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AOTrauma Course—Advanced Principles of Fracture Management Precourse online activities: November 3–December 2, 2017 December 3–8, 2017 Davos, Switzerland Postcourse online activity: December 9–22, 2017

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2 AOTrauma Course—Advanced Principles of Fracture Management

Content2 Floor plan

4 Value statement

4 The AO principles of fracture management

5 Welcome

6 Goal of the course

6 Target participants

6 Learning objectives

6 Course description

7 Chairpersons

7 Faculty

9 Precourse online activities, November 3–December 2, 2017

9 Sunday, December 3, 2017

10 Monday, December 4, 2017

12 Tuesday, December 5, 2017

14 Self-directed learning modules–Chairpersons

15 Self-directed learning modules–Faculty

16 Wednesday, December 6, 2017

18 Thursday, December 7, 2017

19 Friday, December 8, 2017

21 Postcourse online activity, December 9–22, 2017

21 Event organization

22 Event information

23 Event venue

23 Business center

23 Exhibitions

23 Wireless network

24 AO Foundation—Principles of AO Educational Events

25 AO Research Institute Davos (ARI)

26 Sponsors

26 Upcoming AO Courses—Davos 2018

The first AO Course was held in Davos in 1960—these early courses pioneered psychomotor techniques by teaching practical skills of AO Techniques. Since those early days over 455,000 surgeons and 155,000 ORP from over 110 countries have attended AO Courses.

AOTrauma Course—Advanced Principles of Fracture Management 3

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 orthopedic and trauma surgeons to put theory into practice and to improve fracture management for the benefi t 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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Kodi KojimaChairperson AOTrauma International Board

Welcome to AOTrauma’s Davos Courses 2017. AOTrauma provides a wide range of relevant courses designed to meet your specific professional needs. We are confident that you will find your course as well as the networking experiences professionally rewarding.

With a global reputation for innovation, leadership, and excellence in Continuing Medical Education (CME), the AOTrauma Clinical Division and the AO Education Institute are transforming education. AOTrauma is constantly expanding its portfolio of educational activities available to you. Continuing Medical Education is not just about face-to-face courses. Portfolios address the specific clinical problems that you encounter every day. Visit the AOTrauma home page (www.aotrauma.org) to sample the new assets which are being added constantly.

The AOTrauma Davos Courses offer more than just a course experience. Your primary focus is active engagement in your course. In addition, we encourage you to:

• Interact with over 300 international faculty• Expand your professional network by establishing new relationships with colleagues that

include faculty and participants from over 80 countries• Visit and speak with staff and surgeons from the AO Foundation’s Clinical Divisions, Institutes

and Initiatives. Both the exhibits in the AO World and the “Insight into the AO Center Davos” allow you to learn about the AO’s ongoing activities and the resources available to support you in your clinical work

• Experience the 'AO Spirit' of collegiality and camaraderie that is felt by participants and faculty alike at the Davos Courses

Your current level of knowledge, attitudes, and skills will be challenged throughout the week. The best-in-class curriculum and faculty will provide you a memorable learning experience that will remain with you for a lifetime.

If you enjoy the experience during this week and would like to stay in touch with the elite AOTrauma organization, we invite you to become a member of AOTrauma. Membership for medical doctors (and DO’s) requires only a completed AOTrauma Basic Principles Course and the payment of a reasonable yearly fee.

Yours sincerely,

Welcome Dear AOTrauma course participant

PS: Your experiences with us, over the next few days, will result in the realization of new and meaningful knowledge, skills, and understanding that we hope will translate into improved patient care.

Wa'el TahaChairperson AOTrauma Education Commission


Course descriptionThis AOTrauma Advanced Principles of Fracture Management course is one of several competency-based curriculum events in 2017 which are built around a specific framework of competencies and learning outcomes. They feature a balanced mix of educational methods with a strong focus on interactive sessions.

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 an online module on reduction techniques.

The course will be taught in a modular format. Each module consists of several evidence-based lectures which will cover the key information required. Discussing cases in small groups will help participants understand decision-making processes and further develop management skills. Debates and interactive sessions will promote interactivity between faculty and course participants. In practical exercises participants will be trained in the application of various techniques.

Participants may also bring their own cases for discussion with the faculty.

After the course an online postcourse self-assessment will provide participants with important feedback on how much they have learned.

Goal of the courseThe AOTrauma Course—Advanced Principles of Fracture Management is part of a newly developed educational program teaching current concepts and fundamental principles in the treatment of complex injuries, incorporating the latest techniques in operative fracture management. The AOTrauma Advanced Principles course builds upon the AO Principles and techniques learned in the AOTrauma Basic Principles course and focuses on more complex injuries.

Target participantsThe AOTrauma Course—Advanced Principles of Fracture Management is targeted at certified orthopedic and trauma surgeons who are at the threshold of becoming independent surgeons and taking over decision-making responsibility for the treatment of complex injuries. Participants must have completed the AOTrauma Course—Basic Principles of Fracture Management and must be actively involved in trauma management.

