Course Template for AOTrauma Course Advanced Principles of Fracture Management This template is prepared for a 3-day course. It includes all core (C) content and some optional (O) content for the AOTrauma Course Advanced Principles of Fracture Management (formerly called "Advances in Operative Fracture Management"). The template can be adapted to a 3.5 or 4-day course. Activities labeled as core (C) are mandatory and need to be included in the course. Optional activities (O) provide flexibility to the Course Chair to tailor the course to specific regional needs and can be exchanged: additional optional content is available in the document with the core and optional content for AOTrauma Advanced Principles of Fracture Management courses. The syllabus for faculty contains the learning outcomes for this course, sorted by activity. It supports you in the preparation of the faculty for your course. Both documents are available in the online Faculty Support Package for Advanced Principles courses on the AOTrauma website. AOTrauma Residents Education Taskforce: International Program Editors (IPEs) Fred Baumgaertel Brian Bernstein James Krieg Wa el Taha Past IPEs: Suthorn Bavonratanavech, Jarek Brudnicki, Rodrigo Pesantez-Hoyos Regional Program Contributors (RPCs) Carlos Dominguez (AOTLA) Wilson Li (AOTAP) Emanuel Gautier (AOTEU) Mark Reilly (AOTNA) Hatem Said (AOTME) Project contact Kathrin Luessi (kathrin.luessi@aofoundation.org) AOTrauma Course Advanced Principles of Fracture Management
Goal of the course The AOTrauma Advanced Principles course builds upon the AO Principles and techniques learned in the AOTrauma Basic Principles course and focuses on the principles and techniques of operative fracture management in more complex injuries. Target participants The AOTrauma Course Advanced Principles of Fracture Management is targeted at surgeons at the threshold of becoming independent surgeons and taking over decision-making responsibility for the treatment of complex injuries. Participants must have already completed the AOTrauma Course Basic Principles of Fracture Management and must be actively involved in trauma management. Course objectives At the end of this course, participants will be able to: Apply reduction techniques in fracture management with attention to soft tissues Assess and treat complex diaphyseal and (peri)articular fractures using advanced application techniques Demonstrate strategies for assessing and treating open fractures and soft-tissue injuries Initiate appropriate management for patients with pelvic injuries and polytrauma Recognize complications and manage accordingly Course description 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 an online module on fracture reduction. The course will be taught in a modular format. Each module consists 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. Discussing cases in small groups will help participants to understand decision-making and management skills. After the course an online postcourse self-assessment will provide participants an opportunity to review the important topics from the course. In order to support self-directed learning, a range of additional online resources will be offered.
3-day course template Developed by the Residents Education Taskforce Optimized for sequence of activities C = core content, O = optional content Precourse preparation for faculty There is a number of resources available for individual faculty preparation. Make your faculty aware of these resources several weeks before the course: Teaching principles: 1 How people_learn Teaching principles: 2 Giving a lecture Teaching principles: 3 Running a practical exercise Teaching principles: 4 Leading a group discussion Teaching principles: 5 Moderating and debating Teaching principles: Feedback guidelines Teaching principles: Maximizing learning in small groups Teaching principles: Why prepared cases for small group discussions and how to use them Teaching principles: How to use the prepared lectures Teaching principles: Why case-based lectures and how to prepare and deliver them Online Faculty Support Package The online Faculty Support Package for Advanced Principles of Fracture Management courses is available on the AOTrauma website (https://aotrauma.aofoundation.org/structure/faculty-center/pages/faculty-center.aspx) (login required). It contains material for the preparation of faculty for their assignments such as prepared lectures, cases for case discussions, and material for the preparation of the practical exercises. The contents of the Faculty Support Packages are currently being updated and the new Package will be launched in July 2013. Faculty precourse (C ) The faculty precourse is an important part of every AOTrauma course and participation in the precourse should be mandatory for all faculty. This is usually the first time that all faculty meet and it gives you the opportunity to go through important concepts of the course, and to discuss practical exercises and the selected cases for small group discussions. It will be important for the success of the course that faculty appreciate that a lecture is not just an isolated lecture but part of a module and builds the basis for subsequent lectures, case discussions, and practical exercises. The precourse should be planned carefully by the course chairman. It is advisable to have one or more additional faculty meetings during the course to review together what went well and what could be improved.
