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Grand Sandestin Hotel and Baytowne Conference CenterDestin, Florida

2010 AOS Annual Orthopaedic Meeting

May 13-15, 2010

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PROGRAM

2010 Alabama Orthopaedic Society59th Annual Meeting

May 13-15, 2010Grand Sandestin Hotel and

Baytowne Conference CenterDestin, Florida

CONTINUING MEDICAL EDUCATION ACCREDITATION STATEMENT

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and the Alabama Orthopaedic Society.

The American Academy of Orthopaedic Surgeons is accredited by the ACCME to sponsor continuing medical education for physicians.

The American Academy of Orthopaedic Surgeons designates this educational activity for a maximum of 10 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.________________________________________________________________________CME Certificates are in your registration packets or may be obtained at the registration desk. Please sign the Daily CME Attendance Sheet on both Friday and Saturday as evidence of your attendance at the meeting. Please retain your CME Certificates in your possession. AOS does not serve as a repository for these Certificates. ________________________________________________________________________Evaluation forms are in your registration packets. Please complete these at the conclusion of the meeting and return to the registration desk or FAX to AOS at 334-277-2035. This information is helpful towards planning future AOS Annual Meetings and in maintaining our Category 1 CME accreditation.________________________________________________________________________The Southeast Orthopaedic Foot Club will host its 21st Annual Meeting on Thursday, May 13, at the Baytowne Conference Center at Sandestin. Registration will begin at 7:00 a.m. The program will begin at 7:00 a.m. in Camellia II. For more information contact: SEOFC Coordinator, Dept. of Orthopaedic Surgery, Univ. of South Alabama, 3421 Medical Park Drive, #2 Medical Park, RM 240, Mobile, AL 36693-3390. Tel. 251-665-8250.________________________________________________________________________Participants have disclosed whether they have received something of value from a commercial company or institution. The Alabama Orthopaedic Society has identified the option to disclose as follows:a Research or institutional support has been received;b Miscellaneous non-income support (e.g., equipment or services) commercially delivered honoraria, or other non-research related funding (e.g. paid travel);c Royaltiesd Stock or Stock Optionsc Consultant or Employee; orn I (or member of my immediate family) have not received anything of value from, or own stock (or stock options) in a commercial company or institution related directly or indirectly to the subject of my presentation.

*Disclosure not available at the time of printing

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ALABAMA ORTHOPAEDIC SOCIETYFIFTY-NINTH ANNUAL MEETING

BOARD OF DIRECTORS

President.........................................................John T. Killian, M.D. (2010)President-Elect.................................................John S. Gould, M.D. (2010)Past-President.......................................Albert W. Pearsall, IV, M.D. (2010)Secretary-Treasurer........................................James G. Davis, M.D. (2010)Member-at-Large................................................Brian Scholl, M.D. (2010)Member-at-Large...........................................Brent A. Ponce, M.D. (2011)Councilors to AAOS.....................................Joseph W. Clark, M.D. (2011) Joseph F. Curtis, M.D. (2012)Chairman, Alabama...............................Dewey H. Jones, IV, M.D. (2010)Board of Councilors

2010 Program CommitteeJohn T. Killian, M.D. (e; Synthes Spine, Inc.)

James G. Davis, M.D. (n)David A.Volgas, M.D. (a; Synthes, Pfizer, Wyeth)

Mike Merrill, Esq., (n)

Chestley L. Yelton Resident Essay Competition CommitteeMichael Cantrell, M.D. (2010) Chairperson

Sharon Mayberry, M.D. (2011) John T. Killian, M.D. (2012)

Executive DirectorMike Merrill, Esq. (n)

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ALABAMA ORTHOPAEDIC SOCIETY PRESIDENTIALWELCOMEAOS PresidentDr. John T. Killian

Dear Attendees:

On behalf of the Alabama Orthopaedic Society, I want to personally welcome you to the AOS 2010 Annual Meeting at Sandestin. We hope you enjoy our new two-day meeting format along with other modifications we have made to our agendas.

Please join me in welcoming our featured guest speakers for AOS 2010: (1) Steve Richards, M.D., Assistant Chief of Staff at the Texas Scottish Rite Hospital for Children in Dallas, TX; (2) Richard A. Conn, M.D., Partner at the Southern Bone and Joint Specialists in Hattiesburg, MS; (3) Daniel J. Berry, M.D., Chairperson, Department of Orthopaedic Surgery at the Mayo Clinic in Rochester, MN, and AAOS first Vice President.

