April 12 – 13, 2019OLC Education and Conference Center Rosemont, IL

Osteotomies Around the Knee: From Ligament Insufficiency to Cartilage / Meniscus Pathologies and Arthritis

FINAL PROGRAM

SURGICAL SKILLS

AOSSM & ISAKOS Surgical Skills Course

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Elizabeth A. Arendt MD* Alan M. Getgood MD, FRCS (Tr&Orth*)

Robert F. LaPrade MD, PhD*

CO-CHAIRS FACULTYAnnunziato Amendola MD*Aravind Athiviraham MDAndrew S. Bernhardson MDJacqueline Brady MDCharles A. Bush-Joseph MDJorge Chahla MD, PhD*Mark T. Dahl MDHenry B. Ellis MD*Scott C. Faucett MD*Andrew G. Geeslin MDThomas R. Hackett MDMark R. Hutchinson MD, FACS* Patrick W. Kane MDJason L. Koh MD* Robert B. Litchfield MD, FRSC*

Bradley J. Nelson MD*David Saper MDSeth L. Sherman MD*Michael J. Stuart MD*Robert A. Teitge MDBrian R. Waterman MDDaniel B. Whelan MD*

ISAKOS SPONSORED FACULTY:Rodrigo Maestu MD*Jacques Menetrey MD*Romain Seil MD*

COURSE DESCRIPTIONThe aim of the course is to provide a greater understanding of lower limb alignment and how this may be altered to improve patient function for a variety of knee conditions from cartilage and meniscal injury, to ligament deficiency and finally osteoarthritis. The course will demystify the technique of realignment osteotomy, providing attendees with a clear rationale and practical treatment algorithm to address simple and complex knee pathologies.

LEARNING OBJECTIVES Upon completion of this educational activity, participants should be able to:

Describe the indications and surgical techniques for realignment osteotomy of the knee, including proximal tibia, distal femur and patellofemoral

Describe the indications and surgical techniques for biplanar, coronal and sagittal plane osteotomies to treat ligament instability (e.g. ACL, PCL, MCL, posterolateral corner)

Describe the pre-operative planning of deformity correction pertaining to the knee

REGISTRATION HOURS Friday, April 12 12:00 pm – 7:00 pm

Saturday, April 13 7:00 am – 4:15 pm

COMPLIMENTARY MEALSComplimentary continental breakfast is served at the Rosemont Hampton Inn & Suites. Dinner is provided on Friday and lunch on Saturday in the OLC Education & Conference Center.

AMERICANS WITH DISABILITIES ACT The AOSSM wishes to take those steps to ensure that no individual with a disability is excluded, denied services, segregated, or otherwise treated differently than other individuals because of the absence of auxiliary aids and services. If you require any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to attend this program, please contact AOSSM prior to arrival at info@aossm.org.

PROGRAM INDEPENDENCE AOSSM attests that the people responsible for the development of this live activity did so independently and were not influenced in any way by commercial supporters.

GENERAL INFORMATION

Copyright ©2019 American Orthopaedic Society for Sports Medicine. All rights reserved.

*ISAKOS Member

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GENERAL INFORMATION (CONTINUED)CONTINUING MEDICAL EDUCATION CREDITThe American Orthopaedic Society for Sports Medicine (AOSSM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AOSSM designates 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.

DISCLAIMER The material presented in this continuing medical education program is being made available by the AOSSM for educational purposes only. This material is not intended to represent the only methods or procedures appropriate for the medical situation discussed, but rather it is intended to present an approach, view, statement, or opinion of the faculty, which may be helpful to others who face similar situations. Neither the content (whether written or oral) of any course, seminar or other presentation in the program, nor the use of a specific product in conjunction therewith, nor the exhibition of any materials by any parties coincident with the program, should be construed as indicating endorsement or approval of the views presented, the products used, or the materials exhibited by the AOSSM, or its Committees, Commissions, or Affiliates. The AOSSM makes no statements, representations or warranties (whether written or oral) regarding the Food and Drug Administration (FDA) status of any product used or referred to in conjunction with any course, seminar or other presentation being made available as part of this course. Faculty members shall have sole responsibility to inform attendees of the FDA status of each product that is used in conjunction with any course, seminar or presentation and whether such use of the product is in compliance with FDA regulations.

