No. 98 April 2006

A new inexpensive Telediagnostic NetworkNewsletterNewsletterA new inexpensive Telediagnostic Network

SICOTSOCIÉTÉ INTERNATIONALE de CHIRURGIE ORTHOPÉDIQUE et de TRAUMATOLOGIETHE INTERNATIONAL SOCIETY OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY SICOT

Société Internationale de Chirurgie Orthopédique et de TraumatologieInternational Society of Orthopaedic Surgery and Traumatology w w w. s i c o t . o r g

Evidence based orthopaedics 2

Editorial by Dr Chad Smith 3

Country to country: Orthopaedics in Denmark 4

A new inexpensive Telediagnostic Network 6

On the web: New features 7in the member area of SICOT website

Young surgeons: Orthopaedic trauma care in South Africa 9

Worldwide news:An interview with Mr Frank Horan 10

In this issue

SICOT_98_april2006 15/03/06 10:43 Page 1

Closed suction surgical wound drainage after orthopaedic surgery

page 2

Background: Closed suction drainage systems arefrequently used to drain fluids,particularly blood,fromsurgical wounds.The aim of these systems is to reducethe occurrence of wound haematomas and infection.

Objectives: To evaluate the effectiveness of closedsuction drainage systems for orthopaedic surgery.

Search strategy: We searched the CochraneMusculoskeletal Injuries Group specialised register(May 2001), MEDLINE (1996-May 2001) and refe-rences from articles.

Selection criteria: All randomised or quasi-ran-domised trials comparing the use of closed suctiondrainage systems with no drainage systems for alltypes of elective and emergency orthopaedic surge-ry.

Data collection and analysis: Both reviewers in-dependently assessed trial quality, using a nine itemscale, and extracted data.Wherever appropriate andpossible, the data are presented graphically.

Main results:21 studies involving 2,772 patients with2,971 wounds were included in the analysis.The ty-pes of surgery involved were hip and knee replace-ment, shoulder surgery, hip fracture surgery, spinalsurgery, cruciate ligament reconstruction, open me-niscectomy and fracture fixation surgery. Many ofthe studies had poor methodology and reporting ofoutcomes. Pooling of results indicated no differencein the incidence of wound infection, haematoma ordehiscence between those allocated to drains andthe un-drained wounds.There was a tendency to anincreased risk of re-operation for wound complica-tions in the group with drains (relative risk (RR) 2.25,95% confidence intervals (CI) 0.95 to 5.33), but due

to the small numbers of cases involved definiteconclusions cannot be made for this outcome.Bloodtransfusion was required more frequently in thosewho received drains (RR 1.41, 95% CI 1.10 to 1.80).The need for reinforcement of wound dressings (RR0.22, 95% CI 0.13 to 0.40) and bruising around theoperation site was more common in the group wi-thout drains.

Authors' conclusions:There is insufficient eviden-ce from randomised trials to support or refute theroutine use of closed suction drainage in orthopae-dic surgery. Further randomised trials are requiredbefore definite conclusions can be made. ■

Citation: Parker MJ, Roberts C. Closed suction surgicalwound drainage after orthopaedic surgery.

The Cochrane Database of Systematic Reviews 2006Issue 1 Copyright © 2006 The Cochrane Collaboration.

Published by John Wiley & Sons, Ltd.

Evidencebased

orthopaedics

We are pleased to announce that it is possibleto find every article on “evidence based ortho-paedics” published in the newsletter on the SICOT portal now hosted by Bone and JointDecade.You can read more about it in the sec-tion “On the web”, on page 7.

SICOT_98_april2006 15/03/06 10:43 Page 2

An efficient reorganisation of SICOT

Editorial

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The Executive Committee (EC) has promised an open approachwith regular communication between Brussels and each mem-ber country. Here are advances that we have made since the

last EC meeting in Istanbul:1. Efficient reorganisation.We are reorganising the delivery of servi-

ces to SICOT members and the organisation of conferences.Thisshould be completed by the mid spring of 2006. It is our intention tohave each Annual International Conference (AIC) focus on a singlesubject and attract not only international supporters but a broad par-ticipation by local and regional surgeons. Each year SICOT expensesconsiderably exceed income and this will be improved to bring the dif-ference as close to zero as possible.

