Day 1 :
Biography:
Michael Downing is a third year medical student at NSU-KPCOM in Fort Lauderdale, FL. He completed a one year student fellowship (2019-2020) focusing on musculoskeletal medicine, sports medicine, and manipulative medicine. He hopes to pursue a future career in orthopedics.
Abstract:
During the past decade there has been an increased use of demineralized bone matrix (DBM) products for the use of fractures. DBM is an allograft obtained from human cadaveric bone that has osteoinductive and osteoconductive properties. DBM has a good safety profile, is cost-effective, and avoids issues seen in autologous bone grafts such as donor-site pain, infection, increased blood loss, and longer procedure times. There is a wide variety of specific DBM products, each with their own biochemical, safety, and efficacy profiles. This raises a question of which specific DBM product is superior to the rest. This study reviews comparison studies of specific brand DBM products, including Allomatrix, DBX, Grafton, Orthoblast and Osteosponge in an attempt to propose the most efficacious DBM product that can be used for bone grafting of various orthopedic fractures. We conclude that there is no definitive gold-standard DBM product for general orthopedic use due to the scarcity of clinical research comparing specific brand products, limited sample sizes of available studies, and lack of standardization in the creation and use of DBM products. We hypothesize that Orthoblast, Grafton, and Allomatrix would be the appropriate DBM products to use in areas of bone loss due to fracture. Grafton and Allomatrix are two of the most clinically researched DBM products in the setting of fractures, and Orthoblast outperformed Grafton in a low-power comparative study. However, given the limited sample size of these products in the context of periarticular fractures, caution must be taken when drawing theoretical conclusions about which DBM product is best for these types of fractures.
- Orthopedics, Surgery
Location: Online
Session Introduction
A.Laiz
Medical Affairs, Janssen, Madrid
Title: Ustekinumab and TNF Inhibitor Treatment in Spanish Patients with Psoriatic Arthritis: 6-month Follow-up from the Real-world Observational Study PsABio
Time : 09:45 to 10:15
Biography:
Ana Laiz MD is an Associate Professor of Rheumatology at Universidad Autónoma de Barcelona and works as a specialist in Rheumatology at Santa Creu I Sant Pau Hospital (Barcelona, Spain).
Abstract:
PsABio (ClinicalTrials: NCT02627768) is a prospective, observational, real-world cohort study collecting data on patients with a confirmed diagnosis of PsA starting either ustekinumab (UST) or a new TNF inhibitor (TNFi) in 8 European countries. The purpose of the study PsABio is to evaluate the efficacy, tolerability and persistence of ustekinumab and TNFis for adult patients with PsA according to CASPAR criteria commencing first-, second- or third- line bDMARDs in real-world routine clinical management.
This interim analysis presents 6-month follow-up data on joint-related outcomes in the Spanish cohort.
Arpit Patel
Royal Free Hospital, London, United Kingdom
Title: Septic arthritis secondary to PVL toxin producing staphylococcus aureus
Time : 10:15 to 10:45
Biography:
Mr Arpit Bakulash Patel MBCHB, BSC(Hons), MRCS (England), PGCert (Medical Education)
Core Surgical Trainee, London Deanery
Abstract:
Panton-Valentine Leukocidin (PVL) toxin producing strains of staphylococcus aureus are known to cause severe skin and soft tissue infections. We present a case report of a patient who suffered from septic arthritis and overwhelming sepsis from proven PVL toxin secreting staphylococcus aureus.
NikoliÄ A
University Medical Center Ljubljana, Department of Traumatology
Title: How to treat heterotopic ossification after osteosynthesis of complex elbow fractures?
Time : 10:45 to 11:15
Biography:
University Medical Center Ljubljana, Department of Traumatology
Abstract:
We demonstrate our protocol for treatment of heterotopic ossification (HO) after osteosynthesis of complex elbow fractures (CEF) by presenting a case of a patient with fracture dislocation of the distal humerus in whom very good end results were achieved.
