Organized by:

ASAMI Malaysia

Malaysian Orthopaedic

Association

4TH UNIVERSITY MALAYA LIMB DEFORMITY

CORRECTION COURSE

Saujana Hotel Kuala Lumpur Shah Alam, Selangor

22nd – 25th APRIL 2014

The 4th Deformity Correction course is designed to provide a comprehensive

learning experience for orthopaedic surgeons and supporting staffs who are involved in

management of limb deformities caused by different underlying problems.

• The basic course on external fixation (22 April) is designed for nurses and junior

doctors. It will cover basic techniques and application principles of unilateral and

circular frame external fixation for trauma fixation and deformity correction.

• The deformity course (22 to 24 April) consists of 6 lecture sessions, 3 group

discussions and 6 saw bone workshops on selected procedures for orthopaedic

surgeons and trainees. We are proud to have a group of experts from ASAMI

International and prominent trauma surgeons to teach and guide the participants

during this learning process.

• On the 25 April, there will be a cadaveric demonstration session where we will invite

the experts to show us step by step how to perform some of the most advanced

procedures to correct limb deformity. We will also prepare some video recordings on

selected surgical techniques performed on life patients before and in between the

demonstrations.

This is the first time we are inviting many local and foreign experts for the course

because we hope to provide comprehensive inputs on the management of many difficult

limb deformities. We hope that those interested will register early because we have to

limit the number of participants to ensure adequate hands-on experience and effective

transfer of knowledge.

Thank you.

Yours truly,

Dr Saw Aik

Course chairman

4th University Malaya Limb Deformity Correction Course 2014

ASAMI Malaysia

Malaysian Orthopaedic

Association

OBJECTIVE AND TARGET

BASIC EXT FIX COURSE

(Saujana Hotel)

LIMB DEFORMITY CORRECTION COURSE (Saujana Hotel)

CADAVER DEMONSTRATION (University Malaya)

22/4 (TUE) 22/4 (TUE) 23/4 (WED) 24/4 (THU) 25/4 (FRI)

8.00 Introduction to External Fixator

L1: Deformity

Analysis L3: Trauma and Infection

L5: Advances in Distraction Osteogenesis

Briefing and Video

Demonstration

9.30 Tea Break Tea Break Tea Break

10.00 Common

Indcations and complications

L2: Execute the

plannings L4: Elective conditions

L6: How to improve outcome

CV1 :

Tibia shaft Bone Lengthening / Transport

over locking plate

11.30

Demonstration

SG1 : Small Group Discussions

(Diagnosis and Evaluation)

SG2 : Small Group Discussions

(Trauma, Infection cases)

SG3 : Small Group Discussions (Complications)

CV2 : Peroneal nerve

exploration and release

CV3 : Distal Tibia : Dome

osteotomy for varus deformity

12.30 Lunch Break Lunch Break

Lunch Break & Friday Prayers

Sawbone Workshop

Sawbone Workshop Sawbone Workshop

1.30

Basic Ilizarov workshop 1 : Half

pin and wire fixation for tibia lengthening with

Ilizarov

WS 1: GA : Proximal tibia varus deformity (Tomofix)

WS 2: GB : Distal femur varus

deformity (LRS)

WS 3:GA : Distal tibia varus

deformity (Peri-articular locking plate)

WS 4:GB : Equinus correction an

ankle fusion (TSF)

WS 5: GA : Corticotomy of femur /

tibia

WS 6: GB : Multiplanar Tibia

Deformity Correction (TrueLock Hexapod)

CV4 : Distal Femur : Acute correction for valgus

deformity

CV5 : Distal Femur : Acute / gradual correction for

valgus deformity

3.00 Tea Break Tea Break

3.30

Basic Ilizarov Workshop 2 : Half

pin fixation fo femur lengthening

with LRS fixator

WS 1: GB :

Proximal tibia varus deformity (Tomofix)

WS 2: GA :

Distal femur varus deformity (LRS)

WS 3:GB : Distal tibia varus

deformity (Peri-articular locking plate)

WS 4:GA :

Equinus correction an ankle fusion (TSF)

WS 5: GB : Corticotomy of femur /

tibia

WS 6: GA : Multiplanar Tibia

Deformity Correction (TrueLock Hexapod)

CV6 : Distal Femur : Medial submuscular plating

End of Day 4

5.00 End of Day 1 End of Day 1 End of Day 2 End of Day 3

PROGRAM

Master Timetable for the Courses

Lecture Topics 22 Apr (Tue) BC1 Introduction to External Fixator :

8.00 - 8.20 History and types of external fixators Thirumal M

8.20 - 8.40 Mechanical stability of external fixation and safe zones Basir T

8.40 - 9.00 Types of fixation elements and fixation techniques: Half pins and tensioned wires

