Principles of Managing Complex Fractures
and Failed Internal Fixation

This Symposium is designed for orthopaedic trauma surgeons who are interested in learning new and advanced fracture management techniques, and will focus on nonunion/malunions secondary to inadequate internal fixation, including the management of infected failed fixations. An extensive emphasis will be placed on small group discussions, participant-faculty interaction, and maximizing the learning experience. In addition, discussion of management of failed acetabular and pelvic fixation, indirect reduction techniques and the indications for osteotomy in managing difficult fracture patterns and failed healing problems of the axial skeleton will be discussed. All participants are required to bring a personal case for discussion. Enrollment in this Symposium is open to practicing orthopaedic surgeons whose practice includes trauma care and who have a specific interest in tertiary trauma reconstructive surgery. Previous attendance at an AO ASIF Basic Course is highly recommended.

Course Objectives

At the conclusion of this Course, the participant should be able to:

  • Understand the principles and decision making involved in the operative management of complex fractures in order to maximize the functional outcome.

  • Critically analyze the failures of operative management of complex fractures in the context of fixation principles, biological factors and decision making.

  • Understand the principles and options of salvage of complex fracture fixation failures.

    Presentation Information

    Off-Label/Experimental Discussions
    Some medical devices discussed or demonstrated in AO ASIF educational activities may not have been cleared by the FDA or may have been cleared by the FDA for specific uses only. The FDA has stated that it is the responsibility of the physician to determine the clearance status of each device he/she wishes to use in clinical practice. Faculty are advised that should their presentations or instructions during this Course include any off-label/experimental use or application, they are to make this known to the audience whenever possible.

    Faculty Disclosure
    AO North America relies upon invited Faculty to provide educational content that is objective and as free of bias as possible. In this context, Faculty are expected to indicate any commercial relationship relevant to their presentations at this CME activity.

    Accreditation

    The AO North America is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians.

    Credit Hours

    The AO North America designates this continuing medical education activity for 24 credit hours in Category 1 of the Physician's Recognition Award of the American Medical Association. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

    Click Here to Register for the Symposium

    Overview of the Schedule

    Friday, May 14, 1999

    0700-0745 . . . Registration and Continental Breakfast
    0745-0800 . . . Welcome/Introduction, Goals of Course
    0800-0945 . . . GENERAL CONSIDERATIONS

  • Pathogenesis and Technical Errors Leading to Failed Fixation
  • The Infected Nonunion/Malunion: General Management Principles
  • Avoiding the Problem: Principles of Indirect Fracture Reduction
  • Preoperative Planning in Malunion/Nonunion Surgery
  • Questions/Floor Discussion
    0945-1000 . . . Coffee Break
    1000-1230 . . . UPPER EXTREMITY
  • Nonunion/Malunion of the Shoulder
  • Salvage of Diaphyseal Humeral Failed Fixation
  • Management of the Stiff Elbow
  • Salvage of Failed Treatment of Fractures about the Elbow
  • Distal Radius Nonunion/Malunion: Principles of Corrective Surgery
  • Questions/Floor Discussion
    1230-1400 . . . Discussion Groups with Lunch
    1400-1605 . . . TIBIA
  • Failed ORIF of the Tibial Plateau - Correctable Errors
  • Management of Malunion/Nonunion of the Proximal Tibia
  • Residual Deformity Following Intramedullary Nailing - Treatment Alternatives
  • Management of Segmental Defects of the Tibia
  • Questions/Floor Discussion
    1605-1620 . . . Coffee Break
    1620-1745 . . . TIBIA (continued)
  • Salvage of the External Fixation Failures
  • Distal Tibial Metaphyseal - Articular Fractures: What is the Role of ORIF?
  • Corrective Osteotomy of Malunion/Nonunion of Pilon Fracture
  • Questions/Floor Discussion
    1745-1900 . . . Discussion Group
    1900-2000 . . . Opening Reception
    Saturday, May 15, 1999

