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Inside
(p. 1)
President’s Message
From the Editor
(p. 2)
OTA Specialty Day
(p. 3)
Public Relations
Committee
Nation in Motion
Fund Development
Committee
Legacy Society
(p. 4)
Education Committee
(p. 5)
Future Events
(p. 6)
Research Committee
Fellowship Committee
Classification
Committee
(p. 7)
Membership Committee
International
Committee
(p. 8)
EBQVS Committee
(p. 9)
OTA QCDR
Orthopaedic Trauma
for PAs and NPs
(p. 10 -11)
Annual Meeting
Highlights
(p. 12)
Member News
USBJI
Job Opportunities
(p. 13)
Opportunities in
Residency in the
Developing World
(p. 14)
OTA/AAOS PSAs
(p. 15)
OTA Store
(p. 16)
On-line Education
The Newsletter of the Orthopaedic Trauma Association
Winter 2015
Message from the President
Ross K. Leighton, MD
I look forward to seeing everyone this year in Las Vegas as I pass
the gavel and bestow presidential honor upon Ted Miclau. Mark your
calendars now to attend the OTA Business Meeting (agenda) at Noon
on Specialty Day, March 28. The Specialty Day Program Committee
compiled a can’t-miss engaging program of original talks and a brief
afternoon session with our colleagues from the International Geriatric Fracture Society. A
link to the agenda, AAOS trauma education and more specialty day information can be
found on page 2 of the newsletter. OTA committee updates and follow-up from the 2014
OTA Annual Meeting in Tampa can be found on pages 3 and 8 respectively.
As I near the end of my OTA presidential term, I must express deep gratitude to
many close to the organization. First, I want to thank the OTA membership and the
Board of Directors for the wonderful support during my presidential year. It was quite
an honor to preside over the organization’s 30th year. I would also like to welcome
incoming president, Ted Miclau; President Elect, Steve Olson; and 2nd President
Elect, Bill Ricci. I also welcome new members to the Board of Directors: Nirmal
Tejwani, Member-At-Large and Bob O’Toole, Annual Meeting Program Chair. Sincere
appreciation goes out to 2nd Past President, Bob Probe, for five years of dedicated
service. His knowledge and expertise will be missed on the OTA Board of Directors.
I must also thank Tom Higgins, Annual Meeting Program Chair, and Member-AtLarge, Doug Lundy, for their years of hard work on behalf of the OTA. Finally, I
would like to thank outgoing committee chairs Bill Ricci (Education Committee), Bill
continued on page
2
Message From the Editor
Hassan R. Mir, MD, MBA, FACS
This edition of the OTA Newsletter recaps several
accomplishments from 2014, including the highly successful 30th
Annual OTA Meeting in Tampa. Also included are notifications
of upcoming events, as well as a preview of OTA Specialty Day 2015 to be held in
conjunction with the AAOS Annual Meeting in Las Vegas. Be sure to review the
committee reports for important updates, several announcements, an update on the
OTA’s qualified clinical data registry, a review article on international opportunities
during training and beyond, and several photos from the past year.
Spring is right around the corner, as is the next edition of Fracture Lines. Please be
sure to send any suggestions, content and photos to [email protected].
President’s Message, cont’d from pg. 1
DeLong (International Relations Committee), Cliff
Jones (Membership Committee), and Mike Suk
(Health Policy Committee) for their leadership and
accomplishments. Committee chairs Bob Ostrum
(Education), Peter Cole (Membership), and Doug
Lundy (Health Policy) step-up to fill the vacated
leadership positions.
2015
Specialty Day
This meeting is
designed for orthopaedic
surgeons and is beneficial
to related allied health
care professionals. OTA
has created the program
based on stated needs and
interests expressed from
previous specialty day
attendee evaluations.
Participants of OTA Specialty Day should be able to:
• Identify ways to avoid, analyze and manage
osteoporotic fracture complications. Ascertain the
very best evidence on a 360 degree management
of these patients: pre, perioperative and
post-operative, including long term medical
management
• Learn evidence based integration of best-inpractice treatment options into attendee’s
practices to improve patient outcomes.
• Compare and contrast operative treatment
strategies and approaches to traumatic injuries in
the geriatric population through consensus based
debates
• Comprehend evidence based information of
how treatment has altered slightly in the care of
common fractures and their complications.
