2018 Meeting Recap
Friday, June 22, 2018
Dr. Brad Saunders
Dr. Brennan Lucas
Dr. Nick Martin
Dr. Byron Grauerholtz
Dr. Matt Gardner
Dr. Om Patel
Dr. Brad Saunders kicked off the 2018 Scientific Program with fractures and reverse total shoulder arthroplasty. He discussed the role of reverse total shoulder arthroplasty and also covered complications and problems related to treating severe three and four-part proximal humerus fractures. He correlated this with abnormal and normal functioning of the rotator cuff. He further discussed the risks for fractures and not healing with traditional open reduction internal fixation and the indications for using reverse total shoulder arthroplasty on these patients. He also discussed the positive results with reverse total shoulder arthroplasty.
Dr. Brennen Lucas discussed scapulothoracic problems. He discussed scapular disorders and the role of physical therapy. He stressed the use of physical therapy prior to surgical intervention. He also discussed the anatomy involved in these problems. He shared good results for arthroscopic treatment with bursectomy and bony resection for the scapulothoracic problems after failure of conservative management with therapy.
Dr. Nick Martin, PGY 3 University of Kansas School of Medicine- Wichita, discussed implant costs of constrained total knee arthroplasty systems. He compared in contrast the different cost of different companies, which the names were kept anonymous. He also discussed the significant difference between list price and what was a negotiated price. He told of the varying cost of implants based on hospitals negotiating contracts. Dr. Martin highlighted the benefit of using the lower cost implants when possible to help with healthcare spending.
Dr. Byron Grauerholtz’s presentation was on hand and wrist injuries, which were commonly seen in the emergency department and that should not be missed. He discussed these because they were commonly seen on call. He discussed multiple different fractures within the wrist and hand along with multiple different dislocations. He showed multiple x-ray examples of what to look for. Dr. Grauerholtz’s presentation had good audience participation regarding treatment options.
Dr. Matt Gardner gave a very a good discussion of the reasons for nonunion of the tibia and other bones. He also discussed infection, as well as patient risk factors and surgical factors that can lead to infection. He went through the workup and evaluation for non-unions and the treatments to allow for healing in very difficult cases.
Dr. Om Patel, PGY3 University of Kansas School of Medicine-Wichita, discussed his experience with setting up a splinting clinic for the medicine residents within the Wichita residency program. He discussed his research paper, as well as the techniques and the need for splint training to decrease the risk of splint associated complications.
Saturday, June 23, 2018
Dr. Brent Adams
Dr. Tarun Bhargava
Dr. Jeremy Gililland
Dr. James Womack
Dr. Brent Adams began day two of the conference discussing low back pain. He presented the multiple causes of low back pain as well as solutions. He discussed the conservative mainstays of treatment and selective operations for appropriate patients. He followed with discussing the symptoms, evaluation, and treatments of spinal stenosis and spondylolisthesis. Dr. Adams also discussed kyphoplasty for acute vertebral compression fractures.
Dr. Tarun Bhargava discussed his study on urine screening for opioid and illicit drug use in total joint patients. He discussed the risk of their decreased outcomes in patients who received total joints while being on chronic opioids. He presented contrast with better outcomes that can be made from weaning these patients off narcotics. In the study 46% of the patients were positive for either opioids or illegal drug use. Twelve percent had not disclosed her opioid use and 10% were positive for illegal drugs. Also 69% of the smokers in the study had a positive urinary drug screen for some type of opioid or narcotic.
Dr. Jeremy Gililland given an in-depth discussion about periprosthetic fractures about the hip and knee. He educated the crowd about the 12% mortality rate with these type of fractures. He also discussed the classification and different treatments for these fractures. Dr. Gililland discussed the operative Perles of treating these types of fractures around the knee and hip, as well as patellar fractures.
Drs. Bhargava and Gililland chaired a panel to discuss cases of difficult primary total knee arthroplasties and total hip arthroplasties. They showed actual case based patients with x-rays and went over the thought process of treatment from start to finish. They also discussed some of the salient points of treating these very difficult cases.
Dr. James Womack discussed his results with robotic total knee arthroplasty. He discussed the workup, as well as the differences of surgery between traditional total knee arthroplasty and robotic total knee arthroplasty. Dr. Womack also discussed his results with his first 30 patient's that had shown quicker return of motion, decreased early postoperative pain, and earlier discharge after surgery.