Sponsored by the University of Virginia, Office of CME and the Virginia Orthopaedic Society

Visit www.vos.org for Meeting Updates Virginia Orthopaedic Society 2209 Dickens Road • Richmond, VA 23230-2005 (804) 282-0063 • Fax: (804) 282-0090 • Email: [email protected] Welcome Program Objectives Dear Colleagues, Participants in this educational activity Along with VOS President, David R. Diduch, should be able to discuss: MD, we would like to welcome old and new Sports: members to the 2007 Annual Meeting in 1. advances in the treatment of shoulder Charlottesville, Virginia. We are excited about instability and rotator cuff repair the new meeting format, which is designed 2. advances in the treatment of meniscal to update general orthopaedic surgeons and injuries and ACL/PCL reconstruction specialists on advances in Sports, Trauma, 3. advances in the treatment of cartilage Board of Directors and Adult Reconstruction Surgery. We have injuries in the knee revamped the agenda to be more problem fo- 4. the Injured Athlete and return to play PRESIDENT cused rather than abstract driven. Along with issues David R. Diduch, MD internationally recognized speakers, Robert Trauma: Charlottesville, VA Arciero, MD and Mark Pagnano, MD, our 1. advances in the management of upper course faculty includes eighteen specialists extremity trauma including technological PRESIDENT-ELECT who are VOS members. advances and minimally invasive tech- Wilford K. Gibson, MD niques. Historic Downtown Charlottesville pro- Virginia Beach, VA 2. advances in the management of pelvis vides an exciting venue with live music, the- and lower extremity trauma including ater, shopping, and numerous restaurants SECRETARY-TREASURER technological advances and minimally and nightclubs within walking distance Joel D. Stewart, MD invasive techniques. of the Omni Hotel. Monticello, Ashlawn, Suffolk, VA 3. advances in Osteobiologics and applica- and the University of Virginia Grounds are tions to trauma surgery. a short drive away. Golf, hiking, mountain IMMEDIATE PAST PRESIDENT Adult Reconstruction: biking, or a drive along the Blue Ridge Joseph T. Moskal, MD 1. advances in total hip and total knee ar- Parkway are a must for outdoor enthusi- Roanoke, VA throplasty (primary and revision) includ- asts. We are in the middle of Virginia wine ing technological advances and minimally country. Spending an afternoon at one of Program Chairs invasive techniques several wineries in the area is a great way to A. Bobby Chhabra, MD Scientific Abstracts: catch up with old friends. Our social gath- Charlottesville, VA 1. the participants in this educational erings include a reception Friday night on activity should be able to discuss and Mark D. Miller, MD the Downtown Mall and a dinner Saturday evaluate basic science and clinical research Charlottesville, VA night at the Omni. A limited number of in Orthopaedics being done throughout tickets are available to course participants Virginia. COUNCILORS, AAOS for world-famous comedian Lily Tomlin’s Eric J. Guidi, MD show at the Paramount Theater. Accreditation Arlington, VA We are excited about the return of the VOS This activity has been planned and imple- mented in accordance with the Essential Paul N. Krop, MD to Charlottesville and look forward to an unforgettable meeting. Areas in accordance of the Accreditation Virginia Beach, VA Council for Continuing Medical Education A. Bobby Chhabra, MD to provide joint sponsorship of University MSV DELEGATE Mark D. Miller, MD of Virginia School of Medicine and Virginia N. Douglas Boardman, III, MD Program Chairmen Orthopaedic Society. Richmond, VA Hotel Reservations University of Virginia School of Medicine MEMBERS AT LARGE Hotel reservations can be made online at CME Program designates this educational Julious P. Smith, III, MD www.omnihotels.com. After going to the activity for a maximum of 8 AMA PRA TM Richmond, VA website, click on “Make a Reservation”, Category 1 Credit(s) . Physicians should type in the city: Charlottesville, VA, your only claim credit commensurate with the Patrick St. Pierre, MD preferred dates, and the VOS GROUP extent of their participation in the activity. Arlington, VA CODE: 11200103749. This will auto- The