TOA/TOF/TSSM 2014 Annual Meeting. April 10-12, 2014 San Antonio Westin Riverwalk. Meeting Syllabus

Transcription

1 TOA/TOF/TSSM 2014 Annual Meeting April 10-12, 2014 Westin Riverwalk Meeting Syllabus 1

2 Officers Patrick M. Palmer, MD President Marc M. DeHart, MD First President-Elect Howard R. Epps, MD Second President-Elect Kyle F. Dickson, MD Third President-Elect Christopher M. Danney, MD..... Secretary-Treasurer Maureen A. Finnegan, MD Membership and Professional Ethics Chair David E. Haynes, MD TSSM President David J. Mansfield, MD TOF Chairman of the Board Program Committee Patrick M. Palmer, MD President Joel W. Jenne, MD CME Co-Chair Matthew C. Morrey, MD CME Co-Chair About TOA Purpose: The purpose of the Texas Orthopaedic Association (TOA) CME Program is to provide quality continuing medical education that encourages scientific and educational endeavors within the membership which will promote and advance the science and art of orthopaedic surgery, maintain high professional, ethical, and moral standards in the practice of orthopaedic surgery in the State of Texas, and foster cooperation among orthopaedic surgeons in Texas. Mission and Vision: Collaboration and alliance with other medical societies, citizen s groups, and organizations whose concern is the health of the Texas citizens. The Texas Orthopaedic Association looks to the future with goals of citizens having an understanding of preventative maintenance of musculoskeletal health. Please turn off cell phone ringers while inside the Scientific Session rooms. Thank you. Texas Orthopaedic Association & Texas Orthopaedic Foundation in conjunction with Texas Society of Sports Medicine Annual Meeting April 10-12, 2014 Westin Riverwalk, Texas Table of Contents Presidents Messages Program & Events Schedule List of Paper Presenters...7 Special Events/Meeting Highlights...8 Floor Plans of Meeting Rooms... 9 Enjoy Everything That Offers CME Credit, Disclaimer, Disclosure, Meeting Objectives Financial Disclosures

3 President s Message Dear Colleagues, Welcome to the Texas Orthopaedic Association s 2014 Annual Meeting, being held in conjunction with the Texas Society of Sports Medicine and the Texas Orthopaedic Foundation in beautiful and historic. We hope that you will enjoy the scientific sessions along with the unique activities of Fiesta. Our TOA Program Chairs, Joel W. Jenne, MD and Matthew C. Morrey, MD, have assembled a world-class faculty for an excellent orthopaedic program. TOA guest faculty will feature multiple Keynote Speakers including Charles A. Rockwood, Jr., MD; Bernard F. Morrey, MD; and John J. Callaghan, MD, all of whom are AAOS Past-Presidents. Additional featured Keynote Speakers will include Brian S. Parsley, MD, who is the new AAHKS President; Michael J. Yaszemski, MD; Theodore W. Parsons III, MD; and Kurt P. Spindler, MD. Other meeting highlights will include an update on ICD-10 by Andrew P. Kant, MD and multiple symposia addressing the latest updates on various orthopaedic topics by the experts. We appreciate our outstanding panel of speakers and their valuable contribution to this year s program. The 12th Annual Resident Quiz Bowl has ten orthopaedic programs competing for the coveted trophy, cash prizes, and, most importantly, the bragging rights of the winning team. Emcees Kyle F. Dickson, MD and Fred G. Corley, MD will provide lively commentary for the resident competition. The Texas Orthopaedic Association was founded in 1936 and has seen many changes in the evolution of orthopaedic care in its 78 years of existence. It has been my honor to have served as President of our Association this year. TOA s tradition of excellence will grow. We are pleased to see more and more young orthopaedic surgeons who have become engaged with leadership roles in our association. The future of TOA is outstanding. Please join us for all of our CME Programming, our TOA/TOF/TSSM Business Luncheons, and our social events. Our Friday evening reception to be held in the Westin Riverwalk Hotel promises to be an enjoyable and lively Fiesta event for you and your guests. I welcome you to and to the 2014 TOA Annual Meeting. Regards, Patrick M. Palmer MD Texas Orthopaedic Association President,

4 Greetings TOF Supporters! I regret that I will be unable to join you at this year s Annual Meeting due to an obligation as a member of the AAOS Board of Directors. This will be my first TOA/TOF/TSSM Annual Meeting that I have missed in over a decade. The Foundation is partnering with our Texas Orthopaedic residency programs to provide online access to presentations made at their conferences and grand rounds for all Texas Orthopaedic surgeons. We will be fortunate to have content from some of the nation s leading orthopaedic experts in the coming months. If you ever have an interest in presenting your research or expertise for our members to view online, please contact our staff. Whenever I am at AAOS meetings, Orthopaedic surgeons from other states always tell me how pleased they are with the strength of the Texas Orthopaedic organizations. I am looking forward to working with y all in the future to enhance our great organizations and the educational experience in Texas. Sincerely, David J. Mansfield, MD Texas Orthopaedic Foundation Chair Welcome TSSM members! The 2014 annual meeting has an informative, diverse agenda that will benefit your practice as you adapt to changing times in medicine. Our goal at TSSM is to provide an environment of education and networking for sports medicine professionals around the state. The annual meeting is a major part of our plan to achieve that goal. The program this year features Kurt Spindler, MD from the Cleveland Clinic. He has been an integral part of a multi-center outcomes network for years. The practice of medicine is attempting to be measured by many different entities as we all wrestle with the issues of cost, value, and efficiency. Improving in these areas while maintaining a patient-centered practice will require accurate information on treatment outcomes. We are excited to hear about Dr. Spindler s experience and the future of orthopaedic-specific benchmarking. TSSM is committed to providing the information that is specific to our state. Issues such as concussion legislation and changing regulations affect the practice of sports medicine. I hope you agree that this year s annual meeting will keep you up to date on all of the latest from Austin. Again, welcome to! Sincerely, David E. Haynes, MD TSSM President 4