Learning objectivesAt the end of this course participants will be able to:• Apply reduction techniques in fracture management

with attention to soft tissues• Assess and treat complex diaphyseal and (peri)

articular fractures • Demonstrate strategies for assessing and treating

open fractures and soft-tissue injuries • Initiate appropriate management for patients

with pelvic injuries and polytrauma • Recognize complications and manage

these accordingly


Brett CristUniversity of MissouriColumbia, USA

International FacultyRaid Abutalib King Fahad Hospital Madinah Saudi Arabia

Hayder Abdul Hadi Rashid Hospital Dubai UAE

Sara Bernal UMAE HTOLV Instituto Mexicano Distrito federal Mexico

del Seguro Social

Brian Buck University of Missouri Springfield USA

Chih-Hui Chen Taichung Veterans General Hospital Taichung Taiwan

Gregory Della Rocca Duke University School of Medicine Durham USA

Tim Gregg Wellington Regional Hospital Wellington New Zealand

Anthony Harris University of Florida Health Jacksonville USA

Khaled Hussein Nini Hospital Tripoli Lebanon

Madhav Karunakar Carolinas Medical Center Charlotte USA

Apipop Kritsaneephaiboon Prince of Songkla University Hat Yai, Songkla Thailand

Tomohiro Matsumura Tokyo Nishi Tokushukai Hospital Akishima City Japan

Gavino Merchan Suarez Hospital de la Policia Guayaquil Guayaquil Ecuador

Rafael Neiman Sutter Roseville Medical Center Carmichael USA

Mauro Nuñez Hospital del Trauma San José Costa Rica

Michael Sirkin New Jersey Medical School Newark USA

Mark Vrahas Cedars-Sinai Medical Center Los Angeles USA

Chairperson Co-Chairperson

An SermonUniversity Hospitals Gasthuisberg, Leuven, Belgium


Regional FacultyGeorge Babis National and Kapodistrian University Athens Greece

of Athens Medical School/Konstantopouleio General Hospital

Drago Brilej Celje General Hospital Celje Slovenia

Anna Ekman Södersjukhuset, Stockholm Stockholm Sweden

Advait Gandhe Queen Alexandra Hospital Portsmouth United Kingdom

Uğur Gönç Liv Hospital Ankara Turkey

Thomas Gösling Klinikum Braunschweig Braunschweig Germany

Mark Hatton Nottingham University Hospitals Nottingham United Kingdom

Tal Luria Rabin Medical Center, Beilinson Campus Petah Tikva Israel

Inger Schipper Leiden University Medical Center Leiden Netherlands

Andrey Smirnov East-Tallinn Central Hospital Tallinn Estonia

Yoram Weil Hadassah Hebrew University Medical Center Jerusalem Israel

National FacultyDavid Eglin AO Research Institute Davos Switzerland


Sunday, December 3, 2017

Precourse online activities November 3–December 2, 2017

TIME AGENDA ITEM

15:00 Opening of the Congress Center

15:00–17:00 Registration of participants

17:00–18:00 Opening ceremony

18:00–19:00 FOUNDERS’ RECEPTION

ACTIVITIES

Task 1 Online precourse self-assessment (30 minutes)

The online precourse self-assessment consists of questions on your profile and expertise as well as of a set of multiple-choice questions with direct feedback. Your participation will help us to focus on your needs at the upcoming event.

Please complete the eLearning module "Fracture reduction" after the precourse self-assessment and before attending the course, because faculty will build on your newly acquired knowledge.

Task 2 eLearning module Fracture reduction (20 minutes)http://www.aovideo.ch/~aoelearn/AOT_launch/fr.htm


Monday, December 4, 2017TIME AGENDA ITEM WHO

LOCATION Davos 1 (lectures) and Davos 2 (practicals)

08:00–08:15 Welcome and introduction to the course– how to get the most out of your course

B Crist, A Sermon

Module 1 Review of the principles and new techniques Moderator: A Sermon

At the end of this module participants will be able to: • Review concepts of relative and absolute stability• Demonstrate appropriate techniques of direct and

indirect reduction with attention to the soft-tissue• Describe the role of soft-tissue in fracture healing• Identify clinical indications for locked plating• List techniques to minimize radiation exposure

08:15–08:30 Direct and indirect reduction—indications and techniques M Vrahas

08:30–08:45 Locked plating—when to use, not to use, how to use? C Chen

08:45–09:00 Minimally invasive osteosynthesis—minimizing surgical footprints T Gösling

09:00–09:10 Radiation safety R Abutalib

09:10–09:30 Module 1—discussion and summary A Sermon

09:30–10:00 COFFEE BREAK

10:00–12:15 Practical exercise 1 including discussion group 1Reduction techniquesGroup 1 – Landwasser 1Group 2 – Landwasser 2

Group 3 – Landwasser 3Group 4 – Landwasser 4Group 5 – Landwasser 5Group 6 – Landwasser 6Group 7 – Landwasser 7Group 8 – Landwasser 8Group 9 – Landwasser 9Group 27 – Davos