The American Academy of Orthopaedic
Surgeons designates this live activity for a maximum
of 8.25 AMA PRA Category 1 Credits™. Physicians
should claim only the credit commensurate with the
extent of their participation in the activity.
2
2015 Specialty Day Highlights
• Evidence, Indications and Techniques - Operative
and Nonoperative Care
• Evidence, Indications and Techniques - Operative
Controversies
• My Favorite Reduction Technique
• Osteoporosis Update
• 2014 OTA Annual Meeting Highlights “Ten Papers
You Should Know About”
• New Technologies in Fracture Care
• Combine Sessions with the International Geriatric
Fracture Society - Leading Concepts in Geriatric
Fracture Care
AAOS Specialty Day Information
• Trauma related educational sessions
• Preliminary Program
• AAOS Annual Meeting Educational Sessions –
List of all trauma related educational sessions in
Las Vegas.
• Social Program
• AAOS Playground Build
• AAOS/OTA Co-Branded 2015 ICL Listing
OTA Members Business Meeting
Saturday, March 28, 2015 ~ 12:10 pm – 1:00 pm
Venetian Sands Convention Center, Room 4403
• Agenda
• October 2014 Business Meeting Minutes
• Nominations will be taken at this meeting for
the 2015 Nominating Committee.
• The 2015 Nominating Committee will make
recommendations at the October 2015
Business Meeting for:
• 2nd President Elect
• 1 Member-At-Large Position and
• 2 membership committee members.
Past President, Ross K. Leighton, MD, will
chair the committee.
Public Relations Committee
Fund Development Committee
AAOS and OTA have collaborated on a 2015
PSA to promote motorcycle safety. Posters and postcards are available onsite at Specialty Day and you
can view and download an image here: Motorcycle
Safety Download –“Read the road. And you won’t
need as many new parts.”
The Orthopaedic Trauma Association gratefully
acknowledges the following individuals for their
generous contributions to the OTA Research Fund.
The continued success and increased impact
of the Orthopaedic Trauma Association’s research
and education effort is dependent upon foundation
and industry support. The OTA would also like to
thank our industry partners for their generous 2014
contributions.
Corporate Donors
Individual Donors
Jeffrey M. Smith, MD
Steven J. Morgan, MD
READ THE ROAD.
AND YOU WON’T NEED AS MANY NEW PARTS.
MOTORCYCLE CRASHES DON’T ALWAYS INVOLVE ANOTHER
VEHICLE. SLICK SURFACES AND ROAD DEBRIS CAN LEAD TO
BROKEN BIKES, AND BROKEN BONES. RIDE AT A SPEED THAT
GIVES YOU TIME TO REACT. CHECK OUR WEBSITE BELOW
FOR MORE CYCLE SAFETY TIPS.
Legacy Society
Jeffrey O. Anglen, MD
Atlantic Provinces Orthopedic Society
James C. Binski, MD
VISIT ORTHOINFO.ORG/CYCLESAFETY
3881_AAOS_PSA_MotorcycleSafety_Postcard_8x6.indd 1
ota.org
orthoinfo.org
12/2/14 12:07 PM
Motorcycle crashes don’t always involve
another vehicle. Slick surfaces and road debris can
lead to broken bikes, and broken bones. Ride at a
speed that give you time to react. Check our website
for more cycle safety tips. Motorcycle Safety Tips
A Nation in Motion
Lisa K. Cannada, MD
I hope you’ll consider showing your continued
support for A Nation in Motion® by linking to
the campaign site and/or embedding the Second
First video on your practice website or social media
pages. As you know, this campaign illustrates the
value of orthopaedic care and the Second First video is
a powerful anthem for potential patients.
Step-by-step instructions are attached. If you
have questions about how to do this, please contact
Kelly King at [email protected] or 847-384-4033.
Finally, we continue to welcome original content
in the form of “ortho-pinions,” which are short
editorial submissions on topics of interest to your
patients. Please visit the site for more information.
Thank you for your support!
