Physicians, Fellows, and Residents Present at the American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting

The American Academy of Orthopaedic Surgeons will host the 2018 Annual Meeting from March 6-10 in New Orleans. UPMC will be well represented in poster presentations, panels, case studies, and educational discussions. Some of these presentations include:

2018 Program Committees

• Adult Reconstruction Hip
  Brian R. Hamlin, MD, Pittsburgh, PA

• Shoulder and Elbow
  Albert Lin, MD, Pittsburgh, PA

• Trauma
  Peter A. Siska, MD, Pittsburgh, PA

• Spine
  William F. Donaldson III, MD, Pittsburgh, PA

Tuesday, March 6

Paper Presentations

10:30 AM - 12:30 PM

Theater B

Shoulder and Elbow I (061-075): Anatomic Shoulder Arthroplasty

Moderator(s): Albert Lin, MD, Pittsburgh, PA

12:06 PM PAPER 118

Atypical Lipomatous Tumors of the Extremities: Does Our Inconsistent

Terminology have Patient Repercussions?

• Mitchell Fourman, MD, Pittsburgh, PA

• Carola F. Van Eck, MD, Pittsburgh, PA

• Kurt R. Weiss, MD, Pittsburgh, PA

• Mark A. Goodman, MD, Pittsburgh, PA

• Richard L. McGough, MD, Pittsburgh, PA

In a meta-analysis we found that atypical lipomatous tumors (ALT) of the extremities do not metastasize and rarely dedifferentiate. Our findings suggest that ALTs can be preserved in select cases.

Wednesday, March 7

Instructional Course Lecture

Biologics in Rotator Cuff Repair: Magic or Mischief?

• James P. Bradley, MD, Pittsburgh, PA

This course offers a thorough presentation of the use of biologics in the setting of a rotator cuff tear and its impact on patient outcomes.

11:48 AM PAPER 280

Web-Based Education Prior to Outpatient Orthopaedic Surgery

Enhances Patient Satisfaction Scores: A Prospective, Randomized

Controlled Study

• Carola F. Van Eck, MD, Pittsburgh, PA

In this study, supplemental web-based patient education prior to outpatient orthopaedic surgery enhanced patient satisfaction scores.

1:30 PM - 3:30 PM

Theater C

Trauma IV (307-321): Foot/Ankle

• Moderator(s): Peter Siska, MD, Pittsburgh, PA

4:30 PM PAPER 386

Anterior Cruciate Ligament (ACL) Injury in Collegiate Football

Athletes: Impact of Isolated versus Complex ACL Injury on Draft

Status and Professional Performance

• James P. Bradley, MD, Pittsburgh, PA

History of ACL injury in NFL-caliber players appears to be more detrimental to draft status and NFL performance in the setting of a complex ACL injury versus an isolated ACL injury.

Thursday, March 8

8:00 AM - 10:00 AM

Compression Neuropathies – Getting It Right So You Don’t Have to Do It Again or Deal with Complications

• Moderator: Dean G. Sotereanos, MD, Pittsburgh, PA

The management of compression neuropathies throughout the upper extremity are presented in a case based manner. Detailed discussion regarding pearls and pitfalls of initial treatment, and avoiding the potential complications as well as managing them, aid the orthopaedic surgeon in practice.

8:00 AM - 10:00 AM

Theater C

Adult Reconstruction Hip III (472-486): Complications of Total Hip

Arthroplasty

• Moderator(s): Brian R. Hamlin, MD, Pittsburgh, PA

8:00 AM - 10:00 AM

Theater C

Adult Reconstruction Hip III (472-486): Complications of Total Hip

Arthroplasty

• Moderator(s): Brian R. Hamlin, MD, Pittsburgh, PA

How to Receive Your Comprehensive Care for Joint Replacement (CJR) Reconciliation Check from Medicare: Maximizing Your CJR Quality Score

• Adolph J. Yates, MD, Pittsburgh, PA

The Comprehensive Care for Joint Replacement requires a Quality Score to receive any reconciliation payments. The details of the quality score are explained.

11:06 AM PAPER 530

In Vivo Kinematics and Arthrokinematics of the Anterior Cruciate

Ligament Deficient Knee During Level Walking and Downhill Running

• Yasutaka Tashiro, MD, PhD, Pittsburgh, PA

• Andrew D. Lynch, PhD, PT, Pittsburgh, PA

• Freddie H. Fu, MD, Pittsburgh, PA

• William Anderst, PhD, Pittsburgh, PA

Clinically, ACL-D patients who do not report symptoms of instability likely still demonstrate altered knee kinematics and arthrokinematics compared to their uninvolved limb.

