Course program AOTrauma Course - Principles in Operative Fracture Management June 17-19, 2013 Baotou, China AO 创伤基础教育班教育日程 2013 年 6 月 17 日 19 日包頭中国 Home to Trauma & Orthopaedics
2 AOTrauma Course-Pinciples in Operative Fracture Management Value statement AOTrauma is committed to improve patient care outcomes through the highest quality education. We strive to combine the right knowledge and surgical skills that empower the orthopaedic and trauma surgeons to put theory into practice and to improve fracture management for the benefit of the patient. The AO Principles of fracture management Fracture reduction and fixation to restore anatomical relationships. 1 2 Fracture fixation providing absolute or relative stability, as required by the personality of the fracture, the patient, and the injury. Early and safe mobilization and rehabilitation of the injured part and the patient as a whole. 4 3 Preservation of the blood supply to soft tissues and bone by gentle reduction techniques and careful handling.
AOTrauma Course-Principles in Operative Fracture Management 3 AO Trauma 的宗旨 AO Trauma 的理想是 : 通过最好的专业教育来改善病患的治疗结果 为此, 我们努力将科学的理念与正确的技术提供给医务人员, 竭力帮助他们将理论与临床实践相结合, 提高骨折处置的能力, 最终造福于广大患者 骨折治疗的 AO 原则 通过骨折复位 固定以恢复骨的解剖状态 1 2 依靠内固定达到骨折的绝对或相对稳定 ; 治疗手段 个体化, 因患者 因损伤而异 局部及全身早期 安全的功能锻炼和康复 4 3 合理的复位技巧和细致的手术操作, 以保护软组织和骨折区的血运
4 AOTrauma Course-Pinciples in Operative Fracture Management Dear AOTrauma Course Participant The first AO Course was held in Davos in 1960 these early courses pioneered psychomotor techniques by teaching practical skills of AO Techniques. Since those early days over 250,000 surgeons and 135,000 ORP staff from over 110 countries have attended AO Courses we now launch AOTrauma to move our education to the next level. We have the honor to welcome you to AOTrauma Course-Principles in Operative Fracture Management run by the new AOTrauma Specialty! We hope you will enjoy your course and the entire experience. What is AOTrauma? We are the "clinical division" a community for Trauma and Orthopaedics within the AO Foundation. As an AO Specialty we aim to integrate and align applied and clinical research, education, and community development functions into one direction AOTrauma for the benefit of our members, stakeholders, and patients. How AOTrauma benefits you? By working as a single team we will focus and better leverage our resources, expertise, and skills on creatian and delivering new and greater value to our members. What does this mean in education? AOTrauma is committed to provide you the best possible educational experience by continuously embracing and introducing new educational techniques to help you learn and more effectively implement your knowledge for the benefit of your patients. Why join AOTrauma? Joining AOTrauma means you are part of the Trauma & Orthopaedic community within the AO. AOTrauma will help you develop lifelong friendships and relationships; we will help you access our knowledge network and get involved in new opportunities that advance trauma care. Yours sincerely, Content 2 Value statement 2 The AO Principles 4 Dear AOTrauma Course Participant 6 Goal of the course 6 Target participants 6 Course objectives 6 Course description 8 Chairperson 8 Faculties 10 Monday June 17, 2013 12 Tuesday June 18, 2013 14 Wednesday June 19, 2013 16 Course information 16 Course logistics 18 Course venue Kodi Kojima Chairperson AOTrauma Education Commission Nikolaus Renner Chairperson AOTrauma International Board PS: your experiences with us, over the next few days, will result in the realization of new and meaningful knowledge, skills, and understanding that we hope will translate into improved patient care.