5 THURSDAY, APRIL 10, Navarro A Time Event Speaker 9:00 a.m. 3:00 p.m. ICD-10 Coding Workshop: What Physicians & Their Staff Need to Know Margaret Maley RN, BSN Karen Zupko & Associates This all-day seminar, which is a separate registration fee, will be led by Margaret Maley of Karen Zupko and Associates and prepare orthopaedic surgeons and their staff for the October 1, 2014 transition to ICD-10. Participants are encouraged to bring ICD-10 books with them. TOA will provide both lunch and seminar handouts. FRIDAY, APRIL 11, Navarro A Session 1: Total Joints, Young Hips, New Payment Models, Sports Team Coverage & Medical Board Issues Time Event Speaker 7:00 a.m. - Registration and Breakfast 7:30 a.m. 7:30 a.m. Welcome & Announcements Patrick M. Palmer, MD (TOA President); Joel W. Jenne, MD & Matthew C. Morrey, MD (Program Co-chairs) 7:30 a.m. - Total Joint Address Brian S. Parsley, MD - AAHKS President 8:00 a.m. 8:00 a.m. - 8:45 a.m. Symposium: New Payment Models Brian S. Parsley, MD; Adam I. Harris, MD; Louis S. Stryker, MD & Patrick M. Palmer, MD - Moderator 8:45 a.m. - Break & Exhibitor Visits 9:15 a.m. 9:15 a.m. - 9:45 a.m. Why Did We Leave Charnley Total Hip Replacement? John J. Callaghan, MD 9:45 a.m. - 10:30 a.m. 10:30 a.m. - 11:15 a.m. 11:15 a.m. - 11:45 a.m. 11:45 a.m. - 12:00 p.m. 12:00 p.m. - 1:00 p.m. 1:00 p.m. - 1:30 p.m. Symposium: Young Hip Symposium: Sports Team Coverage - Liabilities and Return to Play Texas Medical Board Address Break for Lunch & Exhibitor Visits Lunch & Legal Discussion: Physician Employment & Stark Anti-Kickback Issues - Ethics Hour Break & Exhibitor Visits Warren R. Kadrmas, MD; Matthew C. Morrey, MD - Moderator; Casey D. Taber, MD; Matthew R. Schmitz, MD & John J. Callaghan, MD David S. Schmidt, MD; Casey D. Taber, MD; Matthew C. Murray, MD & David E. Haynes, MD - Moderator Scott Freshour, JD General Counsel - Texas Medical Board Josh Weaver, JD & Ashley Johnston, JD Session 2: Fractures, Shoulders, Benchmarking & Quality Measures Time Event Speaker 1:30 p.m. - 1:45 p.m. 1:45 p.m. - 2:30 p.m. 2:30 p.m. - 3:00 p.m. 3:00 p.m. - 3:45 p.m. 3:45 p.m. - 4:30 p.m. 4:30 p.m. - 5:00 p.m. What Is the Best Treatment for Fractures of Proximal Humerus in Older Patients? Symposium: Current Trends in Fracture Management Break & Exhibitor Visits Symposium: Shoulder Overuse to Old Age Symposium: Benchmarking - Applying it to Your Practice Scientific Presentations Charles A. Rockwood, Jr., MD Kyle F. Dickson, MD - Moderator; John S. Early, MD; Daniel S. Stinner, MD & Travis C. Burns, MD Fred G. Corley, MD - Moderator; Travis C. Burns, MD; Warren R. Kadrmas, MD & Ralph J. Bud Curtis, MD Kyle F. Dickson, MD; Marc M. DeHart, MD - Moderator; Maureen A. Finnegan, MD & Kurt P. Spindler, MD Six Minute Abstract Podium Presentations (See page 7 for list of speakers and times) 5

