AO Trauma Courses with Cadaver Dissections September 7 ... · Principles in Operative Fracture Treatment September 7th, 2009 Page 7 AO Course Approaches and Osteosynthesis th-September

ProgramSeptember 7th-23rd, 2009, Graz, Austria 2009

AO Trauma Courses with Cadaver Dissections

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Mission Statement of AO Education

Our mission is to continuously set standards in postgraduate medical education and to foster the sharing of medically guided expertise in a worldwide network of health-care professionals to improve patient care in trauma or disorders of the musculoskeletal system.

AO Course Objectives in general:

• to broaden the knowledge and comprehension of operative fracture treatment according to the level of education or speciality

• to assist in decision making as to the optimal treatment modality according to the AO Principles

• to learn about the latest developments in research and clinical investigation • to become acquainted with new techniques and technologies as well as alternative

approaches in fracture treatment• to improve the manual skills by practicing on different bone models• to understand the evolution of AO Philosophy and Education – what is new and

what is still valid as well as the rationale behind any changes.

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Foreword

Since 1960 Prof. Thiel has developed his own method of embalming cadavers in Graz. The aim was to facilitate both students and doctors of medicine to find conditions on cadavers comparable to living persons. Thus an optimal possibility was created: Surgeons of different special fields are now enabled to train surgery on cadavers as an exercise before acting on patients. In addition new instruments and new methods of surgical approaches have been and can be developed.

Thiel’s method of embalming was published in 1992 and 2002 in Annals of Anatomy. Doctors and anatomists from all over the world have come to Graz in the meantime to learn his method in order to use it in their homelands for students education and in postgraduate courses for doctors.

Based on this embalming Prof. Thiel published also an atlas – named: Photographic Atlas of Practical Anatomy. The first edition – translated into many languages – is out of print, the second edition has been on sale since December 2002.

The main advantage of the new embalming is that the cadavers colour, consistency and mov-ability are preserved to a very great extent. In Addition the storable stock solution and the working solutions are bactericidal, fungicidal and virucidal.

The institute of anatomy in Graz houses approximately one thousand doctors every year, who visit the institute to attend our workshops and postgraduate courses on embalmed cadavers as a result of the special facilities given.

Anderhuber F., MD

The courses are dealing with surgical approaches, anatomy and general techniques of osteo-synthesis in a general basic course and advanced courses in hand surgery, spinal trauma and pelvis / acetabulum trauma (it is possible to attend the courses individually).

The main interest is extended practical exercises and hands-on-work on cadavers at the Institute of Anatomy by only two participants for each working station.

In parallel workshops participants have the possibility to learn depending on their own level of knowledge and interest.

Beside the scientific program Graz – Europe’s Culture Capital 2003 – UNESCO World Heritage Site – has a lot of attractions and sightseeing.

Wagner M., MDGrechenig W., MD

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Faculty

Chairman Wagner M., MD, Prof. Wilhelminenspital der Stadt Wien, Austria

Chairman/Foot CourseGrass R., MD, PD Univ. Klinikum Dresden, Germany

OrganizationGrechenig W., MD, Prof. Univ. Klinik für Unfallchirurgie Graz, Austria