AOTrauma Course-Principles in Operative Fracture Management 5 尊敬的 AO 教育班参加者们 : 第一次 AO 教育于 1960 年在瑞士达沃斯开班, 理论教学和操作模拟相结合的教育模式, 自那时起就被奠定下来, 并延续至今 50 年来,AO 通过遍及 110 多个国家和地区的教育活动, 帮助 25 万余名医生 13.5 万名手术室护士掌握了科学的治疗理念 时值今日, 以崭新面貌出现的 AO Trauma 将秉承这一神圣使命, 把 AO 教育推向下一个新的时代 我们感到十分的荣幸, 能够邀请到您参加本次的 AOTrauma 基础教育班 这一教育班是由新成立的 AOTrauma 所主办的, 我们衷心地祝愿您能在本次教育中获得充实 愉快的学术体验 什么是 AOTrauma?AOTrauma 是 AO 基金会下属的专业分支机构, 肩负着创伤骨科领域的临床研究 专业教育和组织发展等使命, 并努力为广大会员 医生和患者贡献自己的力量 您能从 AOTrauma 获得什么帮助?AOTrauma 是一个由专业人士组成的独立学术团体, 为她的成员们提供各种医学资源 创造经验交流 技能分享的机会, 进而为他们的业务成长和自身完善提供更加广阔的空间 AOTrauma 将给教育带来什么改变?AOTrauma 将踏着前人 50 年的脚步, 矢志不渝地将 AO 教育这项伟大的事业持续下去 凭借着半个世纪积累下来的丰富经验, 我们将继续把最新的知识和技术传递给医务人员, 并帮助他们将所学知识用于临床, 改变患者的生活和命运 加入 AOTrauma, 意味着什么? 加入 AOTrauma, 意味着您将成为 AO 组织 创伤骨科和矫形外科 部门的一员, 与 AOTrauma 结下长期 乃至终身的友谊和联系 AOTrauma 将帮助您置身于一个无限广阔的学术交流网络之中, 为您创造各种机会去提升自己的专业水准 此致, Content 3 宗旨 3 骨折治疗的 AO 原则 5 致参加者 7 本次教育班的目标 7 本次教育班对象 7 本次活动的教学目的 7 本次教育班的特点 9 主席 9 讲师 10 星期一,2013 年 6 月 17 日 12 星期二,2013 年 6 月 18 日 14 星期三,2013 年 6 月 19 日 17 重要提示 17 教学班实施者 18 教学地点 Kodi Kojima AOTrauma 教育委员主席 Nikolaus Renner AOTrauma 国际部主席 PS: 在接下来的几天里, 我们将伴随您一起, 去探索最新的 前沿的知识和技能, 并帮助您去理解 : 科学的知识和技能一旦转化为治疗实践, 将是何等的重要!
6 AOTrauma Course-Pinciples in Operative Fracture Management Goal of the course The AOTrauma Course Principles in Operative Fracture Management emphasizes basic treatment principles in operative management of the most common human fractures based on the application of AO Principles. This course is the initial step along the pathway of lifelong learning in the area of operative management of fractures. Target participants This course is targeted to any surgeon interested in developing knowledge and skills in operative fracture management. Course objectives Course participants will learn the basic AOTrauma Principles of fracture management and be trained in the techniques for the management of common fractures. Each module consists of a number of evidence-based lectures which cover the principle concepts recommended. In practical exercises participants will gain experience in the application of these techniques. These same concepts are expanded and reinforced in small group discussions emphasizing indications, options, applications, and developing a valid decision-making processes. Course description Recall the symbiosis between biology and biomechanics in bone healing. Apply the Müller AO Fracture Classification of long bones to help understand and describe the bony injury. Outline the AOTrauma principles of fracture management including reduction techniques and distianuish the appropriate indications. Demonstrate a basic knowledge of fracture treatment and nonunion management utilizing AOTrauma principles. Comprehend intraoperative challenges and potential complications that may occur through surgical management of fractures. Integrate preoperative planning methods emphasizing a comprehensive teamwork approach. Start to acquire the practical skills to apply AO techniques for open reduction and internal fixation to stabilize common fractures.