6 SATURDAY, APRIL 12, Navarro A Session 3: Non-Operative Trends, Orthopaedic Oncology, ICD-10 & Scientific Papers Time Event Speaker 6:15 a.m. - 7:00 a.m. 6:30 a.m. - 7:00 a.m. Past Presidents Breakfast Registration, Breakfast, & Exhibitor Visitation La Babia (By Invitation) 7:00 a.m. Welcome & Announcements Patrick M. Palmer, MD (TOA President); Joel W. Jenne, MD & Matthew C. Morrey, MD (Program Co-chairs) 7:00 a.m. - 8:30 a.m. 8:30 a.m. - 9:00 a.m. 9:00 a.m. - 9:45 a.m. 9:45 a.m. - 10:15 a.m. 10:15 a.m. - 10:45 a.m. 10:45 a.m. - 11:15 a.m. 11:15 a.m. - 11:45 a.m. 11:45 a.m. - 1:00 p.m. 12:00 p.m. - 12:30 p.m. Scientific Presentations Evaluation and Management of Sacropelvic Tumors Symposium: Office Based Nonoperative Trends in Orthopaedics Break & Exhibitor Visits The MOON Model for Comparative Effectiveness in Clinical Practice ICD-10: Everything That a Physician Needs to Know in 30 Minutes Musculoskeletal Oncology: What the General Orthopaedic Surgeon CAN Do TOA/TOF/TSSM Business Lunch & Exhibitor Visitation TOA Presidential Line: Orthopaedics & Public Policy Six Minute Abstract Podium Presentations (See page 7 for list of speakers and times) Michael J. Yaszemski, MD Bernard F. Morrey, MD - Moderator; Michael J. Yaszemski, MD & Theodore W. Parsons, III, MD Kurt P. Spindler, MD Andrew P. Kant, MD Theodore W. Parsons, III, MD Bobby Hillert - Moderator; Patrick M. Palmer, MD; Marc M. DeHart, MD; Howard R. Epps, MD & Kyle F. Dickson, MD Session 4: The Future of Orthopaedics in Texas Time Event Speaker 1:00 p.m. - 2:15 p.m. 2:15 p.m. - 3:00 p.m. 3:00 p.m. - 4:00 p.m. Resident Quiz Bowl Orthopaedics 2014: Where Are We Going? The Future of Orthopaedics: Resident Panel & Networking Session Emcees: Kyle F. Dickson, MD & Fred G. Corley, MD Bernard F. Morrey, MD Howard R. Epps, MD - Moderator; David E. Haynes, MD; Andrew P. Kant, MD & Bernard F. Morrey, MD GUEST FACULTY Out-of-State Faculty: John J. Callaghan, MD University of Iowa Bernard F. Morrey, MD Mayo Clinic, Rochester, MN / UT Health Science Center, Theodore W. Parsons, III, MD Henry Ford Hospital Michigan Kurt P. Spindler, MD Cleveland Clinic Michael J. Yaszemski, MD Mayo Clinic, Rochester, MN In-State Faculty: Travis C. Burns, MD Fred G. Corley, MD Ralph J. Bud Curtis, MD Marc M. DeHart, MD Austin Kyle F. Dickson, MD Houston John S. Early, MD Dallas Howard R. Epps, MD Houston Maureen A. Finnegan, MD Dallas Scott Freshour, JD Austin Adam I. Harris, MD David E. Haynes, MD Waco Ashley Johnston, JD Dallas Warren R. Kadrmas, MD Andrew P. Kant, MD Houston Margaret Maley, RN Houston Matthew C. Morrey, MD Matthew C. Murray, MD Patrick M. Palmer, MD Brian S. Parsley, MD Houston Charles A. Rockwood, Jr., MD David S. Schmidt, MD Matthew R. Schmitz, MD Daniel S. Stinner, MD Louis Stryker, MD Casey D. Taber, MD Joshua Weaver, MD Dallas 6

