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CONFERENCE BOOKLET

TRAUMA C NCLAVE2016

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Your Source or Li elong Orthopaedic Learningf fAMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS

Dear Doctor,

Gerald R. Williams, Jr., MD

President

AAOS

Your Source or Li elong Orthopaedic Learningf fAMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS

Welcome notes from AAOS

In pursuit of the AAOS mission, which is serving our profession to provide

the highest quality musculoskeletal care, we strive to increase our partnership

with the Indian doctors to bring the latest advancement in trauma care to

India.

Further, to our endeavor, we are organizing the Trauma Conclave 2016 in

partnership with the IOA and our official Indian partner Insignia and Alkem

Bergen. This conclave would comprise of the best of AAOS lectures, which

would help manage trauma in a better way. We invite you for the

to be held on and at

At the end of the two days session, we would be providing a certificate for the

attendance.

We look forward to your presence at the conclave.

With best regards

Trauma th thConclave 2016 16 17 September, 2016 JW Marriott

Hotel, New Delhi.

Dear Doctor,As per the World Health Organization statistics, every year the lives of

approximately 1.25 million people are curtailed as a result of a road traffic

crash. Between 20 and 50 million more people suffer non-fatal injuries, with

many incurring a disability as a result of their injury.

About three-quarters (73%) of all road traffic deaths occur among men.

Among young drivers, young males under the age of 25 years are almost 3

times more likely to be killed in a car crash as young females.

Young people are suffering, decapitating, dying, leading to many young

families grieving—we can avoid this misfortune by timely management of

trauma cases.

In the past two years, we have successfully discussed various newer trauma

management methods. The Indian Orthopaedic Association (IOA) is glad to

partner with the American Academy of Orthopaedic Surgeons (AAOS) to bring

the Third Trauma Conclave, a forum to discuss and learn the latest in trauma

care.

The IOA is one of the largest professional organizations, which focuses on

academics, research, and social networking. It is a constantly growing

organization not only in terms of increasing memberships but also in all other

fronts like fellowships, CMEs, orations, and subspecialty meetings.

Once again this year, we look forward to your presence in this knowledge

exchange conclave.

Best Wishes,

Dr. Sudhir Kapoor

President

IOA

Welcome notes from IOA

Dear Doctor,India is one of the fastest growing economies, moving towards changing lifestyle and

improved standard of living. In this fast-paced life, trauma is becoming one of the

major health hazards, leading to mortality and morbidity.

In such situations, managing trauma in patients is critical. The AAOS with an objective

of tackling orthopedic-related conditions has managed to create a lot of relevant

content in trauma. To get a global understanding from the AAOS, we are planning for

'The Best of AAOS 2016.' The objective is to get the global learning on trauma

through International AAOS faculty and Indian experts all on one platform.

th thThe Trauma Conclave is expected to take place on 19 and 20 September, 2016 at

The Lalit Golf & Spa Resort, Goa. This highly credible conclave comprises of lectures

on Trauma management of proximal humerus, Humeral shaft, Femur, Upper

extremity, Tibia fractures, Distal tibia, Foot fractures and infections.

I cordially invite you to be a part of this knowledge conclave.

Thanking you!

SUNIL PATHAK

AVP (Sales and Marketing)

Alkem Laboratories Ltd.

RAJBIR SANDHU

Sr. Vice President

Alkem Laboratories Ltd.

Welcome notes from Alkem

Delhi Agenda

Session/TopicTime Faculty

DAY 1

Module 1

IOA faculty Chairperson

Tibia Fractures

14:00 - 14:10 Welcome and Introductions Dr. Robert D. Zura,

14:10-14:25 Proximal and Distal 1/3 Dr. Robert D. Zura

Tibia Fractures

14:25-14:40 Tibial Plateau Fractures Dr. William W. Cross

14:40-14:55 Bicondylar Tibial Plateau Dr. Philip R. Wolinsky

Fractures: How to Pick

Between 1 Column and

2 Column Fixation

14:55-15:10 Management of Open Dr. Robert D. Zura

Tibia Fractures

15:10 - 15:40 Case Discussion with Tibial AAOS and IOA Faculty Dr. Sushrut Babhulkar