Anderhuber F., MD, Prof. Anatomical Institute Graz, Austria

Bakota B., MD Traumatology Dep. General Hospital Karlovac, Croatia

Clement H., MD, OA Univ. Klinik für Unfallchirurgie Graz, Austria

Feigl G., MD, OA Anatomical Institute Graz, Austria

Fellinger M., MD, Prof. Univ. Klinik für Unfallchirurgie Graz, Austria

Gänsslen A., MD MH Hannover, Germany

Grass R., MD, PD Univ. Klinikum Dresden, Germany

Grechenig W., MD, Prof. Univ. Klinik für Unfallchirurgie Graz, Austria

Heidari N., MD Colchester General Hospital, Colchester, Essex, UK

Ivanic G., MD, PD, DL Allg. und Orthopädisches LKH Stolzalpe, Austria

Jeserschek R., MD Univ. Klinik für Orthopädie Graz, Austria

Kdolsky R., MD, Prof. Univ. Klinik für Unfallchirurgie Wien, Austria

Koch H., MD, Prof. Department für Plastische Chirurgie Graz, Austria

Lindal J., MD, Prof. University Clinic Helsinki, Finnland

Messmer P., MD, PD Unfallchirurgie, Universitätsspital Zürich, Switzerland

Orthner E., MD, Prim. Doz. Krankenhaus Wels, Austria

Ortner F., MD, Prim. Krankenhaus Wr. Neustadt, Austria

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Faculty

Pachucki A., MD, Prim. Krankenhaus Amstetten, Austria

Pichler W., MD Univ. Klinik für Unfallchirurgie Graz, Austria

Plecko M., MD UKH Graz, Austria

Rois H., MD UKH Meidling, Austria

Schintler M., MD Department für Plastische Chirurgie Graz, Austria

Seggl W., MD, Prof. Univ. Klinik für Unfallchirurgie Graz, Austria

Seibert F.J., MD, Prof. Univ. Klinik für Unfallchirurgie Graz, Austria

Spendel S., MD, Prof. Department für Plastische Chirurgie Graz, Austria

Staresinic M., MD University Hospital Merkur, Zagreb, Croatia

Szyszkowitz R., MD, Prof. Univ. Klinik für Unfallchirurgie Graz, Austria

Tesch N.P., MD, Ass. Prof. Anatomical Institute Graz, Austria

Thewanger G., MD UKH Linz, Austria

Wallenböck E., MD UKH Graz, Austria

Weiglein A., MD, Prof. Anatomical Institute Graz, Austria

Weinberg A., MD, Doz. Univ. Klinik für Kinderchirurgie Graz, Austria

Windisch G., MD, OA Anatomical Institute Graz, Austria

Wittgruber G., MD, OA Anatomical Institute Graz, Austria

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Course Overview

Introductory Course / Workshop Principles in Operative Fracture Treatment September 7th, 2009 Page 7

AO CourseApproaches and Osteosynthesis September 8th--12th, 2009 Page 8 WorkshopFracture Management during the Growth September 12th, 2009 Page 12 AO CoursePelvis & Acetabulum September 13th-16th, 2009 Page 13 AO CourseFoot Surgery September 17th-19st, 2009 Page 17 AO CourseHand Surgery September 20th-23rd, 2009 Page 21 Registration & Information Page 25 Fees & Payment Page 26 Hotel Information Page 27

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Monday, September 7th, 2009

INTRODUCTORY COURSE with Cadaver Dissections WORKSHOP “Principles in Operative Fracture Treatment”

09:00 registration10:00 welcome10:15 lecture: standard and new screws 10:45 lecture: how to drill, tap, measure length …..11:00 practical exercises: screws (different clinical applications)12:30 video: surgical reduction 13:00 lunch

13:45 lecture: standard and new plates14:15 practical exercises: classical principles in plate fixation (neutralisation, compression, bridging) LCP principles

16:00 coffee break 16:30 lecture: tension band 16:45 practical exercises: tension band 17:30 end of course

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APPROACHES and OSTEOSYNTHESIS Hands-on-course in Traumatology with Cadaver Dissections

07:30 registration08:15 welcome 08:30 organizational comments08:45 lecture: surgical approaches shoulder09:15 practical exercises: anatomy of the shoulder09:45 practical exercises: subclavial artery 10:10 practical exercises: approaches to the SC / AC joint / clavicle plating

10:30 coffee break

10:50 lecture: principles in angle stable plate fixation 11:30 discussion11:40 practical exercises: anterior approach to the glenohumeral joint, approach subacromial space 12:30 practical exercises: humeral shaft fracture – anterolateral approach and plating

13:30 lunch

14:30 practical exercises: anatomy – glenohumeral joint posterior15:00 practical exercises: posterior approach to the glenohumeral joint 15:30 practical exercises: surgical anatomy of the radial nerve16:00 practical exercises: humeral shaft fracture - dorsal approach and plating

