course program 37th aotrauma course—basic...

Course program

37th AOTrauma Course—Basic Principles of Fracture ManagementAugust 1-3, 2017, Bangkok, Thailand

Home to Trauma & Orthopaedics

Value statement

AOTrauma is committed to improve patient care outcomes through the highest quality education. We strive to combine the right knowledge and surgical skills that empower the orthopaedic and trauma surgeons to put theory into practice and to improve fracture management for the benefit of the patient.

The AO principles of fracture management

Early and safe mobilization and rehabilitation of the

injured part and the patient as a whole.

Preservation of the blood supply to soft tissues and bone by gentle reduction techniques and careful handling.

Fracture fixation providing absolute or relative stability, as required by the “personality” of the fracture, the patient, and the injury.

Fracture reduction and fixation to restore anatomical

relationships.

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Dear AOTrauma course participant,Welcome to the AOTrauma Course—Basic Principles of Fracture Management, which is planned and delivered to meet your needs using a competency-based curriculum approach and the AO's seven principles for high-quality education.

AO Trauma's innovative approach to education has been further strengthened as a result of the successful collaboration with the AO Education Institute in the application of state-of-the-art educational concepts in curriculum planning and all faculty development programs.

This course is one of our many educational activities for providing lifelong learning, from the Residents Education Program through to specialized Continuing Professional Development (CPD) for practicing surgeons and clinicians.

We believe that your active engagement in this course will result in improved care for your patients. Your current level of knowledge and skills will be challenged by the activities and throughout the entire event. We are confident that the combination of education principles and relevant content from our curriculum, as well as your interaction with colleagues and expert faculty will provide an effective learning experience that meets your needs.

This course is part of an overall competency-based educational program that includes many other activities and resources for self-directed learning. The educational activities in each program are developed by an international taskforce of clinical experts and educationalists and made available to you through the Education section of www.aotrauma.org.

We hope you enjoy the course and benefit from the networking opportunities it provides for you to share experiences with your colleagues.

If you enjoy the experience during your course and would like to stay in touch with the organization and its international network of surgeons, we invite you to become a member of AOTrauma. The benefits of membership, including options to get involved in new opportunities that advance trauma care are described at www.aotrauma.org.

Wa'el TahaChairperson AOTrauma Education Commission

John (Jack) WilberChairperson AOTrauma International Board

Content2 Value statement

2 The AO principles

3 Dear course participants

4 Goal of the course

4 Target participants

4 Course objectives

4 Course description

5 Chairpersons

5 Faculty

6 Faculty

7 Tuesday, August 1, 2017

9 Wednesday, August 2, 2017

11 Thursday, August 3, 2017

13 Course organization

13 Course information

37th AOTrauma Course—Basic Principles of Fracture Management 3

The AOTrauma Course—Basic Principles of Fracture Management is targeted at physicians in surgical training but is also open to anyone else who is interested in furthering their knowledge and skills in operative fracture management.

The AOTrauma Course—Basic Principles of Fracture Management teaches fundamental principles and current concepts in the treatment of injuries, incorporating the latest techniques in operative fracture management. The AOTrauma Basic Principles course is the initial step along the path of lifelong learning in the area of operative fracture management. This course mainly focuses on the basic principles of fracture management.

Online precourse self-assessment prepares participants for the course and allows the faculty to tailor the course to the needs of the participants. Before attending the course, participants are expected to complete online modules on bone healing and classification.

The course contains several evidence-based lectures, which cover the key information required. The AO Skills Lab engages participants in hands-on learning of basic principles and practical know-how needed for live surgery. With experiences such as proper tightening of a screw and feeling the difference between drilling with

sharp and blunt drill bits, participants gain important surgical skills and learn about basic biomechanical concepts in a safe, instructive environment. In practical exercises participants will be trained in the application of fixation techniques. Discussing cases in small groups helps participants to understand decision-making and management skills.

After the course, an online postcourse self-assessment provides participants an opportunity to review the important topics from the course.

