AMERICAN ASSOCIATION for HAND SURGERY January 11-14, 2012

AMERICAN SOCIETY for PERIPHERAL NERVE January 13-15, 2012

AMERICAN SOCIETY for RECONSTRUCTIVE MICROSURGERY January 14-17, 2012

AAHS / ASPN / ASRM 2012 SCIENTIFIC MEETINGS Program Book

Jointly sponsored by

with

American Society American Association American Society American Society for of Plastic Surgeons for Hand Surgery for Peripheral Nerve Reconstructive Microsurgery Schedule at a Glance Legend

AAHS ASPN ASRM Combined Day AAHS/ASPN/ASRM WEDNESDAY, 01/11 THURSDAY, 01/12 FRIDAY, 01/13

AAHS Program AAHS Program AAHS & ASPN Programs 7:00 am

7:30 am Instructional Courses Instructional Courses Instructional Courses 8:00 am Presidential Welcome Hand Surgery Endowment President Report 8:30 am Debate 1 Debate 1 Welcome & Panel Debate 2 Debate 2 9:00 am Management of the Mangled Hand Panel – Management of Digital Concurrent Panels A & B Nerve Gap-What Really Works? ASPN Scientific 9:30 am Open Forum Council Panel Paper Concurrent Scientific Session Meeting 10:00 am Treating Hand Trauma in an Session A2 Paper Sessions A & B Austere Environment Coffee Break/Exhibitors 10:30 am Schedule at a Glance Coffee Break Coffee Break with Exhibitors Concurrent Scientific Paper 11:00 am Sessions A3 & B3 Panel Brazilian Hand Society Session Prevention and Management of Hand 11:30 am Joint Concurrent AAHS/ASPN Panel Stiffness After Trauma Presidential Address 12:00 pm Steven McCabe, MD Invited Guest Lecture Invited Guest Lecture James Chang, MD Danyo Lecture 12:30 pm Mandayam A. Srinivasan, PhD Terry R. Light, MD Scientific Paper Lunch Symposium 1:00 pm Lunch Annual Business Session 1 & Lunch Supported by Meeting with Exhibits 1:30 pm Auxillium AAHS Members Only Invited Lecture Hands-On Development Workshops 2:00 pm Uros Ahcan, MD, PhD Surgeons Workshop: Principles and 2:30 pm Application of Internal Fixation in the Instructional Courses 3:00 pm Hand Industry Hands-On Skills Labs Comprehensive 3:30 pm Therapist Workshop: Advanced Splinting Hand Review Scientific Paper Techniques in the Hand and Wrist Course 4:00 pm Session 2 4:30 pm Panel II 5:00 pm 5:30 pm Mentors Reception: Wine with the Wizards 6:00 pm 6:30 pm 7:00 pm

7:30 pm Welcome Reception 8:00 pm 8:30 pm AAHS Annual Meeting Dinner Dance 9:00 pm

9:30 pm 10:00 pm SATURDAY, 01/14 SUNDAY, 01/15 MONDAY, 01/16 TUESDAY, 01/17 Combined Day AAHS / ASPN & ASRM ASPN / ASRM Programs Programs ASRM Program ASRM Program 7:00 am

Instructional Courses 7:30 am Instructional ASRM Past Concurrent Presidents Breakout 8:00 am Courses Scientific Panels Breakout ASRM Council Breakfast Panels Paper Meeting 8:30 am Presidents’ Welcome and Sessions Scientific III Panel: CTA vs. Robotics Paper 9:00 am Panel: Young Microsurgeon’s Panel: Complex Session 5 Breakout Group Reconstruction–How to 9:30 am President’s Invited Panels Be Mission Critical to Your Break with Exhibitors Lecture Tessa Gordon, MD Break with Exhibitors Institution Break with Exhibitors 10:00 am Joint Presidential Keynote Buncke Lecture 10:30 am Lecture Concurrent Scientific Wayne Morrison, MD Steven Levitt ASPN/ASRM Panel Paper Session 11:00 am Scientific Paper Joint Outstanding Papers President’s Presidential Lecture 11:30 am Session 6 Invited Lecture Susan Mackinnon, 12:00 pm MD Exhibitor Luncheon Concurrent Paper Session ASPN Business ASPN Council Meeting & lunch ASRM Poster 12:30 pm Meeting Panel: If I Knew Then What I (Members Only) & Exhibits Know Now: Tips and Tricks 1:00 pm Luncheon Learned the Hard Way Over a Panel: Innovative Surgery Long and Distinguished Career vs. Experimentation: Where is the Line? 1:30 pm Scientific Paper Concurrent Scientific Session 3 Paper Sessions 2:00 pm Masters Concurrent Scientific Series in Paper Session 2:30 pm Break w/ Exhibitors Micro-

surgery 3:00 pm Schedule at a Glance ASRT Update Godina Lecture Scientific Paper Session Samir Mardini, MD Session 4 3:30 pm 4:00 pm Invited Lecture ASRM Business Tessa Hadlock, MD Meeting 4:30 pm

New Member/ 5:00 pm Special Session: YMG Reception Scientific Posters Best Case/Best Save 5:30 pm 6:00 pm

Godina Alumni Reception 6:30 pm ASPN/ASRM Welcome Reception 7:00 pm 7:30 pm 8:00 pm VEGAS-STYLE 8:30 pm Evening Event 9:00 pm

9:30 pm 10:00 pm Messages from the Program Chairs

American Association American Society American Society for for Hand Surgery for Peripheral Nerve Reconstructive Microsurgery

he AAHS 2012 Annual s they say, “What iva ASRM and Meeting theme is happens in Vegas Viva Las Vegas! T“Learning from Friends” Astays in Vegas!” Well VThe Program -- Life-long learning is we know this won’t be true Committee once again is an integral part of hand of the 19th Annual meeting poised to offer attendees surgery and hand therapy of the American Society for the best platform to discuss practice. This meeting has Peripheral Nerve! Please join the newest technologies, been geared to provide a stimulating educational us this year at the beautiful Red Rock Resort in Las relevant translational findings and hopefully experience in a relaxed and engaging format with Vegas, Nevada. We have a fantastic meeting planned a clear glimpse into the future of where a lively social program. and aspire to inspire you with an awesome program microsurgical and complex reconstructive surgery of teaching, learning, sharing and networking that is headed. Red Rock, Las Vegas is the perfect Along with the traditional free papers, you will not hesitate to bring back to your friends getaway for this meeting. Situated close to the Association members will now have a unique and colleagues at home. Vegas strip yet tucked away near the Red Rock opportunity to share their new ideas at the Mountains for those who desire a more serene “Members Forum”, a session for 2 minute The ASPN scientific sessions will span three outdoor escape. ASRM 2012 promises to provide presentations on member innovations. Delegates days, and the program is highly integrated with the tried and true classics such as “Best Case/ can choose from among 24 complementary AAHS and ASRM, including a joint AAHS-ASPN panel Best Save” and “Disasters of the Masters” as well Instructional Courses (including 2 courses on Friday, combined programming on Saturday as newer hits such as the Young Microsurgeons certified for MOC by the ABPS) with faculty and a joint ASPN-ASRM panel on Sunday. We have Group (YMG) panel. The world-class golf courses, comprised of internationally renowned hand built upon the excellent integration of last years’ fine dining, entertainment, hiking and an surgeons and therapists focusing on both meetings, and hopefully made it even better! international airport round out the reasons why common clinical issues and challenging problems. ASRM 2012 will provide something for everyone. Presentations will be case-based explaining In addition to a variety of instructional Once again relevant panels will offer thoughtful principles of safe practice supported by outcome- courses, panels and scientific paper sessions, ASPN insights into controversial topics and real-time based evidence. The program also includes panel will once again feature an interactive poster session audience response systems will be employed discussions comparing traditional and newer with cocktails-you WON’T WANT TO MISS IT!!! Invited to illustrate how and what our colleagues are treatment options for Dupuytren’s disease, speakers include Professor Uros Ahcan, MD, PhD thinking. Finally, a focus on the economics of nerve gaps and wrist arthritis. “Hot-button” from Ljubljana Slovenia, Tessa Hadlock, MD from reconstructive surgery promises to provide value management controversies will be discussed in Boston and Tessa Gordon, PhD from Toronto. The for all attendees. “What Happens in Vegas Stays in a series of lively debates between experts. Along AAHS-ASPN-ASRM keynote speaker is Steve Levitt, Vegas”, so the saying goes, but odds are what will with the Presidential address given by Dr. Steve the acclaimed author whose best-selling book happen at Red Rock Casino Resort & Spa, January McCabe, featured speakers will include Dr Terry Freakonomics has armed millions of readers with 14–17, 2012 will be an ASRM meeting worth Light, Professor and Chair of Orthopaedic Surgery enough riddles and stories for a thousand cocktail talking about long after. at Loyola University, Chicago, and Dr. Mandayam parties. A. Srinivasan, Senior Research Scientist from Welcome to Red Rock! the Massachusetts Institute of Technology. The I would like to sincerely thank ASPN President, Association especially extends a warm welcome Ivica Ducic, and Randy Bindra and David Song, David H. Song, MD, MBA, FACS to our guest members from the Brazilian Hand program directors for AAHS and ASRM respectively, Society and look forward to 3 days of learning and as well as the other leadership of all three 2012 ASRM Program Chair fellowship across the continent. organizations for their assistance and support in making this an outstanding meeting! Randip R. Bindra, MD, FRCS 2012 AAHS Program Chair Gedge Rosson, MD 2012 ASPN Program Chair

In collaboration with The Brazilian Society for Surgery of the Hand Sociedade Brasileira de Cirurgia da Mão

IV IV TABLE OF CONTENTS Schedule at a Glance ii (INSERT TAB LABELED AAHS/ASPN/ASRM)

Messages from the Program Chairs iv AAHS/ASPN/ASRM CME 49

Resort Map vi AAHS/ASPN/ASRM Presenters’ Disclosures 50

(INSERT TAB LABELED GENERAL) AAHS/ASPN/ASRM Saturday Day-at-a-Glance 51

General Information 7 AAHS/ASPN/ASRM Presidents’ Invited Lecturer: Steven Levitt 53 2012 Exhibitor Listing 8 (INSERT TAB LABELED ASPN) Educational Resources/ Networking Events 15 V ASPN Council Members 55 Future Annual Meeting Locations 16 ASPN Committees 56 (INSERT TAB LABELED AAHS) ASPN Historical Information 57 AAHS Board of Directors 17 ASPN CME Information 58 AAHS Committees 18 ASPN Presenters’ Disclosures 59 AAHS Historical Information 19 ASPN Friday Day-at-a-Glance 61 AAHS HAND Journal 20 ASPN Saturday Day-at-a-Glance 65 Hand Surgery Endowment Contributor List 21 ASPN Sunday Day-at-a-Glance 69 AAHS Acknowlegements and Symposium 22 (INSERT TAB LABELED ASRM) AAHS CME Information 23 ASRM Council Members 73 AAHS Disclosure Policy & Presenters’ Disclosures 24 ASRM Committees 74 AAHS Wednesday Day-at-a-Glance 27 ASRM Historical Information 75 AAHS Specialty Day Program 28 ASRM CME Information 77 Invited Lecturer: James Chang, MD 29 ASRM Presenters’ Disclosures 78 AAHS Thursday Day-at-a-Glance 31 ASRM Saturday Day-at-a-Glance 81 AAHS Presidential Address 35 ASRM Master Series in Microsurgery 83 Invited Guest Speaker: Mandayam A. Srinivasan, PhD 35 ASRM Sunday Day-at-a-Glance 85

AAHS Friday Day-at-a-Glance 37 Presidents Invited Lecture: Susan Mackinnon, MD 87

J. Joseph Danyo Presidential 43 ASRM Monday Day-at-a-Glance 91 Invited Lecturer: Terry R. Light, MD Presidential Lecture: Keith E Brandt, MD 94

AAHS Comprehensive Hand Surgery Review Course 43 Godina Lecture: Samir Mardini, MD 95 Contents AAHS Electronic Poster Listing 44 ASRM Tuesday Day-at-a-Glance 97

Buncke Lecture: Wayne Morrison, MD 98

(INSERT TAB LABELED ABSTRACTS)

Abstract Table of Contents 99 General Resort Map

vi General General Information Registration Hours (subject to change) Monday, January 16: 7 :00am - 1:00pm Tuesday, January 10 4:00pm – 7:00pm 7:00am-9:00am Breakfast/Exhibits Wednesday, January 11 6:30am – 3:00pm 9:30am-10:00am Break/Exhibits Thursday, January 12 6:30am – 3:00pm 11:45am-12:30pm Lunch/Exhibits Friday, January 13 6:30am – 5:30pm Saturday, January 14 6:30am – 5:00pm 7:00pm-10:00pm ASRM Vegas Style Social Event Sunday, January 15 6:30am – 4:30pm Monday, January 16 6:30am – 3:30pm * An Internet Station will be located in the exhibit hall and is available Tuesday, January 17 6:30am – 1:00pm to all attendees during the published exhibit hours

Speaker Ready Room Hours AAHS Electronic Poster Viewing Times The Speaker Ready Room will be located in the Willows Room. All posters will be displayed in an electronic poster (ePoster) format. Wednesday, January 11 6:00am – 5:00pm ePosters are electronic versions of presenters’ work in single power point Thursday, January 12 6:00am – 5:00pm 7 slides that will be displayed in a kiosk on-site in the Exhibit Hall from Friday, January 13 6:00am – 5:00pm Thursday, January 12- Saturday, January 14. Please refer to the ePosters listing in the book to reference a specific title or author. Reference page 42 Saturday, January 14 6:00am – 5:00pm for details. Sunday, January 15 6:00am – 5:00pm Monday, January 16 6:30am – 5:00pm ASPN Poster Presentation Viewing Hours Tuesday, January 17 6:00am – 12:45pm The ASPN Poster Presentations will be placed in the ASPN General Session, Summerlin CD Room from Friday, January 13th - Sunday, Dress Code January 15th. ASPN will host a Special Poster Presentation Session on Saturday, January 14th from 4:50pm-5:45pm. We encourage meeting attendees to dress casually and comfortably. Jackets and ties are not required for any business or networking events. If you plan to be outdoors in the evening, a jacket may be ASRM Digital Poster Viewing Hours preferred. The ASRM Digital Poster Presentations will be placed in the Exhibits Hall room from Sunday, January 15th – Tuesday, January 17th. A poster viewing luncheon will be held on Sunday, January 15th from 12:15pm- Message Board 1:15pm to provide interaction with the poster authors. A message board will be set up near Meeting Services in the Registration area. Please refer to the message board for meeting Commercial Exhibits notices and general announcements. The commercial exhibits will be located in the Charleston Room. A

variety of commercial exhibits are featured at the meeting, enabling the COPYRIGHT General Announcements attendees to learn about the technological advances pertaining to upper All of the proceedings of the annual meeting, including the extremity surgery, neurosurgery and reconstructive microsurgery, and to presentations of scientific papers, are intended solely for the benefit meet key suppliers. Please refer to the Exhibit Listing in this book. of the membership of the American Association for Hand Surgery, American Society for Peripheral Nerve and American Society for Reconstructive Microsurgery. No statement or presentation Exhibit Hours made at the meeting is to be regarded as dedicated to the public Thursday, January 12: 6:30am - 1:40pm domain. Any statement or presentation is to be regarded as limited 6:30am-7:00am AAHS Breakfast/Exhibits publication only and all property rights in the material presented, including common law copyright, are expressly reserved to the 10:30am-10:55am AAHS Break/Exhibits speaker or to the American Association for Hand Surgery, American 12:40pm-1:40pm AAHS Lunch/Exhibits Society for Peripheral Nerve and American Society for Reconstructive Microsurgery. Any sound reproduction, transcript, or other use of Friday, January 13: 6:30am - 12:00pm & 2:00pm-2:30pm material presented at the meeting without the permission of the 6:30am-7:00am AAHS Breakfast/Exhibits speaker or the American Association for Hand Surgery, American 10:10am-10:30am AAHS Break/Exhibits Society for Peripheral Nerve and American Society for Reconstructive 2:00pm-2:15pm ASPN Break/Exhibits Microsurgery is prohibited to the full extent of common law copyright in such material. Saturday, January 14: 6:30am - 12:00pm & 2:00pm-3:00pm 6:30am-8:00am AAHS/ASPN/ASRM Breakfast/Exhibits Mobile Application 9:30am-10:00am AAHS/ASPN/ASRM Break/Exhibits A mobile application containing contents of the Annual Meeting 2:30pm-2:50pm ASPN/ASRM Break/Exhibits Program, Abstract Book, and link to handouts, will be available on both the iOS (iPad and iPhone) and Android platforms. In addition, 6:00pm-7:30pm ASPN/ASRM Welcome Reception we will have a mobile website with the same content but different Sunday, January 15: 7:00am - 1:30pm functionality for those who have Blackberry smartphones. Please 7:00am-8:00am Breakfast/Exhibits visit any of these websites to download today www.handsurgery.org, www.peripheralnerve.org or www.microsurg.org 10:00am-10:15am Break/Exhibits 12:15pm-1:15pm ASRM Poster/Exhibits Luncheon

THE USE OF CAMERAS OR PHOTOGRAPHIC EQUIPMENT IS NOT PERMITTED APTIS MEDICAL LLC 2012 Exhibitor Listing Booth #10 ACell Inc. Aptis Medical, LLC Booth #6 3602 Glenview Avenue 6640 Eli Whitney Glenview, KY 40025 Drive, Suite 200 Phone: 502-523-6738 Columbia, MD 21046 [email protected] Description of products: APTIS MEDICAL specializes in taking current concepts to the Next generation “ECM” devices that repair and remodel damaged next level. With the success of the Scheker DRUJ prosthesis, Aptis tissues, includes an intact epithelial basement membrane, releases has provided a product that totally replaces the DRUJ, prevents bioactive components triggering abundant new blood vessel subluxation and allows the bearing of weight. Other new and formation and recruiting numerous cells to the wound, including innovated designs for joint replacement are soon to follow. progenitor cells, which differentiate into site-specific tissues, leaving www.aptismedical.com new tissue where scar tissue would normally be expected. ASSI-ACCURATE SURGICAL ACell Products MatriStem® Wound Matrix, MatriStem MicroMatrix®, MatriStem Booth #38 Surgical Matrix RS, MatriStem Surgical Matrix PSM, MatriStem Marie Bonazinga Surgical Matrix PSMX, and MatriStem Pelvic Floor Matrix 300 Shames Dr. www.acell.com Westbury, NY 11590 Phone: 800-645-3569 AMERICAN SOCIETY OF HAND THERAPISTS [email protected] Booth #33 ASSI a world leader and your only source for the Finest Hand Crafted Karen Peterson Microsurgical Instrumentation and Micro Vascular Clamps for 15000 Commerce Pkwy, #C the Hand and Reconstructive Surgeon. We offer Instrumentation for Perforator Flaps and extremely fine procedures, our Patented Mount Laurel, NJ 08054 Lalonde Bone Clamps, Hand Table, Nerve and Tendon Sets for Phone: 856-380-6856 Surgery of Peripheral Nerves. We also offer an extensive range of 2012 Exhibitor Listing [email protected] Plastic Surgery instrumentation including Breast Retractors and Mammary Retractors, Walden Breast Marker, Areola Markers from 18 The American Society of Hand Therapists is a professional – 60mm dia., Gynecomastia Retractor Gonzales Gluteal Remodeling organization comprising licensed occupational and physical Instrumentation, our Noble True Non-Stick Micro Monopolar and therapists who specialize in the treatment and rehabilitation of Bipolar Forceps, and our complete range of StaySharp SuperCut the upper extremity. Stop by the ASHT booth to talk with us about Regular and Ceramic Coated Scissors. Stop by and see what is New. the latest in hand therapy services and continuing education opportunities. www.accuratesurgical.com www.asht.org AUXILIUM PHARMACEUTICALS, INC. Booth #22 & 23 AM SURGICAL 40 Valley Stream Pkwy. Booths #26, 27 Malvern, PA 19335 290 E Main Street, Ste 200, Phone: 484-321-5900 Smithtown, NY 11787 [email protected] Phone: 800-437-9653 Auxilium Pharmaceuticals, Inc.’s mission includes the development [email protected] and marketing of novel treatment options for many of society’s unmet medical needs. We are the makers of XIAFLEX® (collagenase A.M. Surgical, Inc offers an endoscopic release system featuring a clostridium histolyticum), the only FDA-approved nonsurgical clear cannula and scope-mounting blade that is used for endoscopic choice with proven efficacy indicated for the treatment of adults cubital tunnel, carpal tunnel and trigger finger release. with Dupuytren’s contracture with a palpable cord. www.amsurgical.com 8 www.auxilium.com, XIAFLEX.com

SHARPOINT™ / ANGIOTECH AXOGEN Booth #41 Booth #4 100 Dennis Drive 13859 Progress Blvd. Reading, PA 19606 Suite 100 Phone: 610-221-7676 Alachua, FL 32615 [email protected] Phone: 888-296-4361 M.E.T.™ microsurgical needles utilize Infinite Edge™ technology, a [email protected] proprietary process that ensures incision products are consistently AxoGen is a regenerative medicine company with a portfolio sharp and dimensionally true. All microsuture needles are made of of proprietary products and technologies for peripheral nerve specialty stainless-steel wire that has been tempered to a precision reconstruction and regeneration. AxoGen is bringing the science of balance of hardness and tensile strength. Angiotech’s unique nerve repair to life with its Avance® Nerve Graft, AxoGuard® Nerve in-house manufacturing processes ensures that each needle falls Connector, and AxoGuard® Nerve Protector. within exceptionally tight production tolerances. The end result: www.axogeninc.com a needle that holds a fine edge and is resistant to bending as you apply the necessary pressure. www.sharpoint.com BUXTON BIOMEDICAL CORE ESSENCE ORTHOPAEDICS, INC. Booth #40 Booth #57 15A Melanie Lane 575A Virginia Drive East Hanover, NJ 07936 Fort Washington, PA 19034 Phone: 973-560-4848 Phone: 215-310-9534 Come linger in my parlor, Cooed the spider to the fly. Let me weave [email protected] a web of wonder ‘bout products you should try. I’ve tidied up my Core Essence Orthopaedics, Inc. is focused on medical devices table, Everything’s arranged. Hand instruments familiar...and some a for soft tissue and skeletal repair of the extremities. Our flagship little strange. Come in a little closer now, and set yourself near here. products; best in class TAC-tite knotless suture fixation system for This scissors just within your grasp; There’s nothing here to fear. I’ll tendons and ligaments, SEG-WAY EPF system and reVERTO for spin my yarn of intrigue, Tell you stories oh so grand! Here, hold this fusion-osteotomies. rongeur or this rasp! Don’t mind that silken strand. www.ceortho.com www.buxtonbio.com CARL ZEISS MEDITEC ELSEVIER Booth 17 Booth #24 5160 Hacienda Drive, Dublin, CA 94568 1600 JFK Blvd. , Ste 1800 9 Phone: 925-557-4100 Philadelphia, PA 19103 [email protected] Phone: 215-239-3491 Carl Zeiss Meditec, Inc. (CZMI) is an integrated medical technology [email protected] company. In the field of ophthalmology, we offer complete solutions for the diagnosis and treatment of vision defects, cataracts, ELSEVIER, dedicated to being your integral partner in delivering glaucoma and retinal disorders. Since inventing the category in exceptional healthcare. Trust ELSEVIER to offer superior resources 1953, we have established ourselves as the world’s leading provider that expand your knowledge, foster communication, build insights, of surgical microscopy solutions. enable individual and collective advancement in the healthcare field. ELSEVIER proudly publishes Mosby, Saunders, and Churchill www.meditec.zeiss.com Livingstone titles. ELSEVIER. Building Insights. Breaking Boundaries. www.elsevier.com CHECKPOINT SURGICAL LLC Booth #28 22901 Millcreek Blvd. GUATEMALA HEALING HANDS Suite 110 FOUNDATION Cleveland, OH 44122 Booth #5 Phone: 877-478-9106 290 6th Avenue [email protected] Brooklyn, NY 11215 Designed by a world-class team of surgeons and biomedical [email protected] engineers, the CHECKPOINT® Stimulator/Locater is a hand-held, The Guatemala Healing Hands Foundation is a nonprofit

intraoperative nerve and muscle stimulator that helps surgeons organization dedicated to improving the quality and availability of 2012 Exhibitor Listing locate, identify and evaluate motor nerve and muscle function health care in Guatemala through education, surgery, and therapy. in surgical procedures that require careful and precise soft tissue Specializing in the treatment of congenital hand conditions, burns, dissection or nerve exploration and repair techniques. and injuries, we aim to reach the Guatemalan population through www.checkpointsurgical.com 12-day medical missions led by a team of specialized and skilled surgeons, therapists, and dedicated volunteers. COBALT HEALTH INC www.guatemalahands.org Booth #7 577 West Century Blvd., #670 HAND BIOMECHANICS LAB Los Angeles, CA 90045 Booth 18 Phone: 877-262-2588 77 Scripps Drive, Suite 104, Sacramento, CA 95825 [email protected] Phone: 800-522-5778 Cobalt Health is a medical billing company with an unwavering con- [email protected] viction to delivering the maximum compliant return for services you performed. Cobalt enables you to make better-informed decisions, Exhibiting unique devices designed by Dr. John Agee and our and facilitates the achievement of your goals as a provider and busi- in-house R&D. Digit Widget™ - reverses PIP flexion contractures. ness manager. The solution is Cobalt Health medical billing services. TurnKey FCS® - for acute dorsal fracture dislocations of PIP joints, www.cobalthealth.com uses only two bone pins, allows active ROM exercise. WristJack® - featuring MULTIPLANAR™ Ligamentotaxis for treatment of distal radius fractures. COOK MEDICAL www.handbiolab.com Booth #20 750 Daniels Way Bloomington, IN 47404 Phone: 812-339-2235 [email protected] www.cookmedical.com HAND LEICA MICROSYSTEMS, INC. REHABILITATION FOUNDATION Booth #51 1700 Leider Lane Booth #14 Buffalo Grove, IL 60089 700 S. Henderson Road, Suite 100 Phone: 800-248-0123 King of Prussia, PA 19406 [email protected] Phone: 610-768-5958 [email protected] Leica Microsystems supports plastic and reconstructive surgeons and their care of patients with the highest-quality, most innovative The Hand Rehabilitation Foundation, established in 1975, is a surgical microscopes today. Visit the Leica Microsystems booth to 501(c)(3) non-profit corporation formed to promote research and see the premium-quality Leica M525 surgical microscope, new Leica education, and disseminate information to physicians and therapists F50 multi-discipline microscope, and more. Leica Microsystems who work with children and adults with hand disorders caused by offers superb optics and comfort for the surgeon. injury, disease, or present at birth. Among its other educational offerings, each year The Foundation sponsors an annual symposium www.leica-microsystems.com known worldwide as The Philadelphia Meeting. This symposium brings together an international faculty of hand surgeons and certified hand therapists to teach and demonstrate the most current LIFECELL advances in hand rehabilitation correlated with hand surgery. Booth #9 Since the first symposium in 1974, thousands of hand therapists, One Millennium Way occupational therapists, physical therapists and surgeons have Branchburg, NJ 08876 increased their clinical skills and knowledge by attending Phone: 800-367-5737 this meeting. [email protected] www.handfoundation.org LifeCell™ is a pioneer in the field of regenerative medicine. HOLOGIC, INC Both AlloDerm® Regenerative Tissue Matrix and Strattice™ Booth 31 Reconstructive Tissue Matrix support tissue regeneration through 35 Crosby Drive, Bedford, MA 01730 rapid revascularization, cell repopulation and white cell migration. Both products can be used in surgical applications including hernia Phone: 781-999-7300 repair, breast reconstruction and breast plastic surgery revisions. [email protected] www.lifecell.com 2012 Exhibitor Listing Hologic is introducing the next generation of mini C-arm systems, the Fluoroscan InSight-FD* with flat detector technology. Designed specifically for orthopedic and other extremity surgeons, Fluoroscan LIPPINCOTT WILLIAMS & WILKINS InSight-FD combines tremendous maneuverability, ultra-fine low- Booth #42 dose fluoroscopy images, and automated adjustments that deliver 2652 Hourglass Drive, superb, high resolution images. Henderson, NV 89052 www.hologic.com/fluoroscan-fd Phone: 702-293-5728 [email protected] www.lww.com INSTRATEK, INC Booth #58 4141 Directors Road, Suite H MATERIALISE Houston, TX 77092 Booth #25 Phone: 800-892-8020 44650 Helm Court [email protected] Plymouth, MI 48170 Instratek, Inc. ™ is a Houston, TX based global medical device com- Phone: 734-259-7011 pany, synonymous with minimally invasive surgical technologies [email protected] for over 20 years. Instratek develops, manufactures, and markets endoscopic instrumentation for Carpal Tunnel and Trigger Finger. With SurgiCase Orthopaedics, Materialise equips surgeons with In addition, implant products include the CMC Cable FIX for basal tools to try multiple approaches to complex reconstructive bone thumb arthritis. procedures before they set foot in the operating room. The 10 www.instratek.com Materialise patient-specific solution includes virtual surgery planning services, construction of cut and drill guides individualized INTEGRA LIFESCIENCES to fit the patient, and physical patient models. www.materialise.com/ortho Booth #47 311 Enterprise Drive Plainsboro, NJ 08536 MAYO CLINIC MICROVASCULAR Phone: 609-275-0500 TRAINING LAB [email protected] Booth #29 Integra, a world leader in regenerative medicine, manufactures Stabile 9-48, and markets medical devices used in plastic and reconstructive 200 1st Street S.W., surgery, orthopedics and general surgery. These products focus on Rochester MN 55905 lower extremity fixation, upper extremity fixation, wound repair, Phone: 507-289-8313 tendon protection, and peripheral nerve repair/protection. Integra’s [email protected] reconstructive portfolio includes NeuraGen Nerve Guide, Integra Dermal Regeneration Template and the KMI and Newdeal line of Mayo Clinic’s Microvascular Surgery Skills Course is a five day products for extremity fixation. program focused on skill development in the use of microvascular www.integralife.com surgical techniques. The course allows each attendee to receive extensive individualized training. Staff, residents and fellows are all welcome to attend. CME credits are also available. MEDARTIS, INC ORTHOSCAN, INC. Booth #39 Booth #37 127 W Street Rd #203 8212 E. Evans Road Kennett Square, PA 19348 Scottsdale, AZ 85260 Phone: 610-961-6101 Phone: 480-503-8010 [email protected] [email protected] Medartis is one of the leading manufacturers of medical devices OrthoScan, Inc., a leader in orthopaedic imaging, presents the first for cranio maxillofacial surgery, hand and plastic surgery, and mini c-arm with a flat detector. OrthoScan HD with Flat Detector orthopaedic trauma. Medartis is committed to providing surgeons provides increased image quality and positioning advantages for and operating room personnel with innovative titanium implants, orthopaedic procedures. instruments and services that represent advances in bone fixation and thus patients’ quality of life. www.orthoscan.com www.medartis.com OSTEOMED MEDICAL MODELING, INC. Booth #59 Booth #52 Linda Hull 17301 West Colfax Ave Ste 300 3885 Arapaho Road 11 Golden, CO 80401 Addison, TX 75001 Phone: 303-273-5344 Phone: 800-459-7779 [email protected] [email protected] Medical Modeling specializes in Virtual Surgical Planning (VSP®) OsteoMed Small Bone Orthopedics division offers the Hand and production of models, guides and templates to transfer a digital and Upper Extremity surgeon premium implant products and pre-surgical plan to the operating room. Especially relevant to quality service. OsteoMed is a leading global innovator, developer, reconstructive microvascular surgery, our work with VSP® of fibula manufacturer and marketer of specialty medical devices, surgical free flap grafts for maxilla/mandibular reconstruction has proven implants and powered surgical instruments. The company’s success invaluable to many teams performing this operation. Stop by our is driven by its ability to develop and deliver innovative, quality booth to learn more about our unique product offering. products that improve patient outcomes and offer technically advanced, simple and cost effective solutions. OsteoMed’s state of www.medicalmodeling.com the art manufacturing facility and world headquarters is located in Dallas, Texas. MEDLINK USA www.osteomed.com Booth #48 PO Box 42483, Des Moines, IA 50323 PLASTIC SURGERY EDUCATION NETWORK Phone: 800-762-7921 (PSEN) [email protected] Booth #15 444 E. Algonquin Road 2012 Exhibitor Listing Medlink manufactures the Z880 reconstructive microscope. The Z880 is the only microscope designed exclusively for reconstructive Arlington Heights, IL 60005 microsurgeons. The Z880 features, Dual Magnification, 180 degree Phone: 800-766-4955 independent rotating heads, 4” x 12” X-Y, and dual, full function [email protected] footswitches and hand switches. The Plastic Surgery Education Network (PSEN) is the comprehensive www.medlinkusa.com online education portal for plastic surgery – the aggregator of the specialty’s core knowledge from residency to retirement. This collaborative site developed by ASPS in cooperation with ACAPS, MICROSURGERY INSTRUMENTS, INC AAHS, ASAPS, ASPN, ASRM, ASMS and PSRC offers procedural videos, Booth #3 recorded lectures, CME/MOC courses, and much more. PO Box 1378 www.psenetwork.org Bellaire, TX 77402 Phone: 713-664-4707 RAZEK EQUIPAMENTOS LTDA [email protected] Booth #8 Microsurgery Instruments is one of the leading suppliers of surgical Rua Ernesto Goncalves Rosa Junior, instruments and loupes. Our new instruments include: titanium 437 Jardim Sao Paulo scissors, needle holders, and debakey forceps. Our Super-Cut scissors Sao Carlos, Brazil are the sharpest in the market, and our newly designed surgical loupes offer up to 130mm field of view, and up to 11x magnification. Phone: 5 51621072345 [email protected] www.microsurgeryusa.com RAZEK EQUIPAMENTOS specialized in the area of Arthroscopy and Minimally Invasive Surgery. Razek manufactures: Shavers & Mini Shaver Disposable Blades, Cameras, Light Sources, Infusion Pump & Disposable, Electric or Pneumatic Perforators, Endoscopes, Sheaths, Small Joint Instrument, Mini Ablators, Traction Mesh, Set for Carpal Tunnel Surgery, Drills (straight, angular), Micro Saw (reciprocating, sagittal, oscillating), Surgery Bur & Micro Saw Blade. www.razek.com.br

SKELETAL DYNAMICS SURGICAL ACUITY – KERR CORPORATION Booth #2 Booth #13 8905 SW 87th Ave 3225 Deming Way, Ste 190 Miami, FL 33176 Middleton, WI 53562 Phone: 305-596-7585 Phone: 888-822-8489 [email protected] [email protected] The GEMINUS Fossa Specific Plate features a unique dual head design that improves fit to the volar radial surface, minimizing the Surgical Acuity designs and manufactures high-performance potential for flexor tendon injuries while providing the scaphoid magnification loupes for surgeons and other medical professionals. and lunate fossa with optimized subchondral support. Each Renowned for quality craftsmanship, Surgical Acuity loupes deliver malleable head can also be adjusted independently to provide ideal remarkable resolution over a deep and wide viewing field. Superior patient matching. The ALIGN Radial Head System incorporates visualization is achieved through innovative, lightweight optics a revolutionary prosthesis design that offers the versatility of a made from only the finest grade of glass. bipolar prosthesis during final positioning through the proprietary www.surgicalacuity.com alignment instrumentation, then locking permanently into a monoblock prosthesis that enables the surgeon to restore the kinematics of the native radial head specific to each patient. The SYNOVIS MCA IMPLATE Wrist Arthrodesis Nail System is the first intramedullary Booth #21 system of its kind that addresses total wrist fusion procedures 439 Industrial Lane through a less invasive approach. Offered as a comprehensive Birmingham, AL 35211 modular platform, the IMPLATE System incorporates several key features to achieve predictable and reproducible results, while Phone: 205-941-0111 minimizing postoperative complications, or the potential for [email protected] hardware removal. Synovis Micro, The Microsurgeon’s Most Trusted Resource®, provides www.skeletaldynamics.com innovative, advanced technologies specifically for microsurgeons including the FLOW COUPLER; Microvascular Anastomotic COU- PLERTM; GEM Neurotube® the gold standard in nerve conduits; S&T® Microsurgical Instruments; GEM Micro Sterilization TraysTM; GEM SMALL BONE INNOVATIONS, INC. Original and SuperFine MicroClips TM and Appliers; GEM FocusTM LED

2012 Exhibitor Listing Booth #19 Cordless Headlight; and Acland® Micro Vascular Clamps. 1380 S. Pennsylvania Ave www.synovismicro.com Morrisville, PA 19067 Phone: 215-428-1791 [email protected] SYNTHES CMF Small Bone Innovations, Inc. (SBi) is a sole source provider of Booth #46 products, technology, and education for small bone and joint Amanda Cassidy surgeons worldwide in the medical device market. 1301 Goshen Parkway www.totalsmallbone.com West Chester, PA 19380 SPECTROS CORP. Phone: 610-719-5000 [email protected] Booth #53 Synthes is a leading global medical device company. We develop, 808 Portola Road produce and market instruments, implants and biomaterials for the Portola Valley, CA 94028 surgical fixation, correction and regeneration of the human skeleton Phone: 650-851-4040 and its soft tissues. [email protected] www.synthes.com T-STAT, manufactured by SPECTROS, provides a reliable and accurate tissue saturation value for monitoring your free flaps. With

a choice of noninvasive and easy to place sensors the T-STAT tissue TEI BIOSCIENCES INC. oximeter is both simple to understand and quick to implement. Booth #44 12 The patented VLS technology utilizes broad band white light that captures and analyzes a hundred more times the information of 7 Elkins Street, Boston, MA 02127 NIR (red light) technology, giving an absolute measure that you can Phone: 617-268-1616 treat to. [email protected] www.spectros.com A Boston-based, privately-held, leading biomedical company, TEI Biosciences has applied its expertise in regenerative medicine to develop and commercialize novel biologic devices for a broad spectrum of soft tissue repair and regeneration applications – from dura, tendon and hernia repair to plastic and reconstructive surgery, and wound healing. www.teibio.com TORNIER WASHINGTON UNIVERSITY SCHOOL OF Booth #43 MEDICINE 7701 France Ave South Booth#16 Suite 600, 660 South Euclid Ave, St. Louis, MO 63110 Edina, MN 55435 Phone: 314-454-4004 Phone: 952-426-7649 [email protected] [email protected] Peripheral Nerve Surgery is an open-access educational website Tornier’s market-leading extremities products provide solutions that provides valuable information for healthcare providers treating for the shoulder, foot, ankle, hand, wrist, and elbow specialists. complex peripheral nerve trauma. Presented are concepts of These products address a broad range of applications for joint nerve anatomy/physiology, evaluation techniques/management reconstruction, trauma and osteosynthesis, biologic regeneration strategies, and surgical options. The surgical options include and repair, and sports medicine. information on nerve-related procedures, which are supported by www.tornier.com, www.tornier-us.com an extensive surgical tutorial video library. nervesurgery.wustle.edu Touch Bionics Booth #35 3455 Mill Run Drive, WORLD SOCIETY FOR 13 Hilliard, OH 43026 RECONSTRUCTIVE Phone: 855-694-5462 MICROSURGERY Touch Bionics is a provider of world-leading prosthetic technologies Booth #13 and supporting services designed to achieve positive outcomes for people with upper limb deficiencies. Our products include 20 North Michigan Avenue, Ste 700 multi-articulating prosthetic finger and hand solutions, as well as Chicago, IL 60602 passive functional silicone prostheses that closely match the natural Phone: 312-263-7150 appearance of the wearer. [email protected] www.touchbionics.com The World Society for Reconstructive Microsurgery is devoted to stimulating and advancing the art of microsurgery and thereby improve and elevate the standards of practice in this field of surgical endeavor. Advantages to membership include networking and TRIMED, INC. leadership opportunities, reduced rates for society meetings, Booth #30 Journal of Reconstructive Microsurgery subscription and online access 27533 Avenue Hopkins to the membership. www.wsrm.net Santa Clarita, CA 91355 Phone: 800-633-7221 [email protected]

WOUND CARE TECHNOLOGIES, INC. 2012 Exhibitor Listing Focused on advanced fixation technology for extremities, TriMed offers a complete product line for fixation of wrist and ankle Booth #36 fractures with the Wrist and Ankle Fixation Systems. These provide 1851 Lake Drive West stable anatomic fixation and early mobilization. TriMed also offers Chanhassen, MN 55317 items for ulnar shortening, carpal fusions, and fixation of fractures of Phone: 800-896-0436 the hand and foot. The DermaClose® RC Continuous External Tissue Expander is an www.trimedortho.com effective way to reduce the surgical burden when treating complex wounds. This unique external tissue expander facilitates the closure of wounds by continuously expanding the skin around a wound until it has stretched enough to enable the wound edges to be VIOPTIX INC. sutured closed. Booth #32 www.dermaclose.com 47224 Mission Falls Ct. Fremont, CA 94539 Phone: 510-226-5860 [email protected] The ViOptix Tissue Oximeter™ is for post-operative monitoring of surgical flaps in breast reconstruction to assess and monitor tissue viability, thereby improving medical outcomes and decreasing cost. It provides continuous, non-invasive, direct, real-time measurements of local tissue oxygen saturation. The system consists of a monitor and sterile single-use optical sensors. www.vioptix.com 2012 Exhibitor Listing

14 Educational Networking Events Networking events are offered to promote collaboration in a social environment, and to Resources enhance your meeting experience. Many of the events are included in your registration fee, and we encourage you to purchase tickets for your guests for all networking events. PRE-SALE – We recommend that you purchase guest tickets in advance, as they will be available on a AAHS 2012 Comprehensive Hand Surgery very limited basis at the meeting. Attendee name badge or a guest ticket is required Review Course DVD ($175) for all social events. Place your order now for the 2012 Comprehensive Hand Surgery Review Course DVD that will be AAHS “Wine with the Wizards” Reception recorded at this year’s annual meeting. Chaired by Wednesday, January 11 5:00 pm – 6:00 pm Penthouse Suite 180 Sheel Sharma, MD and covering 12 topics, this DVD will serve as a valuable resource. Please visit the This late afternoon event was created for young hand surgeons and therapists (in practice five years or less) as well as those still in training to come and meet some of the seasoned registration desk to reserve your DVD today. DVDs Educational Resources /Networking Events ordered will be delivered to you in early spring AAHS board members. Enjoy a glass of wine and the opportunity to mingle with leaders 2012, after the meeting. in the field of hand surgery. Event includes hosted beverages and light appetizers.