2. International affiliations. It is our working plan to affiliate moreclosely with other organisations to continue what Prof Kotz and thefounders of our organisation started.That is to maintain SICOT as themost pre-eminent international organisation in education in orthopae-dic surgery.We also intend to increase our working relationship withlocal orthopaedic societies in the area of our AIC.These affiliations willtake the same organisational format that we have used with the Or-thopaedic Research and Education Foundation and the Maurice MüllerFoundation.

3. Membership stimulation. I have urged that each member of SI-COT should attempt to recruit one member per year. If that requestbears fruit, all of the financial and organisational problems of SICOTwill immediately disappear!

4. Expand the outreach programmes of SICOT.We have been activewith both our members and our money in disasters such as in Pakistanand we hope to increase these efforts.

5. Outreach programmes.There are 25 million crippled childrenaround the world who are not receiving appropriate care.Through theinteraction of donors, we hope to be a central agency for supportinglocal orthopaedic surgeons.There are also plans in place to send somechildren to orthopaedic centres in different parts of the world.

Best regards,

Chadwick F. SmithSICOT President

SICOT_98_april2006 15/03/06 10:43 Page 3

page 4

The history of ortho-paedics in Denmarkoriginates in initiativesby the Reverend HansKnudsen (1813-1886),

who established the Disability Foun-dation in 1872 leading to develop-ment of orthopaedic hospitals orga-nised according to “the Copenha-gen system”, with a close collabora-tion between doctors, brace ma-kers and social service.The first “or-thopædische anstalt” was foundedby watchmaker J.P.Langgaard (1811-1890). He established the five-bedinstitution under medical supervi-sion to treat scoliosis with stretchand corrective plasters. Chief physi-cian Andreas George Drachmann(1810-1892) is considered to be thefirst orthopaedic surgeon in Den-mark, although it was Johan Chris-tian Stark (1799-1873) who conduc-ted the first orthopaedic procedu-re. Hermann Slogmann (1860-1929)established the first modern ortho-paedic clinic in Copenhagen. Foun-ders of orthopaedic surgery in Den-mark were Poul Guildahl (1882-1950), Ove Berntsen (1885-1952)and P. G. K. Bentzen (1891-1974). In1935 a classic orthopaedic hospitalwith 200 beds was opened in Co-penhagen and in 1940 anotherhospital was founded in Aarhus. In1957 Arne Berthelsen (1910-1971)was appointed as the first professor

of orthopaedics in Denmark (Co-penhagen) followed immediately byProf Ejvind Thomassen (1908-1988)in Aarhus.

Requirements for orthopaedicspecialisation were established in1917 which apart from internshipincluded three months employmentat a neurology clinic, six months ata polyclinic of neurology; two yearsas assistant doctor at the Founda-tion of Disability and two years asassistant doctor at a general surgi-cal department or at a large countyhospital.The first organisation fororthopaedic surgeons was initiatedin 1927. Later, in December 1945,this association founded the DanishOrthopaedic Society (DOS) withthe aim of securing clinical and scien-tific development of the orthopae-dic speciality. By 1953, the chairmanof DOS, Ejvind Thomassen, sugges-ted that all surgical departmentstreating extremities should be hea-ded by an orthopaedic surgeon. InDenmark the Anglo-American sys-tem, including both classical ortho-

paedics and traumatology, becamean official surgical speciality. In themid 1980s, Professor Otto Snep-pen,Aarhus, described ten subspe-ciality groups to stimulate the deve-lopment of orthopaedics. However,the National Health Board of Den-mark only acknowledges orthopae-dics as one speciality. In spite ofthat, independent societies for handsurgery, paediatric surgery, spinesurgery, hip and knee arthroplasty,shoulder and elbow surgery andtrauma have arisen. But until 1979,DOS remained a subsection of theDanish Surgical Society. Since 1971,the Danish Orthopaedic SocietyBulletin has disseminated informa-tion to its members.