Plateau Surgical Approaches Moderated by

and/or Video Dr. William W. Cross

15:40 - 15:55 Break

Faculty

Dr. M. S. Ghosh

Dr. S. Kapoor

Dr. P. M. Gadre

Module 2 Fractures of the Femur

15:55 - 16:10 Femoral IMN: How, When, Dr. Philip R. Wolinsky

Reduction Tips and Tricks

16:10 - 16:25 Distal Femur Nailing Dr. William W. Cross

16:25 - 16:40 Subtrochanteric Femoral Dr. Robert D. Zura

Fractures

16:40 - 17:10 Case discussion with Hip Dr. William W. Cross

Fracture Nailing: Techniques,

Set-up and Reduction and

Video

17:10 - 17:25 Break

Dr. I. Sardar

Dr. S. Rastogi

Module 3 Distal Tibia and foot fractures

17:25 - 17:40 Pilon Fractures Dr. Robert D. Zura

17:40 - 18:00 Midfoot Injuries Dr. William W. Cross

18:00 - 18:30 Case Discussion AAOS and IOA Faculty Dr. M. S. Dhillon

Dr. Anil Dhal

Dr. Vineet

Sharma

DAY 2

Module 4

Session/TopicTime FacultyIOA faculty ChairpersonFaculty

Humerus Fractures

09:00 - 09:10 Welcome Dr. Robert D. Zura

09:10-09:25 Proximal Humerus Fractures: Dr. Philip R. Wolinsky

How to Avoid Placing Screws

in the Joint

09:25-09:40 Proximal Humerus: Dr. William W. Cross

When to replace?

09:40-09:55 Humeral Shaft - All Should Dr. Robert D. Zura

be Plated

09:55 - 10:10 Humeral Shaft - All Should Dr. Robert D. Zura

be Nailed

10:10 - 10:55 Case Discussion with ORIF AAOS and IOA Faculty Dr. R. Malhotra

Proximal Humerus Video Moderated by Dr. Cross

10:55 - 11:10 Break

Dr. Dhirendra

Singh

Dr. Ritabh Kumar

Module 5 Upper Extremity Fractures

11:10 - 11:25 Distal Radius Fractures: Dr. William W. Cross

Tips and tricks

11:25 - 11:40 Distal Humerus Fractures Dr. Philip R. Wolinsky

11:40 - 12:15 Case Discussion AAOS and IOA Faculty Dr. John

Mukhopadhaya

Dr. Mukesh Jain

12:15 - 12:45 Lunch Break

Dr. Amit

Ajgaonkar

Dr. C. S. Dhar

Module 6 Infection

12:45 - 13:00 Antibiotic Coated Nails Dr. Andrew N. Pollak

13:00 - 13:15 Masquelet Technique Dr. Andrew N. Pollak

13:15 - 14:00 Case Discussion with AAOS and IOA Faculty

Exterminator Video Moderated by

Dr. Robert D. Zura

Dr. V K Gautam

Dr. Jamal Asharaf

Delhi Agenda

Dr. Zura, a native of Baltimore Maryland, attended the Gilman School and then the

University of Virginia. He returned to Baltimore to study medicine at Johns Hopkins

and then back to UVA for his orthopedic residency. He studied under Drs. Kellam,

Sims, and Bosses at the Carolinas Medical Center in Charlotte, NC for his orthopedic

trauma fellowship. Before going to Duke, Dr. Zura spent 2 years on faculty at the

Medical College of Georgia and a year in private practice in Fredericksburg, VA. He

spent 12 years at Duke and was the Duke director of orthopedic trauma and

director of the orthopedic trauma fellowship. He has over 80 peer-reviewed

publications. His interests include fracture care, intramedullary nailing, powdered

gloves, nonunions, and osteomyelitis.

A graduate of the University of Virginia and Johns Hopkins School of Medicine,

Dr. Zura completed his surgery internship and residency at the University of Virginia

and an orthopedic trauma fellowship at the Carolinas Medical Center. He currently

coordinates the Orthopaedic Trauma program for all Duke University residents and

fellows.