In addition to our scientific sessions, we offer a golf outing Friday afternoon on the challenging Raven Course, as well as our popular reception and buffet dinner with a band Friday evening. This year’s Friday night Presidential Reception/Buffett promises to be very special. It will be held aboard the Cacheé (124 ft.) and Maverick (75 ft.) yachts at the Baytowne Marina at Sandestin Pavillion at the end of Dock A.

Please make a point to visit our exhibitors and thank each of them for their participation and support of AOS 2010.

To all those who have worked diligently to make AOS 2010 a success, I offer my sincere appreciation.

Enjoy your stay on Florida’s beautiful Emerald Coast.

Sincerely,

John T. Killian, M.D.

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ALABAMA ORTHOPAEDICSOCIETY PRESIDENT’S

DISTINGUISHED GUEST Benjamin S. Richards, M.D.

The Alabama Orthopaedic Society President’s Distinguished Guest is Benjamin S. Richards, M.D., from Dallas, Texas. Dr. Richards is currently Assistant Chief of Staff at the Texas Scottish Rite Hospital for Children in Dallas.

Dr. Richards received his undergraduate B.S. degree from The University of Utah in 1977. He graduated from the St. Louis University School of Medicine in 1981. Subsequent to his graduation from Medical School, Dr. Richards interned at The University of California in San Diego (1981-1982). He served his orthopaedic surgery residency at The University of Utah (1982-1986). He thereafter served a one-year fellowship in Pediatric Orthopaedics and Scoliosis at the Texas Scottish Rite Hospital in Dallas (1986-1987).

Dr. Richard’s academic career includes the following appointments: President, POSNA, (2008-2009); President-Elect, POSNA, (2007-2008); Vice-President, POSNA, (2006-2007); Board of Directors, POSNA, (2006-Present); Board of Directors, SRS, (2006-2008); Section Editor for Pediatrics: Your Orthopaedic Connection, AAOS, (2006-Present); Chairperson, AAOS Orthopaedic Learning Center Pediatrics Course, (July 2006); Bracing Committee, Scoliosis Research Society, (1998-2006; Chairperson, 2003-2004).

Some of his numerous honors, awards, and professional memberships include: Phi Kappa Phi Honor Society; Phi Beta Kappa Honor Society; Alpha Epsilon Delta Honor Society, graduated Magna Cum Laude, 1977; Pediatric Orthopaedic Society of North America; Scoliosis Research Society; Texas Medical Association; Diplomate, National Board of Medical Examiners; and Editorial Board, Journal of Pediatric Orthopaedics.

Dr. Richards is a native of Grand Junction, Colorado. He and his wife, Denise Wiley Richards, have been married for 32 years.

The Alabama Orthopaedic Society welcomes Dr. Richards as our Presidential Guest Speaker for the AOS 2010 meeting.

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ALABAMA ORTHOPAEDIC SOCIETYPAST PRESIDENTS

1952-1953 Paul W. Shannon, M.D., Birmingham *1953-1954 W.C. Hannon, M.D., Mobile *1954-1955 David G. Vesely, M.D., Birmingham *1955-1956 Robert O. Denton, M.D., Huntsville *1956-1957 T.J. Bender, Jr., M.D., Mobile * 1957-1958 Elias N. Kaiser, M.D., Montgomery *1958-1959 John Fletcher Comer, M.D., Birmingham *1959-1960 Alfred R. Earl, M.D., Mobile *1960-1961 John E. Hanby, M.D., Tuscaloosa *1961-1962 Charles H. Wilson, M.D., Birmingham *1962-1963 William Joseph Neely, M.D., Mobile *1963-1964 Paul D. Everest, M.D., Montgomery *1964-1965 Ralph Terhune M.D., Birmingham *1965-1966 Guy L. Rutledge, Jr., M.D., Mobile *1966-1967 Mervel V. Parker, M.D., Montgomery 1967-1968 Chestley L. Yelton, M.D., Birmingham *1968-1969 Robert O. Denton, M.D., Huntsville *1969-1970 E. Crampton Harris, Jr., M.D., Mobile* 1970-1971 Fay M. Randall, Jr., M.D., Birmingham1971-1972 L.R. Lonnergan, Jr., M.D., Gadsden *1972-1973 Kenneth M. Hannon, M.D., Mobile *1973-1974 John D. Sherrill, M.D., Birmingham *1974-1975 E.C. Brock, M.D., Tuscaloosa1975-1976 Frederick H. DeVane, M.D., Mobile *1976-1977 William A. Sims, M.D., Decatur1977-1978 Kurt M.W. Niemann, M.D., Birmingham *1978-1979 William B. Hanson, M.D., Dothan1979-1980 Chauncey B. Thuss, M.D., Birmingham *1980-1981 Jack E. Reagan, M.D., Gadsden 1981-1982 R. Joe Burleson, M.D., Tuscaloosa *1982-1983 Joseph E. Nelms, M.D., Mobile *1983-1984 Phillip L. Williams, M.D., Gadsden1985-1985 Ralph J.W. Hobbs, M.D., Birmingham *1985-1986 M. Preston Daughtery, Jr., M.D., Mobile1986-1987 Lewis D. Anderson, M.D., Mobile *1987-1988 H. Chester Boston, M.D., Tuscaloosa 1988-1989 Glenn D. Barnes, M.D., Montgomery *

