Program Committee LeadershipWilliam M. Ricci, MD, OTA President

Michael T. Archdeacon, MDKenneth A. Egol, MD

Michael J. Gardner, MDPierre Guy, MD

Michael D. McKee, MDRobert F. Ostrum, MD

Specialty DayMarch 10, 2018

7.75 CME

Morial Convention CenterNew Orleans, Louisiana

7:25 am – 7:30 am Welcome William M. Ricci, MD, OTA President

7:30 am – 8:05 am Session I: Five Papers Published in the Last Twelve Months That Will Change Your Practice Moderator: Roy Sanders, MD

8:05 am – 9:07 am Session II: Ankle Fracture Controversies: Syndesmosis, Posterior Malleolus, Medial Malleolus & Deltoid, and Hardware Removal Moderator: Michael J. Gardner, MD

8:05 am – 8:12 am Syndesmtosis I: How to Diagnose Subtle Injuries and When to Fix Kenneth A. Egol, MD

8:12 am – 8:19 am Syndesmosis II: Reduction Tips (Clamp Orientation and Force) David E. Asprinio, MD

8:19 am – 8:26 am Syndesmosis III: How to Fix (Screw(s) or Suture) David W. Sanders, MD

8:26 am – 8:36 am Discussion

8:36 am – 8:43 am Posterior Malleolus: When and How to Fix Anna N. Miller, MD, FACS

8:43 am – 8:50 am Medial Injuries: Fixation of Medial Malleolus Fractures and the Status of Deltoid Repair Thomas F. Higgins, MD

8:50 am – 8:57 am Hardware Removal: If and When Eric D. Farrell, MD

8:57 am – 9:07 am Discussion

9:07 am – 9:27 am Break

9:27 am – 10:27 am Session III: Tips and Tricks (Reduction Techniques, Blocking Screws, Soft Tissue Management, Etc.) Moderator: Paul Tornetta, III, MD

9:27 am – 9:37 am Strategic Use of Reduction Clamps Matt L. Graves, MD

9:37 am – 9:47 am Use of Mini Plates as Reduction Aids Paul Tornetta, III, MD

9:47 am – 9:57 am Blocking Screws Gregory J. Della Rocca, MD, PhD, FACS

9:57 am – 10:07 am Ex Fix Pin Management to Avoid Infection J. Tracy Watson, MD

10:07 am – 10:17 am Restoring Rotation and Alignment in the Highly Displaced Femoral Shaft Fracture Timothy S. Achor, MD

10:17 am – 10:27 am Avoiding Varus in Proximal Humerus Fractures Michael J. Gardner, MD

OTA Specialty Day

Saturday, March 10, 2018Morial Convention CenterRoom 2457:25 am – 4:45 pm

Educational ObjectivesUpon completion of this program, participants should be able to:

• To apply prominent recent studies in the orthopaedic literature to enhance decision-making and maximize outcomes in fracture management• To analyze and incorporate into practice modern fixation

techniques• To define the complexities of providing geriatric fracture care

and identify optimal treatment strategies• To apply evidence-based medicine and expert experience in

the decision-making process for difficult injuries• To summarize weight bearing recommendations after fracture management

Accreditation Credit HoursThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accredita-tion Council for Continuing Medical Education (ACCME) through the joint providership of the American Academy of Orthopaedic Surgeons and the Orthopaedic Trauma Association.

The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians The American Academy of Orthopaedic Surgeons designates this live activity for a maximum of 7.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

HandoutsHandouts can be found on the OTA website:http://ota.org/education/2018-specialty-day/or on the AAOS mobile app. Search ‘My Academy’ to download.