Dr. Andrew N. Pollak is a professor at the James Lawrence Kernan, Chairman of the

Department of Orthopaedics at the University of Maryland School of Medicine,

and Chief of Orthopaedics for the University of Maryland Medical System. In the

past, he served as Chief of Orthopaedics and Associate Director of Trauma at the

R Adams Cowley Shock Trauma Center at the University of Maryland, which is a

world leader in trauma clinical care, research, and education. As chair of the

extremity war injuries (EWI) project team for the AAOS in the past, he developed

several important programs to assist military orthopedic surgeons in the care of

wounded warriors. In conjunction with Dr. Richard Kyle, he developed a report

following the experience that recognized the outstanding accomplishments of

military medical personnel in developing the trauma care capacity in Iraq and made

recommendations to achieve incremental improvements. He has served in the past

as chair of the board of specialty societies for the AAOS, as treasurer of the AAOS, as

president of the OTA, and as president of the Maryland Orthopaedic Association.

He currently serves as Series Editor for the AAOS Orange Book Series.

Amongst his other responsibilities, Dr. Pollak was recently appointed by the

Governor Larry Hogan as Commissioner of the Maryland Health Care Commission.

He also serves as Medical Director for the Baltimore County Fire Department and as

a Special Deputy US Marshal.

Andrew N. Pollak, MD, University of Maryland

International FacultyInternational Faculty

Robert D. Zura, MD - Course Director Louisiana State University

Dr. Cross is a board-certified orthopedic surgeon specializing in Orthopedic Trauma

with special interests in nonunion surgery and sacroiliac joint dysfunction. He is

Vice Chair of the Department of Orthopedic Surgery and Chair of the Division of

Community Orthopedic Surgery.

Dr. Cross completed his medical training at the University of Minnesota Medical

School in Minneapolis, MN in 2009 and completed a 1-year Orthopedic Trauma

Fellowship at Harborview Medical Center in Seattle, Washington. His area of

interests are orthopedic traumatology, complex periarticular injuries, pelvic and

acetabular fracture surgery, malunions and nonunions.

He is an active member of various societies including the American Academy of

Orthopaedic Surgeons and the Orthopaedic Trauma Association. He is actively

involved in several clinical research studies at Mayo Clinic and was recently voted as

Teacher of the Year for the Mayo Clinic Orthopedic Surgery Residency Program. He

has numerous scientific articles to his credit printed in various national and

international journals of repute.

MD, Mayo Clinic

Dr. Wolinsky, a board certified orthopedic surgeon, specialized in the care of

orthopedic trauma patients at a level 1 trauma center in Northern California. He did

his residency training at the New York University Medical Center, followed by a year

of fellowship training in orthopedic trauma at Vanderbilt University Medical

Center. He practiced orthopedic trauma surgery at Vanderbilt for 4 years, was Chief

of Orthopaedic Trauma at Bellevue Hospital Center for 4 years, and has practiced at

UCMDC since 2002. Along with being a committee member of the AAOS and OTA,

he is the chair of the orthopedic surgery trauma group of the Committee on Trauma

(COT), which is a part of the American College of Surgeons. He is actively involved in

developing the process to collect metrics for evaluating the care delivered to

orthopedic trauma surgery patients.

Philip R. Wolinsky, MD, University of California Davis Health System

William W. Cross III,

Your Source or Li elong Orthopaedic Learningf fAMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS

Dr. Mandeep Singh Dhillon

Indian Faculty

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He was Additional Professor at Post-Graduate Institute Chandigarh where he

obtained the MNAMS

He moved to Apollo Hospitals Colombo in January 2003

In Colombo, Dr. Dhillon was associated with the Sri Lanka Cricket team for 2.5

years as a Sports Injury consultant

He is a Chairman of the Liaison Committee of the Indian Association of Sports

Medicine, Member of the Scientific Committee on Sports medicine for ISAKOS,

and member of the Medical Commission of the Indian Olympic Association

Dr. Dhillon has a special interest in Arthroscopy, Joint replacement and Foot

and Ankle problems, as well as sports-related problems

Since 1992, he has performed more than 2,500 arthroscopic procedures, 100s

of joint replacements

MBBS, MS (Ortho), MNAMS

Orthopedic, Bombay Hospital

Professor and Head,

Dept. of Orthopedic Surgery, PGIMER, Chandigarh

Head Dept. of Physical Medicine & Rehabilitation and Consultant In charge,

Sports Medicine Clinic, PGIMER, Chandigarh

Dr John Mukhopadhaya

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He has been chairman of Orthopedics Research and Education Foundation,

India; Indian Orthopedic Association Trauma Committee.

