Final Program

2014 ANNUAL MEETING Welcome UPCOMING MEETINGS 11th Annual International Pediatric Orthopaedic Symposium December 3-6, 2014 – Orlando, FL Presented by POSNA and AAOS POSNA Specialty Day March 28, 2015 – Las Vegas, Nevada POSNA 2015 Annual Meeting and Pre-Course April 29 – May 2, 2015 Marriott Marquis – Atlanta, Georgia Acknowledgments The Pediatric Orthopaedic Society of North America gratefully acknowledges the following for their generous financial support during 2014: Howard Steel Foundation St. Giles Foundation Angela S.M. Kuo Memorial Fund Double Diamond Level K2M* Medtronic* OrthoPediatrics* Diamond Level DePuy Synthes* Stryker* Platinum Level Biomet Spine/Trauma* Shriners Hospitals for Children Gold Level Arthrex, Inc. BioMarin Pharmaceutical Inc. Globus Medical Medicrea, USA* Pega Medical* Wright Medical Silver Level Alphatec Spine* Ellipse Technologies, Inc. Orthofix* *Provided financial support for the 2014 Annual Meeting Thank-2- You On behalf of our local host, David Skaggs and his wife Val Ulene, we welcome you to Hollywood and the 2014 POSNA Annual Meeting. Many POSNA volunteers and staff Welcomehave been working hard to make our experience in Hollywood spectacular. The meeting opens on Wednesday morning with the pre-course entitled “Quality, Safety, Value: From Theory to Practice Management.” Min Kocher has enlisted experts both inside and outside of POSNA to help all of us understand how the changing healthcare environment and a focus on quality and value will affect our practice. The scientific sessions begin Wednesday afternoon: Todd Milbrandt and his program committee have assembled some of the highest rated papers submitted into an outstanding quality and value session that will help your patients. The opening ceremony on Wednesday evening allows us to recognize our industry spon- sors and the outstanding achievement of several of our members. The Award’s Committee has selected the following individuals: Humanitarian Award, Rick Schwend and Special Effort and Excellence Award, Bryan Tompkins. The Distinguished Achievement Award recipient, Al Crawford, will be introduced on Thursday. The Opening Ceremony Steele lecturer is Jamie Lee Curtis, giving us a celebrity’s welcome to Hollywood with a talk entitled “Live Wisely, Love Well.” We want to call particular attention to the “no-fly zone” on Thursday afternoon. Member feedback from past annual meetings and the POSNA Member Needs Assessment shows that a resounding majority of POSNA members want a free afternoon for recreation, community building, and exploration of our host city. We have organized tennis and hiking as well as provided information on a large number of local attractions that would interest you on Thursday afternoon. With the help of our local hosts, we’ve paid careful attention to avoid the outrageous prices tour companies propose to make all of your activities worthwhile and of good value. We hope that you will get out with friends, spouses and fellow members and enjoy Hollywood, Los Angeles, and Southern California. The Presidential Guest lecturer on Friday morning will be Chad Price, well known to members as a pediatric orthopaedic innovator, critical thinker and leader. Chad’s lecture will continue the forward-looking pre-course theme with a talk entitled “Pediatric Orthopedics and You: How to Survive the Next 10 Years.” The wildly successful POSNA Subspecialty Day will continue with its Friday afternoon timeslot. Five concurrent sessions (Hip, Spine, Sports, Hand/Upper Extremity and Neuromuscular/Lower Extremity) will run concurrent free paper and symposia formats. The social schedule includes a welcome reception immediately following the opening ceremony on the pool deck underneath the Hollywood stars. After such a cold winter in most of North America, this will be a much anticipated opportunity to kick off the summer season. Thursday evening has been traditionally reserved for fellowship reunions and other gatherings with friends and colleagues. With the venue in Hollywood, just steps from the site of the Academy Awards, our Friday event is appropriate; you will get the full red carpet treatment at our own POSNA Oscars Party. Enjoy POSNA 2014 in Hollywood! Jack Flynn, MD, POSNA President -3- 2014 ANNUAL MEETING ABOUT POSNA The Pediatric Orthopaedic Society of North America (POSNA) is a group of professionals comprised mostly of pediatric orthopaedic surgeons. We are board certified in orthopaedic surgery and have participated in additional training to become specialized in the care of children’s musculoskeletal health and our practice reflects this dedication. We, as a group, strive to become the authoritative source on such care through appropriate research that will lead to the best evidence-based patient care. On this page you will find more information about our society and a way to contact us with questions. MISSION STATEMENT To assure the best possible care of children with musculoskeletal disorders by implementing the highest quality education of pediatric orthopaedists, by supporting evidence research and by developing appropriate alliances with related organizations. -4- TABLE OF CONTENTS Acknowledgments .......................................... 