DISCLOSURE STATEMENT In accordance with the guidelines of the ACCME, it is the policy of the AOSSM that faculty and planners disclose to the learners all financial relationships during the past twelve months with any commercial interest (any entity producing, marketing, re-selling, or distributing health care goods and services consumed by, or used on, patients). Any and all disclosures will be provided in the final program that is distributed at the meeting. In accordance with AOSSM policy, faculty participation is predicated upon timely submission and review of AOSSM disclosures. Non-compliance results in faculty being stricken from the program.

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1:00 pm Welcome & Introduction Elizabeth A. Arendt MD Alan M. Getgood MD, FRCS

(Tr&Orth)

Robert F. LaPrade MD, PhD

OSTEOTOMY PRINCIPALS

Moderator: Alan M. Getgood MD, FRCS (Tr&Orth)

1:10 pm – 1:20 pm What is Normal Alignment and How Much Needs to Be Corrected? Robert B. Litchfield MD, FRSC

1:20 pm – 1:30 pm Indications for Osteotomy of the Knee Jacques Menetrey MD

1:30 pm – 1:40 pm Osteotomy Preoperative Planning Michael J. Stuart MD

1:40 pm – 1:50 pm Questions and Answers

TIBIOFEMORAL JOINT OSTEOARTHRITISModerator: Romain Seil MD

1:50 pm – 2:00 pm Lecture: Technique Options and Hardware Alan M. Getgood MD, FRCS

(Tr&Orth)

2:00 pm – 2:10 pm Medial OA, Medial Opening Wedge HTO Annunziato Amendola MD

2:10 pm – 2:20 pm Lateral OA, Medial Closing Wedge DFO

Robert B. Litchfield MD, FRSC

2:20 pm – 2:30 pm Lateral OA, Lateral Opening Wedge DFO Romain Seil MD

2:30 pm – 2:40 pm Panel Discussion, Questions and Answers2:40 pm – 3:00 pm Break

TIBIAL SLOPE AND LIGAMENTModerator: Robert F. LaPrade MD, PhD

3:00 pm – 3:10 pm Tibial Slope and When to Change it?

Robert F. LaPrade MD, PhD

3:10 pm – 3:20 pm Posterolateral Corner: Coronal Correction Bradley J. Nelson MD

3:20 pm – 3:30 pm Posterior Cruciate Ligament: Biplanar Correction Jorge Chahla MD, PhD

3:30 pm – 3:40 pm Anterior Cruciate Ligament: Slope Decreasing Osteotomy Rodrigo Maestu MD

3:40 pm – 3:50 pm Chronic Medial Collateral Ligament: Valgus Correction

Scott C. Faucett MD

3:50 pm – 4:10 pm Panel Discussion, Questions and Answers

PATELLOFEMORAL JOINTModerator: Elizabeth A. Arendt MD

4:10 pm – 4:20 pm Using Osteotomy to Address PFJ Pathology Elizabeth A. Arendt MD

4:20 pm – 4:30 pm PFJ Chondrosis – Anteromedialization

Jacqueline Brady MD

4:30 pm – 4:40 pm PFJ Instability – Distalization Seth L. Sherman MD

4:40 pm – 4:50 pm PFJ Instability – Derotation Osteotomy

Robert A. Teitge MD

4:50 pm – 5:00 pm Panel Discussion and Questions and Answers5:00 pm – 5:30 pm Pizza & Beer

AGENDAFRIDAY, APRIL 12, 2019

1:00 pm – 7:00 pm

Medial OA and Genu Varus Revision ACL and Increased Tibial Slope Chronic PCL and Flat Tibial Slope Lateral Compartment OA and Genu Valgus Patellofemoral OA and TTO

Lead Faculty: Rodrigo Maestu MD Andrew G. Geeslin MD Thomas R. Hackett MD Daniel B. Whelan MD Jacques Menetrey MD

All faculty will participate in the round table cases

ROUND TABLE CASES5:30 pm – 7:00 pm Faculty Panel Discussions: How I Would Work It Up and Do It