University of Virginia School of Medi- A. Bobby Chhabra, MD matically provide you with the discounted cine awards 0.1 CEU per contact hour to each Charlottesville, VA rates. If you prefer, dial 1-800-the-omni non-physician participant who successfully (1-800-843-6664) and tell reservationists completes this educational activity. The CEU Administrative Office that this is for the: Virginia Orthopaedic (Continuing Education Unit) is a nationally Stewart A. Hinckley, CMP Society (they will not recognize the initials recognized unit of measure for continuing Executive Director VOS). Your VOS rates will be confirmed. education and training activities that meet Hotel Location: Omni Charlottesville Hotel, specific educational planning requirements. Andrew Mann 235 West Main Street, Charlottesville, VA The University of Virginia School of Medi- Association Manager 22902 Hotel phone: (800) 843-6664 or cine maintains a permanent record of partici- (434) 971-5500. pants who have been awarded CEUs. Virginia Orthopaedic Society fACULTY

Robert A. Arciero, MD University of Connecticut Hartford, CT Thomas E. Brown, MD University of Virginia Charlottesville, VA James B. Carr, MD Palmetto Richland Memorial Hospital Columbia, SC Omni Charlottesville Eric W. Carson, MD Charlottesville, VA University of Virginia Charlottesville, VA Friday May 4, 2007 A. Bobby Chhabra, MD University of Virginia 3:00 pm - 5:00 pm registration Charlottesville, VA 5:00 - 6:30 pm Opening Reception Poster Session with Exhibitors Quanjan Cui, MD 6:30 pm Dinner on Own University of Virginia Charlottesville, VA Saturday May 5, 2007 David R. Diduch, MD University of Virginia 6:00 am Continental Breakfast and Registration Charlottesville, VA 6:45 am Introduction / Welcome David R. Dudich, MD, President Program Directors: Jonathan E. Isaacs, MD A. Bobby Chhabra, MD; Mark D. Miller, MD VCU Health Systems Richmond, VA Sports Section ______Moderator: Mark D. Miller, MD William A. Jiranek, MD 7:00 am - 7:20 am Shoulder Instability VCU Health System Robert A. Arciero, MD Charlottesville, VA 7:20 am - 7:30 am Meniscal Injuries David R. Diduch, MD David M. Kahler, MD 7:30 am - 7:40 am ACL / PCL Reconstruction University of Virginia Mark D. Miller, MD Charlottesville, VA 7:40 am - 7:50 am Cartilage/ OCD Treatment Eric W. Carson, MD Cato T. Laurencin, MD, PhD 7:50 am - 7:60 am Rotator Cuff University of Virginia D. Christopher Young, MD Charlottesville, VA 8:00 am - 8:20 am Return to Play Panel Moderator: Mark D. Miller, MD Cay M. Mierisch, MD 8:20 am - 8:30 am Questions Carilion Bone & Joint Center Vinton, VA Sports Abstract Presentation ______8:30 am - 8:40 am Fast T-Fix versus Inside-Out Meniscal Repair in the Goat William Mihalko, MD, PhD Model University of Virginia 8:40 am - 8:50 am Outcomes Ater Meniscal Repair Using the PDS Rapidloc Charlottesville, VA Device with Absorbable Panacryl Sutures 8:50 am - 9:00 am Distal Biceps Tendon Repair using a Limited Anterior Incision and Suture Anchors 9:00 am - 9:10 am The Effect of Plate Position and Size on Tibial Slope in - Continued - High Tibial Osteotomy: A Cadaveric Study Saturday May 5, 2007 (Continued) fACULTY Miscellaneous Abstracts (Basic Science & Other Topics)______9:10 am - 9:20 am A Mice Disc Degeneration Model by Needle Puncture 9:20 am - 9:30 am Investigation of Plate vs. Screw Fixation on Talonavicular Mark D. Miller, MD Fusion and their Effects on Plantar Foot Pressures University of Virginia 9:30 am - 9:40 am Questions Charlottesville, VA 9:40 am - 10:00 am The Post Menisectomy Knee Joseph T. Moskal, MD Robert A. Arciero, MD Roanoke Orthopaedic Center 10:00 am - 10:30 am Break with Exhibitors & Poster Session Roanoke, VA Trauma Section (Upper Extremity) ______Mark W. Pagnano, MD Moderator: Thomas E. Shuler, MD Mayo Clinic 10:30 am - 10:45 am Proximal Humerus Fractures: Rochester, MN Current Role of ORIF versus Prosthetic Replacement Eric W. Carson, MD Thomas E. Shuler, MD 10:50 am - 11:05 am Elbow Periarticualr Fractures: ORIF, Locking Plates, Ex-Fix, Total Elbow Replacement Carilion Bone & Joint Center Cay M. Meirsch, MD Roanoke, VA 11:10 am - 11:25 am Distal Radius Fractures: Volar Locking Plates Khaled Saleh, MD Jonathan E. Isaacs, MD University of Virginia 11:30 am - 11:45 am Image Guided Application in Long Bone Surgery Charlottesville, VA David M. Kahler, MD 11:45 am - 12:00 n Questions D. Christopher Young, MD 12:00 n - 1:00 pm Lunch - Residency Program Update: West End Orthopaedic UVA, MCV, Portsmouth Naval Richmond, VA 1:00 pm Golf, Tours of Monticello, etc. 7:00 pm Reception with Exhibitors & Poster Session Mark C. Willis, Jr., MD 7:45 pm Dinner - Omni Hotel VCU Health System Presentation of Legislator of the Year Award Richmond, VA Sunday May 6, 2007

