

Size: px

Start display at page:

Download "8:00-8:15 Break. 6:30-6:55 Registration and Case Discussion 6:55-7:00 Welcome and Introduction-Mazzocca"

Doreen Berry
5 years ago
Views:

1 Friday February 12, 2016 Morning Session (6:30-10:00am) 6:30-6:55 Registration and Case Discussion 6:55-7:00 Welcome and Introduction-Mazzocca NESES invited Guests: International expert: Dr. Christian Gerber, Zurich Switzerland NESES Shoulder expert: Dr. Lynn Crosby (Georgia) NESES elbow expert: Dr. Matt Ramsey (Rothman) NESES farewell to the inventor of the NESES Provocateur Dr David Ring Friday 7-8am: Elbow 1: Panel: Dyer, Benoit, Caputo, Chen, Alberta, Mullens Elbow Trauma Distal humerus fractures: parallel vs perpendicular plates, non-op treatment vs primary TEA, non-op treatment vs delayed TEA, ORIF vs TEA, limited goals ORIF. Coronoid fx.: Tip fracture (terrible triad): Debatable statement: It rarely benefits from fixation. Debatable statement: The best fixation is with screws, not sutures. Anteromedial facet fractures: Debatable statement: Most don t need surgery. Debatable statement: Fixation of the LCL may suffice in some patients. Base fractures: What do you do when they re unfixable? Pin the ulnohumeral joint vs. external fixation. Coronoid graft: When do you use it? When does it work? Radial head fracture: How much is OK to excise? When to fix and when to replace? Radial head arthroplasty: Loose or fixed? Cemented or press fit? Monoblock vs bi-polar? What is the best way to size intra-op? Olecranon fx: Simple fx (plate vs tension band vs non-op), comminuted fx in the elderly osteoporotic pt. Debatable topic: Excision with advancement of the triceps is a historical procedure. 8:00-8:15 Break

2 Friday 8:15-10am: Shoulder Arthroplasty: Moderator/ Provacateur : Endrizzi/Jawa Panel- Green, Crosby, Warner, Romeo, Bell, Gerber, Stanwood, M. Parsons 8:15-9:00 Case based Discussion- Topics covered in cases How to deal with a B2 glenoid in young active patients (TSA with corrective reaming, bone graft, or augmented glenoid vs Reverse) TSA after Laterjet-what to be aware of and how to succeed Reverse arthroplasty after failed TSA How much glenoid has to remain medially in order to place a component- How do structural allografts work in reality when done by the average shoulder surgeon? Reverse arthroplasty-does inclination matter? When removing the humeral stem what technique do you have to maintain bone stock and quickly and reproducibly remove the stem? 9:00-9:10 Painful TSA that s not infected-what to look for and how to diagnose-romeo 9:10-9:15-Discussion 9:15-9:25- New Approaches to Arthroplasty-Stemless and PSI-impact on outcome and value-warner 9:25-9:30-Discussion 9:30-9:40-Reverse arthroplasty in the young patient and Standard Arthroplasty in the older patient? Should it be done?-crosby 9:40-9:45-Discussion 9:45-10:00 Arthroplasty discussion and questions from audience

3 NESES 13 th annual Invited Lectures Mazzocca-moderator 3:00-3:20 NESES Invited Elbow Lecture Dr Matt Ramsey 3:20-3:30 Discussion 3:30-3:50 NESES past ASES President Value-Based Care: Pay for Outcome not for Performance Transitioning from Volume to Value is B.S. ) DR JP Warner 3:50-4:00 Discussion 4:00-4:20 NESES Invited Shoulder Lecture- Dr Lynn Crosby Complications of Reverse Arthroplasty- Update :20-4:30 Discussion 4:30-4:45 BREAK 4:45-5:05 NESES Invited European Shoulder Dr Christian Gerber The Rotator Cuff-what I know 5:05-5:15 Questions 5:15-5:35 ASES 2017 Incoming Presidential Lecture-Shoulder Instability Soup to Nuts Dr Anthony Romeo 5:35-5:45 Questions 5:45-6:15 Panel-knowledge Gaps in Shoulder and Elbow Surgery 2016-Opinions from the invited guests with NESES involvement-gerber/warner/crosby/ramsey/romeo Shoulder and Elbow Instability Shoulder and Elbow Joint Disease Shoulder and Elbow Tendon tears Biologic Solutions

