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Course program
AOTrauma Course—Principles in Operative Fracture Management
Online preparations: November 1–December 10, 2011
Course: December 11–16, 2011 Davos, Switzerland
Online follow-up: December 17–31, 2011
Lecture hall: Aspen
Dear AOTrauma course participant We have the honour to welcome you to the AOTrauma Course—Principles in Operative Fracture
Management run by the AOTrauma Specialty! We hope you will enjoy your course and the entire experience.
What is AOTrauma? We are the "clinical division"—a community for Trauma and Orthopaedics within the AO
Foundation. As an AO Specialty we aim to integrate and align applied and clinical research, education, and
community development functions into one direction—AOTrauma for the benefit of our members,
stakeholders, and patients.
How AOTrauma benefits you? By working as a single team we will focus and better leverage our resources,
expertise, and skills to create and deliver new and greater value to our members.
What does this mean in education? AOTrauma is committed to providing you the best possible educational
experience by continuously embracing and introducing new educational techniques to help you learn and
more effectively implement your knowledge for the benefit of your patients.
Why join AOTrauma? Joining AOTrauma means you are part of the ―Trauma & Orthopaedic‖ community
within the AO. AOTrauma will help you develop lifelong friendships and relationships; we will help you access
our ―knowledge network‖ and get involved in new opportunities that advance trauma care.
Yours sincerely,
Photo Photo
Kodi Kojima Nikolaus Renner
Chairperson AOTrauma Chairperson AOTrauma
Education Commission International Board
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.
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 250,000 surgeons and 135,000 ORP
staff from over 110 countries have attended AO Courses—we now launch AOTrauma to move our education
to the next level.
Content
Value statement
The AO principles
Dear AOTrauma course participant
Goal of the course
Target participants
Course objectives
Course description
Chairpersons
Faculty
Pre-course activities
Sunday, December 11, 2011
Monday, December 12, 2011
Tuesday, December 13, 2011
Wednesday, December 14, 2011
Thursday, December 15, 2011
Friday, December 16, 2011
Post-course activities
Course organization
Course logistics
Course information
Course venue
Business center
Wireless network
Exhibitions
Transportation
Sponsors
Upcoming courses
Goal of the course The AOTrauma Course—Principles of Operative Fracture Management emphasizes basic treatment principles in
operative management of the most common human fractures based on the application of AO Principles. This
course is the initial step along the pathway of lifelong learning in the area of operative fracture management.
Target participants
This course is targeted at doctors in surgical training or those who are interested in furthering their knowledge and skills in operative fracture management.
Course objectives
Upon completion of this course participants should be able to:
Understand the concepts of stability, their influence on bone healing, and how to apply implants to
achieve the appropriate stability
Plan a treatment based on assessment, imaging, classification, and decision making
Apply reduction techniques in fracture management with attention to the soft tissue
Assess and treat fractures utilizing different application techniques
Evaluate, classify, and formulate a treatment plan for pelvic injuries
Course description
Online pre-course self-assessment prepares you for the course and allows faculty to tailor the course to your needs. Before attending the course, you are expected to complete online modules on bone healing and classification. The course will be taught in a modular format. Each module consists of several evidence-based lectures, which will cover the key information required. In practical exercises participants will be trained in the application of various techniques. Discussing cases in small groups will help participants to understand decision-making and management skills. After the course an online post-course self-assessment will provide you important feedback on how much you've learned.