Course description

Target participantsGoal of the course

At the end of this course, participants will be able to:

• Discuss the concepts of stability, their influence on bone healing, and how to apply implants to achieve appropriate stability

• Plan a treatment based on assessment, imaging, classification, and decision making

• Apply reduction techniques in fracture management with attention to the importance of the soft tissues

• Treat diaphyseal and simple (peri)articular fractures using different application techniques

• Evaluate and recognize the special problems related to fractures in the immature skeleton, pelvic injuries, osteoporotic fractures, postoperative infection, delayed union and/or nonunion

• Plan the initial treatment of the polytraumatized patient

Course objectives

4 37th AOTrauma Course—Basic Principles of Fracture Management

Chairperson

Matsumura Tomohiro Japan Tokyo Nishi Tokusyukai Hospital

Oppy Andrew Australia Royal Melbourne Hospital

Yu Bao Qing China Shanghai Pudong Hospital

Amarase Chavarin Thailand Chulalongkorn University

Anuraklekha Surapong Thailand Bumrungrad International Hospital

Apivatthakakul Theerachai Thailand Chiang Mai University

Arpornchayanon Olarn Thailand Bangkok Hospital, Chiang Mai

Bavonratanavech Suthorn Thailand Bangkok Hospital, Bangkok

Bunchongcharoenlert Preecha Thailand Pranangklao Hospital

Bupparenoo Pongsakorn Thailand Rajavithi Hospital

Chamniprasas Kanyika Thailand Prince of Songkla University

Chanpradab Wuttipong Thailand Phramongkutklao Hospital

Chantaraseno Nathapon Thailand Bangkok Hospital, Bangkok

Chiewchantanakit Siripong Thailand Chiang Mai University

Chumchuen Sukanis Thailand Thammasat University

Jarayabhand Rahat Thailand Bhumibol Adulyadej Hospital

Jiamton Chittawee Thailand Lerdsin Hospital

Jiraboonsri Wichian Thailand Samitivej Sukhumvit Hospital

Jirangkul Phuriphan Thailand Phramongkutklao Hospital

Jitprapaikulsarn Surasak Thailand Buddhachinaraj Hospital

Kritsaneephaiboon Apipop Thailand Prince of Songkla University

Regional Faculty

Local Faculty

Vajarin PhiphobmongkolPolice General Hospital, Thailand


Kulachote Noratep Thailand Ramathibodi Hospital, Mahidol University

Laohathaimongkol Thongchai Thailand Bumrungrad International Hospital

Laupattarakasem Pat Thailand Khon Kaen University

Luksameearunothai Kitchai Thailand Vajira Hospital

Malisorn Saran Thailand Naresuan University

Maneerit Jakravoot Thailand Vajira Hospital

Ngamkitidechakul Sukum Thailand Rajavithi Hospital

Nimkingratana Puwapong Thailand Chiang Mai University

Orapin Sitthiporn Thailand Bumrungrad International Hospital

Petchkam Pongpol Thailand Bhumibol Adulyadej Hospital

Phiphobmongkol Vajara Thailand Bangkok Hospital, Bangkok

Phornphutkul Chanakarn Thailand Chiang Mai University

Pongsamakthai Wanjak Thailand Khon Kaen Hospital

Preecha Weera Thailand Rajavithi Hospital

Riansuwan Kongkhet Thailand Siriraj Hospital, Mahidol University

Sa-ngasoongsong Paphon Thailand Ramathibodi Hospital, Mahidol University

Sikarinkul Eakachit Thailand Bangkok Hospital, Bangkok

Sirisreetreerux Norachart Thailand Ramathibodi Hospital, Mahidol University

Siritheanchai Pongtorn Thailand Bangkok Hospital, Bangkok

Sripadungkul Suwitcha Thailand Khon Kaen University

Srisom Kritsakorn Thailand Paolo Memorail Hospital

Suwanaratana Rathapoom Thailand Chulabhorn Hospital

Tangmanasakul Akegapon Thailand Police General Hospital

Tantavisut Saran Thailand Chulalongkorn University

Vechasilp Jaruwat Thailand Police General Hospital


Tuesday, August 1, 2017

TIME SUBJECT FACULTY

Moderator: Vajarin P

08:00-08:10 Welcome and introduction Vajarin P / Suthorn B / Apipop K

08:10-08:25 The AO world—From history to life long learning Suthorn B

08:25-08:40 Influence of the patient factors and the mechanism of injury on fracture management

Oppy A

08:40-08:55 The (soft-tissue) injury—a high priority consideration Surasak J

08:55-09:10 Absolute stability: biomechanics, techniques, and fracture healing Kritsakorn S

09:10-09:25 Relative stability: biomechanics, techniques, and fracture healing T Matsumura

09:25-09:40 Fracture fixation using locking plates Eakachit S

09:40-10:00 COFFEE BREAK

Moderator: Wanjak P

10:00-10:15 Principles of diaphyseal fracture management—what is important in treating these fractures?

