The Nines Hotel
525 SW Morrison St
Portland, OR 97204
November 1, 2019 – 8:25am to 5:10pm
November 2, 2019 – 8:00am to 2:20pm
Target Audience/Program Focus
OAOS plans educational activities for orthopaedic doctors in Oregon and surrounding areas. We seek to serve the educational needs of our membership, as well as the needs of local and regional orthopaedic doctors. Our program is open to orthopaedic physicians and physician assistants that are currently in practice, orthopaedic physicians in residency programs, as well as retired and part-time physicians.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Academy of Orthopaedic Surgeons and the Oregon Association of Orthopaedic Surgeons. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
The American Academy of Orthopaedic Surgeons has designated this live activity for a maximum of 13 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Kristy Weber, MD
|Chief, Orthopedic Oncology Director,
Penn Medicine Abramson Cancer Center
Abramson Family Professor in
Sarcoma Care Excellence
2019 AAOS President
Jason Dragoo, MD
|Director of UCHealth Steadman
Hawkins Inverness Clinic,
Department of Orthopedics/Sports Medicine,
and Vice Chair of Academic Affairs
University of Colorado School of Medicine
David McAllister, MD
|Professor & Chief of Sports Medicine Service,
Department of Orthopaedic Surgery,
David Geffen School of Medicine, UCLA
Head Team Physician, LA Lakers
Director of Orthopedic Surgery, UCLA
Ken Yamaguchi, MD
|Sam and Marilyn Fox Distinguished
Professor of Orthopaedic Surgery &
Vice Chair for Quality & Research,
Department of Orthopaedic Surgery,
|2019 OAOS Annual Orthopedic Conference – Cutting Edge Orthopaedics
Friday, November 1, 2019
|7:45 – 8:25 AM||Registration/Breakfast Buffet|
|8:25 – 8:30 AM||President’s Welcome||Blake Nonweiler, MD|
|PANEL #1: Biologics | Moderator: Jeff Tuman|
|8:30 – 8:50 AM||Biologics for Sports Injuries||Jason Dragoo, MD|
|8:50 – 9:10 AM||Bone Graft & Bone Graft Substitutes||Robert Orfaly, MD|
|9:10 – 9:30 AM||Update on Hyaluronic Acid & Corticosteroids||Jason Dragoo, MD|
|9:30 – 9:50 AM||Articular Cartilage Injuries & Treatment||Dave McAllister, MD|
|9:50 – 10:10 AM||20-Minute Q&A|
|10:10 – 10:30 AM||Break/Exhibitor Visits|
|PANEL #2: Knees | Moderator: Blake Nonweiler|
|10:30 – 10:50 AM||Current Concepts of ACL Reconstruction||Dave McAllister, MD|
|10:50 – 11:10 AM||Optimizing Arthroscopic Treatment of OA||Jason Dragoo, MD|
|11:10 – 11:30 AM||Revision ACL Reconstruction||Dave McAllister, MD|
|11:30 – 11:50 AM||The Use of Cell Therapy for Cartilage Regeneration||Jason Dragoo, MD|
|11:50 – 12:10 PM||20-Minute Q&A|
|12:10 – 12:40 PM||Lunch/Exhibitor Visits|
|PANEL #3: AAOS Town Hall | Moderator: Matt Shapiro, MD|
|12:40 – 1:00 PM||AAOS Update||Kristy Weber, MD|
|1:00 – 1:20 PM||Annual Meeting/Legislative Update||OAOS Staff|
|1:20 – 1:35 PM||15-Minute Q&A|
|PANEL #4: Upper Extremities (Shoulder & Hand) | Moderator: Britt Frome, MD|
|1:30 – 1:55 PM||Barbotage for Calcific Tendonopathy of the Shoulder||Rahul Desai, MD|
|1:55 – 2:15 PM||Total Shoulder Replacement||Ken Yamaguchi, MD|
|2:15 – 2:35 PM||Lumps & Bumps Relevant to Orthopaedic Surgeons||Kristy Weber, MD|
|2:35 – 2:55 PM||Xiaflex & Dupuytren’s Contractures||James Verheyden, MD|
|2:55 – 3:15 PM||20-Minute Q&A|
|3:15 – 3:30 PM||Break/Exhibitor Visits|
|PANEL #5: Future of Health Care | Moderator: Susan Williams, MD|
|3:30 – 3:50 PM||Women in Orthopaedics & Implicit Bias||Kristy Weber, MD|
|3:50 – 4:10 PM||The Future of Health Care||Ken Yamaguchi, MD|
|4:10 – 4:30 PM||Local Anesthesia for Hand Procedures||James Verheyden, MD|
|4:30 – 4:50 PM||Distal Radius Fractures: Tips & Tricks||James Verheyden, MD|
|4:50 – 5:10 PM||20-Minute Q&A|
|5:10 – 6:15 PM||Hosted Reception/Exhibitor Visits||Exhibitor Halls|
Saturday, November 2, 2019
|7:30 – 8:00 AM||Breakfast Buffet|
|PANEL #6: Robotics/Cutting Edge Orthopaedics | Moderator: Timothy Keenen, MD|