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1989-1990 Robert B. Mitchell, M.D., Huntsville 1990-1991 James G. Davis, M.D., Birmingham 1991-1992 S. Rushing Smith, M.D., Anniston1992-1993 John E. Semon, M.D., Mobile 1993-1994 Donald A. Deinlein, M.D., Birmingham1994-1995 James H. Armstrong, M.D., Montgomery1995-1996 Louis G. Horn, M.D., Huntsville1996-1997 John R. Payne, M.D., Anniston1997-1998 Joseph M. Sherrill, M.D., Birmingham1998-1999 Guy L. Rutledge, III, M.D., Mobile1999-2000 Ray A. Fambrough, M.D., Huntsville2000-2001 Stephen T. Ikard, M.D., Tuscaloosa2001-2002 Wilburn A. Smith, Jr., M.D., Montgomery2002-2003 Kenneth L. Vandervoort, M.D., Anniston2003-2004 John M. Cuckler, M.D., Birmingham2004-2005 Prasit Nimityongskul, M.D., Mobile2005-2006 Mark A. Leberte, M.D., Huntsville2006-2007 Joseph F. Curtis, M.D., Montgomery2007-2008 Joseph W. Clark, M.D., Huntsville2008-2009 Albert W. Pearsall, IV, M.D., Mobile

* deceased

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GOALS AND OBJECTIVES OF THE2010 AOS ANNUAL MEETING

The goals of the continuing medical education program of the Alabama Orthopaedic Society’s 2010 Annual Meeting are to provide the membership with an annual update of new developments in orthopaedic surgery, especially during the past few years. The membership shall also be provided with information on socio-economic issues as they impact orthopaedic surgery. Our primary mission remains to offer continuing medical education opportunities for orthopaedic surgeons in our state orthopaedic society.

The objectives of the Alabama Orthopaedic Society’s 2010 Annual Meeting are to provide its membership with an update of developments in orthopaedic surgery, with special emphasis this year on Pediatric Orthopaedics, Computer Navigation of Total Knee Replacements, and LCS Mobile-Bearing Total Knee Replacements.

In Pediatric Orthopaedics this year we will review:1. Adolescent Idiopathic Scoliosis2. Supracondylar Humeral Fractures in Children

The meeting will also have papers presented on foot and ankle, basic science, upper extremity problems, and adult reconstruction. In addition, we will have discussions on state and federal legislation affecting the practice of orthopaedic surgery as well as socio-economic issues facing the practice of medicine. Exhibitors from orthopaedic medical companies will showcase the latest in technical advancements in orthopaedic surgery.

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ANNOUNCEMENTS

The AOS 2010 Annual Meeting will employ a new 2-day meeting format (Friday and Saturday, May 14 & 15). The Annual Meeting will end on Saturday, May 15, unlike Sunday in past years.

The Saturday evening President’s social/dinner has been moved to Friday evening, May 14, 6 p.m. - 8 p.m. at the Baytowne Marina at Dock A. Transportation to and from will be provided.

Because of scheduling conflicts, there will NOT be a Fellowship Breakfast at AOS 2010. AOS will provide refunds to those who have pre-registered.