Oppy A

10:15-10:30 Reduction techniques of diaphyseal fractures—principles and methods

Vajara P

10:30-10:35 Location change to Practical / Discussion room

10:35-11:35 Rotation 1 ( 4 groups rotation )

11:35-12:30 LUNCH BREAK






Small group discussion 1 Discussion on general principles, classification, concepts of stability, their influence on bone healing, and how to apply implants to achieve appropriate stability

Moderator: A: Oppy A / Sukanis C / Siripong C / Suwitcha S / Suthorn B B: BQ Yu / Chittawee J / Jakravoot M / Noratep K / Olarn A C: Matsumura T / Pongpol P / Paphon S / Kongkhet R / Sitthiporn O

Practical exercise 1 Internal fixation with screws and plates—absolute stability

Moderator: 1: Kritsakorn S 2: Weera P 3: Rahat J 4: Nathapon C Table Instructor: 1: Puwapong N 2: Pat L 3: Kitchai L / Pongsakorn B


Tuesday, August 1, 2017 (cont.)


Practical exercise 2 Principle of the internal fixator using the locking compression plate (LCP)

Moderator: 1: Eakachit S 2: Surasak J 3: Surapong A 4: Chanakarn P

Table Instructor: 1: Chavarin A / Pongtorn S 2: Akegapon T / Preecha B 3: Wichian J

Practical exercise 3 Tibial fractures treated with different external fixator frame constructs—assessment of stability

Moderator: 1: Norachart S 2: Wanjak P 3: Jaruwat V 4: Wuttipong C

Table Instructor: 1: Sukum N / Thongchai L 2: Saran M / Rathapoom S 3: Phuriphan J / Saran T

16:05-16:15 Location change to AO Skill Lab room

16:30-16:40 Introduction to AO Skill Lab Theerachai A / Vajara P

16:40-18:30 Skill Lab Rotation 1 Torque measurement of bone screws 2 Soft tissue penetration during drilling 3 Heat generation during drilling 4 Mechanics of bone fractures 5 Fracture healing 6 Techniques of reduction 7 Mechanics of intramedullary fixation 8 Mechanics of plate fixation I 9 Mechanics of plate fixation II 10 Damaged implant removal

Skill Lab Rotation 1 Kongkhet R / Eakachit S / Puwapong N / Thongchai L 2 Siripong C / Surasak J / Chavarin A / Preecha B 3 Paphon S / Jaruwat V / Saran M / Kitchai L 4 Wuttipong C / Wanjak P / Sukum N 5 Nathapon C / Saran T / Akegapon T 6 Apipop K / Rahat J / Pongpol P / Kritsakorn S 7 Chanakarn P / Noratep K / Sukanis C / Norachart S 8 Jakravoot M / Weera P / Chittawee J / Pat L 9 Surapong A / Wichian J / Pongtorn S / Phuriphan J 10 Vajarin / Suwitcha S / Pongsakorn B / Rathapoom S

18:30 END OF DAY 1


Wednesday, August 2, 2017


Moderator: Suwitcha S

08:00-08:15 What I have learned from the practical exercise yesterday? Apipop K

08:15-08:30 Management principles for articular fractures—how do they differ from diaphyseal fractures?

BQ Yu

08:30-08:45 Reduction techniques for articular fractures—principles and methods

Wanjak P

08:45-09:00 Forearm fractures need understanding of principles for diaphyseal and articular fractures

T Matsumura

09:00-09:15 Preoperative planning—rationale and how to do it BQ Yu

09:15-10:15 Preoperative planning—“plan your forearm operation” Templating exercise (in lecture room)

Nathapon C Jaruwat V / Norachart S / Pongsakorn B / Pongtorn S / Surasak J


Moderator: Pongpol P

10:35-10:50 Distal radial fractures—which to fix? How to fix? Jaruwat V

10:50-11:05 Fractures of the olecranon and patella Saran T

11:05-11:20 Ankle fractures—a logical approach for their fixation Pongpol P









Wednesday, August 2, 2017 (cont.)



Small group discussion 2 Management principles for the treatment of diaphyseal fractures

Moderator: A: Pongtorn S / Wanjak P / Apipop K / Surapong A / Theerachai A B: Saran T / Surasak J / Chanakarn P / Vajarin P / Wuttipong C C: Pongsakorn B / Norachart S / Kongkhet R / Nathapon C / Vajara P

Practical exercise 4 Reamed IM nailing Tibial shaft fractures—intramedullary nailing (with reaming)

Moderator: 1: Oppy A 2: Chittawee J 3: Suwitcha S 4: Weera P

Table Instructor: 1: Puwapong N 2: Pat L 3: Kitchai L / Pongpol P

Practical exercise 5 Operate your plan—fixation of a 22-C1 forearm fracture using the LCP 3.5 (8 and 11 holes)