ASRM Historical DVD “The First Twenty Years” AAHS Welcome Reception ($25 - Limited Quantities) Wednesday, January 11 6:30 pm – 8:30 pm Veranda & Veranda Terrace A DVD entitled “The First Twenty Years” is available Time to catch up with friends, network, and make new contacts within the hand surgery 15 for purchase. This one hour documentary has been association. Hosted beverages and light appetizers. produced in honor of the 20th Anniversary of the esteemed American Society for Reconstructive AAHS Annual Meeting Dinner Dance Microsurgery and documents the evolution of Friday, January 13 7:00 pm – 10:00 pm Summerlin ABEF microsurgery; with commentary from pioneers such Join your fellow AAHS members, including the President and board members in a fun filled as Harry Buncke, Robert Acland and Jim Urbaniak. evening of dinner and dancing. Hosted dinner, beverages and musical entertainment. The video includes the experimental and clinical history of replantation described vividly by Susumu AUXILIUM PHARMACEUTICALS, INC. Tamai. The timeline takes the viewer through a rich history of experimental, scientific and clinical AAHS/ASRM Golf Tournament development of the practice of microsurgery from Saturday, January 14 12:00 pm Depart / 12:30pm Shotgun Start its infancy and into the modern era. The scope of the video highlights the spectrum of techniques, Arroyo at Red Rock Country Club is an Arnold Palmer Signature course and is the only including composite tissue allotransplantation, course at Red Rock Country Club open to the public. Stretching 6,857 yards and playing described by one of the American pioneers of this the Arroyo is a rare mix of compelling design and exceptional beauty. Bold bunkering, technique Warren Breidenbach. The video is a living dramatic water hazards and the stark contrast of emerald greens against the tanned heritage of our exciting specialty and would benefit desert mountain, make the Arroyo as visually striking as it is challenging. This links style medical students, residents, fellows, practicing layout with Bermuda grass fairways and Bentgrass greens will challenge every level of physicians and probably most importantly our player. It has five sets of tee boxes to suit all golfers’ abilities. The Arroyo Course plays patients. This documentary is a wonderful resource 6,433 yards from the middle tees and is a par 72. Lunch will be provided on carts. of information about microsurgery and certainly will inspire members to make further progress ASPN/ASRM Welcome Reception in the arena of reconstructive microsurgery. To Saturday, January 14 6:00 pm – 7:30 pm order “The First Twenty Years” DVD, please see the Cost: 1 ticket included in ASPN and ASRM registration. registration form in this registration brochure. Additional adult tickets available @ $60 each; tickets for children and young adults ages Ordered DVD’s will be mailed directly once they 5 - 17 available @ $30 each and includes 2 drink tickets. have been purchased. Gather in the Pavilion to greet fellow attendees and enjoy some musical entertainment. This casual reception will be sure to set the tone for the days of learning ahead. ASRM 2010 Masters Series in Microsurgery SUPPORTED BY ASSI ($50 - Limited quantities)

The American Society for Reconstructive Microsur- ASRM Poster & Exhibits Luncheon gery is pleased to present Part V of the “Masters’ Sunday, January 15 12:15 pm – 1:15 pm Series in Microsurgery”. The 2010 Masters Series in Microsurgery highlighted complications and prob- Join us for lunch and view fellow attendees’ poster presentations while mingling amongst lems as seen by the experts in the field. An interna- our organizations supporters. Poster authors will be available for discussion during this tional panel of renowned Masters in Microsurgery dedicated time. presented disasters they had created, disasters they had inherited, and ways to avoid disasters. Ordered ASRM VEGAS-STYLE DVD’s will be mailed directly once they have been Monday, January 16 7:00 pm – 10:00 pm purchased. Limited quantities available. Cost: 1 ticket included in ASRM registration. Additional adult tickets available @ $100 each; tickets for children and young adults ages ASRM 2011 Masters Series in Microsurgery 5 - 17 available @ $50 each and includes 2 drink tickets. ($50 - Limited quantities) The ASRM annual social event will once again be one not to miss! This Las Vegas-style The American Society for Reconstructive Microsur- evening lineup includes dinner, dancing, craps gaming, roulette, billiards and foosball gery is pleased to present Part VI of the “Masters’ tables. To satisfy our party goers who are a bit less adventurous, we’ll entertain them Series in Microsurgery”. The 2011 Masters Series in with some close up magic. Microsurgery highlighted complications and prob- lems as seen by the experts in the field. An interna- ASRM Guest Fee tional panel of renowned Masters in Microsurgery Have your guest or spouse join you for the ASRM social events, breakfasts, and lunches presented disasters they had inherited, and ways during the official dates of the ASRM Meeting (Saturday-Tuesday). Please see ASRM daily to avoid disasters. Ordered DVD’s will be mailed schedule for details. ASRM guests are not eligible to claim CME credit. Any attendee that directly once they have been purchased. Limited plans to attend general sessions and claim CME credit must be a healthcare professional quantities available. and register as a regular attendee. Cost $250 per ASRM guest. Future Annual Meeting Locations AAHS ASPN ASRM 2013 Annual Meeting 2013 Annual Meeting 2013 Annual Meeting January 9 – 12, 2013 January 11 – 13, 2013 January 12 – 15, 2013 Naples Grande Resort Naples Grande Resort Naples Grande Resort Naples, Florida Naples, Florida Naples, Florida

2014 Annual Meeting 2014 Annual Meeting 2014 Annual Meeting January 8 – 11, 2014 January 10 – 12, 2014 January 11 – 14, 2014 Grand Hyatt Kauai Grand Hyatt Kauai Grand Hyatt Kauai Kauai, Hawaii Kauai, Hawaii Kauai, Hawaii

2015 Annual Meeting 2015 Annual Meeting 2015 Annual Meeting January 21-24, 2015 January 23-25, 2015 January 24-27, 2015 Atlantis Atlantis Atlantis Paradise Island, Bahamas Paradise Island, Bahamas Paradise Island, Bahamas

AAHS ASPN ASRM

Future Annual Meeting Locations 2013 Annual Meeting January 9-15, 2013

Naples Grande Resort & Club, 16 Naples, Florida AAHS

ASRM 2011-2012 BOARD OF DIRECTORS 2013 Annual Meeting January 12 – 15, 2013 Naples Grande Resort President Steven McCabe, MD Naples, Florida President-Elect Jesse B. Jupiter, MD Vice-President Donald H. Lalonde, MD 2014 Annual Meeting Secretary Brian D. Adams, MD 17 January 11 – 14, 2014 Treasurer Michael W. Neumeister, MD Grand Hyatt Kauai Treasurer-Elect Peter Murrary, MD Kauai, Hawaii Historian Miguel A. Pirela-Cruz, MD

2015 Annual Meeting Parliamentarian Jaiyoung Ryu, MD January 24-27, 2015 Atlantis Past President A. Lee Osterman, MD Paradise Island, Bahamas Nicholas B. Vedder, MD

AAHS Board of Directors Senior Directors at Large Randip R. Bindra, MD Steven L. Moran, MD

Junior Directors at Large Jeffrey B. Friedrich, MD Thomas B. Hughes, MD

Affiliate Directors Sharon Andruskiwec, PT, CHT Georgette A. Fogg, OTR/L, CHT Susan Michlovitz, PT, PhD, CHT

2011-2012 HSE BOARD

President Ronald E. Palmer, MD Vice President Nicholas B. Vedder, MD Secretary-Treasurer Michael W. Neumeister, MD Member Allen L. Van Beek, MD Joseph Danyo, MD Nash H. Naam, MD Aviva Wolff, OTR, CHT Please join us in thanking the AAHS Committee members for their work in 2011. Bylaws Committee Program Committee Jaiyoung Ryu, MD, Chair Randip R. Bindra, MD, Chair Julie E. Adams, MD Timothy J. Best, MD José Maurício Carmo, MD ASSH/AAHS Coding Committee Georgette A. Fogg, OTR/L, CHT, Senior Affiliate Director Kyle D. Bickel, MD Warren C. Hammert, MD Eric P. Hoffmeister, MD Finance Committee Thomas Hunt, III, MD Michael W. Neumeister, MD, Chair Jesse B. Jupiter, MD, Past Program Chair Jesse B. Jupiter, MD Gretchen Kaiser, OTD, MBA, OTR/L, CHT Gretchen Kaiser, OTD, MBA, OTR/L, CHT Loree K. Kalliainen, MD Loree K. Kalliainen, MD Steven L. Moran, MD, Second Assistant Chair Donald H. Lalonde, MD Henrique deBarros Pinto Netto, MD Steven McCabe, MD Christine B. Novak, PT, PhD Steven L. Moran, MD David C. Ring, MD, First Assistant Chair Peter M. Murray, MD Francisco A. Schwartz Fernandes, MD AAHS Commitees A. Lee Osterman, MD Sheel Sharma, MD Teresa O. Wyrick, MD HAND Journal Committee Research Grants Committee Donald H. Lalonde, MD, Chair David T. Netscher, MD, Chair Michael W. Neumeister, MD, Editor Jeffrey B. Friedrich, MD Scott H. Kozin, MD Eric P. Hofmeister, MD Steven McCabe, MD Peter M. Murray, MD Christine B. Novak, PT, PhD Renata V. Weber, MD Jaiyoung Ryu, MD Brandon J. Wilhelmi, MD

HAND Surgery Quarterly Technology Committee Thomas B. Hughes, MD, Editor Keith E. Brandt, MD, Chair Sharon Andruskiwec, PT, CHT, Affiliate Editor Andrew Chen, MD Lorraine O’Grady, Managing Editor Jesse B. Jupiter, MD Rebecca von der Heyde, PhD, ORT/L, CHT Membership Committee (Active Committee) Vargas Award Committee Jeffrey B. Friedrich, MD, Chair Gretchen Kaiser, OTD, MBA, OTR/L, CHT, Co-Chair Brian D. Adams, MD John S. Taras, MD, Co-Chair Kevin C. Chung, MD Sharon Andruskiwec, PT, CHT (Affiliate Committee) Georgette A. Fogg, OTR/L, CHT 18 Rebecca von der Heyde, PhD, OTR/L, CHT, Chair Susan Michlovitz, PT, PhD, CHT Kristin A. Valdes, OTD, OTR, CHT AAHS Representatives Nominating Committee American Academy of Orthopedic Surgeons (Active Committee) Randip R. Bindra, MD; Ekkehard Bonatz, MD; Thomas B. A. Lee Osterman, MD, Chair Hughes, MD; A. Lee Osterman, MD Richard A. Berger, MD David Bozentka, MD American Medical Association – James Chang, MD Peter C. Amadio, MD; Nicholas B. Vedder, MD Kevin C. Chung, MD American Society of Plastic Surgeons / Plastic (Affiliate Committee) Surgery Foundation – Donald H. Lalonde, MD Lisa M. Cyr, OTR/L, CHT Plastic Surgery Education Network – Jesse B. Jupiter, MD Michael W. Neumeister, MD Susan Michlovitz, PT, PhD, CHT Kristin A. Valdes, OTD, OTR, CHT International Federation of Societies for Surgery of the Hand – Peter C. Amadio, MD Please join us in thanking the AAHS Committee members Elvin Zook, MD 2004 HISTORICAL INFORMATION Gavin Menzies 2005 for their work in 2011. Past Presidents Peter Amadio, MD 2006 J. Joseph Danyo, MD 1970-1972 Robert Beckenbaugh, MD 2007 Henry Burns, MD 1972-1973 Allen Van Beek, MD 2008 Ray A. Elliott, Jr., MD 1973-1974 Louis L. Carter, Jr. MD 2009 James Borden, MD 1974-1975 Richard Berger, MD 2010 Kim K. Lie, MD 1975-1976 Stephen Sullivan, MD 2011 Frank L. Thorne, MD 1976-1977 Lawrence R. Werschky, MD 1977-1978 Keynote Speakers Robert T. Love, MD 1978-1979 William L. White, MD 1978 Arnis Freiberg, MD 1979-1980 John W. Madden, MD 1979 Thomas J. Krizek, MD 1980-1981 Harold E. Kleinert, MD 1980 George L. Lucas, MD 1981-1982 J. William Littler, MD 1981 Garry S. Brody, MD 1982-1983 Clifford C. Snyder, MD 1982 Robert A. Chase, MD 1983 James G. Hoehn, MD 1983-1984 19 Peter C. Linton, MD 1984-1985 Richard J. Smith, MD 1984 Wallace H.J. Chang, MD 1985-1986 James M. Hunter, MD 1985 Austin D. Potenza, MD 1986-1987 Bernard McC. O’Brien, MD 1986 Lee E. Edstrom, MD 1987-1988 Erle E. Peacock, Jr., MD 1988 C. Lin Puckett, MD 1988-1989 Michael Jabelay, MD 1989 Robert J. Demuth, MD 1989-1990 Robert M. McFarlane, MD 1990 Wyndell H. Merritt, MD 1990-1991 James H. Dobyns, MD 1991 Frederick R. Heckler, MD 1991-1992 Adrian E. Flatt, MD 1992 Robert D. Beckenbaugh, MD 1992-1993 John B. Carlson, PhD 1993 David J. Smith, Jr., MD 1993-1995 Pat Clyne 1995 James W. May, Jr., MD 1995-1996 David M. Evans, FRCS 1996 Robert H. Brumfield, Jr., MD 1996-1997 Eugene Nelson, MD 1997 Robert C. Russell, MD 1997-1998 Fritz Klein 1998 Peter C. Amadio, MD 1998-1999 Janet L. Babb 1999 William M. Swartz, MD 1999-2000 Frank E. Jones, MD 2000 William Blair, MD 2000-2001 Joseph Buckwalter, MD 2001 Robert Buchanan, MD 2001-2002 Linda Cendales, MD 2002 Historical Information Alan Freeland, MD 2002-2003 Arnold-Peter Weiss, MD 2003 Allen Van Beek, MD 2003-2004 Terry L. Whipple, MD 2005 Richard Berger, MD 2004-2005 Jeff Lictman, MD, PhD 2006 Susan Mackinnon, MD 2005-2006 Richard Kogan, MD 2007 Ronald Palmer, MD 2006-2007 Ramez Naam 2008 N. Bradly Meland, MD 2007-2008 Daniel Gottlieb, PhD 2009 Scott Kozin, MD 2008-2009 Stephen Sullivan, MD and Nicholas B. Vedder, MD 2009-2010 Evan Lyons, MD 2010 A. Lee Osterman, MD 2010-2011 Michael Hayton, BSc 2011

Presidential Invited Lecturers Clinician/Teacher of the Year Harold E. Kleinert, MD 1989 Forest Brown, MD 1995 Arthur C. Rettig, MD 1990 Robert Beckenbaugh, MD 1996 Paul W. Brand, MD 1991 James Hoehn, MD 1997 Ronald L. Linschied, MD 1993 Alan Freeland, MD 1998 Guy Foucher, MD 1995 Wyndell Merritt, MD 1999 Michael R. Harrison, MD 1996 Peter Amadio, MD 2000 Dallas D. Raines 1997 Anthony DeSantolo, MD 2002 John Texter, MD 1998 Michael Jabaley, MD 2002 Vincent R. Hentz, MD 1999 Maureen Hardy, PT, MS, CHT 2002 Nancy Dickey, MD 2000 Sterling Mutz, MD 2002 Michael Wood, MD 2001 Sue Michlovitz, PT, PhD, CHT 2003 Francisco Rosas 2002 Richard E. Brown, MD 2003 Arnold-Peter Weiss, MD 2003 Nash Naam, MD 2004 Susan Mackinnon, MD 2004 Miguel Saldana, MD 2007 Editor in Chief Michael W. Neumeister, MD SIU School of Medicine Springfield, IL, USA

ow in its 6th year, HAND, the Journal of the American Association for Hand NSurgery (AAHS), is thriving and is currently circulated on a quarterly basis to almost 1,400 individual surgeons, therapists, and hand care professionals and included in the libraries of over 4,300 institutions worldwide. HAND is indexed in PubMed Central and is a unique international peer reviewed journal which combines multidisciplinary expertise from surgical, medical, hand therapy and other health care professional specialties to advance the quality of care and health of patients with hand and upper extremity pathologies.

HAND publishes on topics related to the management of pathologies in the hand and upper extremity, and will consider Surgery Articles, Hand Therapy Articles, Multimedia Articles, Review Articles, Invited Book Reviews, Correspondence and Brief Communications, and Letters To The Editor. Associate Editor, Multimedia Articles Miguel A. Pirela-Cruz, MD, FACS, El Paso, Texas, USA Associate Editor, Rehabilitation and Therapy Articles Christine B. Novak, PT, PhD, Toronto, ON, Canada Associate Editor, Review Articles Steven L. Moran, MD, Rochester, MN, USA

Editorial Board

Brian D. Adams, MD, University of Iowa, Iowa City, IA, USA Donald H. Lalonde, BSc, MSc, MD, University of New Brunswick, Peter Amadio, MD, Mayo Clinic, Rochester, MN, USA Saint John, NB, Canada Bruno Battison, MD, Centro Traumatologico, Torino, Italy Chih-Hung Lin, MD, Chang Gung University, Kweishan, Taiwan James Chang, MD, FACS, Stanford University, Palo Alto, CA, USA Susan E. Mackinnon, MD, Washington University School of Medicine, M. Felix Freshwater, MD, Miami Institute of Hand & Microsurgery, St. Louis, MO, USA Miami, FL, USA Steven McCabe, MD, MSc, University of Louisville, Alexandru Valentin Georgescu, MD, PhD, Spitalul Clinic de Recuperare, Louisville, KY, USA Cluj-Napoca, Romania Susan L. Michlovitz, PT, PhD, CHT, Cayuga Hand Therapy PT, Ithaca, NY, USA Riccardo Giunta, MD, Technische Universitat, München, Germany Ather Mirza, MD, Long Island Hand Rehabilitation Center, Smithtown, NY, USA Hand – the Journal of AAHS Elizabet Hagart, MD, PhD, Hand and Foot Reconstructive Surgery Center, Marek Molski, MD, PhD, Malia Plastic Surgery Center, Warsaw, Poland Stockholm, Sweden Wayne Morrison, AM, MD, BS, FRACS, University of Melbourne, Maureen Hardy, PT, MS, CHT, St Dominic Jackson Memorial Hospital, Melbourne, Australia Jackson, MS, USA Peter Murray, MD, Mayo Clinic, Jacksonville, FL, USA Michael Hayton, MB, FRCS, Royal Manchester Children’s Hospital, A. Lee Osterman, MD, FACS, Thomas Jefferson University, Lancashire, United Kingdom Philadelphia Hand Center, Villanova, PA, USA Mark Henry, MD, Wrist and Hand Surgery Center, Houston, TX, USA Michael Pick, MD, Rheumatology and Internal Medicine, Springfield, IL, USA Rebecca von der Heyde, PhD, OTR/L, CHT, Maryville University, Julian Pribaz, MD, FRACS, FACS, Brigham and Women’s Hospital, St. Louis, MO, USA Boston, MA, USA Eric P. Hofmeister, MD, Naval Medical Center San Diego, Jaiyoung Ryu, MD, West Virginia University, Morgantown, WV, USA 20 San Diego, CA, USA S. Raj Sabapathy, MS, MCh, DNB, FRCS, Ed MAMS, Tamil Nadu Dr Jonathan Isaacs, MD, VCU Medical Center, Richmond, VA, USA MGR Medical University, Ganga Hospital Coimbatore, India Jesse Jupiter, MD, Massachusetts General Hospital, Harvard University, Michael Sauerbier, MD, PhD, Main-Taunus Hospitals Hofeim and Bad Soden, Boston, MA, USA Academic Hospital-University of Frankfurt, Frankfurt, Germany Gretchen Kaiser, OTD, MBA, OTR/L, CHT, The Orthopedic Clinic Association, Joseph Upton, MD, Beth Israel Deaconess Hospital, Harvard University, Phoenix, AZ, USA Chestnut Hill, MA, USA Ryosuke Kakinoki, MD, PhD, Kyoto University, Kyoto, Japan Allan Van Beek, MD, University of Minnesota, Edina, MN, USA Carolyn L. Kerrigan, MD, Dartmouth-Hitchcock Medical Center, Robert A. Weber, MD, Scott & White Clinic, Temple, TX, USA Lebanon, NH, USA Fu-Chan Wei, MD, FACS, Chang Gung University, Taipei, Taiwan, Scott H. Kozin, MD, Shriners Hospital for Children, Philadelphia, PA, USA Republic of China Brian I. Labow, MD, Children’s Hospital Boston, Harvard University, Jeffrey Yao, MD, Stanford University, Palo Alto, CA, USA Boston, MA, USA

Founding Editor Elvin G. Zook, MD, Springfield, IL, USA Members of the AAHS and HAND communities are highly encouraged to submit review articles, evidence based medicine articles, and clinical or basic science research articles that are useful in changing and improving hand medicine, surgery, and therapy practices. In addition, short films (8 minutes or less) showing surgical or splinting techniques are of particular interest as they are very informative in illustrating procedures and clinical practices. It is suggested that case reports not be submitted; instead, turn possible case reports into review articles using the case report as an example in part of the review. More information on HAND: http://handsurgery.org/Hand/ • Submit online at http://www.editorialmanager.com/hand/ Hand Surgery Endowment 2011 Contributor List

hank you to the generous contributors to the Hand Surgery Endowment. Contributions to the HSE are put towards the Torganization’s mission to foster and promote the highest quality of hand care and sponsorship of programs to educate physicians and therapists in underserved areas of the world about surgical and therapy principles of hand care. To make a donation, please contact the AAHS/HSE administrative office or visit http://handsurgery.org/endowment .

Jack Abboudi, MD Carlos H. Fernandes, MD Donald H. Lalonde, MD Subbarao Polineni, MD Brian D. Adams, MD Lynn Festa, OTR, CHT George H. Landis, MD Julian Pribaz, MD Hilton C. Adler, MD David W. Fischer, MD W. P. Andrew Lee, MD Gregory E. Rauscher, MD Joseph Agris, MD David G. Fitz, MD Mark S. Leslie, MD Mark Rekant, MD Stephan Ariyan, MD Richard C. Flaherty, MD JoAnne Levitan, MD Marco Rizzo, MD Kenneth R. Arthur, MD Paul D. Fragner, MD Terry R. Light, MD Kathleen Robertson, MD John A. Attwood, MD Umeshchandra Gadaria, MD Sheila G. Lindley, MD David F. Ruebeck, MD Alejandro Badia, MD Sylvain Gagnon, MD John Eric Lomax, MD Todd K. Runyan, MD 21 Nabil A. Barakat, MD Randi A. Galli, MD Donald C. Luebke, MD Robert C. Russell, MD Mark E. Baratz, MD Jeffrey R. Garst, MD Sean P. Lyons, OTR/L CHT Chester Sakura, MD Rocco Barbieri, MD Margaret J. Geringer, MD Steven D. Macht, MD A. Neil Salyapongse, MD Lynn Bassini, MT, OTR, CHT Robert J. Goitz, MD Matthew Malerich, MD Steven B. Sanford, MD Andra Battocchio, LCDR, USPH Mark Gonzalez, MD Parvai Malik, MD Michael Sauerbier, MD Endowment 2011 Contributor List Mark R. Belsky, MD Eduardo Gonzalez-Hernandez, John J. Mara, MD Luis R. Scheker, MD Leon Benson, MD MD Howard M. Matsuba, MD Karen Schultz-Johnson, CHT Matthew Bernstein, MD Neil Andrew Green, MD James W. May, Jr., MD Deborah Schwartz, MD Timothy J. Best, MD Burt M. Greenberg, MD, Kevin B. Mayfield, MD Grzegorz Sianos, MD Sean M. Bidic, MD Jeffrey Greenberg, MD Steven McCabe, MD Martin Skie, MD David M. Bierwagen, PT, CHT Amit Gupta, MD Earl McFadden, MD Anthony A. Smith, MD Randip R. Bindra, MD Andrew W. Gurman, MD John A. McFadden, II, MD Somprasong Songcharoen, Edward L. Birdsong, MD Steven C. Haase, MD Robert Craig McKee, MD MD Donald Bittner, MD Kim Haberman, OTR/L, CHT Mehul M. Mehta, MD John G. Sparrow, MD Leonard S. Bodell, MD Paul M. Haidak, MD J. Mark Melhorn, MD Scott Steinmann, MD Ekkehard Bonatz, MD Warren C. Hammert, MD Wyndell H. Merritt, MD Charleen A. Stennett, CHT William K. Boss, Jr, MD Bryan R. Herron, MD Vaughn H. Meyer, MD Patrick Stewart, MD David Bozentka, MD David Hildreth, MD Norbert L. Ming, MD William M. Swartz, MD Keith E. Brandt, MD Gregory Hill, MD Cesar Da Miranda, MD Jay S. Talsania, MD Jeffrey Brault, DO Barney C. Horvath, MD M. Athe Mirza, MD Cary Tanner, MD Bruce W. Brewer, MD Richard Howard, DO Jose J. Monsivais, MD David A. Toivonen, MD Anthony L. Brown, MD Pamela C. Howard, PT L. Richard Morgan, MD Thomas E. Trumble, MD Mary Lynn Brown, Julianne Howell, Hiram B. Morgan, MD Douglas R. Trzcinski, MD David M. Brown, MD David Huang, MD Keith D. Morrison, MD Tsu-Min Tsai, MD Robert C. Buckley, MD Degreef Ilse, MD, PhD Peter Murray, MD Allen L. Van Beek, MD Linda C. Cendales, MD Jonathan Isaacs, MD Nash H. Naam, MD Thomas L. Von Gillern, MD A. Lawrenc Cervino, MD Ted A. Jackson, MD Daniel Nagle, MD Mark T. Walsh, DPT, MS James Chang, MD Chet J. Janecki, MD Toshiyasu Nakamura, MD Eric E. Wegener, MD Lawrence J. Chase, MD Raymond V. Janevicius, MD Ross Nathan, MD Marwan A. Wehbe, MD David T. W. Chiu, MD, T. Shane Johnson, MD Morgan E. Norris, MD Larry Weinstein, MD Ramsey J. Choucair, MD Gretchen Kaiser, OTD, OTR/L Christine Novak, PT, PhD Arno W. Weiss, Jr.,MD James M. Clayton, MD Ramasam Kalimuthu, MD Jorge L. Orbay, MD Kirsten Westberg, MD Curtis A. Crimmins, MD Loree K. Kalliainen, MD Jose Ortiz, MD Michael J. White, MD Nancy Davidson, MOTR/L Ann C. Kammien, MD A. Lee Osterman, MD Barbara Winthrop Rose, MA, Craig Alan Davis, MD Cora Karmi Gross, OTR/L,CHT Srdjan A. Ostric, MD OTR Antonio De Santolo, MD Martin A. Kassan, MD Carol I. Page, PT, DPT, C Aviva Wolff, OTR, CHT E. Gene Deune, MD Roger Khouri, MD Edward E. Palmer, MD Tse-Shiung Wu, MD Donald M. Ditmars, MD Jeffrey C. King, MD Mukund R. Patel, MD Eric J. Wyble, MD Charles J. Eaton, MD Richard D. Knauft, MD Linda G. Phillips, MD Levent Yalcin, MD More information on HAND: http://handsurgery.org/Hand/ • Submit online at http://www.editorialmanager.com/hand/ Nitin Engineer, MD, J. Daniel Labs, MD Miguel A. Pirela-Cruz, MD Richard J. Zienowicz, MD Acknowledgments

The AAHS would like to thank the following companies for their promotional support: Auxilium Pharmaceuticals, Inc. Integra Life Sciences AxoGen, Inc. MicroAire OrthoScan Skeletal Dynamics

Symposium Acknowledgments Thursday January 12, 2012 2:00 pm – 4:00 pm Hands-On Skills Lab 12:40 pm – 2:30 pm Lunch Symposium Supported by Skeletal Dynamics Supported by Auxilium Learn about the latest advancements in prosthesis XIAFLEX® (collagenase clostridium histolyticum) designs for upper extremity surgery. The GEMINUS Case Series Workshop Fossa Specific Plate features a unique dual head XIAFLEX® is a pharmacologic, nonsurgical procedure design that improves fit to the volar radial surface, approved by the FDA for the treatment of adult alleviating the potential for flexor tendon injuries while patients with Dupuytren’s contracture with a palpable providing the scaphoid and lunate fossa with optimized cord. Appropriate patient selection and cord anatomy subchondral support. are important factors when considering the use of XIAFLEX®. This workshop will include an overview Also featured is the revolutionary ALIGN Radial Head of efficacy and safety data for XIAFLEX®, followed System designed to restore the kinematics of the by 2 case study presentations in which XIAFLEX® is native anatomy, specific to each patient through the administered. Each case will include a description of proprietary alignment instrumentation. Incorporating disease and patient characteristics, patient education, a long stem for solid fixation, the prosthetic head the injection procedure, the finger extension procedure, offers the versatility of a bipolar system during post-procedure care, and patient outcomes, followed by final positioning, then locking permanently into a brief, case-specific question and answer session. This a monoblock prosthesis. Truly a paradigm shift in workshop is appropriate for physicians experienced in upper extremity surgery based on extensive clinical the treatment of Dupuytren’s contracture. experience.

22 2:00 pm – 4:00 pm Hands-On Skills Lab 2:00 pm – 4:00 pm Hands-On Skills Lab Supported by MicroAire Supported by Integra Life Sciences

This concentrated two-hour cadaver-based bioskills Please join Integra for a hands-on cadaver bioskills course provides the training required to perform ECTR course focused on endoscopic cubital tunnel release surgery using MicroAire’s SmartRelease™ECTR system. using the market leading EndoRelease™ Cubital Tunnel Surgeons will have the opportunity to view a brief, Release System. pre-taped, fully narrated, live-patient ECTR procedure performed by Thomas Trumble, MD as well as observe This course will feature a review of the surgical the technique in-person as demonstrated on a cadaver technique and benefits of the system, led by faculty specimen by a faculty surgeon. Additionally, participants surgeon Tyson Cobb MD. Participants attending will have the chance to perform the demonstrated the course will be provided training and offered the technique on their own cadaver specimen as well as opportunity to perform the technique on their own observe at least two other surgeons. cadaver specimen. CME Information American Association for Hand Surgery

Educational Overview ABMS Core Competencies The American Association for Hand Surgery Annual This program will address the following ACGME/ Meeting brings together health care professionals ABMS Competencies: from North America and abroad for a three-day • Patient Care and Procedural Skills continuing education program featuring the best • Medical Knowledge evidence of the practice of hand and upper extremity • Practice-Based Learning and Improvement health care. The program is multifaceted and includes • Systems-Based Practice almost 25 instructional courses, numerous panel 23 discussions and case-based programs, and free Accreditation Statement papers selected by a panel of experts. The learner This activity has been planned and implemented in will gain insight into both common and complex accordance with the Essential Areas and policies of problems of the upper extremity, understand the Accreditation Council for Continuing Medical indications for surgery, therapy, outcomes of each, Education (ACCME) through the joint sponsorship of and potential complications of intervention. the American Society of Plastic Surgeons (ASPS) and the American Association for Hand Surgery (AAHS). Intended Audience The ASPS is accredited by the ACCME to provide The program is intended for health care professionals continuing medical education for physicians. involved in the assessment and management of a wide variety of common and complex conditions of Designation Statement the hand and upper limb. The ASPS designates this live activity for a maximum of 22.25 AMA PRA Category 1 CreditsTM. Physicians AAHS CME Information Learning Objectives should claim only the credit commensurate with the Following completion of this activity, participants will extent of their participation in the activity. be able to: • Discuss clinical and basic scientific research on Disclosure Policy hand and upper extremity problems. The ASPS requires all faculty, authors, planners, • Integrate principles of hand therapy with surgical reviewers, managers, and other individuals in a management of hand and upper extremity position to control or influence the content of an problems. activity to disclose all relevant financial relationships • Evaluate surgical and nonsurgical principles of or affiliations. All identified conflicts of interest managing common hand and upper extremity must be resolved and the educational content problems. thoroughly vetted by ASPS for fair balance, scientific • Compare the intellectual discourses through objectivity, and appropriateness of patient care an integrated program with the related surgical recommendations. The ASPS also requires faculty/ societies (ASRM and ASPN) and resolve conflicts. authors to disclose when off-label/unapproved • Implement enhanced management of fractures, uses of a product are discussed in a CME activity or arthritis and congenital problems. included in related material. • Compare clinical and nonclinical hand therapy issues for a variety of hand problems and fractures. The AAHS would like to thank the following companies for their commercial support: Auxilium Pharmaceuticals, Inc. Medartis, Inc. American Association for Hand Surgery 2012 Annual Meeting

Disclosure Policy and Presenter’s Disclosures

The American Society of Plastic Surgeons (ASPS) requires all faculty, reviewers, managers and other individuals in a position to control or influence the content of an activity to disclose all relevant financial relationships or affiliations. All identified conflicts of interest must be resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when offlabel/ unapproved uses of a product are discussed in a CME/CE activity or included in related material.