Pre-registration will begin on Thursday, May 13 from 2:00 p.m.-5:00 p.m. on the first floor of the Baytowne Conference Center, adjacent to the Grand Sandestin Hotel.

All scientific sessions will be held in the Magnolia C Ballroom on the first floor of the Baytowne Conference Center.

Exhibitors may begin setting up on Thursday evening, May 13, at 7:00 p.m. in the Magnolia D-E-F Ballrooms on the first floor of the Baytowne Conference Center. The exhibit areas will not be available before this time.

The AOS Board of Directors Meeting will be held On Thursday, May 13 from 3:00 p.m.-5:00 p.m. in Magnolia C.

The AOS Business Meeting will be held on Saturday, May 15 immediately after the scientific session in the Magnolia C Ballroom.

There will not be a Pro-Assurance Risk Management Seminar at this meeting (*Please visit their exhibit booth.)

Our golf tournament will begin at 1:30 p.m. on Friday, May 14 on the Raven Course at Sandestin. Box lunches and soft drinks will be available. (*PLEASE PRE-REGISTER FOR GOLF WITH AOS).

Our Legislative Advocacy Forum will be held on Saturday, May 15 at 7:30 a.m. in the Magnolia C Ballroom.

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NAME BADGESAOS will provide name badges for physician attendees and exhibitors only. Spouse and guests’ name badges will not be provided, but may be requested individually as necessary at the registration desk. Name badges should be worn at all scientific and social activities.

SPEAKERS AND POWER POINT PRESENTATIONSSpeakers are requested to present their Power Point presentations, etc., to Sandestin Audio-Visual personnel early on the day(s) of their presentation for pre-loading. AV questions: Contact Sandestin AV at 850-351-1770.

SOCIAL ACTIVITIES

Thursday, May 135:00 p.m.-7:00 p.m. Welcome Reception Grand Lawn (Outside)

Friday, May 14 (*NEW DAY FOR PRESIDENT’S BANQUET)1:30 p.m. Golf Tournament Raven Course (*PLEASE PRE-REGISTER)

6:00 p.m.-7:00 p.m. AOS President’s Reception Baytowne Marina, Dock A

7:00 p.m.-8:00 p.m. AOS Presidential Banquet Baytowne Marina, Dock A

* Alternate venues will be available in case of inclement weather.

* Meals are on your own throughout the meeting with the exception of the daily breakfasts & breaks and Friday night Presidential Reception/Dinner.

Resort Casual Dress is suggested for all events.

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SOUTHEASTERN ORTHOPAEDIC FOOT CLUB MEETINGThe S.E. Orthopaedic Foot Club’s 21st Annual Meeting will be held on Thursday, May 13, 2010, in the Baytowne Conference Center, Magnolia E, adjacent to the Grand Sandestin Hotel. Registration will begin at 7:00 a.m. The meeting will begin at 7:00 a.m. and conclude at 1:00 p.m.

This year’s keynote speaker is James W. Brodsky, M.D. Dr. Brodsky is Clinical Professor of Orthopaedic Surgery at the University of Texas Southwestern Medical School (UTSWMC) in Dallas, Texas, and Director of the Foot and Ankle Surgery Fellowship Training Program at Baylor University Medical Center and UTSWMC.

For information contact: SEOFC Coordinator, University of South Alabama, Dept. of Orthopaedic Surgery, 3421 Medical Park Drive, 2 Medical Park, Mobile, AL 36693-3330. Tel. 251-665-8250. E-mail: [email protected].

FDA Approval Disclosure Key: **** Unless otherwise stated, all pharmaceuticals and/or medical devices described in the presentations have been cleared by the FDA or is not applicable. AAOS policy provides that “off label” uses of a device or pharmaceutical may be described in the Academy’s CME activities as long as the “off label” status is also specifically disclosed.

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RADIOLOGY QUIZ

The Radiology Quiz has returned to the 59th Annual meeting with a new twist.

During the breaks, a Powerpoint presentation will run with a series of unknowns and a list of

questions each day.

A quiz form is in the registration packet and must be completed and returned to the

registration desk.

Prizes have been generously donated by Orthopedics For Kids, P.C.

If noted, the author indicates if something of value was received. The codes are identified as: a-research or institutional support; b-miscellaneous funding; c-royalties; d-stock options; e-consultant or employee; n-no conflicts to disclose; and * disclosure not available at the time of printing. For full information refer to page 20.