AOTrauma Course-Principles in Operative Fracture Management 7 本次教育班的目标 Trauma 的基础级教育班的目标是 : 基于 AO 骨折分类体系, 传递多发和常见骨折的基本治疗概念 帮助课程参加者在未来的治疗探索道路上迈开坚实的第一步 本次教育班的对象 我们热忱地欢迎一切有志于拓展骨折治疗知识和技能科医生参加 AO 教育 本次活动的教学目的 本次教育的参加者将系统地学习 AO 骨折治疗的基本理念, 并接受各种常见骨折的手术技巧训练 每一学习模块由多节课堂教学和模型操练组成, 理论教学重在传授概念性的知识, 而模型操练将帮助参加者们从理论走向实践 在其后的小组讨论中, 这些概念将获得大幅度的拓展和强化, 课程参加者们将就具体病例的手术指证 治疗方案进行探讨, 并形成一套严密的临床决策思维 本次教育班的特点 综合回顾骨折愈合相关的生物学和生物力学知识 ; 介绍 Muller 教授的 AO 长骨骨折分类系统, 并在此基础上去理解和描述骨折 ; 讲述 AO 骨折治疗原则 及相关的复位技术和适应证判断 ; 展示新鲜骨折和骨不连的 AO 基本治疗理念 ; 综述骨折手术中可能发生的各种风险和治疗并发症 ; 介绍术前准备所需的各种方法, 强调团队合作的意义 ; 在 AO 理念指导下, 实践各种常见骨折的开放复位和内固定技巧
8 AOTrauma Course-Pinciples in Operative Fracture Management Local Course Chairperson Zeng Bingfang PRC Shanghai Sixth People's Hospital Regional Faculty Chou Ying-Chao Taiwan Chang Gung Memorial Hospital Ma Ching-Hou Taiwan E-DA Hospital Saw Aik Malaysia University Malaya Medical Center Local Faculty Ma Baotong PRC Tian Jin Hospital Xiang Ming PRC Sichuan Orthopaedic Hospital Yu Guangrong PRC Shanghai Tong Ji Hospital
AOTrauma Course-Principles in Operative Fracture Management 9 培训班主席 曾炳芳中国上海第六人民医院 亚太讲师 周 應照 台湾 Chang Gung Memorial Hospital 马 景侯 台湾 E-DA Hospital Saw Aik Malaysia University Malaya Medical Center 国内讲师 马宝通中国天津医院 向明中国四川省骨科医院 俞光荣中国上海同济医院
10 AOTrauma Course-Pinciples in Operative Fracture Management Monday June 17, 2013 Time Agenda item Who 开幕及基础理论介绍 08:30-08:40 开幕及欢迎致词 Opening Ceremony 08:40-09:00 AO 历史及基本原则的演变与发展 AO Histrory and Philosophy 09:00-09:20 损伤和骨折愈合的生理机制 Bone biological response to injury/ fracture healing 09:20-09:40 AO 骨折分型和软组织损伤 Fracture classification & soft tissue injury 09:40-10:10 复位技术 Reduction technique: respecting the behavior of bone 曾炳芳 BF Zeng 曾炳芳 BF Zeng 向明 M Xiang 俞光荣 GR Yu A Saw 10:10-10:20 茶歇 Coffee Break 骨折固定原则 I: 绝对固定 10:20-10:40 绝对稳定的生物学和生物力学原理 Biology & Biomechanics of absolute stability 10:40-11:00 螺钉和拉力螺钉原理 Screw and lag screw principle 11:00-11:30 接骨板的类型和功能 Form and function of plates 11:30-11:50 张力带原理 Tension Band principles 主持人 : 马宝通 Moderator: BT Ma 马景侯 CH Ma 马宝通 BT Ma A Saw 马宝通 BT Ma 11:50-11:55 ARS 11:55-12:05 提问与回答 Question and Answers 12:05-12:15 集体照 Group Picture 12:15-13:15 午餐 Lunch
AOTrauma Course-Principles in Operative Fracture Management 11 Monday June 17, 2013 (cont') Time Agenda item Who 13:15-14:00 操作 1: 张力带操作 (A 组 ) Practical Exercise 1: Tension band Fixation(Group A) 操作 2: 拉力螺钉 (B 组 ) Practical Exercise 2: Lag Screw(Group B) 14:00-14:45 操作 1: 张力带操作 (B 组 ) Practical Exercise 1: Tension band Fixation(Group B) 操作 2: 拉力螺钉 (A 组 ) Practical Exercise 2: Lag Screw(Group A) 骨折固定原则 II: 相对稳定 14:45-15:05 相对稳定的生物力学原理 Biomechanics of relative stability 15:05-15:25 髓内钉技术的临床应用 Intramedullary nail 15:25-15:45 外固定支架的临床应用 External fixator 15:45-16:05 桥接接骨板技术 Bridging plate 16:05-16:10 ARS P1- 马宝通 /A Saw P1-BT Ma / A Saw P2- 马景侯 / 俞光荣 P2-J Wei / YS Byun P1- 马宝通 /A Saw P1-BT Ma / A Saw P2- 马景侯 / 俞光荣 P2-J Wei / YS Byun 主持人 : 俞光荣 Moderator: GR Yu 马景侯 CH Ma 俞光荣 GR Yu 向明 M Xiang 马景侯 CH Ma 16:10-16:20 提问与回答 Question and Answers 16:20-16:30 茶歇 Coffee Break 16:30-17:30 集体讨论 :(3 组讨论 ) Discussion: (In 1 group) 17:30 第一天课程结束 G1: 马景侯 / 俞光荣 G1: CH Ma / GR Yu G2: A Saw/ 马宝通 G2: A Saw / BT Ma G3: 向明 / 周應照 G3: M Xiang / YC Chou 18:00 欢迎晚宴 Welcome Dinner