Christopher T. Born, MD
Peter A. Cole, MD
William R. Creevy, MD Florida Orthopaedic Institute, Tampa, Florida James A. Goulet, MD
Ramon B. Gustilo, MD
Clifford B. Jones, MD, FACS
Ross K. Leighton, MD
Theodore Miclau, III, MD
OrthoArizona
Thomas (Toney) A. Russell, MD
Andrew H. Schmidt, MD
Jeffrey M. Smith, MD
Marc F. Swiontkowski, MD
David C. Templeman, MD
Paul Tornetta, III, MD
USCF/SFGH Orthopaedic Trauma Institute
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(L to R: Thomas Higgins, Program Chair; Chris Born, Richard Coughlin (UCSF), Toney Russell, Andrew Trenholm and Chad Coles (Atlantic Provinces
Orthopedic Society), Jeff Smith, Ross Leighton, and Ted Miclau)
William M. Ricci, MD
The OTA Education Committee is happy to
report continued success of multiple educational endeavors. The Residents Advanced Technique Course,
held in Houston Texas in January 2015 and was
chaired by Matt Mormino and Rafael Neiman. Many
thanks to the Chairs as well as the faculty for making
this a highly successful course. The Spring Residence
Comprehensive Fracture Course will occur April 1518. This is being co-chaired by Gregory Della Rocca
and Brian Mullis. Please support the OTA by sending
your residents. Once again, the OTA Fellows Course
will occur in Boston and be chaired by Paul Tornetta.
This will occur April 24th & 25th. If your fellows have
not already done so, please have them sign up as this
course is likely to be oversold.
OKU Trauma 5 is underway. This will be edited
by Bob Ostrum and Bill Ricci. The Core Curriculum
update is in the final stages of phase I. The next
phase of the update will require many new and
additional authors. If you’re interested in preparing
a PowerPoint type presentation for inclusion in the
Core Curriculum, please contact the OTA office.
Volunteers are needed and welcome. Collaborative
educational efforts with the AAOS continue to
evolve. One focus area is creation and publication
of technique and educational videos. If you’re
interested in creating a surgical video or have one
on the shelf and wish to make this available to the
membership, please contact the OTA offices.
Finally, it is with great honor and pleasure that
I turn over the reins of the Education Committee to
the very capable hands of Bob Ostrum. Bob has been
a tireless and creative member of the committee for
4
many years and I’m sure he will usher many new and
exciting projects for the Education Committee and
elevate the OTA’s leadership in Orthopaedic Trauma
Education. I thank the OTA staff and all the time and
outstanding efforts of the membership during my
tenure.
SAN DIEGO, CALIFORNIA
Education Committee
SAVE THE DATE
31 ŶŶƵĂůDĞĞƟŶŐ
st
October 7-10, 2015
Plan To Attend
OTA Spring Residents Comprehensive Fracture Course
April 15 - 18, 2015
Lombard, Illinois, USA
Gregory J. Della Rocca, MD, PhD, FACS & Brian H. Mullis, MD, Course Co-Directors
Orthopaedic Trauma Fellows Course (by invitation only)
April 24 - 25, 2015
Boston, Massachusetts, USA
Paul Tornetta, III, MD, Course Director
OTA Residents Comprehensive Fracture Course
October 7 - 9, 2015
Manchester Grand Hyatt Hotel, San Diego, California, USA
Kyle J. Jeray, MD & Toni M. McLaurin, MD, Course Co-Directors
OTA 31st Annual Meeting
October 7 - 10, 2015
Manchester Grand Hyatt Hotel
San Diego, California, USA
Theodore Miclau, III, MD, OTA 2015-16 President
Robert V. O’Toole, MD, Program Chair
Michael D. McKee, MD, Program Co-Chair
Jeffrey M. Smith, MD, Local Host
Basic Science Focus Forum
Edward J. Harvey, MD, Course Director
Orthopaedic Trauma Boot Camp
Daniel S. Horwitz, MD & Robert F. Ostrum, MD, Course Co-Directors
International Orthopaedic Trauma Care Forum
Peter V. Giannoudis, MD; Saqib Rehman, MD & Amir M. Matityahu, MD, Forum Co-Directors
Masters Level Trauma Coding Course
KarenZupko & Associates, Inc.