6:15 am Breakfast and Registration Trauma Abstract Presentations______Moderator: Thomas E. Shuler, MD Abstract 7:00 am - 7:10 am An Injury Model for the Terrible Triad of the Elbow: Awards Varus Stability 7:10 am - 7:20 am Reverse End to Side Neurotization Awards will be presented in a Regenerating Nerve 7:20 am - 7:30 am The Role of the Coronoid Process, LCL, and for the Best Basic Science, Radial Head in Varus Stability of the Elbow Best Clinical Presentation 7:30 am - 7:40 am Biomechanical Consequences of Fibrin Sealants in Nerve Repair & Best Presentation Poster. 7:40 am - 7:50 am Radioscapholunate Fusion: T-Plate vs. Circular Plate Fixation 7:50 am - 8:00 am Growth and Differentiation Factor-5 Induced Tendon Repair and Regeneration Trauma Section (Lower Extremity)______Moderator: Thomas E. Shuler, MD 8:00 am - 8:20 am Tip Trochanteric vs Piriformis Fossa Femoral Antegrade Nailing Mark C. Willis, Jr., MD 8:20 am - 8:40 am Spanning Ex-fix and Staged ORIF for Complex Fractures about the Knee Quanjan Cui, MD Sunday May 6, 2007 (Continued) Special Guest Speakers 8:40 am - 9:00 am Non-locking Plate Fixation in the Foot and Ankle James B. Carr, MD Robert A. Arciero, MD 9:00 am - 9:20 am Osteobiologics and Graft Substitute Options Dr. Robert A. Arciero is a Professor of Cato T. Laurencin, MD, PhD Orthopaedic Surgery and Sports Medicine 9:20 am - 9:45 am Break with Exhibitors & Poster Session Specialists at the University of Connecti- cut. He received his Medical Degree from Adult Reconstruction Section ______Georgetown University School of Medicine Moderator: Thomas E. Brown, MD and did his residency at Gillette Children’s 9:45 am - 10:05 am MIS THA: Were We Stand in 2007 Hospital, Swedish Hospital & Mecial Cen- Mark W. Pagnano, MD ter & Madigan Army Medical Center. Dr. 10:05 am - 10:15 am Advances in the Treatment of Osteonecrosis of the Hip Arciero completed his Sports Medicine Fel- Quanjun Cui, MD lowship training at US Military Academy 10:15 am - 10:25 am Computer Assisted Arthroplasty: (West Point) and went on to complete a Past, Present and Future distinguished military career as the Program William Mihalko, MD, PhD Director of the West Point fellowship. 10:25 am - 10:35 am The Virginia Joint Arthroplasty Registry Dr. Arciero is perhaps most well-known William A. Jiranek, MD for his pioneering work in the area of acute 10:35 am - 10:45 am Bearing Options for Total Hip Arthroplasty arthroscopic Bankart repair. He is also inter- Thomas E. Brown, MD nationally recognized in many other areas, 10:45 am - 10:55 am Advances in Bone Defect Management in including multiple ligament knee reconstruc- Revision Total Hip Arthroplasty tion, knee osteotomies, shoulder arthroscopic Khaled Saleh, MD rotator cuff repair and shoulder acromiocla- 10:55 am - 11:05 am Addressing Soft Tissue Deficiencies and vicular reconstruction. He has published Instabilities in Total Knee Arthroplasty Revision numerous scientific articles, including a Joseph T. Moskal, MD landmark paper co-authored by this year’s 11:05 am - 11:15 am MIS TKA with a Subvastus Approach program co-director, and is the recipient of Mark W. Pagnano, MD several prestigious awards. 11:15 am – 11:25 am Questions Adult Reconstruction Abstract Presentation ______Mark W. Pagnano, MD Dr. Mark W. Pagnano is an Associate Profes- Moderator: Thomas E. Brown, MD sor at the Mayo Clinic College of Medicine. 