Chairpersons
Photo Photo Photo
Brian Bernstein Hazem Azeem Paul Szypryt
Cape Town, South Africa Giza, Egypt Nottingham, United Kingdom
Faculty
Acklin Yves Switzerland [email protected]
Aguado Hector Spain [email protected]
Azeem Hazem Egypt [email protected]
Baumgaertel Friedrich Germany [email protected]
Bavonratanavech Suthorn Thailand [email protected]
Bennett Derek Ireland [email protected]
Bernstein Brian South Africa [email protected]
Besselaar Arnold T. Netherlands [email protected]
Bijlsma Taco Sjoerd Netherlands [email protected]
Björkenheim Jan-Magnus Finland [email protected]
Boddie David United Kingdom [email protected]
Chiodini Federico Italy [email protected]
Cimerman Matej Slovenia [email protected]
Copeland Carol USA [email protected]
Davydov Denis Russia [email protected]
de Boer Piet Switzerland [email protected]
Deakin Sue United Kingdom [email protected]
Falavinha Ricardo S. Brazil [email protected]
Giménez María Virginia Argentina [email protected]
Gladden Paul USA [email protected]
Hanson Beate Switzerland [email protected]
Hoigné Dominik Switzerland [email protected]
Kholeif Ahmed Egypt [email protected]
Kremli Mamoun Saudi Arabia [email protected]
Lai JOSEPH Philippines [email protected]
Lee Pei-Yuan Taiwan [email protected]
Malani Sunil Oman [email protected]
Matityahu Amir USA [email protected]
Mehta Samir USA [email protected]
Merchan Suarez Gavino Manuel Ecuador [email protected]
Miyamoto Takashi Japan [email protected]
Neumayer Felix Switzerland [email protected]
Nunez Alfredo Venezuela [email protected]
Odat Mahmoud Jordan [email protected]
Oh Hyoung-Keun Korea, South [email protected]
Pintsaar Aivar Estonia [email protected]
Pressmar Jochen Germany [email protected]
Ramawan Erwin Indonesia [email protected]
Rastogi Shishir India [email protected]
Richards Robert Geoff Switzerland [email protected]
Rüedi Thomas Switzerland [email protected]
Scheer Johan Sweden [email protected]
Sermon An Belgium [email protected]
Sharifi Hassan Iran [email protected]
Shi Zhongmin China [email protected]
Siddique Mohammad South Africa [email protected]
Smith Malcolm USA [email protected]
Szypryt Paul United Kingdom [email protected]
Tulic Goran Serbia [email protected]
van den Bremer Jephta Netherlands [email protected]
Vander Griend Robert USA [email protected]
Velkes Steven Israel [email protected]
Wahler Guido Austria [email protected]
Winkelhagen Jasper Netherlands [email protected]
Pre-course activities
Online pre course self-assessment (30 min)
eLearning activity on "Biology of bone healing" (30 min)
eLearning activity on "Classification" (30 min)
Sunday, December 11, 2011
TIME AGENDA ITEM
15:00 Opening of the Convention Center
15:00–17:00 Registration of participants
17:00–18:00 Opening Ceremony
18:00–20:00 The Martin Allgöwer Reception
Monday, December 12, 2011
TIME AGENDA ITEM WHO
08:00–08:10
Welcome and introduction to the AOTrauma Principles course
B Bernstein, P Szypryt H Azeem
08:10–08:20
AO principles and philosophy
S Bavonratanavech
08:20–08:35
The influence of the patient factors and the mechanism of injury on fracture management
M Cimerman
08:35–08:50
The (soft-tissue) injury—a high priority consideration
H Azeem
08:50–09:00
The AO classification of fractures—why is this important?
P Szypryt
09:00–09:10
Bone healing—why is this important?