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59th ANNUAL MEETING OF THEALABAMA ORTHOPAEDIC SOCIETY

Grand Sandestin Hotel and Baytowne Conference Center, Destin, Florida

FRIDAY, MAY 14, 2010

6:30 a.m. Registration & Continental Breakfast Magnolia Foyer Magnolia D.E, & F

FIRST SCIENTIFIC SESSION:

8:00 a.m. Welcome and Opening Remarks John T. Killian, M.D., AOS President Birmingham, AL (e; Synthes Spine, Inc.)

FOOT AND ANKLE

Moderator: Frederick N. Meyer, M.D., Mobile, AL

8:05-8:25 a.m. Southeast Orthopaedic Foot Club Guest Speaker

8:25-8:35 a.m. Questions and Discussion

8:35-8:45 a.m. Total Ankle Arthroplasty - Update John S. Gould, M.D., AOS President-Elect, Birmingham, AL (e; Tornier; Merete)


PEDIATRIC ORTHOPAEDICS

Moderator: Steve Buckley, M.D., Huntsville, AL

8:50-8:56 a.m. (1) Posterior Dislocation of the Medial Clavicle in a Child Timothy Frerichs, M.D., Mobile, AL (n) Grant Zarzour, M.D., Mobile, AL (n) Prasit Nimityongskul, M.D., Mobile, AL (n)


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8:56-9:02 a.m. (2) Lawn Mower Injuries to Children Shawn R. Gilbert, M.D., Birmingham, AL (n)

9:02-9:12 a.m. Painful Spondylolysis in the Adolescent & Young Adult John T. Killian, M.D., Birmingham, AL (e; Synthes Spine, Inc.) Sharon Mayberry, M.D., Birmingham, AL (n)


Moderator: John T. Killian, M.D., AOS President, Birmingham, AL

LEWIS D. ANDERSON LECTURE

9:20-9:50 a.m. Supracondylar Humerus Fractures in Children - When Things Go Wrong Steve Richards, M.D., Dallas, TX (a; Medtronic; Saunders-Elsevier; d; Pfizer)


10:00-10:55 a.m. BREAK-PLEASE VISIT OUR EXHIBITORS

ARTHROPLASTY

Moderator: Renee Riley, M.D., Birmingham, AL

10:55-11:25 a.m. Computer Navigation of Total Knee Arthroplasty Richard A. Conn, M.D., Hattiesburg, MS (e; Stryker Orthopaedics)


11:35-12:05 p.m. Mobile Bearing Total Hips Richard A. Conn, M.D., Hattiesburg, MS (e; Stryker Orthopaedics)

12:05-12:15 Questions and Discussion


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Moderator: James G. Davis, M.D., AOS Secretary-Treasurer, Birmingham, AL

12:15-12:45 p.m. Blue Cross Blue Shield - Update Dow D. Briggs, M.D., Birmingham, AL (n) Medical Director, Blue Cross Blue Shield of Alabama

12:45-1:00 p.m. Questions and Discussion

1:00 p.m. ADJOURN FRIDAY SESSION


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SATURDAY, MAY 15, 2010

6:30 a.m. Registration & Continental Breakfast Magnolia Foyer Magnolia D, E, & F

7:30-8:15 a.m. Governmental Affairs Richard Whitaker, Deputy Executive Director, MASA, Montgomery, AL (n) John S. Gould, M.D., AOS President-Elect, Birmingham, AL (e; Tornier; Merete) James G. Davis, M.D., AOS Secretary-Treasurer, Birmingham, AL (n) Mike Merrill, Esq., AOS Executive Director, Montgomery, AL (n)

SECOND SCIENTIFIC SESSION:

8:15-8:20 a.m. Welcome and Announcements John S. Gould, M.D., AOS President-Elect, Birmingham, AL (e; Tornier; Merete)

ARTHROPLASTY

Moderator: Joseph W. Clark, M.D., AAOS Councilor, Huntsville, AL

KENNETH M. HANNON LECTURE

8:20-8:50 a.m. The New Bearing Surfaces in THA: The Latest Data from Around the World Daniel J. Berry, M.D., Rochester, MN (c; Depuy) 1st Vice-President AAOS