H Abdul Hadi, B BuckG Merchan Suarez, I SchipperS Bernal, A EkmanG Babis, A GandheU Gönç, T GreggC Chen, A HarrisT Gösling, M HattonK Hussein, M KarunakarA Smirnov, M NuñezA Kritsaneephaiboon, R Neiman

12:15–13:15 LUNCH BREAK


Monday, December 4, 2017TIME AGENDA ITEM WHO

Module 2 Diaphyseal lower extremity (tibial) fractures Moderator: Y Weil

At the end of this module participants will be able to:• Describe the decision-making process for the management

of complex diaphyseal tibial fractures• Explain the technical aspects of plating tibial shaft fractures• List the adjunct techniques for proximal and distal tibial fractures

13:15–13:25 Tibial plate fixation—indications and techniques I Schipper

13:25–13:35 Tibial intramedullary nailing—what are the techniques for proximal and distal fractures?

T Gösling

13:35–13:55 Case-based panel discussion Y Weil, I Schipper, T Gösling, T Matsumura, T Luria

13:55–14:05 Module 2—discussion and summary Y Weil

Module 3 Diaphyseal lower extremity (femoral) fractures Moderator: M Vrahas

At the end of this module participants will be able to:• List the indications for external fixation of femoral shaft fractures• Identify the indications for use of plates in femoral shaft fractures• Use nailing techniques for complex diaphyseal fractures

14:05–14:15 Current treatment options of subtrochanteric femoral fractures D Brilej

14:15–14:25 Plating femoral shaft fractures—indications and techniques S Bernal

14:25–14:45 Case-based panel discussion M Vrahas, S Bernal, D Brilej

14:45–14:55 Module 3—discussion and summary M Vrahas


Module 4 Diaphyseal upper extremity (humeral) fractures Moderator: A Smirnov

At the end of this module participants will be able to:• Identify the indications for surgical treatment

of humeral shaft fractures• Discuss plating and nailing techniques

for humeral shaft fractures

15:25–15:35 Plating indications and techniques for humeral shaft fractures T Matsumura

15:35–15:45 Intramedullary nailing indications and techniques for humeral shaft fractures

T Luria

15:45–16:05 Case-based panel discussion A Smirnov, D Brilej, S Bernal, T Matsumura, T Luria

16:05–16:15 Module 4—discussion and summary A Smirnov


Tuesday, December 5, 2017TIME AGENDA ITEM WHO


Module 5 Articular shoulder fractures Moderator: K Hussein

At the end of this module participants will be able to:• Identify the expected outcomes and appropriate treatment

options for clavicular fractures• Identify the indications for surgical treatment of proximal humeral

fractures• Evaluate evidence for fixation of proximal humeral fractures

versus replacement

08:00–08:10 Fractures of the clavicle—when and how to operate?— indications and methods of fixation

T Gregg

08:10–08:20 Proximal humerus—indications and techniques for open reduction and internal fixation (ORIF)

R Neiman

08:20–08:30 Proximal humerus—indications and outcomes for arthroplasty M Karunakar

08:30–08:40 Module 5—discussion and summary K Hussein

08:40–08:45 LOCATION CHANGE TO DISCUSSION GROUPS

08:45–10:10 Discussion group 2 Upper extremity fractures—decision-making and methods of stabilizationGroup 1 – Landwasser 1Group 2 – Landwasser 2

Group 3 – Landwasser 3Group 4 – Landwasser 4Group 5 – Landwasser 5

Group 6 – Landwasser 6Group 7 – Landwasser 7Group 8 – Landwasser 8Group 9 – Landwasser 9Group 27 – Davos

A Harris, T MatsumuraT Gösling, G Merchan SuarezG Babis, M NuñezY Weil, A SmirnovG Della Rocca, A KritsaneephaiboonB Buck, H Abdul HadiA Ekman, K HusseinT Gregg, U GönçA Gandhe, C ChenI Schipper, D Brilej


10:35–11:55 Practical exercise 2 Fixation of a four-part proximal humeral fracture

R NeimanM Karunakar

11:55–12:05 LOCATION CHANGE TO LECTURE HALL


Tuesday, December 5, 2017TIME AGENDA ITEM WHO

Module 6 Articular elbow and wrist fractures Moderator: G Della Rocca

At the end of this module participants will be able to:• Plan fixation and describe the different surgical approaches

to the distal humerus• Recognize the key concepts for managing elbow fracture

dislocations• Explain the key issues in the treatment of distal radial fractures

12:05–12:15 Intraarticular distal humeral fractures—ORIF techniques, and outcomes G Babis

12:15–12:25 Fracture dislocations of the elbow—management concepts B Buck

12:25–12:35 Intraarticular distal radial fractures—indications for surgery and ORIF concepts

T Luria

12:35–12:45 Module 6—discussion and summary G Della Rocca


14:00–15:30 Practical exercise 3Fixation of a type 13-C1 fracture in the distal humerus using a locking plate