P Szypryt
09:10–09:20
Outline the key points of the first general principles lectures
B Bernstein
09:20–09:40
COFFEE BREAK
09:40–11:10
Small group discussions 1 Discussion on general principles and classification—developing a thought process to help manage fractures Group 1 Group 2 Group 3 Group 4 Group 5 Group 6 Group 7 Group 8 Group 9 Group 10 Group 11 Group 12 Group 13 Group 14 Group 15 Group 16 Group 50 Group 51
All
11:10–11:15
Location change to lecture hall
11:15–11:30
Spectrum of stability—how relative and/or absolute stability affect fracture healing
TS Bijlsma
11:30–11:50
Biomechanics—techniques of relative + absolute stability (screws, plates, intra- and extramedullary splinting)
P Szypryt
11:50–12:05
Fracture fixation using locking plates
R Van Der Grind
12:05–12:15
Outline the key points of stability and biomechanics lectures
Moderator
12:15–12:20
ARS Evaluation
12:20–16:00
LUNCH BREAK
16:00-17:05
Practical exercise 1 Internal fixation with screws and plates—absolute stability
S Bavorantanovech
17:05–17:30
COFFEE BREAK
17:30–18:30
RED TEAM Small group discussions 2 Discuss the concepts of stability, their influence on bone healing and how to apply implants to achieve the appropriate stability Group 1 Group 2 Group 3 Group 4 Group 5 Group 6 Group 7 Group 8 Group 9
All
17:30–18:30
GREEM TEAM Playground workshop Mechanics of bone fractures, plate fixation, and intramedullary fixation and techniques of reduction
All
Mechanics of bone fractures Loading condition and fracture pattern playground workshop 12 min
Mechanics of intramedullary fixation playground workshop 12 min
Mechanics of plate fixation (part 1) playground workshop 12 min
Mechanics of plate fixation (part 2) playground workshop 12 min
Techniques of reduction playground workshop 12 min
18:30–18:35
Groups switch locations
18:35–19:35
GREEN TEAM Small group discussions 2 Discuss the concepts of stability, their influence on bone healing and how to apply implants to achieve the appropriate stability Group 10 Group 11 Group 12 Group 13 Group 14 Group 15 Group 16 Group 50 Group 51
All
18:35–19:35
RED TEAM Playground workshop Mechanics of bone fractures, plate fixation, and intramedullary fixation and techniques of reduction
All
Mechanics of bone fractures Loading condition and fracture pattern playground workshop 12 min
Mechanics of intramedullary fixation playground workshop 12 min
Mechanics of plate fixation (part 1) playground workshop 12 min
Mechanics of plate fixation (part 2) playground workshop 12 min
Techniques of reduction playground workshop 12 min
Tuesday, December 13, 2011
TIME AGENDA ITEM WHO
07:30–08:25
Faculty meeting
B Bernstein, P Szypryt H Azeem
07:30–08:25
Optional skill training for participants
Torque measurement of bone screws
12 min
Soft-tissue penetration during drilling
12 min
Heat generation during drilling
12 min
Difficult implant removal
12 min
08:25–08:30
Location change to practical exercise
08:30–09:45
Practical exercise 2 The principle of the internal fixator using the locking compression plate (LCP)
M Odat
09:45–09:50
Location change to lecture hall
09:50–10:05
Principles of surgical approaches
P de Boer
10:05–10:20
Principles of diaphyseal fracture management—what is important in treating these fractures
A Nunez
10:20–10:35
Reduction techniques of diaphyseal fractures—principles and methods
F Baumgeartel
10:35–10:55
COFFEE BREAK
10:55–11:10
Fractures of the humeral diaphysis
JM Bjorkenheim
11:10–11:25
Fractures of the tibial diaphysis
PY Lee
11:25–11:40
Fractures of the femoral diaphysis (INCLUDING subtrochanteric)
D Hoigne
11:40–11:55
Intramedullary nailing—to ream or not to ream
R Van Der Grind
11:55–12:05
Outline the key points to treat diaphyseal fractures
Moderator
12:05–16:00
LUNCH BREAK
16:00–17:10
Practical exercise 3 Tibial fractures—intramedullary nailing with the expert tibia nail (ETN) (with reaming)
PY Lee
17:10–17:15
Change to small group discussions
17:15–18:15
Small group discussions 3 Management principles for the treatment of diaphyseal fractures Group 1 Group 2 Group 3 Group 4 Group 5 Group 6 Group 7 Group 8 Group 9 Group 10 Group 11 Group 12 Group 13 Group 14 Group 15 Group 16 Group 50 Group 51
All
18:15–18:35
COFFEE BREAK
18:35–19:35
Practical exercise 4 Tibial fractures treated with different external fixator frame constructs—assessment of stability Video with PPT bone 1116
B Bernstein
Wednesday, December 14, 2011
TIME AGENDA ITEM WHO
08:00–08:15
Forearm fractures—not just another shaft fracture
D Hoigne
08:15–08:30
Preoperative planning—rationale and how to do it
M Cimerman
08:30–09:40
Preoperative planning—―plan your forearm operation‖ (templating exercise in lecture hall)
S Velkes
09:40–10:00
Coffee break
10:00–11:10
Practical exercise 5 ―Operate your plan‖—fixation of a 22-C1 forearm fracture using the LCP 3.5 (8 and 11 holes)
S Deakin
11:10–11:15
Change to lecture hall
11:15–11:30
Management principles for articular fractures—how do they differ from diaphyseal fractures?