9:00-9:15 a.m. AAOS - Update Daniel J. Berry, M.D., Rochester, MN (c; Depuy) 1st Vice-President AAOS



PEDIATRIC ORTHOPAEDICS

Moderator: John T. Killian, M.D., AOS President, Birmingham, AL

KURT M.W. NIEMANN LECTURE

9:20-9:50 a.m. Adolescents With Scoliosis - Current Approaches to Treatment Steve Richards, M.D., Dallas, TX (a; Medtronic; Saunders -Elsevier; d; Pfizer)


10:00 -10:55 a.m. BREAK-PLEASE VISIT OUR EXHIBITORS

10:55-11:01 a.m. (3) Increasing Vascularity to Improve Healing of Segmental Gene Defects in a Rat Model Shawn R. Gilbert, M.D., Birmingham, AL (n) Rena L. Stewart, M.D., Birmingham, AL (a; KCI; Wyeth; Pfizer; Synthes)

11:01-11:07 a.m. (4) Comparison of Cotton vs. Gore-Tex Cast Liner Following Closed Reduction of Displaced Distal Radius Fractures Shawn R. Gilbert, M.D., Birmingham, AL (n) Joseph G. Khoury, M.D., Birmingham, AL (n)

11:07-11:13 a.m. (5) Anterior Diagonal Osteotomy for Bladder and Clearal Exstrophy Michael J. Conklin, M.D., Birmingham, AL (n)


11:18-11:28 a.m. Periacetabular Osteotomy of the Hip in Young Adults John T. Killian, M.D., Birmingham, AL (e; Synthes Spine, Inc.) Sharon K. Mayberry, M.D., Birmingham, AL (n)

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11:28-11:34 a.m. (6) Pediatric Femoral Fractures Treated with Flexible Intramedullary Rods Grant Shell, M.D., Mobile, AL (n) Prasit Nimityongskul, M.D., Mobile, AL (n)


UPPER EXTREMITY

Moderator: Joseph W. Clark, M.D., AAOS Councilor, Huntsville, AL

11:40-11:46 a.m. (7) Volar Perilunate Dislocations of the Carpus: A Case Report David Lee Smith, Jr., M.D., Mobile, AL (n) Frederick N. Meyer, M.D., Mobile, AL (n)

11:46-11:52 a.m. (8) Case Report of Fixation Using an Intramedullary Olecranon Nail Jared Burkett, M.D., Mobile, AL (n) Jorge Alonso, M.D., Mobile, AL (n)


TRAUMA

Moderator: Morris Seymour, M.D., Huntsville, AL

11:57-12:03 p.m. (9) Trochanteric Fixation and Lateral Entry Antegrade Femur Nails: A Retrospective Evaluation and Comparison Raul Curiel, M.D., Mobile, AL (n) Jorge Alonso, M.D., Mobile, AL (n)

12:03-12:09 p.m. (10) The Personal Financial Impact of Orthopaedic Trauma in a Cohort of Trauma Patients at UAB Hospital from 2007-2009 Jay Savage, M.D., Birmingham, AL (n) David Volgas, M.D., Birmingham, AL (a; Synthes; Pfizer; Wyeth) Rena L. Stewart, M.D., Birmingham, AL (a; KCI; Pfizer; Synthes)

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12:09-12:15 p.m. (11) New Perspectives on Diagnostic Imaging in Orthopaedic Trauma Daniel Wittersheim, M.D., Mobile, AL (n) Jorge Alonso, M.D., Mobile, AL (n)


CHESTLEY L. YELTON RESIDENT ESSAY COMPETITION

Moderators: Sharon Mayberry, Birmingham, AL John T. Killian, M.D., AOS President, Birmingham, AL

12:20-12:27 p.m. (12) Third-Place: Image Guided Custom Cutting Blocks for the Triathlon Knee: Preliminary Results of 65 Patients Ben Stronach, M.D., Birmingham, AL (n) Herrick J. Siegel, M.D., Birmingham, AL (n)


12:30-12:37 p.m. (13) Second-Place: Neglect and Diagnostic Delay of Malignant Soft Tissue Tumors Brad Culotta, M.D., Birmingham, AL (n) Herrick J. Siegel, M.D., Birmingham, AL (n)