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AGENDA (CONTINUED)SATURDAY, APRIL 13, 2019

8:00 am – 4:15 pm

8:00 am – 8:10 am Lab Schedule Overview8:10 am – 8:30 am Lab Demo – Medial Opening

Wedge PTO Alan M. Getgood MD,

FRCS (Tr&Orth) Michael J. Stuart MD

8:30 am – 8:50 am Lab Demo – Biplanar PTO for Chronic PCL Tear

Robert F. LaPrade MD, PhD Scott C. Faucett MD

8:50 am – 10:30 am Lab Session I HTO (All Faculty)

10:30 am – 10:45 am Break

MISCELLANEOUS OSTEOTOMY ISSUESModerator: Robert B. Litchfield MD, FRSC

10:45 am – 10:55 am Osteotomy + Cartilage and Meniscus Restoration Techniques

Romain Seil MD

10:55 am – 11:05 am Avoiding Complications of Osteotomy

Daniel B. Whelan MD

11:05 am – 11:15 am When Can Angular Deformities NOT Be Corrected at the Knee?

Mark T. Dahl MD

11:15 am – 11:25 am UKA vs. PTO Annunziato Amendola MD

11:25 am – 11:45 am Questions and Answers

11:45 am – 12:00 pm Break for Lunch

12:00 pm – 1:00 pm Working Lunch

12:00 pm – 12:10 pm Navigated HTO Mark T. Dahl MD

12:10 pm – 12:20 pm Technique Video – Lateral Opening Wedge HTO Robert B. Litchfield MD, FRSC

12:20 – 12:30 pm Technique Video – Femoral De-Rotation Osteotomy Robert A. Teitge MD

12:30 – 12:40 pm Technique Video – Anterior Closing Wedge HTO Alan M. Getgood MD, FRCS

(Tr&Orth)

12:40 – 12:50 pm Technique Video – HTO + ACL Reconstruction Rodrigo Maestu MD

12:50 – 4:00 pm Lab Session II DFO and TTO (All Faculty)

Lab Demo – Lateral Opening Wedge DFO Robert F. LaPrade MD, PhD Jorge Chahla MD, PhD

Lab Demo – Medial Closing Wedge DFO Mark T. Dahl MD Jacques Menetrey MD

Lab Demo – Tibial Tubercle Osteotomy

Elizabeth A. Arendt MD Seth L. Sherman MD

4:00 – 4:15 pm Course Review and Feedback Elizabeth A. Arendt MD Alan M. Getgood MD, FRCS

(Tr&Orth) Robert F. LaPrade MD, PhD

4:15 pm Course Adjourns

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APRIL 12 – 13, 2019

FACULTY / PLANNER DISCLOSURE DECLARATION

In accordance with the standards of the Accreditation Council for Continuing Medical Education (ACCME) it is the policy of The American Orthopaedic Society for Sports Medicine that faculty and planners disclose to the learners all financial relationships during the past twelve months with any commercial interest. (A ‘commercial interest’ is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.) Any and all disclosures are provided in this program that is distributed at the meeting to all program participants. In accordance with AOSSM policy, faculty participation in this educational activity will be predicated upon timely submission and review of AOSSM disclosure. Non-compliance will result in a faculty member being stricken from the program.

Annunziato Amendola, MDArthex, Inc. RoyaltiesArthrosurface RoyaltiesSmith & Nephew RoyaltiesArthrex, Inc Paid Consultantextremity development corporation Unpaid ConsultantFirst Ray Inc Unpaid Consultantrubber city bracing Unpaid ConsultantFirst Ray StockSpringer Publishing RelationshipWolters Kluwer Health - Lippincott Williams & Wilkins Publishing RelationshipAm J Sports Med Editorial/Governing BoardJournal of Isakos Editorial/Governing BoardAmerican Orthopaedic Society for Sports Medicine Board/Committee

Elizabeth A. Arendt, MDSmith & Nephew Paid ConsultantAmerican Journal of Sports Medicine Editorial/Governing BoardBritish J Sports Medicine Editorial/Governing BoardKnee Surgery, Sports Traumatology, Arthroscopy Editorial/Governing BoardInternational Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine Board/Committee