11:25 am - 11:35 pm Active Immunization with and without Antibiotics He received his Medical Degree from George in the Prevention of Biomaterial Centered Infection Washington University School of Medicine 11:35 am - 11:45 am Does Concomitant Low Back Pain Affect Revision and did his Orthopaedic Surgery residency at Total Knee Arthroplasty Outcome the Mayo Clinic Graduate School of Medi- 11:45 am - 11:55 pm Subsidence of All-Polyethylene Tibial Components cine. He completed a Joint Reconstruction Used in Unicondylar Arthroplasty fellowship at the Insall-Scott-Kelly Institute Miscellaneous Abstract Presentations ______for Orthopaedics and Sports Medicine and 11:55 am - 12:05 pm Growth and Differentiation Factor-5 and Intervertebral also was the recipient of the John N. Insall Disc Disease: A Histological and In Vitro Study Traveling Knee Fellowship. 12:05 pm - 12:15 pm Plantar Pressures in Cadaveric Feet Following Dr. Pagnano is internationally recognized in Corrective Bony Procedures for the Treatment the area of minimally invasive total hip of Adult Flatfoot Deformity and knee arthroplasty. He has published 12:15 pm - 12:25 pm Corpectomy and Reconstruction of Anterior Veterbral numerous scientific articles and is the re- Tumors with an Expandable Cage Through a Posterior cipient of several prestigious awards. He is Only-Extra-Cavitary Approach frequently asked to present his research on 12:25 pm - 12:35 pm An Isolated Metastatic Spine Tumor Model in Rats advances in knee and hip surgery at national 12:35 pm - 12:45 pm Questions and international meetings. 12:45 pm - 1:00 pm Closing Remarks David R. Diduch, MD; A. Bobby Chhabra, MD 1:00 pm Business Meeting 1:00 pm Lunch, Activities, Tours (on own) Things to Do in the Charlottesville Area

Charlottesville Downtown Mall River that courses through the wooded foot- the Age of Thomas Jefferson. Gallery Hours: The Historic Downtown Mall is considered hills of the Blue Ridge Mountains. Please 1:00-5:00. Admission: Free. Directions: Lo- one of the finest urban parks in the country. contact James River Reeling & Rafting at cated at 155 Rugby Road, one block North Home to a vibrant collection of more than 434-286-4FUN to make reservations. Di- of the Rotunda, on the Grounds of the Uni- 120 shops and 30 restaurants, it is located rections: Take Rt. 20 South to the town of versity of Virginia. among the historic buildings on and around Scottsville (18 miles South of I-64). Turn old Main Street Charlottesville. It connects left on Rt. 6 (Main St.) at the Citgo station Blue Ridge Balloon Co. to the Omni hotel complex and hosts live just before the bridge. Go two blocks. Turn Take a hot air balloon ride in the Blue Ridge outdoor music on Friday afternoons begin- right on Ferry Street. Located on the corner Mountains. Make sure you bring a camera ning at 5 pm. of Main and Ferry Street. and lots of film. Each balloon flight is a unique experience, since you just drift with First Colony Winery Birdwood Golf the wind. Flights are always scheduled in the Nestled in beautiful Albemarle County, Birdwood is a golf course rich in history. Its early morning or in the evening, as these are First Colony Winery has combined their verdant hills were part of a 1739 “upland times when the weather is most favorable. focus on producing world-class wines with wilderness” land patent, one of the earliest in Please call 434-589-6213 to set up a time gracious hospitality. The 5,000 square-foot the colony. In 1819, Birdwood Pavilion was and to choose a package. Tasting Room and Gift Shop facility in- constructed by the same craftsmen who built cludes a variety of indoor and outdoor seat- the Rotunda at the University of Virginia. Trail Rides ing areas available for picnics. Tours on the Over time, the property’s prized farmland Oakland Heights Farm would like for you hour from 12 Noon to 4 pm. Tasting/tour- became a top producer of Hereford cattle and to join them on a trail ride. Trail riding is ing fees: None. Directions: On I-64, take prizewinning show horses. VOS has a limited a great way to spend an hour or two. It is exit 121 towards Scottsville. Continue 10 number of reserved tee times on Saturday af- beautiful and peaceful just wandering along miles past the Monticello Visitor’s Center, ternoon. If interested, please sign up on the a path listening to the leaves rustle in the turn right on Route 720 and continue for meeting registration form. breeze. Available daily by appointment only: one mile. The winery is at end of road. 540-832-3350. Cost: $40.00 per