7 List of Paper Presentations FRIDAY, APRIL 11, Navarro A Time Presenter Paper Institution 4:30 p.m. - 4:36 p.m. 4:36 p.m. - 4:42 p.m. 4:42 p.m. - 4:48 p.m. 4:48 p.m. - 4:56 p.m. SATURDAY, APRIL 12, Navarro A Time Presenter Paper Institution 7:00 a.m. - 7:06 a.m. Gens P. Goodman, DO Scott D. McKay, MD Gens P. Goodman, DO Jeremy S. Somerson, MD Andrew G. Patton, MD The Influence of Musculoskeletal Conditions, Behavioral Health Diagnoses and Socio-Economic Status on Injury-Related Outcome in a High-Demand Population. Trends in Outpatient Surgical Treatment of Pediatric Fracture Care Between 1996 and 2006 in USA. Incidence, Risk Factors and Timing for Thirty-Day Postoperative Myocardial Infarcation and Cardiac Arrest Following Primary Total Knee and Hip Arthroplasty. Meniscal Allograft Interposition Versus 'Ream and Run' Hemiarthroplasty for Glenohumeral Arthritis in the Young Patient. Pain Reduction in Non-Verbal Children with Cerebral Palsy Following Minimally Invasive Surgery and Ethanol Injections. Beaumont Army Medical Center Baylor College of Medicine Beaumont Army Medical Center UT Health Science Center UT Medical Branch 7:06 a.m. - 7:12 a.m. Alexander V. Nguyen Kocher Criteria Revisited in the Era of MRI: How Often Does the Kocher Criteria Identify Underlying Osteomyelitis? Baylor College of Medicine 7:12 a.m. - 7:18 a.m. Matthew C. Starke Risk Factors for Multiple Surgeries to Treat Musculoskeletal Infections in Children. Baylor College of Medicine 7:18 a.m. - 7:24 a.m. John C. Dunn, MD Thirty-Day Morbidity and Mortality After Elective Total Shoulder Arthroplasty; Patient-Based and Surgical Risk Factors. Beaumont Army Medical Center 7:24 a.m. - 7:30 a.m. John C. McConnell, MD Missed by MR, Hurt in PT: Kim and Stewart Lesions and Therapy Injuries. McConnell Orthopaedic Clinic - Greenville 7:30 a.m. - 7:36 a.m. John C. McConnell, MD Clinical Identification of Stewart's Lesion and Its Effect on Surgical Technology. McConnell Orthopaedic Clinic - Greenville 7:36 a.m. - 7:42 a.m. Kevin D. Christensen, MD The Evaluation and Classification of Spontaneous Shoulder Sepsis. UT Health Science Center 7:42 a.m. - 7:48 a.m. Grant D. Hogue, MD Functional Outcomes Following Operative Treatment of Tibial Tubercle Fractures. UT Southwestern 7:48 a.m. - 7:54 a.m. Scott D. McKay, MD Retrospective Study of Postoperative Pain in Children Receiving General Anesthesia with and without Regional Anesthesia Supplementation for Pinning of Supracondylar Humerus Fractures. Baylor College of Medicine 7:54 a.m. - 8:00 a.m. John W. Hinchey, MD The Re-rupture Rate of Primarily Repaired Distal Biceps Tendon Injuries. Audie L. Murphy Veterans Affairs 8:00 a.m. - 8:06 a.m. Grant D. Hogue, MD Pediatric Musculoskeletal Injuries Associated with Recreational Motorized Vehicle Use: Do More Wheels Mean a Safer Ride? UT Southwestern 8:06 a.m. - 8:12 a.m. Robert G. Girling, MD Development, Implementation and Preliminary Study Results of Randomized Control Trial of an ipad Based Decision Aid for Shoulder Arthritis. UT Health Science Center 8:12 a.m. - 8:18 a.m. Philip J. Chandler, MD Anterior Bone Block Augmentation for Complex Anterior Shoulder Instability in a Military Population. Beaumont Army Medical Center 8:18 a.m. - 8:24 a.m. Matthew D. Laughlin, DO Enhanced Casualty Care from a Global Military Orthopaedic Teleconsultation Program. Beaumont Army Medical Center 7

8 Special Events Meeting Highlights TOA Reception Friday, April 11th 6:30 pm 8:30 pm Meeting Foyer and Balconies Always a popular event at the Annual Meeting, this year s reception will celebrate s Fiesta event with outstanding food and drinks. Thanks to TMLT & Ferring Pharmaceuticals for generously sponsoring this year s event. TOA and TSSM members and their families are invited to attend. TOA Past Presidents Breakfast Saturday, April 12th 6:15 am 7:00 am La Babia All TOA past presidents are invited to attend this breakfast. TOA/TOF/TSSM Annual Business Luncheon with TOA Presidential Line Talk Saturday, April 12th 11:45 am 1:00 pm TOA members, guest faculty and sponsors are invited to attend this luncheon. Thanks to PhoenixOrtho for generously sponsoring this year s event. The Future of Orthopaedics Symposium Saturday, April 12th 3:00 p.m. - 4:00 p.m. Bernard Morrey, MD will lead a team of panelists who will examine various employment models and analyze the future of orthopaedics. Both orthopaedic surgeons and residents will benefit from participating. ICD-10 Coding Seminar Margaret Maley, RN, BSN, MS of Karen Zupko & Associates Thursday, April 10th 9:00 am to 3:00 pm Navarro A This all-day seminar, which is a separate registration fee, will be led by Margaret Maley of Karen Zupko and Associates and prepare orthopaedic surgeons and their staff for the October 1, 2014 transition to ICD- 10. Participants are encouraged to bring ICD-10 books with them. TOA will provide both lunch and seminar handouts. 12th Annual Resident Quiz Bowl Saturday, April 11th 1:00 pm to 2:15 pm Navarro A In its 12th year, the Annual Resident Quiz Bowl teams up orthopaedic residents from schools across the state competing for the top prize. The competition features two residents on each team from several of Texas top orthopaedic training programs. Residents are competing for the highly coveted traveling trophy, title and bragging rights. This year s emcees will be Kyle F. Dickson, MD and Fred G. Corley, MD. Past TOA Resident Quiz Bowl Winners 2003 Winner: Brooke Army Medical Center 2004 Winner: Brooke Army Medical Center 2005 Winner: University of Texas Medical Branch 2006 Winner: University of Texas Medical Branch 2007 Winner: Brooke Army Medical Center 2008 Winner: University of Texas 2009 Winner: University of Texas Medical Branch 2010 Winner: University of Texas Medical Branch 2011 Winner: Scott & White 2012 Winner: Wm. Beaumont Army Medical Center 2013 Winner: John Peter Smith 2014 Winner: To be determined 8