2 Welcome ................................................... 3 About POSNA/Mission Statement ............................ 4 2014 Annual Meeting Learning Objectives ...................... 6 CME Credit ................................................ 6 FDA ....................................................... 6 Disclosure.................................................. 7 POSNA Half-Day Pre-Course Program.....................10 - 14 Opening Ceremony Program ................................ 15 LOE Level of Evidence...................................... 16 Disclosure Listing .......................................17 - 62 Scientific Program .......................................63 - 86 Abstracts for Scientific Sessions ..........................87 - 222 Young Members Forum .................................... 223 Symposia ............................................224 - 226 Subspecialty Day......................................227 - 296 Paper Poster Program..................................297 - 300 Abstracts of Paper Posters ..............................301 - 327 ePoster Program ......................................328 - 342 Abstracts of e-Posters ..................................343 - 453 Shands Circle .........................................455 - 456 POSNA Direct Fund ...................................457 - 458 OREF Endowment Donors ................................. 458 OREF Designated Giving...............................459 - 460 -5- GENERAL MEETING INFORMATION LEARNING OBJECTIVES Upon completion of this program, participants should be able to: Objective 1: Discuss 3 new developments in pediatric orthopaedic surgery. Objective 2: Implement 2 new techniques in the participants’practice of pediatric orthopaedic surgery. Objective 3: Describe the impact of advances in basic molecular and biomechanical sciences and discuss their likely impact upon the practice of pediatric orthopaedic surgery. Objective 4: Demonstrate an understanding of current megatrends in medical practice, such as the move from volume to value, and gain insights into improving the quality, safety and value of care delivered in their practice. ACCREDITATION This Annual Meeting of the Pediatric Orthopaedic Society of North America has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and POSNA. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians. CONTINUING MEDICAL EDUCATION The American Academy of Orthopaedic Surgeons designates this live activity for a maximum of 20.5 AMA PRA Category 1 Credits.™ Physicians should claim credit commensurate with the extent of their participation in the activity. FDA STATEMENT (UNITED STATES) Some drugs or medical devices demonstrated at this Annual Meeting may not have been cleared by the FDA or have been cleared by the FDA for specific purposes only. The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or medical device he or she wishes to use in clinical practice. Academy policy provides that “off label” uses of a drug or medical device may be described in the Academy’s CME activities so long as the “off label” use of the drug or medical device is also specifically disclosed (i.e., it must be disclosed that the FDA has not -6- cleared the drug or device for the described purpose). Any drug or medical device is being used “off label” if the described use is not set forth on the product’s approval label. ♦ Indicates those faculty presentations in which the FDA has not cleared the drug and/or medical device for the use described (ie., the drug or medical device is being discussed for an “off label” use). DISCLAIMER The material presented at the Annual Meeting has been made available by the Pediatric Orthopaedic Society of North America for educational purposes only. The material is not intended to represent the only, nor necessarily best, method or procedure appropriate for the medical situations discussed, but rather is intended to present an approach, view, statement or opinion of the faculty which may be helpful to others who face similar situations. POSNA

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