3:12 PM PAPER 566

Post-Decompressive Neuritis (PDN): New-Onset Post-Laminectomy

Lower Extremity Pain Independent from the Preoperative Complaint

• Lorraine Boakye, MD, Pittsburgh, PA

• Mitchell Fourman, MD, Pittsburgh, PA

• Dann Laudermilch, MD, Pittsburgh, PA

• Joon Y. Lee, MD, Pittsburgh, PA

Although symptoms consistent with PDN commonly occur (77%) among patients undergoing lumbar laminectomy, our study is the first to define and characterize its natural history and management.

4:00 PM PAPER 598

Treatment of Proximal Pole Scaphoid Nonunion with Capsular-Based

Vascularized Distal Radius Graft

• Loukia K. Papatheodorou, MD, Pittsburgh, PA

• Robert W. Weiser, PA-C, Pittsburgh, PA

• Dean G. Sotereanos, MD, Pittsburgh, PA

Results of the use of a capsular-based vascularized bone graft from the distal radius for scaphoid nonunions compare favorably with the results of pedicled or free vascularized grafts.

4:54 PM PAPER 650

Type VIII SLAP Repair: Patient-Reported Outcomes of 34 Patients

with Minimum Four-Year Follow Up

• Mitchell Fourman, MD, Pittsburgh, PA

• Justin W. Arner, MD, Pittsburgh, PA

• James P. Bradley, MD, Pittsburgh, PA

Surgical repair of Type VIII SLAP lesions results in significantly improved pain, function, and range of motion in throwing and non-throwing athletes. This improvement persists for > 4 years post-op.

Friday, March 9

Symposium V

8:00 AM - 10:00 AM

La Nouvelle Ballroom

Use and Misuse of Biologics in Orthopaedic Surgery: PRP and

Stem Cells

There is a high level of interest in biologics for the treatment of musculoskeletal conditions from both patients and physicians. As these products, in general, are autologous and minimally manipulated, they are not regulated by the FDA. As a result, their use has grown rapidly. This symposium will examine current trends in usage, our current understanding of potential mechanisms of action and clinical indications as well as identify knowledge gaps for further research.

Panel:

• James P. Bradley, MD, Pittsburgh, PA

Management of Most Common Foot and Ankle Pathologies

• Stephen F. Conti, MD, Pittsburgh, PA

Course presenters discuss the fundamentals of conservative and surgical management of most common foot and ankle pathologies like acute Achilles rupture, plantar fasciitis, equinus contracture [gastrocnemius tightness], sesamoiditis, and metatarsalgia; and also helps participants to understand the different controversies in treatment of these common pathologies by active discussion with the faculty.

11:12 AM PAPER 714

All-Epiphyseal Anterior Cruciate Ligament Reconstructions in the

Very Young Pediatric Population have Equivalent Subjective and

Return-to-Sport Outcomes compared with Partial Physeal-Sparing

Reconstructions in Older Patients: A Prospective Mid-Term Analysis

• Mitchell Fourman, MD, Pittsburgh, PA

• Sherif G. Hassan, MD, PhD, Pittsburgh, PA

• James W. Roach, MD, Pittsburgh, PA

• Jan Grudziak, MD, Pittsburgh, PA

Total-physeal-sparing ACL reconstructions in the young (7-12 year-old) patients have equivalent objective and return to sport outcomes as partial-physeal-sparing procedures in older patients.

11:24 AM PAPER 733

Mechanism, Presentation, Injury Pattern, and Associated Injuries for Multiple Ligament Knee Injuries (MLKIs): A Multicenter Study from the Surgical Timing and Rehabilitation Trial for MLKIs Network

• James J. Irrgang, PhD, Pittsburgh, PA

• Andrew D. Lynch, PhD, PT, Pittsburgh, PA

• Volker Musahl, Pittsburgh, PA

• Alicia Oostdyk, MPH, Pittsburgh, PA

• Adam Popchak, DPT, PhD, Pittsburgh, PA

MLKIs most commonly involved a single cruciate with posteromedial (PMC) or posterolateral (PLC) corner injury, however 32% of the injuries were bicruciate injuries with injury to the PMC and/or PLC.