J. Scott Broderick, MD, Course Director
Young Practitioner’s Forum
Jodi A. Siegel, MD, Forum Chair
Lisa K. Cannada, MD, Forum Co-Chair
Orthopaedic Trauma for PAs and NPs
Cory A. Collinge, MD, Daniel J. Coll, PA-C, & Dennis C. Gregory, PA-C, Course Co-Directors
Phone: (847) 698-1631
For Details of All OTA Events:
Fax: (847) 430-5140
OTA website: www.ota.org
5
Research Committee
Brett D. Crist, MD
OTA Resident Research Grant Application
Application Deadline: June 8, 2015. Committee Review: Applications will be reviewed
and graded in a blinded fashion by members of the
OTA Research Committee for anticipated scientific
merit, anticipated long-term impact on Orthopaedic
trauma care and general topic interest. Award Announcements: Researchers will be informed
of the intent to fund or not fund their research project
by November 30, 2015. Grant Cycle: January 1, 2016 – December 31, 2016 Eligibility: The principal investigator must be an
orthopaedic resident (the co-principal investigator
does NOT have to be a resident). Either the principal
investigator, or co-principal investigator, must be an
OTA member. The research must be conducted in
North America. Online Application
Note: OTA Resident Grants will not be awarded to
subsidize larger on-going research projects. Budget: The budget cannot exceed $20,000.
Mentor Volunteer Opportunity
OTA members interested in serving as research
mentors for grant proposals and applications, can sign
up via this link (OTA Research Mentor Survey). Once
OTA has a bank of interested mentors, and will share this
information with OTA members.
Fellowship Committee
Mark A Lee, MD
OTA’s First Fellowship Graduation Ceremony
Commenced at the 2014 Annual Meeting,
in Tampa, Florida
• Mark A Lee, MD, OTA Fellowship Committee
Chair, led the inaugural graduation held at
the Marriott Tampa Waterside on Wednesday,
October 15. A list of graduates can be seen here.
• Over 52 Fellows, Program Directors, OTA Board,
COTA Board members and industry partners
joined the celebration.
• OTA President, Ross K. Leighton, MD and Mark
A. Lee, MD presented Fellows with diplomas and
a commemorative fellowship pin.
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• Two guest speakers, J. Tracy Watson, MD and
Paul Tornetta, III, MD spoke about the past,
present, and future of Orthopaedic Trauma
Fellowship contributing insightful, thoughtful,
and humorous presentations
The Orthopaedic Trauma Fellowship Match deadline
was February 17th for 2016/2017. Results were
released March 3. Post-match vacancies are available
on the SFMatch website. Classification Committee
Craig S. Roberts, MD, MBA
The Classification Committee has been focusing
on four projects: the OTA/AO 2016 Fracture Compendium, a co-authorship mini-symposium, a musculoskeletal outcomes assessment pilot study, and the
OTA Open Fracture Classification Multicenter Study.
The OTA/AO task force met on January 9, 2015 in
Houston. Julie Agel, Jim Kellam, Eric Meinberg,
and Craig Roberts reviewed and updated the classification of proximal humerus fractures, in addition
to discussing the overall project scope and logistics.
The next meeting will take place at the AAOS Annual
Meeting in March, 2015.
A co-authorship mini-symposium, sponsored
by the Journal of Orthopaedic Trauma took place on
October 18, 2014 at the OTA Annual Meeting. Tom
DeCoster, Ellen Mackenzie, Craig Roberts, and Marc
Swiontkowski put on a vignette-based symposium
and discussion of contemporary issues with co-authorship in orthopaedic surgery in the USA. A manuscript is currently being written. The Musculoskeletal
Function Assessment (MFA) Pilot Study was accepted
by JOT and will be published in February, 2015. This
study focuses on outcomes of tibial plafond fractures
(OTA/AO 43) and proximal humerus fractures (OTA/
AO 11). The multicenter study of the proposed new
OTA Open Fracture Classification currently has 9
centers with 384 patients enrolled. This prospective
study will provide data about the predictive value of
the classification. An abstract was submitted to the
OTA.
Membership Committee
International Committee
The OTA now has 1912 members and continues
to grow. The membership committee just vetted
more than 100 new members in all categories
of membership: 585 active; 74 Allied Health; 98
Associate; 302 Clinical; 75 Emeritus; 2 Honorary;
121 International; 84 International Clinical;
1 International Research; 13 Research; 1 Senior
and 556 Candidate.
A new category of Advanced Practice
Professionals, consisting of Physician Assistants (PA)
and Nurse Practitioners (NP), is being developed.