Blended learning activities, starting 4 weeks before the course Online precourse self-assessment 30' O The precourse self-assessment consists of multiple choice questions and a survey. It provides participants an opportunity to gain an overview of the important topics from the course and helps the course chairpersons and faculty to focus on the needs of the participants. elearning: Fracture reduction An introduction 30' C This elearning module is available in English. If elearning is not possible in your course, replace this online module by a lecture (15') during the course. Click here to start the module: http://www.aovideo.ch/~aoelearn/aot_launch/fr.htm How does it work: Contact your regional AOTrauma office if you would like to include online pre- and post-course assessments in your course. To include the precourse elearning activity on Fracture Reduction in your course: Send a message to the participants with the link to the elearning module provided above 4 weeks before the start of the course. Ask the participants to complete the elearning activity before coming to the course. Send a reminder to participants a few days before the course starts.
Day 1 morning 08:00 08:15 Welcome and introduction A.Smirnov and A.Makulavicius 15 08:15 08:30 Tissue vitality and effect of injury P.Studer 08:30 08:45 MIO Minimizing surgical footprints A.Sitnik 08:45 08:50 Location change to practical exercises 5' 08:50 10:20 Practical exercise 1 Reduction techniques No video Bone model: 9144.1 Bone model: 1149 (one for each table) A.Smirnov 90' O If faculty are not familiar with this practical, video 20207 can be used: Locking Compression Plate (LCP): Percutaneous Plate Fixation of the Tibia and Fibula in a Distal Multifragmentary Fracture of the Lower Leg (MIPO Technique) 10:20 10:40 COFFEE BREAK 20' 10:40 11:50 Small group discussion 1 Reduction techniques concepts and application Group 1 A.Kullerkann, J.Kurtinaitis Group 2 M.Radzins, T.Tammeleht Group 3 P.Gudushauri, V.Teder 70' C 11:50 11:55 Location change to lecture hall 5' 11:55 12:10 Clinical indications for locked plating P.Studer 12:10 13:10 LUNCH BREAK 60'
Day 1 afternoon 13:10 13:25 Fractures of the clavicle: when and how to operate indications and methods of fixation P.Studer 13:25 13:45 Proximal humerus fractures to fix, to replace, or treat nonoperatively? M Radzins 20' O 13:45 14:00 Summary or case-based comment M.Radzins 14:00 14:05 Location change to practical exercises 5' O 14:05 15:25 Practical exercise 2 M.Radzins Fixation of a proximal humeral fracture Fixation of a four-fragment fracture in the proximal humerus using a proximal humerus interlocking system (PHILOS) plate Video: 20237 Bone model: PR0716.1 Bone model: 5010 (one for each table) Alternatively, the PHILOS exercise can be done with the video 20211: Fixation of a 11-A3 subcapital upper arm fracture using the PHILOS system (80'). 80' C 15:25 15:45 COFFEE BREAK 20' 15:45 16:00 Complex humeral shaft fractures T.Rahnel 16:00 16:15 Distal humerus intraarticular fractures and complications M.Radzins 16:15 16:30 Fracture dislocation of the elbow A.Kullerkann 16:30 16:45 Distal radial fractures V.Teder 16:45 16:55 Summary or case-based comment T.Rahnel 10' O 16:55 17:00 Location change to small group discussions 5' 17:00 18:15 Small group discussion 2 Upper extremity fractures decision making and methods of stabilization Group 1 P.Gudushauri, T.Rahnel Group 2 A.Kullerkann, D.Kulak Group 3 M.Radzins, R.Pääsuke 75' C