G BabisB Buck


Module 7 Articular knee fractures Moderator: R Neiman

At the end of this module participants will be able to:• Recognize ORIF principles and techniques for distal femoral fractures• List the emergency management principles for knee dislocations• Evaluate surgical principles and techniques for ORIF of the tibial

plateau

16:00–16:10 Distal femoral fractures—current techniques A Kritsaneephaiboon

16:10–16:20 Knee dislocations—principles of emergency management R Abutalib

16:20–16:30 Complex tibial plateau fractures—current techniques U Gönç

16:30–16:45 Module 7—discussion and summary R Neiman


Wednesday, December 6, 2017 Self-Directed Learning ModulesParticipants will choose their own program by selecting two of the following 4 modules:

Morning modules:• Lower extremity• Reduction techniques

Afternoon modules:• Upper extremity• Avoiding and treating complications

An SermonUniversity Hospitals Gasthuisberg, Leuven, Belgium

Chairpersons

Marinis PirpirisEpworth HospitalVictoria, Australia


Self-Directed Learning Modules FacultyLower extremity

Friedrich Baumgaertel University of Marburg Marburg Germany

Roger Bingham Royal Melbourne Hospital Parkville Australia


Marinis Pirpiris Epworth Hospital Victoria Australia

Dan Putineanu Cliniques Universitaires St. Luc Brussels Belgium

Oleksandr Rikhter Boris Medical Clinic Kiev Ukraine

Minghui Yang Beijing Jishuitan Hospital Beijing China

Reduction techniques


Roger Bingham Royal Melbourne Hospital Parkville Australia

Martin Hessmann Academic Teaching Hospital Fulda Fulda Germany

Ernest Kwek Tan Tock Seng Hospital Singapore Singapore

An Sermon University Hospitals Gasthuisberg Leuven Belgium

Mark Vrahas Cedars-Sinai Medical Center Los Angeles USA

Upper extremity

Brian Buck University of Missouri Springfield USA

Husam Darwish King Abdulaziz University Hospital Jeddah Saudi Arabia

Advait Gandhe Queen Alexandra Hospital Portsmouth United Kingdom

Mahmoud Odat Arab Medical Center Amman Jordan

Javier Roman Hospital Clínico de la Pontificia Santiago Chile

Universidad Católica de Chile

Andrey Smirnov East Tallinn Central Hospital Tallinn Estonia

Avoiding and treating complications


Drago Brilej Celje General Hospital Celje Slovenia


Frederick P Du Plessis University of the Free State Bloemfontein South Africa

Stephen Kates Virginia Commonwealth University Glen Allen USA

Ernest Kwek Tan Tock Seng Hospital Singapore Singapore

Ari Levine MetroHealth Medical Center Cleveland USA


Wednesday, December 6, 2017 Lower extremityTIME AGENDA ITEM WHO

LOCATION Davos

Module Biomechanics and biology in lower extremity fracture union

Moderator: D Putineanu

At the end of this module participants will be able to:• Delineate the place of biomechanics

and biology in femoral fractures• Discuss the place for anatomical

reduction in lower limb fractures • Describe the limitations of plate

fixation in periarticular shear fractures • Describe the different ways to position

patients to obtain proper imaging in lower extremity fracture surgery

08:00–08:05 Introduction D Putineanu

08:05–08:25 Fractured femoral necks—why do they not heal and what are the options?

M Pirpiris

08:25–08:45 Subtrochanteric fractures and failure of fixation—biomechanics or biology?

D Putineanu

08:45–09:05 Comminuted shaft fractures— should I reduce the displaced fragment?

R Bingham

09:05–09:25 Not all distal femoral fractures are the same—plates and the Hoffa fragment

F Baumgaertel

09:25–09:45 Not all tibial plateau fractures are the same—plates and the posterior tibial plateau

G Della Rocca

09:45–10:05 Posterior malleolar fractures— do they matter?

M Yang


10:30–11:30 Demonstration of supine, prone, and lateral positions for lower extremity surgery with intraoperative imaging

O Rikhter

11:30–12:00 Questions and closing remarks D Putineanu

12:00–13:30 LUNCH

TIME AGENDA ITEM WHO

LOCATION Aspen

Module Reduction techniques and methods

Moderator: M Hessmann

At the end of this module participants will be able to:• Explain forces of displacement

and how to counteract them• Define types of reduction and

explain indications for each• List tools for reduction and their

functions• Recall methods of verifying reduction

intraoperatively• Demonstrate examples of reduction

techniques in diaphyseal and articular fractures

08:00–08:05 Introduction M Hessmann

08:05–08:25 Distraction, muscle vectors, displacement forces, and ligamento-taxis

F Baumgaertel

08:25–08:45 Types of direct and indirect reduction E Kwek

08:45–09:05 Tools of reduction M Vrahas

09:05–09:25 The use of imaging in minimally invasive plate osteosynthesis plating