Currently, Physician Assistants in Orthopaedic
Surgery (PAOS) has 1500+ members. Of the more
than 100,000+ PAs who are members of the American
Academy of Physician Assistants, an estimated 10%
are thought to practice in an orthopaedic specialty.
A new category for international residents has
also been created, International Candidate. The
requirements are similar to the current Candidate
member category and additional information can be
found on the OTA website.
Approximately 75% of the current OTA trauma
fellows have joined the OTA.
The next OTA membership application deadline
is May 1, 2015. Apply Here Requirements
The OTA is honored to host the following countries as
future Annual Meeting Guest Nation participants:
• 2015 – Germany / German Trauma Society
Clifford B. Jones, MD, FACS
William G. DeLong, MD & Peter V. Giannoudis, MD
Category
January
2013
January
2014
January
2015
Active
516
548
585
Allied Health
56
67
74
Associate
83
96
98
Candidate
514
573
556
Clinical
262
283
302
Emeritus
58
71
75
International
International
Clinical
International
Research
Research
88
96
121
55
64
84
1
1
1
15
12
13
Senior
1
1
1
Honorary
2
2
2
TOTAL
1651
1814
1912
• 2016 – India / Indian Orthopaedic Association
• 2017 – United Kingdom / British Orthopaedic Association
International Grant Award
Due to the generous contribution of Dr. and
Mrs. Thomas A. Russell, an International Grant
Award in the amount of $50,000 was initiated for
the 2016 funding cycle. The new grant carries a
directed topic: Augmented Fixation for Fragility
Fractures. The deadline recently passed and the
grant winner will be announced soon. Only OTA
members outside of North America were eligible
to apply.
For information on ways in which you
can join Toney Russell, OTA President, Ross
Leighton, Board Members and other OTA
members in supporting the 2014 OTA Research
Fund Campaign with a donation, access the online
donate form now.
New International Member Benefit
The International Committee is also pleased to
announce an additional International Member benefit
in 2015! All OTA International Members receive a
complimentary online subscription to the Journal of
Orthopaedic Trauma. Please email [email protected] if you
have not gained access.
7
EBQVS Committee
William T. Obremskey, MD
The OTA EBQVS Committee has several ongoing
projects:
1. A summary of OTA member practice patterns
and recommendations on DVT prophylaxis in
orthopedic trauma patients has been accepted
by the Journal of Orthopedic Trauma. Please
stay tuned for what we believe is an important
document.
The EBQVS Committee also has published
recommendations on treatment of open fractures
and segmental bone defects.
Open Fractures and Segmental Defects
2.
3.
4.
Thank you to all who have responded to
our member survey on practice patterns on
compartment syndrome and treatment of
hip fractures. We have had 131 responses for
the compartment syndrome survey and 335
responses to the hip fracture survey. This is
one last chance to participate in this important
survey of current practice patterns, which will
help drive OTA recommendations for treatment.
See the links below. Geriatric Hip Fracture Survey
Compartment Syndrome Survey
We are revising the resources on the OTA website
of best available information articles on a wide
variety of topics. Please see link below to direct
you to the OTA website where these resources
are located. Content experts have selected classic
and current literature that are most helpful in
clinical decision-making.
Evidence Based Medicine Resource List
We are working with the AAOS to develop
performance measures that will eventually
be approved by the National Quality Forum
(NQF), which is the organization that approves
metrics for use by Medicare/Medicaid as quality
metrics. We are working on a tibia fracture group
measurements. Topics under discussion are
time to antibiotics with open fractures, time to
coverage of type 3b open tibia fractures, infection
rate of type 3b open tibia fractures, infection rate
of bicondylar tibial plateau fractures undergoing
internal fixation.
8
Committee Highlights: The OTA EBQVS Committee
had a productive year, which included the following
accomplishments.
• Participated in AAOS Clinical Practice Guidelines
and Consensus statements on Elderly Hip
Fractures
• Revised a Synopsis of Current Practice Patterns
and a Suggested Evidence- Based Therapeutic
Algorithm for Venous Thromboembolism
Prophylaxis in Orthopaedic Trauma Patients,
which is pending publication
• Completed a member survey for members on
diagnosis and management of compartment
syndrome.
