Day 2 :
Keynote Forum
Samuel G. Eaddy
Nova Southeastern University College of Osteopathic Medicine, FL 33314, USA
Keynote: Mr
Time : 09:00 to 09:45
Biography:
Samuel Eaddy has completed his Master’s in Physiology and Biophysics from Georgetown University and is currently an OMS-II at Nova Southeastern Univeristy College of Osteopathic Medicine. He has conducted clinical research in various specialties since 2014, and is currently working with a team of residents and medical students to advance multiple orthopaedic studies at the Boward Health Medical Center, which is home to a reputed orthopaedic surgery residency program in South Florida.
Abstract:
Sacral dysmorphism (SD) is a congenital anomaly found in up to 54% of the population. This includes abnormalities within the lumbosacral joint and its surrounding structures, presenting increased risk in the surgical repair of posterior pelvic ring injuries. Iliosacral and transsacral screw fixation is greatly influenced by these anatomical variations, consequently altering surgical planning. A systematic review was performed with the following objectives: to determine the overall prevalence of SD; to summarize the implications of its anomalies in surgery; and to describe the altered safe zones that may be available to orthopaedic surgeons. Inclusion criteria included studies that reported the statistical prevalence of SD and their associated features. Data collected included patient demographics, prevalence of SD, quantification or classification of dysmorphic anatomy, and postoperative complications. Our analysis demonstrated a prevalence of 23% among 1,983 pelves in 11 studies. Among the seven known dysmorphic criteria, only three have been considered significant in the evaluation of screw placement. Approximately 95% of dysmorphic sacra can accept an S2 transsacral transiliac screw compared to 50% in normal counterparts. Additional evidence suggests viable fixation pathways in dysmorphic S3. These results led to the conclusion that SD is a relatively common condition that appears to present on a spectrum of severity, yet the variability in dysmorphic anatomy complicates the development of a universal solution to biomechanical fixation. Standard protocol suggests fixation of dysmorphic sacra at S2 when S1 is not viable, as lower sacral segments have been found to yield greater opportunity in this patient population.
- 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.