12 AOTrauma Course-Pinciples in Operative Fracture Management Tuesday June 18, 2013 Time Agenda item Who 骨折固定原则 II: 相对稳定 08:30-09:00 锁定加压接骨板的原理和适应症 Locked Compression Plate why & what for 09:00-09:20 微创接骨板技术 Minimally Invasive Plate Osteosynthesis 主持人 : 向明 Moderator:M Xiang A Saw 向明 M Xiang 疑难问题的治疗原则 09:20-09:40 多发性创伤的治疗原则 Management of poly trauma 09:40-10:00 开放性骨折的治疗原则 Principles of open fracture management 周應照 YC Chou 马景侯 CH Ma 10:00-10:05 ARS 10:05-10:15 提问与回答 Question and discussion 10:15-10:25 茶歇 Coffee Break 10:25-11:10 操作 3: 锁定加压接骨板操作 (A 组 ) Practical Exercise 3:LCP Radius&Ulna(Group A) 操作 4: 外固定支架 (B 组 ) Prac tical E xercise 4:E x-fix(group B) 11:10-11:55 操作 3: 锁定加压接骨板操作 (B 组 ) Practical Exercise 3:LCP Radius&Ulna(Group B) 操作 4: 外固定支架 (A 组 ) Practical Exercise 4:Ex-Fix(Group A) P3- 马宝通 /A Saw P3- BT Ma / A Saw P4- 向明 / 周應照 P4- M Xiang / YC Chou P3- 汤欣 / 林朋 P3-X Tang / P Lin P4- 陈云丰 / 许晋荣 P4-YF Chen / CJ Hsu 11:55-12:55 午餐 Lunch
AOTrauma Course-Principles in Operative Fracture Management 13 Tuesday June 18, 2013 (cont') Time Agenda item Who 骨干骨折的治疗原则 12:55-13:25 骨干骨折的治疗原则 Principle of diaphyseal fracture care 13:25-13:45 肱骨骨折 Humerus fracture 13:45-14:05 尺桡骨骨折 Radius & ulna fracture 14:05-14:25 股骨干骨折 Femur shaft fracture 14:25-14:45 胫骨干骨折 Tibia shaft fracture 14:45-14:50 ARS 主持人 : 俞光荣 Moderator: GR Yu A Saw 俞光荣 GR Yu 向明 M Xiang 俞光荣 GR Yu 马宝通 BT Ma 14:50-15:00 提问与回答 Question and discussion 15:00-15:10 茶歇 Coffee Break 15:10-16:10 讨论 :(3 组讨论 ) Discussion:(In 1 groups) 16:10 第二天课程结束 G1: 马景侯 / 俞光荣 G1: CH Ma / GR Yu G2: A Saw/ 马宝通 G2: A Saw / BT Ma G3: 向明 / 周應照 G3: M Xiang / YC Chou
14 AOTrauma Course-Pinciples in Operative Fracture Management Wednesday June 19, 2013 Time Agenda item Who 关节内骨折的治疗原则 08:30-08:50 关节内骨折的治疗原则 Principles of treatment of articular fractures 08:50-09:10 股骨颈骨折 Femur Neck fractures 09:10-09:40 股骨粗隆间骨折 Femur trochanteric fractures 09:40-10:00 股骨远端骨折 Distal femur fractures 10:00-10:20 胫骨平台骨折 Tibial plateau fractures 主持人 : 向明 Moderator: M Xiang 向明 Xiang Ming 俞光荣 Yu Guangrong Saw Aik 马宝通 Ma Baotong 马景侯 Ma Chinghou 10:20-10:30 茶歇 Coffee Break 10:30-10:50 踝关节骨折 Ankle fractures 10:50-11:10 肱骨近端骨折 Proximal humeral fractures 俞光荣 Yu Guangrong 马宝通 BT Ma 特殊情况处理和术后并发症 11:10-11:30 术后感染 Infection following osteosynthesis 11:30-11:50 延迟愈合和骨不连 Delayed and Nonunion 周應照 YC Chou 向明 M Xiang 11:50-11:55 ARS 11:55-12:05 提问与回答 Question and discussion 12:05-13:05 午餐 Lunch