|8:00 – 8:20 AM||Robotics in Total Joint Arthroplasty: Moving the Needle Toward Improved Patient Satisfaction||Todd Borus, MD|
|8:20 – 8:50 AM||What’s New in Geriatric Hip Fractures?||Darin Friess, MD|
|8:50 – 9:10 AM||New Techniques in Fracture Care||Zach Working, MD|
|9:10 – 9:30 AM||Evaluation & Management of the B2 Glenoid||Pat Denard, MD|
|9:30 – 9:50 AM||Update on Hip Arthroscopy||Lucas Korcek, MD|
|9:50 – 10:10 AM||20-Minute Q&A|
|10:10 – 10:30 AM||Break/Exhibitor Visits|
|PANEL #7: Lower Extremities | Moderator: Chris Noonan, MD|
|10:30 – 10:50 AM||Unicompartmental Knee Arthroplasty||Blake Nonweiler, MD|
|10:50 – 11:10 AM||Patellofemoral Knee Replacement
||Scott Grewe, MD|
|11:10 – 11:30 AM||Robotics in Total Hip Arthroplasty: Why I Sleep Better at Night||Todd Borus, MD|
|11:30 – 11:50 AM||Economics of Outpatient Total Joint Reimbursement||Kecia Norling, MBA, RN|
|11:50 – 12:10 PM||20-Minute Q&A|
|12:10 – 12:40 PM||Break/Exhibitor Visits|
|PANEL #8: Shoulder | Moderator: Blake Nonweiler, MD|
|12:40 – 1:00 PM||Rotator Cuff Repair||Ken Yamaguchi, MD|
|1:00 – 1:20 PM||Superior Capsule Reconstructions||Pat Denard, MD|
|1:20 – 1:40 PM||Reverse Shoulder Replacement||Ken Yamaguchi, MD|
|1:40 – 2:00 PM||Avoiding Complications in Shoulder Arthroplasty||Pat Denard, MD|
|2:00 – 2:20 PM||20-Minute Q&A|
Biologics for Sports Injuries | Jason Dragoo, MD
Overview of evidence-based treatments of sports injuries using biologics.
- Learn to evidence for the use of Biologics in Sports injuries
- Learn the biologic treatments that do not show efficacy
- Learn the available, up-to-date methods to treat muscle and tendon conditions
Bone Graft & Bone Graft Substitutes | Robert Orfaly, MD
Orthopaedic surgeons often face challenges in bone reconstruction related to gaps in skeletal architecture and delayed union/non-union. A host of autograft bone harvest techniques and commercially available bone graft and substitutes are also available with greatly varying mechanical and biological properties.
- The audience member should be able to identify the broad categories of autogenous, allograft and artificial bone grafting options.
- The audience should be able to list the properties of osteoconduction, induction and production for these categories and identify the important properties for common clinical scenarios.
- A discussion regarding the relative evidence in support of these products and their cost will be undertaken.
Update on Hyaluronic Acid & Corticosteroids | Jason Dragoo, MD
To discuss new products and data supporting the use of HA and CSs.
- Discuss the new corticosteroids and their clinical efficacy
- Discuss the HA formulations and their data
- Discuss the possible toxic effect of injectables
Articular Cartilage Injuries & Treatment | David McAllister, MD
Will review focal articular cartilage lesions and current treatment options.
- Understand normal anatomy and healing of articular cartilage injuries
- Understand the fibrocartilage that results from microfracture and other subchondral treatments
- Understand the tissue that results from auto and allograft transplantation
Current Concepts of ACL Reconstruction | David McAllister, MD
Will review current controversies with regards to femoral tunnel position and the clinical results following ACL reconstruction.
- Understand anatomy and biomechanics of normal ACL
- Understand consequences of altering femoral tunnel position
- Understand consequences of allografts in young, active patients
Optimizing Arthroscopic Treatment of OA| Jason Dragoo, MD
Discuss the techniques to optimize the results of arthroscopic treatment of OA, including, synovectomy, anterior internal release, and denervation procedures.
- Learn how to select patients more likely to benefit from arthroscopic treatment
- Discuss the data associated with the use of alternate techniques besides meniscectomy to decrease symptoms of OA.
