PRELIMINARY AGENDA

THE SOUTHEASTERN FRACTURE SYMPOSIUM THE FRANCIS MARION INN

387 King Street, Charleston, SC FEBRUARY 6-8, 2020

Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Foundation for Orthopaedic Research and Education (FORE) and the Southeastern Fracture Consortium Foundation. FORE is accredited by the ACCME to provide continuing medical education for physicians. FORE designates this live activity for a maximum of 16.15 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. *** Please note: Faculty and content are subject to change.

To Make Hotel Reservations online: https://reservations.travelclick.com/76320?groupID=2437553 Online Code: SE FRACTURE Registration Open November 1, 2019- Online registration link: http://sefs.org/registration Become a Member of SEFC: http://sefs.org/sefcf-membership-form-step-1 Submit an abstract for the Poster Session-Due November 1, 2019- http://sefs.org/images/pdf/sefs-2020/SEFS-Abstract-Application-Instructions-10092019.pdf To Exhibit: http://sefs.org/images/pdf/sefs-2020/Welcome-Exhibitors-SEFS-2020-rev.pdf http://sefs.org/images/pdf/sefs-2020/2020-Exhibitor-Agreement.pdf Deadline extended to November 1, 2019. Email bkulp@sefs.org with Exhibitor questions.

Planning Committee

Bill Obremskey, MD, MPH Kristoff Reid, MD Daniel Schlatterer, DO, MS Seth Yarboro, MD Brenda H. Kulp, RN, BSN, MA Vanderbilt MUSC Atlanta Medical Center UVA SEFC SEFC President Local Host Program Director Program Co-Director Executive Director

Key Note Speaker

Michael Bosse, MD

Director, Orthopaedic Clinical Research Atrium Health, Charlotte, NC

Course Objectives: At the conclusion of this course, the participant should be able to:

Discuss strategies for successful fracture treatment by integrating ideas from current medical evidence and from demonstration and discussion with faculty experts. Be able explain lessons learned to peers at home institutions.

Compare one’s own decision-making and surgical techniques to current standards.

Identify areas for change of practice after analysis of current practice as compared to course content.

Identify resources needed to provide up to date care, including complex surgical procedures, in order to provide high quality, safe and effective care.

Identify treatment strategies to include implants appropriate for trauma care management. Recognize instruments and implants needed to support best practice orthopaedic management.

Participants will bridge potential knowledge gaps about orthopaedic trauma research efforts and be able to organize and design quality research projects to address clinical concerns to improve outcomes.

Preconference Activities Thursday February 6, 2020 3:00-7:30 PM Registration opens 4:00- 5:00 PM SEFS 2021 planning group 5:00-6:00 PM SEFC Board of Directors Meeting 5:00 – 9:00 PM Exhibitor Set-up 6:00- 6:30 PM SEFC General membership meeting – (before Research Session, same room) 6:30-9:00 PM Speakers upload talks with AV 7:00 – 9:00 PM Poster Display Set-up Research session ( historically the SEFS faculty have met annually before the SEFS meeting to organize multi-center studies to pursue evidence based treatment of musculoskeletal injuries. We welcome and encourage participation from our general membership. SEFS members may either present a research proposal, or volunteer their institution/practice site for study enrollment. Research proposals are presented in PowerPoint format to the research group. The power-point should be less than 10 slides encompassing: background of the problem to be solved, purpose of the study, proposed methods and materials, metrics to be studied such as healing rates or complications, a budget and cost analysis. Please contact Dan Schlatterer at danschlatterer67@gmail.com with questions. We look forward to your participation.) 6:30-8:30 PM-Annual SEFC Research Session – Joe Hsu, Moderator 6:30-7:30 - For members presenting SEFC multi-center updates and new study hypothesis. 7:30- 8:30 -Outcomes and Analysis of active SEFC multi-center studies SEFC members present multi-center study updates and executive summaries. 8:30 Research Session adjourns 8:30-10:00 PM - Closed group session, faculty present interesting cases.