Day 2 morning 08:00 09:30 Practical exercise 3 A.Kullerkann 90' O Fixation of a type 13-C1 fracture in the distal humerus using a locking compression plate (LCP) Video: 20223 Bone model: 5032.1 09:30 09:50 COFFEE BREAK 20' 09:50 10:05 Femoral neck fractures different patients; different problems J.Kurtinaitis 10:05 10:20 Intertrochanteric fractures treatment options and outcomes D.Kulak 10:20 10:35 Current treatment options of subtrochanteric fractures P.Studer 10:35 10:50 Femoral shaft fractures J.Kurtinaitis 10:50 11:05 Distal femoral fractures treatment options and outcomes P.Gudushauri 11:05 11:15 Summary or case-based comment J.Kurtinaitis 10' O 11:15 11:20 Location change to small group discussions 5' 11:20 12:50 Small group discussion 3 Fractures of the femur Group 1 Group 2 Group 3 A.Sitnik, A.Kullerkann P.Gudushauri, T.Tammeleht J.Kurtinaitis, T.Rahnel 90' C 12:50 13:50 LUNCH BREAK 60'
Day 2 afternoon 13:50 15:20 Practical exercise 4 A.Sitnik Distal femur: fixation of an intraarticular type 33-C2.1 fracture using an LCP distal femoral plate or the LISS system Video: 20238 (LCP DF) Bone model: PR0904.1 Bone model: 2162 (one for each table) 90' C Alternatively, this exercise can be done with the video 20199: Distal femur: fixation of an intraarticular 33-C2.1 fracture using the LISS system (90'). 15:20 15:25 Location change to lecture hall 5' 15:25 15:40 Tibial shaft fractures (proximal, distal and segmental) A.Sitnik 15:40 15:55 Complex tibial plateau fractures P.Gudushauri 15:55 16:10 Early and definitive treatment of pilon fractures A.Smirnov 16:10 16:25 Complex malleolar fractures A.Makulavicius 16:25 16:40 Summary or case based discussion A.Sitnik 15 16:40-17:00 COFFEE BREAK 20' 17:00 18:20 Practical exercise 5 P.Gudushauri Management of a type 41-C3 bicondylar tibial plateau fracture using an LCP Video: 20226 Bone model: 1152.1 80' C Alternatively, this exercise can be done with the video 20190; Management of a bicondylar fracture of the tibial plateau (70')
Day 3 morning 08:30 10:00 Practical exercise 6 A.Makulavicius Management of a type 43-C3.2 pilon tibial fracture using an LCP distal tibia plate Video: 20215 Bone model: 9147.1 90' C 10:00 10:05 Location change to lecture hall 5' 10:05 10:15 Calcaneal fractures avoiding problems A.Makulavicius 10' O 10:15 10:25 Talus fractures A.Sitnik 10' O 10:25 10:35 Lisfranc injuries A.Makulavicius 10' O 10:35-10:50 Mangled extremity management R.Pääsuke 15 C 10:50 11:00 Summary or case based discus sion A.Makulavicius 10' 11:00 11:20 COFFEE BREAK 20' 11:20 12:35 Small group discussion 4 Fractures of the tibia, ankle, and foot Group 1 Group 2 Group 3 A.Makulavicius, D.Kulak A.Sitnik, R.Pääsuke M.Radzins, V.Teder 75' C 12:35 13:35 LUNCH BREAK 60' Day 3 afternoon
13:35 13:50 Evaluation and emergency management of pelvic ring injuries A.Smirnov 13:50 14:05 State of the art in the management of multiple-injured patients P.Studer 14:05 14:20 Fractures of the acetabulum A.Smirnov 14:20 14:35 Treatment of metaphyseal and diaphyseal nonunions J.Kurtinaitis 14:35 14:55 COFFEE BREAK 20' 14:55 15:55 Practical exercise 7 Patient positioning A.Smirnov, A.Makulavicius 60' O 15:55 16:10 Infection after ORIF A.Sitnik 16:10 16:25 Periprosthetic fractures A.Smirnov 16:25 16:40 Violation of principles A.Makulavicius 16:40 16:55 Summary or case based discussion A.Smirnov 16:55 17:00 Closing remarks A.Smirnov and A.Makulavicius 5' C Postcourse activities: Online postcourse self-assessment (weeks 1 5 after the course) 30' O After the course participants will be asked to complete the postcouse self-assessment, which will provide an opportunity to review the important topics from the course and helps the Task Force to improve future courses.