- Understand the pitfalls from arthroscopic treatment
Revision ACL Reconstruction | David McAllister, MD
Will review principles of revision ACL reconstruction and decision making prior to surgery.
- Review common femoral tunnel malpositions that predispose to failure
- Review how/when to bone graft prior to revision surgery.
- Review multiple methods of femoral tunnel creation.
The Use of Cell Therapy for Cartilage Regeneration | Jason Dragoo, MD
Lecture discusses the evidence of the use of biologics for OA. This includes cell therapy, PRP and other Biologic supplements.
- To learn which Biologics are most useful when treating the symptoms of OA
- To learn what patients are more likely to benefit from treatment.
- To understandwhich commonly used treatments have little data supporting its use.
AAOS Update | Kristy Weber, MD
Will provide an overview of new AAOS programming and initiatives in the areas of Education, Quality and Advocacy.
- Improve knowledge of AAOS Educational opportunities for members
- Improve knowledge of AAOS Quality products and programs for members
- Improve knowledge of AAOS Advocacy efforts on the state and federal levels
Barbotage for Calcific Tendonopathy of the Shoulder | Rahul Desai, MD
- Clinical Imaging and Assessment for Calcific Tendinitis Shoulder
- Indications for Treatment of Calcific Tendinitis
- Understand difference between in office barbotage and Tenex perc tenotomy
Total Shoulder Replacement – Update on Current State of the Art | Ken Yamaguchi, MD
Lecture will give a general overview of total shoulder replacement in 2019 including indications, prosthetic design, and outcomes.
- Understand the most common indications for total shoulder replacement.
- Consider evolving design innovations.
- Learn current long-term outcome expectations.
Lumps & Bumps Relevant to Orthopaedic Surgeons | Kristy Weber, MD
This lecture will review the presentation (history and physical examination) of patients with benign and malignant soft tissue masses and the algorithm used to make a definitive diagnosis. Mistakes in care will be highlighted as illustrative examples of what to avoid.
- Outline the common presentation of benign vs malignant soft tissue tumors.
- Outline the algorithm used to safely and appropriately make an accurate diagnosis of a soft tissue mass
- Outline common pitfalls in the management of patients with soft tissue masses
Xiaflex & Dupytren’s Contractures | James Verheyden, MD
In depth discussion of one individuals experience using 2000 bottles of Xiaflex utilizing an off label SIMple technique.
- Learn ways to improve the efficacy and success of Xiaflex injections
- Learn ways to safely improve results while decreasing health care expense
- Learn ways to avoid pitfalls with use of this enzyme
Women in Orthopaedics & Implicit Bias | Kristy Weber, MD
This lecture will review the current statistics of women in the field of orthopaedics and discuss the role of implicit bias in perpetuating the large gender disparity.
- Educate the audience on the current statistics on the number of women in orthopaedics
- Teach about the definition and types of unconscious bias
- Discuss how the culture of orthopaedic surgery can be improved by awareness of implicit bias
The Future of Health Care | Ken Yamaguchi, MD
Overview of current status of health care policy from both a payer and provider perspective with some predictions on future trends.
- Get a better understanding of payer perspective on health care policy.
- Understand the barriers towards progress in health care policy.
- Stimulate discussion on future trends for health care policy.
Economics of Outpatient Total Joint Reimbursement | Kecia Norling, RN
A review of outpatient total joint programs, reimbursement models, and the challenges to creating a profitable program.
- Describe the current outpatient total joint market in Portland.
- Identify current outpatient total joint reimbursement models.
- Discuss the plausibility of Medicare outpatient total joints.
- Review the expense barriers/challenges to creating a profitable outpatient total joint program.
Distal Radius Fractures: Tips & Tricks | James Verheyden, MD
Tips and tricks one practitioner has learned over time to improve the care of distal radius.
- Identify ways to improve efficiency in the OR for fixing distal radius fractures
- Identify fractures at risk for failure with conservative care or risk for complications
- Identify ways to decrease health care costs
Robotics in Total Knee Arthroplasty: Moving the Needle Toward Improved Patient Satisfaction | Todd Borus, MD
Efforts to improve patient satisfaction after total knee arthroplasty have gained significant attention in recent years. Changes in implant designs, surgical techniques, and perioperative management have all be put forth as potential mechanisms to improve patient outcomes after total knee replacement. As we continue the search for the “forgotten” total knee, can robotic assistance improve the consistency of total knee replacement? What does the early data demonstrate?