T Muckley
11:30–11:45
Reduction techniques for articular fractures—principles and methods
F Baumgaertel
11:45–12:00
Distal radial fractures—which to fix? How to fix?
C Copeland
12:00–16:00
LUNCH BREAK
16:00–16:15
Proximal humeral fractures—an update on treatment protocols
Y Acklin
16:15–16:30
Fractures of the olecranon and patella
JM Bjorkenheim
16:30–16:35
Change to practicals
16:35–17:20
Practical exercise 6 Tension band wiring of the olecranon
AT Besselaar
17:20–17:40
COFFEE BREAK
17:40–17:55
Ankle fractures—a logical approach for their fixation Lecture
P Gladden
17:55–18:05
Outline the key points to manage articular fractures
18:05–18:10
Change to small group discussions
18:10–19:20
Small group discussions 4 Preoperative planning—developing a thought and action process Group 1 Group 2 Group 3 Group 4 Group 5 Group 6 Group 7 Group 8 Group 9 Group 10 Group 11 Group 12 Group 13 Group 14 Group 15 Group 16 Group 50 Group 51
All
Thursday, December 15, 2011
TIME AGENDA ITEM WHO
08:00–09:00
Practical exercise 7 Management of a malleolar fracture type 44-C
P Gladden
09:00–09:05
Change to lecture hall
09:05–09:20
Femoral neck fractures
D Boddie
09:20–09:35
Trochanteric fractures
A Kholief
09:35–09:50
Distal femoral fractures—management principles
H Azeem
09:50–09:55
Outline the key points to manage articular fractures of the femur
Moderator
09:55–10:00
Changeto practicals
10:00–11:10
Practical exercise 8 Intramedullary nailing of a proximal femur using the PFNA
M Smith
11:10–11:30
COFFEE BREAK
11:30–11:35
Change to small group discussions
11:35–12:45
Small group discussion 5 Articular fractures, principles and synopsis
Group 1 Group 2 Group 3 Group 4 Group 5 Group 6 Group 7 Group 8 Group 9 Group 10 Group 11 Group 12 Group 13 Group 14 Group 15 Group 16 Group 50 Group 51
All
12:45–16:00
LUNCH BREAK
16:00–17:05
Practical exercise 9 Management of a femoral neck fracture using 7.3 mm
cannulated screws
D Boddie
17:05–17:10
Change to lecture hall
17:10–17:25
Tibial plateau fractures
AT Besselaar
17:25–17:40
Distal tibial fractures
TS Bijlsma
17:40–17:50
Minimally invasive osteosynthesis (MIO)—when to use it?