person, Shenandoah National Park per hour. Michie Tavern There are many exciting things to do at Shenandoah National Park. Some include: Established in 1784 by Scotsman William Purchase your Lily Tomlin Michie, the Tavern served as the social cen- fishing, horseback riding, waterfall hikes, pic- ter of its community and provided travelers nic areas, and commercial tours. The Park is tickets on the meeting with food, drink and lodging. This is where located at 3655 US Highway 211 East, Lu- registration form. the 18th-century counterparts came to dine ray, VA. Please contact the park at 540-999- and socialize. Michie Tavern also consists 3500 for entrance fees. of The General Store, The Tavern Gift Lily Tomlin Tickets Available Shop and The Clothier Shop. Open year- Monticello Friday, May 4, 2007 • 8:00 pm round. Admission is free to the museum. Get an intimate look at the extraordinary Lily Tomlin, one of 683 Thomas Jefferson Parkway, Charlottes- house Thomas Jefferson built and furnished America’s foremost co- ville, VA. for himself and his family. See the books, mediennes, continues gadgets, art, furnishings, and objects that Ash Lawn-Highland to venture across an reveal Jefferson’s unique mind. The guided everwidening range Ash Lawn-Highland is a 535-acre working House Tour covers the rooms on Monticello’s of media. From her farm and performing arts site in Albemarle first floor and lasts about 30 minutes. Your early years on Laugh- County, Virginia. President James Monroe admission ticket also includes access to the In to big screen appearances in 9 to 5, The and his wife, Elizabeth of New York, owned grounds and two optional outdoor-guided Incredible Shrinking Woman, and All of Me, Ash Lawn-Highland from 1793 to 1826 and tours. Admission: Adults-$15.00; Children to recent work in Tea With Mussolini, The made it their official residence from 1799 to 6-11-$6.00; Children under 6-Free. Please Kid, and TV’s The West Wing, Tomlin’s 1823. General Admission: Adults-$9.00; call 434-984-9880 for information and to career is extraordinary. Her numerous Seniors- $8.00; Children-$5.00. Open 9 make reservations. awards include six Emmys, Tonys for her am to 6 pm. 1000 James Monroe Parkway, one-woman Broadway shows UVA – Art Museum Appearing Charlottesville, VA. Nitely and The Search for Signs of Intelligent The UVA Art Museum exhibits art from Life in the Universe, a Grammy, and two James River Reeling & Rafting around the world dating from ancient times Peabodys. Witty and outrageous, this legend- Canoe, raft, tube or kayak down the James to present day. UVAM exhibits American ary comic’s performance is not to be missed! River! Have the time of your life spending and European paintings and sculptures of See the meeting registration form for ticket a relaxing day on the wild and scenic James the 15th-19th centuries including art from information. Virginia Orthopaedic Society 60th Annual Meeting • May 4 - 6, 2007 • Omni Charlottesville • Charlottesville, VA Registration Form Attendees are required to register for the meeting. One form per registrant. Duplicate form if needed. q Mr. q Mrs. q Ms. q Dr. first Name______M.I.______Last Name______Credentials______Specialty______Affiliation/Business/Organization ______Primary Mailing Address q Home q Work Street______City/State/Zip______Country ______Phone______Fax______Email:______Please print clearly for successful email delivery of your confirmation letter Are you an employee of University of Virginia? q Yes q No A Resident Physician? q Yes q No A Fellow? q Yes q No Do you require special assistance because of a disability or do you have any dietary restrictions? If so, please describe______

Your Birth Date (MM/DD/YYYY)______Registration Fees Please check appropriate category below. After April 6, 2007, late fees apply. Through After 4/6/2007 4/6/2007  VOS Member ...... $75 $100 $ ______ VOS Non-Member Eligible* ...... $195 $225 $ ______ emeritus Member...... N/C N/C N/C  resident/Fellow...... N/C N/c N/C