• Completed a member survey on treatment and
recommendations for elderly hip fractures.
• Participated in AAOS Performance Measure
“Kick-Off” Committee meeting and working
to develop OTA endorsed Trauma Performance
Measures
• Updating EBM articles on OTA web site
In this coming year, the committee hopes to:
• Develop a database for QI projects on open tibias
and pilon fractures so members can compare their
own complication rates to national norms.
• Complete review of the EBM articles on the OTA
web site.
• Continue to work with the AAOS on clinical
guidelines.
• Complete review of OTA member practice on
Compartment Syndrome and publish guidelines
• Complete review of OTA member practice on
Elderly Hip Fractures and publish guidelines
• Complete work on Trauma Performance Measures
• Jaimo Ahn will work with AAOS on developing
Appropriate Use Criteria (AUCs) for Geriatric hip
fractures
The Completion of the OTA QCDR
Orthopaedic Trauma for PAs and NPs
The Orthopaedic Trauma Association is
continuing to respond to the changes in Healthcare
delivery in the United States. We developed the OTA
Qualified Clinical Data Registry (QCDR) that will
enable our members to report quality measures to
Center for Medicare/Medicaid Services (CMS) under
the Physician Quality Reporting System (PQRS)
program. With the exception of total joint arthroplasty,
the entire house of orthopaedic surgery is struggling
to find relevant measures to report. Several years ago,
the total joint surgeons brilliantly developed a set of
Measures Groups specific to their clinical practice,
and these Measures have been approved by CMS.
We loaded the QCDR with the only relevant group
that was available; the Perioperative Care Measures
Group. Unfortunately, the federal government has
retired that Measures Group in 2015, and it is no
longer available for reporting.
The AAOS sponsored a Performance Measures
Summit on 19 July 2014 attended by OTA members
David Templeman, Bill Obremskey, Michael Suk
and myself. Since that time under Bill Obremskey’s
leadership, the OTA EBQVS Committee has been
working on developing a Performance Measure
Groups that we will load into the QCDR.
Bottom line: The OTA has come a long way
in enabling our members to report Performance
Measures through the OTA’s QCDR. As we develop
clinically relevant Performance Measures Groups, we
will notify the membership on how you can report.
The OTA had a
Orthopaedic Trauma for PAs and NPs
October 16 - 18, 2014
successful third annual
Orthopaedic Trauma for
Program Chairs:
PA’s and NP’s course in
Tampa, FL. The course had
190+ PA and NP attend
and participate. The OTA
leadership organized and
taught the 3-day course
consisting of lectures,
hands-on labs, and discussion sessions. The OTA and
Industry have been instrumental in the growth, labs
and underwriting of the course. The OTA PA and
NP leadership team will continue to modify, expand,
and improve the course in order to keep pace with
the vision of the changing trauma community. Please
educate and inform all of your advanced practice
professionals concerning the opportunities and dates
of future courses.
Sincere appreciation to our 2014 Program Chairs:
Clifford B. Jones, MD FACS, Cory Collinge, MD,
Dan Coll, PA-C, and Dennis Gregory, PA-C.
Douglas W. Lundy, MD, MBA
Clifford B. Jones, MD
Final Program
Tampa Convention Center
Tampa, Florida, USA
Clifford B. Jones, MD, Cory A. Collinge, MD,
Daniel J. Coll, MPH, PA-C &
Dennis C. Gregory, PA-C
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Emergency Department Guide for Acute
Management of Pelvic & Acetabular Fractures
ATLS Protocol with Complete Evaluation
AP Pelvis X-Ray
Normal side
Pelvic Injuries
Acute Interventions to Consider
ÿObservation
ÿPossible External Fixation
ÿ Pelvic binder or sheet
ÿ External Fixation
ÿ Symphysis plate at laparatomy
Abnormal side
Acetabular Injuries
Pelvis acts as link between spine and lower extremities
Acetabulum provides weight bearing
joint surface for femoral head
ÿ Reduction of Hip Dislocation
ÿPelvic binder or sheet
ÿExternal Fixation
ÿSkeletal traction!
The Orthopaedic Trauma Association presents this information as an educational service to the medical
community. While the information is about health care issues and orthopaedic surgery, it is not medical
advice. Individuals seeking speciﬁc orthopaedic advice or assistance for conditions such as these should
contact an orthopaedic trauma surgeon through the Find a Surgeon program at www.ota.org.