- Discuss traditional and alternative alignment paradigms in total knee arthroplasty
- Outline the history of robotics in total knee replacement
- Report early outcomes data on robotic assisted total knee replacement
What’s New in Geriatric Hip Fractures | Darin Friess, MD
It’s easy to feel not much changes in geriatric fracture treatment, but several new articles shed some light on what’s working and what’s not working. New implants released over the past three years now have some early outcomes data to discuss.
- Discuss new thoughts on arthroplasty versus fixation for geriatric femoral neck fractures
- Discover new implants for fixation of geriatric femoral neck fractures
- Discuss gait studies and outcomes on current implants for intertrochanteric fractures
New Techniques in Fracture Care | Zach Working, MD
An exploration into what’s new at the translational level in fracture care in 2019.
- Should we use local antibiotics in fracture surgery?
- Are carbon fiber plates appropriate for use?
- What is Collagen X?
Evaluation & Management of the B2 Glenoid | Pat Denard, MD
The topic will cover B2 glenoids and arthroplasty management options.
- Understand B2 glenoid measurements/variance
- Understand complications of B2 glenoid
- Understand treatment options for the B2 glenoid
Update on Hip Arthroscopy | Lucas Korcek, MD
This talk is designed to provide an overview of current hip arthroscopic interventions. The successes, challenges, and future direction of this intervention to treat conditions in and around the hip are outlined.
- Understand current applications of hip arthroscopy
- Identify ideal candidates for hip arthroscopic intervention
- Know which patients and conditions to avoid treating with arthroscopy
Unicompartmental Knee Arthroplasty | Blake Nonweiler, MD
Course will discuss why partial knee replacement is a viable treatment for some arthritis patients.
- Explain rationale for unicompartmental decision making
- Causes of failures of unicompartmental arthroplasties
- Results of unicompartmental arthroplasties
Patellofemoral Knee Replacement | Scott Grewe, MD
Understand indications, technique and rehabilitation for patellofemoral arthroplasty. Learn specific technique and pearls. Address comorbidities and understand potential complications and failures.
- Identify patellofemoral arthroplasty candidates
- Perform appropriate surgery
- Obtain good outcomes avoiding complications
Robotics in Total Hip Arthroplasty: Why I Sleep Better at Night | Todd Borus, MD
Accurate component positioning and restoration of leg length and offset are paramount for achieving a successful total hip arthroplasty. Computer navigation and fluoroscopically guided total hip replacement have been advanced in recent years as mechanisms to improve these surgical variables. More recently, robotic assisted total hip replacement has become available as another technique for executing the procedure. What does the data show and are outcomes improving?
- Discuss target for acetabular component positioning
- Discuss the impact of leg length of offset restoration in total hip arthroplasty
- Outline early data on robotic assisted total hip replacement
Local Anesthesia for Hand Procedures | James Verheyden, MD
Benefits of wide awake local anesthesia in one hand surgeon’s practice and how this has improved care and decreased health care cost.
- Identify ways that wide awake local anesthesia can be implemented in one’s practice
- Recognize pearls and pitfalls to successful implementation
- Recognize the benefits of wide awake local anesthesia
Rotator Cuff Repair – Indications and Strategies| Ken Yamaguchi, MD
General overview of the current state of the art for rotator cuff repair.
- Understand what the best indications are for repair versus non-operative treatment.
- Consider what the best repair strategies are for rotator cuff repair.
- Discuss how to interpret the literature for outcomes and how to apply it best in your practice.
Superior Capsule Reconstruction | Pat Denard, MD
This course will cover the use of superior capsule reconstruction (SCR) for massive irreparable rotator cuff tears.
- Understand the anatomy and biomechanics of SCR
- Indications for SCR
- Technique for SCR
Reverse Total Shoulder Replacement – Evolving Trends| Ken Yamaguchi, MD
This will be a general overview of the state of the art for reverse shoulder replacement. It has been undergoing quite an evolution regarding indications and design and these innovations will be discussed.
- Understand the evolving indications for reverse shoulder replacement.
- Stimulate discussion on the merits of different design changes for reverse shoulder replacement.
- Discuss long-term outcomes of reverse shoulder replacement.
Avoiding Complications in Shoulder Arthroplasty | Pat Denard, MD
This course will discuss the most common complications of shoulder arthroplasty and how to avoid those complications.
- Review common causes of complications
- Review technical steps to avoid complications
- Evidence for prevention of complications
All faculty members and planning committee members participating in this educational program are expected to disclose to the program audience any significant financial interest and/or other relationship with the manufacturers and providers of commercial products and/or services discussed in their presentation, and their relationship or financial interest in any commercial contributor to the educational activity.
Please visit the AAOS disclosure website to see updated disclosures for all 2019 faculty, staff and planning committee members.