Friday February 7, 2020 GENERAL SESSION 6:00 – 9:00 AM Registration Open 7:00-9:30 AM Exhibits open 6:00 -7:00 AM Poster Display Set-up 6:00 – 7:30 AM Breakfast in the exhibit area 7:30 AM-6:00 PM: GENERAL SESSION 7:30-7:45 AM Welcome/Introductions – Obremskey – Reid- Schlatterer SESSION 1 7:45- 9:00 AM-Rapid Fire Case Discussions Part I Moderator Scott Broderick 7:45- 7:55 Paige Whittle 7:55-8:05 Matthew Patrick 8:05- 8:15 (Rob Harris) 8:15- 8:25 Justin Kauk 8:25- 8:35 Kevin Murr 8:35- 8:45 Thomas Jones 8:45-8:55 Kurt Yusi SESSION 2 -9:00-10:30 AM- How I salvaged my most challenging case (either referred to me or my own doing) Moderator Dr. Robert Ostrum 9:00- 9:10 Seth Yarboro 9:10-9:20 L.X. Webb 9:20- 9:30 William Obremskey 9:30- 9:40 Robert Harris 9:40- 9:50 John Floyd 9:50-10:00 Jenny Bruggers 10:00 – 10:10 Robert Hymes 10:10-10:20 Michael Tucker 10:20- 10:30 Thomas Jones SESSION 3 10:35 AM-12:00-Orthopedic Oncology Update Moderator Dan Schlatterer 10:35-10:45 Can you diagnose this rare tumor? Dan Schlatterer 10:45-11:00 Approach to pathologic fractures: Lee Leddy 11:00- 11:15 Bone lesions, when to treat and when to refer: Zeke Walton 11:15-11:30 Evaluation and treatment of pediatric bone lesions: Lee Leddy 11:30-11:45 Evaluation of soft tissue tumors: Zeke Walton

11:45-12:00 Q&A, Discussion SESSION 4 12:00 PM-1:00 PM Lunch with speakers 12:05- 12:25: A historical trip thru the evolution of ortho trauma and what I would like to see in the future. Dr. Michael Bosse, Key Note Speaker 12:25-12:40 – SEFS Distinguished member award, Dr. L.X. Webb 12:45-1:00 – High energy distal femur fractures and bone healing: Is there a role for CaSO4? Dr. L.X. Webb. SESSION 5 1:07-2:10 PM Clinical recommendations from the 2nd International Concensus Meeting on Musculoskeletal Infections Part I. Moderator; William Obremsky (slides from OTA presentation will be provided)

1:07-1:14 The who, what and where of the 2nd International Consensus and AO Meetings and on Musculoskeletal Infections. William Obremskey 1:14-1:21 What is the Diagnosis of Fracture Related Infection (FRI)? - Dan Schlatterer 1:21-1:28 Patient Factors to decrease FRI risk: Mike Tucker 1:28- 1:35 Open Fractures and Antibiotic prophylaxis: Type and Duration of Antibiotics in open fractures with and without open wounds? Sharon Babcock 1:35-1:42 Time to Debridement and time to coverage of 3B wounds. What type of flap to use? Steve Cherney 1:42- 1:49 What kind, what pressure and how much fluid to use? Do I use additives? Jarrod Dumpe 1:49-1:56 Use of local antibiotics and NPWT in open and closed fractures. Paige Whittle 1:56-2:10 Wrap-up, How to apply these recommendations in your practice. William Obremskey SESSION 6-2:15-3:15 PM Faculty debates. Part I. Moderator Robert Hymes 2:15-2:25 Tibial nailing, The supra-patellar approach, 5 reasons you should consider this method. Eric Moghadamian