He was faculty at various National and International courses and meetings.

He is a member of Indian Orthopedic Association, AO Trauma

World Orthopedic Concern, Association of Surgeons of India, Asia pacific

Orthopedic Association, Association of Spinal Surgeons of India, Pediatric

Orthopedic Society of India, Indian Foot Society, A.S.A.M.I (India) – (ILIZAROV

TECHNIQUES), Indian Medical Association and SAARC Orthopedic Association

He has numerous other invited articles for state and national journal and

publications

MBBS , MS (Ortho)

Orthopedic, Bombay Hospital

Director- Orthopedics & Joint Replacement

Paras HMRI Hospital, Patna

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Professor of Orthopedics at All India Institute of Medical Sciences, New Delhi

since September 2005

Faculty in the Department of Orthopedics since 1992

Associated with establishment and in charge of the only cadaveric bone bank

in India at AIIMS

First surgeon in India to successfully perform total acetabular allograft,

proximal femoral allograft, trabecular metal implant for revision hip

replacement, trabecular metal cup-cage construct for complex acetabular

reconstruction during revision total hip arthroplasty, navigated total hip

replacement, Four joint replacement in single sitting in a patient with severe

disabling juvenile inflammatory arthritis and carpometacarpal replacement

arthroplasty of the thumb

Awarded the “Chikitsa Shiromani Puraskar” for enhancing the image of India in

medical sciences by the Governor of Sikkim Dr. Bir Singh on 26th Nov., 2011 at

New Delhi, during the seminar on “Current Economic Scenario” organized by

Institute of Economic Studies

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He is a specialist in orthopedic surgery, knee surgery, hip replacement surgery

and joint replacement surgery

He is well known for the join (knee and hip) replacement surgeries

Dr. Mukesh Jain has received U.P Ratna Award in 2002 for his expertise

He is a member of the AO Foundation

MBBS, MS (Ortho), FIMSA, FRCS, MNASc, FACS, FICS

MBBS, MS (Ortho)

Orthopedic Surgeon, Vardhaman Trauma and Laproscopy Centre, Muzaffarnagar

Prof. Dr. Rajesh Malhotra

Dr. Mukesh Jain

Indian Faculty

Indian Faculty

Dr. Sushrut Babhulkar

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His specialties are joint replacement surgery, arthroscopic reconstructive

surgery & sports medicine

In 2002 he was awarded fellowship with world- famous Dr. C. S. Ranawat, USA

for specialized training in Total Joint Replacement especially the Total Knee

Replacement

He is an Executive Member of Asian Association for Dynamic Osteosynthesis,

and continues to travel Internationally to represent Asia- Pacific for fracture

management principles and treatment

He runs a dedicated division of Joint Reconstruction at Sushrut Hospital which

offers Arthroscopic Surgery of Joints and Total Joint Replacement Surgery

Dr. Sushrut is actively involved in joint replacement surgeries of Hips, Knees,

Shoulders and elbows employing all varieties of implants like cemented and

non-cemented options

Till now he has performed more than 2,000 Joint Replacements of various

kinds and has made the patients pain free and mobile

MB, MS (Orth), MCh (Orth)

Hon. Ass. Professor of Orthopaedics, Indira Gandhi Medical College & Mayo General

Hospital, Nagpur - India

MBBS, AFMC

Director & HOD Cardiology, Sarvodaya Hospital, New Delhi

Dr. (col) Anil Dhall

Dr. Amit Ajgaonkar MBBS, MS(Ortho), D(Ortho), FCPS Orthopedic Surgeon,

Manoram Hospital, Mumbai

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His specialty interests are Acute MI Interventions, Complex Coronary