RS Falavinha
17:50–18:00
Radiation hazards
M Kremli
18:00–18:10
Moderator summary tibial articular fractures, MIO and radiation hazards
18:10–18:30
COFFEE BREAK
18:30–19:05
Practical exercise 10 Reduction technique using a large distractor on a diaphyseal fracture of the femur video 20163/bone 2263
T Muckley
Friday, December 16, 2011 TIME AGENDA ITEM WHO
08:00–08:15
Treatment algorithms for the polytrauma patient
M Cimerman
08:15–08:30
Emergency management of the cervical spine
M Smith
08:30–08:45
Emergency management of pelvic fractures—a critical skill can save lives
F Baumgeartel
08:45–09:00
Management of open fractures
B Bernstein
09:00-09:05
Change to practicals
09:05–10:15
Practical exercise 11 Stabilization of the pelvic ring using a large external fixator and a pelvis binder video 00122/bone 4083 (video needs correction; could this be done with a PPT?)
F Baumgaertel
10:15–10:35
COFFEE BREAK
10:35–10:50
Fractures in the growing skeleton—how are they different
C Copeland
10:50–11:05
Fixation principles in osteoporotic bone—the geriatric patient
S Deakin
11:05–11:15
Implant removal—Why, when, and how?
M Odat
11:15–11:30
Infection after osteosynthesis—how to diagnose and manage
S Velkes
11:30–11:45
Delayed healing—causes and treatment principles
A Matityahu
11:45–12:00
Summarize the key points of this module
Moderator
12:00–12:10
The future of fracture treatment
T Ruedi
12:10–12:25
Research
G Richards, BHanson
12:25–12:40
Guided tour through the AO world
12:40–13:10
Take-home message from the course participants
Participants
13:10–13:15
Closure of the course
Chairs
18:45–19:00
Transfer hotels to Congress Center
19:00–23:00
BANQUET
23:00–23:30
Transfer Congress Center to hotels
Post-course activities
Online post-course self-assessment (30 min)
Course organization
AOTrauma
George Clay
Clavadelerstrasse 8
7270 Davos, Switzerland
Phone +41 81 414 27 10
Fax +41 81 414 22 84
Email [email protected]
Course logistics
Industrial Partner
Synthes GmbH
Glutz-Blotzheim-Strasse 3
4500 Solothurn, Switzerland
Phone +41 32 720 42 25
Fax +41 32 720 46 89 Website www.synthes.com
Course information
Course fee
AOTrauma Course—Principles in Operative Fracture Management CHF 2 ’200.
Included in course fee are conference bag with documentation, coffee breaks, cocktail reception, c ourse
certificate.
Accreditation
AOTrauma Courses are accredited for continuing medical education (CME) programs. The number of credit
points or hours varies from country to country. The final information and number of credit points will be
distributed with the course certificate.
Evaluation guidelines
All AOTrauma courses apply the same evaluation process, either ARS (audience response system) 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 property
Course materials, presentations, and case studies are the intellectual property of the course faculty. All rights
are reserved. Check hazards and legal restrictions on www.aotrauma.org/legal.
Recording, photographing, or copying of lectures, practical exercises, case discussions, or any
course materials is strictly forbidden. Participants violating intellectual property will be dismissed.
Security
Security check at the entrance of the building. Wearing of a name tag is compulsory during lectures,
workshops, and group discussions.
No insurance
The course organization does not take out insurance to cover any individual against accidents, thefts or other
risks.
Mobile phone use
Mobile 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.
Dress code Course: casual or sportswear Banquet: formal Davos is a mountain resort. Warm clothes and suitable shoes are advisable. Banquet Friday, 19:00 at the Convention Center Banquet cards can be purchased/returned at the information desk until Monday evening. After this time reimbursement is no longer possible. A bus will pick you up at 18:45. Please see ―Bus meeting points for the banquet‖. Hotels Participants who have not booked a package including hotel should settle their hotel bill directly when checking out. HRG travel office The HRG travel office will support you with flight confirmation or re-booking during coffee break.