Bobby Ng

9.00 – 9.10 Components of Ilizarov external fixator AR Sulaiman

9.10 – 9.20 Components of unilateral external fixator Thirukumaran

9.20 – 9.40 Question and answer -

9.40 - 10.00 Tea Break

BC2 Application and Care of External Fixator

10.00 – 10.15 Indication of external fixation Durai

10.15 – 10.30 Complication of external fixation A Halim

10.30 – 10.45 How to reduce rate of pin site infection Roshan

10.45 – 11.00 How to reduce risk of joint stiffness Kausar

11.00 – 11.15 How to reduce risk of hand and toes contractures Malik

11.15 – 11.30 Introduction to advanced external fixation Leena Lee

11.30 – 11.45 Introduction to innovative and advanced external fixator Faisal M

11.45 - 1.00 Discussion

Workshops 22 April

1.00 Basic Ilizarov workshop 1

Half pin and wire fixation for tibia lengthening with Ilizarov

1.00

2.30 Tea Break

3.00 Basic Ilizarov Workshop 2

Half pin fixation fo femur lengthening with LRS fixator

3.00

4.30 End of Day

1. Basic External Fixator Course

This one-day Basic Ext Fix course will covers

the application principles of unilateral and ring

external fixation, and elaborates on various

aspects of supporting services that can be

provided for the patients.

It is designed for junior doctors,

physiotherapists, occupational therapists, OT

staffs, nurses and medical assistants who

participated in providing treatment to patients

with external fixators.

Hands-on workshop will be provided for

participants to better understand fixation

methods of wires and half pins.

23 Apr (Wed) L3 Trauma and Infection :

8.00 - 8.15 Segmental bone boss Durai

8.15-8.30 Bone lengthening over the nail Basir

8.30 - 8.45 Post traumatic equinus deformity Chua YP

8.45 - 9.00 Periarticular fracture fixaton with Ilizarov Thirumal M

9.00 - 9.15 Infected nonunion of tibia Jhunjhunwala

9.15 - 9.30 Correction of ankle equinus using Ilizarov frame without hinges Matsushita

9.30 - 10.00 Tea Break

L4 Elective conditions 1 :

10.00 - 10.15 Proximal femur corrective osteotomy Zulkiflee O

10.15 - 10.30 Limb lengthening for Achondroplasia Bobby Ng

10.30 - 10.45 Mutlilevel corrective osteotomy of Rickets Chua YP

10.45 - 11.00 Pelvic support osteotomy AR Sulaiman

11.00 - 11.15 Neglected DDH treated by Ilizarov Faisal

11.15 - 11.30 Congenital pseudoatrhritis of tibia Jhunjhunwala

11.30 Discussion

22 Apr (Tue) L1 Deformity Analysis :

8.00 - 8.20 Clinical and radiological accessment of limb deformity Matsushita

8.20 - 8.40 Mechanical, anatomical axes, normal bone alignment Roshan

8.40 - 9.00 Evaluation of bone deformity Durai

9.00 - 9.20 Principle of deformity correction with Ilizarov and LRS external fixator Durai

9.20 - 9.40 Principles of deformity correction with multiaxial external fixator Saw A

9.40 - 10.00 Tea Break

L2 Execute the plannings :

10.00 - 10.20 Corrective osteotomy : Principles and clinical considerations A Halim

10.20 - 10.40 Fixed angle plate / locking plate fixation for deformity correction Saw A

10.40 - 11.00 Hemiepipysiodesis for correction of deformity in children Bobby Ng

11.00 - 11.20 External fixator assisted osteotomy and internal fixation Durai

11.20 - 11.40 Acute vs gradual correction of bone deformities Thirukumaran

11.40 - 1.00 Discussion

2. Limb Deformity Correction Course

24 Apr (Thu) L5 Advances in Distraction Osteogenesis :

8.00 - 8.15 Multiplanar deformity correction with unilateral fixators Durai

8.15-8.30 Multiplanar deformity correction with ring fixators Saw A

8.30 - 8.45 Corticotomy : Reducing risk of bone and soft tissue morbidity Chua YP

8.45 - 9.00 Chipping corrective osteotomy Matsushita

9.00 - 9.15 Lengthening over plate Theerachai

9.15 - 9.30 Question and answer

9.30 - 10.00 Tea Break

L6 How to improve outcome :

10.00 - 10.15 Prevention & management of impingement following gradual distraction

Durai

10.15 - 10.30 How to reduce risk of pin site infection Lee CK

10.30 - 10.45 How to reduce risk of joint stiffness Leena Lee

10.45 - 11.00 Rehabilitation in Japan Matsusita

11.00 - 11.15 Rehabilitation in UK Durai

11.15 - 11.30 Question and answer

11.30 Discussion

Saw Bone Workshops (22, 23, 24 April 2014) 22-Apr 23-Apr 24-Apr

1.00 WS 1A : Proximal tibia varus

deformity (Tomofix Acute Correction)

WS 2A : Distal tibia varus deformity

(Peri-articular locking plate)