E Kwek


09:50–10:10 Reduction of diaphyseal fractures R Bingham

10:10–10:30 Reduction of articular fractures M Hessmann

10:30–11:30 Case discussion of reduction examples

A Sermon

11:30–12:00 Questions and discussion M Hessmann

12:00–13:30 LUNCH

Reduction techniques


Wednesday, December 6, 2017 Upper extremityTIME AGENDA ITEM WHO

LOCATION Davos

Module Biomechanics and biology in upper extremity fracture union

Moderator: M Odat

At the end of this module participants will be able to:• Describe the reasons for nonunion

in upper limb fractures• Discuss the limitations of plating in

periarticular fractures• Explain the biomechanics of stif fness

in forearm fracture malunions• Explain patient positioning and how

to obtain appropriate intraoperative imaging

13:30–13:35 Introduction M Odat

13:35–13:55 Proximal humeral fractures—why do they not heal and what are the options?

A Smirnov

13:55–14:15 Humeral shaft nonunion—is it biology or biomechanics?

H Darwish

14:15–14:35 Minimally invasive plate osteosynthesis plating in simple humeral fractures— does it break the rules?

B Buck

14:35–14:55 Distal humeral fractures and stability—can we always achieve absolute stability?

M Odat

14:55–15:15 Forearm malreduction and stiffness— is it all biomechanics and can it be corrected?

A Gandhe

15:15–15:35 Distal radial fractures—does fracture-specific fixation provide appropriate stability?

J Roman


16:00–17:00 Demonstration of supine, prone, beach chair, and lateral positions for upper extremity surgery with intraoperative imaging

A Smirnov

17:00–17:30 Questions and closing remarks M Odat


LOCATION Aspen

Module Avoiding and treating complications of fracture management

Moderator: S Kates

At the end of this module participants will be able to:• Identify and discuss the methods

of staged fracture care• Apply operative care according

to the location and soft-tissue condition of the fracture

• Recognize the indications and contraindications of osteotomy in the management of malunion

• Identify and discuss the indications for amputation

13:30–13:35 Introduction S Kates

13:35–13:55 What complications does damage control orthopedics avoid?

FP Du Plessis

13:55–14:15 Do you need to stage all periarticular fractures?

F Baumgaertel

14:15–14:35 What to do when periarticular wounds break down and fractures become infected?

S Kates

14:35–14:55 The management of open bony deficits—the place of shortening, Masquelet and transport

D Brilej

14:55–15:15 The place of external fixation in definitive management of delayed presentation of open limb injuries

G Della Rocca

15:15–15:35 Osteotomies in the correction of diaphyseal injuries

A Levine

15:35–15:55 Questions and answers S Kates


16:15–16:35 Osteotomies in the correction of articular fractures

A Levine

16:35–16:55 What to do when the articular surface is destroyed?

FP Du Plessis

16:55–17:15 Amputations or salvage—how to decide? E Kwek

17:15–17:45 Questions and closing remarks S Kates

Avoiding and treating complications


Thursday, December 7, 2017TIME AGENDA ITEM WHO


08:00–09:15 Practical exercise 4Distal femur—fixation of an intraarticular type 33-C2.1 fracture using a distal femoral locking plate

G Della RoccaA Kritsaneephaiboon


09:45–11:20 Discussion group 3Lower extremity—fractures of the femurGroup 1 – Landwasser 1Group 2 – Landwasser 2Group 3 – Landwasser 3Group 4 – Landwasser 4Group 5 – Landwasser 5Group 6 – Landwasser 6Group 7 – Landwasser 7Group 8 – Landwasser 8

Group 9 – Landwasser 9Group 27 – Davos

M Hatton, G BabisM Karunakar, S BernalT Luria, H Abdul HadiR Neiman, R AbutalibI Schipper, A SmirnovG Della Rocca, M NuñezM Sirkin, G Merchan SuarezY Weil, A KritsaneephaiboonT Gregg, T GöslingA Gandhe, K Hussein

11:20–11:30 LOCATION CHANGE TO PRACTICAL EXERCISE

11:30–12:45 Practical exercise 5Management of a type 41-C3 bicondylar tibial plateau fracture using a locking plate

U GönçM Hatton


Module 8 Injuries of the distal tibia, ankle, and foot Moderator: B Buck

At the end of this module participants will be able to:• Assess complex malleolar fractures and plan appropriate treatment• Prepare a preoperative plan including rationale for imaging,

choice of approach, and surgical tactics for tibial pilon fractures • Identify patterns of calcaneal injuries• Explain the risk of complications following injuries to the talus• Discuss the indications for surgical management of midfoot

injuries and surgical principles

14:15–14:25 Complex ankle fractures Y Weil

14:25–14:35 Pilon fractures—early and definitive treatment T Gregg

14:35–14:45 Talar neck fractures and complications M Karunakar

14:45–14:55 Calcaneal fractures—predicting and avoiding problems S Bernal

14:55–15:05 Midfoot injuries (including Lisfranc, navicular, cuboid) G Della Rocca

15:05–15:15 Module 8—discussion and summary B Buck


15:40–17:10 Practical exercise 6Management of a type 43-2C2.3 tibial pilon fracture using a distal tibial locking plate