2:25-2:35 Not so fast, the infra-patellar approach has never failed me. Seth Yarboro 2:35-2:40 rebuttals/discussion/questions 2:40-2:50 Calcaneus fractures I prefer to avoid wound complications. How and when to make the sinus tarsi approach work for you. Jenny Bruggers 2:50-3:00 Calcaneus fractures, why I prefer the extensile approach and tips to stay out of trouble. Dan Schlatterer 3:00-3:10 I suggest primary fusion: Indications and pearls for success. Joe Hsu 3:10-3:20 Wrap-up, What I recommend for your practice. Robert Hymes SESSION 7 3:20-4:00 Group case Discussions Lower extremity Attendees may bring an interesting/challenging case on a jump-drive to obtain faculty input. Cases should be in power-point format limited to 8 slides or less. Discussion moderator D. Weiss, case #1 Harris, Phelps, case #2 Whittle, case #3 TBD, case #4 Cherney, Case #5 Tucker, case #6 Yarboro , Case #7 Dumpe SESSION 8 - 4:00-5:00PM Poster walking tour with authors. Lead authors will summarize their study and answer questions. Saturday, February 8, GENERAL SESSION DAY 2 6:00 –7:30 Breakfast in the exhibit area SESSION 10 7:45- 9:00 AM Rapid Fire Case Discussions Part II Moderator Scott Broderick 7; 45- 7:55 Paige Whittle 7:55-8:05 Daniel Schlatterer 8:05- 8:15 Seth Yarboro 8:15- 8:25 Clay Spitler 8:25- 8:35 Jason Halverson 8:35- 8:45 Kyle Jeray 8:45- 8:55 Rob Harris

SESSION 11 Faculty debates -9:00-10:10 AM. Part II. Moderator Robert Hymes 9:00- 9:10 Posterior Malleolar injuries have a new treatment paradigm. How to evaluate and treat the PM. John Floyd 9:10 - 9:20 Not so fast, for the PM, less is more. Shep Hurwitz 9:20-9:30 rebuttals/discussion/questions 9:30-9:40- Deltoid ligament repair; Don’t ignore, when & to repair. Eric Moghadamian 9:40-9:50 Not so fast, repair is rarely indicated. Lisa Cannada 9:50- 10:00 rebuttal/discussion/questions 10:00-10:10 Wrap-up; my thoughts on how to approach these emerging concepts. Robert Hymes SESSION 12 10:00-11:00 Group case Discussions Upper extremity Attendees may bring an interesting/challenging case on a jump-drive to obtain faculty input. Cases should be in power-point format limited to 8 slides or less. Discussion moderator- Diane Payne, case #1 Floyd, Phelps, case #2 Whittle, case #3 Weiss, case #4 Cherney, Case #5 Tucker, case #6 Yarboro, Case #7 Dumpe, #8 Bruggers SESSION 13 11:00-12:00 PM Clinical recommendations from the 2nd International Concensus Meeting on Musculoskeletal Infections Part II. Moderator; William Obremskey (slides from OTA presentation will be provided)

11:00-11:07 Risk factors for infection that may change prophylaxis? - Kurt Yursi 11:07-11:14 To remove of not remove Hardware? Clay Spitler 11:14-11:21 PO or IV antibiotics? Russell Norris 11:21- 11:28 Implant choice and coatings-Mark Gage 11:28-11:35 One vs two staged treatment of osteomyelitis? Sharon Babcock 11:35-11:42 Bone defects with infection: What to do? J. Hsu 11:42-11:50 Wrap-up, How to apply these recommendations in your practice and the future. William Obremskey 12:00 meeting adjourned

SOUTHEASTERN FRACTURE SYMPOSIUM 2020 MAIL IN REGISTRATION FORM Online registration at http://sefs.org/registration

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Refund Policy: Cancellation notifications must be in writing (email bkulp@sefs.org) and received by the close of business on January 6, 2020. A cancellation fee of $50 will be assessed. Cancellations after January 6, 2020 will not receive a refund. No-shows will not receive a refund. Disclaimer: SEFC reserves the right to cancel this program due to unforeseen circumstances, in which case a full refund of registration fees will be given to participants. SEFC will not be responsible for travel expenses incurred by the participant in the unlikely event that the program is cancelled. Disclaimer: Faculty and content are subject to change. Questions about registration: Brenda H. Kulp, bkulp@sefs.org