All identified conflicts of interest have been resolved. Disclosures of all Chairs, Speakers, Authors, Moderators, Reviewers, Committee Members and other appropriate individuals:

Brian D. Adams – Consultant: Integra LifeSciences, Jeffrey A. Greenberg – Consultant: Stryker Orthopedics, Acumed Ascension Orthopedics Amit Gupta – Speaker: SBI, Synthesis; Consultant: SBI, Biomet; Nicholas Bastidas – Research Support Recipient: Advisor: SBI; Royalties: SBI Allergan Medical Inc. Thomas Hunt, III. – Speaker: Stryker; Advisor: Tornier, Inc.; Presenters’ Disclosures Prosper Benhaim – Speaker: Auxilium Pharmaceuticals (Xiaflex) – Shareholder: Tornier, Inc.; Research Support Recipient: Tornier, on the speaker’s bureau; Honorarium: Auxilium Pharmaceuticals Inc; Royalties: Tornier, Inc., Lippincott Publisher J. Lee Berger – Shareholder: LB Medical LLC; Patent Holder: Asif M. Ilyas – Speaker: Medartis; Consultant: Wright Medical, LB Medical LLC Integra Randip R. Bindra – Speaker: Integra Neurosciences; Jesse B. Jupiter – Consultant: Ecosmed/AO; Shareholder: OHK Consultant: Acumed LLC Michael W. Keith – User Group: Exactech (Non-paid); David Bozentka – Consultant: Synthes Consultant: Neuros (Non-paid) Darrell Brooks – Research Support Recipient: AxoGen, Inc Shai Luria – Research Support Recipient: Synthes Justin M. Brown – Consultant: Checkpoint Surgical Wyndell Merritt – Speaker: Auxilium; Consultant: MicroAire; Royalties: EpiCut Knife – MicroAire Martin Chochole – Consultant: Integra M. Ather Mirza – Advisor: A.M. Surgical, Inc.; Speaker: A.M. Tyson Cobb – Speaker: Integra; Research Support Recipient: Surgical, Inc.; Shareholder: A.M. Surgical, Inc. Integra; Royalties: Integra Steven L. Moran – Consultant: Ascension, Conventus 24 Stephen Coleman – Research Support Recipient: Orthopaedics Auxilium Pharmaceuticals Nash H. Naam – Consultant: Auxillium Greg Couzens – Research Support Recipient: LMT, Medartus, Arthrex, Dupuy, Lima Jorge Luis Orbay – Owner: Skeletal Dynamics Randall W. Culp – Consultant: BioMet, SBi Lorenzo Pacelli – Consultant: Ascension Orthopedics David G. Dennison – Speaker: AO; Research Support Recipient: Clayton A. Peimer – Consultant: Auxilium Pharmaceuticals DePuy, Sonoma Kevin D. Plancher - Speaker: Linvatec; Consultant: Merck (non- Scott F.M. Duncan – Royalties: Hecatonchires, LLC paid); Royalties: Saunders/Mosby-Elsevier, Thermo; Other: Editorial/Governing Board: American Journal of Orthopedics; Scott G. Edwards – Shareholder: Mylad Orthopedic Solutions Board Member/Committee Appointments: American Academy of Peter J. Evans – Speaker: SBI; Consultant: SBI; Advisor: SBI Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, American Shoulder and Elbow Surgeons, Arthroscopy John J. Fernandez – Royalties: Tornier Association of North America, International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine William B. Geissler – Consultant: Acumed, Arthrex American Association for Hand Surgery 2012 Annual Meeting

Disclosure Policy and Presenter’s Disclosures (continued)

David C. Ring – Speaker: AO North America, AO International; Terri Skirven – Research Support Recipient: Auxilium Consultant: Wright, Biomet, Skeletal Dynamics, Acumed, Joint Pharmaceuticals Active Systems, Medartis; Shareholder: Mimedex, Illuminos; Research Support Recipient: Biomet; Skeletal Dynamics, Joint Dean G. Sotereanos – Consultant: Axogen; Consultant: Integra Active Systems; Royalties: Wright, Biomet, Skeletal Dynamics, John S. Taras – Speaker: Integra LifeSciences, AxoGen, Inc.; Medartis Shareholder: Owner/President, Union Surgical, LLC.; Research Marco Rizzo – Speaker: Auxilium, Synthes; Consultant: Synthes; Support Recipient: AxoGen, Inc.; Speakers Bureau: AxoGen, Inc Research Support Recipient: SBI John Bradley Turner – Research Support Recipient: Genzyme 25 Michael Saint-Cyr – Consultant: Mentor, Allersan, Life Cell Corporation Luis R. Scheker – Shareholder: Aptis Medical Sudhir Warrier – Patent Holder: Universal Mini External Fixator (No Royalties or support)

The following Chairs, Speakers, Authors, Moderators, Reviewers, Committee Members and other appropriate individuals reported they have no relevant financial relationships or affiliations to disclose:

Dorit H. Aaron Alvaro Baik Cho Maria Christina Chandra Ellis Leila Maria Abdalla Mark E. Baratz Jennifer Y. Chu SuRak Eo Antonio Augusto Nunes Abreu Kleber Oliveira Barboza Bryan Chung William B. Ericson Joshua M. Abzug Jason S. Barr Michael Chung Amr Fahmy

Sandro Adeodato Lynn Bassini Cynthia Cooper Reinier Feitz Presenters’ Disclosures Mehdi N. Adham Hillary Ann Becker Antonio Carlos Costa Carlos Henrique Fernandes Joshua M. Adkinson Michael Bednar Nichola Crosby Francisco A. Schwartz Fernandes Irfan Ahmed João Carlos Belloti Danielle Cross Robert Ferreira Marcio A. Aita Timothy J. Best Tiago Guedes da Motta Mattar Lynn Festa Ngozi Mogekwu Akabudike Allen T. Bishop Luiz G. Dadalt Antonio Tufi Neder Filho Yelena Akelina Renato Harley Santos Botelho Jonathan R. Danoff Brian T. Fitzgerald Erden Ali Mehmet Bozkurt Phani Dantuluri Georgette A. Fogg Lígia Cortez Almeida Paul Brach Nancy Davidson Celso Folberg Arnold B. Alqueza Gerald Brandacher Peter G. Davidson M. Felix Freshwater Loai A. Alsalmi Wendy E. Bruinsma Rui Sergio Monteiro de Barros Scott Frey Peter C. Amadio Samuel Buonocore Emygdio De Paula Scott M. Fried Ashley N. Amalfi Kevin A. Calder Henrique deBarros Pinto Netto Jeffrey B. Friedrich Sharon Andruskiwec José Maurício Morais Carmo Ramon DeJesus Paula Galaviz Brian Arslanian Matthew Carty Gabrie Del Correl Nicolas Gasse Morad Askari Linda Cendales Luca Devalle Scott Gelman Emmanuel Atiemo Felecia Cerrato Seth Dodds Alexandru Georgescu Atakan Aydin Victor Cesar Ivica Ducic Blake Paul Gillette Kodi Azari Refaela de Souza Cesario Christopher J. Dy Brent A. Graham Anna Babushkina James Chang Amirhesam Ehsan Jennifer B. Green Alejandro Badia Shi-Min Chang André Bastos Duarte Eiras Ashok Gupta

(continued next page) American Association for Hand Surgery 2012 Annual Meeting

Disclosure Policy and Presenter’s Disclosures (continued)

Ranjan Gupta Sze Wei Justin Lee Ivan G. Olarte Ali M. Soltani Warren C. Hammert Terry R. Light Wilson M. Oliveira Kimberly Spahn Mark Henry Fabio Azevedo Lima A. Lee Osterman Mandayam A. Srinivasan Fernando A. Herrera Ines C. Lin Tuna Ozyurekoglu Trevor Starnes Eric P. Hofmeister Hein Ter Linden Carlos Eduardo Saenz Pacheco Peter J. Stern Jung-Hsien Hsieh John D. Lubahn Antonio Pedro neto Pais J. Sullivan Jerry I. Huang George L. Lucas Min Jung Park Sumedh Talwalkar Marta Huber Ann T. Lund William C. Pederson Hsiang Wei Teng Thomas B. Hughes Candida Luzo Silmara Nicolau Pedro da Silva Michael J. Terry Richard L. Hutchinson Joy C. MacDermid Marcelo Ricardo Reis Pereira Vishal Thanik Oscar Izquierdo David Mandell Laura Petrella Jennifer L. Thompson Jeffrey W. Johnson Tambra Marik Craig S. Phillips Matthew M. Tomaino Peter S. Johnston Noah J. Marsh Milton Bernardes Pignataro Pei-Yein Tong Neil F. Jones Rames Mattar, Jr. Miguel A. Pirela-Cruz Tsu-Min Tsai Sung No Jung Steven McCabe Paulo Randal Pires, Jr. Thomas H. Tung

Presenters’ Disclosures Gretchen Kaiser S. K. McHale Rafael Augusto Dantas Prinz Julien Uhring Sanjeev Kakar Berkan Mersa Wenrui Qu Heitor Jose Rizzardo Ulson Loree K. Kalliainen Sue Michlovitz Gre Rafijah Kristin A. Valdes Hester J. Kan Cesar Dario Oliveira Miranda Shyam S. Raghavan Richard van Balen Jesse Daniel Kaplan Kazuaki Mito Rebecca A. Rajfer John van der Werff Ryan D. Katz Vinicius Ynoe Moraes Mark S. Rekant Sara Van Nortwick Christina Kauffman Peter M. Murray Marcelo Rosa de Rezende Eduardo Farias Vasquez Atsuo Kawakita Praveen G. Murthy Michael Rivlin Nicholas B. Vedder Jonathan D. Keith João Carlos Nakamoto Severin Rochet Haritha B. Veeramachaneni Hana Farhang Khoee Theresa L. Narehood Russell D. Rosenberg Jennifer Verhoekx Roger K. Khouri Pramod Nelluri Paulo Henrique Ruschel Guus M. Vermeulen Alison Kitay David T. Netscher Jaiyoung Ryu Rebecca Von der Heyde Alex A. J. Kocheta Henrique Barros Pinto Netto Bauback Safa Eric Wagner Andrew J. Kochevar Michael W. Neumeister Douglas M. Sammer Sudhir Werrier 26 Armin Kraus Zhi Yang Ng Edson Sasahara Sato Kathryn Marie Watson Rajendra Kumar Timothy Niacaris Robert R. Schenck Marwan A. Wehbe Donald H. Lalonde Christine B. Novak Antonio Lourenco Severo Kevin William Wilson Chelsy Landa Emily Nuse Sheel Sharma Terri Wolfe William Lanzinger Jane M. O Eon Shin Aviva Wolff Chad Lavender Yukihiko Obara Jaimie T. Shores Montri Daniel Wongworawat George Lawson Jin-Rok Oh Sachin M. Shridharani Theresa O. Wyrick Joo-Yup Lee Gilberto Hiroshi Ohara Karla Slater Brandon Yuan Rushyuan Jay Lee Scott Oishi Jennifer Lauren Smith Abolghasem ZareZadeh

AAHS, ASPN, ASPS and ASRM Education and Meetings staff members have no relevant financial relationships or affiliations to disclose. American Association for Hand Surgery In collaboration with The Brazilian Society for DAY-AT-A-GLANCE Surgery of the Hand Sociedade Brasileira Wednesday, January 11, 2012 de Cirurgia da Mão

6:00am – 5:00pm Speaker Ready Room Willows 6:30am – 3:00pm Registration Registration Desk 6:30am – 7:00am Continental Breakfast Veranda

Specialty Day Program: Hand Trauma-Playing the Hand You’re Dealt 27 7:00am – 8:00am AAHS Instructional Courses 101 Management of Symptomatic Veranda A Instability of the Distal Radioulnar Joint 102 Distal Radius Fractures: Basic Concepts Veranda B 103 Advanced Techniques in Wrist and Veranda C Thumb CMC Arthroscopy 104 Fracture-Dislocations of the PIP Joint Veranda D 105 Update on Flexor Tendon Injury Management Siena ® (ABPS MOC-PS -approved) 106 Advances in Hand Transplantation Trails

8:10am – 8:20am President and Specialty Day Chair Welcome Summerlin ABEF AAHS Day-at-a-Glance 8:20am – 8:22am Role of the Surgeon Accompanying Summerlin ABEF Vargas Award Therapist 8:22am – 8:30am Vargas Award Recipient Summerlin ABEF 8:30am – 9:30am Panel: Management of the Mangled Hand Summerlin ABEF 9:30am – 10:30am Panel: Treating Hand Trauma in an Summerlin ABEF Austere Environment

10:30am – 10:50am Coffee Break Summerlin Foyer 10:50am – 11:50am Panel: Prevention and Management Summerlin ABEF of Hand Stiffness After Trauma 11:50am – 12:30pm Invited Guest Lecture Summerlin ABEF James Chang, MD

12:30pm – 5:00pm Hands-On Development Workshop Veranda AB Surgeons Workshop: Principles and Application of Internal Fixation in the Hand Therapist Workshop: Veranda C Advanced Splinting Techniques in the Hand and Wrist

5:00pm – 6:00pm “Wine with the Wizards” Reception Penthouse Suite 180

6:30pm – 8:30pm Welcome Reception Veranda & Veranda Terrace AAHS Program 103 Advanced Techniques in Wrist and Wednesday January 11, 2012 Thumb CMC Arthroscopy Chair: William B. Geissler, MD Instructors: Randall W. Culp, MD; Cesar Dario Oliveira Miranda, MD; Specialty Day Program: Hand Trauma – Tyson Cobb, MD; Mark S. Rekant, MD Playing the Hand You’re Dealt This course is an advanced course aimed at surgeons who are familiar with basic techniques of small joint arthroscopy. The 6:30 am – 7:00 am Continental Breakfast faculty will cover new portals, procedures such as TFCC repair to bone and arthroscope assisted excision arthroplasty or arthrodesis and fracture reduction in the wrist. The portals and techniques of 7:00 am – 8:00 am Instructional Courses management of thumb basal joint arthritis will also be discussed.

Objectives: Following this session, the participant will be able to: Management of Symptomatic 1. Discuss the indications for use of dorsal and volar portals for wrist 101 arthroscopy Instability of the 2. Explain the technique of TFC repair to bone using arthroscopic techniques Distal Radioulnar Joint 3. Compare arthroscopic proximal row carpectomy to Chair: Jeffrey A. Greenberg, MD open surgery Instructors: Thomas B. Hughes, MD; David Bozentka,MD; 4. List portals and indications for arthroscopy of the thumb

AAHS Program Brian D. Adams, MD; Paulo Henrique Ruschel, MD; basal joint. Susan Michlovitz, PT, PhD, CHT Instability of the DRUJ can develop acutely after injury or may Fracture-Dislocations develop insidiously after bony misalignment or soft tissue laxity. 104 The condition can be difficult to diagnose and treat. The course of the PIP Joint will focus on clinical and radiographic assessment of DRUJ stability Chair: Peter J. Stern, MD and various open and arthroscopic methods of treatment of Instructors: Sudhir Warrier, MS; Greg Couzens, MD; Fabio Azevedo acute injuries. The role of tendon reconstruction and osteotomy Lima, MD; Ann T. Lund, OTR/L, CHT, CLS for chronic instability will also be explained. New techniques of splinting and therapy for operative and non-operative cases will be Difficulty in maintaining reduction, delayed presentation and the discussed. high incidence of stiffness make fracture dislocations of the PIP joint the most challenging hand injury. The faculty will discuss Objectives: Following this session, the participant will be able to: several closed and open techniques of managing these injuries 1. Identify clinical and radiographic features and distinguish after acute presentation and present a treatment algorithm. Repair instability of the DRUJ from other cause of ulnar-sided clicking of and reconstruction for late presentation using hamate or small the wrist. metacarpal osteochondral grafts will also be discussed. 2. Formulate a treatment plan for acute and chronic DRUJ instability. Objectives: Following this session, the participant will be able to: 3. Compare arthroscopic versus open surgical techniques for 1. Explain initial reduction technique, assessment of reduction and treating DRUJ instability. indications for surgery. 4. List rehabilitation options for acute injuries and after surgical 2. Compare treatment options, including the indications, techniques management. and complications of each. 3. Discuss management of untreated injuries presenting late after injury. 102 Distal Radius Fractures: 4. Describe recent developments in rehabilitation of PIP injuries Basic Concepts treated non-operatively and post surgery. Chair: John S. Taras, MD Update on Flexor Tendon Instructors: Theresa O. Wyrick, MD; Alex A. J. Kocheta, MD; 105 Steven L. Moran, MD; Antonio Lourenco Severo, MD; Injury Management Leila Maria Abdalla, OT, CHT (ABPS MOC-PS®-approved) Fractures of the distal radius are among the most common injuries Chair: Prosper Benhaim, MD 28 seen in a hand clinic. This course is aimed at hand surgeons who Instructors: Nicholas B. Vedder, MD; have trained in specialties other than orthopedic surgery and is James Chang, MD; Seth Dodds, MD; intended to cover basic principles of treatment of distal radius Sharon Andruskiwec, PT, CHT fractures. The course will cover classification, common fracture patterns, interpretation of plain radiographs and acceptable Participation in this course can satisfy the MOC CME requirement parameters of reduction as well as role of therapy after casting or of the ABPS practice improvement module, Flexor Tendon surgery. Cases will be used to illustrate selection of appropriate Management, for ABPS diplomates if they have uploaded their treatment modality-closed reduction and casting, external fixation 10 consecutive cases on the ABPS web site. The course will cover and plating. principles and basic science of tendon healing and repair as well as advances in repair techniques and rehabilitation after repair. Objectives: Following this session, the participant will be able to: Prevention and management of complications such as rupture, 1. Explain the normal anatomy of the distal radius and radiographic stiffness and adhesions will be discussed. fracture patterns. 2. Discuss non-operative management and indications for surgery. Objectives: Following this session, the participant will be able to: 3. Explain surgical approaches and compare different surgical 1. Explain recent advances in basic science concepts of flexor options. tendon healing. 4. Give an overview of rehabilitation after distal radius fractures. 2. Compare different repair techniques and rehabilitation protocols after repair. 3. Describe assessment and management of complications of tendon repair. 4. Understand the best current evidence in flexor tendon repair. 10:30 am – 10:50am Coffee Break 106 Advances in Hand and Composite 10:50 am – 11:50am Tissue Transplantation Panel: Prevention and Management of Hand Stiffness Chair: Linda Cendales, MD After Trauma Instructors: Gerald Brandacher, MD; Christina Kauffman, PhD; Scott Moderator: Mark E. Baratz, MD; Georgette A. Fogg, OTR/ L, CHT Frey, PhD Invited Panelists: Seth Dodds, MD; John D. Lubahn, MD; Ann T. This course will review current evidence to support indications, Lund, OTR/L, CHT, CLS; Susan Michlovitz, PT, PhD, CHT medical supportive therapy and new strategies in composite tissue Stiffness is the most dreaded complication of hand injury as it can allotransplantation. significantly hamper function and frustrate the patient and care team. This course will focus on surgical and non-surgical techniques Objectives: Following this session, the participant will be able to: to deal with the stiff hand. 1. Discuss the current role of tissue transplantation in hand surgery Objectives: Following this session, the participant will be able to: 2. Explain patient selection and medical management of these 1. Assess the stiff hand and identify problems that need to be patients. addressed. 2. Formulate a rehabilitation plan and set evaluation goals. 8:10 am – 8:20 am President and Specialty Day 3. Discuss indications for surgical intervention explain techniques Chair Welcome for anticipation and prevention of stiffness. 29 11:50 am – 12:30 pm Invited Guest Lecture

James Chang, MD More Unfortunate Lessons from War: Current Research on Unsolved Hand Trauma Problems Steven McCabe, MD Georgette A. Fogg, OTR/ L, CHT The specialty of hand surgery began as a AAHS President Specialty Day Chair result of the influx of hand trauma from World War II. In recent wars, advances 8:20 am – 8:22 am in military medical care have dramatically increased survival Role of the Surgeon Accomanying Vargas Award Therapist rates for injured soldiers. With lives saved, the reconstruction of Robert Schenck, MD traumatized extremities has again become a priority, this time for Dept. of Plastic Surgery, Rush University, Section of Hand Surgery, Federal research funding. In this lecture, the unsolved problems in Chicago, IL reconstruction of hand trauma will be presented with a special focus on cutting edge research. 8:22 am – 8:30 am Vargas Award Recipient Paula Galaviz, OT 12:30 pm – 5:00 pm Hands-On Development Workshop 8:30 am - 9:30 am Panel: Management of the Mangled Hand Wednesday, January 11 Moderator: Jesse B. Jupiter, MD; Christine B. Novak, PT, PhD Surgeons Workshop Invited Panelists: William C. Pedersen, MD; Neil F. Jones, MD; Principles and Application of Internal Fixation in the Hand Kristen A. Valdes, OTD, OTR, CHT; Rebecca von der Heyde, PhD, OTR/L, Co-Chairs: Jaiyoung Ryu, MD; Douglas M. Sammer, MD CHT Instructors: Sheel Sharma, MD; Ranjan Gupta, MD; Asif M. Ilyas, Management of the mangled hand requires timely and systematic MD; John J. Fernandez, MD; Antonio Tufi Neder Filho, MD; Sandro intervention. This panel features experts who deal with this situation Adeodato, MD on a regular basis and will clarify the approach to successful Management of small bone fractures of the hand and wrist requires management of these difficult injuries. familiarity with mini screws and plates. This course offers the opportunity to learn practical techniques from experts and put Objectives: Following this session, the participant will be able to: them into practice on saw bone models. 1. Discuss assessment and prioritize management of various components of serious hand injury. Objectives: Following this workshop, the participant will be able to: 2.  Explain selection of appropriate technique for skeletal 1. Discuss preoperative planning of fracture fixation. stabilization. 2. Demonstrate on a saw bone model the application of basic 3. Discuss options of soft tissue cover plan rehabilitation and principles of lag screw fixation, neutralization plate and discuss prevention of complications. compression plating. 3. Perform locked plating of distal radius fracture model. 9:30 am – 10:30 am Panel: Treating Hand Trauma in an Austere Environment Moderator: Eric P. Hofmeister, MD; Dorit H. Aaron, OTR, MA, CHT, FAOTA Invited Panelists: Miguel A. Pirela-Cruz, MD; Brian T. Fitzgerald, MD; Lynn Bassini, MA, OTR, CHT; Karla Slater, MS OTR/L The nature of injuries sustained and available resources on the battlefield are very different from civilian practice. This panel will feature the challenges of war time injuries and how surgeons and therapists work together to restore form and function to our men and women in uniform.

Objectives: Following this session, the participant will be able to: 1. Discuss military hand injuries and their difference from civilian wounds.

2. Explain techniques to provide optimal care with limited resources. AAHS Program Continued th 3. Discuss the psychosocial aspects of recovery from wounds sustained in conflict. Therapist Workshop notes Advanced Splinting Techniques in the Hand and Wrist Chair: Rebecca von der Heyde, PhD, OTR/L, CHT Co-Chair: Sharon Andruskiwec, PT, CHT Instructors: Georgette A. Fogg, OTR/L, CHT; Kristen A. Valdes, OTD, OTR, CHT; Theresa L. Narehood OTR/L, CHT; Dorit H. Aaron, OTR, MA, CHT; Eric P. Hofmeister, MD

This workshop will review evidence-based orthotic selection and fabrication for common, yet complex diagnoses following procedures of the upper extremity. Clinical reasoning will be explored for orthotic selection and customization based on multiple factors: anatomy, biomechanics, surgical procedures, and clinical evidence.

Objectives: Following this workshop, the participant will be able to: 1. Explain the rationale for orthotic selection and splinting customization based on anatomy, biomechanics, surgical procedures, and clinical evidence. 2. List the evidence-based information available on splinting the wrist and hand.

5:00 pm – 6:00 pm “Wine with the Wizards” Reception AAHS Program See description, page 15.

6:30 pm – 8:30 pm Welcome Reception See description, page 15.

30 American Association for Hand Surgery DAY-AT-A-GLANCE Thursday, January 12, 2012

6:00am – 5:00pm Speaker Ready Room Willows 6:30am – 3:00pm Registration Registration Desk 6:30am – 1:40pm Exhibit Hall Hours Charleston Ballroom 6:30am – 7:00am Continental Breakfast Charleston Ballroom 31 7:00am – 8:00am AAHS Instructional Courses 107 Wrist Arthroplasty Update Veranda A 108 Local Flaps for Finger Defects Veranda B 109 Sports Injuries in the Hand and Wrist Veranda C 110 Management of Complications Veranda D of Hand Fractures 111 Basics of Shoulder and Elbow Evaluation Siena 112 Evaluation and Management of the Cold Hand Trails

8:00am – 8:15am President and Program Chair Welcome Summerlin ABEF

8:15am – 8:30am Debate: Radial Club Hand: Summerlin ABEF AAHS Day-at-a-Glance To Centralize is to Penalize 8:30am – 8:45am Debate: Silicone is the Gold Standard Summerlin ABEF for PIP Joint Replacement 8:45am – 9:30am Concurrent Panel A: Single Digit Dupuytrens Summerlin ABEF Contracture: Many Treatment Options, Still No Cure 8:45am – 9:30am Concurrent Panel B: Wrist Arthritis-Fuse or Replace? Summerlin CD 9:30am – 10:30am Concurrent Scientific Paper Session A Summerlin ABEF Concurrent Scientific Paper Session B Summerlin CD 10:30am – 11:00am Coffee Break with Exhibitors Charleston Ballroom 11:00am – 11:10am Brazilian Hand Society President Address Summerlin ABEF

Paulo Pires Randal, MD; Anderson Vieira Monteiro, MD 11:10am – 11:30am Brazilian Hand Society Session Summerlin ABEF 11:30am – 12:00pm Presidential Address Summerlin ABEF 12:00pm – 12:40pm Invited Guest Lecture: Summerlin ABEF Haptics: Science, Technology and Applications Mandayam A. Srinivasan, PhD 12:40pm – 1:40pm Lunch with Exhibitors Charleston Ballroom 12:40pm – 2:30pm Lunch Symposium Veranda 2:00pm – 4:00pm Hands-On Industry Labs Veranda ABC AAHS Program Thursday January 12, 2012 110 Management of Complications of Hand Fractures 6:30 am – 7:00 am Continental Breakfast Chair: Jesse B. Jupiter, MD Instructors: Asif M. Ilyas, MD; Sudhir Warrier, MS; David C. Ring, MD; Milton Bernardes Pignataro, MD; Lynn Festa, OTR/L, CHT 7:00 am – 8:00 am Instructional Courses Managing complications of hand fractures treated conservatively or operatively is a challenge. The experienced faculty will discuss issues 107 Wrist Arthroplasty Update of stiffness, malunion, nonunion and bone loss and osteomyelitis- prevention and management. All aspects of management will be Chair: Brian D. Adams, MD covered including initial assessment, additional imaging techniques, Instructors: Sumedh Talwalkar, MD; Martin Chochole, MD; timing of intervention, surgical options and expected outcomes. Amit Gupta, MD; Terri Wolfe, CHT Improvement in implant design and osseous fixation has resulted Objectives: Following this session, the participant will be able to: in an increasing clinical application of total wrist arthroplasty. Learn 1. Explain common complications and develop strategies to current indications and applications from experts in the field. The avoid them. course will cover implant design and mechanics, patient selection, 2. Discuss the principles of treatment of stiffness, infection technical tips during surgery and salvage of failures. and nonunion. 3. Draw preoperative plan for correction of bony deformity. Objectives: Following this session, the participant will be able to: AAHS Program 1. Explain the design rationale and osseous fixation of current generation of wrist implants. 111 Basics of Shoulder and Elbow Evaluation 2. Discuss patient selection and indications for surgery. 3. List complications and discuss management. Chair: Craig S. Phillips, MD Instructors: Jeffrey W. Johnson, MD; Rui Sergio Monteiro de Barros, MD; Thomas B. Hughes, MD; Paul Brach, MS, PT, CHT 108 Local Flaps for Finger Defects Patients seen in the hand clinic often have complaints in the shoulder Chair: Sheel Sharma, MD or elbow that require evaluation. This course is intended for surgeons Instructors: Hein Ter Linden, MD; Tsu-Min Tsai, MD; and therapists who are less familiar with evaluation of the shoulder Warren C. Hammert, MD; Alvaro Baik Cho, MD and elbow. The faculty will cover physical examination of the shoulder and elbow and clinical features of common conditions affecting Exposure of bone and tendon in the injured finger requires flap these joints. coverage. There are several local options that are relatively quick, limit morbidity to the hand and allow early rehabilitation. The Objectives: Following this session, the participant will be able to: faculty will cover the management of finger tip injuries, dorsal 1. Examine the shoulder and elbow and demonstrate physical signs. wounds, volar wounds with techniques ranging from local 2. Diagnose common afflictions of these joints on the basis of advancement flaps to complex neurovascular pedicled flaps. clinical features. Objectives: Following this session, the participant will be able to: 1. Explain the vascular anatomy of the hand relative to pedicled flaps. 112 Evaluation and Management 2. Compare the different flap options and discuss indications for of the Cold Hand each flap. Chair: Michael W. Neumeister, MD Instructors: Peter M. Murray, MD; Jeffrey B. Friedrich, MD; Douglas M. 109 Sports Injuries in the Hand and Wrist Sammer, MD; Michael Saint-Cyr, MD Chair: Thomas Hunt III, MD Cold intolerance of the hands can result from various causes including Instructors: David Bozentka, MD; John S. Taras, MD; Greg Couzens, collagen disorders, vibration exposure, ulnar artery thrombosis or as MD; Kevin D. Plancher, MD; Jennifer L. Thompson, MPT, CHT a primary disease. The faculty will discuss evaluation of the patient and appropriate investigations and discuss medical and surgical Hand and wrist injuries that result on the playing field require to be management. managed differently with a view to early return to sport. The panel will explain the nuances of a sports injury practice with discussion Objectives: Following this session, the participant will be able to: 32 of common hand and wrist injuries and those that are unique to the 1. Explain the causes of cold intolerance of the hand. athlete. Issues of permissible splinting for different sports, timing of 2. List investigations for evaluation. return to different sports and rehabilitation will be discussed 3. Compare the different treatment methods and discuss in detail. complications of each. Objectives: Following this session, the participant will be able to: 1. Identify important issues for ability to return to play for each 8:00 am – 8:15 am President & Program Chair Welcome individual sport. 2. Discuss treatment options- splinting and surgical for treating sports injuries. 3. Explain and outline a timeline for the athlete to return to sport.

Steven McCabe, MD Randip R. Bindra, MD AAHS President AAHS Program Chair 8:15 am – 8:30 am Debate 9:30 am – 10:30 am Concurrent Paper Session A Radial Club Hand: To Centralize is to Penalize Moderator: Heitor Ulson, MD; Joy C. MacDermid, BScPT, PhD Moderator: Michael W. Neumeister, MD (4 minute presentations) Pro: Terry R. Light, MD Con: Scott Oishi, MD 9:30 am – 9:34 am Centralization of the hand on the forearm for the management #1 Six Months Postoperative Results of an RCT Comparing of radial club hand remains controversial. This debate by experts Extensive Percutaneous Release and Lipografting with Con- explores the advantages and potential shortfalls of centralization ventional Fasciectomy in Dupuytren’s Disease procedure. Hester J. Kan, MSc1; Ruud W. Selles, PhD1; Christianne A. van Nieuwenhoven, MD, PhD1; Erik T. Walbeehm, MD, PhD1; Objective: Following this debate, the participant will be able to: Roger K. Khouri, MD2; Steven E.R. Hovius, MD, PhD1 Indications and complications of centralization procedure for 1Plastic and Reconstructive Surgery and Hand Surgery, Erasmus MC, radial deficiency. Rotterdam, Netherlands, 2Miami Hand Center, Miami, FL

8:30 am – 8:45 am Debate 9:34 am – 9:38 am Silicone is the Gold Standard for PIP Joint Replacement #2 Multiple Collagenase Clostridium Histolyticum Moderator: Francisco A. Schwartz Fernandes, MD Injections into Dupuytren‘s Cords in a Single Hand Pro: Peter J. Stern, MD Simultaneously 33 Con: Peter J. Evans, MD, PhD Stephen Coleman, MD1; James Tursi, MD2; Greg Kaufman, MD2; Silicone arthroplasty has been used successfully for more than 3 Nigel Jones3; Brian Cohen, PhD2 and Nash Naam, MD4 decades for treatment of PIP joint arthritis. Several newer implants 1Hand & Upper Limb Clinic, Brisbane, Australia, 2Auxilium are now available with the promise of better motion and clinical Pharmaceuticals, Inc, Malvern, PA, 3Auxilium Pharmaceuticals, results. Experts in joint replacement surgery will discuss the benefits Inc, Windsor, United Kingdom, 4Southern Illinois Hand Center and and shortcomings of silicone and the role of new joint replacement Southern Illinois University, Effingham, IL techniques. 9:38 am – 9:42 am Objective: Following this debate, the participant will be able to: #3 Percutaneous Needle Aponeurotomy for the Treatment of Discuss the role of newer implants for the management of PIP Dupuytren‘s Contracture: Early Results and Complications arthritis. Fernando A. Herrera, MD1; Jason Roostaeian, MD1; 1 2 8:45 am – 9:30 am Concurrent Panel A Prosper Benhaim, MD ; Scott Mitchell, MD 1 Single Digit Dupuytrens Contracture: Many Treatment Options, Plastic and Reconstructive Surgery, UCLA Medical Center, Still No Cure Los Angeles, CA, 2Division of Hand and Microsurgery, UCLA, Los Angeles, CA Moderator: Peter M. Murray, MD; Terri Skirven, BSC, OT Invited Panelists: Jeffrey A. Greenberg, MD; Alex A. J. Kocheta, MD; 9:42 am – 9:46 am Nash H. Naam, MD; Roger K. Khouri, MD #4 Efficacy and Effectiveness of Collagenase Clostridium The recent introduction of collagenase injection as a treatment Histolyticum for Dupuytren‘s Contracture option for dupuytrens contracture has renewed an interest in the Clayton A. Peimer, MD1; Paul Skodny, PharmD2; disease. The panel of experts will review and compare different John Mackowiak, PhD3 treatment options and their appropriate indications. Thursday, January 12 1College of Human Medicine, Michigan State University, Marquette, MI; 2Health Economics and Outcomes Research, Medical Affairs, Objectives: Following this panel, the participant will be able to: Auxilium Pharmaceuticals, Malvern, PA; 3Center for Outcomes 1. Explain the mechanism of action of collagenase. Research, Nashville, TN 2. Discuss the rationale of treatment of primary and recurrent disease. 9:46 am – 9:50 am Discussion 3. Compare the different treatment methods and discuss complications of each. 9:50 am – 9:54 am #5 Rate of Clinically Significant Post-traumatic Arthritis 8:45 am – 9:30 am Concurrent Panel B following Small Finger CMC Fracture-Dislocations Wrist Arthritis-Fuse or Replace? Min Jung Park, MD, MMSc1; Nick Pappas1; David J. Bozentka, MD2 Moderator: Prosper Benhaim, MD 1Department of Orthopedic Surgery, University of Pennsylvania, Invited Panelists: Randall W. Culp, MD; Craig S. Phillips, MD; Brian D. Philadelphia, PA; 2Department of Orthopedic Surgery, Hospital of Adams, MD; Amit Gupta, MD the University of Pennsylvania, Philadelphia, PA Walking the fine line between motion and pain relief, surgeons have 9:54 am – 9:58 am several treatment options for management of the painful arthritic #6 Loss of Midline Function in Brachial Plexus Birth wrist - total or partial fusion and replacement. Based on current Palsy Patients evidence the indications, outcomes and complications of each Joshua Abzug, MD1; Teresa Wyrick, MD2; Scott Kozin, MD3 outcome will be discussed. 1Department of Orthopaedic Surgery, University of Maryland, Baltimore, MD; 2University of Arkansas, Little Rock, AR; 3Shriners Objectives: Following this panel, the participant will be able to: Hospital for Children Philadelphia, Philadelphia, PA 1. Identify different patterns of post-traumatic and degenerative wrist arthritis. 9:58 am – 10:02 am 2. Explain indications for surgery for the arthritis wrist. #7 Reverse End-to-Side Motor Nerve Transfer for 3. Discuss current role of wrist replacement arthroplasty. Augmentation of Ulnar Nerve Intrinsic Function John R. Barbour, MD, Kirsty U. Boyd, MD, Santosh Kale, MD, Marci S. Bailey, RN, MSN, Susan E. Mackinnon, MD Washington University School of Medicine, Division of Plastic and Reconstructive Surgery, Saint Louis, MO

10:02 am – 10:06 am th #8 Treatment of Congenital Pseudarthrosis of the Forearm #16 Clinical Outcomes of Zone II Flexor Tendon Repair (CPF) with Vascularized Fibular Graft (VFG). Evaluation of the Depending on Mechanism of Injury 1 2 Results After a Minimum 15 Years of Follow-up – Cohort Study Trevor Starnes, MD, PhD ; Rebecca J. Saunders, CHT ; 1 Rames Mattar Junior, MD, PhD; Tiago Guedes da Motta Mattar, MD; Kenneth R. Means Jr, MD 1 Emygdio Jose Leomil Paula, MD, PhD; Marcelo Rosa Rezende, MD, Union Memorial Hospital - Orthopaedic Hand Surgery, The Curtis 2 PhD; Teng Hsiang Wei, MD, PhD; Luciano Ruiz Torres, MD; National Hand Center, Baltimore, MD; Union Memorial Hospital - Hand Luiz Koiti Kimura, MD; Mateus Saito, MD Therapy, The Curtis National Hand Center, Baltimore, MD Department of Orthopedic - Hand and Microsurgery Division, University of Sao Paulo, Sao Paulo, Brazil 9:46 am – 9:50 am Discussion

10:06 am – 10:10 am Discussion 9:50 am – 9:54 am #17 Ultrasonographic Assessment of Transversal Tendon and 10:10 am – 10:14 am Nerve Dynamics in CTS Patients Versus Healthy Controls 1 2 #9 Functional Testing and Outcome Measures in Children with Richard van Balen ; Jan-Wiebe H. Korstanje, MSc ; Marjan Scheltens- 3 3 2 Isolated Thumb Aplasia Treated by Pollicization de Boer, MD ; Joleen H. Blok, PhD ; Harm P. Slijper, PhD ; Henk J. 4 2 David T. Netscher, MD1; Oluseyi Aliu, MD1; Brinkley Sandvall, MD1; Stam, MD, PhD1; Steven E.R. Hovius, MD, PhD ; Ruud W. Selles, PhD 1 Kimberly Staines, OTR, CHT2; John Thornby, PhD3 Department of Rehabilitation Medicine and Physical Therapy, 1Department of Orthopedic Surgery and Division of Plastic Surgery, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, 2 Baylor College of Medicine, Houston, TX; 2Physical Medicine, VA Medical Netherlands; Department of Rehabilitation Medicine and Physical Center, Houston, TX; 3Internal Medicine, VA Medical Center, Houston, TX Therapy & Department of Plastic and Reconstructive Surgery, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, Netherlands; 3 10:14 am – 10:18 am Department of Clinical Neurophysiology, Erasmus MC, University 4 #10 Botulinum Toxin-A as an Adjunct in Digital Replantation Medical Centre Rotterdam, Rotterdam, Netherlands; Department of AAHS Program Nicholas Bastidas, MD1; Orianna Cohen1; Zhi Vang Ng, MD1; Plastic and Reconstructive Surgery, Erasmus MC, University Medical Oren Z. Lerman, MD2; Daniel Ceradini1; Pierre Saadeh1 Centre Rotterdam, Rotterdam, Netherlands 1Institute of Reconstructive Plastic Surgery, New York University School of Medicine, New York, NY; 2Plastic Surgery, Lennox Hill Hospital, 9:54 am – 9:58 am New York, NY #18 Outcomes of Sensory Nerve Repair: Sub-group Analysis from a Multicenter Study on Processed Nerve Allografts 10:18 am – 10:22 am Darrell Brooks, MD #11 Comparison of the Sensory Modality Effects of Bupivacaine The Buncke Clinic, San Francisco, CA Digital Nerve Blocks with and without Epinephrine: A Level One Study 9:58 am – 10:02 am Kevin A. Calder, BSc, MD1; Bryan Chung, MD, PhD1; CM O’Brien, BSc1; #19 Transfer of the Abductor Pollicis Brevis Tendon to Flexor Donald H. Lalonde, BSc, MSc, MD2 Carpi Radialis for the Restoration of Tip-Pinch in Severe 1Division of Plastic Surgery, Dalhousie University, Halifax, NS, Canada; Carpal Tunnel Syndrome 2Plastic Surgery Dept, Dalhousie University, Saint John, NB, Canada Michael V. Birman, MD; Jonathan R. Danoff, MD; Melvin P. Rosenwasser, MD 10:22 am – 10:26 am Trauma Training Center, Department of Orthopaedic Surgery, Columbia #12 Management of Ring Injuries of the Finger: Microsurgical University Medical Center, New York, NY Salvage, Reconstruction, and Long-Term Follow-Up Nicholas Crosby, MD1; John Hood1; Graeme Baker, MD2; 10:02 am – 10:06 am John Lubahn, MD1 #20 Novel 3D Quantitative Analysis of the Volar Plate and its 1Orthopaedics, UPMC Hamot, Erie, PA; 2Plastic Surgery, Georgia Institute Attachments at the Proximal Interphalangeal Joint 1 1 for Plastic Surgery, Savannah, GA Sze Wei Justin Lee, BSc ; Zhi Yang Ng, MBChB ; Quentin Fogg, BSc, PhD2 1 10:26 am – 10:30 am Discussion Medical School, University of Glasgow, Glasgow, United Kingdom; 2 Anatomy, University of Glasgow, Glasgow, United Kingdom 9:30 am – 10:30 am Concurrent Paper Session B 10:06 am – 10:10 am Discussion Moderator: Nash H. Naam, MD; Paul Brach, MS, PT, CHT (4 minute presentations) 10:10 am – 10:14 am #21 Effect of Preoperative Ulnar Nerve Subluxation on Outcome 9:30 am – 9:34 am Following Endoscopic Cubital Tunnel Release #13 A Biomechanical Analysis of Barbed Suture Use in Tyson Cobb, MD1; Peter Merrell, PA-C2; Jon Lemke, PhD3 Flexor Tendons 1Director of Hand Surgery, Orthopaedic Specialists, PC, Davenport, IA; 34 Michael J. Terry, MD; Michael Matthew, MD 2Orthopaedic Specialists, Davenport, IA; 3Biostatistics, Genesis Medical Plastic Surgery, Yale University, New Haven, CT Center, Davenport, IA