AOTrauma Course-Principles in Operative Fracture Management 15 Wednesday June 19, 2013 (cont') Time Agenda item Who 13:05-13:50 操作 5: 动力髋螺钉 DHS 操作 (A 组 ) Practical Exercise 5:DHS (Group A) 操作 6: 专家级胫骨髓内钉 ETN 操作 (B 组 ) Practical Exercise 6:ETN(Group B) 13:50-14:35 操作 5: 动力髋螺钉 DHS 操作 (B 组 ) Practical Exercise 5:DHS (Group B) 操作 6: 实心胫骨髓内钉 ETN 操作 (A 组 ) Practical Exercise 6:ETN(Group A) 14:35-14:55 术前计划和治疗选择 Delayed and Nonunion 14:55-15:25 违反原则的错误治疗 Violation of principles 15:25-15:30 ARS 15:30-16:30 讨论 :(1 组讨论 ) Discussion:(In 1 groups) 16:30-16:50 闭幕式 - 颁发证书 Closing remarks and presentation of certificates 16:50 全部课程完结 End of the course P5- 向明 / 周應照 P5- M Xiang / YC Chou P6- 马景侯 / 俞光荣 P6-CH Ma / GR Yu P5- 向明 / 周應照 P5- M Xiang / YC Chou P6- 马景侯 / 俞光荣 P6-CH Ma / GR Yu 马宝通 BT Ma A Saw All 曾炳芳 BF Zeng
16 AOTrauma Course-Pinciples in Operative Fracture Management Course organization AOTrauma Asia Pacific Beatrice Mak AO Asia-Pacific Limited Unit 2605, Miramar Tower, 132 Nathan Road, Tsim Sha Tsui, Kowloon, Hong Kong Phone +852 2581 1775 Fax +852 2581 1772 Email bmak@aotrauma.org Course logistics Synthes (Shanghai) Medical Trading Co. Ltd Lisa Liu The 3rd floor, No. 85, Taoyuan Road Shanghai 200021, P.R.China Phone: +86 21 23275299 Email: liu.lisa@synthes.com Course information Intellectual property Course materials, presentations, and case studies are the intellectual property of the course faculty. All rights are reserved. Check hazards and legal restrictions on www.aotrauma.org/legal. Recording, photographing, or copying of lectures, practical exercises, case discussions, or any course materials is absolutely forbidden. Security Security check at the entrance of the building. Wearing of name tag compulsory during lectures, workshops, group discussions. No insurance The course organization does not take out insurance to cover any individual against accidents, thefts or other risks. Mobile phone use Mobile phone use is not allowed in the lecture halls and in other rooms during educational activities. Please be considerate of others by turning your mobile off. Dress code Course: Smart Casual Banquet: Smart Casual
AOTrauma Course-Principles in Operative Fracture Management 17 教育班举办者 AOTrauma Asia Pacific Beatrice Mak AO Asia-Pacific Limited Unit 2605, Miramar Tower, 132 Nathan Road, Tsim Sha Tsui, Kowloon, Hong Kong Phone +852 2581 1775 Fax +852 2581 1772 Email bmak@aotrauma.org 教育班实施者 辛迪思 ( 上海 ) 医疗器械贸易有限公司刘丽中国上海市卢湾区桃源路 85 号 3 楼電話 : +86 21 23275299 Email: liu.lisa@synthes.com 重要提示 知识产权本次教育班所使用的各种文字及视频资料 授课幻灯和临床病例, 均属相关讲师个人所有, 违者必究 有关法律及限制规定请参见 : www.aotrauma.org/legal. 相应地, 本教育活动严格禁止摄影和摄像行为, 拒绝一切形式的课件 模型操作 病例讨论及其他教育资料的复制行为 安全保卫教育班的场馆入口将设置安全检查, 参加者应在教育全程 ( 课堂学习 模型操作 小组讨论 ) 中佩戴标牌, 否则谢绝入场 财物保险本教育班的举办者和实施者不对参加人员的人身意外 财产安全和其他风险负责 对移动电话的限制课堂 操作间和讨论室内不得使用移动电话, 请参加者在上述场合自觉关闭电话或消除铃音, 以尊重其他成员的学习权利 着装要求教学场合 : 休闲宴会餐厅 : 休闲
18 AOTrauma Course-Pinciples in Operative Fracture Management Course venue Course venue: Shangri-La Hotel, Baotou Address: No. 66 East Minzu Road, Qingshan District, Baotou
Driving Excellence in Trauma & Orthopaedic Surgery Visit www.aotrauma.org for more information! Home to Trauma & Orthopaedics AO Asia-Pacific Limited Unit 2605, Miramar Tower, 132 Nathan Road, Tsim Sha Tsui, Kowloon, Hong Kong T +852-2581-1775, F +852-2581-1772, aotap@aotrauma.org, www.aotrauma.org Logistics and support provided by an educational grant from Synthes.