Physicians, Fellows, and Residents Present at the American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting
March 7, 2018
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?
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
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
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
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
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
8:00 AM - 10:00
AM
Theater C
Adult
Reconstruction Hip III (472-486): Complications of Total Hip
Arthroplasty
How to Receive
Your Comprehensive Care for Joint Replacement (CJR) Reconciliation
Check from Medicare: Maximizing Your CJR Quality Score
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:
Management of
Most Common Foot and Ankle Pathologies
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
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?
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
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
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
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
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