9:34 am – 9:38 am 10:14 am – 10:18 am #14 Flexor Tendon Tissue Engineering: Acellularization of #22 Revision Surgery for Failed Carpal Tunnel Release Human Flexor Tendons Reduces Immunogenicity in-vivo SuRAk Eo, MD; HeeChang Ahn, MD, PhD; Neil Ford Jones, MD Shyam S. Raghavan; Colin Woon; Armin Kraus; Kai Megerle; Hand Surgery, University of California Irvine, Orange, CA Matthew Choi; Brian Pridgen; Hung Pham; James Chang, MD Plastic & Reconstructive Surgery, Stanford University, Stanford, CA 10:18 am – 10:22 am #23 Cold Intolerance After Median, Ulnar or Radial Nerve Injury 9:38 am – 9:42 am Christine B. Novak, PT, PhD1; Dimitri J. Anastakis, MD1; Dorcas E. #15 Why Do Corticosteroids Help In Stenosing Tenosynovitis? – Beaton, PhD2; Susan E. Mackinnon, MD3; Joel Katz, PhD4 A Histologic Examination of the Tenosynovium 1Division of Plastic & Reconstructive Surgery, Hand Program, University Emmanuel Atiemo, MD1, Jennings Jennings2, Jasvir, S. Khurana, MD3, of Toronto, Toronto, ON, Canada; 2Mobility Program Clinical Research John Gaughan, PhD2; Asif M. Ilyas, MD4 Unit, St Michael’s Hospital, University of Toronto, Toronto, ON, Canada; 1Orthopaedics, Temple University Hospital, Philadelphia, PA; 2School 3Division of Plastic and Reconstructive Surgery, Washington University of Medicine, Temple University, Philadelphia, PA; 3Pathology, Temple School of Medicine, St. Louis, MO; 4Department of Psychology & University Hospital, Philadelphia, PA; 4Rothman Institute, Thomas Department of Anesthesia, York University & University of Toronto, Jefferson University, Philadelphia, PA Toronto, ON, Canada

9:42 am – 9:46 am 10:22 am – 10:26 am #24 Targeted Lumbrical Splinting and Stretching Versus Standard Treatment on Functional Outcomes in Persons with Bend it like Bartels; Evidence Based Medicine and the Cubital Mild to Moderate Carpal Tunnel Syndrome Tunne Syndrome Krissy K. Moehling, MPH1; Elaine N. Rubinstein, PhD2; Ronit Wollstein, Steven McCabe, MD MD3; Norman P. Gustafson, MS, CHT, OTR/L1; Mark E. Baratz, MD4; Nancy A. Baker, ScD, MPH, OTR/L1 12:00 pm – 12:40 pm Invited Guest Lecture 1Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA; 2Department of Measurement and Evaluation of Haptics: Science, Teaching, University of Pittsburgh, Pittsburgh, PA; 3Department of Technology and Applications Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Mandayam A. Srinivasan, PhD PA; 4Allegheny Orthopedics Association, Allegheny General Hospital, Pittsburgh, PA Dr. Mandayam Srinivasan is Director of the MIT Touch Lab and Senior Scientist in the 10:26 am – 10:30 am Discussion Department of Mechanical Engineering and the Research Laboratory of Electronics 10:30 am – 10:55 am Coffee Break with Exhibitors at MIT. Dr. Srinivasan will describe the scientific and technological underpinnings of the emerging field of 11:00 am – 11:10 am Brazil Hand Society President Address Haptics. This will entail a brief overview of our recent advances in Paulo Pires Randal, MD; Anderson Vieira Monteiro, MD skin biomechanics, tactile neuroscience, human haptic perception, robotic hardware and real-time simulation software, all of which 11:10 am - 11:30 am Brazilian Hand Society Session have helped establish Haptics as an exciting area of research. 35 (4 minute presentations) 12:40 pm – 1:40 pm Lunch with Exhibitors 11:10 am – 11:14 am #25 Biomechanics and Histological Analysis in Rabbit Flexor 12:40 pm – 2:30 pm Lunch Symposium Tendons Repaired Using Three Suture Techniques (4 and 6 See description, page 22. strands) with Early Active Mobilization Antônio Lourenço Severo, MD, MSc1; Rodrigo Arenhart, PT, MSc2; 2:00 pm – 4:00 pm Hands-on Skills Labs Daniela Silveira, MD, MSc3; Aluísio Octávio Vargas Ávila, BE, PhD4; See description, page 22. Francisco José Berral, MD, PhD5; Marcelo Barreto Lemos, MD6; Paulo César Faiad Piluski, MD1; Osvandré Luis Canfield Lech, MD7 1Center of the Upper Limb Surgery, IOT/RS (Institute of Orthopedics and Traumatology), Passo Fundo, Brazil; 2Center of Physiotherapy, URI (Regional Integrated University), Erechim, Brazil; 3Center of Pathology, UPF (University of Passo Fundo), Passo Fundo, Brazil; 4Laboratory of Biomechanics, UDESC (State University of Santa Catarina), Florianópolis, Brazil; 5Department of Sports and Computer Science, UPO (University of Pablo de Olavide), Sevilla, Spain; 6Center of the Upper Limb Surgery, IOT (Institute of Orthopedics and Traumatology), Passo Fundo, Brazil; 7Chief Medical Residency, IOT/RS (Institute of Orthopedics and Traumatology), Passo Fundo, Brazil

11:14 am – 11:18 am

#26 Bridging Plate for the Treatment of Distal Radius Fractures Thursday, January 12 Carlos Eduardo Saenz Pacheco; Eduardo Murilo Novak; Giana Silveira Giostri; Cartelli Daniel Ortopedia, Grupo de Cirurgia da Mão Hospital Universitário Cajuru - Pontificia Universidade Católica do Parana, Curitiba, Brazil

11:18 am – 11: 22 am #27 Study Comparing Antibiotic Treatment And Antibiotic Profilaxys for the Treatment of Open Fractures of the Hand Swanson Type I Paulo Randal Pires Junior, MD1; Paulo Randal Pires, MD1; Leandro de Azevedo Figueiredo, MD2 1Orthopedics, Madre Teresa Hospital, Belo Horizonte, Brazil; 2Orthopedics, Madre Teresa Hospital, Vitoria, Brazil

11:22 am – 11:26 am #28 Toe to Hand Transplantation: 14 Years of Brazilian Experience with 30 Consecutive Cases Hsiang Wei Teng, MD; Rames Mattar Jr, MD; Marcelo Rosa Resende, MD; Luciano Ruiz Torres, MD Orthopedic Surgery, University of Sao Paulo, Sao Paulo, Brazil

11:26 am – 11:30 am #29 Development of Database on the Upper Extremity Splints Made in the Service of Occupational Therapy from a Public Hospital in São Paulo Rafaela de Souza Cesário, OT, CHT; Lígia Cortez Almeida, OT; Maria Candida M. Luzo, OT Occupational Therapy, Instituto de Ortopedia e Traumatologia do HCFMUSP, São Paulo, Brazil

11:30 am – 12:00 pm Presidential Address th notes notes

36 American Association for Hand Surgery DAY-AT-A-GLANCE Friday, January 13, 2012

6:00am – 5:00pm Speaker Ready Room Willows 6:30am – 5:30pm Registration Registration Desk 6:30am – 10:30am Exhibit Hall Hours Charleston Ballroom 6:30am – 7:00am Continental Breakfast Charleston Ballroom

7:00am – 8:00am AAHS Instructional Courses 113  “Middle-of-the-Night” Regional Pedicled Veranda A 37 Flaps for Emergency Coverage of Hand Wounds 114 Reconstruction of the Pediatric Thumb: Veranda B Congenital and Post-Traumatic 115 Management of Acute and Chronic Veranda C SL Instability 116 Challenging Proximal Phalangeal Fractures Veranda D 117 Uncommon Compressive Neuropathies Siena in the Upper Extremity 118 The Business of Workmen’s Trails Compensation Practice

8:00am – 8:10am Hand Surgery Endowment (HSE) President Report Summerlin ABEF AAHS Day-at-a-Glance 8:10am – 8:25am Debate: Professional Practice Guidelines: Critical Summerlin ABEF For Patient Care or ammo for Criticism of Care 8:25am – 8:40am Debate: Nerve Conduction Studies are Summerlin ABEF Unnecessary for Treatment of Carpal Tunnel Syndrome 8:40am – 9:10am Panel: Management of Digital Nerve Gap – What Really Works? Summerlin ABEF 9:10am – 10:10am Scientific Paper Session A2 Summerlin ABEF 9:10am – 10:10am Open Forum Session Summerlin CD 10:10am – 10:30am Coffee Break with Exhibitors Charleston Ballroom 10:30am – 11:00am Concurrent Scientific Paper Session A3 Summerlin ABEF Concurrent Scientific Paper Session B3 Summerlin CD 11:00am – 12:00pm Joint AAHS/ ASPN Panel: Summerlin ABEF Evidence-Based Approach to Peripheral Nerve Problems: Things I Don’t Do Anymore and How I Do it Now 12:00pm - 12:45pm Danyo Lecture: Summerlin ABEF Digital Education – Where Have All the Books Gone? Terry R. Light, MD 12:45pm – 1:30pm Annual Business Meeting (AAHS Members Only) Summerlin ABEF 1:30pm – 5:50pm Comprehensive Hand Review Course Veranda A&B 3:30pm – 3:50pm Coffee Break Charleston Foyer 7:00pm – 10:00pm Annual Meeting Dinner Dance Summerlin ABEF AAHS Program 116 Challenging Proximal Friday January 13, 2012 Phalangeal Fractures Chair: David G. Dennison, MD 6:30 am – 7:00 am Continental Breakfast Instructors: Tuna Ozyurekoglu, MD; Victor Cesar Jr., MD; Warren C. Hammert, MD; Karla Slater, MS, OTR/L 7:00 am – 8:00 am Instructional Courses Some proximal phalanx shaft and most articular fractures are recognized to be problematic and if not treated appropriately, are associated with disability from malunion or stiffness. This course 113 “Middle-of-the-Night” Regional will focus on problematic fracture patterns that are unstable or Pedicled Flaps for Emergency unreducible and the faculty will explain techniques of fixation from K wires to screws and plates. Rehabilitation techniques after casting Coverage of Hand Wounds or surgical fixation will also be discussed. Chair: Nicholas B. Vedder, MD Instructors: Reiner Feitz, MD; Steven L. Moran, MD; Mark Henry, MD; Objectives: Following this session, the participant will be able to: Kodi Azari, MD; Jeffrey B. Friedrich, MD 1. Identify unstable fracture patterns that require surgical stabilization. The provision of soft tissue coverage to the injured hand, forearm 2. Compare different techniques of phalangeal fracture fixation. and elbow remains fundamental to the care of complex injuries. 3. Explain the rehabilitation protocol following surgery or casting There are several options to provide emergent primary coverage of wounds utilizing regional flaps without microvascular anastomosis. AAHS Program The faculty will present such flaps which have proven predictable, Uncommon Compressive durable, and versatile. The pitfalls and pearls of technique and how 117 these new flaps compare to alternatives will be expanded upon. Neuropathies in the Upper Extremity Chair: Michael W. Neumeister, MD Objectives: Following this session, the participant will be able to: Instructors: Peter C. Amadio, MD; Matthew M. Tomaino, MD; John D. 1. Explain the vascular anatomy of commonly utilized pedicles in Lubahn, MD; Rafaela de Souza Cesario, OT, CHT the elbow, forearm and hand. Evaluation and management of hand numbness or weakness can 2. Identify the appropriate flap to be used based on a given be challenging when the picture does not fit carpal or cubital tunnel patient scenario. syndrome. The experts in the panel will discuss less common but 3. Compare different upper extremity flaps and discuss important compressive neuropathies involving nerves around the complications and benefits of each. plexus, shoulder, elbow and proximal forearm. Tips and tricks for making the diagnosis will be discussed. 114 Reconstruction of the Pediatric Thumb: Congenital and Post-Traumatic Objectives: Following this session, the participant will be able to: 1. Explain the anatomy of nerve compression in the shoulder, Chair: David T. Netscher, MD elbow and forearm Instructors: Amit Gupta, MD; Terry R. Light, MD; Scott N. Oishi, MD; 2. Discuss clinical features and electrophysiological findings of Marcelo Rosa de Rezende, MD; Dorit H. Aaron, OTR, MA, CHT uncommon neuropathies This course will focus attention on reconstruction of pediatric 3. List nonoperative treatment options. thumb disorders congenital or following trauma. Classification of 4. Explain timing of surgical intervention and surgical approach. congenital thumb hypoplasia and duplication and principles of reconstruction will be discussed with case examples. The course will The Business of also cover management of traumatic amputation of part or entire 118 thumb and discuss principles of surgical reconstruction based on Workmen’s Compensation Practice level of bone and extent of soft tissue loss. Aspects of therapy and Chair: Alejandro Badia, MD splinting before and after surgery will also be discussed. Instructors: Eon K. Shin, MD; Michael Bednar, MD; Cynthia Cooper, MA, OTR, CHT Objectives: Following this session, the participant will be able to: Patients seen under workmen’s compensation plans need 1. Classify congenital thumb hypoplasia and duplication and select more than just medical care - job site evaluations, return to appropriate reconstruction procedure. work considerations, impairment rating - the process can get 2. Explain rationale of different techniques for reconstruction after overwhelming. The faculty will explain the nuts and bolts of setting amputation based on level of loss. up a successful WC practice and explain terminology such as MMI, 3. List postoperative splinting and rehabilitation protocol after 38 FCE and discuss some of the psychological aspects unique to this reconstruction patient population. 115 Management of Acute and Objectives: Following this session, the participant will be able to: Chronic SL Instability 1. Explain unique issues related to treatment of the workman’s compensation patient. Chair: Jaiyoung Ryu, MD 2. Identify the steps in management and return to work after Instructors: Gregory Couzens, MD; Phani Dantuluri, MD; Sumedh work injury. Talwalkar, MD; Candida Luzo, OT The session will cover surgical management of acute and chronic 8:00 am – 8:10 am Hand Surgery Endowment (HSE) scapholunate instability. The experienced faculty will cover manage- President Report ment of acute injuries with or without distal radius fractures and the Ronald E. Palmer, MD management of chronic instability with and without arthritis.

Objectives: Following this session, the participant will be able to: 1. Detail the clinical features of acute and chronic wrist instability and radiographic assessment. 2. Explain approach to evaluation and management of acute SL instability. 3. Describe treatment algorithm and surgical management for chronic SL instability. 8:10 am – 8:25 am 9:18 am – 9:22 am Debate: Professional Practice Guidelines: Critical For Patient #32 Motion-Preserving Treatment Options for Wrist Arthritis: Care or Ammo for Criticism of Care Proximal Row Carpectomy Versus CLX Fusion, a Novel Moderator: David C. Ring, MD Method of Intercarpal Arthrodesis Pro: Michael W. Keith, MD Praveen G. Murthy, AB; Mark L. Wang, MD; Sidney M. Jacoby, MD; Con: A. Lee Osterman, MD A. Lee Osterman, MD; John M. Bednar, MD The Philadelphia Hand Center, Thomas Jefferson University, National organizations have begun the process of providing Philadelphia, PA guidelines for practice based on available evidence. The aim of this debate is to highlight the benefits of these guidelines and potential 9:22 am – 9:26 am pitfalls and legal ramifications of attempting to set standards for #33 Distal Radius Hemiarthroplasty Combined with Proximal Row practice. Upon completion of this debate, the participant will be able Carpectomy for Arthritis of the Wrist to discuss the advantages of clinical guidelines and the application Scott Gelman, BA; Sidney Jacoby, MD; Randall W. Culp, MD of these guidelines to clinical practice. Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA Objectives: Following this debate, the participant will be able to: Explain the current role of clinical guidelines. 9:26 am – 9:30 am #34 Ulnar Head Implant Arthroplasty as a Treatment for Arthritis 8:25 am – 8:40 am of the DRUJ 39 Debate: Nerve Conduction Studies are Unnecessary for Brian Adams, MD1; John Gaffey, MD2 Treatment of Carpal Tunnel Syndrome 1Department of Orthopaedics and Rehabilitation, University of Iowa Moderator: Peter C. Amadio, MD Hospitals and Clinics, Iowa City, IA; 2Orthopedics, Des Moines Orthopedic Pro: Brent A. Graham, MD Surgeons- East, Des Moines, IA Con: Steven McCabe, MD The diagnosis of nerve compression has traditionally been made 9:30 am – 9:37 am Discussion by careful recording of patient symptoms and detailed physical examination. While critical to the diagnosis in some cases, the role of 9:37 am – 9:41 am electrophysiology in management of these patients is controversial. #35 Analysis of Predynamic and Dynamic Proximal After this debate the participant will be able to explain the Carpal Row Injuries indications for use of nerve conduction studies in clinical practice. Eric Wagner, MD; Robert R. Gray, MD; Sanjeev Kakar, MD Mayo Clinic, Rochester, MN Objectives: Following this debate, the participant will be able to: Discuss the importance of clinical evaluation and the role of 9:41 am – 9:45 am electrophysiological studies for management of carpal tunnel #36 Radiographic Detection of Long Screw Placement During syndrome. Volar Plating of the Distal Radius J. Sullivan, MD; Cari Lee Cordell, MD; William Lanzinger, MD; Terry 8:40 am – 9:10 am Light, MD; M. Bednar, MD; R. Bindra, MD Panel: Management of Digital Nerve Gap – What Really Works? Department of Orthopaedics, Loyola Medical Center, Maywood, IL Moderator: Nicholas B. Vedder, MD 9:45 am – 9:49 am Panelists: Ranjan Gupta, MD; Steven L. Moran, MD; #37 Impaired Functional Outcome Associated with Perilunate Randip R. Bindra, MD; Allen T. Bishop, MD Injuries of the Wrist There are several options for managing nerve gaps in the fingers Sanjeev Kakar, MD; MRCS, MBA1; Brandon Yuan, MD2; Peter Rhee, DO3, ranging from nerve grafting to biological or artificial conduits. The David Jones, MD3; Steven L. Moran, MD4 expert panel will explain the benefits and indications of different 1Orthopaedics, Mayo Clinic, Rochester, MN 2; Orthopedic Surgery, Mayo treatment options for treating digital nerve gaps. Clinic, Rochester, MN 3; Orthopaedic Surgery, Mayo Clinic, Rochester, MN; 4 Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN Friday, January 13 Objectives: Following this debate, the participant will be able to: 1. Explain the essential physiological requirements for the nerve to 9:49 am – 9:53 am bridge the gap. #38 Treatment of Trigger Finger: Randomized Clinical Trial 2. Compare different treatment options for digital nerve gap Comparing the Methods of Corticosteroid Injection, management and applications of each. Percutaneous Release, and Open Surgery Edson Sasahara Sato, MEDICAL, DR1; João Baptista Santos, MD2; João 9:10 am – 10:10 am Scientific Paper Session A2 Carlos Belloti, MD, PhD3; W. M. Albertoni, MD4; F. Faloppa, MD4; Carlos Henrique Fernandes, MD2 Moderators: Michael Bednar, MD; Silmara Nicolau Pedro da Silva, 1Discipline of Hand and Upper Limb Surgery, Department of Orthopedics MSc OTr and Traumatology, UNIFESP - Universidade Federal de São Paulo, São (4 minute presentations) Paulo, Brazil; 2Orthopaedic sugery / Hand Surgery group, Universidade Federal de São Paulo, São Paulo, Brazil; 3Departamento de Ortopedia 9:10 am – 9:14 am e Traumatologia, Universidade Federal de São Paulo, São Paulo, Brazil; #30 Divergent Patterns of Trapezial Articular Degeneration in 4Orthopedic Surgery / Hand Surgery Group, Universidade Federal de São Thumb Carpometacarpal (CMC-I) Arthritis Paulo, São Paulo, Brazil Sara Van Nortwick, BA; Julia Lee, BS; R. Cheng; Alex Roux; Amy Ladd, MD 9:53 am – 9:57 am Chase Center for Hand Surgery, Stanford University, Stanford, CA #39 Biomechanical Analysis of the Distal Metaphyseal Ulnar Shortening Osteotomy 9:14 am – 9:18 am Jeffrey A. Greenberg, MD, MS1; Frederick W. Werner, MME, PE2; Jared #31 Patient Satisfaction after Bilateral Thumb Carpal Smith, BA2 Metacarpal Osteoarthritis Surgery 1The Indiana Hand to Shoulder Center, Indianapolis, IN; 2Department of Arnold B. Alqueza, MD; Fostvedt Sigrid, BA; Jesse B. Jupiter, MD Orthopedic Surgery, Upstate Medical University at Syracuse, Syracuse, NY Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA 9:57 am – 10:10 am Discussion th 9:10 am – 10:10 am Open Forum Session 9:28 am – 9:30 am F10. The Surgical Treatment for the Traumatic Mallet Finger Moderators: A. Lee Osterman, MD; Robert C. Ferreira, MD Alexandru Georgescu, Prof, MD, PhD; Ileana Matei, AsProf, MD, PhD (2 minute presentations) Plastic Surgery and Reconstructive Microsurgery Clinic, UMF Iuliu Hatieganu, Cluj Napoca, Romania 9:10 am – 9:12 am F1. Arthroscopic Treatment of Internal Rotation Contracture and 9:30 am – 9:32 am Glenohumeral Dysplasia in Brachial Plexus Birth Palsy F11. Scaphocapitate Fusion in the Management of Scott Kozin, MD1; Joshua Abzug, MD2; Dan Zlotolow, MD1; Kienböck’s Disease Alexis Williams, BS1; Gerald Williams, MD3 Ines C. Lin, MD1; Peter Rhee, DO2; Steven L. Moran, MD2; Allen T. Bishop, 1Shriners Hospital for Children Philadelphia, Philadelphia, PA; MD3; Alexander Y. Shin, MD4 2Department of Orthopaedic Surgery, University of Maryland, Baltimore, 1Division of Plastic Surgery, Hospital of the University of Pennsylvania, MD; 3Department of Orthopaedic Surgery, Thomas Jefferson University Philadelphia, PA; 2Plastic and Reconstructive Surgery, Mayo Clinic, Hospital - Rothman Institute, Philadelphia, PA Rochester, MN; 3Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN; 4Orthopedic Surgery, Mayo Clinic, Rochester, MN 9:12 am – 9:14 am F2. IJS: Internal Joint Stabilizer. Elbow Complex Cases 9:32 am – 9:34 am Jorge Luis Orbay, MD; Igor R. Indriago, MD F12. Grafting Over Not Vascularized Ulnar Nerve for Treatment of The Hand Institute, Miami, FL Complete Brachial Plexus Injury Paulo Randal Pires, MD; Paulo Randal Pires Junior, MD; Tiago Dórea 9:14 am – 9:16 am Rosário Falcão, MD F3. Use of an Iso-Elastic Tension Band for the Treatment of Orthopedics, Madre Teresa Hospital, Belo Horizonte, Brazil AAHS Program Olecranon Fractures Rebecca A. Rajfer, BS; Jonathan R. Danoff, MD; Ioannis C. Zouzis, MD; 9:34 am – 9:36 am Melvin P. Rosenwasser, MD F13. Dual Oblique Incisions for Release of the Department of Orthopaedic Surgery, Columbia University, New York, NY Proximal Median Nerve William B. Ericson, MD 9:16 am – 9:18 am Ericson Hand and Nerve Center, Mountlake Terrace, WA F4. Hydrophilic Polymers Promote Immediate Physiologic Recovery after Nerve Repair with Collagen Tubes 9:36 am – 9:38 am Gabriel Del Corral, MD; Kevin W. Sexton, MD; L. B. Nanney, PhD; R. F14. Ulnar Sided Wrist Pain (USWP): Sensitivity and Specificity Bruce Shack, MD; W. P. Thayer, MD, PhD of Diagnostic Tests and Outcomes after Treatment with Ulnar Plastic Surgery, Vanderbilt University, Nashville, TN Shortening Osteotomy (USO) M. Ather Mirza, MD; Mary Kate Reinhart, MS, CNP 9:18 am – 9:20 am Smithtown, NY F5. Factors Affecting Outcome of Triceps Motor Nerve Transfer for Isolated Axillary Nerve Injury 9:38 am – 9:40 am Joo-Yup Lee, MD, PhD1; Michelle, F. Kircher, RN2; Robert J. Spinner, F15. What is the Best Radiographic View to Evaluate the Deviation MD3; Allen T. Bishop, MD4; Alexander Y. Shin, MD4 in Die Punch Fractures? A Cadaveric Study 1Department of Orthopedic Surgery, The Catholic University of Korea, Antonio Carlos Costa, MD; Diego Figueira Falcochio, MD; Bruno Eiras Seoul, South Korea; 2Neurological Surgery, Mayo Clinic, Rochester, MN; Crepaldi, MD; Christiano Augusto Trindade, MD; Ivan Chakkour, MD 3Department of Neurosurgery, Mayo Clinic, Rochester, MN; 4Department Hand Surgery and Microsurgery, Santa Casa, São Paulo, Brazil of Orthopedic Surgury, Mayo Clinic, Rochester, MN

9:40 am – 9:42 am 9:20 am – 9:22 am F16. The Anterograde Homo-Digital Neurovascular Island Flap for F6. Arthroscopic Wrist Debridement and Radial Styloidectomy Reconstruction of Fingertip Injuries for Late-stage Scapholunate Advanced Collapse Wrist Ryan D. Katz, MD1; Ramon DeJesus, MD2 Michael V. Birman, MD; Jonathan R. Danoff, MD; 1Curtis National Hand Center, Baltimore, MD; 2Hand Surgery, Upper Melvin P. Rosenwasser, MD Chesapeake/Union Memorial Hospitals, Bel Air Trauma Training Center, Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY 9:42 am – 9:44 am F17. Early Results of Partial Wrist Arthrodesis with PEEK-Optima 9:22 am – 9:24 am Circular Plates F7. Tri-Ligament Tenodesis; Speeding up Recovery Ngozi Mogekwu Akabudike, MD; Peter J. Evans, MD, PhD, FRCSC Reinier Feitz, MD1; Eva Beek, MD2; Harm Slijper, Phd1; Sjoerd Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH 40 Kamminga, MD2; Thybout Moojen, MD, Phd3 1Xpert Clinic, Hilversum, Netherlands; 2Hand en Pols centrum, 9:44 am – 9:46 am Diakonessenhuis Zeist, Zeist, Netherlands; 3Hand surgery, Xpert Clinic, F18. MP Transarticular Fixation of Fractures of the Proximal Hilversum, Netherlands Phalanx Base André Bastos Duarte Eiras, MD; Jorge Ribamar Bacellar Costa, MD; 9:24 am – 9:26 am José Maurício Carmo, MD F8. Radial Artery Perforator Flap: An Option for Hand Coverage Unit of Hand and Microsurgery/Orthopaedics and Traumatology/ without Sacrificing the Main Vessel. A Series of Cases Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Teng Hsiang Wei, MD, PhD; Antonio Augusto Nunes Abreu, MD; Janeiro, Rio de Janeiro, Brazil Rames Mattar Jr, MD, PhD; Marcelo Rosa Resende, MD, PhD; Luciano Ruiz Torres, MD 9:46 am – 9:48 am Orthopedic Surgery, University of Sao Paulo, Sao Paulo, Brazil F19. Anatomy of the Radial Artery and the Safe Zone in the First Web Space 9:26 am – 9:28 am William Lanzinger, MD; Randy Bindra, MD F9. New Method of Flexor Tenosynovitis Treatment Results in Department of Orthopaedics, Loyola Medical Center, Maywood, IL Less Post-operative Pain and Earlier Range of Motion Haritha B. Veeramachaneni, MD; Brad Edgerton Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, CA 9:48 am – 9:50 am 10:06 am – 10:08 am F20. Nonunion of Nonoperatively Treated Displaced F29. Response of Dupuytren`s Disease Fibroblasts To Different Olecranon Fractures Oxygen Environments Wendy E. Bruinsma, MD1; Anneluuk Lindenhovius, MD, PhD1; Tolga Turker, MD1; Erin Murphy, BA1; Christina Kaufman, PhD1; Harish Michael D. McKee, MD, FRCSC2; George S. Athwal, MD, FRCSC3; David Rekapally, MS2; James B. Hoying, PhD2; Huey-Yuan Tien, MD1; Tuna Ring, MD, PhD1 Ozyurekoglu, MD1; Thomas W. Wolff, MD1; Luis R. Scheker, MD3; Joseph 1Orthopaedic Hand and Upper Extremity Service, Massachusetts E. Kutz, MD1 General Hospital, Boston; 2Professor, Division of Orthopaedics, 1Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY; Department of Surgery, St. Michael’s Hospital and the University of 2Cardiovascular Innovation Institute, Louisville, KY; 3Kleinert Kutz Hand Toronto, Toronto, ON, Canada; 3The Hand and Upper Limb Centre, Care Center, Christine M. Kleinert Institute for Hand and Microsurgery, St Joseph’s Health Care, University of Western Ontario, London, ON, Louisville, KY Canada 10:10 am – 10:30 am Coffee Break with Exhibitors 9:50 am – 9:52 am F21. Camptodactyly: Assessment of Treatment 10:30 am – 11:00 am Concurrent Scientific Paper Session A3 (Retrospective Analysis of 22 Cases) Moderator: Brian D. Adams, MD; Susan Michlovitz, PT, PhD, CHT Saulo Fontes Almeida, MD; Anderson Vieira Monteiro, Rúbia Carla da (2 minute presentations) Silva Lanes, MD; Eduardo Farias Vasquez, MD; Sandro A. Adeodato, MD; Carlos Alberto Neto, MD; Werner Leite, MD; Fabio A. Lima, MD 10:30 am – 10:32 am 41 Hand Surgery Center, Instituto Nacional de Traumato Ortopedia, Rio de #40 Tips and Tricks in Hand Surgery Janeiro, Brazil Hein Ter Linden, MD Hand & Wrist Centre Holland, Diakonessen Hospital Utrecht, Utrecht, 9:52 am – 9:54 am Netherlands F22. Outcome of Pyrocarbon Arthroplasty of Proximal Interphalangeal Joint 10:32 am – 10:34 am Nash Naam, MD; Patrick Stewart, MD; Danielle Westendorf, MOTR/L; #41 Feasibility of Contralateral Trapezius Transfer to Restore Lonni Weis, OTR/L, CHT; Lori Niemerg, OTR/L, CHT Shoulder External Rotation: Part I Southern Illinois Hand Center and Southern Illinois University, Eric Wagner, MD1; Bassem T. Elhassan, MD2 Effingham, IL 1Mayo Clinic, Rochester, MN; 2Orthopaedic Surgery, Div Hand Surgery, Mayo Clinic, Rochester, MN 9:54 am – 9:56 am F23. Use of a Fractionated Carbon Dioxide Laser Treatment 10:34 am – 10:36 am Protocol for the Treatment of Scars and Adhesions in the #42 Percutaneous Needle Aponeurotomy for Recurrent Disease Upper Extremity 2 1 1 Following Open Fasciectomy: Is it Safe? Julie Kwan, MD ; Leo T. Kroonen, MD ; Eric P. Hofmeister, MD ; Brian 1 1 1 1 2 2 Fernando A. Herrera ; Ahmed S. Suliman, MD ; Jason Roostaeian ; Fitzgerald, MD ; Nathan Uebelhoer, DO ; Peter Shumaker, MD 1 1 2 1 Kodi Azari, MD ; Prosper Benhaim, MD ; Scott Mitchell, MD Department of Orthopedic Surgery, Naval Medical Center San Diego, 1 2 Plastic and Reconstructive Surgery, UCLA Medical Center, Los Angeles, San Diego, CA; Department of Dermatology, Naval Medical Center San CA; 2Division of Hand and Microsurgery, UCLA, Los Angeles, CA Diego, San Diego, CA 10:36 am – 10:38 am 9:56 am – 9:58 am #43 A Retrospective Review to Determine the Long-term F24. Using a Smartphone or Tablet in a Hand Surgery Practice Efficacy of Orthotics for Trigger Finger Scott F.M. Duncan, MD, MPH1; Ryosuke Kakinoki, MD, PhD2 1 Kristin A. Valdes, OTD, OT, CHT Department of OrthopedicWithdrawn Surgery, Ochsner Health System, New Hand Works Therapy, Venice, FL Orleans, LA; 2Department of Orthopedic Surgery, Kyoto University, Kyoto, Japan 10:38 am – 10:40 am #44 The Contracted Elbow: Is Ulnar Nerve Release Necessary? Friday, January 13 9:58 am – 10:00 am D.G. Sotereanos, MD; B.G. Williams, MD; A.I. Venouziou, MD; C. Jarrett, F25. Long Term Functional Results of Cmc MD; M.E. Baratz, MD Joint Arthroplasty with Muscle Interposition and Ligament Allegheny General Hospital, Pittsburgh, PA Reconstruction Heitor Ulson, MD; Daniel M. Guimaraes; Leila Abdalla, OT, CHT 10:40 am – 10:42 am State University of Campinas - UNICAMP, São Paulo, Brazil #45 Phocomelia with Humerus Buried within Soft Tissue of the Chest Wall 10:00 am – 10:02 am Kathryn Marie Watson, BS; AR Muzaffar, MD F26. Use of Static Distraction External Fixation for Pediatric, Divison of Plastic Surgery, University of Missouri-Columbia, Unstable Comminuted Middle Phalanx Pilon Fracture Columbia, MO Ramon DeJesus, MD1; Christopher Forthman, MD2; 1 Rachel Pigott, OT, CHT 10:42 am – 10:44 am Discussion 1Upper Chesapeake/Union Memorial Hospital, Bel Air; 2Hand Surgery, Union Memorial Hospital, Lutherville 10:44 am – 10:46 am #46 Scapholunate Ligament Reconstruction Using an Acellular 10:02 am – 10:04 am Dermal Matrix: A Biomechanical Study F27. Surgical Hypnosis for Surgery and Nerve Pain Amirhesam Ehsan, MD; Adam J. Bakker, MD; Dong G. Lee, MD; Scott M. Fried, DO, FAOAO Jerry I. Huang, MD The Upper Extremity Institute, Blue Bell, PA Hand and Microvascular Surgery, University of Washington, Seattle, WA

10:04 am – 10:06 am 10:46 am – 10:48 am F28. Use of Vascularized Bone Graft with Nitinol Staples for #47 The Patient’s Perspective on Carpal Tunnel Surgery related Treatment of Non-Union of the Scaphoid 1 2 to the Type of Anesthesia Mehdi N. Adham, MD ; Jordan C. Deschamps-Braly, MD ; Kevin 1 1 3 1 Peter G. Davison, BSc, MD ; Tyson Cobb, MD ; Donald H. Lalonde, BSc, Kunkel, MD ; Christine Adham 2 1 MSc, MD Hand Surgery, Southwest Orthopedic and Reconstructive Specialists, 1 2 2 Plastic Surgery, Dalhousie University, Saint John, NB, Canada; Plastic Oklahoma City, OK; Plastic Surgery, University of Oklahoma, Oklahoma Surgery Dept, Dalhousie University, Saint John, NB, Canada

City, OK; 3Plastic Surgery, Warren Clinic, Tulsa, OK th 10:48 am – 10:50 am 10:40 am – 10:42 am #48 Results of Proximal Ulna Fractures Treated with a #57 Optimization of Flexor Tendon Tissue Engineering: Human Multiplanar, Locked Intramedullary Nail: First Multicenter Adipoderived Stem Cell–Tenocyte Co-Cultures for Seeding of an Experience Acellularized Tendon Scaffolds Scott G. Edwards, MD1; Mark S. Cohen, MD2; W. Andrew Eglseder, MD3 Armin Kraus, MD1; Colin Woon, MD1; Shyam S. Raghavan, BS1; Hung 1Center for Hand and Elbow Specialists, Georgetown University Pham, BS1; Kai Megerle, MD1; Matthew Seung Suk Choi, MD2; James Hospital, Washington, DC; 2Rush University Medical Center, Westchester, Chang, MD1 IL; 3Shock Trauma Center, University of Maryland, Baltimore, MD 1Plastic & Reconstructive Surgery, Stanford University, Stanford, CA; 2Plastic & Reconstructive Surgery, Hanyang University Guri Hospital, 10:50 am – 10:52 am Guri, South Korea #49 Comparison of Radial Approach and Two-incision Open Carpal Tunnel Release Using DASH Score and Levine Score 10:42 am – 10:44 am Discussion Jung Hsien Hsieh, MD; Tsu-min Tsai, MD Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY 10:44 am – 10:46 am #58 Predictors of Pain During and The Day After Corticosteroid 10:52 am – 10:54 am Injection for Idiopathic Trigger Finger #50 Cocaine Induced Full Thickness Skin Necrosis of the David C. Ring, MD, PhD; Abishek Julka, MD; Ana-Maria Vranceanu, Upper Extremities PhD; Apurva Shah, MD; Frank Peters, MD Ashley N. Amalfi, MD1; Erika A. Henkelman, MD2; Nicole Zook Hand and Upper Extremity Services, Massachusetts General Hospital, Sommer1; Reuben A. Bueno, MD1; Michael Neumeister, MD1 Boston, MA 1Division of Plastic Surgery, Southern Illinois University, Springfield, IL; 2Division of Plastic Surgery, SIU School of Medicine, Springfield, IL 10:46 am – 10:48 am #59 Does Removing Local Soft Callus Influence Early AAHS Program 10:54 am – 10:56 am Fracture Healing? #51 A Simple New Technique for Arthroscopic Humeral Jonathan R. Danoff, MD; Ayhan Kilic, MD; Rebecca Rajfer, BS; Eugene Fenestration in Ulnohumeral Arthroplasty Jang, MS; Yelena Akelina, DVM; Thomas Gardner, MCE; Melvin P. Kimberly Spahn, MD; Leo T. Kroonen, MD Rosenwasser, MD Department of Orthopedic Surgery, Naval Medical Center San Diego, Department of Orthopaedic Surgery, Columbia University Medical San Diego, CA Center, New York, NY