Today the Danish OrthopaedicSociety has 800 members. It holdsmeetings in the major cities of Den-mark and a meeting in Copenha-gen.At present there are five or-thopaedic professorships in Den-mark (Jes Bruun Lauritzen and Bjar-ne Lund in Copenhagen, SørenOvergaard in Odense, Cody Bün-ger and Kjeld Søballe in Aarhus).The Society implements its policiesvia a five-member Executive Com-mittee and a five-member Educatio-nal Committee.They meet on a re-gular basis during the year.The sub-speciality groups also gather at thetwo annual meetings of DOS and contribute to subspeciality

Orthopaedic surgery in Denmark

Egeskov Castle, one of Europe’s best preser-ved Renaissance castles

SICOT_98_april2006 15/03/06 10:43 Page 4

Prof Cody Bünger | President Elect of SICOT

Country to

countryseries

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Jansen, who organised a triennialmeeting in Copenhagen in 1975. Amajor Danish contribution to SICOT has been made by the Editorof “International Orthopaedics”, DrKjeld Skou Andersen, he has raisedthe impact factor of the Journal totruly international levels. DOS has aleading role in many internationalsubspeciality societies.The Nordiccollaboration has been centred onthe highly esteemed “Acta Ortho-paedica Scandinavica”, which is hea-ded by a board composed of mem-bers from the Nordic countries.Thepresent Editor is Anders Rydholmfrom Lund, Sweden.

The main goals for the future of

symposia and educational activities.Our goals are:1. to secure the interests of our pa-tients, members and the interestsof the orthopaedic specialities;2. to ensure that patients and or-thopaedic surgeons have the full advantage of existing treatment op-tions;3. to ensure that a sufficient num-ber of orthopaedic surgeons arebeing educated;4. to guarantee quality and effecti-veness of orthopaedic treatment inDenmark;5. to assure a good contact amongrelevant specialities wether politi-cal, scientific or public, with the ge-neral aim of improving the functionof the Society.Denmark has achieved internatio-nal recognition for the large num-ber of randomised studies on spinesurgery, as well as cohort studiesfrom the Danish Hip Registry.

DOS International relationshipsDOS is a member of the NordicOrthopaedic Federation (NOF),which is comprised of Iceland, Nor-way, Sweden, Finland, Holland andDenmark. NOF meets every thirdyear for the exchange of scientificinformation. Denmark is a foundingmember of EFORT. DOS is closelyrelated to ISPO, founded by Knud

orthopaedics in Denmark and Scan-dinavia have been identified by ProfLars Lidgren who initiated the Boneand Joint Decade.These goals havespread to the world; among is evi-dence-based treatment.This is ofmajor importance. Other goals arethe exponential development of me-dicine, the employment of new tech-niques in molecular biology, nano-medicine and material science viamultidisciplinary research teams.SICOT is the true global forum oforthopaedic surgery to facilitatethis development.See the homepage:http://www.ortopaedi.dk ■

u Country name: Denmark

u Location: south of Scandinavia, Northern Europe

u Population: 5.2 million inhabitants

u Capital: Copenhagen

u Size of country: 44,000 km2

u Language: Danish

u Type of government: parliamentary monarchy

u No. of doctors: 29.1/10,000 in 2002

u No. of hospital beds: 41/10,000 in 2002

u No. of orthopaedic surgeons:

800, covering both orthopaedics and trauma

u No. of SICOT active members: 6

(WHO sources)

Copenhagen

SICOT_98_april2006 15/03/06 10:43 Page 5

A new inexpensive Telediagnostic Network

Ir Jean-Charles de Longueville | Founder and CTO of Hellea sprl

page 6

the production phase which in-cluded all National Representati-ves as new users in the process.

This tool is designed to enablea health care practitioner (in thiscase, an orthopaedic surgeon) totransmit a medical file containinga number of images (X-rays, CTscan, etc.) from a distant locationto a medical secretariat located inBrussels.

Once the file has been recei-ved in Brussels, it is immediatelyreviewed to determine the spe-ciality concerned. An e-mail isthen sent to a specialised consul-tation centre participating in theproject. At that centre, a highlyqualified orthopaedic surgeonexamines the file by surfing onthe Telediagnostic website and is-sues an opinion or offers adviceto his colleague, which is addedto the file on the site.The personwho submitted the file can thenconsult the opinions by surfing onthe site.