T GreggY Weil

17:45–20:30 AO WORLD NIGHT




08:00–09:10 Discussion group 4Lower extremity—fractures of the tibia, ankle, and footGroup 1 – Landwasser 1Group 2 – Landwasser 2Group 3 – Landwasser 3Group 4 – Landwasser 4

Group 5 – Landwasser 5Group 6 – Landwasser 6Group 7 – Landwasser 7Group 8 – Landwasser 8Group 9 – Landwasser 9

Group 27 – Davos

Y Weil, H Abdul HadiD Brilej, G BabisM Sirkin, R AbutalibI Schipper, G Merchan SuarezR Neiman, C ChenT Luria, U GönçM Karunakar, T GöslingA Gandhe, K HusseinA Harris, A KritsaneephaiboonT Gregg, T Matsumura


Module 9 Articular hip and pelvic fractures Moderator: M Hatton

At the end of this module participants will be able to:• Evaluate and plan appropriate fixation techniques

for femoral neck fractures• Compare treatment options and define principles

of fixation for per- and intertrochanteric fractures• Assess pelvic ring damage in patients with pelvic injuries• Classify acetabular fractures and describe principles

of management

09:20–09:30 Keynote lecture AO Research Institute—the cutting edge on scaffolds D Eglin

09:30–09:40 Femoral neck fractures—different patients, different problems A Ekman

09:40–09:50 Per- and intertrochanteric fractures—treatment options and outcomes A Smirnov

09:50–10:00 Evaluation and emergency management of pelvic ring injuries A Harris

10:00–10:10 Acetabular fractures—evaluation and decision-making M Nuñez

10:10–10:20 Module 9—discussion and summary M Hatton


Module 10 Potential life-threatening problems Moderator: A Harris

At the end of this module participants will be able to:• Set priorities for the management of the polytrauma patient• Describe the systemic impact of injury• Evaluate the decision for early total care versus damage control• List the key principles for mangled extremity decision-making

10:40–10:50 State-of-the-art management of multiple-injured patients I Schipper

10:50–11:00 Mangled extremity—decision-making—salvage versus amputation H Abdul Hadi

11:00–11:10 Module 10—discussion and summary A Harris

Friday, December 8, 2017


Friday, December 8, 2017 TIME AGENDA ITEM WHO

Module 11 Complications Moderator: M Sirkin

At the end of this module participants will be able to:• Recognize the reasons why fractures do not heal• List the treatment principles for nonunions• Discuss appropriate strategies for bone defects

11:10–11:20 Nonunion—principles and common techniques K Hussein

11:20–11:30 Bone defects—strategies (including biological membrane and bone transport)

B Crist

11:30–11:40 Module 11—discussion and summary M Sirkin

11:40–12:10 LUNCH WITH SANDWICHES

12:10–13:10 Discussion groups 5Decision-making in difficult fracture cases and polytrauma patientsGroup 1 – Landwasser 1Group 2 – Landwasser 2Group 3 – Landwasser 3

Group 4 – Landwasser 4Group 5 – Landwasser 5Group 6 – Landwasser 6Group 7 – Landwasser 7Group 8 – Landwasser 8Group 9 – Landwasser 9Group 27 – Davos

A Gandhe, A SmirnovT Luria, M NuñezG Della Rocca, G Merchan SuarezB Buck, T MatsumuraT Gregg, U GönçM Sirkin, R Abutalib,R Neiman, C ChenM Karunakar, D BrilejM Hatton, S BernalA Harris, G Babis


Module 12 Special problems Moderator: A Sermon

At the end of this module participants will be able to:• Integrate the management principles for insufficiency fractures• Identify the treatment principles for infected fractures after ORIF• List the key treatment principles for periprosthetic fractures• Recognize the key ways to stay out of trouble

13:20–13:30 Insufficiency fractures—overview and fixation techniques T Gösling

13:30–13:40 Infection after ORIF—management principles M Sirkin

13:40–13:50 Periprosthetic fractures A Gandhe

13:50–14:00 Violation of AO principles—staying out of trouble M Hatton

14:00–14:10 Module 12—discussion and summary A Sermon

14:10–14:20 Closing remarks and end of course B Crist, A Sermon


Event organizationAOTrauma EducationAnja SutterClavadelerstrasse 87270 Davos, SwitzerlandTel +41 81 414 27 12Fax +41 81 414 22 84Email [email protected]

AO funding sourcesUnrestricted educational grants from different sources are collected and pooled together centrally by the AO Foundation. All events are planned and scheduled by local and regional AO surgeon groups based on local needs assessments. We rely on industrial/commercial partners for in–kind support to run simulations/skills training if educationally needed.

Postcourse online activity December 9–22, 2017

ACTIVITIES

Online postcourse self-assessment (10 minutes)

At the end of this course you will receive an e-mail link to the postcourse self-assessment. Please take the opportunity to complete the self-assessment. This will help you to reflect on what you have learned during the event and also help us to improve future events.