10:56am – 11:00 am Discussion 10:48 am – 10:50 am #60 A Comparison of the Adhesion Reduction Efficacy of ACI- 10:30 am – 11:00 am Concurrent Scientific Paper Session B3 Maix and Tenoglide™ in Primary Flexor Tendon Repair Moderator: Rames Matar, MD; Terri Wolfe, CHT John Bradley Turner, MD1; Rubina L. Corazzini, BS2; Timothy J. Butler, BS2; David S. Garlick, DVM, DACVP3; Brian Rinker, MD1 (2 minute presentations) 1Division of Plastic Surgery, University of Kentucky, Lexington, KY; 2Department of Biomaterials Science and Engineering, Genzyme 10:30 am – 10:32 am Corporation, Cambridge, MA; 3Department of Pathology, Histo- #52 Treatment of Symptomatic Neuromas of the Dorsal Radial Scientific Research Laboratories, Mount Jackson, VA Sensory Nerve using a Nerve Conduit Joshua Abzug, MD1; A. Lee Osterman, MD2; John S. Taras, MD3; 4 10:50 am – 10:52 am Sergio Rodriguez, MD #61 Utility of Denervated Sensory Branch of Radial Nerve as a 1Department of Orthopaedic Surgery, University of Maryland, Baltimore, 2 Graft in Brachial Plexus Reconstruction MD; The Philadelphia Hand Center, Thomas Jefferson University, 1 2 3 3 Morad Askari, MD ; Michelle, F. Kircher, RN ; Robert J. Spinner, MD ; Philadelphia, PA; The Philadelphia Hand Center, PC, Philadelphia, PA; 4 4 4 Allen T. Bishop, MD ; Alexander Y. Shin, MD McAllen Hand Center, Edinburg, TX 1Div. of Plastic & Reconstructive Surgery/Dept. of Orthopedic Surgery, Div. of Hand Surgery, University of Miami, Miami, FL; 2Neurological 10:32 am – 10:34 am Surgery, Mayo Clinic, Rochester, MN; 3Department of Neurologic #53 Correlating Gap Length to Recovery Outcomes in a Surgery, Mayo Clinic, Rochester, MN; 4Orthopedic Surgery, Mayo clinic, Multicenter Study on Processed Nerve Allografts Rochester, MN Darrell Brooks, MD The Buncke Clinic, San Francisco, CA 10:52 am – 10:54 am #62 Arthroscopic Treatment of Ulnar Extrinsic Ligament Injuries 10:34 am – 10:36 am Russell D. Rosenberg; Norah M. Harvey, MD; Sidney M. Jacoby, MD; #54 Allograft Nerve Reconstruction for Digital Nerve Loss Randall W. Culp, MD John S. Taras, MD1; Kimberly Chhor, MD2; Mark Rekant, MD3 42 1 2 The Philadelphia Hand Center, Thomas Jefferson University, The Philadelphia Hand Center, PC, Philadelphia, PA; Hand Surgery Philadelphia, PA Fellow, The Philadelphia Hand Center, Philadelphia, PA; 3The Philadelphia Hand Center, Philadelphia, PA 10:54 am – 10:56 am #63 Replant And Flap Monitoring With Quantitative 10:36 am – 10:38 am Fluorescence: Results from 4305 Readings #55 Failed Submuscular Ulnar Nerve Transposition: What Next? Bauback Safa, MD, MBA, FACS; Brian Parrett, MD; Darrell Brooks, MD; Todd Rimington, MD1; Dean G. Sotereanos, MD2 1 Gregory Buncke, MD, FACS; Rudy Buntic, MD, FACS Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, PA; The Buncke Clinic, San Francisco, CA 2Allegheny General Hospital, Pittsburgh, PA

10:38 am – 10:40 am #56 Concomitant Endoscopic Carpal and Cubital Tunnel Release: Safety and Efficacy Danielle Cross, MD; Kristofer Matullo, MD Orthopaedic Surgery, St. Luke’s Hospital and Health Network, Bethlehem, PA 10:56 am – 11:00 am Discussion 1:30 pm – 1:50 pm Congenital Hand Deficiencies Speaker: Theresa O. Wyrick, MD 11:00 am – 12:00 pm Joint AAHS/ ASPN Panel: Evidence-Based Approach to Peripheral Nerve Problems: Things 1:50 pm – 2:10 pm Hand Infections and Tumors I Don’t Do Anymore and How I Do it Now Speaker: Montri Daniel Wongworawat, MD Moderators: Dean Sotereanos, MD Panelists: Donald H. Lalonde, MD; A. Lee Dellon, MD; Gregory 2:10 pm – 2:30 pm Carpal Instability and Perilunate Buncke, MD; A. Lee Osterman, MD Dislocations Speaker: Jerry I. Huang, MD This panel will take a hard look at evidence-based reasons why some of our senior surgeons have modified their practice over the 2:30 pm – 2:50 pm Metacarpal/Phalangeal Fractures years. and Dislocations of the Hand Speaker: John J. Fernandez, MD Objectives: Following this course, the participant will be able to: 1. Explore current treatment techniques for common difficult 2:50 pm – 3:10 pm Dupuytren’s Disease nerve problems. and Stenosing Tenosynovitis 2. Examine recurrent nerve compression, neuroma, and laceration. Speaker: Prosper Benhaim, MD 3. Discover methods of joint denervation for pain and office anesthesia for the treatment of carpal and cubital tunnel 3:10 pm – 3:30 pm Compressive Neuropathy syndrome. Speaker: Henrique deBarros Pinto Netto, MD 43

12:00 pm – 12:45 pm Danyo Lecture 3:30 pm – 3:50 pm Break Moderator: Steven McCabe, MD Terry R. Light, MD 3:50 pm – 4:10 pm Inflammatory Arthropathies Speaker: Marco Rizzo, MD Digital Education - Where Have All the Books Gone? 4:10 pm – 4:30 pm Tendon Injuries (Flexor and Extensor) Terry R. Light, MD is the Dr. William Speaker: Jeffrey B. Friedrich, MD M. Scholl Professor and Chairman of the Department of Orthopaedic Surgery and Rehabilitation at 4:30 pm – 4:50 pm Soft Tissue Reconstruction of the Hand Loyola University Stritch School of Medicine. Dr. Light directs the Speaker: Warren C. Hammert, MD educational programs of students, resident and hand fellows at the school. Dr. Light’s interactive presentation will share his perspective 4:50 pm – 5:10 pm Tendon Transfers for Nerve Palsy on “Digital Education – Where Have All the Books Gone?” He will Speaker: Matthew M. Tomaino, MD consider how internet based resources and tools will facilitate our education of the next generation of hand surgeons. Bring your 5:10 pm – 5:30 pm Replantation and Management of smart phone or PDA so that you can be part of the conversation. Vascular Insufficiency in the Hand Speaker: Pramod Nelluri, MBBS, MD

12:45 pm – 1:30 pm Annual Business Meeting 5:30 pm – 5:50 pm Wrist Fractures (Radius and Scaphoid) (AAHS Members Only) Speaker: José Maurício Carmo, MD

1:30 pm – 5:50pm Comprehensive Hand Review Course 7:00 pm – 10:00 pm Annual Meeting Dinner Dance Chair: Sheel Sharma, MD Experienced faculty will deliver a comprehensive review and current concepts on common topics encountered in board examinations, Friday, January 13 the certificate of added qualification in hand surgery certification examination, and resident in-training examinations. The course is ideal for residents, fellows and hand therapists who wish to increase depth of knowledge in hand surgery as well as surgeons in practice seeking a knowledge update or revision in preparing for qualifying examinations.

Objectives: Following this course, the participant will be able to: 1. Discuss non-operative and operative treatment approaches for various commonly encountered disorders of the hand and wrist. 2. Practice with an enhanced understanding of the indications for surgical treatment, the post-operative rehabilitation, expected outcomes, and potential complications of the most common bone, joint, nerve, and soft tissue disorders involving the hand and wrist. 3. Explain the etiology, clinical presentation, physical examination findings, and diagnostic imaging features of various common disorders of the hand and wrist. 4. Recognize various uncommon and/or unusual clinical conditions of the hand and wrist including; tumors, infections, and congenital differences. 5. Compare different treatment methods to avoid complications and improve patient outcomes th 2012 AAHS Electronic Poster Listing P12 Understanding Proximal Ulna Anatomy on Static Fluoroscopic Images P1 Nonsurgical Treatment of Dupuytren’s Contracture: Anna Babushkina, MD; Scott G. Edwards, MD First-Year Safety Results Using Collagenase Clostridium Center for Hand and Elbow Specialists, Georgetown University Hospital, Histolyticum Washington, DC Clayton A. Peimer, MD1; Gregory Fiore, MD2; Claudia McGoldrick3 P13 Thriving in a Tough Economic Environment: Corporate 1College of Human Medicine, Michigan State University, Marquette, MI; Structure, Tax Reduction, and Benefit Planning for Hand 2SSI Strategy, Westfield, NJ; 3 Auxilium Pharmaceuticals, Inc, Malvern, PA Surgeons in 2011 P2 Is There A Need for Expanding Hand Fellowship Education? David Mandell, JD, MBA Sanjeev Kakar, MD, MRCS, MBA1; Karim Bakri, MD2; OJM Group, OJM Group, Fort Lauderdale, FL Alexander Y. Shin, MD3 P14 Optimal Fixation of Acute Scaphoid Fractures – 1Orthopaedics, Mayo Clinic, Rochester, MN; 2Plastic Surgery, Mayo A Cadaver Study Clinic, Rochester, MN; 3Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN Shai Luria, MD1; Lado Lenart, MD2; Borut Lenart, MD2; Eran Peleg, PhD3; Matej Kastelec, MD4 P3 Use of a Pedicled Adipofascial Flap as a Sling For Anterior 1Orthropaedic Surgery, Hadassah-Hebrew University Medical Center, Subcutaneous Transposition of the Ulnar Nerve Jerusalem, Israel; 2Institute Jozef Stefan, Ljubljana, Slovenia; 3Medical Jonathan R. Danoff, MD; Eugene Jang, MS; Rebecca Rajfer, BS; Engineering, Hadassah-Hebrew University Medical Center, Jerusalem, Ioannis Zouzias, MD; Melvin Rosenwasser, MD Israel; 4Traumatology, University Clinical Center Ljubljana, Ljubljana, Trauma Training Center, Department of Orthopaedic Surgery, Columbia Slovenia University Medical Center, New York, NY P15 Withdrawn P4 Tension-Free Vein-Patched Nerve Repair P16 Complications of Volar Locked Plating for Luiz G. Dadalt, MD1; Heitor Ulson, MD2 Distal Radius Fractures 1Hand Surgery, Campinas Hand Clinic, Campinas- SP, Brazil; 2Hand Hillary Ann Becker, MD; David B. Brogan, MD; David G. Dennison, surgery, Unicamp University, Campinas- SP, Brazil MD; Alexander Y. Shin, MD P5 A New Technique for Reduction of Orthopedic Surgery, Mayo Clinic, Rochester, MN Metacarpal Neck Fracture P17 Preservation Of the Ulnar Periosteum During Atsuo Kawakita, MD, PhD1; Naoki Takada, MD2; Ayano Tanibuchi, Ulnar Shortening Procedure: Comparison With MD1; Hiroshi Mizuochi, MD1; Wataru Inokuchi, MD, PhD1 Conventional Techniques 1Orthopaedic Surgery, Nerima General Hospital, Tokyo, Japan; 2Takada Kazuaki Mito, MD; Toshiyasu Nakamura, MD, PhD; Masato Okazaki, Orthopaedic Clinic, Tokyo, Japan MD; Kazuki Sato, MD, PhD; Hiroyasu Ikegami, MD, PhD; Yoshiaki P6 Outcome Measure in Patients with Upper Extremity Toyama, MD, PhD Pathology: Comparison between Touch Screen Tablet Department of Orthopaedic Surgery, Keio University, Tokyo, Japan Computer and Paper-based Questionnaire P18 Community-Acquired Methicillin Resistant Staphylococcus Rebecca A. Rajfer, BS; Eugene Jang, MS; Jonathan R. Danoff; Melvin Aureus Hand Infections in the Pediatric Population P. Rosenwasser, MD Michael Chung, BS; Patrick Wilson, MD; Brian Rinker, MD Department of Orthopaedic Surgery, Columbia University, New York, NY Division of Plastic Surgery, University of Kentucky, Lexington, KY P7 Delayed Diagnosis of Hand Injuries in Poly-Trauma Patients P19 Wrist Arthroscopy: A Bibliometric Analysis Joshua M. Adkinson, MD1; M. Shuja Shafqat, MD2; Sherrine M. Eid, Carlos Henrique Fernandes, MD; Jorge Raduan Neto, MD; João MPH3; Marshall G. Miles, DO1 Baptista G. dos Santos, MD; Flavio Faloppa, MD; Walter Manna 1Division of Plastic Surgery, Lehigh Valley Health Network, Allentown,

AAHS Electronic Poster Listing Albertoni, MD PA; 2Drexel University College of Medicine, Philadelphia, PA; 3Health Orthopedic Surgery / Hand Surgery Group, Universidade Federal de São Studies Department, Lehigh Valley Health Network, Allentown, PA Paulo, São Paulo, Brazil P8 Study The Results of Flexor Carpi Ulnaris And Flexor Carpi P20 Anthropometry of the Human Scaphoid Waist by Three- Radialis Tendon Transfers In Chronic Radial Nerve Palsy Dimensional Computed Tomography Reconstruction Abolghasem ZareZadeh, MD1; Seyed Houssein Saeed Banadaky, Jennifer Lauren Smith, MD1; Leo Kroonen, MD1; Eric Hofmeister, MD2; Ali Zarezadeh, MD1; Elham Nasri, MD1 MD1; Paul Cripe, MD2 44 1Orthopaedics, Isfahan University of Medical Sciences, Isfahan, Iran; 1Orthopaedic Surgery, Naval Medical Center San Diego, San Diego, CA; 2Orthopedic, Shahid Sadoughi University, Yazd, Iran 2Graduate Medical Education, Naval Medical Center San Diego, San P9 Chronic Painful Post-injection Flexor Carpi Radialis Rupture Diego, CA Treated by Complete Tendon Excision P21 Treatment and Outcomes in Pediatric Hand Macrodactyly Mark Henry, MD Felecia Cerrato, MPH1; Amir H. Taghinia, MD1; Joseph Upton, MD1; Hand and Wrist Center of Houston, Houston, TX Kyle Kurek, MD2; Brian I. Labow, MD1 P10 Inflatable Tissue Elevator/Expander 1Department of Plastic and Oral Surgery, Children’s Hospital Boston Applications in Hand Surgery and Harvard Medical School, Boston, MA; 2Department of Pathology, Children’s Hospital Boston and Harvard Medical School, Boston, MA J. Lee Berger, MD Orthopaedic Surgery, Orthopaedic Associates, Fair Lawn, NJ P22 Teaching Local Anesthesia Injection for Carpal Tunnel Release: Can Learners Achieve a “Hole-In-One”? P11 Biomechanical Analysis of Second Generation Headless Compression Screws Hana Farhang Khoee, MD, MSc, BMSc1; 2 1 1 2 Donald H. Lalonde, BSc, MSc, MD Soroush Assari, MS ; Kurosh Darvish, PhD ; Asif M. Ilyas, MD 1 1 Division of Plastic and Reconstructive Surgery, Dalhousie University, Department of Engineering, Temple University, Philadelphia, PA; 2 2 Halifax, NS, Canada; Plastic Surgery Dept, Dalhousie University, Saint Rothman Institute, Thomas Jefferson University, Philadelphia, PA John, NB, Canada P23 Experimental and Clinical Application of Fibrin Glue in P34 Functional Anconeus Free Flap for Thenar Reconstruction: Microvascular Anastomoses: 10 Years of Experience A Cadaveric Study Alvaro Baik Cho, MD, PhD; Teng Hsiang Wei, MD, PhD; Luciano Ruiz Zhi Yang Ng, MBChB1; Jennifer H. Mitchell, BSc2; Sze Wei Justin Lee, Torres, MD, PhD; Rames Mattar Júnior, MD, PhD; Gustavo Mantovani BSc1; Quentin A. Fogg, BSc, (Hons), PhD2; Andrew M. Hart, MD, PhD, Ruggiero, MD, PhD; Márcio Aurélio Aita, MD, PhD FRCS3 Instituto de Ortopedia e Traumatologia/Hand Surgery and 1Medical School, University of Glasgow, Glasgow, United Kingdom; Microsurgery, Universidade de São Paulo, São Paulo, Brazil 2Anatomy, University of Glasgow, Glasgow, United Kingdom; P24 Results of Median Nerve Fascicle Tranfer to the Biceps in 3Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, Glasgow, Long Standing Upper Brachial Plexus Injuries United Kingdom Alvaro Baik Cho, MD, PhD1; Márcio Aurélio Aita, MD2; Gustavo P35 The Psycho Flexed Hand: Diagnosis, Classification and Mantovani Ruggiero, MD2; Luiz Sorrenti, MD2; Leandro Y. Kyiohara, Treatment. About 19 Cases 2 MD2; Fernanda C. Iwase, MD 1 2 3 1 Laura Petrella, MD ; Zoubir Belkheyar, MD ; Christophe Oberlin, MD Orthopaedic Surgery Department, Faculdade de Medicina do ABC, 1 2 Division of Orthopaedics and Hand Surgery, Catholic University of Santo Andre, Brazil; Orhtopaedic Surgery Department, Faculdade de Rome, Rome, Italy; 2Clinique Paris Montmartre, Paris, France; 3Hôpital Medicina do ABC, Santo Andre, Brazil Bichat, Paris, France P25 A Survey of the Management of Kienböck’s Disease Jane M. O, BA; Jonathan R. Danoff, MD; Neil J. White, MD, FRCS; P36 Distal Biceps Tendon Rupture Increases the Risk of a Melvin P. Rosenwasser, MD; Robert Strauch, MD Contralateral Biceps Tendon Rupture 45 Department of Orthopaedic Surgery, Columbia University Medical Jennifer B. Green, MD1; Bruce M. Leslie, MD1; Tyler Skaife, MD2 Center, New York, NY 1Department of Orthopaedic Hand Surgery, Newton Wellesley Hospital, 2 P26 Thenar Atrophy in Carpal Tunnel Syndrome. Evolution of Newton, MA; Department of Orthopaedic Surgery, Tufts University, Grip Strength and Finger Pinch in Pre-and Postoperatively Boston, MA

Carlos Henrique Fernandes, MD; L. M. Meirelles, Phisioterapist; Jorge P37 Hand Surgery After Axillary Lymph Node AAHS Electronic Poster Listing Raduan Neto, MD; João Baptista Gomes dos Santos, MD; Flávio Dissection for Cancer Faloppa, MD; Walter Manna Albertoni, MD Rushyuan Jay Lee, MD; Dawn M. Laporte, MD; Orthopaedic Sugery / Hand Surgery Group, Universidade Federal de São E. Gene Deune, MD, MBA Paulo, São Paulo, Brazil Orthopaedics, Johns Hopkins Hospital, Baltimore, MD P27 Pitfalls of Percutaneous Cannulated Screw Fixation of P38 Surgeons Are Our Greatest Strength Scaphoid Fractures Marta Huber, BSc, MSc(cand)1; Jesse B. Jupiter, MD2; Brian Fitzgerald, MD1; Eric Hofmeister, MD1; Leo Kroonen, MD1; Beate P. Hanson, MD1 Kathryn Hanna, MD2 1AO Clinical Investigation and Documentation, AO Foundation, 1Department of Orthopaedics, Naval Medical Center San Diego, San Dübendorf, Switzerland; 2Orthopaedic Hand and Upper Extremity Diego, CA; 2Orthopedic Surgery, Naval Medical Center San Diego, San Service, Massachusetts General Hospital, Boston, MA Diego, CA P39 Complex Wrist Injuries: Fractures of the Lunate P28 External Fixator with Distractor for Treatment of the Scar Emygdio De Paula, MD, Phd; Rames Mattar Jr, Associate, Profes; Retraction of Fingers Marcelo R. Resende, MD, PhD; Edgard, N. França Bisneto, MD Kleber Oliveira Barboza, MD; Pablo Thiago Albuquerque, MD Othopaedic and Traumatolgy Hand and Microsurgery, Universidade de Hospital Memorial Caruaru, Prontotrauma, Caruaru - PE, Brazil São Paulo, São Paulo, Brazil P29 A Novel Method of Fingertip Reconstruction after P40 Periosteal Reconstruction with Extensor Retinaculum as a Zone II or III Amputations Functional Gliding Surface Vishal Thanik, MD; David Chiu, MD Jason S. Barr, BA; Lisa F. Schneider, MD; Sheel Sharma, MD Plastic Surgery, New York University, New York, NY Institute of Reconstructive Plastic Surgery, New York University Langone Medical Center, New York, NY P30 Flexor Tendon Morphology, a Prerequisite for Triggering at the A1 Pulley P41 Partial Ulnar Carpal Excision for Tumor Management Without Subsequent Volar Intercalated Segmental Samuel Buonocore, MD; Rajendra Sawh-Martinez, MD; Peter Broer, Instability MD; J. Grant Thomson, MD Section of Plastic and Reconstructive Surgery, Yale University School of Alison Kitay, MD; Duretti Fufa, MD; Edward Athanasian, MD Medicine, New Haven, CT Orthopaedic Surgery, Hospital for Special Surgery, New York, NY P31 Functional Improvement for Nerve Damaged Upper P42 The Practice of Occupational Therapy With Osteoarthritis Extremities with Soft Tissue Reconstruction Patients in an Orientation Group Regarding the Practice of Daily Activities Irfan Ahmed, MD1; Michael Baumholtz, MD2; Wendell Bristol, MS, OTR/L, CHT3; Sean Hightower, OTR/L3; Harly Jean, MS, OTR/L, CHT3 Lígia Cortez Almeida, OT; Ay Imamura, OT; Danielle Santos Scarcella. 1Orthopedics and Sports Medicine, Temple University, Philadelphia, PA; OT; J. M. Souza, OT; Rafaela de Souza Cesário, OT, CHT; R.M. Suzuki, 2Plastic Surgery, Temple University, Philadelphia, PA; 3Occupational OT; Maria Candida M. Luzo, OT Therapy, Temple University, Philadelphia, PA Occupational Therapy, Instituto de Ortopedia e Traumatologia do HCFMUSP, São Paulo, Brazil P32 Upper Limb Injuries in Jiu-Jitsu Athletes Cesar Miranda, MD1; Faloppa Flavio, MD1; Santos Joao, MD1; Leandro Marcio, MD1; Fernandes Carlos, MD1; Edson Tinoco, MD2; Thales Seabra, MD2 1Hand Surgery, Federal University of São Paulo, São Paulo School of Medicine, UNIFESP-EPM, São Paulo, Brazil, Sao Paulo, Brazil; 2Orthopedics and Traumatology, Hospital Espanhol, Salvador, Brazil P33 Surgical Treatment of the Thoracic Outlet Syndrome Paulo Randal Pires, MD; Paulo Randal Pires Junior, MD Orthopedics, Madre Teresa Hospital, Belo Horizonte, Brazil 2012 AAHS Electronic Poster Listing continued P51 Radiologic Visualization of the Ligaments, Tendons, and Bony Prominences of the Thumb Carpometacarpal P43 Trapeziometacarpal Arthrodesis Compared to (CMC) Joint Trapeziectomy with LRTI and Total Joint Prosthesis Compared to Trapeziectomy in the Treatment of Adam N. Wilson, MD; Sara Van Nortwick, BA; Julia Lee, MD; Robert P. Trapeziometacarpal Osteoarthritis: Two Randomized Cheng, MD; Aaron J. Berger, MD; Amy L. Ladd, MD Clinical Trials Stanford University, Stanford, CA Guus M. Vermeulen, MD1; Harm Slijper, MD2; Reinier Feitz, MD2; P52 The Brief Michigan Hand Questionnaire: Is Shorter Better? S.E.R. Hovius, MD, PhD3; Thybout M. Moojen, MD, Phd2; Bryan Chung, MD, PhD; Steven Morris, MD, MSc Ruud W. Selles, PhD4 Division of Plastic Surgery, Dalhousie University, Halifax, NS, Canada 1Hand Center, Isala klinieken, Zwolle, Netherlands; 2Xpert Clinic, Hilversum, Netherlands; 3Plastic, Reconstructive and Hand Surgery, P53 Arthroscopic Assessment of the Wrist in Kienböck’s Disease Erasmus MC, University Medical Center, Rotterdam, Netherlands; 4Department of Plastic and Reconstructive Surgery & Department Marcelo Rosa Rezende, MD, PHD; Emigdio Leomil de Paula, MD, PHD; of Rehabilitation Medicine, Erasmus MC – University Medical Center, Rames Junior Mattar, MD, PHD; Edgard Bisneto Frannça, MD, PHD Rotterdam, Netherlands Hand and Microsurgery Institute, University of São Paulo, São Paulo, Brazil P44 A Diagnostic Dilemma for Upper Limb Surgeons- An Inflammatory Posterior Interosseus Nerve Palsy P54 Which is the Best Radiographic Incidence to Evaluate Screw Prominence at the Dorsal Radius? A Cadaveric Study Erden Ali, MD1; Patrick Gillespie, MD2; Bernie Colaco, MD3 1Plastic Surgery Department, The Lister Hospital Stevenage, Stevenage, Marcelo Pinheiro Filho, MD; Antonio Carlos Costa, MD; Ivan United Kingdom; 2Cambridge University NHS Foundation Trust, Chakkour Addenbrooke’s Hospital, Cambridge, United Kingdom; 3Rheumatology Hand Surgery and Microsurgery, Santa Casa, São Paulo, Brazil Department, Central Middlesex Hospital, London, United Kingdom P55 Effect of Platelet-Rich Plasma in Facial Nerve P45 Effect on the Disability of the Upper Extremity of Regeneration Post-trauma in Rabbits Conservative Management of Distal Radius Fractures. A Anael Barbosa Marinho, MD; Antonio Carlos Costa, MD; Melissa Prospective Study Viana, MD; Paulo Roberto Lazarini, MD Oscar Izquierdo, MD1; Pilar Aparicio, MD2; Juan Castellanos, MD1; Hand Surgery and Microsurgery, Santa Casa, São Paulo, Brazil 1 Enric Domínguez, MD P56 Effect of Platelet-Rich Plasma on Peripheral Nerve 1 Hand and Microsurgery, Parc Sanitari de Sant Joan de Déu, Barcelona, Regeneration. Model in Rat Spain; 2Hospital de Granollers, Barcelona, Spain Oscar Izquierdo, MD1; Ramiro Alvarez, MD2; Juan Castellanos, MD3; P46 Rattlesnake Hematoxic Neuropathy - A Case Report and Pilar Aparicio, MD4; Enric Domínguez, MD3 Literature Review 1Hand and Microsurgical Department, Hospital General del Parc Andrew J. Kochevar, MD, MS; Phillip K. Blevins, MD Sanitari de Sant Joan de Déu, Barcelona, Spain; 2Neurology, Hospital Department of Surgery/Division of Plastic Surgery, University of Universitario Germans Trias i Pujol, Barcelona, Spain; 3Hand and Mississippi Medical Center, Jackson, MS Microsurgery, Parc Sanitari de Sant Joan de Déu, Barcelona, Spain; 4Hospital de Granollers, Barcelona, Spain P47 Retrospective Analysis of Surgical Treatment for Carpal Tunnel Syndrome by Endoscopic Release P57 Successful Treatment of Steroid Resistant Acute Rejection of a Unilateral Hand Transplant with Thymoglobulin

Victor Cesar Jr, MD; Henrique Barros Pinto Netto, MD; Marcelo 1 2 3 Ricardo Reis Pereira, MD; Antonio Pedro Neto Pais, MD Jaimie T. Shores, MD ; Gerald Brandacher, MD ; Derek Fletcher, MD ; Jonathan D. Keith, MD4; Stefan Schneeberger, MD2; Vijay Gorantla, Serviço de Cirurgia da Mão e Microcirurgia, Hospital Federal da Lagoa, 5 6 7 Rio de Janeiro, Brazil MD, PhD ; Anthony J. Demetris, MD ; Ron Shapiro, MD ; Joseph Losee, MD8; W. P. Andrew Lee, MD2 P48 Epidemiologic Panorama of Radial Club Hand 1Department of Plastic and Reconstructive Surgery, Johns Hopkins in Latin America University School of Medicine/Bayview Medical Center, Baltimore, MD; AAHS Electronic Poster Listing 2Department of Plastic and Reconstructive Surgery, Johns Hopkins Carla Oliveira Alves, Resident; Henrique de Barros Pinto Netto, MD; University, Baltimore, MD; 3Division of Plastic and Reconstructive Victor Jr César, MD; Marcelo Ricardo Reis Pereira, MD; Antonio Pedro Surgery, University of Pittsburgh School of Medicine, Pittsburgh; Neto Pais, MD; João Carlos Pereira Ostermeir, MD 4Division of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA; Serviço de Cirurgia da Mão e Microcirurgia, Hospital Federal da Lagoa, 5Division of Plastic and Reconstructive Surgery, University of Pittsburgh Rio de Janeiro, Brazil School of Medicine, Pittsburgh, PA; 6Division of Transplant Pathology, P49 Prevalence of Congenital Malformations on the Upper University of Pittsburgh School of Medicine, Pittsburgh, PA; 7Thomas 46 Extremity in Latin America E. Starzl Transplantation Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA; 8Division of Plastic and Reconstructive Henrique Barros Pinto Netto, MD1; Juan Llerena, MD, PhD2; Victor Jr 1 1 Surgery, University of Pittsburgh School of Medicine/Children’s Hospital César, MD ; Marcelo Ricardo Reis Pereira, MD ; Antonio Pedro Neto of Pittsburgh, Pittsburgh, PA Pais, MD1 1Serviço de Cirurgia da Mão e Microcirurgia, Hospital Federal da Lagoa, P58 Post-Operative Clinical Assessment of the Donor Side Rio de Janeiro, Brazil; 2Instituto Fernandes Figueira/Fundação Oswaldo Following the Contralateral C7 Neurotization for the Cruz, Rio de Janeiro, Brazil Treatment of Injuries of the Brachial Plexus P50 Bilateral Hand Transplantation in the Setting of Fabio A. Lima, MD; Renato Harley Santos Botelho, MD; Jose Mauricio Simultaneous Face Transplantation: Lessons Learned Carmo, MD Hand Surgery Department, Hospital Universitario Pedro Ernesto, Matthew Carty, MD; Bohdan Pomahac, MD Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil Division of Plastic Surgery, Brigham & Women’s Hospital, Jamaica Plain, MA P59 Diagnosis of Median Nerve Injury with High-Resolution Ultrasound following Carpal Tunnel Release using Indiana Tome Technique Jonathan D. Keith, MD1; Joseph E. Imbriglia, MD2 1Division of Plastic and Reconstructive Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA; 2Hand & Upper Ex Center, P67 Early Outcomes of Pyrolytic Carbon Proximal Wexford, PA Interphalangeal Joint Arthroplasty Using the P60 Prospective, Randomized and Comparison between Row Lateral Approach Proximal Carpectomy and the Four Corners Fusion for Lorenzo Pacelli, MD; Mersadies Martin, MD; Diana Kivirahk, OTR/L, Patients with SNAC CHT; Andy Myerson, PA-C; Botte Michael, MD Marcio A. Aita, MD; Gustavo Mantovanni Ruggiero, MD; Walter Orthopaedic Surgery, Scripps Clinic, La Jolla, CA Yoshinori Fukushima, MD; Edison Noboru Fujiki, MD P68 Cadaver-Based Surgical Education Curriculum Orhtopaedic Surgery Department, Faculdade de Medicina do ABC, 1 2 3 Santo Andre, Brazil Cameron Francis, MD ; Chandra Ellis, MD ; Justin T. Kane, MD ; Haritha Veeramachaneni, MD2; Mark M. Urata, MD, DDS3; Wesley G. P61 Sensory ALT Flap for Extensive Plantar Resurfacing in Non- Schooler, MD1; Kathryn Iwata2 Traumatic Patients. Functional Outcomes 1Division of Plastic Surgery, University of Southern California Keck 2 1 2 School of Medicine, Los Angeles, CA; Plastic Surgery, University João Carlos Nakamoto, MD ; Luciano Ruiz Torres, MD ; Luiz Sorrenti, 3 MD3; Fernanda do Carmo Iwase, MD4; Silmara Nicolau Pedro da Southern California, Los Angeles, CA; Division of Plastic and Silva, MSc, OTr5; AV Zumiotti, MD5; Teng Hsiang Wei, MD, PhD6; Reconstructive Surgery, Keck School of Medicine of the University of Rames Mattar, MD7 Southern California, Los Angeles, CA 1Hand Surgery, Instituto Vita, São Paulo, Brazil; 2Orthopedic P69 Digital Flexor Tendon Repair for Tension-Relieving and Surgery, University of Sao Paulo, Sao Paulo, Brazil; 3Orhtopaedic Early Motion In Zones I and Ii Using A Dynamic Anchor 47 Surgery Department, Faculdade de Medicina do ABC, Santo Andre, Pull-Out Loop 4 Brazil; Instituto de Ortopedia e Traumatologia/Hand Surgery and 1 2 5 Heitor J. R. Ulson, MD ; Luis A. Buendia, MD ; Microsurgery, Universidade de São Paulo, São Paulo, Brazil; University 3 of Sao Paulo, Sao Paulo, Brazil; 6 Departmento fo Orthopedic - Hand Alexandre T. Shiobara, MD 1Hand surgery, Hospital Samaritano, São Paulo and State University of and Microsurgery Division, University of Sao Paulo, Sao Paulo, Brazil; 2 7 Campinas – UNICAMP, Hand Surgery Unit, São Paulo, SP, Brazil; Hand Hand and Microsurgery Institute, University of São Paulo, São Paulo, 3 Brazil surgery, Hospital Samaritano, São Paulo, Brazil; Hand Surgery, State AAHS Electronic Poster Listing University of Campinas-UNICAMP, São Paulo, Brazil P62 Repairing Fractures Alternative Way Using Flexible Steel Wire P70 Paperboard Splint Gerson Lamneza Sholl da Silva, CHT1; Wilson M. Oliveira Jr, MD 2 Hand Surgery, Irmandade da Santa Casa de Misericórdia de José Maurício Morais Carmo, MD 1Unit of the Hand and Mircrosurgery, Universidade do Estado do Rio de Sorocaba, Sorocaba - SP, Brazil; S. Brandi, Irmandade da Santa Casa de 2 Misericórdia de Sorocaba, Sorocaba, Brazil Janeiro, Rio de Janeiro, Brazil; Orthopaedics and Traumatology / Hand Surgery Department, Universidade do Estado do Rio de Janeiro, Rio de P63 Cast and Splint Method for Conservative Treatment of Janeiro, Brazil Phalangeal Fractures André Bastos Duarte Eiras, MD; Jorge Ribamar Bacellar Costa, MD; José Maurício Morais Carmo, MD Orthopaedics and Traumatology / Hand Surgery Department, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil P64 Dorsal Commissural Perforator Flap: Clinical study Rosane Schettino Biscotto, MD; Antonio Pedro Neto Pais, MD; Henrique Barros Pinto Netto, MD; Victor Cesar, MD; Marcelo Ricardo Reis Pereira, MD Serviço de Cirurgia da Mão e Microcirurgia, Hospital Federal da Lagoa, Rio de Janeiro, Brazil P65 Non Syndromic Congenital Bone Fusion of the Carpus – Evaluation of 17 Patients Rames Mattar Junior, MD, PhD1; Tiago Guedes da Motta Mattar, MD1; Emygdio Jose Leomil Paula, MD, PhD1; Marcelo Rosa Rezende, MD, PhD1; Teng Hsiang Wei, MD, PhD1; Luis Koiti Kimura, MD2; Luciano Ruiz Torres, MD1; Mateus Saito, MD1; Edgard Novaes Franca Bisneto, MD, PhD1 1Department of Orthopedic - Hand and Microsurgery Division, University of Sao Paulo, Sao Paulo, Brazil; 2Departmentf Orthopedic - Hand and Microsurgery Division, University of Sao Paulo, Sao Paulo, Brazil P66 Early Splinting Intervention and Active Motion Achievement In Child with Amyoplasia – A Case Report Maria Candida M. Luzo, OT1; Rames Mattar Jr., MD, PhD2; Valeria Aquilino Reis, OTR3; Teng Hsiang Wei, MD, PhD4 1Occupational Therapy, Instituto de Ortopedia e Traumatologia do HCFMUSP, São Paulo, Brazil; 2Orthopedic Surgery, University of Sao Paulo, Sao Paulo, Brazil; 3Orthopaedic and Traumatology, University of Sao Paulo, sao Paulo, Brazil; 4Instituto de Ortopedia e Traumatologia/ Hand Surgery and Microsurgery, Universidade de São Paulo, São Paulo, Brazil notes notes

48 Combined Day/AAHS/ASPN/ASRM CME Information Combined Day AAHS/ASPN/ASRM

Educational Overview Designation Statement This program provides an opportunity for surgeons, The ASPS designates this live activity for a maximum therapists, researchers, faculty and other healthcare of 5.25 AMA PRA Category 1 CreditsTM. Physicians professionals working in these complementary fields should claim only the credit commensurate with the to share new discoveries and techniques. By learning extent of their participation in the activity. from colleagues about cutting-edge technologies and patient-care options, participants will have a Disclosure Policy broader view of patient treatment and recovery. The ASPS requires all faculty, authors, planners, reviewers, managers, and other individuals in a Intended Audience position to control or influence the content of an 49 This educational activity is intended for healthcare activity to disclose all relevant financial relationships professionals and researchers working in the fields or affiliations. All identified conflicts of interest must of hand surgery, peripheral nerve and/or neural be resolved and the educational content thoroughly regeneration, and microneurovascular surgery and vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care other complex reconstructions. Combined Day CME Information recommendations. The ASPS also requires faculty/ Learning Objectives authors to disclose when off-label/unapproved Following completion of this activity, participants uses of a product are discussed in a CME activity or will be able to: included in related materials. • Discuss clinical and basic science research. • Describe robotic applications in three fields: plastic Disclaimer surgery, nerve surgery and hand surgery. The Societies hereby acknowledge that while their broad purpose is to promote the development and ABMS Core Competencies exchange of knowledge pertaining to the practice This program will address the following ACGME/ of hand, nerve and microsurgery; they do so only in ABMS Competencies: the context of a private forum without making any • Patient Care and Procedural Skills representation to the public whatsoever. Accordingly, • Medical Knowledge the Societies declare that their primary purpose is • Practice-Based Learning and Improvement to benefit only their members, and responsibility • Systems-Based Practice of the Societies for acts or omissions of Society members dealing with the public is hereby expressly disclaimed. Accreditation Statement This activity 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 Society of Plastic Surgeons (ASPS), the American Association for Hand Surgery (AAHS), the American Society for Peripheral Nerve (ASPN), and the American Society for Reconstructive Microsurgery (ASRM). The ASPS is accredited by the ACCME to provide continuing medical education for physicians. Association for Hand Surgery, American Society for Peripheral Nerve, American Society for Reconstructive Microsurgery 2012 Annual Meeting

Disclosure Policy and Presenter’s Disclosures

The American Society of Plastic Surgeons (ASPS) requires all instructors, planners, reviewers, managers, and other individuals in a position to control or influence the content of an activity to disclose all relevant financial relationships or affiliations. All identified conflicts of interest must be resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME/CE activity or included in related materials.