New release, new paradigmsuited for more simultaneous users After a full year of development,the SICOT Telediagnostic team isproud to introduce the brand newsystem to all National Represen-tatives.

From now on, the behaviour of

In November 1997,Prof Maurice Hinsen-kamp, then Treasurerof SICOT, began stu-dying in his laborato-

ry the feasibility of establishing aninexpensive Telediagnostic net-work that could be used by deve-loping countries.The workstationswould be developed and suppliedby SICOT to countries hosting aSICOT Education Centre.

At the SICOT/SIROT XXITriennial World Congress in Syd-ney, in April 1999, the project wasfirst presented to the membersof the SICOT International Com-mittee, attended by the NationalRepresentatives of all the mem-ber countries.They decided topursue the development of thenetwork at least until the SICOT/SIROT XXII TriennialWorld Congress in San Diego in2002.The Executive Committeealso decided to include a dedica-ted server in the project architec-ture.The project was then pre-sented to all SICOT members ata booth in the exhibition hall ad-joining the Congress.

At the SICOT/SIROT XXIIITriennial World Congress in Is-tanbul, in September 2005, theproject switched from the preli-minary phase of a network of 23SICOT Telediagnostic centres to

the Telediagnostic application islike a forum where one can posttopics representing medical casesor reply to posted ones.The pos-ter may add as many pictures tothe topic as he wants. In additionto the users already running thesystem,we extended the user baseto all National Representatives ofSICOT.

The major change in this re-gard is that we abandoned theprevious user base to switch tothe regular SICOT one.This meansthat a practitioner now uses hisnormal ID number and passwordon http://www.sicot.org/. For anyquestion related to your ID num-ber and/or password please writeto hq@sicot.org as usual.

It is foreseen that in future theaccess to the SICOT Telediagnos-tic application will include all mem-bers of SICOT.

We will be very pleased to re-ceive any feedback from you attelediag@sicot.org.

■

To find the complete list ofthe Telediagnostic centres inthe world please refer topage 8.

SICOT_98_april2006 15/03/06 10:43 Page 6

New features in the member area of SICOT website

On the web

page 7

Recently two new features have been added to the member area of the SICOT website (www.sicot.org): a link to the SICOT Journal “Inter-national Orthopaedics” and a link to the Bone andJoint Decade portal in which SICOT participates.

The first link to the Journal allows the SICOTmember to have access to the Journal on-line andto find the newly published articles more easily. Hecan now consult the articles without having towait for the Journal to be sent to him and also gothrough the different issues of the Journal and findany article he might need.

The second link gives the SICOT member theopportunity to enter the BJD/SICOT portal and tosee all the material posted by SICOT and the Boneand Joint Decade.

How to access these links through the member area of SICOT website?Follow these steps:1) Type the link www.sicot.org in your browser.2) Click on “Members” in the upper menu.3) Click on “Log in”.4) Then click “I agree” at the bottom of the legalnotice.5) Insert your ID member and your password (ifyou do not have them send an e-mail to hq@sicot.org).6) Click on the button “Submit”.

You have now entered the SICOT member area.

How do I access “International Orthopaedics” on-line?Find the link entitled “Online access to Internatio-nal Orthopaedics” at the bottom of the page andclick on it.

How do I access the BJD/SICOT portal?Find the last link entitled Online access to the SICOT World portal hosted by Bone and Joint De-cade.

If you are not registered for the portal yet, justfollow these steps:1) Click on the link dedicated to the portal.2) Go to the upper right part of the screen. Cau-tion! The homepage of the portal can not be seenas a whole on the screen.You need to use the ar-row at the bottom of the screen and to go to theright.3) In this upper right part click on “Create perso-nal account” 4) Insert the requested data. Caution! Severalboxes are allocated to one address under the follo-wing denomination:Address 1, 2, 3 and 4.5) Then click on the button “Submit”. Now youraccount has been registered.6) An e-mail will be sent to your e-mail addresswith a provisional password.7) Once you have received your password go theupper right part of the homepage of the portal(steps 1 and 2) and click on “Login”.8) There enter your e-mail address and passwordand click on “Login”.You are now entering the BJD/SICOT portal.