ÿ Skeletal Traction
Orthopaedic Trauma
Consultation
Call early and involve the
Orthopaedic Surgeon in your
decision making
Download this poster from the OTA website
9
Annual Meeting Follow Up
• E-posters
• Presentation Handouts – Annual Meeting,
Pre-Meeting Events and PA/NP Course
• 30th Anniversary Video
OTA welcomes PAOS.
Dr. Baumgaertner leads a poster tour.
Health Policy poll in Opening Ceremony
10
Dr. Leighton opens the 30th Annual Meeting.
Dr. Buckley asks a pointed question.
Sawbone skill labs
OTA’s reception at The Florida Aquarium went swimmingly...
Fish Tacos?
Penguins!
Tampa Bay Bucs Cheerleaders
2014 Border Memorial Lecturer Andrew Burgess, MD video available
on the OTA website (OTA.org).
Hand-rolled Cigars
An informal, unscientific poll concluded they were all good.
FORE Co-sponsored the tasting.
11
The latest in fracture care.
Member News
Kappa Delta Award Winner Steven A. Olson, MD
Congratulations!
Steven A Olson, MD’s research group
(Steven A. Olson, MD, Bridgette D. Furman, BS, Virginia
B. Kraus, MD, PhD, Janet Huebner, MS, and Farshid
Guilak, PhD) wins Kappa Delta Award for Trauma
Research. The study on post-traumatic arthritis work,
entitled “Early Inhibition of Proinflammatory
Cytokines Prevents Post-Traumatic Arthritis: Insights
from the Natural History of Arthritis Developing after
Intra-Articular Fracture,” will be presented on Sunday, March 29, 11:15 AM – 12:30 PM: Kappa Delta
Award Paper Presentations (MGM Grand Hotel,
Room 118-120), Las Vegas, NV. The Kappa Delta Award presentation is Thursday
March 26, 10:00 – 11:00 AM: AAOS Ceremonial Meeting (Venetian Ballroom, Venetian Hotel).
“Early Inhibition of Proinflammatory Cytokines
Prevents Post-Traumatic Arthritis: Insights from the
Natural History of Arthritis Developing after IntraArticular Fracture.” (L to R: Farshid Guilak, Bridgette D. Furman, Janet Huebner, Virginia Kraus and Steve Olson)
12
Toby King, CAE, USBJI Executive Director
The Burden of Musculoskeletal Diseases
in the United States: Prevalence, Societal and
Economic Costs (BMUS), 3rd edition, is produced by
the United States Bone and Joint Initiative (USBJI) in
collaboration with a number of organizations, mostly
professional societies.
The cost of treating major musculoskeletal
diseases, which often includes long-term pain and
disability, is also greater than for treatment of many
other common health conditions. Yet research dollars
to identify causes, create new treatments, and reduce
pain and disability remain much lower than that of
other health conditions.
With the aging of the US population,
musculoskeletal diseases are becoming a greater
burden every year. The pages of this site illustrate
the magnitude of musculoskeletal diseases on the US
population, and provide a small slice of the cost and
impact on the US economy.
Injuries Topic
Job Opportunities
Current Job Opportunities – Looking for a new
position or looking to fill a vacancy? Find open
positions and advertise vacancies at your
institution on the OTA Job Board.
Rates: Nonmember: $250/three months
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OTA Members: No Charge
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Payment is mandatory prior to job post.
Orthopaedic Trauma in the Developing
World: Opportunities in Residency,
Fellowship, and Beyond
Paul S. Whiting, MD
“25,000 Kenyan Nurses Strike!” announced
the headlines of local and national newspapers on
March 1st, 2012, two days after I arrived at Tenwek
Hospital in Bomet, Kenya to spend a month serving
as a visiting orthopaedic surgery resident. The strike
left the vast majority of government hospitals unable
to care for their patients. In a matter of days, as our
300-bed mission hospital was overwhelmed with new
patients, we became an extremely busy orthopaedic
trauma service, mobilizing all available resources
to accommodate the steady stream of patients with
open fractures and other urgent orthopaedic injuries.
The operative experience this situation afforded was
extraordinary!