All identified conflicts of interests have been resolved.

Disclosures of all Chairs, Co-Chairs, Speakers, Authors, Moderators, Reviewers, Committee Members, and other appropriate individuals: Justin Brown, MD - Consultant: Check Point Surgical Charles Butler, MD - Consultant: LifeCell John Carrino, MD - Research Recipient: Siemens, General Electric Company, Carestream Health Incorporation Gedge Rosson, MD - Research Support Recipient: LifeCell, Educational Grant: LifeCell, Educational Grant: Mentor Corp. Justin M. Sacks, MD - Speaker for LifeCell The following Chairs, Co-Chairs, Speakers, Authors, Moderators, Reviewers, and other appropriate individuals reported they have no relevant financial relationships or affiliations to disclose:

Oskar Aszmann, MD Donald Lalonde, MD A. Lee Osterman, MD Josh M. Abzug, MD Clara Lee, MD Miguel A. Pierela-Cruz, MD

Disclosure Policy and Disclosures Michael Bednar, MD W.P. Andrew Lee, MD Greg Rafijah, MD James Boehmler, MD Maria LoTempio, MD Randy Sherman, MD Randip Bindra, MD Susan Mackinnon, MD David Song, MD, FACS, MBA J. Brian Boyd, MD Terry Myckatyn, MD Thomas Tung, MD 50 Nancy Davidson, MD, TC/L Wyndell Merritt, MD Ivan Ducic, MD Ather Mirza, MD Blake Paul Gillette, MD Peter Murray, MD Geoff Gurtner, MD Nash A. Naam, MD Issac Harvey, MD Christine Novak, PhD, PT Carlos Henriguo Fernandes, MD Michael Neumeister Adil Ladak, MSc, MD Adrian Ooi, MBBS

AAHS, ASPN, ASPS and ASRM Education and Meetings staff members have no relevant financial relationships or affiliations to disclose. AAHS / ASPN / ASRM DAY-AT-A-GLANCE Saturday, January 14, 2012

6:00am – 5:00pm Speaker Ready Room Willows 6:30am – 5:00pm Registration Registration Desk 6:30am – 8:00am AAHS/ASRM/ASPN Breakfast Charleston

7:00am – 8:00am AAHS/ASPN/ASRM Instructional Courses 51 201 Management of Failed Carpal Tunnel Surgery Veranda D 202 Carpal Tunnel Syndrome – Update Siena ® (ABPS MOC-PS -approved) 203 Nerve Transfers vs. Tendon Transfers: Timing Treatment Veranda C Options and Post Operative Therapy 204 Controversies in Management of Complex Regional Pain Veranda B Syndromes: Surgery vs. Non-Operative Treatment Options and Validated Methods to Study Outcomes 205 Winning the Future: How to Best Train the Next Generation Trails of Microsurgeons 206 Bench to Bedside: Translational Research in Microsurgery Veranda A

8:00am – 8:15am AAHS/ASPN/ASRM President’s Welcome Summerlin ABEF

8:15am – 9:30am AAHS/ASPN/ASRM Panel: . Summerlin ABEF Nerve Transfers vs. CTA vs Robotics

9:30am – 10:00am Coffee Break with Exhibitors Charleston

10:00am – 11:00am AAHS/ASPN/ASRM Joint Presidential Keynote Lecture Summerlin ABEF Day-at-a-Glance Steven Levitt

11:00am – 12:00pm AAHS/ASPN/ASRM Joint Outstanding Papers Summerlin ABEF Combined Day 204 Controversies in Management of Complex Regional Pain Syndromes: Saturday January 14, 2012 Surgery vs. Non-Operative Treatment Options and Validated Methods to 6:30 am - 8:00 am Breakfast with Exhibitors Study Outcomes? Instructors: Ivica Ducic, MD, PhD; Wyndell Merritt, MD 7:00 am – 8:00 am AAHS/ASPN/ASRM Instructional Courses Neuropathic pain, particularly when CRPS may be involved, can be especially vexing for the peripheral nerve surgeon. This Management of course will discuss both the operative issues and non-operative 201 modalities in the multi-disciplinary care of these patients. Validated Failed Carpal Tunnel Surgery methodologies for outcomes studies will be highlighted. Chair: A. Lee Osterman, MD Instructors: Miguel A. Pirela-Cruz, MD; Josh M. Abzug, MD; Objectives: Following this session, the participant will be able to: Nash A. Naam, MD; Nancy Davidson, MOTC/L; Carlos Henrique 1. Discuss both operative issues and non-operative modalities in

Combined Day Fernandes, MD multi-disciplinary care of patients with neuropathic pain. 2. Validate methodologies for outcomes studies. Failure of symptom resolution after carpal tunnel release or recurrence of pain can be a result of several factors, including incorrect diagnosis, incomplete release or scarring of the nerve. This course will cover assessment of a patient who has failed carpal 205 Winning the Future: How to Best Train tunnel release, indications for repeating surgery and strategies the Next Generation of Microsurgeons during surgery based on pathological changes found. Non operative treatment and therapy modalities will also be discussed. Instructors: Charles Butler, MD; Randy Sherman, MD; Michael Neumeister, MD; J. Brian Boyd, MD; James Boehmler, MD Objectives: Following this session, the participant will be able to: This panel of experts will discuss what they feel is the best way to 1. Asses a patient who has failed carpal tunnel release, and indicate train future microsurgeons with respect to the current financial strategies during surgery based on pathological changes found. constraints and the limitations of the 80 hour work week. 2. Identify non operative treatment and therapy and modalities. Objectives: Following this session, the participant will be able to: Communicate the best way to train future surgeons though 202 Carpal Tunnel Syndrome – Update restricted by the 80 hour work week. (ABPS MOC-PS®-approved) Chair: Donald H. Lalonde, MD Instructors: Peter Murray, MD; 206 Bench to Bedside: Translational Ather Mirza, MD; Michael Bednar, MD Research in Microsurgery Participation in this course can count towards part IV of the ABPS Chair: Clara Lee, MD practice improvement modules as part of the MOC for ABPS Instructors: Terry Myckatyn, MD; Justin M. Sacks, MD diplomats if they have uploaded their 10 consecutive cases on the This esteemed panel of scientist will discuss the opportunities of ABPS web site. The course will cover principles and basic science of translational medicine and provide the latest knowledge in ongoing carpal tunnel syndrome as well as clinical and neurophysiological translational topics within surgery. assessment. Evidence based outcome studies will be used to compare open and endoscopic surgery. Objectives: Following this session, the participant will be able to: 1. Describe opportunities of translational medicine. Objectives: Following this session, the participant will be able to: 2. Provide the latest knowledge of ongoing translational topics 1. Recognize basic science of carpal tunnel syndrome as well as within surgery. clinical and neurophysical assessment. 2. Evaluate evidence based outcome studies used to compare open and endoscopic surgery. 8:00 am - 8:15 am President Welcome 52 203 Nerve Transfers vs. Tendon Transfers: Timing, Treatment Options and Post Operative Therapy Instructors: Thomas Tung, MD; Justin Brown, MD; Christine Novak, PhD, PT This course will discuss the indications, patient selection and surgical techniques for tendon transfers to restore wrist flexion and Steven McCabe, MD Ivica Ducic, MD, PhD Keith E. Brandt, MD extension and reconstruction of biceps and triceps muscle function AAHS President ASPN President ASRM President in the upper arm to restore elbow flexion and extension. This course will also detail the evolving techniques of multiple nerve transfers in the upper extremity. The importance of timing in decision-making will be highlighted.

Objectives: Following this session, the participant will be able to: Summarize indications, patient selection and surgical techniques for tendon transfers to restore wrist flexion and extension and reconstruction of biceps, triceps and muscle function of the upper arm. 8:15 am - 9:30 am ASPN Joint AAHS/ASPN/ASRM Panel: Nerve Transfers vs. CTA 11:20 am – 11:27 am vs. Robotics Brief 1 Hour 20Hz Electrical Stimulation (ES) Improves Moderator: Gedge Rosson, MD Axon Regeneration After Delayed Nerve Repair in Sprague Invited Panelists: Susan Mackinnon, MD; W. P. Andrew Lee, MD, Dawley Rats FACS; Oskar Aszmann, MD Adil Ladak, MSc, MD2; Neil Tyreman, BSc2; Valarie Verge, PhD3; Tessa Gordon, PhD1 With significant advances in nerve transfers, vascularized composite 1 Division of Plastic and Reconstructive Surgery, The Hospital for Sick allotransplantation, and prosthetics, it is not always clear how these Children, Toronto, ON, Canada, 2Division of Neuroscience, University of evolving techniques relate. This panel of experts will highlight their Alberta, Edmonton, Canada, 3CMSNRC and Department of Anatomy experiences with these modalities. and Cell Biology, University of Saskatoon, Saskatoon, Canada Objectives: Following this session, the participants will be able to: Describe the relatable differences and similarities between evolving 11:27 am – 11:34 am surgical technique such as nerve transfers, vascularized composite Hand Outcomes in Operative Management of Complete allotransplantation and prosthetics. Obstetrical Brachial Plexus Palsy Isaac Harvey, FRACS, MBBS, BSc1, Emily Ho2, MD; Howard Clarke1,MD 9:30 am - 10:00 am Coffee Break with Exhibitors 1Division of Plastic and Reconstructive Surgery, Hospital for Sick Children, Ontario, ON, Canada, 2Division of Plastic and Reconstructive Surgery, Hospital for Sick Children, Toronto, ON, Canada 53 10:00 am - 11:00 am Joint Presidential Keynote Lecture Steven Levitt 11:34 am – 11:40 am Discussion Steven Levitt is an economist who is a brilliant but uncomplicated man who uses simple questions to reach startling conclusions. ASRM Though he has no political agenda his theories 11:40 am – 11:47 am have set off a firestorm of controversy and The Profunda Artery Perforator Flap(PAP): A New Flap for Breast has had both conservatives and liberals up in Reconstruction arms. Levitt has shown other economists just Maria M. LoTempio, MD1; Nicholas Haddock, MD2; Alireza Sadeghi, how well their tools can make sense of the real MD3, Christina Ahn, MD2; Robert J. Allen, MD4 world. Winner of the 2004 John Bates Clark Medal, he is currently 1Plastic Surgery, Medical University of South Carolina, Charleston, SC, the William B. Ogden Distinguished Service Professor of Economics 2NYU, New York, NY, 3LSU, New Orleans, LA, 4Plastic Surgery, Louisiana at the University of Chicago. He co-authored the best-selling book State University Health Science Center, New Orleans, LA Freakonomics and its sequel Superfreakonomics.

11:00 am - 12:00 pm AAHS/ASPN/ASRM 11:47 am – 11:54 am Fascicular Turnover Nerve Flaps Versus Free Nerve Grafts: Pilot Joint Outstanding Paper Presentations Study of Comparison and Outcomes in a Rat Model Moderators: Randip R. Bindra, MD, FRCS; Gedge Rosson, MD; Adrian Ooi, MBBS; Terence Goh, MD; Chin-Ho Wong, MD; David H. Song, MD, MBA, FACS Kok Chai Tan, MD Plastic, Reconstructive and Aesthetic Surgery, Singapore General AAHS Hospital, Singapore, Singapore 11:00 am – 11:07 am Saturday, January 14 Fibrin Glue Augmentation of Nerve Repair Does Not Impede 11:54 am – 12:00 pm Discussion Neurological Recovery in an Animal Model Greg Rafijah, MD; Christina Dolores; Andy Bowen; Ryan Vitali; 12:00 pm Adjourn Tahseen Mozaffar; Ranjan Gupta Orthopaedic Surgery, University of California, Irvine, Irvine, CA

11:07 am – 11:14 am Scaphoid Malunion: Outcomes of Corrective Osteotomy Compared to Salvage Procedures Blake Paul Gillette, MD1; Sanjeev Kakar, MD, MRCS, MBA2; Peter C. Amadio, MD1 1Orthopaedic Surgery, Mayo Clinic, Rochester, MN; 2Orthopaedics, Mayo Clinic, Rochester, MN

11:14 am – 11:20 am Discussion th notes notes

54 ASPN

2011-2012 ASPN COUNCIL

President Ivica Ducic, MD, PhD

President-Elect Robert Spinner, MD 55 Vice President Allan J. Belzberg, MD, FRCSC

Secretary Nash H. Naam, MD

Treasurer Thomas H.H. Tung, MD

Historian James Bain, MD

Immediate Past President Paul S. Cederna, MD

Past President Howard M. Clarke, MD, PhD 2011-2012 ASPN Council

Council Members at Large

Gregory H. Borschel, MD

Martijn Malessey, MD

Christine B. Novak, PhD, PT

Please join us in thanking these ASPN committee members for their work in 2011

ASPN Representative to the Newsletter Committee ASPS/PSEF Board of Directors Nash Naam, MD, Chair William Zamboni, MD Jonathan Winograd, MD Renata Weber, MD Bylaws Committee Thomas H.H. Tung, MD, Chair Nominating Committee Gregory Borschel, MD Paul S. Cederna, MD, Chair David Brown, MD David T. W. Chiu, MD Bradon Wilhelmi, MD Howard Clarke, MD, PhD Rajan Gupta, MD Coding and Reimbursement Committee Tessa Gordon, MD Susan E. Mckinnon, MD, Chair William Kuzon, MD Justin Brown, MD Gedge D. Rosson, MD Scientific Program Committee Gedge Rosson, MD FACS, Chair ASPN Commitees Education Committee Allan Belzberg, MD Howard M. Clarke, MD PhD, Chair David Brown, MD, FACS Greg Buncke, MD Gregory Borschel, MD Paul S. Cederna, MD J. Henk Coert, MD A. Lee Dellon, MD Martijn Malessy, MD Loree Kallianen, MD Thomas Tung, MD Rajiv Midha, MD Jonathan Winograd, MD Michael Neumeister, MD Techincal Exhibits/Website Committee Maria Siemionow, MD, PhD J. Henk Coert, MD, Chair Robert Spinner, MD Justin M. Brown, MD Christine Novak, PT MS PhD Darrell Brooks, MD Melanie Urbancheck, MD Eric Williams, MD Time And Place Committee Allan Belzberg, MD, Chair Finance Committee Christine Novak, PhD, PT Robert Russell, MD, Chair Gregory Borschel, MD Ida Fox, MD Howard Clarke, MD, PhD Jonathon Winograd, MD Ivica Ducic, MD, PhD James Bain, MD Grant Generation Committee Martijn Malessy, MD Thomas H.H. Tung, MD, MD, Chair Nash Naam, MD Allan Belzberg, MD Paul Cederna, MD 56 Justin Brown, MD Robert Spinner, MD A. Lee Dellon, MD Thomas Tung, MD Melanie Urbanchek, MD Jonathon Winograd, MD

Membership Committee Robert Spinner, MD, Chair Greg Buncke, MD J. Henk Coert, MD Christine Novak, PT MS PhD Shai Rozen, MD ASPN HISTORICAL INFORMATION

Founding Council (Established April 19, 1990) Warren Breidenbach, MD Thomas Brushart, MD David Chiu, MD A. Lee Dellon, MD Richard Ehrlichman, MD Nelson Goldberg, MD Roger Khouri, MD Howard Klein, MD Susan E. Mackinnon, MD Hallene Maragh, MD Wyndell Merritt, MD Michael Orgel, MD 57 Elliot Rose, MD Joseph Rosen, MD Brooke Seckel, MD Saleh Shenaq, MD Thomas Stevenson, MD Berish Strauch, MD Julia K.Terzis, MD, PhD Allen Van Beek, MD Bruce Williams, MD

Past Presidents Julia K. Terzis, MD, PhD 1990-1992 A. Lee Dellon, MD 1992-1993 Berish Strauch, MD 1993-1994 H. Bruce Williams, MD 1994-1995 Susan E. Mackinnon, MD 1995-1996 Historical Information Wyndell Merritt, MD 1996-1997 Allen Van Beek, MD 1997-1998 Saleh Shenaq, MD 1998-1999 David T. W. Chiu, MD 1999-2001 Nancy H. McKee, MD 2001-2002 William M. Kuzon, Jr., MD, PhD 2002-2003 Keith E. Brandt, MD 2003-2004 Steven McCabe, MD 2004-2005 Maria Siemionow, MD, PhD 2005-2006 Rajiv Midha, MD 2006-2007 Gregory R. D. Evans, MD, FACS 2007-2008 Robert C. Russell, MD 2008-2009 Howard M. Clarke, MD, PhD 2009-2010 Paul S. Cederna, MD 2010-2011 CME Information American Society for Peripheral Nerve Educational Overview • Instructional courses on different topics related After the completion of this program, participants to nerve biology, pathophysiology, nerve will have an enhanced knowledge of the imaging, nerve compressions, facial palsy, tissue pathophysiology and the management of chronic engineering, CRPS and nerve injury pain including the scope and application of surgical techniques used in treating different chronic pain Accreditation Statement syndromes and recurrent entrapment neuropathy. This activity has been planned and implemented in Intended Audience accordance with the Essential Areas and policies of The American Society for Peripheral Nerve (ASPN) the Accreditation Council for Continuing Medical Annual Meeting is intended for surgeons, researchers Education (ACCME) through the joint sponsorship of and other healthcare professionals working in the American Society of Plastic Surgeons (ASPS) and disciplines related to peripheral nerve and/or neural the American Society for Peripheral Nerve (ASPN). regeneration. The ASPS is accredited by the ACCME to provide continuing medical education for physicians. Learning Objectives Following completion of this activity, participants will Designation Statement be able to: The ASPS designates this live activity for a maximum • Describe and discuss the revolutions in tissue of 12 AMA PRA Category 1 Credits™. Physicians animation. should claim only the credit commensurate with the extent of their participation in the activity. • Analyze and discuss the different options of managing patients with recurrent entrapment Disclosure Policy neuropathy, brachial plexus injuries, peripheral The ASPS requires all faculty, authors, planners, nerve tumors, and facial paralysis. reviewers, managers, and other individuals in a • Examine the role of nerve transfers, motorized position to control or influence the content of an prosthetics and composite tissue ASPN CME Information activity to disclose all relevant financial relationships allotransplantation in the management of severe or affiliations. All identified conflicts of interest nerve injuries and amputations. must be resolved and the educational content • Explain and discuss new advances in nerve thoroughly vetted by ASPS for fair balance, scientific transplantation and repair. objectivity, and appropriateness of patient care • Describe and discuss the evolving management recommendations. The ASPS also requires faculty/ of different pain syndromes. authors to disclose when off-label/unapproved ABMS Core Competencies uses of a product are discussed in a CME activity or included in related materials. This program will address the following ACGME/ ABMS Competencies: Disclaimer • Patient Care and Procedural Skills The Society hereby acknowledges that while its • Medical Knowledge broad purpose is to promote the development and • Practice-Based Learning and Improvement exchange of knowledge pertaining to the practice 58 of microsurgery; it does so only in the context of a • Systems-Based Practice private forum without making any representation Educational Formats/Methodologies to the public whatsoever. Accordingly, the Society • Scientific presentations on current and recent declares that its primary purpose is to benefit only its advances in peripheral nerve surgery members, and responsibility for the Society for acts or • Lectures from invited experts on specific topics omissions of Society members dealing with the pub- related to the management of facial paralysis, lic is hereby expressly disclaimed. timing of nerve repair and upper extremity peripheral nerve microsurgery • Panel discussions on new approaches to identifying and managing failed or recurrent entrapment neuropathies, composite tissue allotransplantation and robotics, and head to toe reconstructive challenges American Society for Peripheral Nerve 2012 Annual Meeting

Disclosure Policy and Presenter’s Disclosures The American Society of Plastic Surgeons (ASPS) requires all instructors, planners, reviewers, managers, and other individuals in a position to control or influence the content of an activity to disclose all relevant financial relationships or affiliations. All identified conflicts of interest must be resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patent care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME/CE activity or included in related materials. All identified conflicts of interests have been resolved. Disclosures of all Chairs, Co-Chairs, Speakers, Authors, Moderators, Reviewers, Committee Members, and other appropriate individuals: 59 Aaron Filler, MD – Speaker: NeuroGrafix Darrell Brooks, MD – Research Support Recipient: Axogen

John Carrino, MD –

Avneesh Chhabra, MD – Consultant: Siemens, Research Support Recipient: Integra Life Sciences, Research for Support Disclosure Policy and Disclosures Recipient: GE-AUR.

Justin Brown, MD – Consultant: Check Point Surgical Gedge D. Rosson, MD – Robert Spinner, MD – Consultant: Mayo Medical Ventures

The following Chairs, Co-Chairs, Speakers, Authors, Moderators, Reviewers, and other appropriate individuals reported they have no relevant financial relationships or affiliations to disclose:

Aaron Adams, PhD Dilip Dey, MD Cameron P. Keating, MBBS, Richard Reddett, MD Anne MR Agur, BSc(OT), PhD Ivica Ducic, MD, PhD BMedSc Shimon Rochkind, MD Uros Ahcan, MD, PhD Stephan Dützmann Stephen W. P. Kemp Andres Rodriguez, MD, PhD Oskar C. Aszmann, MD Matthew Endara, MD Lorna Kahn, PT, CHT Eduardo Rodriguez, MD, DDS Atakan Aydin, MD Gregory Evans, MD Ranjan Kumar, MSc Cihan Sahin, MD Ziya Baghmanli, MD Scott Farber, MD William Kuzon, MD Ruud W. Selles, PhD Lin Bai, BS John M. Felder, MD Adil Ladak, MD, MSc Kevin W. Sexton, MD Sorin Barac, MD, PhD Aaron Filler, MD Donald Lalonde, MD Leili Shahgholi, MD Daniel M. Barrett, MD, MHA, MS Gil Gontre, MD Joo-Yup Lee, MD, PhD Antos Shakhbazau, PhD Patrick L. Basile, MD Tessa Gordon, PhD Jenny C. Lin, MD, PhD Maria Siemionow, MD Allan J. Belzberg, MD Joey Grochmal, MD Xiao-Lin Liu, MD, PhD Dean Sotereanos, MD, PhD Gregory Borschel, MD Tiffany P. Gustafson Shai Luria, MD Hank Haw Sun, BA Kirsty Usher Boyd, MD, FRCSC Tessa Hadlock, MD Susan Mackinnon, MD Julia K. Terzis, MD, PhD Keith E. Brandt, MD Jens Hahnhaussen, MD Martijn J.A. Malessy, PhD Thomas Tung, MD Gerald Brandacher, MD Isaac Harvey, FRACS, MBBS, Samir Mardini, MD Melanie G. Urbanchek Darrell Brooks, MD BSc Antonio Merolli, MD Allen VanBeek, MD David Brown, MD S. Shar Hashemi, MD Rajiv Midha, MD Huan Wang, MD, PhD Gregory Buncke, MD James Higgins, MD Jose J. Monsivais, MD Ziyi Wang, MD Paul Cederna, MD Stefan Adriaan Hoyng, MD Amy M. Moore, MD Eric H. Williams, MD Majid Chalian, MD Ching-Hua Hsieh, MD Michael Neumeister, MD Jonathan Winograd, MD Howard Clarke, MD, PhD C. Scott Hultman, MD, MBA Christine Novak, PhD, PT Matthew D. Wood, PhD Henk Coert, MD Loree Kallienen, MD A. Lee Osterman, MD Ying Yan, MD/PhD Godard CW de Ruiter, MD Santosh S. Kale, MD, MBA Willem Pondaag, MD Andrew Yee, MD F. de Winter, MD Jason R. Kang, BS Rebecca A. Rajfer, BS A. Lee Dellon, MD, PhD Chandan G. Reddy, MD ASPS and ASPN Education and Meetings staff members have no relevant financial relationships or affiliations to disclose. 60 American Society for Peripheral Nerve DAY-AT-A-GLANCE Friday, January 13, 2012

6:00am – 5:00pm Speaker Ready Room Willows

6:30am –5:30pm Registration Registration Desk

8:00am – 11:00am ASPN Council Meeting Hills 61

11:00am – 11:05am ASPN President and Program Chair Welcome Summerlin ABEF

11:05am – 12:00pm Joint AAHS/ASPN Panel: Evidence Based Approach to Summerlin ABEF Peripheral Nerve Problems: Things I Don’t Do Anymore

12:15pm – 1:30pm Scientific Paper Session 1 & Lunch Summerlin CD

1:30pm – 2:00pm Invited Lecture: Advances in (Upper Extremity) Summerlin CD Peripheral Nerve Surgery Uros Ahcan, MD, PhD

2:00pm – 2:15pm Break with Exhibitors Charleston

2:15pm – 3:15pm ASPN Instructional Courses 301 Failed Upper Extremity Nerve Decompressions – Trails What’s Next? 302 Controversies in Brachial Plexus Surgery Hills 303 Targeted Reinnervation Veranda D

304 Scratch Collapse Test Siena Day-at-a-Glance 305 Management of Peripheral Nerve Tumors Summerlin CD

3:15pm – 4:15pm Scientific Paper Session 2 Summerlin CD

4:15pm – 5:15pm Panel: Peripheral Nerve Transplantation Summerlin CD ASPN Program 12:41 pm - 12:45 pm Changes in Temperature Sensation Measured With Quantitative Sensory Testing in Patients With Post-Traumatic Friday January 13, 2012 Cold Intolerance E.S. Smits; E.T. Walbeehm, MD, PhD; E.A.M. Van Bodegraven-Hof; Frank J.P. Huygen, MD, PhD; S.E.R. Hovius, MD, PhD; 8:00 am - 11:00 am ASPN Council Meeting Ruud W. Selles, PhD Institution where the work was prepared: Erasmus MC - University 11:00 am - 11:05 am President and Program Chair Welcome Medical Center, Rotterdam, Netherlands

12:45 pm - 12:49 pm Tissue Engineered Guided Regenerative Gel for Recovery of Peripheral Nerve Injury with Massive Loss Defect Shimon Rochkind, MD; Moshe Graif; Zvi Nevo, PhD Institution where the work was prepared: Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel

Ivica Ducic, MD, PhD Gedge Rosson, MD ASPN President Program Chair 12:49 pm - 1:00 pm Discussion

11:05 am - 12:00 pm Joint AAHS/ASPN Panel: Evidence Based 1:30 pm - 2:00 pm Invited Lecture ASPN Program Approach to Peripheral Nerve Problems: Professor Uros Ahcan, MD, PhD Things I Don’t Do Anymore and How I Do It Now Advances in (Upper Extremity) Peripheral Nerve Surgery Moderator: Dean Sotereanos, PhD Invited Panelists: Donald Lalonde, MD; A. Lee Dellon, MD; Gregory Peripheral nerve surgery in the upper extremity Buncke, MD; A. Lee Osterman, MD encompasses acute nerve injuries, entrapment neuropathies and nerve sheath tumors. Patients This panel will take a hard look at evidence-based reasons why with peripheral nerve disorders require multidisciplinary care, some of our senior surgeons have modified their practice over proper microsurgical technique and constantly updated knowledge the years. from experimental laboratories and basic science. Comprehensive review of options for surgical nerve interventions and the operative Objectives: Following this session, the participants will be able to: techniques used in peripheral nerve surgery of the upper extremity 1. Describe modifications made to practice management as will be outlined. determined through evidence based reasons.

12:15 pm - 1:30 pm Scientific Paper Session 1 & Lunch Objectives: Following this session, the participants will be able to: Demonstrate options for surgical nerve interventions and operative Moderators: Jonathan Winograd, MD and Justin Brown, MD techniques used in peripheral nerve surgery of the upper extremity. Throughout this program a series of basic and clinical research papers chosen by the Program Committee will be presented. 2:00 pm - 2:15 pm Break with Exhibitors Objective: The participants will be exposed to ongoing research in 2:15 pm - 3:15 pm the field of peripheral nerve surgery. ASPN Instructional Courses

12:15 pm - 12:19 pm Failed Upper Extremity Nerve Bionic Reconstruction of the Upper Extremity 301 Oskar C. Aszmann, MD; Malvina Herceg, MD; Tatjana Paternostro, Decompressions – What’s Next? MD; Hans Dietl, DI, Dr; Manfred Frey, MD Instructors: Allen Van Beek, MD; Gregory Buncke, MD Institution where the work was prepared: Division of Plastic and This course will focus on the controversies between open versus Reconstructive Surgery, Vienna, Austria endoscopic techniques of carpal and cubital tunnel surgeries, and highlight the difficulties and experience with complex redo 12:19 pm - 12:23 pm surgeries for failed decompressions. A Second-look at Nerve Regeneration Inside Nerve-guides in Human Patients Objective: Following this session, the participant will be able to: 62 Antonio Merolli, MD; Lorenzo Rocchi; Luigi Mingarelli; 1. Identify specific controversies between open and endoscopic Francesco Catalano techniques of carpal and cubital tunnel surgeries. Institution where the work was prepared: The Catholic University, 2. Discuss the difficulties and experience with complex redo Rome, Italy surgeries for failed decompressions.

12:23 pm - 12:27 pm Physical Characteristics of Nerve-guide Can Correlate with the 302 Controversies in Effectiveness of Regeneration Brachial Plexus Surgery Antonio Merolli, MD; Salvatore Marceddu; Luigi Mingarelli; Instructors: Thomas Tung, MD; Allan Belzberg, MD; Francesco Catalano Howard M. Clarke, MD, PhD Institution where the work was prepared: The Catholic University, This course will review the relevant anatomy of the brachial plexus Rome, Italy and how it is affected in obstretrical, tumor, and post-traumatic surgery. We will review what factors play a role in spontaneous 12:27 pm - 12:37 pm Discussion regeneration and how they can be used to predict prognosis. The various surgical options for the typical injuries seen by the 12:37 pm - 12:41 pm peripheral nerve surgeon are highlighted. 3 Tesla MR Neurography of Common Peroneal Neuropathy- A Case-Control Study Objectives Following this session, the participant will be able to: Avneesh Chhabra, MD; Pearlene Lee; Gedge Rosson; Alan J 1. Recognize basic science of carpal tunnel syndrome as well as Belzberg; Eric H Williams; John Eng; John A Carrino clinical and neurophysical assessment. Institution where the work was prepared: Johns Hopkins University, 2. Evaluate evidence based outcome studies used to compare open Baltimore, MD, USA and endoscopic surgery. 3:23 pm - 3:27 pm Functional Contribution of T1 to the Brachial Plexus in Infants 303 Targeted Reinnervation Adel Fattah, PhD, FRCS(plast); Christine G. Curtis, BSc, PT; Anne MR Instructors: Paul Cederna, MD; Gregory Borschel, MD Agur, BSc(OT), PhD; Howard M. Clarke, MD, PhD, FRCS(C) As prosthetics improve, the ability to interface the motor and Institution where the work was prepared: Hospital for Sick Children, sensory systems becomes increasingly important. This course will Toronto, Canada review the anatomy, techniques and goals of targeted muscle in reinnervation and targeted sensory reinnervation. 3:27 pm - 3:31 pm Nerve Transfers Effective in Reconstructing Upper Trunk Objectives: Following this session, the participant will be able to: Obstetrical Brachial Plexus Injuries 1. Identify the importance of prosthetics ability to improve and Adil Ladak, MD, MSc; Michael Morhart, MD, FRCSC; Kathleen interface the motor and sensory systems O’Grady, BSc; Ming Chan, MD, FRCP; Jaret Olson, MD, FRCSC 2. Discuss anatomy, techniques and goals of targeted muscle in Institution where the work was prepared: University of Alberta, reinnervation. Edmonton, AB, Canada 3:31 pm - 3:35 pm 304 Scratch Collapse Test C6 to C5 Nerve Transfer in Obstetric Brachial Plexus Lesions Instructors: Gil Gontre, MD, Lorna Kahn, PT, CHT; Martijn J.A. Malessy, PhD; Willem Pondaag, MD Susan Mackinnon, MD Institution where the work was prepared: LUMC, Leiden, Netherlands 63 This instructional course describes The Scratch Collapse Test (SCT). 3:35 pm - 3:45 pm Discussion The SCT is very useful in evaluating patients with multiple levels of nerve compression and muscle imbalance, and especially in 3:45 pm - 3:49 pm prioritizing multiple neuromuscular problems within the same 3 Tesla and 3 D MR Neurography of the Brachial Plexus extremity. It is especially helpful in evaluating difficult neuroma Avneesh Chhabra, MD; Gaurav K Thawait; Eric H Williams; Alan J. pain patients. This course describes the nuances of the SCT and uses Belzberg; John A Carrino videos of patient exams to illustrate its utility. Institution where the work was prepared: Johns Hopkins University, Baltimore, MD, USA Objectives: Following this session, the participant will be able to: 1. Decide if the Scratch Collapse Test is useful in evaluating patients 3:49 pm - 3:53 pm with multiple level of nerve compression and muscle imbalance. A Comparison of Manual and Quantitative 2. Demonstrate evaluation of difficult neuroma pain in patients by Shoulder Strength Testing using the SCT. Leili Shahgholi, MD; Keith A. Bengtson, MD; Alexander Y. Shin, MD; Allen T. Bishop, MD; Robert J. Spinner, MD; Kenton R. Kaufman, PhD Institution where the work was prepared: Mayo clinic, 305 Management of Rochester, MN, USA Peripheral Nerve Tumors 3:53 pm - 3:57 pm Instructors: Robert Spinner, MD; Martjin Malessy, MD Does Primary Brachial Plexus Surgery Alter Palliative Tendon Transfer Surgery Outcomes in Children with Obstetric Paralysis? Advances in management of peripheral nerve tumors have occurred Atakan Aydin; Ahmet Bicer; Berkan Mersa in the past two decades that have improved our diagnosis and Institution where the work was prepared: Istanbul Medical Faculty, treatment of these lesions. This course highlights important Istanbul, Turkey developments related to intraneural and extraneural lesions. 3:57 pm - 4:01 pm Objectives: Following this session, the participant will be able to: CT Myelography in Obstetric Brachial Plexus Lesions Recognize important developments related to intraneural and Willem Pondaag, MD; Stefan C.A. Steens, MD, PhD; Berit M. Verbist, extraneural lesions. MD, PhD; Martijn J.A. Malessy, PhD Friday, January 13 Institution where the work was prepared: Willem Pondaag, Leiden, 3:15 pm - 4:15 pm Scientific Paper Session 2 Netherlands Moderators: A. Lee Dellon, MD and Rajiv Midha, MD 4:01 pm - 4:05 pm Throughout this program a series of basic and clinical research Brachialis to Anterior Interosseous Nerve papers chosen by the Program Committee will be presented. Transfer: An Anatomic Study Objective: The participants will be exposed to ongoing research in Kirsty Usher Boyd, MD, FRCSC; Gurpreet Dhaliwal, MD, FRCSC, FACS; the field of peripheral nerve surgery Susan E. Mackinnon, MD Institution where the work was prepared: Washington University, St. Louis, MO, USA 3:15 pm - 3:19 pm Thoracic Outlet: A Critical Analysis 4:05 pm - 4:15 pm Discussion Allan J. Belzberg, MD; Michael J. Dorsi, MD; Bo Povlsen; Thomas Hansson 4:15 pm - 5:15 pm Panel: Institution where the work was prepared: Johns Hopkins University, Peripheral NerveTransplantation Baltimore, MD, USA Moderator: Maria Siemionow, MD, PhD 3:19 pm - 3:23 pm Invited Panelists: Gerald Brandacher, MD; Thomas Tung, MD The Long Term Safety and Efficacy of Intrathecal Therapy Using This panel will highlight the advances in Peripheral Nerve Sufentanil in Chronic Pain Transplantation, both in terms of feasibility of nerve transplantation Jose J. Monsivais, MD, as a single tissue, and the role of the nerve component in a Hand and Microsurgery Center of El Paso, El Paso, TX and Diane Monsiv- vascularized composite tissue allograft. ais, PhD, School of Nursing, University of Texas at El Paso, El Paso, TX Objective: Following this session, the participants will be able to: 1. Identify advances in Peripheral Nerve Transplantation in terms of feasibility of nerve transplantation as a single tissue.

