CONCURRENT SESSION B: CANADIAN SOCIETY FOR SURGERY OF THE HAND (CSSH)
June 21, 19:20 to 20:30ET
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
||Topic & Learning Objectives
|19:20 – 19:25
||Soft Tissue/Tendon: Latest advances in flexor tendon surgery
Saint John, NB
- 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
|19:25 – 19:40
||Ortho/Bone: Vascularized vs. non-vascularized bone grafting for scaphoid non-unions – RCT
- 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
- 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
- Understand the indications to DRUJ arthroplasty.
- Understand the main surgical steps and pittfalls of DRUJ arthroplasty.
|19:30 – 19:43
|19:43 – 19:55
||Nerve: Targeted muscle reinnervation – things you should all know
- 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
- 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
- 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
|19:55 – 20:05
||Tips and Pearls/Special Interest: How will the RCPSC decide we are competent in hand surgery?
- 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
St. Louis, MO
- 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
|20:05 – 20:30
||President’s Invited Lecturer: Traumatic hand defect reconstruction
San Francisco, CA
- 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