Course venue
Convention Center Davos
Promenade 92
7270 Davos, Switzerland
Phone +41 81 414 64 07
Fax +41 81 414 64 26
Welcome desk–opening hours General information/Registration for special events Sunday 15:00–17:00 Monday to Friday 07:45–19:00 Information/Faculty desk–opening hours Course information for Faculty and participants Sunday 15:00–17:00 Monday to Friday 07:30–19:00
Business center
There is one business center in the Convention Center which is accessible to everybody.
Services
• Internet and e-mail access • Printing possibility • www.aotrauma.org
AO Course website offering course-related information.
Location
On floor A2
Opening hours
30 minutes before the first course of the day starts until
30 minutes after the last course ends
Disclaimer
The 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, etc). AO cannot be held responsible for any data loss or thef t.
For further information or support please contact:
AO Foundation
Phone +41 81 414 28 70
E-mail [email protected]
Wireless network
A special wireless network is accessible and free for everybody.
Services
• Internet and e-mail access • www.aotrauma.org
AO Course website offering course-related information.
Locations
At public places in the Convention Center
Exhibitions
AO World Visit the AO World in the main foyer, home of the new world of the AO Specialties: AOTrauma, AOSpine, AOCMF; and AOVET. At the specialty exhibits you can explore membership opportunities, the award winning Surgery Reference, examine our print and electronic publications, learn about the ground-breaking activities occurring within AO, and discover the research, development, fellowship, and other opportunities available to you. You can also visit with the Clinical Investigation and Documentation (CID), the AO Research Institute Davos, the TK Office and AO GCTM. Come on into the AO World and sign up to become eligible for terrific prizes, including an exquisite Bucherer watch, and an iPod.
Industry exhibitions Visit our industry partner Synthes as well as a number of industry providers who will demonstrate the latest advances in their technologies: BrainLab, Siemens, Mathys Orthopädie, Storz, Synbone, AMTS, Eli Lilly
Transportation
Special bus for course participants Monday to Friday 11:50/12:15 Convention Center–Mountain Railways 15:35 Mountain Railways–Convention Center Wednesday 12:20 Convention Center–AO Center 13:30 AO Center–Convention Center Thursday 12:30 Convention Center–AO Center 13:30 AO Center–Convention Center Friday 18:45 Hotels–Convention Center from 23:00 Convention Center–Hotels Local buses run every 10 minutes during the day. Bus meeting points for the banquet
Flüela (Bünda, Victoria)
Seehof (Parsenn)
Meierhof (Solaria, Zauberberg)
Dischma (Cresta, Edelweiss, Sonnenberg)
Belvédère (Panorama)
Central
Schweizerhof (Europe)
Posthotel (ArtHaus)
National (Esplanade, Strela)
Sunstar Park (Club Hotel)
Grischa (Larix)
Sponsors
We would like to thank our partner Synthes for their support without which this event would not be possible.
A special thanks to our main sponsor: Siemens
We also extend our thanks to the following co-sponsors: BrainLab
Credit Suisse
Synbone
Storz
AO Courses—Davos 2012
AO Course–December 1 to 6, 2012
AOTrauma Swiss Residents Course—Principles in Operative Fracture Management
AOTrauma Fortgeschrittenen-Kurs für operative Frakturbehandlung
AOTrauma Current Concepts Course
AOTrauma Course—Foot and Ankle
AOTrauma Course—Fragility Fractures and Orthogeriatric Comanagement
AOCMF Course-Principles in Craniomaxillofacial Fracture Management
AOVET Courses
AO Course–December 9 to 14, 2012
AOTrauma Course—Principles in Operative Fracture Management
AOTrauma Course—Advances in Operative Fracture Management
AOTrauma Course—Masters
AOTrauma Course—Polytrauma
AOSpine Courses
List subject to changes. The final Davos courses as well as worldwide courses lists will be available on www.aotrauma.org in January 2012.
AOTrauma Clavadelerstrasse 8, 7270 Davos Platz, Switzerland Phone +41 81 414 27 20, F +41 81 414 22 84, [email protected]
Logistics and support provided by an educational grant from Synthes.