Aravind Athiviraham, MDArthroscopy: The Journal of Arthroscopic and Related Surgery Editorial/Governing BoardAAOS Board/CommitteeAmerican Orthopaedic Society for Sports Medicine Board/Committee

Andrew S. Bernhardson, MDNothing To Disclose

Jacqueline Brady, MDNothing To Disclose

Charles A. Bush-Joseph, MD Cresco Lab StockAmerican Journal of Sports Medicine Editorial/Governing BoardAmerican Orthopaedic Society for Sports Medicine Board/Committee

Jorge Chahla, MD, PhDNothing To Disclose

Mark T. Dahl, MDStryker RoyaltiesNuvasive Paid ConsultantStryker Paid Consultant

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Henry B. Ellis, MDPediatric Orthopaedic Society of North America Board/CommitteePediatric Research in Sports Medicine Board/Committee

Scott C. Faucett, MDSmith & Nephew RoyaltiesTrice Orthopaedics, Inc RoyaltiesOssur Speakers Bureau/PaidAllosource Paid ConsultantCeterix Paid ConsultantSmith & Nephew Paid ConsultantTrice Paid ConsultantAllosource Research SupportSmith & Nephew Research SupportArthroscopy Editorial/Governing BoardAmerican Orthopaedic Society for Sports Medicine Board/CommitteeInternational Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine Board/Committee

Andrew G. Geeslin, MDArthrex, Inc Speakers Bureau/PaidOssur Speakers Bureau/PaidSmith & Nephew Speakers Bureau/PaidSmith & Nephew Paid ConsultantArthroscopy Editorial/Governing Board

Alan M. Getgood, MD, FRCS (Tr&Orth)CONMED Linvatec Speakers Bureau/PaidDePuy, A Johnson & Johnson Company Speakers Bureau/PaidOssur Speakers Bureau/PaidSmith & Nephew Speakers Bureau/PaidCollagen Solutions Paid ConsultantCONMED Linvatec Paid ConsultantOssur Paid ConsultantSmith & Nephew Paid ConsultantArthrex, Inc Research SupportDePuy, A Johnson & Johnson Company Research SupportEupraxia Pharmaceuticals Inc Research SupportMusculoskeletal Transplant Foundation Research SupportOssur Research SupportSmith & Nephew Research SupportAmerican Journal of Sports Medicine Editorial/Governing BoardAmerican Orthopaedic Society for Sports Medicine Board/CommitteeInternational Cartilage Repair Society Board/CommitteeInternational Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine Board/Committee

Thomas R. Hackett, MDArthrex, Inc; Sonoma Orthopaedics. Speakers Bureau/PaidArthrex, Inc Paid ConsultantNICE StockSonoma Orthopaedics StockArthrex, Inc Research Support

Mark R. Hutchinson, MD, FACSAm J Sports Med Editorial/Governing BoardBr J Sports Med Editorial/Governing BoardPhys & Sportsmed Editorial/Governing BoardAAOS Board/CommitteeAmerican Board of Orthopaedic Surgery, Inc. Board/CommitteeAmerican College of Sports Medicine Board/CommitteeAmerican Orthopaedic Society for Sports Medicine Board/CommitteeArthroscopy Association of North America Board/Committee

FACULTY / PLANNER DISCLOSURE DECLARATION (continued)

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FACULTY / PLANNER DISCLOSURE DECLARATION (continued)

Patrick W. Kane, MDSmith & Nephew Paid Consultant

Jason L. Koh, MDMarrow Access Technologies Paid ConsultantAcuitive Paid ConsultantFlexion Paid ConsultantAcuitive StockMarrow Access Technologies StockOrthopaedic Journal of Sports Medicine/AOSSM Editorial/Governing BoardAAOS Board/CommitteeACL Study Group Board/CommitteeAmerican Orthopaedic Society for Sports Medicine Board/CommitteeAmerican Shoulder and Elbow Surgeons Board/CommitteeArthroscopy Association of North America Board/CommitteeHerodicus Society Board/CommitteeIllinois Association of Orthopaedic Surgeons Board/CommitteeInternational Patellofemoral Study Group Board/CommitteeInternational Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine Board/CommitteePatellofemoral Foundation Board/Committee