 Non-member Physician ...... $150 $200 $ ______*Full amount will be applied to 2007 dues and complimentary meeting registration will be offered for the first year. SUBTOTAL $ ______Social Events  friday Night Reception...... # ____ adults (included in registration)  Golf at Birdwood...... # ____ adults x $78.00 each $ ______List other names in foursome (if any): 1. ______2. ______3. ______ saturday Night Dinner Sponsored...... # ____ adults # ____ children (included in registration)  Lily Tomlin Tickets - Friday, May 4, 2007 - 8:00 pm # ____ @ $ 59 per ticket $ ______Limited number of tickets. First-come, first-served availability. GRAND TOTAL $ ______Payment Make checks (US currency) payable to: Virginia Orthopaedic Society Credit Card Payment:  VISA  MasterCard Card #:______Exp Date:______Name on Card:______Signature: ______Refund Policy: 80% refund through 4/6/07; no refund after 4/6/07. Refunds will be determined by date written cancellation is received. All cancellations must be in writing. Golf refunds are possible through April 23, 2007. Tee times reserved for 2:40-3:20 pm (times will be moved earlier if possible). Contact VOS headquarters with any questions. Please return this form to: Virginia Orthopaedic Society • 2209 Dickens Road • Richmond, VA 23230-2005 Phone: (804) 282-0063 • Fax: (804) 282-0090 PRE-SORTED Virginia Orthopaedic Society STANDARD US Postage 2209 Dickens Road PAID Richmond, VA 23230-2005 Permit No. 304 Richmond, VA

Disclosure of Faculty Financial Affiliations Disclosure of Discussion of Non-FDA The University of Virginia School of Medicine, as an ACCME accred- Approved Uses for Pharmaceutical Products ited provider, endorses and strives to comply with the Accreditation and/or Medical Devices Council for Continuing Medical Education (ACCME) Standards of The University of Virginia School of Medicine, as an ACCME provider, Commercial Support, Commonwealth of Virginia statutes, University requires that all faculty presenters identify and disclose any off-label of Virginia policies and procedures, and associated federal and private uses for pharmaceutical and medical device products. The University regulations and guidelines on the need for disclosure and monitoring of of Virginia School of Medicine recommends that each physician fully proprietary and financial interests that may affect the scientific integrity review all the available data on new products or procedures prior to and balance of content delivered in continuing medical education clinical use. activities under our auspices. The University of Virginia School of Medicine requires that all CME CME Activity Participant Requirement activities accredited through this institution be developed indepen- The University of Virginia Office of Continuing Medical Education dently and be scientifically rigorous, balanced and objective in the requires that all participants at live CME activities sign attendance presentation/discussion of its content, theories and practices. sheets daily to confirm participation in the CME activity for that All faculty presenters participating in an accredited CME activity day. Certificates of attendance, designating the maximum number of are expected to disclose relevant financial relationships with com- hours of participation, are distributed to each participant at the CME mercial entities occurring within the past 12 months (such as grants activity. Participants are responsible for accurately tracking their actual or research support, employee, consultant, stock holder, member of participation at live events. speakers bureau, etc.). The University of Virginia School of Medicine will employ appropriate mechanisms to resolve potential conflicts of Special Needs interest to maintain the standards of fair and balanced education to The Americans with Disabilities Act of 1990 requires that all individuals, the reader. Questions about specific strategies can be directed to the regardless of their disabilities, have equal access. The Office ofC ontinu- Office ofC ontinuing Medical Education, University of Virginia School ing Medical Education at the University of Virginia School of Medicine of Medicine, Charlottesville, Virginia. is pleased to assist participants with special needs. Written requests must be received 30 days prior to the conference date. These should be mailed to UVA Office ofC ontinuing Medical Education, Box 800711, Charlottesville, VA 22908 or to [email protected].