■

SICOT_98_april2006 15/03/06 10:43 Page 7

The Telediagnostic centres in the world

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Århus, Denmark Århus Universitetshospital,Orthopaedic DepartmentProf Cody Bünger, President Elect of SICOT

Assiut, EgyptOrthopaedic Department,Assiut University Teaching Hospital Prof Galal Zaki Said,Vice President,National Delegate Prof Abdel-Khalek H. Ibraheim Prof Karam-Allah Ramadan Prof Essam El-Sherief Prof Maher El-Assal Prof Kamal El-Gaafary Prof Mohammed Anwar Prof Maged Mostafa Dr Mohammed Gamal Dr Hassan M.Ali Dr Tarek Al-Gammal Dr Faysel F. Adam Dr Moatez El-Sabrout Dr Ahmed AbdelAal Dr Hesham El-Kady Dr Osama Farouk Dr Khalid Mostafa Dr Mohammed El-Sharkawi Dr Yasser Imam

Brussels, BelgiumHôpital Erasme,Université Libre de BruxellesProf Maurice Hinsenkamp, responsiblefor the SICOT Telediagnostic

Budapest, Hungary Semmelweis University,Medical Faculty,Orthopaedic Department Prof Miklós Szendrõi, National DelegateDr András Vajda Dr Imre Antal

Casablanca, Morocco Zerktouni Clinic Dr Thami BenzakourDr Lemseffer, National Delegate

Charleroi, Belgium CHU de Charleroi, Site Hôpital Vésale,Université Libre de Bruxelles

Prof Sabri El Banna,medical files dispatcher

Dakar, Senegal Grand-Yoff Hospital Prof El Hadij Ibrahima Diop, National Secretary

Douala, Cameroon Hôpital LaquintinieDr Jean Gustave Tsiagadigui

Fort-de-France, Martinique Centre Hospitalier Universitaire deFort-de-FranceProf Jean-Louis Rouvillain Dr Choukry Dib

Gdansk, Poland Orthopaedic Department of MedicalUniversity of Gdansk Prof Mazurkiewicz Dr Mariusz Treder

Havana, Cuba Prof Alvarez Cambras, National Delegate Dr Tony Castro

Hong-Kong, China University of Hong Kong Prof John C.Y. Leong, Immediate PastPresident of SICOT

Kingston, Canada Kingston General Hospital,Queen's University at Kingston Prof Charles Sorbie, Past President of SICOT

Kinshasa, Congo Hôpital N'galienaProf Panda, National Delegate

Lahore, Pakistan Allama Iqbal Medical College,Department of Orthopaedic Surgery,Jinnah Hospital Prof Syed Muhammad Awais, NationalDelegate

London, United Kingdom Mr Anthony Hall, ex Secretary Generalof SICOT

Ludhiana, India Prof Aggarwal

Montreal, Canada Hôpital Sainte-JustineUniversité de Montréal, UniversitéMcGillDr Morris Duhaime

Nairobi, Kenya Parklands Ambulatory Surgical Centre Dr P. M. Heda, National Delegate Dr Peter F. Hagembe, FRCS (NairobiHospital)

Port-au-Prince, Haiti Centre Hospitalier de la rue BerneDr Jean-Philippe Duverseau, National Se-cretary Dr B. Nau

São Paulo, BrazilSanta Casa de São Paulo,Departamento de Ortopedia e Trauma-tologia Prof Patricia Fucs,Treasurer of SICOT

Vienna,Austria Allgemeines Krankenhaus Wien Univer-sitätskliniken,Orthopädie, Universität WienProf Rainer Kotz, Past President of SI-COT Prof Martin Dominkus

Vientiane, Laos CTOV : Mittaphab Hospital,Orthopaedic Department Dr Tavanh Manivong

Yaounde, Cameroon Clinique Chirurgicale de Yaoundé Dr Jean-Rodolophe Minyem, NationalSecretaryDr Jean Bahebeck