9 Floor Plans of Meeting Rooms MADERO 1 HIDALGO PREFUNCTION HIDALGO (JUNIOR BALLROOM) GRAND STAIRCASE TO LOBBY NAVARRO (MAIN BALLROOM) A B NAVARRO PREFUNCTION PASEO DEL RIO - THE RIVERWALK 2 ELEVATORS TERRACE EXECUTIVE OFFICES VILLA FOYER ZAPATA LA BABIA LA BABIA TERRACE 1. CARRANZA 2. EXECUTIVE CONFERENCE ROOM BALLROOM LEVEL Dr. Andrew Kant with Congressman Kevin Brady of Texas. Dr. Patrick Palmer with Congressman Pete Sessions of Texas. Drs. John Gill and Richard Steadman with Governor Rick Perry of Texas. Drs. David Teuscher, John Early, and John Gill talking to Congressman Pete Sessions of Texas. 9

10 Enjoy Everything That Offers Welcome to! We re pleased that our great annual event, Fiesta, will begin on the weekend of our annual meeting. To learn more about Fiesta, visit our web page at: We are in the middle of a number of great restaurants and things to do here at the Westin Riverwalk. The following is a list of suggestions based on regions near the hotel. the hotel can get busy, other parts of the Riverwalk are rarely frequented by tourists and can be great running trails. In particular, the trails located by the Pearl Brewery. Fiesta This annual tradition begins on April 10. Look online for events around. La Villita Historic District The New York Times describes this little shopping district near the hotel as the little village it once was but is now crammed with artisanal shops, many of which are housed in lovely mid- 19-th-century buildings. Farmers Market Saturday mornings at The Pearl Brewery. Events The following is a look at some of the sites to see and thingsto-do. The Alamo It is located just a few blocks away from the hotel. The Briscoe Western Art Museum Just two blocks from the hotel, this new museum opened within the past year and is located in the historic library building. King William District Walk around the neighborhood just south of the hotel to visit the historic homes and buildings. Jogging/Walking Trails While the Riverwalk around Downtown and Around the Hotel Most of these restaurants are within walking distance of the Westin Riverwalk. Luke This is New Orleans chef John Besh s first restaurant outside of New Orleans. Bohanan s This steak restaurant is a favorite of many natives for both food and drinks. Zinc Bistro & Bar Located in an historic building a 10

11 block from our hotel, this is a favorite spot for food and drinks. It includes an outdoor patio. Bourdro s Texas Bistro Also very close to the hotel, it features a Texas-style menu. Biga on the Banks Located around the corner from the hotel, this restaurant features unique food such as chicken-fried oysters, habanero jerk scallop, fish, venison, and quail. Havana Hotel This historic hotel, which is at the northern end of the downtown region, was completely renovated several years ago. It features Ocho, which is bar and restaurant that is favored by the hip set. The Pearl Brewery has turned the historic Pearl Beer Brewery into a center of restaurants, shops, and a Saturday morning farmers market on the northern end of the river walk. It is approximately two miles from our hotel and can be reached by walking along the river walk or car. Many locals refer to this area as having some of the best new restaurants in, including: Cured It defines itself as a charcuterie with an extensive beer menu. Osteria Il Sogno One customer defines this restaurant as new age Italian fusion. Sandbar Seafood. Arcade Midtown Kitchen Comfort food that features a new American cuisine menu. The Granary Cue & Brew Food produced by smoke and fire, which means fancy barbecue. Nao The student-staffed restaurant of the Culinary Institute of America. The Luxury Located near The Pearl, it is a gastropub that features outdoor seating. King William District (Southtown) Located just south of downtown and within walking distance, the King William district (also called Southtown ) features a number of historic buildings and is enjoying a revitalization. A number of restaurants have opened in the area, including: Liberty Bar at the Convent Situated in an 1883 building, this restaurant features an eclectic menu. Bliss Bliss offers a contemporary American cuisine menu and is a small setting with room for a little over 50 diners. Feast New American cuisine with Mediterranean flavor. La Frite A Belgian bistro. The Monterrey It features outdoor seating and a new American cuisine menu similar to the other restaurants. La Tuna It features outdoor seating and is the most casual menu of all of these restaurants in the King William District. 11