Appropriate management of traumatic
injuries – which account for more than a tenth of
the global disease burden1 – has a tremendous
potential to improve quality of life for the millions
affected by trauma worldwide. My rotation in Kenya
enabled me to witness first-hand the global burden
of musculoskeletal injury. But more importantly,
my time at Tenwek enabled me to experience the
value of educating orthopaedic providers in the
developing world. I had the privilege of teaching a
Kenyan orthopaedic resident in his PGY-4 year how
to utilize a cephalomedullary nail to stabilize an
intertrochanteric hip fracture and how to perform
a total knee arthroplasty – operations he had not
yet seen in his orthopaedic training. I also gave a
comprehensive grand rounds lecture on orthopaedic
emergencies to the entire general surgery residency
program and facilitated the first ever orthopaedic
journal club at Tenwek. And perhaps the most
valuable teaching opportunities occurred on an
ongoing basis – during the day-to-day flow of patient
care in the outpatient clinic, on rounds, and in the OR
(or, as they say in Kenya, “in theatre”).
More and more orthopaedic residents are
seeking international experiences during their
residency training. A recent survey found that 61%
of U.S. orthopaedic residency programs facilitated
clinical experiences in developing countries for
their residents.2 60% of these rotations are focused
on delivering orthopaedic trauma care. Similar
international residency experiences are offered in a
variety of surgical and non-surgical specialties, and
one general surgery program recently established
an ACGME-approved international rotation.3 A
handful of orthopaedic trauma fellowship programs
currently offer international experiences during the
fellowship year, and our institution is in the final
stages of establishing a partnership with a hospital
in Africa with the intention of providing an optional
international rotation for fellows.
For surgeons who have finished training, there
are ample opportunities to deliver orthopaedic
trauma care and education in the developing world.
Through partnerships with organizations such as
Doctors Without Borders, Health Volunteers Overseas,
and SIGN Fracture Care International, OTA members
can contribute their skills and experience where they
are needed most. For more information, or to get
involved, visit the OTA’s International Education site.
1. Spiegel DA, Gosselin RA, Coughlin RR, Joshipura
M, Browner BD, Dormans JP. The burden of
musculoskeletal injury in low and middle-income
countries: challenges and opportunities. J Bone
Joint Surg Am. 2008 Apr;90(4):915-23.
2. Clement RC, Ha YP, Clagett B, Holt GE, Dormans
JP. What is the current status of global health
activities and opportunities in US orthopaedic
residency programs? Clin Orthop Relat Res. 2013
Nov;471(11):3689-98.
3. Tarpley M, Hansen E, Tarpley JL. Early experience
in establishing and evaluating an ACGMEapproved international general surgery rotation.
J Surg Educ. 2013 Nov-Dec;70(6):709-14.
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On-line Education
2015 OTA Webinar Schedule
May: July: September: November: Patella Fractures and Extensor Mechanism Injuries
Moderator: John T. Gorczyca, MD
Fractures of the Distal Humerus: Fixation Pearls and Arthroplasty Options
Moderator: Kenneth A. Egol, MD
Pilon Fracture’s: Strategies to Optimize Outcomes Moderator: David P. Barei, MD
A Patient’s Guide to Atypical (Bisphosphonate Related) Femur Fractures:
Who’s at Risk, How and When to Treat, and Recovery Moderator: William M. Ricci, MD
2015 Archive
Ankle Fractures: When and How to Fix the Posterior Malleolus and Syndesmosis
(Replay) Moderator: Michael J. Gardner, MD
Faculty: Matt L. Graves, MD; Thomas F. Higgins, MD; and Sean L. Nork, MD
Options and Pearls: Advanced Reduction Techniques & Tricks, Including Use of Mini Reduction
(Replay Link)
Moderator: Paul Tornetta, III, MD (Tornetta Handout)
Faculty: Daniel S. Horwitz, MD (Horwitz Handout),
Stephen Kottmeier, MD (Kottmeier Handout), Mark A. Lee, MD (Lee Handout)
and Samir Mehta, MD (Mehta Handout)
A reminder... the OTA has moved. Note NEW contact information:
Orthopaedic Trauma Association
9400 W. Higgins Road, Suite 305, Rosemont, IL 60018-4975
Phone: (847)698-1631 Fax: (847)430-5140
e-mail: [email protected] Home Page: www.ota.org
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