    0700-0800 . . . Continental Breakfast
    0800-1020 . . . ANKLE AND FOOT

  • Soft Tissue Coverage of the Axial Skeleton
  • Soft Tissue Release about the Ankle
  • Salvage of Failed Calcaneal Fractures
  • Ankle Arthrodesis for Salvage of Failed Fractures
  • Management of Lisfranc Failures
  • Questions/Case Discussion
    1020-1045 . . . Coffee Break
    1045-1220 . . . FEMUR
  • Intra-extracapsular Hip Fractures/Nonunions, Malunions: Osteotomy Techniques
  • Management of Failed Fixation of Proximal Femur Fractures
  • Diaphyseal Nonunion - Treatment Options Plate to Nail, Nail to Plate
  • Moderate Femoral Equalization (Lengthening or Shortening) through Oblique Osteotomies
  • Salvage of Failed Treatment of Distal Femur Fractures
    1220-1400 . . . Discussion Groups with Lunch
    1400-1530 . . . FEMUR(continued)
  • The Post Traumatic Stiff Knee - Intra-articular and Peri-articular Causes and their Management
  • Judet Quadriceps Plasty for Treatment of Knee Flexion Loss Following Fracture
  • Osteotomy Around the Knee
  • Genu Valgum Correction for Lateral Compartment Disease
    1530-1630 . . . Discussion Groups
    Sunday, May 16, 1999

    0700-0800 . . . Continental Breakfast
    0800-0900 . . . Discussion Groups
    0900-1030 . . . PELVIS AND HIP

  • Pelvic Ring Injuries and Acetabular Fractures
  • How Do We Avoid Treatment Failures?
  • Salvage of Failed Fixation of Acetabular Fracture and Prosthetic Salvage
  • Hip Arthrodesis - Indications and Technique
  • Questions/Floor Discussion
    1030-1045 . . . Coffee Break
    1045-1230 . . . GENERAL PRINCIPLES
  • Evaluation and Management of Post Traumatic Sacro-iliac Arthritis
  • Faculty Case Presentation
    1230-1300 . . . Summation and End of Symposium
    All participants are required to bring a personal case for discussion>

    Accommodations and Travel Arrangements

    Room reservations are the responsibility of the individual registrant. A block of rooms has been reserved at a rate of $198.00 single or double occupancy (plus 14% tax) at the Hotel Nikko San Francisco, San Francisco, California. Rooms will be held at this rate until April 14, 1999. After that date, reservations will be accepted on a space-available basis. Please call the hotel at the number included with your registration confirmation packet to secure accommodations.

    We suggest you contact World Travel (800) 262-8065 (24 hours a day, 7 days a week) for air transportation. Please identify yourself as a participant in this Course.

    Faculty

    Chairmen

    Eric E. Johnson, M.D.
    University of California-
    Los Angeles Medical Center
    Los Angeles, California

    Keith A. Mayo, M.D.
    Wayne State Univesity School
    of Medicine
    Warren, Michigan

    European Faculty

    Diego L. Fernandez, M.D., P.D.
    University of Berne
    Berne, Switzerland

    Rene K. Marti, M.D.
    Univesity of Amsterdam
    Amsterdam, The Netherlands

    North American Faculty

    Stephen K. Benirschke, M.D.
    Univesity of Washington School of Medicine
    Seattle, Washington

    Brett R. Bolhofner, M.D.
    Bayfront Medical Center
    St. Petersburg, Florida

    Kenneth L. Lambert, M.D.
    Orthopaedics of Jackson Hole
    Jackson, Wyoming

    Richard H. Lange, M.D.
    Univ of Wisconsin Hospital and Clinics
    Madison, Wisconsin

    Malcolm A. Lesavoy, M.D.,F.A.C.S.
    Univ of California - Los Angeles
    Medical Center
    Los Angeles, California

    Jeffrey W. Mast, M.D.
    Wayne State Univesity School of Medicine
    Warren, Michigan

    Joel M. Matta, M.D.
    University of Southern California
    School of Medicine
    Los Angeles, California

    Steven A. Olson, M.D.
    University of California - Davis
    Medical Center
    Sacramento, California

    Lawrence X. Webb, M.D.
    Wake Forest University
    Bowman Gray School of Medicine
    Winston-Salem, North Carolina

    Raymond R. White, M.D.
    University of Vermont
    Portland, Maine

    John H. Wilber, M.D.
    Case Western University School
    of Medicine
    Cleveland, Ohio

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