1:30 PM - 3:30 PM

444 Management Strategies for Scapholunate Ligament

Injuries: From Occult Injury to Arthritis

• Dean G. Sotereanos, MD, Pittsburgh, PA

This instructional course lecture focuses upon strategies to recognize scapholunate (SL) ligament injuries and discusses treatment options in the acute and chronic setting, with and without arthritis.

Issues of Alignment and Tibial Slope: When to Address and How?

• Moderator: Volker Musahl, MD, Pittsburgh, PA

This is a review of knee malalignment with a special focus on coronal plane and sagittal plane alignment.

Indications for proximal tibia osteotomies and distal femur osteotomies and advantages and disadvantages of closing wedge and opening wedge osteotomies are presented.

3:06 PM PAPER 805

Screening Dental Disease; Do Race/Income Play a Role?

• Margaret Hankins, MD, Pittsburgh, PA

• Alan E. Wilson, BS, Pittsburgh, PA

• Allyn M. Bove, DPT, PT, Pittsburgh, PA

• Brian A. Klatt, MD, Wexford, PA

A simple preoperative dental evaluation by the treating orthopaedic surgeon is effective to identify patients with poor dental hygiene which may predispose to prosthetic joint infection.

4:36 PM PAPER 813

One-Year Outcomes of Treated Periprosthetic Joint Infections Diagnosed by MSIS and Sonicate Cultures Shows Greater than 20% Recurrence Rates

• Kwesi St. Louis, MD, Pittsburgh, PA

• Alan E. Wilson, BS, Pittsburgh, PA

• Cara Thorne, Pittsburgh, PA

• Michael O’Malley, MD, Pittsburgh, PA

• Kenneth Urish, MD, PhD, Sewickley, PA

• Brian A. Klatt, MD, Wexford, PA

The rate of recurrent infection for treated cases of PJI remains high in spite of more accurate diagnosis and treatment based on sonication fluid culture.

Adult Reconstruction Hip

Poster No. P0079

Race, Medicaid Insurance, BMI, and Female Gender are Consistently

Correlated with Lower HOOS JR Scores

• Kwesi St. Louis, MD, Pittsburgh, PA

• Adam S. Olsen, MD, Pittsburgh, PA

• Michael O’Malley, MD, Pittsburgh, PA

• Adam C. Rothenberg, MD, Pittsburgh, PA

• James J. Irrgang, PhD, Pittsburgh, PA

• Brian A. Klatt, MD, Wexford, PA

• MaCalus V. Hogan, MD, Pittsburgh, PA

• Monique C. Chambers, MD, MSc, Pittsburgh, PA

• Johanna Bellon, PhD, Pittsburgh, PA

• Dan Lob, BS, Pittsburgh, PA

• Jeffrey D. Borrebach, MS, Pittsburgh, PA

• Janice Donis, RN, Pittsburgh, PA

• Deborah Pesanka, RN, Bethel Park, PA

• Andrew Bilderback, MS, Pittsburgh, PA

• Stefanie Altieri Dunn, PhD, Pittsburgh, PA

• Linda S. Harvey, BSN, RN, Pittsburgh, PA

• Tamra E. Minnier, BSN, RN, Pittsburgh, PA

• UPMC Wolff Center for Quality, Safety, and Innovation

Race, Medicaid insurance, BMI, and female gender are consistently correlated with lower HOOS JR Scores.

Adult Reconstruction Knee

Poster No. P0139

All Staphylococcus is Not the Same: Genotype Diversity in S. aureus between

Periprosthetic Joint Infection and Nasal Isolates

• Kenneth Urish, MD, PhD, Sewickley, PA

• Dongzhu Ma, MD, PhD, Pittsburgh, PA

• Nathaniel J. Phillips, Pittsburgh, PA

• Patrick Maher, MD, Pittsburgh, PA

• Anthony Richardson, PhD, Pittsburgh, PA

• Deborah Simonetti, Pittsburgh, PA

• William Paasculle, PhD, Pittsburgh, PA

• Vaughn Cooper, PhD, Pittsburgh, PA

PJI isolates tend to be more diverse than nasal carriage isolates of S. aureus. There is strong evidence of adaptive evolution of S. aureus during treatment for PJI.

Hand and Wrist

Poster No. P0220

Adipose-Derived Stem Cells vs. FK506 Enhanced Peripheral Nerve Regeneration: Experimental Study in a Rat Model

• Georgios Panagopoulos, MD, Pittsburgh, PA

In this study we assessed the impact of undifferentiated adipose derived stem cells and FK506 (tacrolimus) in combination with biodegradable conduits in peripheral nerve regeneration in a rat model.