Event informationEvent feeAOTrauma Course—Advanced Principles of Fracture Management: CHF 2,800.–Included in the event fee is the conference bag with documentation, coffee breaks, lunches, AO World Night and course certificate.

European CME Accreditation For this course the UEMS-EACCME® in Brussels have granted 30 European CME credits (ECMEC®s).

Swiss CME Accreditation Additionally an application has been made to the following Swiss societies:Schweizerische Gesellschaft für Chirurgie (SGC/SSC)Schweizerische Gesellschaft für Orthopädie und Traumatologie (SGO/SSO)

Conflicts of Interest (COI)All disclosure information can be viewed at the event webpage: http://DAVOS1712-ADV.aotrauma.org

Course certificateThe course certificates will be available at the end of the event at the welcome desk.

Evaluation guidelinesAll AOTrauma events apply the same evaluation process, online pre- and post-event evaluation and on-site paper and pencil questionnaires. This helps AOTrauma to ensure that we continue to meet your training needs.

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

Recording, photographing, or copying of lectures, practical exercises, case discussions, or any event materials is strictly forbidden. Participants violating intellectual property will be dismissed.

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.

SecuritySecurity checks will be conducted at the entrance of the building. Wearing of a name tag is compulsory during lectures, practical exercises, and group discussions.

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

Use of mobile phonesUse of mobile phones 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.

Picture GalleryCheck out aodavoscourses.org for a daily selection of pictures from the Davos Courses 2017, the best from last year's courses, and a selection of photographs from the first ever AO Davos Courses.

Dress codeWarm clothes and suitable shoes are advisable.


Event venueCongress Center DavosTalstrasse 49A7270 Davos, SwitzerlandPhone +41 81 414 62 00Fax +41 81 414 62 29

General informationSunday 12:00–19:00Monday to Thursday 07:30–19:00Friday 07:30–16:00

AO WorldSunday 15:00–17:00Monday to Thursday 09:00–17:00 (Thursday –20:30)Friday 09:00–15:30

Industry exhibitionSunday 15:00–19:00Monday to Friday 09:00–17:00 (Thursday –18:00)Friday 09:00–15:30

Business centerThere are business centers facilities in the Congress Center which are accessible to everybody.

Services• Internet and e-mail access• Printer access• www.aofoundation.org

AO Course website offering course-related information

Opening hours• 30 minutes before the first course of the day starts

until• 30 minutes after the last course ends

DisclaimerThe use of your own computer in the business center network is inherently not secure. We strongly recommend that you take appropriate actions to protect your computer against unauthorized use or theft (eg. Firewall, VPN-Connection, VirusScanner). AO cannot be held responsible for any data loss or theft.For further information or support please contact:

AO FoundationPhone +41 81 414 62 15E-mail [email protected]

ExhibitionsAO WorldVisit the AO World in the main foyer, home to the AO Clinical Divisions, AO Institutes and the AO Foundation Initiatives. Here you can explore membership opportunities, browse our print and electronic publications and learn about groundbreaking activities within the AO. Discover research, development, fellowships, and other opportunities available to you by visiting all the booths in the AO World.

Industry exhibitorsVisit the exhibitions of our major industry partners DePuy Synthes and Siemens, who are also contributing in-kind support (material and logistics), and the other exhibitors: SYNBONE, Ethicon, Invibio, Victorinox, ICUC, Touch Surgery, and Moticon GmbH.

Media exhibitorsLehmanns Media can be found at the entrance to the Congress Center.

Wireless networkHow to connect to the AO Wireless LAN

• Open the wireless network connection window• Choose the AO Business network as shown in the

printscreen below and click on the Connect button

• Our “AO Business” wireless network requires a WPAnetwork key:Network key: aowireless

• Then click on the OK button


AO Foundation—Principles of AO Educational Events1) Academic independenceDevelopment of all curricula, design of scientific event programs, and selection of faculty are the sole responsibilities of volunteer surgeons from the AO network. All education is planned based on needs assessment data, designed and evaluated using concepts and evidence from the most current medical education research, and involving the expertise of the AO Education Institute (www.aofoundation.org).

Industry participation is not allowed during the entire curriculum development and planning process to ensure academic independence and to keep content free from bias.

2) Compliance to accreditation and industry codes

All planning, organization, and execution of educational activities follow existing codes for accreditation of high-quality education:• Accreditation Criteria of the Accreditation Council for

Continuing Medical Education, USA (www.accme.org)• ACCME Standards for Commercial Support:

Standards to Ensure Independence in CME Activities (www.accme.org)

• Criteria for Accreditation of Live Educational Events of the European Accreditation Council for Continuing Medical Education (www.uems.eu)

Events that receive direct or indirect unrestricted educational grants or in-kind support from industry also follow the ethical codes of the medical industry, such as: • Eucomed Guidelines on Interactions with Healthcare

Professionals (www.medtecheurope.org)• AdvaMed Code of Ethics on Interactions with

Health Care Professionals (www.advamed.org)• Mecomed Guidelines on Interactions with Healthcare

Professionals (www.mecomed.org)

3) Branding and advertisingNo industry logos or advertising (with the exception of the AO Foundation and AO Clinical Division) are permitted in the area where educational activities take place.