2. Identify advances in Peripheral Nerve Transplantation and the role th of the nerve component in vascularized composite tissue allograft. 64 American Society for Peripheral Nerve DAY-AT-A-GLANCE Saturday, January 14, 2012

6:00am – 5:00pm Speaker Ready Room Willows

6:30am – 5:00pm Registration Registration Desk

6:30am – 8:00am AAHS/ASPN/ASRM Breakfast Charleston 65 7:00am – 8:00am AAHS/ASPN/ASRM Instructional Courses 201 Management of Failed Carpal Tunnel Surgery Veranda D 202 Carpal Tunnel Syndrome – Update Siena (ABPS MOC-PS®-approved) 203  Nerve Transfers vs. Tendon Transfers: Veranda C Timing Treatment Options and Post Operative Therapy 204 Controversies in Management of Complex Regional Veranda B Pain Syndromes: Surgery vs. Non-Operative Treatment Options and Validated Methods to Study Outcomes 205 Winning the Future: How to Best Train Trails the Next Generation of Microsurgeons. 206 Bench to Bedside: Translational Research Veranda A in Microsurgery

8:00am – 8:15am AAHS/ASPN/ASRM President’s Welcome Summerlin ABEF

8:15am – 9:30am AAHS/ASPN/ASRM Panel: Summerlin ABEF Nerve Transfers vs. CTA vs. Robotics

9:30am – 10:00am Break with Exhibitors Charleston

10:00am – 11:00am AAHS/ASPN/ASRM Joint Presidential Keynote Lecture Summerlin ABEF Steven Levitt Day-at-a-Glance 11:00am – 12:00am AAHS/ASPN/ASRM Joint Outstanding Papers Summerlin ABEF

12:00pm – 1:00pm ASPN Business Meeting & Lunch (Members Only) Summerlin CD

1:00pm – 2:30pm ASPN Scientific Paper Session 3 Summerlin CD

2:30pm – 2:50pm Break with Exhibitors Charleston

2:50pm – 4:00pm ASPN Scientific Paper Session 4 Summerlin CD

4:00pm – 4:30pm Invited Lecture: Summerlin CD Research in Facial Paralysis, Tessa Hadlock, MD

4:50pm – 5:45pm ASPN Special Session: Poster Presentations Summerlin CD

6:00pm – 7:30pm ASPN/ASRM Welcome Reception Pavilion Ballroom & Terrace ASPN Program 204 Controversies in Management of Complex Regional Pain Syndromes: Saturday January 14, 2012 Surgery vs. Non-Operative Treatment Options and Validated Methods to 6:30 am - 8:00 am Breakfast with Exhibitors Study Outcomes? Instructors: Ivica Ducic, MD, PhD; Wyndell Merritt, MD 7:00 am – 8:00 am AAHS/ASPN/ASRM Neuropathic pain, particularly when CRPS may be involved, Instructional Courses can be especially vexing for the peripheral nerve surgeon. This course will discuss both the operative issues and non-operative 201Management of modalities in the multi-disciplinary care of these patients. Validated Failed Carpal Tunnel Surgery methodologies for outcomes studies will be highlighted. Chair: A. Lee Osterman, MD Objectives: Following this session, the participant will be able to: Instructors: Miguel A. Pirela-Cruz, MD; Josh M. Abzug, MD; 1. Discuss both operative issues and non-operative modalities in Nash A. Naam, MD; Nancy Davidson, MD, TC/L; Carlos Henriguo multi-disciplinary care of patients with neuropathic pain. Fernandes, MD 2. Validate methodologies for outcomes studies. Failure of symptom resolution after carpal tunnel release or recurrence of pain can be a result of several factors, including ASPN Program incorrect diagnosis, incomplete release or scarring of the nerve. This course will cover assessment of a patient who has failed carpal 205 Winning the Future: How to Best Train tunnel release, indications for repeating surgery and strategies the Next Generation of Microsurgeons during surgery based on pathological changes found. Non operative Instructors: Charles Butler, MD; Randy Sherman, MD; Michael treatment and therapy modalities will also be discussed. Neumeister, MD; J. Brian Boyd, MD; James Boehmler, MD Objectives: Following this session, the participant will be able to: This panel of experts will discuss what they feel is the best way to 1. Asses a patient who has failed carpal tunnel release, and indicate train future microsurgeons with respect to the current financial strategies during surgery based on pathological changes found. constraints and the limitations of the 80 hour work week. 2. Identify non operative treatment and therapy and modalities. Objectives: Following this session, the participant will be able to: 1. Communicate the best way to train future surgeons though restricted by the 80 hour work week. 202 Carpal Tunnel Syndrome – Update (ABPS MOC-PS®-approved) Chair: Donald H. Lalonde, MD 206 Bench to Bedside: Translational Instructors: Peter Murray, MD; Research in Microsurgery Ather Mirza, MD; Michael Bednar, MD Chair: Clara Lee, MD Participation in this course can count towards part IV of the ABPS Instructors: Terry Myckatyn, MD; Justin M. Sacks, MD practice improvement modules as part of the MOC for ABPS diplomats if they have uploaded their 10 consecutive cases on the This esteemed panel of scientist will discuss the opportunities of ABPS web site. The course will cover principles and basic science of translational medicine and provide the latest knowledge in ongoing carpal tunnel syndrome as well as clinical and neurophysiological translational topics within surgery. assessment. Evidence based outcome studies will be used to compare open and endoscopic surgery. Objectives: Following this session, the participant will be able to: 1. Describe opportunities of translational medicine. Objectives: Following this session, the participant will be able to: 2. Provide the latest knowledge of ongoing translational topics 1. Recognize basic science of carpal tunnel syndrome as well as within surgery. clinical and neurophysical assessment. 2. Evaluate evidence based outcome studies used to compare open and endoscopic surgery. 11:00 am - 12:00 pm AAHS/ASPN/ASRM Joint Outstanding 66 Paper Presentations 203 Nerve Transfers vs. Tendon Transfers: Moderators: Randip R. Bindra, MD, FRCS; Gedge Rosson, MD; Timing, Treatment Options and Post David H. Song, MD, MBA, FACS Operative Therapy AAHS Instructors: Thomas Tung, MD; Justin Brown, MD; 11:00 am – 11:07 am Fibrin Glue Augmentation Of Christine Novak, PhD, PT Nerve Repair Does Not Impede This course will discuss the indications, patient selection and Neurological Recovery In surgical techniques for tendon transfers to restore wrist flexion and An Animal Model extension and reconstruction of biceps and triceps muscle function Greg Rafijah, MD; Christina Dolores; Andy Bowen; Ryan Vitali; in the upper arm to restore elbow flexion and extension. This course Tahseen Mozaffar; Ranjan Gupta will also detail the evolving techniques of multiple nerve transfers in Orthopaedic Surgery, University of California, Irvine, Irvine, CA the upper extremity. The importance of timing in decision-making will be highlighted. 11:07 am – 11:14 am Scaphoid Malunion: Outcomes of Corrective Osteotomy Compared to Objectives: Following this session, the participant will be able to: Salvage Procedures 1. Summarize indications, patient selection and surgical techniques for tendon transfers to restore. wrist flexion and extension and Blake Paul Gillette, MD1; Sanjeev Kakar, MD, MRCS, MBA2; Peter C. reconstruction of biceps, triceps and muscle function of the Amadio, MD1 upper arm. 1Orthopaedic Surgery, Mayo Clinic, Rochester, MN; 2Orthopaedics, Mayo Clinic, Rochester, MN 11:14 am – 11:20 am Discussion 1:08 pm - 1:12 pm Neuroma Formation after Soleus Grafting in a Peripheral ASPN Nerve Interface 11:20 am – 11:27 am Brief 1 Hour 20Hz Electrical Benjamin Wei, MD; Ziya Baghmanli; Kristoffer Sugg; Paul S. Cederna; Stimulation (ES) Improves Melanie G. Urbanchek Axon Regeneration After Institution where the work was prepared: University of Michigan, Ann Delayed Nerve Repair in Arbor, MI, USA Sprague Dawley Rats Adil Ladak, MSc, MD2; Neil Tyreman, BSc2; Valarie Verge, PhD3; Tessa 1:12 pm - 1:16 pm Gordon, PhD1 Skin Derived Precursor Cells (Skps) Improve Myelination 1 Division of Plastic and Reconstructive Surgery, The Hospital for Sick Within a Model of Focal Adriamycin-Induced Tibial Nerve Children, Toronto, ON, Canada, 2Division of Neuroscience, University of Demyelination 3 Alberta, Edmonton, Canada, CMSNRC and Department of Anatomy Joey Grochmal, MD; Sundeep Dhaliwal; Rajiv Midha, MD and Cell Biology, University of Saskatoon, Saskatoon, Canada Institution where the work was prepared: University of Calgary, Calgary, AB, Canada 11:27 am – 11:34 am Hand Outcomes in Operative Management of Complete Obstetrical 1:16 pm - 1:20 pm Brachial Plexus Palsy Utilization of Adipose-Derived Stem Cells to Fabricate Scaffold- Isaac Harvey, FRACS, MBBS, BSc1, Emily Ho2, MD; Howard Clarke1,MD less Tissue Engineered Neural Conduits 1Division of Plastic and Reconstructive Surgery, Hospital for Sick Aaron Adams, PhD; Ellen M Arruda; Lisa M. Larkin 67 Children, Ontario, ON, Canada, 2Division of Plastic and Reconstructive Institution where the work was prepared: University of Michigan, Ann Surgery, Hospital for Sick Children, Toronto, ON, Canada Arbor, MI, USA

11:34 am – 11:40 am Discussion 1:20 pm - 1:30 pm Discussion 1:30 pm - 1:34 pm ASRM Developing an In-Vitro System to Test Enhanced Neurite 11:40 am – 11:47 am The Profunda Artery Perforator Flap(PAP): Outgrowth by Electrical Stimulation of a Conductive Polymer A New Flap for Breast Reconstruction Chandan G. Reddy, MD; Huan Wang, MD, PhD; M. Brett Runge, PhD; Maria M. LoTempio, MD1; Nicholas Haddock, MD2; Alireza Sadeghi, 3, 2 4 Michael J. Yaszemski; Robert J. Spinner; Anthony J. Windebank MD Christina Ahn, MD ; Robert J. Allen, MD Institution where the work was prepared: Mayo Clinic, 1Plastic Surgery, Medical University of South Carolina, Charleston, SC, Rochester, MN, USA 2NYU, New York, NY, 3LSU, New Orleans, LA, 4Plastic Surgery, Louisiana State University Health Science Center, New Orleans, LA 1:34 pm - 1:38 pm A Comparison of Stereology and Binary Histomorphometry Methodology and Reliability in Peripheral Nerve 11:47 am – 11:54 am ASRM Fascicular Turnover Nerve Flaps Hank Haw Sun, BA; Daniel A. Hunter; Gregory Opara; Michael J. Versus Free Nerve Grafts: Pilot Study of Brenner, MD; Philip J. Johnson, PhD; Susan E. Mackinnon, MD Comparison and Outcomes in a Rat Model Institution where the work was prepared: Washington University School Adrian Ooi, MBBS, Terence Goh, MD; Chin-Ho Wong, MD; of Medicine, St. Louis, MO, USA Kok Chai Tan, MD Plastic, Reconstructive and Aesthetic Surgery, Singapore General 1:38 pm - 1:42 pm Hospital, Singapore, Singapore Neural Wound Healing: Why Surgery May Not Be Enough for Carpal Tunnel Syndrome Saturday, January 14 11:54 am – 12:00 pm Discussion Jason R. Kang, BS; Weiping Wang, PhD; Nima Nassiri, BS; Peter Hahn, BS; Derek Frum; Tahseen Mozaffar, MD; Ranjan Gupta 12:00 pm Adjourn Institution where the work was prepared: University of California Irvine, Irvine, CA, USA 12:00 pm -1:00 pm ASPN Business Meeting with Lunch 1:42 pm - 1:46 pm (Members Only) The Duration of GDNF Release Affects Nerve Regeneration Following Delayed Nerve Repair 1:00 pm - 2:30 pm Scientific Paper Session 3 Matthew D. Wood, PhD; Howard Kim, PhD; Stephen W. P. Kemp, Moderators: Gregory Evans, MD and Allan Belzberg, MD PhD; Mark Szynkaruk; Christine Weber; Molly Shoichet, PhD; Tessa Objective: The participants will be exposed to ongoing research in Gordon, PhD; Gregory H. Borschel, MD the field of peripheral nerve surgery. Institution where the work was prepared: Matt, Toronto, Canada

1:00 pm - 1:04 pm 1:46 pm - 1:50 pm Axonal Reconnection with Polyethylene Glycol and Methylene Reprogramming of Adipose Derived Stem cells (ADSCs) to iPS Blue after Sciatic Nerve Transection Results in Rapid and Further Differentiation to Neuronal Cells for the Treatment Behavioral Recovery of Peripheral Neuropathy Dilip Dey, Jonathan Eichelsdoerfer, Sean Pham, Marko Tomov and Cameron P. Keating, MBBS, BMedSc; Joshua M. Britt, BS; Jacqueline Gregory R.D. Evans R. Kane, BS; Aleksej Zuzek, BS; Christopher S. Spaeth, BS; Jerry D. Fan, Aesthetic and Plastic Surgery Institute, University of California, Irvine, BS; Francisco Gonzalez-Lima, PhD; Timothy Schallert, PhD; George Orange, CA D. Bittner, PhD; Jonathan M. Winograd, MD Institution where the work was prepared: Plastic Surgery Research 1:50 pm - 2:00 pm Discussion Laboratory, Mass. General Hospital, Boston, MA, USA 2:00 pm - 2:04 pm  1:04 pm - 1:08 pm The Surgical Management of Chronic Pain Following Acoustic Rat Sciatic Nerve Regeneration Using IGF- 1 Enriched White Neuroma Resection; A Novel Approach Adipose Tissue Flap as a Biologic Scaffold Matthew Endara, MD; John Felder; Ivica Ducic, MD, PhD Rebecca A. Rajfer, BS; Ayhan Kilic; Bukola Ojo, BS; Geoffrey Konopka; Institution where the work was prepared: Georgetown University Daniel Hagg; Eugene Jang; Yelena Akelina; Jeremy Mao; Melvin P. Hospital, Washington, DC, USA Rosenwasser; Peter Tang Institution where the work was prepared: Columbia University College th of Physicians & Surgeons, New York, NY, USA 2:04 pm - 2:08 pm 3:06 pm - 3:10 pm Radiation Affects Sensory Recovery in the Reconstructed Breast Anatomical, Behavioral and Myological Analysis of the Gedge D. Rosson, MD; Michael Magarakis; Raghu Venkat; A. Lee Transgenic Thy1-GFP Rat Following Peripheral Nerve Injury Dellon; Michele A. Manahan; Justin Ballamy; Elbert E. Vaca; Stephen W. P. Kemp; Matthew D. Wood; Peter D. Phua; Krisanne N. Stacie Jeter Stanoulis; Tessa Gordon; Gregory H. Borschel Institution where the work was prepared: Johns Hopkins University Institution where the work was prepared: SickKids Hospital and the School of Medicine, Baltimore, MD, USA University of Toronto, Toronto, ON, Canada

2:08 pm - 2:12 pm 3:10 pm - 3:20 pm Discussion Prevalence of Tinel Signs in Diabetics in a Community Setting S. Shar Hashemi, MD; Isaam Cheikh, MD; A. Lee Dellon, MD, PhD 3:20 pm - 3:24 pm Institution where the work was prepared: Johns Hopkins University, Proximal Tibial Nerve Compression: Baltimore, MD, USA Results of Surgical Decompression Eric H. Williams, MD; Gedge D. Rosson, MD; Robert Hagan, MD; S. 2:12 pm - 2:16 pm Shar Hashemi, MD; A. Lee Dellon, MD, PhD A Multicenter Study of Processed Nerve Allografts: Utilization Institution where the work was prepared: Johns Hopkins , Baltimore, and Outcomes in Mixed and Motor Nerve Repairs MD, USA Darrell Brooks, MD; Renata V. Weber; Jerome D. Chao, MD; Mickey Cho, MD; Christopher Wilson, MD; John Ingari, MD; Scott Wisotsky, 3:24 pm - 3:28 pm MD; Bauback Safa, MD Elective Peripheral Nerve Decompression After Burn Injury: Institution where the work was prepared: Darrell Brooks, Comparison of Patients With Electrical versus Non-Electrical San Francisco, CA, USA Etiologies ASPN Program C. Scott Hultman, MD, MBA; Cindy Wu, MD; C. Calvert; 2:16 pm - 2:20 pm AA Meyer; BA Cairns Distal Nerve Transfers for Restoration of Quadriceps Function Institution where the work was prepared: University of North Carolina, Amy M. Moore; Thomas H. Tung Chapel Hill, NC, USA Institution where the work was prepared: Washington University, St. Louis, MO, USA 3:28 pm - 3:32 pm Concomitant Release of Guyon’s Canal with 2:20 pm - 2:30 pm Discussion Ulnar Nerve Transposition Kirsty Usher Boyd, MD; Andrew Yee; Hank Haw Sun, BA; Susan E. 2:30 pm - 2:50 pm Break with Exhibitors Mackinnon, MD Institution where the work was prepared: Washington University, St. 2:50 pm - 4:00 pm Scientific Paper Session 4 Louis, MO, USA Moderators: Thomas Tung, MD and Henk Coert, MD 3:32 pm - 3:36 pm Objective: The participants will be exposed to ongoing research in A Comparison of Retractor-Integrated Endoscopic and the field of peripheral nerve surgery. Open Ulnar Nerve Decompression Techniques In Cubital Tunnel Syndrome 2:50 pm - 2:54 pm Stephan Dützmann; Daniel Martin, MD; Gerhardt Marquardt, MD, Neurotrophic Expression and Neuronal Response in the PhD; Gabriele Schackert, MD, PhD; Volker Seifert; Kartik Krishnan Spinal Cord Following Direct and Trans-Cutaneous Electrical Institution where the work was prepared: University of Frankfurt Dept. Stimulation of the Mouse Sciatic Nerve of Neurosurgery, Frankfurt, Germany Anne-Marie Pion, MD; Eric Beaumont, PhD; Artur Kania, PhD; Jenny C. Lin, MD, PhD 3:36 pm - 3:40 pm Institution where the work was prepared: Research Centre CHU-Sainte- Post-Cubital Tunnel Release: How Much 3T Mr Justine, University of Montreal, Montreal, QC, Canada Neurography Adds? Majid Chalian; Neda Faridian-Aragh, MD; Allan J. Belzberg; John A. 2:54 pm - 2:58 pm Carrino; Eric Wlliams; Avneesh Chhabra Nerve Graft Modality Matching Directs Regeneration of Mixed Institution where the work was prepared: The Johns Hopkins Hospital, Peripheral Nerves Baltimore, MD, USA Simone W. Glaus; Scott Farber, MD; Daniel A. Hunter; Philip J. Johnson; Susan E. Mackinnon 3:40 pm - 3:50 pm Discussion Institution where the work was prepared: Washington University, Saint Louis, MO, USA 68 2:58 pm - 3:02 pm 4:00 pm - 4:30 pm Invited Lecture Electromechanical Properties of Regenerative Peripheral Nerve Interfaces Tessa Hadlock, MD Ziya Baghmanli, MD; Christopher M. Frost, Student; Benjamin Research in Facial Paralysis Wei, MD; Kristoffer B. Sugg, MD; Paul S. Cederna, MD; Melanie G. Urbanchek, PhD This talk will highlight contemporary clinical Institution where the work was prepared: University of Michigan, Ann challenges in the paralyzed face and research Arbor, MI, USA approaches to address them. It will also outline the current state of the art in basic 3:02 pm - 3:06 pm science approaches to maximizing facial Immune System Augmentation by Glatiramer Acetate of nerve regeneration in animal models. Peripheral Nerve Regeneration – Crush vs. Transection Models of Rat Sciatic Nerve 4:50 pm - 5:45 pm Special Session: Poster Presentations Shai Luria, MD; Avi Cohen; Ori Safran; Shimon Firman; Meir Liebergall Throughout this program a series of basic and clinical research papers Institution where the work was prepared: Hadassah-Hebrew University chosen by the Program Committee will be presented. Medical Center, Jerusalem, Israel Objective: Following this session, the participant will be exposed to ongoing research in the field of peripheral nerve surgery.

6:00 pm - 7:30 pm ASPN/ASRM Welcome Reception American Society for Peripheral Nerve DAY-AT-A-GLANCE Sunday, January 15, 2012

6:30am – 3:00pm Speaker Ready Willows

6:30am – 4:30pm Registration Registration Desk

7:00am – 8:00am Breakfast with Exhibitors Charleston 69

7:30am – 8:25am Instructional Courses 306 Neuro-Imaging Veranda A 307 Tissue Engineering and Nerve Repair Trails 308 Current Approach to Facial Palsy and Future Directions Veranda B 309 Controversies in Lower Extremity Compression Veranda D Neuropathy Treatment, “New” Sites of Compression & Management of Failed Decompressions 310 Painful Peripheral Nerve Injury: Evidence-based Approaches Siena and Validated Methods to Assess Outcomes and QoL

8:30am – 9:30am Scientific Papers Session 5 Summerlin CD

9:30am – 10:00am Invited Lecture: Summerlin CD Evidence-Based Science Behind the Timing of Surgical Repair of Peripheral Nerve Injuries Tessa Gordon, PhD

10:00am – 10:15am Break with Exhibitors Charleston

10:15am – 11:15am ASPN/ASRM Panel: Reconstructive Challenges: Head to Toe Summerlin ABEF Day-at-a-Glance 11:15am – 11:45am Scientific Paper Session 6 Summerlin CD

11:45pm – 12:00pm Closing Remarks Summerlin CD

12:00pm – 1:00pm ASPN Council Meeting Hills ASPN Program 310 Painful Peripheral Nerve Injury: Evidence-based Approaches and Sunday January 15, 2012 Validated Methods to Assess Outcomes and QoL 7:30 am - 8:25 am ASPN Instructional Courses Instructors: Oskar Aszmann, MD; Henk Coert, MD Surgical management of painful peripheral nerve injuries remains 306 Neuro-Imaging challenging. Join this course to discuss factors predictive of Instructors: Aaron Filler MD; John Carrino, MD; Allan Belzberg, MD outcome, evidence-based approaches, and validated methods to objectively assess patient’s quality of life. Clinical practice for managing nerve injuries and entrapments often does not include imaging such as MRI. This course will discuss the Objectives: Following this session, the participant will be able to: evidence on the utility and methodology of nerve imaging with MRI Recognize important developments related to intraneural and as well as the problems and limitations. extraneural lesions.

Objectives: Following this session, the participant will be able to: 8:30 am - 9:30 am Scientific Paper Session 5 1. Introduce the MRI as a methodology in nerve imaging. Moderators: Melanie Urbanchek, MD and Richard Reddeh, MD 2. Compare and contrast the benefits and limitations to using the MRI in nerve imaging. Throughout this program a series of basic and clinical research papers chosen by the Program Committee will be presented. ASPN Program Tissue Engineering and Nerve Repair Objective: The participants will be exposed to ongoing research in 307 the field of peripheral nerve surgery. Instructors: Gregory Evans, MD, FACS; Rajiv Midha, MD This course will discuss new ideas of bioengineering for the 8:30 am - 8:34 am construction of improved artificial nerve conduits. Various types Functional Evaluation of Motor Nerve Recovery in the Rat: A of biomaterials, transplanted cells, and the potential application of Comparison of the Sciatic Functional Index, Ankle Angles and stem cells will be explored. Isometric Tetanic Force Joo-Yup Lee, MD, PhD; Guilherme Giusti, MD; Huan Wang, MD, PhD; Patricia F. Friedrich, AAS; Allen T. Bishop, MD; Alexander Y. Shin, MD Objectives: Following this session, the participant will be able to: Institution where the work was prepared: Mayo Clinic, Rochester, Describe new ideas of bioengineering for the construction of MN, USA improved artificial nerve conduits by way of various types of biomaterials, transplanted cells and potential use of stem cells. 8:34 am - 8:38 am Hydrophilic Polymers Allow Immediate Physiologic Function of Severed Nerves after Interposition Grafting Current Approach to Facial Palsy and Kevin W. Sexton, MD; G. A. Del Corral, MD; J. M. Britt; G. D. Bittner, 308 PhD; R. B. Shack, MD; W. P. Thayer, MD, PhD Future Directions Institution where the work was prepared: Vanderbilt University, Instructors: Tessa Hadlock, MD; Rick Redett, MD Nashville, TN, USA Facial reanimation surgery continues to evolve and improve, 8:38 am - 8:42 am particularly with the increasing use of alternate recipient nerves. The Effectof Perineurotomy on Nerve Regeneration This course addresses the latest techniques for the treatment of In Diabetic Rats incomplete and complete facial paralysis. Cihan Sahin, MD; Huseyin Karagoz, MD; Fuat Yuksel, MD; Dilek Akakin, MD; Nukhet Dagbasi, MD; Ersin Ulkur, MD Objectives: Following this session, the participant will be able to: Institution where the work was prepared: GATA Haydarpasa Training Explain the latest techniques for the treatment of incomplete and Hospital , Istanbul, Turkey complete facial paralysis. 8:42 am - 8:46 am 309 Controversies in Lower Extremity The Schwannomatosis International Database Allan J. Belzberg, MD; Dusica Babovic-Vuksanovic, MD; Jaishri Compression Neuropathy Treatment, Blakeley; Felix Bokstein; John A. Carrino, MD; Shlomi Constantini; “New” Sites of Compression Gypsamber D’Souza; Gareth Evans; Rosalie Ferner; Jan Friedman; 70 & Management of Failed Marco Giovannini; Gordon Harris; Jennifer Haythornthwaite; Decompressions. Cynthia Hingtgen; Theo Hulsebos; Lori Jordan; Michel Kalamarides; Bruce Korf; Fawn Leigh; Guy Leschziner; Antonio J. Machado, MD; Instructors: A. Lee Dellon, MD; Gedge Rosson, MD Viktor Mautner; Laura Papi; Scott Plotkin; Bernd Scheithauer; Anat This course will explore the controversies inherent in lower Stemmer-Rachamimov; Xiaobu Ye; Kaleb Yohay; Amanda Bergner extremity nerve compressions, particularly when the diagnosis Institution where the work was prepared: Johns Hopkins University, of compression overlaps with some other underlying peripheral Baltimore, MD, USA neuropathy. In particular, “new” and less common sites of compression and their surgical approaches will be highlighted. 8:46 am - 8:52 am Discussion

Objectives: Following this session, the participant will be able to: 8:52 am - 8:56 am 1. Identify controversies inherent in lower extremity nerve Directing The Growth Of Regenerating Motor Axons Into a compressions. Specific Peripheral Nerve Branch by Selective Injection of a 2. Describe new and less common sites of compression by way of Lentiviral Vector Encoding Gdnf surgical practice. Godard CW de Ruiter, MD; S. A. Hoyng; Ruben Eggers; M.R. Tannemaat, MD, PhD; J. Verhaagen; Martijn J.A. Malessy, PhD Institution where the work was prepared: Netherlands Institute for Neuroscience, amsterdam, Netherlands 8:56 am - 9:00 am 10:15 am - 11:15 am Joint ASPN/ASRM Panel: Identification and Classification of Peripheral Nerve Injuries Reconstructive Challenges: Head to Toe with Optical Imaging in the Near-infrared Moderator: Ivica Ducic, MD, PhD Tiffany P. Gustafson; Ying Yan; Piyaraj Thiranansakul; Walter J. Akers; Invited Panelists: Samir Mardini, MD; James Higgins, MD Susan E. Mackinnon; Philip J. Johnson; Mikhail Y. Berezin Institution where the work was prepared: Washington University School Attendees will be exposed to the most challenging reconstructive of Medicine, Saint Louis, MO, USA problems. Encompassing the entire body, the latest problem solving techniques for these complex issues will be discussed and debated.

9:00 am - 9:04 am Objectives: Following this session, the participants will be able to: The Effect of the Novel Proneurogenic, Neuroprotective 1. List the latest problem solving techniques for complex Compound P7C3 on Regenerative Properties Following Sciatic reconstructive issues facing surgeons today. Nerve Crush in Neonatal Rats 2. Debate the strongest techniques used to combat reconstructive Stephen W. P. Kemp; Andrew A. Pieper, MD; Matthew D. Wood; Mark issues. Szynkaruk; Tessa Gordon; Gregory H. Borschel Institution where the work was prepared: SickKids Hospital and the University of Toronto, Toronto, ON, Canada 11:15 am - 11:45 am Scientific Paper Session 6 9:04 am - 9:10 am Discussion Moderators: Christine Novak, PhD, PT and Martijn Malessy, MD Throughout this program a series of basic and clinical research 71 papers chosen by the Program Committee will be presented. 9:10 am - 9:14 am Objective: The participants will be exposed to ongoing research in Upper Extremity Peripheral Nerve Reconstruction: the field of peripheral nerve surgery. An Algorithm for Injury Classification and Repair Techniques John M. Felder, MD; Matt Iorio; Ivica Ducic, MD, PhD 11:15 am - 11:19 am Institution where the work was prepared: Georgetown University Axonal Regeneration Across Long Peripheral Nerve Defects Hospital, Washington, DC, USA Using Acellular Nerve Allografts Ying Yan, MD/PhD; Dan Hunter, RA; Susan E. Mackinnon, MD; Philip 9:14 am - 9:18 am J. Johnson, PhD Real Time Reporting of Iatrogenic Nerve Injuries in a Institution where the work was prepared: Washington University in St. Prospective QA Database at a Level I Trauma Center Louis, St. Louis, MO, USA Jens Hahnhaussen, MD; Philip Stahel; Kyros Ipaktchi Institution where the work was prepared: Denver Health Medical Center, 11:19 am - 11:23 am Denver, CO, USA Catwalk Gait Analysis In ASSESSMENT of FUNCTIONAL Recovery AFTER Sciatic Nerve Injury In the Mice 9:18 am - 9:22 am Ching-Hua Hsieh, MD; Jonathan Chris Jeng, BA; Siou-Ling Tzeng; Use of Peripheral Nerve Allograft in the Repair of Long- Tsu-Hsiang Lu Segmental Nerve Defects Resulting from Gun-Shot Wounds Institution where the work was prepared: Ching-Hua Hsieh, Kaohsiung, Sustained During Operation Enduring Freedom Taiwan Patrick L. Basile; RT Howard; IL Valerio; GF Santiago Institution where the work was prepared: National Naval Medical 11:23 am - 11:27 am Center, Bethesda, MD, USA Pearls and Pitfalls of Motion Analysis: Is There a Place for it in the Functional Evaluation of Sciatic Nerve Injury and Repair? 9:22 am - 9:30 am Discussion Jing Rui, MD; M. Brett Runge, PhD; Robert J. Spinner, MD; Michael J.

Yaszemski, MD, PhD; Anthony J. Windebank; Huan Wang, MD, PhD Sunday, January 15th 9:30 am - 10:00 am President’s Invited Lecture Institution where the work was prepared: Mayo Clinic, Rochester, MN, USA Tessa Gordon, PhD 11:27 am - 11:31 am Evidence-Based Science Behind the Timing of Accelerating Calcium Absorption Significantly Improves Surgical Repair of Peripheral Nerve Injuries Peripheral Nerve Regeneration – an Experiment in Rats Whilst it is well recognized that peripheral nerves Ziyi Wang; Ji-Geng Yan; James Sanger; Lin-Ling Zhang; Yu-Hui Yan, can regenerate lost axons after injury, functional MD; Micheal Agresti; Hani S. Matloub recovery is too frequently disappointing. Dr. Institution where the work was prepared: Medical College of Wisconsin, Gordon is a neuroscientist presently working at the Hospital for Milwaukee, WI, USA Sick Children in Toronto, and a Professor Emeritus at the University of Alberta in Edmonton. She will present evidence for progressive 11:31 am - 11:35 am deterioration of axon regeneration with time and distance and the Anatomic Study of the Compression Points of the Supraorbital potential of brief electrical stimulation to accelerate the outgrowth and Supratrochlear Nerves of axons. Evidence from animal and human studies are indicating Santosh S. Kale, MD, MBA; Thomas H. Tung promising surgical strategies to promote nerve repair after injury. Institution where the work was prepared: Washington University School of Medicine, Saint Louis, MO, USA Objectives: Following this session, the participants will be able to: Distinguish the vitality of progressive deterioration of axon 11:35 am - 11:45 am Discussion regeneration through time and distance and the potential of brief electrical stimulation in accelerating the outgrowth of axons.

10:00 am - 10:15 am Break with Exhibitors 72 ASRM 2011-2012 ASRM Executive Council Members

President Keith E. Brandt, MD 73 President-Elect Michael W. Neumeister, MD Vice-President Joseph Serletti, MD Secretary E. Gene Deune, MD Treasurer Allen T. Bishop, MD Treasurer-Elect Charles E. Butler, MD Immediate Past President Peter C. Neligan, MD

Senior Members-At-Large Raymond M. Dunn, MD ASRM Council Members Lawrence Gottlieb, MD

Junior Members-At-Large Michel Saint-Cyr, MD, FRCS (C) Joan E. Lipa, MD

Historian Michael J. Miller, MD Please join us in thanking the following ASRM committees who have helped make the 2011 year successful.

Audit Committee Endowment Committee Program Committee Elisabeth Beahm, MD, Chair L. Scott Levin, MD FACS, Chair David H. Song, MD, MBA, FACS, Chair Scott Oates, MD Lawrence Colen, MD Joyce Aycock, MD Roman Skoracki, MD Joseph Serletti, MD David Chang, MD Ronald Zuker, MD Paul Cederna, MD Buncke Lectureship Committee Melissa Crosby, MD Peter C. Neligan, MD, Chair Finance Committee Matthew Hanasono, MD Keith E. Brandt, MD Michael Neumeister, MD, Chair Johan Hijjawi, MD James Higgins, MD Allen Bishop, MD Joan E. Lipa, MD David Song, MD Charles E. Butler, MD Samir Mardini, MD Robert Walton, MD Howard Langstein, MD Lucio Pavone, MD Julie E. Park, MD Bylaws Committee Godina Fellowship Selection Wes Schooler, MD

ASRM Commitees Paul Cederna, MD, Chair Committee Liza Wu, MD Robert Whitfield, MD Michael Neumeister, MD, Chair Michael Zenn, MD Keith E. Brandt, MD Technical Exhibits Committee Thomas Hayakawa, MD Randall Culp, MD, Chair Clinical Guidelines & Outcomes James Higgins, MD Eduardo Rodriguez, DDS, MD Committee Peirong Yu, MD Liza Wu, MD James Higgins, MD, Chair David Mathes, MD Masters Series Symposium Time & Place Committee Lee Pu, MD Committee Peter C. Neligan, MD, Chair Hakim Said, MD Lawrence Gottlieb, MD Neil F. Jones, MD Vu T. Nguyen, MD William Zamboni, MD CPT/RUC Committee Paul Cederna, MD Membership Committee Young Microsurgeons Group Greg Buncke, MD Michael Neumeister, MD, MD, Chair Committee Raymond Dunn, MD Donald Baumann, MD Robert Whitfield, MD Gabriel Kind,MD Melissa Crosby, MD Melissa Crosby, MD William Pederson, MD William Dzwierzynski, MD Scott Hansen, MD Daniel Nagle, MD Gabriel Kind, MD Thomas Hayakawa, MD Michael Zenn, MD Joseph Serletti, MD John Hijjawi,MD Mark Kiehn, MD Education Committee Micro Fellowship Committee Otway Louie, MD Lawrence Gottlieb, MD, Chair Charles E. Butler, MD, Chair Vu Nguyen, MD 74 Scott Hansen, MD Keith E. Brandt, MD Gedge Rosson, MD John Hijjawi, MD Gregory Buncke, MD Samir Mardini, MD Peter Cordiero, MD Liza Wu, MD Electronic Communications Committee Nominating Committee Michael Klebuc, MD, Chair Peter C. Neligan, MD, Chair Elisabeth Beahm, MD Melissa Crosby, MD Matthew Concannon, MD Raymond Dunn, MD Howard Langstein, MD William Dzwierzynski, MD Michael Miller, MD Milan Stevanovic, MD ASRM HISTORICAL INFORMATION

1983 Founding Council James B. Steichen, MD Berish Strauch, MD Julia K. Terzis, MD James R. Urbaniak, MD Allen L. Van Beek, MD

Year President Annual Meeting Site Founders/Godina Lecturers

1985 Berish Strauch, MD Las Vegas, NV Harry J. Buncke, MD Founders’ Lecturer 1986 James R. Urbaniak, MD New Orleans, LA Harold E. Kleinert, MD Founders’ Lecturer 75 1987 Joseph E. Kutz, MD San Antonio, TX Robert D. Acland, MD Founders’ Lecturer 1988 H. Bruce Williams, MD Baltimore, MD Berish Strauch, MD Founders’ Lecturer 1989 James B. Steichen, MD Seattle, WA G. Ian Taylor, FRCS, FRACS Founders’ Lecturer 1990 Allen L. Van Beek, MD Toronto, Ontario, Canada Andrew Lightbody, MD ASRM Historical Information Founders’ Lecturer 1991 Michael B. Wood, MD Orlando, FL Alain Gilbert, MD Founders’ Lecturer 1992 Andrew J. Weiland, MD Scottsdale, AZ Edgar Biemer, MD Founders’ Lecturer 1993 Graham Lister, MD Kansas City, MO Algimantas Narakas, MD Founders’ Lecturer Lawrence B. Colen, MD Godina Lecturer 1994-95 Robert C. Russell, MD Marco Island, FL Nguyen Huy Phan, MD Founders’ Lecturer Mark A. Schusterman, MD Godina Lecturer 1995-96 Ralph T. Manktelow, MD Tucson, AZ Fu Chan Wei, MD Founders’ Lecturer Randy Sherman, MD Godina Lecturer 1996-97 James A. Nunley, MD Boca Raton, FL James R. Urbaniak, MD Founders’ Lecturer Zoran M. Arnez, MD Godina Lecturer 1997-98 William M. Swartz, MD Scottsdale, AZ H. Bruce Williams, MD Founders’ Lecturer L. Scott Levin, MD Godina Lecturer 1998-99 David T. W. Chiu, MD Waikoloa, HI Julia K. Terzis, MD Founders’ Lecturer Phillip Blondeel, MD Godina Lecturer 1999-2000 Daniel Nagle, MD Miami, FL Allen Van Beek , MD Founders’ Lecturer Gregory R. D. Evans, MD Godina Lecturer ASRM HISTORICAL INFORMATION continued

2000-2001 Saleh M. Shenaq, MD San Diego, CA Wayne Morrision, MD, FRACS Founders’ Lecturer Roger Khouri, MD Godina Lecturer 2001-2002 Randy Sherman, MD Cancun, Mexico Robert Russell, MD Founders’ Lecturer William Zamboni, MD Godina Lecturer 2002-2003 Julia K. Terzis, MD, PhD Kauai, HI Panayotis Soucacos, MD Founders’ Lecturer Raymond Dunn, MD Godina Lecturer 2003-2004 Ronald M. Zuker, MD Palm Springs, CA Ralph Manktelow, MD Founders’ Lecturer Milomir Ninkovic, MD, PhD Godina Lecturer 2004-2005 Robert L. Walton, MD, FACS Fajardo, Puerto Rico Isao Koshima, MD Founders’ Lecturer Michael Neumeister, MD, FRCSC, FACS Godina Lecturer G. Ian Taylor, MD, FACS Buncke Lecture 2005-2006 William C. Pederson, MD Tucson, AZ David Chang, MD, FACS Godina Lecturer Fu Chan Wei, MD, FACS Buncke Lecture 2006-2007 L. Scott Levin, MD, FACS Rio Grande, Puerto Rico Ming Huei Cheng, MD, MHA Godina Lecturer ASRM Historical Information James Urbaniak, MD Buncke Lecture 2007-2008 Lawrence B. Colen, MD Beverly Hills, CA Peirong Yu, MD Godina Lecturer Berish Strauch, MD Buncke Lecture 2008-2009 Neil F. Jones, MD Maui, HI Michael Sauerbier, MD Godina Lecturer 76 Ralph Manktelow, MD Buncke Lecture 2009-2010 William A. Zamboni, MD Boca Raton, FL Yur Ren Kuo, MD, PhD, FACS Godina Lecturer Susumu Tamai, MD Buncke Lecture 2010-2011 Peter C. Neligan, MD Cancun, Mexico James Higgins, MD Godina Lecturer Julian Pribaz, MD Buncke Lecture CME Information American Society for Reconstructive Microsurgery

Educational Overview Accreditation Statement After the completion of this program, participants This activity has been planned and implemented in will have an enhanced knowledge of the scope, accordance with the Essential Areas and policies of the practice and application of microsurgical techniques Accreditation Council for Continuing Medical Education in breast, upper/lower extremity and head and neck (ACCME) through the joint sponsorship of the American reconstruction. Included will be specifics of patient Society of Plastic Surgeons (ASPS) and the American and flap selection, inset techniques, and avoidance and Society for Reconstructive Microsurgery (ASRM). The management of complications. ASPS is accredited by the ACCME to provide continuing medical education for physicians. Intended Audience This educational activity is intended for surgeons and Designation Statement 77 other healthcare professionals engaged in the practice The ASPS designates this live activity for a maximum of clinical reconstructive microneurovascular surgery of 19.75 AMA PRA Category 1 Credits™. Physicians and other complex reconstructions and/or involvement should claim only the credit commensurate with the in research into and teaching of microneurovascular extent of their participation in the activity. surgery. Disclosure Policy Learning Objectives The ASPS requires all faculty, authors, planners, Following completion of this activity, participants will reviewers, managers, and other individuals in a position be able to: to control or influence the content of an activity to • Discuss state of-the-art techniques in microsurgery disclose all relevant financial relationships or affiliations. and complex reconstruction. All identified conflicts of interest must be resolved and • Effectively implement interdisciplinary interaction the educational content thoroughly vetted by ASPS for ASRM CME Information and cooperative learning among colleagues in fair balance, scientific objectivity, and appropriateness professional practice. of patient care recommendations. The ASPS also • Interact professionally with microsurgeons from requires faculty/authors to disclose when off-label/ various countries worldwide for the beneficial unapproved uses of a product are discussed in a CME exchange of medical knowledge and surgical activity or included in related materials. techniques. • Analyze current reconstructive practices and Disclaimer evaluate professional effectiveness with respect to The Society hereby acknowledges that while its best practices and patient safety. broad purpose is to promote the development and • Implement new methods of reconstruction and exchange of knowledge pertaining to the practice of reinnervation in their practices. microsurgery; it does so only in the context of a private forum without making any representation to the public ABMS Core Competencies whatsoever. Accordingly, the Society declares that its This program will address the following ACGME/ABMS primary purpose is to benefit only its members, and Competencies: responsibility for the Society for acts or omissions of • Patient Care and Procedural Skills Society members dealing with the public is hereby • Medical Knowledge expressly disclaimed. • Practice-Based Learning and Improvement • Systems-Based Practice

Commercial Support This activity received support from The California Pacific Medical Center, ASSI and Synovis, MCA. American Society for Reconstructive Microsurgery 2012 Annual Meeting Disclosure Policy and Presenter’s Disclosures

The American Society of Plastic Surgeons (ASPS) requires all instructors, planners, reviewers, managers, and other individuals in a position to control or influence the content of an activity to disclose all relevant financial relationships or affiliations. All identified conflicts of interest must be resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patent care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME/CE activity or included in related materials.