Sports Medicine

Poster No. P0418

Restoration of Knee Kinematics after Anatomic Anterior Cruciate Ligament

Reconstruction is Dependent on Associated Meniscal Injury

• Berkcan Akpinar, BA, Pittsburgh, PA

• James J. Irrgang, PhD, Pittsburgh, PA

• Freddie H. Fu, MD, Pittsburgh, PA

• William Anderst, PhD, Pittsburgh, PA

Anterior cruciate ligament reconstruction in the absence of associated meniscus injury restores native knee kinematics at 24 months follow up.

Sports Medicine

Poster No. P0427

Sonographic Evaluation of Hamstring Tendons as Preoperative Planning of

Anterior Cruciate Ligament Reconstruction

• Tetsuya Takenaga, MD, Pittsburgh, PA

• Masahito Yoshida, MD, Pittsburgh, PA

• Marcio B. Albers, MD, Pittsburgh, PA

• Freddie H. Fu, MD, Pittsburgh, PA

• Kentaro Onishi, DO, Pittsburgh, PA

The diameter of doubled ST and quadrupled ST-GT can be reliably predicted based on preoperative CSA measurement by ultrasound. Isolated prediction for doubled GT diameter might be difficult.

Sports Medicine

Poster No. P0431

The Anterolateral Complex in Anterior Cruciate Ligament Deficient Knees

Demonstrate Sonographic Abnormalities on High-Resolution Sonography

• Masahito Yoshida, Pittsburgh, PA

• Elmar Herbst, MD, Pittsburgh, PA

• Marcio B. Albers, MD, Pittsburgh, PA

• Volker Musahl, Pittsburgh, PA

• Freddie H. Fu, MD, Pittsburgh, PA

• Kentaro Onishi, DO, Pittsburgh, PA

Before considering any surgical extra-articular surgical procedure for the patients with ACL injury, injury to the ALC should be carefully assessed with high-resolution musculoskeletal ultrasound.

Sports Medicine

Poster No. P0438

Sports Participation is an Appropriate Expectation for Recreational Athletes Following Total Shoulder Arthroplasty

• Adam Popchak, DPT, PhD, Pittsburgh, PA

• Juan Giugale, MD, Pittsburgh, PA

• James J. Irrgang, PhD, Pittsburgh, PA

• Albert Lin, MD, Pittsburgh, PA

Patients who underwent total shoulder arthroplasty can maintain active lifestyles following surgery, particularly in regards to weightlifting, golf, swimming, and bowling with frequent participation.

Adult Reconstruction Knee

Poster No. P0640

Surgical Volume Does Not Predict Failure in Debridement and Component Retention: A Multicenter Study of Total Knee Arthroplasty Periprosthetic Joint Infection

• Kenneth Urish, MD, PhD, Sewickley, PA

• Alexander Kreger, Pittsburgh, PA

• Andrew G. Bullock, BS, Pittsburgh, PA

• Beverly L. Hersh, BA, BS, Pittsburgh, PA

• Aatif Sayeed, BA, Pittsburgh, PA

• Kwonho Jeong, MS, Pittsburgh, PA

• Neel B. Shah, MD, Pittsburgh, PA

• Timothy J. Levison, MS, Pittsburgh, PA

• Brian R. Hamlin, MD, Pittsburgh, PA

• Brian A. Klatt, MD, Wexford, PA

• Scott D. Rothenberger, PhD, Pittsburgh, PA

A multicenter study comparing TKA PJI I&D failure by low vs. high volume surgeons showed high failure rates in both groups, with higher cost and number of procedures in the low volume group.

Musculoskeletal Oncology

Poster No. P0737

Disulfiram versus Doxorubicin Treatment in an Orthotopic Model of Metastatic Osteosarcoma

• Jared Crasto, MD, Pittsburgh, PA

• Mitchell Fourman, MD, Pittsburgh, PA

• Adel Mahjoub, BA, Pittsburgh, PA

• Alejandro Morales, MD, Pittsburgh, PA

• Jonathan Mandell, BS, Gibsonia, PA

• Rebecca J. Watters, PhD, Pittsburgh, PA

• Kurt R. Weiss, MD, Pittsburgh, PA

Disulfiram has potent anti-metastatic properties and may be better tolerated than traditional anthracycline chemotherapy.