16:30 coffee break

17:00 lecture: anatomy of the elbow 17:15 video: clinical cases 17:30 lecture: medial/lateral approach to the elbow joint 18:00 practical exercises: surgical anatomy – joint, ligaments18:30 practical exercises: medial/lateral approach

19:00 end of course day

Tuesday, September 8th, 2009

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Wednesday, September 9th, 2009


08:00 practical exercises: surgical anatomy upper extremity - muscles, nerves09:00 lecture: dorsal approach to the elbow 09:30 practical exercises: surgical approaches - elbow dorsal (olecranon osteotomy) - Boyd - elbow anterior - Bryan Morrey

10:45 coffee break

11:15 lecture: surgical approaches to the forearm 11:45 practical exercises: anatomy 12:15 practical exercises: surgical approaches - shaft of the ulna - radius anterior (Henry) - radius posterior (Thompson)13:30 practical exercises: forearm shaft fracture surgical approach/plating

14:30 lunch

15:15 practical exercises: approach axillar artery 15:45 video: dermatofasciotomy upper extremity 16:00 practical exercises: dermato fasciotomy upper extremity16:15 practical exercises: puzzle carpal bones 16:30 lecture: surgical approaches to the distal radius 17:00 video: approach radius distal: dorsal / volar / radial 17:15 practical exercises: distal radius: surgical approach17:45 video: nerves upper extremity 18:00 end of course day

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Thursday, September 10th, 2009


08:15 lecture: surgical approach and osteosynthesis to the talus / calcaneus08:45 practical exercises: surgical anatomy (bone puzzle)09:15 practical exercises: approaches : talus / calcaneus

10:30 coffee break

11:00 video: Lisfranc joint11:30 practical exercises: anatomy12:00 practical exercises: approach : Chopart / Lisfranc12:30 practical exercises: surgical anatomy to the foot13:00 practical exercises: special surgical exposures to the foot

14:00 lunch

14:30 lecture: surgical anatomy knee14:45 practical exercises: anatomy15:00 practical exercises: dorsal approach to the knee 15:30 practical exercises: approach popliteal artery 15:45 practical exercises: dorsal approach to the ankle 16:15 practical exercises: distal femur fracture – osteosynthesis (DCS)

17:00 coffee break

17:15 practical exercises: surgical approach to the knee: anterior/medial/lateral18:00 practical exercises: surgical approach to the ankle: anterior/lateral/medial18:30 clinical video


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Friday, September 11th, 2009


08:15 lecture: principles of treatment: femur shaft fracture 08:45 video: surgical approaches to the femur09:05 practical exercises: MIPO femur09:30 practical exercises: femur shaft fracture lateral approach and plating10:15 practical exercises: medial approach to the distal femur, approach femoral artery

10:45 coffee break

11:15 video: nerves lower extremity 11:25 practical exercises: surgical anatomy of the nerves of lower extremity12:15 lecture: exposures for intramedullary nailing 12:35 lecture/video: gastrocnemius / soleus muscle flap

13:00 WORKSHOP 1. gastrocnemius / soleus muscle flap 2. anatomy IM nailing 3. anatomy tour 4. IM nailing artificial bone


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08:00 lecture: compartmentsyndrom – lower extremity08:20 video: dermatofasciotomy lower extremity08:30 practical exercises: dermatofasciotomy in the lower extremity09:00 video: approaches tibia shaft09:10 practical exercises: MIPO tibia09:25 practical exercises: tibia shaft fracture: anterior approach and plate fixation10:15 practical exercises: peroneal nerve preparation10:30 lecture: cancellous bone graft-iliac crest10:45 practical exercises: graft harvesting

11:00 coffee break

11:15 lecture: approaches hip11:45 practical exercises: surgical anatomy

12:30 end of course

WORKSHOP “Fracture management during the growth” Scientific organization: A. Weinberg, MD, course fee : € 70.—