12 CME Credit, Disclaimer, Disclosure, Meeting Objectives Description: This meeting is designed to identify areas of recent research in orthopaedics and sports medicine relevant to physicians, surgeons, and allied health professionals. This information will be transmitted through scientific paper presentations, question and answer sessions, spotlights on surgical techniques, current concepts and symposiums. Statement of Need: A need for this educational activity has been determined based on previous TOA course evaluations, AAOS CME curriculum and medical journals. TOA leadership and program committee members also identified program needs based on current orthopaedic topics and sports medicine issues. Target Audience: The target audience will be orthopaedic surgeons, residents, fellows, and physicians with an interest in orthopaedic treatment. Athletic trainers, coaches, and orthopaedic clinic administrators/technical staff may also be interested in the program. Program: The Texas Orthopaedic Association attests that the person(s) responsible for the development of this educational activity did so independently and were not influenced by commercial support. Educational Method: Lecture presentations, case studies, and hands-on workshops. CME Accreditation and Credit Designation: Texas Orthopaedic Association is accredited by the Texas Medical Association to provide continuing medical education for physicians. The Texas Orthopaedic Association designates AMA PRA Category 1 Credits TM for the following educational activities: Thursday, April 10 Friday, April 11 Saturday, April 12 Orthopaedic Coding Course TOA Scientific Sessions TOA Scientific Sessions 6 AMA PRA Category 1 Credits TM 7.75 AMA PRA Category 1 Credits TM 7.75 AMA PRA Category 1 Credits TM Objectives: Course Objectives: Upon completion of this meeting, learners should be able to: 1. Understand the new ICD-10 coding system and learn how to use the appropriate CPT and ICD codes in orthopaedic practices. 2. Understand how the new health care environment involving public policy and industry changes may impact their practice of orthopaedics. 3. Identify and adapt strategies to improve patient outcomes. 4. Describe recent developments in the rapidly changing field of orthopaedic sports medicine. 5. Identify new payment models by government and commercial payors and understand how they impact patient care. 6. To discuss the various surgical and non-surgical treatments and management of conditions related to the hip joint. 7. Develop insight into the most current recommendations for the management of clavicle, ankle, distal radius, and hip fractures. 8. Understand initial approaches to diagnosing and treating musculoskeletal tumors. 9. Formulate a diagnosis for sacropelvic tumors based upon clinical, radiologic, and pathologic information. 10. Recognize and analyze key issues, research, and current data reflecting non-operative office-based treatment options, including ultra-sound guided injections, stem cells, platelet rich plasma therapy, and bone morphogenetic protein. 11. Critique presentations of orthopaedic research. 12. Update basic clinical skills and basic clinical knowledge through discussions surrounding the Quiz Bowl. 13. Identify and apply outcomes reporting strategies to improve patient outcomes. 14. Permit expert panelists to put into perspective new technologies involving common orthopaedic problems relative to the shoulder. 15. Become more informed and involved in issues related to orthopaedic advocacy. Disclosure Statement: TOA mandates all instructors, planners, and other individuals in a position to control or influence the content of an educational activity to disclose all relevant financial relationships or affiliations during the past 12 months with any commercial interest. All identified conflicts of interest must be resolved and the education content vetted by the TOA for fair balance, scientific objectivity and appropriateness. Any and all disclosures will be provided in the Final Program, which will be distributed to all program participants. Each program participant in the Annual Meeting has been asked to disclose if he or she has received something of value from a commercial company or institution, which relates directly or indirectly to the subject of their presentation. Participants must disclose if research or institutional support has been received; miscellaneous non-income support (e.g. equipment or services); royalties; stock or stock options; or consultant or employee and disclosed nothing of value received. An indication of the participant s disclosure appears after his or her name as does the commercial company or institution that provided the support. TOA does not view the existence of these disclosed interests or commitments as necessarily implying bias or decreasing the value of the author s participation at the meeting. FDA Statement: Some drugs or medical devices demonstrated at the Annual Meeting have not been cleared by the FDA or have been cleared by the FDA for specific purposes only. The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or medical devices he or she wished to use in clinical practice. TOA policy provides that off label use of a drug or medical device may be described in the TOA s CME activities so long as the off label use of the drug or medical device is also specifically disclosed (i.e. it must be disclosed that the FDA has not cleared the drug or device for the described purpose). Any drug or medical device is being used off label if the described use is not set forth on the product s approval label. Disclaimer: The material presented at the Annual Meeting has been made available by the Texas Orthopaedic Association for educational purposes only. This material is not intended to represent the only, nor necessarily best, method or procedure appropriate for the medical situations discussed, but rather is intended to present an approach, view, statement or opinion of the faculty which may be helpful to others who face similar situations. TOA disclaims any and all liability for injury or other damages resulting to any individuals attending a session for all claims, which may arise out of the use of the techniques demonstrated therein by such individuals, whether these claims shall be asserted by a physician or any other person. No reproductions of any kind, including still photography, audiotapes and videotapes, may be made of the presentation at the TOA Annual Meeting. The Association reserves all of its rights to such material, and commercial reproduction is specifically prohibited. 12