Sports Medicine

Poster No. P0897

Clinical Outcomes of a Novel Single-Tunnel Technique for Coracoclavicular and Acromioclavicular Ligament Reconstruction

• Carola F. Van Eck, MD, Pittsburgh, PA

The new described technique for AC joint reconstruction results in satisfactory objective and patient reported outcomes and return to sports at 2-year follow up without fractures.

Sports Medicine

Poster No. P0938

Comparison of Patient-Reported Outcomes at a Minimum Two Years after

Anatomic Anterior Cruciate Ligament Reconstruction Between Four Graft Types

• Andrew D. Lynch, PhD, PT, Pittsburgh, PA

• Volker Musahl, Pittsburgh, PA

• Freddie H. Fu, MD, Pittsburgh, PA

• James J. Irrgang, PhD, Pittsburgh, PA

There is no significant difference in patient reported outcomes at least two years after anatomic ACL reconstruction among four graft types except for the PROMIS Physical Function CAT.

Sports Medicine

Poster No. P0943

Anterior Cruciate Ligament Injury in Collegiate Football Athletes: Impact on

Draft Status and Professional Performance

• James P. Bradley, MD, Pittsburgh, PA

For NFL athletes, an ACL injury in college significantly lessens the number of games played and started during their initial career with potential long-term detrimental consequence.

Trauma

Poster No. P1005

Does Nutritional Pre-Habilitation Decrease Complications in Staged Tibial

Pilon Fracture Surgery?

• Ivan S. Tarkin, MD, Pittsburgh, PA

• Gele Moloney, MD, Pittsburgh, PA

Nutrition may represent a modifiable patient risk factor that can lower the rate of complications following surgical treatment of severe tibial pilon fractures.

Adult Reconstruction Hip

Scientific Exhibit SE05

The Consensus Statement of American Association of Hip and Knee Surgeons, American Academy of Orthopaedic Surgeons, Hip Society, Knee Society, and American Society of Regional Anesthesia

on Tranexamic Acid in Total Joint Arthroplasty

• Adolph J. Yates, MD, Pittsburgh, PA

Tranexamic acid is a safe and effective method for reducing postoperative blood loss and transfusions in patients undergoing a total joint arthroplasty.

Scientific Exhibit SE30

How to Start Bundling Care and Payments: Co-Design and Deliver

Value-Based Care Using the Patient Centered Value System

• Anthony M. DiGioia, MD, Pittsburgh, PA

• Angela Devanney, Pittsburgh, PA

• Molly O’Brien, Pittsburgh, PA

• Gigi Crowley, RN, Pittsburgh, PA

The Patient Centered Value System provides tools to co-design a bundle for a full cycle of care for any condition, with input from all stakeholders. Shadow patients, determine true cost, and identify opportunities for improvement.

Scientific Exhibit SE34

Comprehensive Care for Joint Replacement Bundle Model: Proven Implementation Strategies within a Hybrid Payor-Provider Delivery System

• Monique C. Chambers, MD, MSc, Pittsburgh, PA

• Adolph J. Yates, MD, Pittsburgh, PA

• Johanna Bellon, PhD, Pittsburgh, PA

• Dan Lob, BS, Pittsburgh, PA

• Lawrence S. Crossett, MD, Pittsburgh, PA

• Brian A. Klatt, MD, Wexford, PA

• James J. Irrgang, PhD, Pittsburgh, PA

• Tamra E. Minnier, BSN, RN, Pittsburgh, PA

• MaCalus V. Hogan, MD, Pittsburgh, PA

The Comprehensive Care for Joint Replacement requires a Quality Score to receive any reconciliation payments. The details of the quality score are explained.

Scientific Exhibit SE67

The Anterolateral Complex of the Knee: An Anatomic-Based Approach

• Marcio B. Albers, MD, Pittsburgh, PA

• Monique C. Chambers, MD, MSc, Pittsburgh, PA

• Tetsuya Takenaga, MD, Pittsburgh, PA

• Humza Shaikh, MD, Pittsburgh, PA

• Elmar Herbst, Pittsburgh, PA

• Masahito Yoshida, MD, Pittsburgh, PA

• Kentaro Onishi, DO, Pittsburgh, PA

• Volker Musahl, Pittsburgh, PA

• Freddie H. Fu, MD, Pittsburgh, PA

The anterolateral complex of the knee: explore the pathway from anatomic dissection to extra-articular procedures indications and surgical techniques. to organize an excellent educational experience