Program Committee LeadershipWilliam M. Ricci, MD, OTA PresidentMichael T. Archdeacon, MD; Kenneth A. Egol, MD;Michael J. Gardner, MD; Pierre Guy, MD; Michael D. McKee, MD and Robert F. Ostrum, MD

10:27 am – 11:22 am Session IV: Periprosthetic Fractures and Controversies Moderator: William M. Ricci, MD

10:27 am – 10:37 am Fixation Techniques for Vancouver B Fractures William M. Ricci, MD

10:37 am – 10:47 am Roll for Revision Arthroplasty in Vancouver B Fractures Emil H. Schemitsch, MD

10:47 am – 10:57 am Tips for Management of Distal Femur Periprosthetic Fractures Brett D. Crist, MD, FACS

10:57 am – 11:12 am Periprosthetic Cases William M. Ricci, MD

11:12 am – 11:22 am Discussion

11:30 am – 12:30 pm Lunch (OTA Members-Only Business Meeting)

12:30 pm – 1:05 pm Session V: Papers You Need to Know About: 2017 OTA Annual Meeting Highlights Moderators: Michael D. McKee, MD Michael J. Gardner, MD

12:30 pm – 12:37 pm Bovill Award Paper Presentation

Introduction: William M. Ricci, MD

12:37 pm – 1:05 pm 2017 OTA Annual Meeting Highlights Michael D. McKee, MD and Michael J. Gardner, MD

1:05 pm – 2:00 pm Session VI: Status of Weight Bearing Recommendations (Case Based with Audience Response System – What Would You Do with this Patient?) Moderator: William T. Obremskey, MD, MPH

1:05 pm – 1:12 pm Case 1 – Ankle Fracture Niloofar Dehghan, MD, MSc, FRCSC

1:12 pm – 1:19 pm Case 2 – Distal Femur Fracture Michael J. Gardner, MD

1:19 pm – 1:26 pm Case 3 – When is it Safe to Drive? Nirmal C. Tejwani, MD, FACS

1:26 pm – 1:36 pm Discussion

1:36 pm – 1:43 pm Case 4 – Humeral Shaft Fracture with Associated Lower Extremity Fracture Philip R. Wolinsky, MD

1:43 pm – 1:50 pm Case 5 – Clavicle Fracture with Associated Lower Extremity Fracture Kyle J. Jeray, MD

1:50 pm – 2:00 pm Discussion

2:00 pm – 2:20 pm Break

2:20 pm – 3:40 pm Session VII: Expert Panel: How I Learned from my Tough Cases Moderator: Michael T. Archdeacon, MD

2:20 pm – 2:30 pm Tough Case 1 - Comminuted Distal Humerus Fracture Samir Mehta, MD

2:30 pm – 2:40 pm Tough Case 2 - Comminuted Intertroch/ Subtroch in an Obese Patient Robert F. Ostrum, MD

2:40 pm – 2:50 pm Tough Case 3 - Communuted Proximal Forearm/Olecranon Fracture David S. Wellman, MD

2:50 pm – 3:00 pm Tough Case 4 - Smashed Patella Fracture Hassan R. Mir, MD, MBA, FACS

3:00 pm – 3:10 pm Tough Case 5 - Combined Pelvis/Acetabular Fracture Michael T. Archdeacon, MD

3:10 pm – 3:20 pm Tough Case 6 - Atypical Femur Fracture Gone Bad Donald A. Wiss, MD

3:20 pm – 3:30 pm Tough Case 7 – Highly Displaced Extra- Articular Proximal Tibial Fracture Eric Kubiak, MD

3:30 pm – 3:40 pm Tough Case 8 – Unexpectedly Infected Recalcitrant Nonunion Daniel S. Horwitz, MD

3:40 pm – 4:40 pm Session VIII: Special Consideration for Geriatric Fractures Moderator: Ross K. Leighton, MD

3:40 pm – 3:50 pm Case 1 – Geriatric Acetabular Fracture (Why I Treated it Non-Op) Michael T. Archdeacon, MD

3:50 pm – 4:00 pm Case 2 – Geriatric Acetabular Fracture (Why I Fix and/or Replace) Andrew H. Schmidt, MD

4:00 pm – 4:10 pm Case 3 – Geriatric Diabetic Ankle Fracture (What I do Differently) Timothy O. White, MD, FRCS

4:10 pm – 4:20 pm Case 4 – Geriatric Distal Humerus Fracture (When I Fix and When I Replace) Michael D. McKee, MD

4:20 pm – 4:30 pm Case 5 - Geriatric Severely Depressed Tibial Plateau Fracture Tim Chesser, MD, FRCS

4:30 pm – 4:40 pm Case 6 - Severely Osteoporotic Femoral Neck Fracture Frank A. Liporace, MD

4:40 pm – 4:45 pm Closing Remarks and Adjourn William M. Ricci, MD