13:00 lecture: pediatric trauma - what is different to adults lecture: biomechanics ESIN (elastic stable intramedullary nailing) and technical principles, indications, limits lecture: operative treatment of diaphyseal fractures: femur & forearm fxs lecture: postoperative care and implant removal lecture: operative treatment of metaphyseal fractures: K-wire osteosynthesis/ screw fixations lecture: supracondylar humerus fractures: different treatment options (ESIN, fixateur externe and k-wire osteosynthesis)

19:00 end of workshop

Saturday, September 12th, 2009

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Sunday, September 13th, 2009

AO COURSE “Pelvis & Acetabulum”

08:15 welcome 08:30 organizational comments PELVIS08:40 lecture: classification09:05 lecture: external fixateur / pelvic clamp09:30 video: external fixateur / pelvic clamp10:00 practical exercises: 1. external fixateur 2. pelvic clamp 3. pelvic tamponade 4. anatomy, approach

11:30 coffee break

12:00 lecture: symphysis12:30 lecture: SIJ / sacrum13:00 practical exercises: symphysis / SIJ anterio

14:00 lunch

14:45 lecture: pelvic trauma - principles of treatment15:15 practical exercises: A. SIJ dorsal: screws/plate B. - SIJ screwing percutanous - walk around anatomy - sacral rods

17:00 coffee break

17:20 practical exercises: symphysis: approach / plating18:00 practical exercises: SIJ anterior anatomy18:30 practical exercises: SIJ approach plating


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Monday, September 14th, 2009


08:30 lecture: sacrum fracture09:00 lecture: principles of treatment in complex trauma09:45 practical exercises: SIJ and sacrum dorsal anatomy10:00 practical exercises: approach sacrum, screws, plate

10:45 coffee break ACETABULUM11:15 lecture: classification11:35 practical exercises: fracture classificatio12:15 practical exercises: indications and approach13:00 practical exercises: anatomy13:30 video: approach iliacal, femoral artery13:45 video: ilioinguinal approach14:15 practical exercises: ilioinguinal approach

15:00 coffee break

15:20 lecture: acetabulum fracture - treatment & results15:45 practical exercises: ORIF acetabulum


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Tuesday, September 15th, 2009


09:00 lecture: reduction technique09:30 video: approach Kocher Langenbeck09:50 practical exercises: Kocher Langenbeck10:30 video: vessels, nerves hip

10:45 coffee break

11:00 practical exercises: 1. reduction techniques, instruments 2. anatomy 3. extended anterior approach 4. approaches – limitations12:30 case discussion

14:00 coffee break

14:30 video: anterior approach hip14:45 practical exercises: anterior approach hip15:15 lecture: fracture children15:35 lecture: Pipkin fracture16:05 lecture: computer assisted perc. fracture treatment


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Wednesday, September 16th, 2009


09:00 lecture: total hip replacement 09:40 lecture: minimal invasive approach 10:00 lecture: hip prosthesis dislocation 10:30 coffee break

11:00 practical exercises: 1. navigation 2. hip prosthesis 3. minimal invasive approach 4. Arthroscopy hip 5. Video: approaches hip

13:30 practical exercises: femur neck screwing, DHS, buttress plate, PFN, PFNA

15:00 end of course

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Thursday, September 17th, 2009

AO COURSE “Foot Surgery”

09:00 welcome09:15 lecture: anatomy joints09:30 lecture: achilles tendon10:00 practical exercises: anatomy (puzzle)10:20 practical exercises: anatomy (tendon, vessels, nerves)10:40 practical exercises: achilles tendon; suture, reconstruction, anchor, VY plasty

11:30 coffee break

12:00 lecture: ankle fracture classification12:15 lecture: ankle fracture treatment12:45 practical exercises: approaches ankle13:30 practical exercises: osteosynthesis ankle

14:15 lunch

15:00 video: nerves lower extremity15:15 lecture: pilon tibial fracture16:00 practical exercises: osteosynthesis distal tibia17:00 practical exercises: MIPO tibia, fibula

17:30 coffee break

17:45 lecture: compartment syndrom foot18:00 video: compartment syndrom lower extremity18:30 practical exercises: fasciotomy