Moderator: 1: BQ Yu 2: Jaruwat V 3: Paphon S 4: Siripong C 5: Jakravoot M

Table Instructor: 1: Chavarin A / Eakachit S 2: Akegapon T / Preecha B 3: Wichian J

Practical exercise 6 Tension band wiring of the olecranon

Moderator: 1: T Matsumura 2: Sukanis C 3: Noratep K 4: Sitthiporn O

Table Instructor: 1: Sukum N / Thongchai L 2: Saran M / Rathapoom S 3: Phuriphan J / Kritsakorn S

16:30 END OF DAY 2


Thursday, August 3, 2017


Moderator: Paphon S

08:00-08:15 What I have learned from the practical exercise yesterday? Rahat J

08:15-08:35 Proximal femoral fractures (femoral neck & trochanteric fractures) Suthorn B

08:35-08:50 Distal femoral fractures—management principles Chittawee J

08:50-09:05 Tibial plateau fractures BQ Yu

09:05-09:20 Radiation hazards Pongtorn S

09:20-09:35 Treatment algorithms for the polytrauma patie Pongsakorn B

09:35-09:50 Emergency management of pelvic fractures—a critical skill can save lives

Sukanis C

09:50-10:05 Management of open fractures Norachart S


Moderator: Noratep K

10:25-10:40 Infection after osteosynthesis—how to diagnose and management T Matsumura

10:40-10:55 Delayed union and nonunion –principles of treatment Oppy A











Small group discussion 3 Management principles for the treatment of articular fractures

Moderator: A: Eakachit S / Paphon S / Jakravoot M / Theerachai A / Sitthiporn O B: Kritsakorn S / Nathapon C / Wuttipong C / Olarn A C: Jaruwat V / Siripong C / Noratep K / Vajara P / Suthorn B

Practical exercise 7 Management of a malleolar fracture type 44–C

Moderator: 1: Pongpol P 2: Pongtorn S 3: Surasak J 4: Vajarin P

Table Instructor: 1: Puwapong N / Chittawee J 2: Pat L / Norachart S 3: Kitchai L

Practical exercise 8 Management of a trochanteric fracture using a dynamic hip screw (DHS)

Moderator: 1: Saran T 2: Suwitcha S 3: Kongkhet R 4: Chanakarn P

Table Instructor: 1: Chavarin A / Wanjak P 2: Akegapon T / Preecha B 3: Wichian J

Practical exercise 9 Stabilization of the pelvic ring using a large external fixator

Moderator: 1: Sukanis C 2: Pongsakorn B 3: Rahat J 4: Apipop K 5: Surapong A

Table Instructor: 1: Sukum N / Thongchai L 2: Saran M / Rathapoom S 3: Phuriphan J / Weera P

16:05-16:10 Course evaluation of today activities / feedback / CTC=commit to change

Vajarin P

16:10-16:15 Closing remarks Vajarin P

16:15 END OF THE COURSE

Thursday, August 3, 2017 (cont.)


Evaluation guidelinesAll AOTrauma courses apply the same evaluation process, either audience response system (ARS) or paper and pencil questionnaires. This will help AOTrauma to ensure that we continue to meet your training needs. In some regions, CME accreditation is dependent on the participant’s evaluation results.

Intellectual propertyCourse materials, presentations, and case studies are the intellectual property of the course faculty. All rights are reserved. Check hazards and legal restrictions on www.aofoundation.org/legal.

Recording, photographing, or copying of lectures, practical exercises, case discussions, or any course materials is absolutely forbidden.

The AO Foundation reserves the right to film, photograph, and audio record during their events. Participants must understand that in this context they may appear in these recorded materials. The AO Foundation assumes participants agree that these recorded materials may be used for AO marketing and other purposes, and made available to the public.

SecurityThere will be a security check at the entrance of the building. Wearing of a name tag is compulsory during lectures, workshops, and group discussions.

No insuranceThe course organization does not take out insurance to cover any individual against accidents, theft, or other risks.

Mobile phone useMobile phone use is not allowed in the lecture halls and in other rooms during educational activities. Please be considerate of others by turning off your mobile phone.

Course information

AOTrauma Asia PacificAO Asia-Pacific LimitedUnit 1310-11, Tower 1, Millennium City 1,388 Kwong Tong Road,Kowloon, Hong KongPhone +852 2581 1775Fax +852 2581 1772Email [email protected]

Course organization


Notes


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course program 37th aotrauma course—basic...

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