13 Financial Disclosures Each program participant in the Annual Meeting has been asked to disclose if he or she has received something of value from a commercial company or institution, which relates directly or indirectly to the subject of their presentation. Participants must disclose: research or institutional support has been received; miscellaneous non-income support (e.g. equipment or services); royalties; stock or stock options; consultant or employee; and disclose if nothing of value received An indication of the participant s disclosure appears after his or her name as does the commercial company or institution that provided the support. TOA does not view the existence of these disclosed interests or commitments as necessarily implying bias or decreasing the value of the author s participation at the meeting. Moderators are members of the TOA s CME Program Committee and have nothing to disclose. Moderators and Program Planners are: Patrick M. Palmer, MD Matthew C. Morrey, MD Joel W. Jenne, MD Symposium Presenter Relationship Disclosed First Name Last Name Title of Presentation Commercial Interest For What Role Travis Burns John Callaghan Why Did We Leave Charnley Total Hip Replacement? DePuy / Wolters Kluwer Health / Knee Society / OREF Intl Hip Society Royalties from a company or supplier / Paid consultant for a company or supplier / Royalties, financial or material support from publishers / Board member/committee appointments for a society Fred Corley Resident Quiz Bowl Bud Curtis Symposium: Shoulder Overuse to Old Age Arthrex Speaker Marc DeHart Symposium: Benchmarking - Applying it to Your Practice / TOA Presidential Line: Policy Changes on the Horizon Speaker honorarium for Orthopaedic Review Courses / Journal of Arthroplasty / Presidential Line, Texas Orthopaedic Association Executive Committee: Continuing Education Committee, Texas Orthopaedic Foundation Royalties, financial or material support from publishers / Medical/Orthopaedic publications editorial/governing board / Board member/committee appointments for a society Kyle Dickson Symposium: Current Trends in Fracture Management / Symposium: Benchmarking - Applying it to Your Practice / TOA Presidential Line: Policy Changes on the Horizon / Resident Quiz Bowl AOS / Biomet Stryker / Anthem / Texas Orthopaedic Society Royalties from a company or supplier / Speakers bureau/ paid presentations for a company or supplier / Paid employee for a company or supplier / Paid consultant for a company or supplier / Unpaid consultant for a company or supplier / Stock or stock options in a company or supplier / Board member/committee appointments for a society John Early Symposium: Current Trends in Fracture Management Stryker Biomet Osteomed Medhab Inc Biomimetric Synthes / Foot and Ankle International; Journal of Bone and Joint Surgery - American; Journal of the American Academy of Orthopaedic Surgeons; Journal of Orthopedic Trauma / AAOS; Texas Orthopedic Association Speakers bureau/paid presentations for a company or supplier / Paid consultant for a company or supplier / Unpaid consultant for a company or supplier / Research support from a company or supplier as a PI / Other financial or material support from a company or supplier / Medical/ Orthopaedic publications editorial/governing board / Board member/committee appointments for a society Howard Epps TOA Presidential Line: Policy Changes on the Horizon Maureen Finnegan Symposium: Benchmarking - Applying it to Your Practice Clinical Orthopaedics and Related Research / AAOS Texas Orthopedic Association Medical/Orthopaedic publications editorial/governing board / Board member/committee appointments for a society 13

14 Financial Disclosures (continued) Symposium Presenter Relationship Disclosed First Name Last Name Title of Presentation Commercial Interest For What Role Adam Harris Symposium: New Payment Model Panel Baxter / Smith & Nephew (Sub-investigator for a Knee implant) / Rush Orthopaedic Society Newsletter (unpaid) / American Association of Physicians and Surgeons Speakers bureau/paid presentations for a company or supplier / Other financial or material support from a company or supplier / Medical/Orthopaedic publications editorial/governing board / Board member/committee appointments for a society David Haynes Symposium: Sports Team Coverage - Liabilities and Return to Play Bobby Hillert TOA Presidential Line: Policy Changes on the Horizon Ashley Johnston Lunch & Legal Discussion: Physician Employment, Stark, & TMB Issues - Ethics Hour Warren Kadrmas Symposium: Young Hip / Symposium: Shoulder Overuse to Old Age Pivot Medical / Society of Military Orthopaedic Surgeons Stock or stock options in a company or supplier / Board member/committee appointments for a society Andy Kant ICD-10: Everything That a Physician Needs to Know in 30 Minutes Margaret Maley Coding Workshop Bernard Morrey Symposium: Office Based Nonoperative Trends in Orthopaedics / Remaining Independent vs. Employment Matthew Morrey Symposium: Young Hip Matthew Murray Symposium: Sports Team Coverage - Liabilities and Return to Play Patrick Palmer TOA Presidential Line: Policy Changes on the Horizon Texas Orthopaedic Association President , Texas Orthopaedic Association Board of Directors, AAOS Board of Councilors Board member/committee appointments for a society Brian Parsley Total Joint Address / Symposium: New Payment Model Panel Conformis Inc. / Nimbic Systems / American Association of Hip and Knee Surgeons Royalties from a company or supplier / Speakers bureau/ paid presentations for a company or supplier / Paid consultant for a company or supplier / Stock or stock options in a company or supplier / Research support from a company or supplier as a PI / Board member/committee appointments for a society Theodore Parsons Symposium: Office Based Nonoperative Trends in Orthopaedics / Musculoskeletal Oncology: What the General Orthopaedic Surgeon CAN Do Scott Freshour Texas Medical Board Address Charles Rockwood What Is the Best Treatment for Fractures of Proximal Humerus in Older Patients? David Schmidt Symposium: Sports Team Coverage - Liabilities and Return to Play Biomet / Genzyme / Arthrex, Inc; Stryker Royalties from a company or supplier / Speakers bureau/ paid presentations for a company or supplier / Paid consultant for a company or supplier Matthew Schmitz Symposium: Young Hip Lecturer, Miller Review Course / Pediatric Orthopaedic Society of North America Royalties, financial or material support from publishers / Board member/committee appointments for a society Kurt Spindler The MOON Model for Comparative Effectiveness in Clinical "Arthritis Foundation National Institutes of Health (NIAMS & NICHD) / American Orthopaedic Society for Sports Medicine NFL Charities - Safety Panel Orthopaedic Research Society Research support from a company or supplier as a PI / Board member/committee appointments for a society Dan Stinner Symposium: Current Trends in Fracture Management Louis Stryker 14