Robert F. LaPrade, MD, PhDArthrex, Inc RoyaltiesOssur RoyaltiesSmith & Nephew RoyaltiesArthrex, Inc Paid ConsultantOssur Paid ConsultantSmith & Nephew Paid ConsultantArthrex, Inc; Smith & Nephew; Ossur; Linvatec Research SupportJournal of Experimental Orthopaedics Editorial/Governing BoardKnee Surgery, Sports Traumatology, Arthroscopy; American Journal of Sports Medicine Editorial/Governing BoardAmerican Orthopaedic Society for Sports Medicine Board/CommitteeInternational Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine Board/Committee

Robert B. Litchfield, MD, FRSCArthrosurface, Inc. RoyaltiesDePuy Mitek Paid ConsultantSmith & Nephew Endoscopy Paid ConsultantSmith & Nephew Orthopaedics StockStryker Endoscopy StockInSpace/OrthoSpace Research Support

Rodrigo Maestu, MDSmith & Nephew Paid ConsultantArthroscopy Argentine Association Board/CommitteeInternational Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine Board/Committee

Jacques Menetrey, MDDePuy Mitek Speakers Bureau/PaidDePuy Mitek Paid ConsultantMedacta Paid ConsultantAmerican Journal of Sports Medicine Editorial/Governing BoardBritish Journal Sports Medicine, Orthopaedic & Traumatology Surgical Review Editorial/Governing BoardKnee Surgery, Sports Traumatology, Arthroscopy Editorial/Governing BoardSpringer Editorial/Governing BoardEuropean Society of Sports Traumatology, Knee surgery and Arthroscopy (ESSKA). Board/CommitteeCommittee appointment in ISAKOS

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FACULTY / PLANNER DISCLOSURE DECLARATION (continued)

Bradley J. Nelson, MDHistogenics Research SupportAmerican Orthopaedic Society for Sports Medicine Board/Committee

David Saper, MDNothing To Disclose

Romain Seil, MDArthroskopie Editorial/Governing BoardJournal of Experimental Orthopaedics Editorial/Governing BoardKnee Surgery, Sports Traumatology Arthroscopy Editorial/Governing BoardSports Orthopaedics and Traumatology Editorial/Governing BoardEuropean Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) Board/CommitteeGerman Speaking Orthopaedic Sports Medicine Society (GOTS) Board/Committee

Seth L. Sherman, MDArthrex, Inc Paid ConsultantCeterix Orthopaedics Paid ConsultantCONMED Linvatec Paid ConsultantFlexion Therapeutics Paid ConsultantGLG Consulting Paid ConsultantJRF Ortho Paid ConsultantMoximed Paid ConsultantOlympus Paid ConsultantVericel Paid ConsultantArthrex, Inc Research SupportAmerican Journal of Orthopedics Editorial/Governing BoardArthroscopy Editorial/Governing BoardACL Study Group Board/CommitteeAmerican Orthopaedic Society for Sports Medicine Board/CommitteeArthroscopy Association of North America Board/CommitteeInternational Cartilage Regeneration & Joint Preservation Society Board/CommitteeInternational Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine Board/Committee

Michael J. Stuart, MDArthrex, Inc RoyaltiesArthrex, Inc; Paid ConsultantArthrex, Inc Research SupportStryker; Research SupportAmerical Journal of Sports Medicine; Editorial/Governing Board

Robert A. Teitge, MDNothing To Disclose

Brian Robert Waterman, MDGenzyme Speakers Bureau/PaidArthrex, Inc Research SupportArthroscopy Publishing RelationshipElsevier Publishing RelationshipArthroscopy Editorial/Governing BoardAAOS Board/CommitteeAmerican Orthopaedic Society for Sports Medicine Board/CommitteeArthroscopy Association of North America Board/Committee

Daniel B. Whelan, MDNothing To Disclose

IN-KIND SUPPORT

AOSSM and ISAKOS gratefully acknowledge the following companies for providing in-kind support in the form of durable equipment and disposable supplies for this course.

Arthrex

ConMed

DePuy

Smith & Nephew

Zimmer Biomet

ExhibitormediCAD US Inc.