June 21

CONCURRENT SESSION B: CANADIAN SOCIETY FOR SURGERY OF THE HAND (CSSH)

June 21, 19:20 to 20:30ET

LEARNING OBJECTIVES:

At the end of the 2021 CSSH meeting, the attendee will be able to:

  • Appreciate and understand approaches to hand trauma and reconstructive efforts
  • Learn and understand useful choices in the treatment of:
    • Nerve entrapments
    • Targeted muscle reinnervation
    • Bone deformities
    • Tendon and soft tissue repair
  • Implement technical alterations to get better result in several hand operations
Time Topic & Learning Objectives
19:20 – 19:25 Soft Tissue/Tendon: Latest advances in flexor tendon surgery
Don Lalonde
Saint John, NB

Learning Objectives:

  • Decrease his rupture rate in flexor tendon repair
  • Decrease his tenolysis rate in flexor tendon repair
  • Get consistently good results after flexor tendon repair in cooperative patients (just like in free flap surgery)
19:25 – 19:27 Discussion
19:25 – 19:40 Ortho/Bone: Vascularized vs. non-vascularized bone grafting for scaphoid non-unions – RCT
Ruby Grewal
London, ON

Learning Objectives:

  • Report clinical outcomes of vascularized bone grafting for scaphoid non-unions
  • Understand the role of a pilot RC

How and when do I perform a hemi-hamate bone graft
Jennifer Giuffre
Winnipeg, MB

Learning Objectives:

  • Identify the indications for hemi- hamate arthroplasties.
  • Describe the technique to perform a hemi hamate arthroplasty.
  • Understand the potential improved outcomes in patients requiring hemi hamate arthroplasty

Most important lessons learned with APTIS DRUJ arthroplasty
Dominique Tremblay
Montréal, QC

Learning Objectives:

  • Understand the indications to DRUJ arthroplasty.
  • Understand the main surgical steps and pittfalls of DRUJ arthroplasty.
19:30 – 19:43 Discussion
19:43 – 19:55 Nerve: Targeted muscle reinnervation – things you should all know
Joshua Gillis
London, ON

Learning Objectives:

  • Understand the role of targeted muscle reinnervation in the amputee patient
  • Gain an approach to TMR in the management of neuroma and phantom limb pain in the upper extremity amputee

Useful things to know about somatosensory reeducation
Eva Létourneau
Québec, QC

Learning Objectives:

  • Describe tactile hypoaesthesia and static mechanical allodynia.
  • Identify patients that could benefit from somatosensory rehabilitation

How to make the diagnosis and treat median nerve compression at the elbow with WALANT
Jean Paul Brutus
Montréal, QC

Learning Objectives

  • Identify lacertus syndrome, which is a very commonly missed pathology in patients with symptoms of nerve entrapment
  • Understand the benefit of improved outcomes when lacertus syndrome is recognized and treated in patients with double median nerve entrapment
19:45 – 20:00 Discussion
19:55 – 20:05 Tips and Pearls/Special Interest: How will the RCPSC decide we are competent in hand surgery?
David Tang
Halifax, NS

Learning Objectives

  • Describe the concept of an Entrustable Professional Activity (EPA) within the context of Competency-Based Medical Education in Canada.
  • Compare the previous residency training objectives in hand surgery to current hand surgery EPAs.
  • Understand the important components of a hand surgery EPA.

Experience of the 2019 CSSH Award Winner
Blair Peters
St. Louis, MO

Learning Objectives:

  • Learn about the hand, peripheral nerve and microsurgery fellowship at Washington University in St Louis.
  • Introduced to the culture of academic and clinical innovation the fellow is immersed in during this training program.
  • Gain an understanding of the current landscape and advances in the field of peripheral nerve surgery.
20:00 – 20:10 Discussion
20:05 – 20:30 President’s Invited Lecturer: Traumatic hand defect reconstruction
Bauback Safa
San Francisco, CA

Learning Objectives:

  • Evaluate the soft tissue requirements of complex hand wounds
  • Describe the advantages and disadvantages of skin vs. muscle flaps for hand reconstruction
  • Describe scenarios in which multiple flaps or chimeric flaps may be needed in hand reconstruction
20:15 – 20:30 Discussion