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08:00 practical exercises: anatomy - tendons - biomechanics - vessels, nerves09:00 lecture: acute and chronical syndesmosis lesions09:20 lecture: fractures talus09:50 video: approaches talus10:00 lecture: metatarsal fractures10:20 practical exercises: reconstruction tibio-fibular-syndesmosis

10:45 coffee break

11:00 practical exercises: anatomy talus, constructive anatomy of the talus (plastillin)11:15 practical exercises: osteosynthesis talus11:30 practical exercises: dorsal approach ankle / talus12:00 lecture: calcaneal fractures12:45 lecture: calcaneal fractures - percutan techniques

13:00 lunch

13:40 practical exercises: anatomy calcaneus13:50 video: calcaneus lateral approach14:00 practical exercises: calcaneus lateral approach14:20 practical exercises: medial calcaneus, medial approach14:40 practical exercises: 1. calcaneus percutan technique 2. osteosynthesis metatarsalia 3. walk around anatomy 4. osteosynthesis calcaneus

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16:15 coffee break

16:30 lecture: Chopart / Lisfranc 16:50 lecture: tibialis posterior transfer 17:10 lecture: chronic ancle instability17:45 practical exercises: Chopart / Lisfranc / tibialis posterior transfer, ankle ligament plasty 18:45 case discussion: tipps and pearls ankle


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Saturday, September 19th, 2009


08:00 lecture: compartmentsyndrom – lower extremity08:30 lecture: prosthesis ankle 09:00 lecture: arthroscopy ankle / subtalar 09:30 lecture: arthrodesis ankle 10:00 lecture: subtalar arthrodesis

10:30 coffee break

11:00 practical exercises: 1. Workshop ankle replacement 2. Workshop arthroscopy

12:30 coffee break

13:00 practical exercises: 1. arthrodesis ankle 2. subtalar arthrodesis 3. Workshop soft tissue problems14:30 practical exercises: surgical approaches and preparation

16:00 end of the course

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Sunday, September 20th, 2009

AO COURSE “Hand Surgery”

09:00 registration09:30 welcome09:45 organizational comment09:55 lecture: distal radius fracture treatment10:25 lecture : surgical approaches distal radius10:45 lecture: radius fracture children11:00 practical exercises: distal radius fracture: plating

12:00 coffee break

12:30 video: surgical approaches distal radius12:50 practical exercises: surgical anatomy13:00 practical exercises: surgical approach13:30 practical exercises: distal radius fracture: plating14:30 video: approaches metacarpals / phalangeals14:45 practical exercises: approaches

15:15 coffee break

15:45 lecture: scaphoid fracture / non unions16:10 lecture: external fixateur16:30 video: approach scaphoid, percutaneous technique16:45 practical exercises: 1. external fixateur 2. osteosynthesis scaphoid 3. percutane screw fixation 4. ORIF MC


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Monday, September 21st, 2009


08:00 practical exercises: anatomy 1. extensor apparatus, flexor tendons, carpal tunnel 2. biomechanics 3. vessels and nerves 4. TFCC09:30 lecture: compression syndromes upper extremity09:50 practical exercises: 1. CTS, trigger finger, Guyon, De Quervain, UCL

11:10 coffee break

11:30 video: extensor aponeurosis11:45 practical exercises: anatomy, snow plastic, distal refixation (Lengemann / anchor suture) arthrolysis PIP12:30 lecture: arthrodesis finger joints12:50 lectures: arthrodesis of the wrist13:10 practical exercises: arthrodesis finger joints

14:15 lunch

15:00 lecture: wrist arthrosis – principles of treatment15:30 practical exercises: carpal bones – puzzle15:45 practical exercises: 1. arthrodesis wrist 2. mediocarpal arthrodesis 3. proximal row carpectomy17:00 practical exercises: MCP I plasty17:30 lecture: carpal instability


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Tuesday, September 22nd, 2009


08:45 lecture: rizarthrosis – principles of treatment09:15 lecture: denervation09:45 practical exercises: 1. denervation 2. resection arthroplasty 3. arthrodesis MC I 4. walk around anatomy