Intervention (CTO, Left Main, Calcific, Bifurcation, etc), Endovascular

Aneurysm Repair, Carotid Angioplasty, Cardiac Resynchronization Therapy

Interventional Heart Failure Management, Acute Stroke Interventions,

Preventive Cardiology

His professional memberships include Fellow of American College of

Cardiology, Fellow of European Society of Cardiology, Fellow of Society for

Cardiovascular Angiography and Interventions, Fellow of Cardiological Society

of India, Fellow of Heart Rhythm Society

His awards and honors include Presidential Award of Sena Medal, Chief of

Army Staff Commendation Card, General Officer Commanding in Chief

(Southern Command) Commendation Card, General Officer Commanding in

Chief (Northern Command) Commendation Card, Chikitsa Ratan Award by

Delhi Medical Association

He has been corresponding & primary author in various international journals

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He specializes in orthopedic treatments of Trauma & Joint Replacement

His achievements include more than 1500 surgeries of complex trauma & joint

Replacement, Excellency Award in the field of Trauma from The NAILS

Association of India and the Best Faculty Award in the TRAUMACON, Mumbai

He has been Secretary of the Bombay Orthopedic Association, Joint Secretary

of the National Association of Interlocking Surgeons (NAILS), India, Member of

the organizing committee for TRAUMACON – A National Conference of

Trauma, Member of Maharashtra Orthopedic Association, Member of Indian

Orthopedic Association, Member of Central Zone Orthopedic Society and

Member of American Association of Orthopedic Surgeons

His areas of expetise are General Orthopedics with an emphasis on

Trauma,Lower Limb Arthroplasty and Rheumatoid Reconstruction,

Arthroplasty – Primary and Revision, Limb Salvage Surgery, Foot and Ankle

disorders, Sports medicine injuries of leg, Corrective Osteotomy of knee, Total

and partial knee replacement, Complex knee and foot trauma reconstruction

etc

Chairperson

Dr. Chandrashekar DharMBBS (Cal), FRCS (Edin)

Consultant Orthopedic & Joint Replacement Surgeon

Senior Consultant and Head of the Department of Orthopaedics and

Trauma at Calcutta Medical Research Institute

Chairperson

MBBS, MS (Ortho)

Consultant Orthopedic Surgeon, Singh Ortho And Maternity Center,

Ghaziabad, Uttar Pradesh

Dr. Dhirendra Singh

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His aim and objective is “I want to devote my knowledge & experience to serve

the common people in need and also to teach & train my junior colleagues”

He has special interest in Joint Replacement, Arthroscopic Surgery, Trauma &

Sports Injuries

He has 35 years' experience in this profession (Medical graduation, 1980); 33

years in Trauma & Orthopedics; 7 years specialty training & postgraduation;

and experience in different University Hospitals in U.K (1986–1993). He had

been doing joint replacement surgeries independently for last 22 years

Member of professional organizations like Indian Orthopaedic Association

(IOA), West Bengal Orthopaedic Association (WBOA), West Bengal

Arthroplasty (WBA) Society, Indian Society of Hip & Knee Surgeons (ISHKS),

Indian Medical Association (IMA), Indian Arthroscopy Society (IAS)

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His specialties include general orthopedics and arthroscopy surgery

He has been the Chairman of Super Speciality Training Committee, I.O.A

He has been the President of UPOA

Dr. Indrajit SardarMS (Ortho), DNB (Ortho)

Senior Consultant Orthopedic Surgeon, Nightingale Hospital, Bellevue Clinic, Kolkata

Executive Committee Member – Indian Orthopaedic Association

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Past-President West Bengal Orthopedic Association, West Bengal Arthroplasty

Society, Eastern Zonal Regional Orthopedic Forum

He has won medals and certificates in anatomy, physiology, and surgery

First in MS (Ortho), Calcutta University, 1983

Dr. I. Sardar has been the Ex-Executive Committee member Indian Society of

Hip and Knee Surgeons; Chairman, Scientific Subcommittee, IOACON (2007)

