NOTE: Our registration is now FULL! Please email us for any enquiries.
31 May, 2019, Friday
Auditorium, Learning Centre, Tower B Level 1, KTPH
LECTURES
1300- 1315 Registration
1315- 1320 Welcome - Dr Vaikunthan Rajaratnam
1320- 1330 Assessment of prior knowledge - Dr Tong Pei Yein
1330- 1345 Biology of fracture healing - Dr Sreedharan S/O
Sechachalam
1345- 1400 Personality of hand fractures - Dr Sreedharan S/O
Sechachalam
1400- 1415 Basic lag screw -principles - Dr Robert Yap
1415- 1430 The dynamic compression plate - Dr Robert Yap
1430- 1445 Introduction of TOUCH CMCJ Replacement/Keri Medical - Joannes Perret-Keri Medical
1445- 1500 Complex intraarticular fractures (PIPJ) - Dr Andrew Chin
1500- 1515 Tea Break
1515- 1530 Scaphoid fractures and HCS - Dr Andrew Yam
1530- 1545 Other techniques of fracture fixation and general conservative management of hand
fractures - Dr Jacqueline Tan
1545- 1600 Managing complications - Dr Jacqueline Tan
1600- 1630 Rehabilitation following hand fractures - Dr Muntasir Mannan
Choudhury
1630- 1700 Interactive case discussions - Dr Tong Pei Yein/ Dr Muntasir
Mannan Choudhury
Cadaveric Workshop 1.6.19 (Saturday)
Experimental Lab B1, Khoo Teck Puat Hospital
PRACTICAL
0900- 0915 Health and safety briefing - Dr S Bharathi Mohan
0915- 0945 Introduction to the instruments and implants - Ms Jessie Xue
0945- 1015 Exposures in hand fractures treatment - Dr Muntasir Mannan
Choudhury
1015- 1045 Long oblique metacarpal fracture with lag screw and neutralization plate - Dr Robert Yap
1045- 1100 Tea Break
1100- 1130 Transverse metacarpal fracture with DCP - Dr Robert Yap
1130- 1200 Boxer’s fracture with T plate - Dr Jacqueline Tan
1200- 1230 Proximal phalanx base fracture with T plate - Dr Andrew Chin
1230- 1300 Lunch
1300- 1330 Thumb proximal phalanx fracture with lateral plate - Dr Vaikunthan Rajaratnam
1330-1400 Proximal phalanx midshaft transversefracture with IM screw - Dr Vaikunthan Rajaratnam
1400- 1430 PIPJ fracture-dislocation (Suzuki frame application demo) - Dr Andrew Chin
1430- 1500 Scaphoid waist fracture with HCS (Demo) - Dr Jacqueline Tan
1500- 1545 Distal radius fracture - Dr Muntasir Mannan Choudhury
1545- 1600 Tea Break
1600- 1615 DRUJ K-wiring - Dr Muntasir Mannan Choudhury
1615- 1645 TOUCH CMCJ Replacement Demo- Practice - Prof Lim Beng Hai & Joannes Perret-Keri
Medical
1645- 1715 Optional:
1. Middle phalangeal neck fracture
fixation with 1.5mm T plate
2. Comminuted fracture fixation with
bridge plating
3. Placement of HCS screw in intact
scaphoid under II
- Dr Tong Pei Yein
Dr Jacqueline Tan
1715- 1730 Feedback and Presentation of certificates - Dr Vaikunthan Rajaratnam
9TH HAND FRACTURE FIXATION LECTURE CURRICULUM
Biology of Fracture Healing
• Types of bone
• Histology of bone and healing
• Pathology of fracture and the healing model
• Magnetic fields effects
• Requirements for healing
• Stability in fracture healing,
• Primary and secondary healing
• Regulation of bone healing
o local and systemic
o vascular
o biochemical and hormones
o anatomical and vascular factors
Personality of hand fractures
• Osteology of hand
• Principles of management of hand fractures,
• Evaluation of fractures
o clinical and investigations
§ Xrays and views
§ CT scan
§ Bone scan
§ Ultrasound
§ MRI
§ Arthroscopy
• Classification of common hand fractures
• Goals of management
Basic lag screw – principles and techniques
• Anatomy and Function of the screw
o the screw design
o indication of the lag screw,
o biomechanics of the lag screw
o planning the procedure, approach, instrumentation
o minimal requirements for lagging, pitfalls and recovery
The Dynamic Compression Plate (DCP)
• Anatomy and function of the plate
• Plate design
• Indications for plates
• Biomechanics of the DCP
• Types of plating in fractures
• Planning the procedure
o approach
o instruments
o choice of plates
o pitfalls and complications
o Recovery
Rehabilitation following hand fractures
• Principles of rehabilitation
• Effects of early mobilisation on healing
• Resting splints
• Special dynamic splints
• Active mobilization in fractures
• Controlling swelling
• Video and live demonstration
• Evaluating outcomes in fractures
Complex intra articular fractures around PIPJ
• Principles of ligamentotaxis
• Dynamic external fixator principles
• The Suzuki frame
o indications
o the design
o the techniques
o complications
o alternative management
Scaphoid fractures and the HCS
• Anatomy and peculiarities of scaphoid
• Classification
• Associated Injuries
• Diagnosing, imaging and treatment,
• Principle of HCS
• Complications and management
Other techniques of fracture fixations and General conservative management of hand fractures
• K wire fixations
• external fixators
• types of fractures suitable for conservative treatment
• principles of non operative treatment
Managing complications
• Infections, stiffness, malunion, non union, implant failure and tendon rupture
• Diagnosing, prevention and treatment,
• Tenolysis and arthrolysis
• Post operative therapy
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