10th Annual Philadelphia Orthopaedic Trauma Symposium 2018

Check here for links to papers, messages from course faculty, and related information from the course that might enhance your learning.

Session A: Difficult tibia nailing cases

Video of the session:

References:

ICL paper on Nail vs Plate for Extraarticular proximal tibia fractures:

Can Tibial Shaft Fractures Bear Weight After Intramedullary Nailing? A Randomized Controlled Trial

The Mechanical Effect of Blocking Screws (“Poller Screws”) in Stabilizing Tibia Fractures With Short Proximal or Distal Fragments After Insertion of Small-Diameter Intramedullary Nails

The use of Poller screws as blocking screws in stabilising tibial fractures treated with small diameter intramedullary nails

Fractures of the Proximal Third of the Tibial Shaft Treated with Intramedullary Nails and Blocking Screws

Intramedullary Nailing of Proximal Quarter Tibial Fractures 

Semiextended Intramedullary Nailing of the Tibia Using a Suprapatellar Approach: Radiographic Results and Clinical Outcomes at a Minimum of 12 Month Follow-up
 
Extra Articular Technique for Semiextended Tibial Nailing
 
Suprapatellar_Versus_Infrapatellar_Tibial_Nail Insertion: A Prospective Randomized Control Pilot Study 
 
Does Provisional Plating of Closed Tibia Fractures Have Higher Complication Rates?
Provisional Plating of Type III Open Tibia Fractures Prior to IM Nailing
  
Percutaneous or Open Reduction of Closed Tibial  Shaft Fractures During Intramedullary Nailing Does Not Increase Wound Complications, Infection or Nonunion Rates
  
Intramedullary Nailing of Proximal Quarter Tibial Fractures
   
Intramedullary Nailing Versus Percutaneous Locked Plating of Extraarticular Proximal Tibial Fractures – Comparison of 56 Cases
 
IM nailing vs proximal plating in mgt of closed extraartic prox tibia fracture – RCT
 
Problems Tricks and Pearls in IM nailing of Proximal Third Tibial Fractures
 
 
Session B: Nasty subtroch fractures
 
Video of the session:

References:
Metabolic and endocrine abnormalities in patients with nonunions – Brinker JOT 2007
 
Session C: Lecture: “An update on resident training strategies 2018” – Dr. Kenneth Egol

  
Session I: Smashed distal radius fractures
Video of the session:

 
References:
Ilyas & Mudgal, Radiocarpal fx dislocations- JAAOS 2008
 
Tosti & Ilyas, PQ Repair – JHS 2013
 
Fowler & Ilyas, DRF VA Plating – JHS 2013
 
Tinsley & Ilyas – DRF Bridge Plating – HCNA 2018
 
Loss Of Fixation Of The Volar Lunate Facet Fragment In Fractures Of The Distal Part Of The Radius – JBJS 2004
  
 
Session J: Challenges with tibial plateau fractures
Video of the session:

References:  
Is Early Definitive Fixation of Bicondylar Tibial Plateau Fractures Safe?  An Observational Cohort Study 
 
Beta-TCP bone substitutes in tibial plateau depression fractures
 
A combined approach for the treatment of lateral and posterolateral tibial plateau fractures
 
Comparison of outcome of ARIF and ORIF in the treatment of tibial plateau fractures
 
Asymmetry in gait pattern following bicondylar tibial plateau fractures- a prospective one year cohort study
 
Infection after spanning external fixation for high-energy tibial plateau fractures – is pin site-plate overlap a problem?
 
Definitive plates overlapping provisional external fixator pin sites – is the infection risk increased?
 
 A new posterolateral approach without fibula osteotomy for the treatment of tibial plateau fractures
 
 
Opioid Crisis in Pennsylvania – Ilyas
Video of the session:

References: 
Kim & Ilyas et al, Opioid Utilization – JBJS 2016
 
Brummett et al, Persistent Post-Opoid Use – JAMA Surgery 2017
 
 
Session M: Difficult ankle fractures
Video of session:

“A to P” Screw versus Posterolateral Plate for Posterior Malleolus Fixation in Trimalleolar Ankle Fractures
 
Trimalleolar Fractures with Impaction of the Posteromedial Tibial Plafond: Implications for Talar Stability
 
Posterior Malleolar Fracture Patterns
 
A Novel Indirect Reduction Technique in Ankle Syndesmotic Injuries – a Cadaveric Analysis
  
To compare the efficacy between fixation with tightrope and screw in the treatment of syndesmotic injuries – a meta analysis
 
Arthroscopically measured syndesmotic stability after screw vs suture button fixation in a cadaveric model
 
 
Session N: Debates: Is surgery always better? Op vs nonop treatment
Video of the session:
References: 
Wound healing complications in closed and open calcaneal fractures 
 
Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures – RCT
 
Calcaneal Fracture Management – Extensile lateral approach versus small incision technique
 
Advances in Surgical Management of Intra-articular Calcaneus Fractures
 
Operative versus non-operative treatment for closed displaced intra-articular fractures of the calcaneus – randomised controlled trial – BMJ 2014
 
Advances in Surgical Management of Intra-articular Calcaneus Fractures
 
Risk Factors for Postoperative Wound Complications of Calcaneal Fractures following Plate Fixation
 
British Clavicle Trial – JBJS 2017
 
Canadian Plate vs Nonop Clavicle RCT – JBJS 2007
 
Cost analysis of internal fixation vs nonop Clavicle fractures – JOT 2015
 
Dr. Fuller’s Slides – Clavicle Fracture Debate (nonop)
 
Fracture Site Mobility at 6 Weeks After Humeral Shaft Fracture Without Surgery
 
Management of Humeral Shaft Fractures
 
 
Session O: Debates: Knee Dislocations
Video of the session:

References: 
Surgical approach to the posteromedial corner – indications techniques outcomes
 
How I manage the multiple ligament injured dislocated knee
 
Medial and posteromedial instability of the knee – evaluation treatment and results
 
 
Session Q: Opioid Epidemic in America – Dr. Mir
Video of the session:

References: 
Narcotic Use and Postoperative Doctor Shopping in the Orthopaedic Trauma Population
 
Risk Factors for Continued Opioid Use One to Two Months after Surgery for Musculoskeletal Trauma
 
The Opioid Epidemic – Impact on Orthopaedic Surgery
 
Prescription drug monitoring programs, nonmedical use of prescription drugs and heroid use
 
AAOS Opioid Tool Kit
 
 
Session V: Debates: Hip Fractures
Video of the session:
References: 
Association between wait time and 20 day mortality in adults undergoing hip fracture surgery – JAMA 2017
 
Relation between surgeon volume and risk of complications after total hip arthroplasty – propensity score matched cohort study
 
Hemiarthroplasty for displaced femoral neck fractures in the elderly has a low conversion rate
  
Hemiarthroplasty and total hip replacement for displaced intracapsular fracture in active elderly patients did not differ for function at 12 years after surgery
 
Not the last word – Bhandari’s Paradox – Bernstein CORR 2018