SICOT_98_april2006 15/03/06 10:43 Page 8

Orthopaedic trauma care in the former Transkei, South Africa

page 9

Youngsurgeons

South Africa today faces a dual epidemic of increasingtrauma and HIV rates resulting in significant morbidityand mortality and placing heavy strain on an alreadyover prescribed health system.The Bedford Ortho-paedic Centre (BOC) is situated in Umtata, at theheart of the former homeland of Transkei in the Eas-tern Cape of South Africa serving a population ofabout 4 million people.It currently has 200 beds.The theatres are equippedwith a good supply of implants and there are few limi-tations on the management of orthopaedic trauma. Itis a government-financed hospital but heavily relianton equipment donations and volunteer surgeons,anaesthetists and physiotherapists. One of the maindifficulties faced by the staff is the great distances thepatients have to travel to reach the nearest clinic, thusoften getting to the Centre in a critical state due todelay in treatment.The main aim of this study wasto evaluate the main cause forthe high trauma workload pre-senting to the BOC and tolook at the length and reasonsfor delay in treatment. Over afour-month period in early2005, a prospective study was

performed on trauma related admissions to the maleadult (age 13 and older) orthopaedic ward at theBOC. Patients with spinal injuries and those who un-derwent outpatient fracture manipulation were exclu-ded.During this period 398 male patients, age range 13 to86 years, were admitted to the male orthopaedicward. 357 (90%) of these patients were admitted withtrauma related injuries and 41 patients (10%) with“cold” orthopaedic conditions that required surgery.The majority of trauma was as a result of the highroad traffic accident rate (52%), assaults (24%), falls(9%), gunshot wounds (7%) and sport related trauma(8%).25% of the trauma patients presented 7 to 14 days af-ter their initial injury while 6% presented more than14 days after their initial injury. Fracture of the femoralshaft was the most common reason for admission,dia-gnosed in 60 patients, 42 of these required operativefixation, while 18 were treated with skeletal traction.Hand injuries were seen in 51 patients whilst tibiafractures and forearm injuries were seen in 41 and 36patients respectively.The problem is the delay in arrival for treatment.Ano-ther factor to take into consideration is that the pa-tients were either previously treated in a rural hospi-tal or by their village healer and only when treatmenthad failed were they referred to the BOC.This study has highlighted the need for further funding

required to support the BOCorthopaedic trauma service.We also draw attention to thespecific problems encounte-red when treating a mainlyrural population including thedifficulties that arise from thetreatment of delayed trauma.

■

Tim MS Millar MRCS (Eng)Clinical Research Fellow,Wrightington Hospital,

Lancashire, United Kingdom

tmsmillar@hotmail.com

Charles CP McConnachie, MDProfessor of Orthopaedics and ChiefSpecialist, Bedford Orthopaedic Centre,

Umtata, South Africa

ammsa@intekom.co.za

The Bedford Orthopaedic Centre,Umtata

SICOT_98_april2006 15/03/06 10:43 Page 9

An interview with Frank Horan

page 10

You were AssociateEditor of “Internatio-nal Orthopaedics”and you left that job

to become the Editor of theBritish Volume of the Journalof Bone and Joint Surgery(JBJS). Can you tell us why?I was Associate Editor for the En-glish language part of “InternationalOrthopaedics” from 1982 and hadbeen the Chairman of the EditorialBoard for a number of years. I hadstarted doing editorial work for theJBJS in 1978. I had been a memberof the Editorial Board of the JBJSand was asked to come back as anAssociate Editor. I became the fulltime Editor in 1998. It is not reallypossible to do such a job and havecommitments to another journal.

In 2002 you were made anHonoured Member of SICOT.How did you feel about it?I was delighted. I think that I am theonly living person from the UnitedKingdom to have such an honour,although I think that there have beenseveral other Englishmen made“Membres d’Honneur” in the past.

You were Medical Directorat the Princess Royal Hospitalat Haywards Heath,near Brigh-ton. How did you come to thispost and what will you remem-ber from this time?I had been associated with the orga-nisation of the management side ofthe hospital since I first went there

in 1976. Changes were made in thestructure of the Health Service andI was asked to be Medical Director.This was not a task that I was parti-cularly keen on, but in the end I en-joyed it considerably and I think thatI was able to contribute to the ove-rall success of the hospital.

