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Current Concepts in Paediatric Orthopaedics - Bscos.com

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British Society for Children’s Orthopaedic Surgery<br />

<strong>Current</strong> <strong>Concepts</strong><br />

<strong>in</strong><br />

<strong>Paediatric</strong> <strong>Orthopaedics</strong><br />

The K<strong>in</strong>gs Fund<br />

11-13 Cavendish Square<br />

London W1G 0AN<br />

February 29th – March 2 nd 2012


Faculty<br />

Mr James Wright Toronto, Canada<br />

Prof K Rosendahl Bergen, Norway<br />

Prof K Ziebarth Berne, Switzerland<br />

Mr R Paton Blackburn<br />

Mr W Aston London<br />

Mr A Bass Liverpool<br />

Mr C Bradish London<br />

Mr C Bruce Liverpool<br />

Mr P Calder London<br />

Prof N Clarke Southampton<br />

Mr R Duncan Glasgow<br />

Mr A de Gheldere Newcastle<br />

Miss D Eastwood London<br />

Miss Y Gelfer Israel<br />

Mr A Gibson London<br />

Prof R Hanspal London<br />

Mr A Hashemi-Nejad London<br />

Mr J Hunter Nott<strong>in</strong>gham<br />

Mr J Huntley Glasgow<br />

Mr R Hill London<br />

Mr S Lambert London<br />

Dr S Lowery London<br />

Mr J Maclean Perth<br />

Mr F Monsell Bristol<br />

Mr N Nicolaou Maidstone<br />

Mr R Patel London<br />

Mr M Paterson London<br />

Mr M Ramachandran London<br />

Mr A Roposch London<br />

Dr R Scott London<br />

Miss S Tennant London<br />

Mr T Theologis Oxford<br />

Mr S Thomas Bristol


Wednesday February 29 th 2012<br />

8.15 am Registration and Coffee<br />

8.55am Wel<strong>com</strong>e Aresh Hashemi-Nejad<br />

Explanation of course philosophy<br />

Neuromuscular Disorders Chairman: James Robb<br />

9.00am Gait analysis: Does it <strong>in</strong>fluence decision mak<strong>in</strong>g?<br />

Assessment Tool? Tim Theologis<br />

Or Out<strong>com</strong>e Measure? Alf Bass<br />

9.30am How do we measure the success of neuromuscular<br />

<strong>in</strong>terventions? James Wright<br />

9.45am The hip and the sp<strong>in</strong>e – is <strong>in</strong>tervention ‘worthwhile’?<br />

In: Sp<strong>in</strong>a Bifida James Wright<br />

10.00am Arthrogryposis Chris Bradish<br />

10.15am Duchenne Muscular Dystrophy James Wright<br />

10.30am Cerebral Palsy Alf Bass<br />

10.45am The sp<strong>in</strong>al viewpo<strong>in</strong>t: tim<strong>in</strong>g & out<strong>com</strong>e measures Alex Gibson<br />

11.00am Discussion<br />

11.20am Coffee<br />

Bone Health Chairman Prof N Clarke<br />

11.50am Vitam<strong>in</strong> D and Kids: Where are we now? Nick Clarke<br />

12.05pm The Cl<strong>in</strong>ical Application of Pharmacological<br />

Manipulation of Bone Simon Thomas<br />

12.20pm Assessment of bone/cartilage health on imag<strong>in</strong>g:<br />

DGemric MR to be confirmed<br />

12.35pm NAI and/or Unhealthy bones? Fergal Monsell<br />

12.50pm Discussion<br />

1.00pm Lunch


The Foot/Ankle Chairman Deborah Eastwood<br />

2.00pm How do you image the foot? Anto<strong>in</strong>e de Gheldere<br />

2.15pm Controversies <strong>in</strong> foot/ankle trauma Mark Flowers<br />

2.30pm The foot: In neurological conditions (not CP) James Wright<br />

2.45pm The foot <strong>in</strong> CP – surgery and out<strong>com</strong>es Mark Paterson<br />

3.00pm Tarsal Coalitions: to leave alone or not? Mark Flowers<br />

3.15pm The foot: In Fibula Hemimelia Rob Hill/Anish Sanghrajka<br />

3.30 pm Discussion<br />

3.45pm Coffee<br />

Infection: Has our management changed and should it have done so?<br />

Chairman Aresh Hashemi-Nejad<br />

4.00pm Septic arthritis? Rod Duncan<br />

4.15pm Osteomyelitis? Jim Huntley<br />

4.30pm The Canadian view po<strong>in</strong>t… James Wright<br />

4.40pm Antibiotic prophylaxis for elective surgery:<br />

What is the science beh<strong>in</strong>d our guidel<strong>in</strong>es? Jamie Maclean<br />

4.50pm Discussion<br />

5.00pm Close


Thursday March 1 st 2012<br />

8.15am Coffee and Registration<br />

The Problems Chairman<br />

9.00am Osteogenesis imperfecta – modern management Nic Nicolaou<br />

9.15am Downs Syndrome: Orthopaedic update? Deborah Eastwood<br />

9.30am Ponseti and the Syndromic foot James Wright<br />

9.40am The UK viewpo<strong>in</strong>t Col<strong>in</strong> Bruce<br />

9.50am Electrical stimulation: a valuable adjunct? Yael Gelfer<br />

10.00am When Ponseti fails: what next? Deborah Eastwood<br />

10.10am Discussion<br />

Some Vignettes<br />

10.20am Perthes: how do we treat the pa<strong>in</strong>? Col<strong>in</strong> Bruce<br />