WS 3A : Corticotomy of femur / tibia

Simple drill sleeve and guided drill sleeve

1.00 WS 1B : Distal femur varus

deformity (LRS assisted plate fixation)

WS 2B : Multiplanar tibia deformity

(Taylor Spatial Frame)

WS 3B : Multiplanar proximal tibia deformity

(TrueLock Hexapod)

2.30 Tea Break

3.00 WS 1A : Proximal tibia varus

deformity (Tomofix Acute Correction)

WS 2A : Distal tibia varus deformity

(Peri-articular locking plate)

WS 3A : Corticotomy of femur / tibia

Simple drill sleeve and guided drill sleeve

3.00 WS 1B : Distal femur varus

deformity (LRS assisted plate fixation)

WS 2B : Multiplanar tibia deformity

(Taylor Spatial Frame)

WS 3B : Multiplanar proximal tibia deformity

(TrueLock Hexapod)

4.30 End of Day

3. Cadaveric Demonstration Sessions

No. Cadaveric Demonstration

CV1 Tibia shaft Bone Lengthening / Transport over locking plate

LRS unilateral external fixator and Locking compression plate

• Theerachai

CV2 Peroneal nerve exploration and release

Thigh specimen

• Durai Nayagam

CV3 Distal Tibia : Dome osteotomy for varus deformity

Locking Compression Plate

• Durai Nayagam

CV4 Distal Femur : Acute correction for valgus deformity

Tomofix plate

• Saw Aik

CV5 Distal Femur : Acute / gradual correction for valgus deformity

LRS unilateral external fixator

• Durai Nayagam

CV6 Distal Femur : Medial submuscular plating (Femur with LRS)

Locking Compression Plate

• Durai Nayagam

These sessions will be conducted in University Malaya Medical

Centre. Live transmissions will be performed from dissecting hall

to the lecture hall in the medical center.

Video recordings of selected surgical procedures will also be

shown in between the sessions.

REGISTRATION

I would like to register for the "4th University Malaya Limb Deformity Correction Course

2014". Enclosed is the registration form and cheque made payable to "Yayasan

Ortopedik“ / proof of payment by telegraphic transfer*.

Name :…………………………………………………………………………….

Hospital : ……….……………………………………………………………….

Position : …………………………….………………………………………….

E-mail : ………………………………………………………………………….

Phone : ………………………………………………………………………….

Food / Diet : Registration fee:

Non-vegetarian Basic Course: RM 400 / USD 150

Vegetarian Limb Deformity Course: RM 900 / USD 400

Cadaver Demonstration: RM 300 / USD 150

* Telegram transfer :

Bank : Maybank Islamic

Account Name : Yayasan Ortopedik

Account Number : 564351504180

Swift Code : MBBEMYKL

Bank address : Maybank

Ground & Mezzanine Floor,

Jalan Sultan Ismail, Wisma Genting,

50250 Kuala Lumpur, West Malaysia

Organizing committee will provide invitation letter to participate in the course on request.

Please send registration form and payment/proof of payment to :

4th University Malaya Limb Deformity Correction Course,

Department of Orthopedic Surgery,

University Malaya Medical Centre

50603 Kuala Lumpur, Malaysia.

Email : shalini_12@live.com

Tel: +603 7949 3141 Fax: +603 7949 4642

INTERNATIONAL FACULTY

BOBBY NG KIN WAH

President-elect, Hong Kong Orthopaedic Association

Princes of Wales Hospital, Hong Kong.

H.R. JHUNJHUNWALA

President ASAMI International

PGIMS of Bombay Hospital, Mumbai, India

THEERACHAI APIVATTHAKAKUL

Consultant Orthopaedic Trauma Surgeon

Chiang Mai University, Thailand

SELVADURAI NAYAGAM

Head of Limb Reconstruction Surgery Royal

Liverpool Children’s Hospital, United Kingdom

TAKASHI MATSUSHITA

President, ASAMI Japan.

Teikyo University School of Medicine,

Tokyo, Japan

FAISAL MIRAJ

Consultant, Limb Lengthening and

Reconstruction Surgery

RSUP Fatmawati, Jakarta, Indonesia

SAW AIK SR KANTHAN CHUA YEOK PIN ROSHAN GUNALAN

UM Medical Centre

ABD RAZAK SULAIMAN

USM Hospital

ZULKIFLEE OSMAN

Penang Hospital

THIRUKUMARAN SUBRAMANIAM

Mahkota Medical Centre

BASIR TOWIL

Serdang Hospital

THIRUMAL MANICKAM

Tengku Ampuan Rahimah Hospital ABDUL HALIM ABD RASHID

UKM Medical Centre

LOCAL FACULTY

Dorsett Grand Subang Hotel T (603) 7724 9556

H www.dorsetthotels.com/malaysia/subang/

Holiday Villa Hotel T (603) 5633 8788

H www.holidayvillahotelsubang.com

To UM Medical Center

Course Venue

University Malaya Medical Centre