You have now retired but you still have a medicolegalpractice.What exactly do youdo through this activity?I am not fully retired. I spend half ofthe week with the JBJS. I have had amedicolegal practice for many years.It involves producing reports forpeople who have been injured inaccidents to assist their lawyer inpursuing their claims in the courts.

I have been told that youwere always interested inSports Medicine and were me-dical officer to a basketballteam for a while.

I have been involved in Sports Medi-cine for many years. I was the doc-tor to the England and Great Britainbasketball teams for about 20 yearsand a member of the Olympic Me-dical committee during this time. Ihave been associated with profes-sional cricket for much of my life.

Indeed,I know that you are avery keen cricketer and belongto a cricket team.What do youfind attractive in this sport?It is simply because I have alwaysplayed and loved the game. I suppo-se that it is an essentially Englishgame and I am an Englishman!

Why did you become amember of SICOT?At the suggestion of my friend andmentor Lester Lowe who, at thattime,was Associate Editor of “Inter-national Orthopaedics”.When theJournal started he had asked me tohelp him edit the manuscripts. ■

What is ISMISS?ISMISS means “International Society

for Minimal Intervention in Spinal Sur-

gery” and is based in the USA. Its first

President was Pariz Kambin from 1990

to 1993 and the current President is

Hallet H. Mathews (2005-2008).The

names of the other Presidents of IS-

MISS are: Hwan Yung Chung, Immedia-

te Past President (2002-2005), Pierre

Benazet (1999-2002), Mario Brock

(1996-1999) and Adam Schreiber

(1993-1996).The year of affiliation of

ISMISS to SICOT was 1990, the year in

which the Society was founded.The

number of its members is 250 and they

are spread among 18 nations. ISMISS

has several branches all over the world:

for example, the American Branch, the

European Branch and the Asian Branch.

Each branch has five to six meetings a

year, one Annual Congress and one

Triennial World Congress.

Dr Hwan Yung Chung

ISMISS Immediate Past President

Worldwidenews

SICOT_98_april2006 15/03/06 10:43 Page 10

page 11

Room Room Room Room Room Foyer Atlantico B+C Atlantico C Quebracho Pacifico A Buen Ayre Pacifico

Posters

Trainees’ Meeting:Fracture

Free papers

Morning

Trainees’ Meeting: HipFree papers

Afternoon

Opening ceremony

Evening18.30 - 20.00

Welcome cocktail

Evening20.00 - 22.30

Posters

“How to”:Osteotomies

around the hip

Bone loss – Surgical

Reconstruction Free papers

New trends inOsteosynthesissponsored by

AO Foundation

SIROT meetingFree papersMorning

“How to”:Osteotomies

around the knee

New trends in

Open fracture Free papersFoot

and Ankle

SICOT/SIROTCombinedNon unionFree papers

Afternoon

Thursday, 24 August 2006

Posters

“How to”:SpineNon-UnionFree papersSports

Medicine

PediatricsOrthopaedics/

IFPOSMorning

“How to”:Upper

extremity (Trauma)

PolytraumaFree papersSports Medicine

PediatricsOrthopaedics/

IFPOSAfternoon

Friday, 25 August 2006

Posters

“How to”:Shoulder

arthroplastyInfectionsFree papersCervical

Spine

External fixation

sponsored byOrthofix

Morning

“How to”:FootHip Free papersHandFree papers

(selected)Afternoon

Saturday, 26 August 2006

AIC Buenos AiresProgramme at a glance

Wednesday, 23 August 2006

SICOT_98_april2006 15/03/06 10:43 Page 11

Editorial DepartmentEditorial Secretary: Prof Rocco P. PittoExternal Affairs: Nathalie Pondeville

Rue Washington 40-b.9, 1050 Brussels, BelgiumPhone : + 32 2 648 68 23 - Fax : + 32 2 649 86 01 E-mail : edsecr@sicot.org - Website : http://www.sicot.org