10.30am DVT and the adolescent patient Sue Lowery<br />

10.40am Spect CT – does it help us f<strong>in</strong>d the pa<strong>in</strong>? GOSH radiologist<br />

10.50am Genetics update: <strong>in</strong>heritance vs mutation? Richard Scott<br />

11.00am Coffee<br />

Adolescent Trauma Chairman James Hunter<br />

11.15 am The paediatric athlete: a 2012 effect?? tbc<br />

What can we offer <strong>in</strong> terms of management.<br />

11.30am How I manage an unstable SCFE Aresh Hashemi-Nejad<br />

11.45am And How I manage an unstable SCFE James Hunter<br />

12.00pm CHAOS for the Adolescent Fracture Fergal Monsell<br />

12.15pm Femoral shaft fractures: James Wright<br />

Why I do what I do…<br />

12.30pm Discussion<br />

The David Trevor Lecture<br />

12.45pm Evidence Based <strong>Orthopaedics</strong>: James Wright<br />

Beyond the tipp<strong>in</strong>g po<strong>in</strong>t


1.15pm Lunch<br />

Tumours and Tumour-like conditions Chairman<br />

2.00pm Vascular malformations/Proteus Deborah Eastwood<br />

2.10pm New avenues <strong>in</strong> tumour care: Will Aston<br />

<strong>in</strong>vestigation, management and out<strong>com</strong>e assessment<br />

2.30pm The management of Simple Cysts JamesWright<br />

2.45pm Tibial pseudarthrosis: current trends? Fergal Monsell<br />

3.00pm Discussion<br />

3.15pm Coffee<br />

The Upper Limb Chairman<br />

3.30pm In Cerebral Palsy: arthrodesis vs soft tissue rebalanc<strong>in</strong>g? Mark Paterson<br />

3.45pm In HME: is there a role for the s<strong>in</strong>gle bone forearms? Chris Bradish<br />

3.55pm Madelung’s deformity: Aresh Hashemi-Nejad<br />

Tether release, reconstruction or leave alone?<br />

4.05pm Forearm malunions: An under-rated problem? Sally Tennant<br />

4.20pm When and how to correct cubitus varus? tbc<br />

4.30pm When, if and how to correct the late monteggia? Mark Paterson<br />

4.45pm The unstable shoulder: a poorly understood entity? Simon Lambert<br />

5.00pm Discussion<br />

Faculty D<strong>in</strong>ner: 7.30pm for 8pm


Friday March 2 nd 2012<br />

8.30am Coffee and registration<br />

The Hip Chairman Rob<strong>in</strong> Paton<br />

9.00am The Bergen Birth Cohort Study – latest facts! Prof Karen Rosendahl<br />

9.15am Have we reached a consensus on DDH screen<strong>in</strong>g? Andreas Roposch<br />

9.30am The International Centre for Hip Dysplasia: Update Prof N Clarke<br />

9.40am AVN post DDH: is this the right term? Andreas Roposch<br />

9.50am Bilateral DDH: Anto<strong>in</strong>e de Gheldere<br />

Double trouble or someth<strong>in</strong>g entirely different?<br />

10.00am Discussion<br />

10.10am What can you see on a Pelvic X-ray? Aresh Hashemi-Nejad<br />

10.25am Hip arthroscopy: I spy with my little eye?! Manoj Ramachandran<br />

10.40am Can surgery prevent osteoarthritis? Aresh Hashemi-Nejad<br />

10.55am Discussion<br />

11.05 Coffee<br />

The Hip 2 Chairman Andreas Roposch<br />

11.20 am Surgical dislocation: Dr K Ziebarth<br />

– approach of choice for the adolescent hip?<br />

11.50am Surgical dislocation: – the Canadian view James Wright<br />

12.00pm Results of CAD CAM jo<strong>in</strong>ts <strong>in</strong> Adolescent hip disease<br />

Is Arthrodesis – an out of favour operation? Aresh Hashemi- Nejad<br />

12.15pm Adolescent AVN: Consequences & Preventative measures Simon Thomas<br />

12.30pm Discussion<br />

The David Trevor Lecture<br />

12.45 pm Screen<strong>in</strong>g <strong>in</strong> DDH Rob<strong>in</strong> Paton<br />

1.15pm Discussion


1.30pm Lunch<br />

Limb Reconstruction and Realignment Chairman Peter Calder<br />

2.00pm Guided growth: what are the limits? Deborah Eastwood<br />

2.15pm Frame constructs: How rigid is rigid? Peter Calder<br />

2.30pm Frame reconstruction: is there a limit? Rob Hill<br />

2.45pm How early is early amputation? Rajiv Hanspal<br />

3.00pm When does the ITAP take off? The RNOH guys/gals<br />

3.15pm How can we manipulate the regenerate? Fergal Monsell<br />

Exogen? Drugs? Frame manip?<br />

3.30pm Discussion<br />

F<strong>in</strong>ale!

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