4 Saturday February 13, 2016 Morning Session 6:00-7:00 Resident and Fellow Presentations Arciero-Warner Research Award Saturday 7-8am: Elbow 2: Panel: Green, Kimball, Jupiter, Kasparyan, Shafritz, Cassidy Elbow reconstruction TEA: How young is too young? Is there a difference between primary OA, RA, post-traumatic arthritic elbow? Is there an advantage to unlinked TEA? Triceps-on or triceps-off approach? Immobilize in extension until the wound is healed? Antibiotic cement routinely? Is TEA better to avoid if possible or a great procedure? Any role for elbow arthrodesis? What is the role of interpositional arthroplasty? Is interposition arthroplasty better when we leave the ligaments attached and pass the graft through the intact elbow? Is a hinged ex-fix necessary? TEA Infection When is it better to leave it in and let the sinus drain? What s the role of suppression? What do we do with the defect created by removing a TEA for infection? 8:00-8:15am BREAK 8:15-9:15 Rotator Cuff Moderator/Provacateur-Macy/Mazzocca Panel-Edgar,Shea,Gerber,Deangelis J.Olsen, Romeo 8:15-8:25-The Role of Tendon Transfers in 2016?-Gerber 8:25-8:30-Discussion 8:30-8:40-Reverse vs Biology vs Tendon transfer in the young multiple failed RCR-Crosby 8:40-8:45-Discussion 8:45-9:15 My treatment for a failed RC tear in a young active patient- discussion 9:15-10:00 Instability: Moderator: Provencher/Edgar Panel: Schepsis, Busconi, Alberta, Nasimento, Nissen, Veltri ALPSA lesion in 18 college bound football player. Scope, Open or LTJ Posterior with bone loss 15 % ; scope, open, or bone graft Open Bankart. JP Warner say there in no role for open capsule shift Is he right? Laterjet. Which is it, sling affect or one affect? Is this better than a Bristow? Why not transfer the conjoint tendon alone and what is the defect size threshold for LTJ Illiac crest vs distal tibia vs distal clavicle vs scapular spine. Scope vs open MDI. What do you do when it fails 7 years later (at age 23)? What is the 2nd procedure open versus scope versus graft

5 Saturday February 13, 2016 Afternoon Session Saturday 3-3:30pm: Sports Elbow: Panel: Nissen, Oh, Sethi, Cassidy, Alberta, Caputo Elbow OCD (non-op, debride, micro-fx, OATS, allograft, resurface): For debate: This is an uncommon problem it would help if a few experts accumulated expertise and advanced care through research. 3:30-4:45 pm Shouler Fracture/AC/SC/Biology Moderator : Sethi. Panel: Green, Jawa, Deangelis N, Parsons B (Special New York guest) AC reconstruction. Followed up by failure. How did you manage the first and then second case Lateral Clavicle Fractures: Plate, Scope Cotical plate with connected suture or Suture Fixation only Sternoclavicular Posterior Dislocation: How, When and Who? That night? CT Surgeon? Send Out. Proximal Humerus Fracture. Non Op, ORIF or RSA. Three cases with follow up (and video outcome) Injection of PRP to PT RCT? Does it work? Does it matter if tear is articular or bursal PRP: Does it reduce post op pain? Does it help healing? Amniotic Cells. Is there a role for this is shoulder OA? Bone Marrow in 2016? 4:45-5:00 BREAK 5:00-5:20- NESES 2016 ASES Presidential Address-Dr Jesse Jupiter 5:20-5:30 Discussion 5:30-6:00 Physical Therapy Gombotz/Cote/Bowie What to do with Rehab for Reverse and Standard TSA What is the role for PT with Elbow Arthroplasty? 6:00-7:00 NESES Meeting-Mazzocca moderator NESES Research Website Updates(Alberta) Treasurer: State of the Union (Nissen) Improvements and New Business

Making sense of all our measures-inclination, version, subluxation, reaming depth & implant seating

Making sense of all our measures-inclination, version, subluxation, reaming depth & implant seating Thursday - ANATOMIC SHOULDER ARTHROPLASTY 7:00-7:15a Welcome and Introduction of Faculty Athwal, Keener, 7:15-7:22a The ABC s of the Walch Classification Walch 7:22-7:32a How I use x-rays, CT +/- MRI for