Kolkata; Secretary, West Bengal Orthopedic Association (1998–2001);

Chairman Organizing Committee NAILSCON (2010); Chairman, Arthroplasty

Sub-Committee, WBOA (2010); Member, Editorial Board, Journal of Indian

Orthopedic Association (1997–1998); Clinical Tutor, then Lecturer, Assistant

Professor and finally Reader, Dept. Of Orthopedics, IPGMER, Kolkata,

(1987–1998), Organizing Secretary (ISHKS 2013)

Dr. M. S. GhoshMBBS (Cal),

FRCS (Edin), FRCS (Eng), MCh Orth (L Pool), FAIS

Senior Consultant Orthopedic Surgeon

Kothari Medical Centre & Research Institute at Calcutta

Sr. Overseas Fellow of British Orthopaedic Association

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Reader and Head of one of the orthopedic units Christian Medical College &

Hospital at Vellore (1966–69), Chief Orthopedic Surgeon and Hospital

Superintendent of Railway Orthopedic Institute & Research Centre at Howrah

(November 1969–1991) where he transformed a 50-beded hospital to an 180-

beded Orthopedic & Traumatic Institute, one of the best in this country

Dr. Ghosh is actively involved in the development of Sports Medicine in India,

and has trained batches of medical graduates and paramedical staff as Course

Director of Diploma and Certificate Courses in Sports Medicine

Past-President Indian Orthopaedic Association, West Bengal Association of

Sport Medicine and Ex-Student Association of Calcutta Medical College

He is Senior Overseas Fellow of British Orthopaedic Association and reviewer

of Journal of Bone & Joint Surgery (British Volume)

Chairperson

Dr. Prabhakar Moreshwar GadreMBBS, D (Ortho), MS (Ortho)

Honorary Orthopedic Surgeon, R. K. Charitable Dispensary

Chairperson

MBBS, MS (Ortho), MCh (Ortho)

Senior Consultant – Orthopedics

Indian Spinal Injuries Centre, Vasant Kunj, New Delhi

Dr. Ritabh Kumar

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He was a resident in Cook County Hospital, Chicago and senior resident in

orthopedic oncology at Sloan Kettering NY, USA

Worked as honorary orthopedic surgeon at Nagar Mahapalika, 1979 to 1989

Organizing chairpersion of ALTS course at IIT, Kanpur under the auspices of

Kanpur Orthoperdic Club

He was the President of U P Chapter of IOA, 1999

He was the past President at Kanpur Orthopedic Club

He received professional excellence award by IMA, Kanpur branch, 2013

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Describes himself as a small boy who has not grown up in orthopedics

Fellowship in Trauma – Italy, Australia

Worked at Max Hospitals, Delhi and Medanta Medicity, Gurgaon

Currently – Indian Spinal Injuries Centre, New Delhi – Chief of Trauma Services

Publications – 11; Chapters – 9

AO Faculty

Dr. Shishir RastogiMS, DNB

Professor, Department of Orthopedics, AIIMS, New Delhi

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His areas of interest are orthopedic oncology and joint replacement surgery

He has been a Pool Officer, KG Medical College, Lucknow; Lecturer, RALC Dept.

of Orthopedics Medical College, Lucknow; Research Registrar, Nuffield

Orthopedic Centre, Oxford; Professor, Department of Orthopedics, AIIMS,

Delhi (1986–till date)

He is a member of almost all reputed National and International orthopedic

associations

He has 80 papers, 7 chapters in textbooks to his credit

His honors and awards include JJ and Robert Roaf Fellowship of IOA (1985);

Teacher of Handicapped by Rotary International; WOC–SICOT Fellowship

(1999); B.N. Sinha Gold Medal; Official nominee of the President of Indian

Orthopedic Association for the SICOT, Conference held in Hong Kong (2008),

Founder Member, UP Chapter of IOA, Special Award by IAPMR and Best PG

award

Dr. Sudhir K KapoorMS (Ortho)

