08 July 2019 (Last updated: 8 Jul 2019 15:32)
5th Annual BSSH Cadaveric Masterclass on Ligament Reconstruction
The Masterclass on Ligament Reconstruction covered an array of procedures including Ulnar collateral ligament reconstruction, Scapholunate ligament reconstruction , the Adams procedure for chronic instability of the distal radioulnar joint , scaphoid plating and vascularised bone graft harvest. The international faculty ;Professor Arnold Schuurman(Netherlands), Professor Kevin Chung(USA), Dr Bhardwaj(India) taught alongside our own national experts from across the U.K : Zaj Naqui, Sue Fullilove, Jonathan Hobby, Douglas Russell, Alistair Hunter, Anuj Misra , Mark Brewster and Mike Craigen, Knowledge , technical skills and expertise were exchanged between faculty and delegates and the overall feedback was excellent. Hugh thanks goes to the faculty and delegates for making this such an interactive and successful event.
The Instructional course opened with Frederik Vertreken (Switzerland) covering the value of 3D preoperative preparation for complex and revisional distal radius fractures. Technical tips , lessons learnt and excellent outcomes were shared along with his own journey to in house delivery of custom made plates and models. This was followed by a series of talks and interactive question time on types \timing and indications for radial fixation as well as preoperative preparation and planning scans by national experts (Fulliove, Costa, GidwaniI and McEachan)The session closed with Jean Michel Cogent(France) sharing his expertise on arthroscopically assisted fracture reduction. Valuable question time closed this excellent up to date and interactive session.
The Scaphoid session provided an update on the SWIFFT trial from Professor Dias. This was followed by talks and discussion on the role of open management\ vascularised bone grafting\ arthroscopic assistance in Scaphoid fracture fixation along with the role of salvage procedures. One of the highlights of this session was the interactive case presentations and faculty discussion which delivered expert opinion and on the spot decision making algorithms. We are grateful to the faculty for their time spent preparing and sharing expertise. ( Newington, Coget, Brewster, Schuurman, Dias and Chung).
After lunch we had a patient based interactive session on Dystonia in a a young musician delivered by Ian Winspur. This was pragmatic and very informative for both those seeing and treating musician and also those who only see these cases occasionally.
The afternoon was filled with two sessions ; carpal instability and injuries of the forearm. Current strategies for delivering quality outcomes in carpal ligament reconstruction along with patient selection and discussion about the risks and complications were delivered by Professor Kevin Chung, Dr Zaf Naqui and Professor Vivien Lees. The complexity and challenges of Kienbocks disease, TFCC injury and DRUJ instability and Complex forearm fractures were coverd by international faculty Chung and Bardwaj along with Professor Lees and Phil Grieves.
At the end of a pretty long day there was still energy and enthusiasm for the attendees and faculty for a Q and A session before we all took a well earned break!
Saturday was filled with the now routine small group sessions these were expertly delivered by the national and international faculty. Wrist examination, case discussion and radiology were among the group sessions with added faculty of Carlos Heras Palou, Andrew Henry,Matt Nixon, P Cuenod, Sarah Jackson, Alan Sorani and Oliver Mares . This was the first time the group of delegates were self stratified by experience which meant the sessions could be tailored to a level suitable for each group to have maximum benefit. At the end of the day we said goodbye and a big THANK YOU to Lindsay Muir who has chaired the committee for the last 4 years introducing the new format and updating the course content and methods of delivery.
The next course will be held in January 2020 under the chairmanship of David Clark.
8.1 will cover soft tissue trauma , microsurgery and replantation , burns and infections The international faculty including Dr Venkatramani and Dr Dumontier along with our national experts means this promises to be another whirlwind of education and information exchange. We look forward to seeing you there!
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