11:15 coffee break

11:45 lecture: problems at the distal radioulnar joint12:15 lecture: ulnocarpal abutment syndrome12:30 practical exercises: 1. ulna shortening 2. Kapandji 3. Darrach 4. TFCC 5. approach PIP volar

14:00 coffee break

14:15 lecture: wrist arthroscopy14:45 video: wrist arthroscopy15:15 practical exercises: wrist arthroscopy


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Wednesday, September 23rd, 2009


08:00 lecture: compartmentsyndrom upper extremity08:30 lecture: flexor tendons09:00 practical exercises: flexor tendon suture / distal refixation10:00 practical exercises: extensor indicis plastic

10:30 coffee break

10:45 practical exercises: tendon transfer in radial nerve palsy, A2 pulley reconstruction

12:00 coffee break

12:30 lecture: local flaps indication / technique13:00 practical exercises: local flaps in hand surgery

15:30 end of course

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Registration & Information

Registration & InformationCourse SecretariatEvelyne SchleiferA-8036 Graz, Auenbruggerplatz 7a

Phone: +43 664 3950222Fax: +43 316 385-3582e-mail: [email protected]

Program downloadwww.grechenig.at

OrganizerGesellschaft zur Forschung und Wissenschaftlichen Weiterbildung in der Unfallchirurgie Graz

Course Location Anatomical InstituteA-8010 Graz, Harrachgasse 21, Phone: +43 316 380-4210

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Course and Workshop FeesIntroductory Course & Workshop: “Principles in Fracture Treatment” EUR 90.-AO Course: “Approaches and Osteosynthesis” (with cadaver dissections) EUR 950.-Workshop: “Fracture Management during the Growth” EUR 70.-

HYPO Bank Graz, Austria, Account 20241070620 BIC Code: HYSTAT2G, IBAN: AT41 5600 0202 4107 0620

AO Course: “Pelvis & Acetabulum” EUR 560.-HYPO Bank Graz, Austria, Account 20241088414 BIC Code: HYSTAT2G, IBAN: AT44 5600 0202 4108 8414

AO Course: “Foot Surgery” EUR 520.-HYPO Bank Graz, Austria, Account 20241090486 BIC Code: HYSTAT2G, IBAN: AT69 5600 0202 4109 0486

AO Course: “Hand Surgery” EUR 570.-HYPO Bank Graz, Austria, Account 20241088406 BIC Code: HYSTAT2G, IBAN: AT66 5600 0202 4108 8406

Payment Course subscription should be paid before the start of the course into the bank account "Gesellschaft zur Forschung und Wissenschaftlichen Weiterbildung in der Unfallchirurgie Graz"

Address of Bank: HYPO Steiermark Landeskrankenhaus, A-8010 Graz, LKH-Riesstrasse 1Bank code number: 56000

ConfirmationYour registration will be confirmed after receipt of the registration form and the payment.

CancellationFull refund will be made only if written notice of cancellation is received before August 14th, 2009. After this date all cancellations will be subject to 25% of the tuition fee. No course tuition refund will be issued for cancellations received after August 31st, 2009.

Fees & Payment

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HotelsFor hotel accommodation please directly contact the hotel.

Hotel Gollner ****A-8010 Graz, Schlögelgasse 14Mr. Gumpert / Mr. KossekPhone: +43 316 822521Fax: +43 316 822521-7 e-mail: [email protected]

Romantikhotel Parkhotel****A-8010 Graz, Leonhardstrasse 8, Am MeranparkPhone: +43 316 3630-0Fax: +43 316 3630-50e-mail: [email protected]

Hotel Information

AO EducationClavadelerstrasse 87270 DavosSwitzerland

Phone: +41 81 414 26 01Fax: +41 81 414 22 [email protected]

Logistics and support provided

by an educational grant from Synthes

Documents

AO Trauma Courses with Cadaver Dissections September 7 ... · Principles in Operative Fracture Treatment September 7th, 2009 Page 7 AO Course Approaches and Osteosynthesis th-September