Shan-Ling, Hsu
Department of Orthopaedic Surgery Chang Gung Memorial Hospital, Kaohsiung, Taiwan
Title: The hip arthroscopy assisted reduction and fixation for femoral head fracture-dislocations: clinical and radiographic short-term results of nine cases
Time : 11:15 to 11:45
Biography:
Shan-Ling Hsu is an accomplished surgeon with over 15 years of experience in trauma. He spent a year studying at the department of tissue engineering, Musculoskeletol Research Center, Pittsburgh, USA. He focused on topics like the application of hip scopy in trauma area for 5 years
Abstract:
Purpose: Femoral head fracture-dislocations are serious articular fractures that are associated with soft tissue injuries and are challenging to treat. Arthroscopic surgery may be a way to treat fracture reduction and fixation, thereby avoiding the need for extensive arthrotomy.
Methods: We followed a consecutive series of nine patients with femoral head fracture dislocation via a scope-assisted percutaneous headless screw fixation between 2016 and 2018. The clinical and radiological results were assessed.
Results: The locations of the fracture were all involving infra-foveal area. The mean follow-up duration was 18 (range 12-24) months. The mean Harris hip score was 90.8 (range 88-93) at the latest follow-up. No one showed early osteoarthritis (OA), heterotopic ossification (HO) or avascular necrosis (AVN). The average maximal displacement of fracture site was improved from preoperative 6.79mm (range 4.21-12.32) to postoperative 2.76mm (range 0.97-3.97). Concomitant intra-articular hip lesions secondary to traumatic hip dislocation can also be treated.
Conclusion: Managing the infra-foveal fracture of the femoral head using arthroscopic reduction and fixation with headless screws can be a safe and minimally invasive option. More patients and longer follow-up are needed for a definite conclusion.
Mohammed Al-Ahmady Abd El-Reheem Ali
Zagazig University School of Medicine, Egypt
Title: Less Invasive Techniques in Management of Intra- articular Calcaneal Fractures
Time : 11:45 to 12:15
Biography:
Birth Date: 27 January 1990, Gender : Male Nationality: Egyptian, Marital Status : Single, Religion: Muslim,Non-Smoker, Educational Background M.Sc. ,Orthopedics&Traumatology,Zagazig University,Egypt 2018 Residency of Orthopedics &Traumatology,Zagazig University Hospitals 2015-2018 M.B.B.C.H Zagazig University ,Egypt 2013 Basic Life Support ,American Heart Association 2016
Abstract:
Intra-articular calcaneal fractures are commonly occured after high-energy trauma. A variety of techniques exists for anatomic reduction and surgical fixation .The optimal management of displaced intra-articular calcaneus fractures is controversial and represents a topic of sustained interest and research for the past two decades . Open reduction and internal fixation (ORIF) via an extensile L-shaped approach has gained many soft tissue complications. These complications include deep and superficial infections and wound sloughs, which reportedly occur in 1.8% to 27% of patients. This high frequency of infection is likely attributed to thin softtissue envelope around the calcaneus especially the lateral wall, which is exposed for surgery . Recently, less invasive surgical techniques for treating displaced intra-articular calcaneus fractures have been undertaken in an attempt to reduce complication rates and promising clinical and radiographic outcomes.These recent techniques include limited-incision sinus tarsi ORIF,percutaneous stabilization with pins and /or screws, and minimally invasive plate osteosynthesis (MIPO). Objectives The purpose of our study is to improve functional outcome in patients with intraarticular calcaneus fractures. Methods This study was done in Zagazig University Hospitals,Egypt on 36 patiens with displaced intraarticular calcaneal fractures including displaced Essex-Lopresti fractures, Sanders type II fractures, Sanders type III fractures in patients with multiple co morbidities. Results & Discussion Results Collected data will be presented in tables and suitable graphs and analyzed by computer software (SPSS version 19) using appropriate statistical methods. Discussion done on results compared to related relevant literatures and specific researches to explain the reasons for getting such results. Conclusion less invasive surgical techniques for treating displaced calcaneus fractures are very effective and smart procedurs to reduce complications and improve recovery when surgery is indicated.