How to join SICOT? Complete the application form:http://www.sicot.org/?page=application

Dr M.Akkari, BrazilDr B. L.Allende, ArgentinaDr Ch.Allende, ArgentinaDr V.Allende, ArgentinaDr G.Arce, ArgentinaDr D.Aronsson, USADr R.Assumpçao, BrazilDr M.Ayerza, Argentina Dr J. Barla, ArgentinaDr A. Barquet, UruguayProf H. Bensahel, FranceDr E. Bersusky, ArgentinaProf Dr P. Biberthaler, GermanyProf P. Boileau, FranceDr R. Buckley, CanadaProf C. Bünger, DenmarkDr M.A. Buttaro, ArgentinaDr M. E. Cabanela, USADr A. Cagnoli, UruguayDr J. C. Cagnone, ArgentinaDr H. F. Caloia, ArgentinaDr R. Cerruti, ArgentinaDr S. L. Côrtes da Silveira, BrazilDr J. Couto, ArgentinaDr P. De Carli, ArgentinaDr J. de la Garza, ArgentinaDr A. De Los Rios, ParaguayDr M. De Prado, SpainProf N. De Sanctis, ItalyDr H. Del Sel, ArgentinaDr J. P. Dormans, USADr M. Duhaime, CanadaDr Ch. Duncan, CanadaDr P. Dungl, Czech RepublicProf D. Fernandez, SwitzerlandDr A. Fernandez Dell'Oca, ArgentinaDr. F. Fernandez Palazzi,VenezuelaDr G. Fiks, ArgentinaDr E. Forlin, BrazilDr J.-P. Franceschi, FranceDr J. S. Franco, BrazilDr D. Fronteira, Argentina

Prof Dr P. Fucs, BrazilProf Ch. Gaebler, AustriaDr P. Gonzalez, ArgentinaDr F. Grill, AustriaDr P. Guillen Garcia, SpainDr A. Gupta, USADr E. Honda, BrazilProf Dr R. I. P. Kotz, AustriaDr J. Lara, ChileProf S. Lee, KoreaProf J. C.Y. Leong, Hong KongDr J. Macia, ArgentinaDr A. Macklin Vadell, ArgentinaDr R. Mardones, ChileProf B. Marré, ChileDr R. Mattar Jr, BrazilDr C. Milani, BrazilDr G. H. Mohtadi, CanadaDr F. Motta, UruguayDr L. Munhoz da Cunha, BrazilDr D. L. Muscolo, ArgentinaDr P. Neira,ArgentinaDr F. Niño Gómez, ArgentinaDr G. Pagenstert, SwitzerlandDr A. Pérez Castello, ChileDr F. Piccaluga, ArgentinaProf R. P. Pitto, New ZealandDr L.A. Poitevin, ArgentinaDr C. Price, USAProf Dr K. J. Prommersberger, GermanyDr P. P. Ribeiro Baptista, BrazilProf G. Z. Said, EgyptDr F. Salas, ArgentinaDr J. M. Sanchez Azabache, PeruDr C. Santili, BrazilDr S. Schachter, ArgentinaProf J. Schatzker, CanadaProf L. Sedel, France

For more information on hotels and tours see the webpage:https://events.sorelcomm.ca/ei/Sicot/SicotLogin.html

Dr E. Segal, ArgentinaDr D. Sepulveda, ChileDr C. F. Smith, USAProf Ch. Sorbie, CanadaDr D. Stamboulian, ArgentinaProf H. Stein, IsraelDr M. Synder, PolandDr V. Szmidt, ArgentinaDr R.Tejada, BoliviaProf C.Tello, ArgentinaDr G.Thompson, USADr C.Toma,AustriaProf Dr V.Vecsei, AustriaDr J. P.Waddell, CanadaDr G. E.Wozasek, AustriaDr E. Zancolli, Argentina

More details on www.sicot.org

Invited speakers (at March 1st, 2006)

Deadline for normal fee registration for SICOT/SIROT 2006 Fourth Annual International Conference: 31 May. Special rates for doctors from Latin America!

Please register on http://www.sicot.org/?page=buenosaires

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