15 First Name Last Name Title of Presentation Commercial Interest For What Role Casey Taber Symposium: Young Hip / Symposium: Sports Team Coverage - Liabilities and Return to Play Arthrex Paid consultant for a company or supplier Josh Weaver Lunch & Legal Discussion: Physician Employment, Stark, & TMB Issues - Ethics Hour Michael Yaszemski Symposium: Office Based Nonoperative Trends in Orthopaedics Paper Presenter Relationship Disclosed First Name Last Name Title of Presentation Commercial Interest What was Received For What Role Philip Chandler Anterior Bone Block Augmentation for Complex Anterior Shoulder Instability in a Military Population Kevin Christensen The Evaluation and Classification of Spontaneous Shoulder Sepsis Fred Corley Mistakes I have made in the diagnosis of shoulder pain CPT John Dunn Thirty-Day Morbidity and Mortality after Elective Total Shoulder Arthroplasty: Patient-Based and Surgical Risk Factors Robert GW Girling V Randomized Control Study of ipad Based Decision Aid for Elective Shoulder Surgery Arthroplasty Gens Goodman The Influence of Musculoskeletal Conditions, Behavioral Health Diagnoses and Socio- Economic Status on Injury-related Outcome in a High-Demand Population Gens Goodman Incidence, Risk Factors and Timing for Thirty-Day Postoperative Myocardial Infarction and Cardiac Arrest Following Primary Total Knee and Hip Arthroplasty Gens Goodman Morbidity and Mortality in the Thirty-Day Period Following Total Hip Arthroplasty: Risk Factors and Incidence John Hinchey The Re-Rupture Rate of Primarily Repaired Distal Biceps Tendon Injuries Grant Hogue Functional Outcomes Following Operative Treatment Of Tibial Tubercle Fractures Grant Hogue Pediatric Musculoskeletal Injuries Associated with Recreational Motorized Vehicle Use: Do More Wheels Mean a Safer Ride? Matthew Laughlin Enhanced Casualty Care from a Global Military Orthopaedic Teleconsultation Program John McConnell Clinical Identification of Stewart s Lesion and Its Effect on Surgical Technology John McConnell Missed by MR, Hurt in PT Kim and Stewart Lesions and Therapy Injuries Scott McKay Retrospective Study of Postoperative Pain in Children receiving General Anesthesia with and without Regional Anesthesia Supplementation for Pinning of Supracondylar Humerus Fractures Yes POSNA OKO Liason Committee member POSNA Global Courses Committee member Board member/ committee appointments for a society Dan McNeff Understanding Legal Tools: The Key to Lawsuit Prevention and Tax Reduction Alexander Nguyen Kocher criteria revisited in the era of MRI: How often does the Kocher criteria identify underlying osteomyelitis? Andrew Patton Pain Reduction in Non-verbal Children with Cerebral Palsy Following Minimally Invasive Surgery and Ethanol Injections Justin Saliman The Circumferential Compression Stitch for Meniscus Repair Yes Ceterix Orthopaedics, Inc. Ownership Interest / Founder & CMO Matthew Starke Risk Factors for Multiple Surgeries to Treat Musculoskeletal Infections in Children Jeremy Somerson Meniscal allograft interposition versus "ream and run" hemiarthroplasty for glenohumeral arthritis in the young patient 15

16 Thank You To Our 2014 Sponsors! Platinum Sponsors Gold Sponsors Officers President: Patrick Palmer, MD UTHSC-SA Dept of Orthopaedic Surgery 7703 Floyd Curl Drive Mail Code 7774, Texas (210) First Vice President: Marc M. DeHart, MD, Austin, TX Second Vice President: Howard Epps, MD, Houston, TX Third Vice President: Kyle Dickson, MD, Houston, TX Secretary-Treasurer: Christopher Danney, MD, Austin, TX Historian/Membership Chair: Maureen A. Finnegan, MD UT Southwestern Medical Center 1801 Inwood Dallas, TX (214) Silver Sponsors Auxilium Pharmaceuticals Inc. Aviacode DePuy Synthes Trauma Blue Belt Technologies Ceterix Orthopaedics ConforMIS Inc. DJO Global Fluoroscan Imaging Greenway Medical Houston Orthopedic & Spine Hospital & Physicians Iroko Pharmaceuticals, LLC Medlanding McConnell Orthopedic Mfg MicroPort Nakoma Exploration, LP Official Disability Guidelines Orthoscan PolyGel, LLC Quill / Surgical Specialties Corporation Smith & Nephew Stryker - Performance Solutions Surgery Center Network Surgical Notes Viztek / SWX Board of Councilors, AAOS Marc M. DeHart, MD, Austin, TX John S. Early, MD, Dallas, TX Andrew J. Palafox, MD, El Paso, TX Omer A. Ilahi, MD, Houston, TX David J. Mansfield, MD, El Paso, TX Patrick M. Palmer, MD,, TX TOA Office Executive Director Bobby Hillert Director of Operations Ed Berg Texas Orthopaedic Association 401 West 15th Street, Suite 820 Austin, Texas