Hon. Treasurer IOA

Dean, ESI PGIMSR, Professor and HOD Orthopedics

m He is a specialist in arthoscopic surgery and general orthopedics

Chairperson

Dr. Vineet SharmaMBBS, MS(Ortho)

Consultant Orthopedic and Joint Replacement, Panchkula Hospital

Chairperson

MBBS, MS(Ortho)

Dr V K Gautam

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Conjointly he is associated with Indus Super Speciality Hospital

Along with this he manages his own clinic with the name Advanced Hip and

Knee Clinic, sector 47, Chandigarh

He has fellowships in the field of hip and knee replacements at rush University,

Chicago and University of Minnesota hospital of Special Surgery and Ranawat

Orthopedic Centre in New York

His special areas of interest include joint (knee, hip and elbow ) replacement

and trauma

He is the first doctor in his region to perform total elbow replacement and

complex hip and knee replacement

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He is the Director Professor at Dept. of Orthopedics, Maulana Azad Medical

College, New Delhi

His honorary awards include DNB (Ortho)

Program Learning Objectives

Lower Extremity:

Upper Extremity:

1. Understand the deformities characteristically seen with proximal and distal tibial fractures.

2. Appreciate the advantages and disadvantages of both intramedullary nailing and open reduction and

internal fixation with plate/screw constructs for the treatment of proximal and distal tibia fractures.

3. Be able to apply the techniques employed to obtain and maintain appropriate reductions of proximal

and distal tibial fractures

4. Understand the deformities characteristically seen with femoral fractures, particularly,

subtrochanteric and distal femoral fractures.

5. Appreciate the advantages and disadvantages of both intramedullary nailing and open reduction and

internal fixation with plate/screw constructs for the treatment of proximal and distal femoral fractures.

6. Be able to apply the techniques employed to obtain and maintain appropriate reductions of proximal

and distal femoral fractures

1. Understand the treatment options for proximal humeral fractures to include non-operative

management, percutaneous pinning, open reduction and internal fixation with plates, intramedullary

nailing, hemiarthroplasty and reverse total arthroplasty.

2. Understand the reasons for fracture fixation failure and be able to apply techniques to minimize

failures in the treatment of proximal humerus fractures.

3. To better understand modern principles of fixation of humeral shaft, distal humeral and distal radius

fractures.

Summary

Case Presentations

1. Fractures of the proximal tibial metadiaphysis and proximal diaphysis are injuries commonly seen in

road traffic collisions.

2. These fractures may have concomitant injuries to the tibia either proximally or distal to this

fracture. In high energy mechanisms, a high suspicion for vascular injuries and/or compartment

syndrome should be maintained.

3. Intramedullary nailing may allow earlier weight-bearing in some cases.

4. Historically, intramedullary nailing has proven to be technically difficult & is associated with the classic

deformities of valgus, apex anterior angulation and posterior translation of the distal segment.

5. Multiple techniques have been developed to help overcome the obstacles related to the treatment of

these fractures.

6. Distal tibial fractures are fraught with many similar challenges as proximal. Multiple techniques have

been developed to help overcome the obstacles related to the treatment of these fractures.

7. Subtrochanteric femoral fractures are challenging due to the classic deformity of varus, shortening,

adduction and varus. Multiple techniques have been developed to help overcome the obstacles related

to the treatment of these fractures.

8. Distal femoral; fractures can be plated or nailed. Nailing these fractures requires care and multiple

techniques have been developed to help overcome the obstacles related to the treatment of these

fractures.

9. Proximal humerus fractures can be difficult to treat whether treating non-operatively or operatively.

10. Non-operative management is a realistic option in a majority of cases.

11. The choice of open reduction and internal fixation versus arthroplasty depends on the patient's

physiologic age, activity level, rehabilitation potential, fracture pattern and bone quality.

12. Humeral shaft, distal humeral, and distal radius fractures are common and challenging fractures.

Multiple techniques have been developed to help overcome the obstacles related to the treatment of

these fractures.

By the conclusion of the program, for each topic listed, participants will be able to:

Work through the decision making process in terms of which patient to operate upon

Identify which surgical option to select

Identify issues that may arise during the postoperative regimen

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Notes

Notes Notes