12:40-12:50 p.m. (14) First-Place: Biomechanical Evaluation of Three Arthroscopic Self-Cinching Stitches for Shoulder Arthroscopy: The Lasso-Loop, Lasso-Mattress, and Double-Cinch Stitches Chad D. Hosemann, M.D., Birmingham, AL (a; Depuy-Mitek, Inc.) Brent A. Ponce, M.D., Birmingham, AL (n) Parthasarathy Raghave, M.S., Birmingham, AL (n) Janet P. Tate, MPH, Saddle Road, CT (n)


12:55-1:00 p.m. Yelton Award Presentations

1:00 p.m. ADJOURN

1:00-1:30 p.m. AOS Business Meeting


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DISCLOSURE

Each faculty member in the meeting has been asked to disclose if he or she has received something of value from a commercial company or institution, which relates directly or indirectly to the subject of their presentation(s). The Alabama Orthopaedic Society has identified the options to disclose as follows:a. Research or institutional support has been received;b. Miscellaneous non-income support (e.g., equipment or services), commercially derived honoraria or other non-research related funding (e.g., paid travel);c. Royalties;d. Stock or Stock Options;e. Consultant or Employee;n. I (or a member of my immediate family) have not received anything of value from, or own stock (or stock options) in a commercial company or institution related directly or indirectly to the subject of my presentation; * Disclosure not available at time of printing.

An indication of the participant’s disclosure appears after his or her name, as well as the commercial company or institution that provided the support. The AOS does not view the existence of these disclosed interests or commitments as necessarily implying bias or decreasing the value of the author’s participation in the course.

ABSTRACTS

If a paper has a number in parenthesis, (i.e. 1), then it has an abstract from the author included in the program “as is”, (i.e. sent in without any review or changes.)

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NEGLECT AND DIAGNOSTIC DELAY OF SOFT TISSUE SARCOMAS

Brad Culotta, MD, Herrick J. Siegel, MD from UAB Medical Center

_________________________________________________________

Delays in the diagnosis of soft tissue sarcomas remain a considerable problem,

which may adversely affect management and prognosis. In that soft tissue

sarcomas (STS) are rare, often indolent and have variable growth rates has led to

a universal acceptance of lengthy delays in diagnosis and treatment. The impact

of this delay is not clear from the present literature in terms of health care cost,

treatment options and prognosis. The study group consisted of 112 patients

identified from a cancer center sarcoma database consisting of 194 patients.

Patients were sub-grouped based on the length of referral delay from the initial

discovery of a soft tissue mass until presentation to a sarcoma specialist (SS).

The subgroups included: Timely (<3 months), Delayed (3-12 months) and

Neglected (>1 year) were evaluated to determine the factors contributing to

a delayed referral, the impact of delay on prognosis, and characteristics of a

soft tissue mass on presentation that would place a patient at risk for a delay

in treatment. Common causes for delay upon initial presentation include

insufficient imaging studies by general practitioner; reassurance of a benign

process based on physical exam, poor documentation of mass in follow up

visits. Additionally, >70% of the delays were in part contributed to radiology

and pathology reports with either wide differential diagnoses or misleading

descriptive findings suggesting an atypical benign mass led to either unplanned

excisions or delays in treatment. Patients with neglected sarcomas most

commonly (>80%) had large, slow growing, low grade soft tissue sarcomas,

therefore resulting in a better prognosis than those presenting earlier with rapidly

growing high grade sarcomas. Despite of the new NIH guidelines focused on

early referral of soft tissue malignancies, our study found the average referral

time >9 months from the initial discovery of a mass. Continued efforts are

important to encourage early referral of soft tissue masses to SS.

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NOTES: _____________________________________________________________________________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

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EXHIBITORS

The Alabama Orthopaedic Society would like to recognize and thank the following exhibitors for their contributions and support of the 2010 AOS Annual Scientific Meeting. The exhibitors are located on the first floor of the Baytowne Conference Center in Magnolia D-E-F.

BiometBlue Cross and Blue Shield of Alabama

DePuy MitekFerring Pharmaceuticals

Genzyme BiosurgeryK&W Associates-Stryker

Mako Surgical Corp.Medical Protective

Medtronic, Inc.NuTech

Orthopaedic Trauma ImplantsPfizer, Inc.