Sponsors providing financial or in-kind support are allowed to have a promotional booth or run activities outside the educational area with approval from the event chairperson.

4) Use of technologies and products in simulations

If case simulations are chosen as an educational method to educate skills, we only use technology approved by the AOTK System (AOTK)—a large independent group of volunteer surgeons developing and peer-reviewing new technology (more information about AOTK, its development and approval process can be found on the AO Foundation website: www.aofoundation.org).

5) PersonnelIndustry staff is not allowed to interfere with the educational content or engage in educational activities during the event.


AO Research Institute Davos (ARI)MissionExcellence in applied Preclinical Research and Development within trauma and disorders of the musculoskeletal system and translation of this knowledge to achieve more effective patient care worldwide.

Goals• Contribute high quality applied Preclinical

Research and Development focused towards clinical applications/solutions.

• Investigate and improve the performance of surgical procedures, devices and substances.

• Foster a close relationship with the AO medical community, academic societies, and universities.

• Provide research environment/support/training for AO clinicians.

At the AO World booths, meet with our team including our ARI Medical Research Fellows, establish contacts, freely discuss your clinical problems, ideas, and learn about the latest results from the AO Research Institute Davos (ARI). Insight into the AO Center will show our infrastructure under one roof and enable you to meet some of our research team.

Areas:

Collaborative Research Programs• Annulus Fibrosus Rupture• Acute Cartilage Injury

Craniomaxillofacial• Imaging and planning of surgery, computer aided

preoperative planning• Medication-Related Osteonecrosis of the Jaw• Bone Regeneration

Spine• Degeneration and regeneration of the intervertebral disc• Fracture fi xation in osteoporotic bone

Trauma• Bone infection, including the development and

testing of active anti-infective interventions• Fracture fixation in osteoporotic bone including intra-

operative assessment of bone quality, augmentation techniques and prophylaxis

• Evaluation of the cortical and trabecular bone remodeling (with special regards to the porosity) in the proximal humerus and its impact on the fracture zones

• Development of smart surgical instruments and implant concepts for optimized bone healing

• Patient outcomes and biomarkers

Veterinary Medicine• Improving osteosynthesis for small and large animals

Multidisciplinary • Analysis of implant-specific functional anchorage with

CT-technology• Ex vivo testing using advanced biomechanical models• In vivo studies using established or newly developed

preclinical models• Gene transfer- non-viral and viral• Implant design using the Finite Element Methods• Implant positioning assistance, C-arm guided implant

placement• Telemetric monitoring of bone healing• In vivo and in vitro quantification of bone turnover

and scaffold degradation• Longitudinal analysis within in-vivo studies using

CT-technology• Medical image processing and analysis• Polymers to deliver cells and biological factors,

create potential space for tissue development and guide the process of tissue regeneration

• Prototype development and production• Stem cell therapies for the treatment of bone,

intervertebral disc and cartilage defects• Bioreactor culture systems and mechanobiology• Surface modification of PEEK to improve tissue

integration• Thermosresponsive gel for delivery of antibiotics,

stem cells, growth factors, transfected cells etc.• 3R – refinement of preclinical studies• Development, standardization, optimization and

improvement of preclinical models and methods

For the 2016 AO Research Institute Davos activity report and recent publications go to: www.aofoundation.org/ari/publications


SponsorsWe thank our major industry partners DePuy Synthes and Siemens for contributing in-kind support (material and logistics) without which this event would not be possible. A special thanks to DePuy Synthes and Siemens for providing an unrestricted educational grant for this event.

We also extend our thanks to the following co-sponsors (unrestricted educational grants, in-kind support):Credit SuisseSynboneEthicon

Upcoming AO Courses—Davos 2018AO Courses— December 2–7, 2018• AOTrauma Course—Basic Principles of Fracture Management• AOTrauma Course—Advances Principles of Fracture Management• AOTrauma Course—Advanced Principles of Fracture Management for Swiss Residents• AOTrauma Masters Course—Current Concepts• AOTrauma Course—Foot and Ankle• AOTrauma Course—Pediatrics• AOTrauma Masters Kurs• AORecon Course

AO Courses—December 9–13, 2018• AOTrauma Course—Basic Principles of Fracture Management for Swiss Surgeons• AOSpine Courses• AOCMF Courses• AOVET Courses

List subject to changes. The final Davos courses list as well as worldwide courses lists will be available on www.aotrauma.org in January 2018.


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Driving excellence and empowering the next generationAOTrauma membershipDiscoever the advantages of joining the leading global traumaand orthopedic community, providing its members with education,research and networking opportunities worldwide.

Apply for membership at www.aotrauma.org

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AOTrauma Clavadelerstrasse 8, 7270 Davos, SwitzerlandPhone +41 81 414 21 11, Fax +41 81 414 22 83, [email protected]

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