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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