Pro-Assurance IndemnityRTI Biologics, Inc.Synthes Trauma

US Army HealthcareZimmer Southeast

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ALABAMA ORTHOPAEDIC SOCIETYNECROLOGY LIST

Dr. Price Edwards- 1966Dr. Paul Shannon-1968Dr. Elias N. Kaiser-1969Dr. John Sherrill, Sr.-1969Dr. William C. Hannon-1969Dr. Gilbert Melson-1970Dr. Charles Wilson-1974Dr. Alfred Earl-1975Dr. W.H. Nicholson-1981Dr. Clyde Sheehan-1981Dr. Donald Beck-1982Dr. Frederick DeVane-1984 Dr. John Fletcher Comer-1986Dr. Benjamin S. Meyer-1986Dr. Chestley L. Yelton-1986Dr. Charles P. Beddow-1987Dr. John E. Hanby-1987Dr. Robert T. King-1987Dr. David G. Vesely - 1987Dr. Ralph J.W. Hobbs-1989Dr. Harry I. Blaylock-1990Dr. William T. Tarpley-1990Dr. G. Barnett Hardy-1991Dr. William J. Neeley-1991Dr. Leo M. Flynn-1992Dr. Leilas R. Lonnergan-1992Dr. S. Ralph Terhune-1993

Dr. Charles A. Carraway-1996Dr. R. Joe Burleson-1996Dr. Glen E. Palmer-1996Dr. Lewis D. Anderson-1997Dr. Guy L. Rutledge, Jr.-1998Dr. Robert O. Denton-1999Dr. W. Frank Owens-2000Dr. Paul D. Everest-2001Dr. Mario A. Accinno-2001Dr. A.L. Taylor-2002Dr. John F. Hume-2004Dr. John M. Higginbotham-2004Dr. Chauncey B. Thuss-2005 Dr. Glenn D. Barnes-2005Dr. Jorge Martinez-2005Dr. Kurt M. W. Niemann-2005Dr. Richard A. Elkus-2005Dr. John D. Sherrill, Jr.-2005Dr. Richard H. Cord-2006Dr. William P. Bryant-2006Dr. Kenneth M. Hannon-2006Dr. Edward D. Hillard-2006Dr. T.J. Bender-2007Dr. Joseph E. Nelms-2007Dr. John T. Murphy-2007Dr. E. Crampton Harris-2009Dr. Donald H. Slappy, Sr.-2009

In MemoriamDr. E. Crampton Harris-2009Dr. Edward D. Hillard-2006

Dr. Donald H. Slappy, Sr.-2009

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ACKNOWLEDGEMENTS

The Alabama Orthopaedic Society wishes to express our appreciate to all those who helped make this meeting a success.

SPECIAL THANKS TO:

Dr. Steve Richards, Dallas, Texas. AOS Presidential Guest Speaker.

Dr. Daniel Berry, Rochester, Minnesota. AAOS First Vice-President.

Dr. Richard A. Conn, Hattiesburg, Mississippi, Guest Speaker

Dr. James W. Brodsky, Dallas, Texas. The S.E. Foot Club Guest Speaker.

All our exhibitors who make this meeting possible.

Ms. Ginnie Rector, Sandestin Conference Services, and the entire staff and management at Sandestin.

Dr. John T. Killian, Dr. David Volgas, and Dr. James G. Davis for their help as Co-Program Chairpersons.

Ms. Vicki Allen with the UAB Department of Orthopaedics and the USA Department of Orthopaedics for their assistance with the Call-for-Papers.

THANKS TO EVERYONE

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SAVE THE DATES

AOS 2011 RETURNS TO THE MARRIOTT GRAND HOTEL AT PT. CLEAR, ALABAMA

MAY 19-21, 2011

JOIN AOS ON MOBILE’S BEAUTIFUL

EASTERN SHORE

DON’T MISS THIS

Join AOS Friday Night, May 14thFor the AOS Presidential

Reception & Buffett

6:00 p.m. - 8:00 p.m.

*NEW LOCATION*

Complimentary Seafood Medley, Cocktails, and Music

Watch the Sunset on Choctawhatchee Bay

Baytowne Marina at the Sandestin Pavillion at the End of Dock A

Join us aboard the 124 ft. (Cacheé) and

75 ft. (Maverick)Private Yachts

Shuttle Transportation will be provided from the Grand Sandestin Hotel

2010 aos annual orthopaedic meetinghstrial-mcox8.homestead.com/aos_program_2010.pdf · information...

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