All identified conflicts of interests have been resolved.

Disclosures of all Chairs, Co-Chairs, Speakers, Authors, Moderators, Reviewers, Committee Members, and other appropriate individuals:

Darrell Brooks, MD – Research Support Recipient: AxoGen Charles Butler, MD – Consultant: LifeCell Michael Franz, MD– Speaker: AxoGen Steven Kronowitz, MD – Consultant: Alergan, LifeCell Maurice Nahabedian, MD – Speaker: LifeCell Presenters’ Disclosures Gedge Rosson, MD – Research Support Recipient: LifeCell, Educational Grant: LifeCell, Educational Grant: Mentor Corp. Justin M. Sacks, MD – Speaker for LifeCell Michel Saint-Cyr, MD – Speaker: LifeCell; Consultant: Mentor Allergan Michael Zenn, MD – Research Recipient for Novadaq Michael Wong, MD – Speaker: Biomet Microfixation

The following Chairs, Co-Chairs, Speakers, Authors, Moderators, Reviewers, and other appropriate individuals reported they have no relevant financial relationships or affiliations to disclose: Brian T. Andrews, MD, MA Shi-Min Chang, MD, PhD Joseph Disa, MD Christopher Attinger, MD Albert H. Chao, MD Kazuteru Doi, MD, PhD Suhan Ayhan, PROFESSOR Hsin-Yu Chen, MD Ivica Ducic, MD Joyce Aycock, MD Hung-Chi Chen, MD Raymond Dunn, MD Carissa J. Ball, MS Hui-Yung Cheng, PhD River M. Elliott, MD Rachel Bluebond-Langner, MD Ming-Huei Cheng, MD Gregory Evans, MD, FACS 78 James Boehmler, MD Youn Chung, MD John P. Fischer, MD J. Brian Boyd, MD Yoon Kyu Chung, MD, PhD Brad Michael Gandolfi, MD Keith E. Brandt, MD Emily M. Clarke-Pearson, MD Patrick B. Garvey, MD Warren Breidenbach, MD Melissa Crosby, MD Emre Gazyakan, MD John P. Brosious, MD Lawrence Colen, MD Goetz A. Giessler, MD, PhD Charles Butler, MD O. Koray Coskunfirat, MD Terence Goh, MBBS, MRCS, MMed Corrado Cesare Campisi, MD Joanna Cwykiel, MS Lawrence Gottlieb, MD Paul Cederna, MD Erez Dayan, MD Shigeru Goto, MD Linda Cendales, MD Tom Davenport, MD Geoff Gurtner, MD Bernard Chang, MD Frank Dellacroce, MD Eric G. Halvorson, MD David Chang, MD Yener Demirtas, MD Scott Hansen, MD Edward I. Chang, MD Giorgio De Santis, MD Matthew Hanasono, MD Jeff Chang, MS, MD E.Gene Deune, MD Thomas Hayakawa, MD Geoff Hallock, MD Joan E. Lipa, MD Bohdan Pomahac, MD Hyunsuk Suh, MD Ginard Henry, MD Cheng-Hung Lin, MD Julian Pribaz, MD Sinikka Suominen, MD James P. Higgins, MD Maria M. LoTempio, MD Alyssa J. Reiffel, MD Daniel William Suver, MD John Higgans, MD Susan Mackinnon, MD Geoff Robb, MD Ngian Chye Tan J. Bradford Hill, BS Maria Madajka, MD Jennifer W. Robinson, MD, Julia K. Terzis, MD, PhD Stefan Hofer, MD Samir Mardini, MD FRCS(C) Travis Tollefson, MD Joon Pio Hong, MD Maryann Martinovic, MD Jennifer W. Robinson, MD Yun-Ta Tsai, MD Karen M. Horton, MD Derek Masden, MD Andres Rodriguez, MD, PhD Thomas Tung, MD Ching-hsuan Hu, MD Jaume Masia, MD Jason Roostaeian, MD Ian L. Valerio, MD, MS, MBA Jung-Ju Huang, MD Evan Matros, MD Michelle Curtis Roughton, MD Steven Vega, MD Scott Hultman, MD Sue McDiarmid, MD Michael Rozen, MD Mark T. Villa, MD Kevin Hur, MD Saahil Mehta, MRCS, MBBS, Adam Saad, MD Jan Jeroen Vranckx, MD, PhD 79 Marco Innocenti, MD BSc Jennifer Sabino, MD Robert Walton, MD Matthew L. Iorio, MD Michael N. Mirzabeigi, MD Bauback Safa, MD, MBA, FACS Derrick C. Wan, MD Ian Jackson, MD Steven Moran, MD William Samson, MD Jianli Wang, MD Ahlia Kattan, BA Wayne Morrison, MD Thomas Satterwhite, MD Theresa Y. Wang, MD Patrick Kelley, MD Goo-Hyun Mun, MD Michael Sauerbier, MD Wei Z. Wang, MD Roger Khouri, MD Gerhard S. Mundinger, MD Christiana Savvidou, MD Fu Chan Wei, MD Michael Klebuc, MD Terry Myckatyn, MD Loren Schecter, MD Jonathan R. Weiser, MD Isao Koshima, MD Noel Blythe Natoli, MD Wes Schooler, MD Tormod Westvik, MD Steven Kronowitz, MD Peter C. Neligan, MD Yukio Seki, MD Robert Whitfield, MD Yur-Ren Kuo, MD, PhD, FACS Michael Neumeister, MD Jesse Selber, MD Corrine Wong, MRCS Howard Langstein, MD Vu Nguyen, MD Mitchel Seruya, MD Liza Wu, MD Laurent Lantieri, MD Rika Ohkuma, MD Randy Sherman, MD Jonathan Yang, MD Michael T. Larsen, BS Scott Oates, MD Jamie Shores, MD Jun Yang, MD, PhD Charles Lee, MD Adrian Ooi, MBBS Maria Siemionow, MD Ravit Yanko-Arzi, MD

Justine C. Lee, MD, PhD Can Ozturk, MD Shiba Sinha, MBChB, Hsuan-Keng Yeh, MD Presenters’ Disclosures W.P. Andrew Lee, MD, FACS Lucia Pavone, MD Ji Son, MS Michael J. Yoo, MD Nikola Lekic, MS Chris Pederson, MD Aldona Spiegel, MD Peirong Yu, MD L. Scott Levin, MD Ketan M. Patel, MD David H. Song, MD, MBA, FACS Hsieh Yu-Hsuan Jamie Levine, MD Julie E. Park, MD Milan Stevanovic, MD Toni Zhong, MD Steven M. Levine, MD Brett T. Phillips, MD J. P. Stone, HBSc Ronald Zuker, MD

ASPS and ASRM Education and Meeting staff members have no relevant financial relationships or affiliations to disclose. 80 American Society for Reconstructive Microsurgery DAY-AT-A-GLANCE Saturday, January 14, 2012

6:00am –5:00pm Speaker Ready Room Willows

6:30am – 5:00pm Registration Registration

6:30am – 8:00am AAHS/ASPN /ASRM Breakfast Charleston

7:00am – 8:00am AAHS/ASPN/ASRM Instructional Courses 81 201 Management of Failed Carpal Tunnel Surgery Veranda D 202 Carpal Tunnel Syndrome – Update Siena (ABPS MOC-PS®-approved) 203 Nerve Transfers vs. Tendon Transfers: Timing Treatment Veranda C Options and Post Operative Therapy 204 Controversies in Management of Complex Regional Pain Veranda B Syndromes: Surgery vs. Non-Operative Treatment Options and Validated Methods to Study Outcomes 205 Winning the Future: How to Best Train the Trails Next Generation of Microsurgeons. 206 Bench to Bedside: Translational Research in Microsurgery Veranda A

8:00am – 8:15am AAHS/ASPN/ASRM President’s Welcome Summerlin ABEF

8:15am – 9:30am AAHS/ASPN/ASRM Panel: Nerve Transfers vs. CTA vs. Summerlin ABEF Robotics

9:30am – 10:00am Break with Exhibitors Charleston

10:00am – 11:00am AAHS/ASPN/ASRM Joint Presidential Keynote Lecture Summerlin ABEF Steven Levitt Day-at-a-Glance

11:00am – 12:00pm AAHS/ASPN/ASRM Joint Outstanding Papers Summerlin ABEF

12:00pm – 5:00pm ASRM Master Series in Microsurgery Summerlin ABEF

5:00pm – 6:00pm ASRM Young Microsurgeons Group/ New Member Veranda C & Reception (Invitation Only) Terrace

6:00pm – 7:30pm ASPN/ASRM Welcome Reception Pavilion Ballroom & Terrace ASRM Program 204 Controversies in Management of Complex Regional Pain Syndromes: Saturday January 14, 2012 Surgery vs. Non-Operative Treatment Options and Validated Methods to Study Outcomes? 6:30 am - 8:00 am Breakfast with Exhibitors Instructors: Ivica Ducic, MD, PhD; Wyndell Merritt, MD Neuropathic pain, particularly when CRPS may be involved, 7:00 am – 8:00 am AAHS/ASPN/ASRM can be especially vexing for the peripheral nerve surgeon. This Instructional Courses course will discuss both the operative issues and non-operative modalities in the multi-disciplinary care of these patients. Validated 201Management of methodologies for outcomes studies will be highlighted. Failed Carpal Tunnel Surgery Objectives: Following this session, the participant will be able to: Chair: A. Lee Osterman, MD 1. Discuss both operative issues and non-operative modalities in Instructors: Miguel A. Pirela-Cruz, MD; Josh M. Abzug, MD; multi-disciplinary care of patients with neuropathic pain. Nash A. Naam, MD; Nancy Davidson, MD, TC/L; Carlos Henriguo 2. Validate methodologies for outcomes studies. Fernandes, MD Failure of symptom resolution after carpal tunnel release or

ASRM Program recurrence of pain can be a result of several factors, including 205 Winning the Future: How to Best Train incorrect diagnosis, incomplete release or scarring of the nerve. the Next Generation of Microsurgeons This course will cover assessment of a patient who has failed carpal tunnel release, indications for repeating surgery and strategies Instructors: Charles Butler, MD; Randy Sherman, MD; Michael during surgery based on pathological changes found. Non operative Neumeister, MD; J. Brian Boyd, MD; James Boehmler, MD treatment and therapy modalities will also be discussed. This panel of experts will discuss what they feel is the best way to train future microsurgeons with respect to the current financial Objectives: Following this session, the participant will be able to: constraints and the limitations of the 80 hour work week. 1. Asses a patient who has failed carpal tunnel release, and indicate strategies during surgery based on pathological changes found. Objectives: Following this session, the participant will be able to: 2. Identify non operative treatment and therapy and modalities. 1. Communicate the best way to train future surgeons though restricted by the 80 hour work week.

202 Carpal Tunnel Syndrome – Update (ABPS MOC-PS®-approved) 206 Bench to Bedside: Translational Chair: Donald H. Lalonde, MD Research in Microsurgery Instructors: Peter Murray, MD; Chair: Clara Lee, MD Ather Mirza, MD; Michael Bednar, MD Instructors: Terry Myckatyn, MD; Justin M. Sacks, MD Participation in this course can count towards part IV of the ABPS This esteemed panel of scientist will discuss the opportunities of practice improvement modules as part of the MOC for ABPS translational medicine and provide the latest knowledge in ongoing diplomats if they have uploaded their 10 consecutive cases on the translational topics within surgery. ABPS web site. The course will cover principles and basic science of carpal tunnel syndrome as well as clinical and neurophysiological Objectives: Following this session, the participant will be able to: assessment. Evidence based outcome studies will be used to compare 1. Describe opportunities of translational medicine. open and endoscopic surgery. 2. Provide the latest knowledge of ongoing translational topics within surgery. Objectives: Following this session, the participant will be able to: 1. Recognize basic science of carpal tunnel syndrome as well as clinical and neurophysical assessment. 8:00 am - 8:15 am President Welcome 2. Evaluate evidence based outcome studies used to compare open and endoscopic surgery. 82

203 Nerve Transfers vs. Tendon Transfers: Timing, Treatment Options and Post Operative Therapy Instructors: Thomas Tung, MD; Justin Brown, MD; Steven McCabe, MD Ivica Ducic, MD, PhD Keith E. Brandt, MD Christine Novak, PhD, PT AAHS President ASPN President ASRM President This course will discuss the indications, patient selection and surgical techniques for tendon transfers to restore wrist flexion and extension and reconstruction of biceps and triceps muscle function in the upper arm to restore elbow flexion and extension. This course will also detail the evolving techniques of multiple nerve transfers in the upper extremity. The importance of timing in decision-making will be highlighted.

Objectives: Following this session, the participant will be able to: 1. Summarize indications, patient selection and surgical techniques for tendon transfers to restore. wrist flexion and extension and reconstruction of biceps, triceps and muscle function of the upper arm. 8:15 am - 9:30 am Joint AAHS/ASPN/ASRM Panel: ASPN Nerve Transfers vs. CTA vs. Robotics 11:20 am – 11:27 am Brief 1 Hour 20Hz Electrical Moderator: Gedge Rosson, MD Stimulation (ES) Improves Invited Panelists: Susan Mackinnon, MD; W. P. Andrew Lee, MD, Axon Regeneration After FACS; Oskar Aszmann, MD Delayed Nerve Repair in Sprague Dawley Rats With significant advances in nerve transfers, vascularized composite Adil Ladak, MSc, MD2; Neil Tyreman, BSc2; Valarie Verge, PhD3; Tessa allotransplantation, and prosthetics, it is not always clear how these Gordon, PhD1 evolving techniques relate. This panel of experts will highlight their 1 Division of Plastic and Reconstructive Surgery, The Hospital for Sick experiences with these modalities. Children, Toronto, ON, Canada, 2Division of Neuroscience, University of Alberta, Edmonton, Canada, 3CMSNRC and Department of Anatomy Objectives: Following this session, the participants will be able to: and Cell Biology, University of Saskatoon, Saskatoon, Canada 1. Describe the relatable differences and similarities between evolving surgical technique such as nerve transfers, vascularized composite allotransplantation and prosthetics. 11:27 am – 11:34 am Hand Outcomes in Operative Management of Complete Obstetrical 9:30 am - 10:00 am Break with Exhibitors Brachial Plexus Palsy Isaac Harvey, FRACS, MBBS, BSc1, Emily Ho2, MD; Howard Clarke1,MD 1Division of Plastic and Reconstructive Surgery, Hospital for Sick 10:00 am - 11:00 am Joint Presidential Keynote Lecture Children, Ontario, ON, Canada, 2Division of Plastic and Reconstructive 83 Steven Levitt Surgery, Hospital for Sick Children, Toronto, ON, Canada Steven Levitt is an economist who is a brilliant but uncomplicated man who uses simple 11:34 am – 11:40 am Discussion questions to reach startling conclusions. Though he has no political agenda his theories have set off a firestorm of controversy and has had both conservatives and liberals up in ASRM arms. Levitt has shown other economists just 11:40 am – 11:47 am The Profunda Artery Perforator Flap(PAP): how well their tools can make sense of the real world. Winner of the A New Flap for Breast Reconstruction 1 2004 John Bates Clark Medal, he is currently the William B. Ogden Maria M. LoTempio, MD ; Nicholas Haddock, MD2; Alireza Sadeghi, 3, 2 4 Distinguished Service Professor of Economics at the University of MD Christina Ahn, MD ; Robert J. Allen, MD Chicago. He co-authored the best-selling book Freakonomics and its 1Plastic Surgery, Medical University of South Carolina, Charleston, SC, sequel Superfreakonomics. 2NYU, New York, NY, 3LSU, New Orleans, LA, 4Plastic Surgery, Louisiana State University Health Science Center, New Orleans, LA

11:00 am - 12:00 pm AAHS/ASPN/ASRM 11:47 am – 11:54 am Fascicular Turnover Nerve Flaps Versus Joint Outstanding Free Nerve Grafts: Pilot Study of Paper Presentations Comparison and Outcomes in a Rat Model Moderators: Randip R. Bindra, MD, FRCS; Gedge Rosson, MD; Adrian Ooi, MBBS; Terence Goh, MD; Chin-Ho Wong, MD; David H. Song, MD, MBA, FACS Kok Chai Tan, MD Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore, Singapore AAHS Saturday, January 14 11:00 am – 11:07 am Fibrin Glue Augmentation Of 11:54 am – 12:00 pm Discussion Nerve Repair Does Not Impede Neurological Recovery In 12:00 pm Adjourn An Animal Model Greg Rafijah, MD; Christina Dolores; Andy Bowen; Ryan Vitali; Tahseen Mozaffar; Ranjan Gupta Orthopaedic Surgery, University of California, Irvine, Irvine, CA 12:00 pm - 5:00 pm Masters Series in Microsurgery Chair: Lawrence Gottlieb, MD 11:07 am – 11:14 am Scaphoid Malunion: Outcomes of “Disasters of the Masters” Corrective Osteotomy Compared to By popular request, the Master Series in Microsurgery will once Salvage Procedures again highlight complications and problems with our “Disasters Blake Paul Gillette, MD1; Sanjeev Kakar, MD, MRCS, MBA2; of the Masters”. An international panel of renown Masters of Peter C. Amadio, MD1 Microsurgery will show us how they dealt with disasters they 1Orthopaedic Surgery, Mayo Clinic, Rochester, MN; 2Orthopaedics, Mayo inherited, present disasters that they have created, and teach us Clinic, Rochester, MN how to avoid disasters.

11:14 am – 11:20 am Discussion 12:00 pm – 12:30 pm Lunch in Meeting Room Master Series Attendees Only 12:30 pm – 1:00 pm Welcome Introduction Lawrence Gottlieb, MD 1:00 pm – 1:30 pm Breast David H. Song, MD,MBA, FACS 1:30 pm – 2:00 pm Upper Extremity E. Gene Deune, MD 2:00 pm – 2:30 pm Lower Extremity Raymond Dunn, MD

“Disasters of the Masters” continues next page th 2:30 pm – 2:45 pm Discussion/Questions 2:45 pm – 3:00 pm Break 3:00 pm – 3:30 pm Limb Salvage Marco Innocenti, MD 3:30 pm – 4:00 pm Face Reconstruction Stefan Hofer, MD 4:00 pm – 4:30 pm Face Transplant Laurent Lantieri, MD 4:30 pm – 4:45 pm Discussion/Questions 4:45 pm – 5:00 pm Closing Remarks Lawrence Gottlieb, MD

Objectives: Following this session, the participants will be able to: 1. Evaluate tips, tricks and pearls of microsurgery from the masters. 2. Apply tips, tricks, and pearls of how to get started as an academic reconstructive microsurgeon. 3. Identify tips, tricks and pearls of how to be a successful reconstructive microsurgeon in private practice. 4. Discuss tips, tricks and pearl of tissue engineering and its use in reconstructive microsurgery

5:00 pm - 6:00 pm ASRM Young Microsurgeons Group/ New Member Reception (Invitation Only)

6:00 pm - 7:30 pm ASPN/ASRM Welcome Reception

notes:

84 American Society for Reconstructive Microsurgery DAY-AT-A-GLANCE Sunday, January 15, 2012

6:30am –5:00pm Speaker Ready Room Willows

6:30am – 4:30pm Registration Registration

7:00am – 8:00am Breakfast with Exhibitors Charleston

7:30am – 7:45am ASRM Presidential/Program Chair Welcome: Summerlin ABEF Keith E. Brandt, MD 85 David H. Song, MD, MBA, FACS

7:45am – 8:45am ASRM Scientific Paper Session Summerlin ABEF International Showcase

9:00am – 10:00am ASRM Concurrent Break Out Panels 401 Maximizing Aesthetics In Reconstructive Veranda C Breast Surgery 402 TUG of War: What is the Ideal Secondary Choice Trails For Autologous Breast Reconstruction? 403 Navigating the DIEP SIEA: How to Choose Veranda A The Right Perforator System 404 Damage Control: Optimizing Function in the Siena Mangled Hand 405 Truth or Dare: Lower Extremity Reconstruction Veranda B With and Without Microsurgery 406 State of the Art Treatment of Lower Veranda D Extremity Sarcoma

10:00am – 10:15am Break with Exhibitors Charleston

10:15am – 11:15am ASPN/ASRM Panel: Reconstructive Challenges: Summerlin ABEF Day-at-a-Glance Head to Toe

11:15am – 12:15pm President’s Invited Lecturer: A Path to Innovation Summerlin ABEF Susan Mackinnon, MD

12:15pm – 1:15pm ASRM Poster & Exhibits Luncheon Charleston

1:15pm – 2:15pm ASRM Concurrent Scientific Paper Sessions Head & Neck I Summerlin ABEF Basic Translational Research I Summerlin CD

2:15pm – 4:15pm ASRT Update Summerlin CD

4:30pm – 6:30pm Best Case/Best Save Programming Summerlin ABEF

6:30pm ASRM President’s Reception and Dinner (Invitation Only) ASRM Program 8:10 am - 8:14 am Sunday January 15, 2012 The Use of SCIP(Superficial Circumflex Iliac Artery Perforator) Flap with Supermicrosurgry in Lower Extremity Reconstruction Hyunsuk Suh; Joon Pio Hong 7:00 am - 8:00 am Breakfast with Exhibitors Institution where the work was prepared: Asan Medical Center, Seoul, 7:30 am - 7:45 am President and Program Chair Welcome South Korea 8:14 am - 8:19 am Discussion

8:19 am - 8:23 am Free Deep Inferior Epigastric Artery Perforator Flap for Lower Extremity Reconstruction: Indications, Technique and Outcomes School of Medicine, Dept. Plastic Surgery, Antalya, Turkey O. Koray Coskunfirat, MD; Omer Ozkan; Asim Uslu Keith E. Brandt, MD David H. Song, MD, MBA, FACS Institution where the work was prepared: Akdeniz University ASRM President Program Chair 8:23 am - 8:27 am Immunosuppression With A Combination Of Triptolide And A Subtherapeutic Dose Of CsA In Vascularized Skin 7:45 am - 8:45 am ASRM Scientific Paper Session Allotransplantation: An Experimental Study In Rats International Showcase Jun Yang, MD, PhD

ASRM Program Moderators: Gunter Germann, MD and Alexandru Georgescu, MD Institution where the work was prepared: Dept of Plast & Reconst Surg,Shanghai 9th Hosp, Shanghai, China Throughout this program a series of basic and clinical research papers chosen by the Program Committee will be presented. 8:27 am - 8:31 am Objective: The participants will be exposed to ongoing research Experience with “Racing Stripe” Fasciocutaneous Free Flaps in the field of reconstructive microsurgery and other complex Emmanuel G. Melissinos, MD, Erik Scott Marques, MD and reconstructions. Donald H. Parks, MD Division of Plastic and Reconstructive Surgery, University of Texas Health International Papers Science Center, Houston, TX 8:31 am - 8:35 am 7:45 am - 7:49 am Clinical Relevance Of Internal Mammary Lymph Node Sampling Supraorbitary Nerve to Infraorbitary Nerve Transfer for During Autologous Breast Reconstruction – A Screening of 519 Restoration of Midface Sensation in Face Transplant: Consecutive Patients Cadaver Feasibility Study Brian T. Andrews, MD, MA; Phillip Richrath; Beatrix IJ Munder, MD; Andres Rodriguez, MD, PhD; Thorir Audolfsson, MD; Shai Rozen, MD; Katrin Seidenstücker; Phillip Behrendt; Stefan Langer; Raymond E. Morten Kildal, MD, PhD; Daniel Nowinski, MD, PhD Horch, MD; Volker J. Schmidt, MD; Christoph Andree Institution where the work was prepared: Department of Plastic Surgery. Institution where the work was prepared: Sana Hospital, Dusseldorf, Uppsala University Hospital, Uppsala, Sweden Germany

7:49 am - 7:53 am 8:35 am - 8:41 am Discussion Experience With Functional Gracilis Muscle Transfer for Lower Lip Reconstruction School of Medicine, Dept. Plastic Surgery, Antalya, Turkey 9:00 am - 10:00 am ASRM Breakout Panels O. Koray Coskunfirat, MD; Gamze Bektas; Ani Cinpolat

Institution where the work was prepared: Akdeniz University 401Maximizing Aesthetics in 7:53 am - 7:57 am Reconstructive Breast Surgery Results Of Cerebral Revascularization by Microsurgical Chair: Steven Kronowitz, MD Extracranial-Intracranial Arterial Bypass Surgery Panelists: Stefan Hofer, MD; Joan E. Lipa, MD; Emre Gazyakan, MD; Chung-Kan Tsao, MD; Chih-Wei Wu, MD; How do I get results like the experts? This panel of experts will Jung-Ju Huang, MD; Ming-Huei Cheng, MD, MBA discuss how they get their results. Tips and tricks to achieving an Institution where the work was prepared: Chang Gung Memorial aesthetic triumph in the reconstructed breast will be discussed. 86 Hospital, Taoyuan, Taiwan Objective: Following this session, the participant will be able to: 7:57 am - 8:02 am Discussion Incorporate tips and tricks given to achieve better aesthetic results in breast reconstruction. 8:02 am - 8:06 am Compound Muscle Action Potential Monitoring for Assessment of Circulation in Free Muscle Transfer Kazuteru Doi, MD, PhD; Chaitanya Dodakundi; Yasunori Hattori; Yuki Fujihara Institution where the work was prepared: Ogori Daiichi General Hospital, Yamaguchi-city, Japan

8:06 am - 8:10 am Double Free Muscle Transfer Achieves Objective Functional and Subjective Disability Improvement in Traumatic Total Brachial Plexus Palsy Kazuteru Doi, MD, PhD; Yasunori Hattori; Chaitanya Dodakundi; Soutetsu Sakamoto Institution where the work was prepared: Ogori Daiichi General Hospital, Yamaguchi-city, Japan 402 TUG of War: What Is The Ideal 406 State of the Art Treatment of Lower Secondary Choice for Autologous Extremity Sarcoma Breast Reconstruction Chair: Ginard Henry, MD Chair: Julie E. Park, MD Instructors: E. Gene Deune, MD; Marco Innocenti, MD Instructors: Steven Vega, MD; Frank Dellacroce, MD; A multidisciplinary approach to extremity sarcoma treatment and Thomas Hayakawa, MD reconstruction will be discussed. What are the most favorable flaps No abdominal tissue for the breast reconstruction? That’s okay, for coverage and function? What’s the best timing? How to perform as this panel will discuss the ideal choice for autologous tissue surgery in the setting of adjuvant therapy and maximize results? reconstruction of the breast when the abdomen is not an option. These questions and more will be addressed in this panel.

Objectives: Following this session, the participant will be able to: Objectives: Following this session, the participant will be able to: 1. Identify the ideal choice for autologous tissue reconstruction of 1. Utilize the most favored flaps for coverage and function in the breast when the abdomen is not an option. extremity sarcoma treatment and reconstruction. 2. Discuss the process for selecting for alternative options for the 2. Determine how to perform surgery in the setting of adjuvant autologous tissue when the abdomen is not an option. therapy and maximize results.

403 Navigating the DIEP SIEA: How to 10:00 am - 10:15 am Break with Exhibitors 87 Choose the Right Perforator System Chair: David H. Song, MD, MBA, FACS 10:15 am - 11:15 am Joint ASPN/ASRM Panel: Instructors: Gedge Rosson, MD; Bernard Chang, MD; Reconstructive Challenges: Head to Toe Michel Saint-Cyr, MD Moderator: Ivica Ducic, MD, PhD Ever wonder how one chooses the right perforator system? This Invited Panelists: Eduardo Rodriguez, MD; Samir Mardini, MD; panel will reveal insights into how experts choose the correct James Higgins, MD perforator for their flap. CT angio and cutting edge technology, is it relevant? Or is an algorithmic approach just as good? Attendees will be exposed to the most challenging reconstructive problems. Encompassing the entire body, the latest problem solving Objectives: Following this session, the participant will be able to: techniques for these complex issues will be discussed and debated. 1. Describe how to best choose the correct perforator system for Objective: Following this session, the participants will be able to: each specific flap. 1. List the latest problem solving techniques for complex 2. Recognize the relevancy of CT angio and cutting edge reconstructive issues facing surgeons today. technology versus the algorithmic approach. 2. Debate the strongest techniques used to combat reconstructive issues. 404 Damage Control: Optimizing Function in the Mangled Hand 11:15 am - 12:15pm ASRM President’s Invited Lecturer Chair: Michael Neumeister, MD Susan Mackinnon, MD Instructors: James Higgins, MD; Charles Lee, MD; A Path to Innovation Milan Stevanovic, MD Over the course of three decades, Dr. This panel will discuss the myriad of ways in which experts Mackinnon’s lab, through persistent gain maximal function after reconstructing the mangled hand. translational and clinical research, has Attendees will gain insight into how best to approach the mangled developed widely applicable techniques that Sunday, January 15 hand, what flaps work best in which scenario. represent a paradigm shift in the surgical management of devastating nerve injuries.

405 Truth or Dare: Lower Extremity Objective: Following this session, the participants will be able to: Reconstruction With and Without Discuss the wide application techniques created through Microsurgery persistent translational and clinical research regarding the surgical management of the devastating nerve. Chair: Joon Pio Hong, MD Instructors: Howard Langstein, MD; Geoff Hallock, MD; Steven Moran, MD 12:15 pm - 1:15 pm ASRM Poster & Exhibit Luncheon Are free tissue transfers the best way to cover the lower extremity? This panel will debate the best methods for lower extremity coverage after trauma and tumor extirpation. 1:15 pm - 2:15 pm ASRM Concurrent Scientific Paper Sessions Objectives: Following this session, the participant will be able to: HEAD & NECK I Determine if free tissue transfers are the best way to cover the lower extremity based on unique practice needs after trauma or tumor Moderators: Mark Villa, MD and Jeong Tae Kim, MD extirpation. Throughout this program a series of basic and clinical research papers chosen by the Program Committee will be presented. Objective: The participants will be exposed to ongoing research in the field of reconstructive microsurgery and other complex reconstructions.

1:15 pm - 1:20 pm Full Face Transplantation – Transferring a Neurovascularly Intact and Functioning Mandible Michael J. Yoo, MD; Maria Siemionow, MD, PhD; Steven L. Bernard, MD Institution where the work was prepared: Cleveland Clinic Foundation, th Cleveland, OH, USA 1:20 pm - 1:25 pm 2:10 pm - 2:15 pm Discussion Human Composite Full Face Transplantation – A Case Series Tormod Westvik, MD; Bohdan Pomahac, MD; Edward Malin, MD; BASIC TRANSLATIONAL RESEARCH I Julian Pribaz, MD Institution where the work was prepared: Brigham & Women’s Hospital - Moderators: Geoff Gurtner, MD and Justin Sacks, MD Harvard Medical School, Boston, MA, USA Throughout this program a series of basic and clinical research papers chosen by the Program Committee will be presented.

1:25 pm - 1:30 pm Objective: The participants will be exposed to ongoing research Trachea Allotransplantation and Prefabrication for Long in the field of reconstructive microsurgery, and other complex Trachea Stenosis With Withdrawal of Immunosuppression. reconstructions. Update After 4 Cases Jan Jeroen Vranckx, MD, PhD; Katarina Segers, MD; 1:15 pm - 1:20 pm Pierre Delaere, MD, PhD Tunneled Superficial Inferior Epigastric Artery (SIEA) Institution where the work was prepared: KUL Leuven University Myocutaneous / Vascularized Femur Chimeric Flaps: Hospitals, Leuven, Belgium A Model to Study the Role of Vascularized Bone Marrow in Composite Allografts 1:30 pm - 1:35 pm Discussion Gerhard Salomo Mundinger, MD; Joseph A. Kelamis; Soon H. Kim; Michael Magarakis; Luke S. Jones; Jinny S. Ha; Eduardo D. Rodriguez 1:35 pm - 1:40 pm Institution where the work was prepared: R Adams Cowley Shock Microsurgical Reconstruction of Composite Scalp and Calvarial Trauma Center/ University of Maryland, Baltimore, MD, USA Defects in Cancer Patients: A 10-Year Experience

ASRM Program Albert H. Chao, MD; Peirong Yu, MD; Roman J. Skoracki, MD; Franco 1:20 pm - 1:25 pm DeMonte, MD; Matthew M. Hanasono, MD Hydrogen Sulfide Mitigates Neutrophil-Mediated Tissue Institution where the work was prepared: University of Texas MD Injury in the Setting of Ischemia-Reperfusion Injury via Anderson Cancer Center, Houston, TX, USA Downregulation of L-Selectin Carissa J. Ball, MS; Alyssa J. Reiffel, MD; Sathvika Chintalapani, MEng; 1:40 pm - 1:45 pm Jason A. Spector, MD, FACS; Michael R. King, PhD The Second Free Flap versus Locoregional Flap as Salvage Institution where the work was prepared: Weill Cornell Medical College, Procedure after Failed Free Flap in Head and Neck New York, NY, USA Reconstruction Institution where the work was prepared: Kaohsiung Chang Gung 1:25 pm - 1:30 pm Memorial Hospital, Kaohsiung, Taiwan In Vivo Assessment Of A Novel Adipose Derived Hydrogel For Yun-Ta Tsai, MD; Francesco Mattia G. Riva, MD; Yen-Chou Chen, MD; Adipose Tissue Engineering Yur-Ren Kuo, MD, PhD, FACS Shiba Sinha, MBChB, (hons); Christopher Poon, PhD; Keren Abberton, PhD; Wayne Allan J Morrsion 1:45 pm - 1:50 pm Institution where the work was prepared: O’Brien Institute, Melbourne, Is Microsurgical Head and Neck Reconstruction Profitable? Australia Analysis at an Academic Medical Center Ahlia Kattan, BA; Arash Momeni, MD; Gordon Kwanlyp Lee, MD 1:30 pm - 1:35 pm Discussion Institution where the work was prepared: Stanford University School of Medicine, Stanford, CA, USA 1:35 pm - 1:40 pm Adoptive Transfer of Ex-vivo Donor Alloantigen-stimulated 1:50 pm - 1:55 pm Discussion Regulatorty T cells Delays Composite Tissue Allotransplantation Rejection 1:55 pm - 2:00 pm Sherilyn Keng Lin Tay, MBChB, MRCS; Hui-Yun Cheng, PhD; N. Ghetu, The Outcomes of Dynamic Procedures for Blink Restoration in MD, PhD; Chih-Fan Lin; Ling-Yi Shih; Fu-Chan Wei, MD, FACS Pediatric Facial Palsy Institution where the work was prepared: Chang Gung Memorial Julia K. Terzis, MD, PhD; Dimitrios Karypidis Hospital, Gueishan Taoyuan, Taiwan Institution where the work was prepared: Eastern Virginia Medical School, Norfolk, VA, USA 1:40 pm - 1:45 pm Optimizing Endothelial Cell Adhesion and Invasion in Tissue 2:00 pm - 2:05 pm Engineering with Naturally-Derived, Biodegradable Hybrid Anatomical Dissection of the Masseteric Nerve Hydrogel Scaffolds 88 for Facial Reanimation Alyssa J. Reiffel, MD; Justin L. Perez, BS; Edo Israely, BA; Natalia Terence Goh, MBBS, MRCS, MMed; David Yung; Bien-Keem Tan Jimenez, BS; Nikola Lekic, MS; Jason A. Spector, MD, FACS Institution where the work was prepared: Singapore General Hospital, Institution where the work was prepared: Weill Cornell Medical College, Singapore, Singapore New York, NY, USA

1:45 pm - 1:50 pm 2:05 pm - 2:10 pm Stromal Cells Epineural Conduit (SCEC) in Peripheral Nerve Total Tongue Reconstruction – the Manta Ray Flap Regeneration: a New Surgical Approach and Alternative to an Jennifer W. Robinson, MD, FRCS(C); Jesse Selber Autograft Technique Institution where the work was prepared: University of Texas MD Maria Madajka; Amanda Mendiola, MD; Maria Siemionow Anderson Cancer Center, Houston, TX, USA Institution where the work was prepared: Cleveland Clinic , Cleveland, OH, USA

1:50 pm - 1:55 pm Discussion 1:55 pm - 2:00 pm notes: T-Regulatory Cells May Mediate Tolerance Towards Both Vascularized and Non-Vascularized Skin Allograft Transplants Jeff Chang, MS, MD; Billanna Hwang, BS; Tiffany Butts, BS; Scott Graves, PhD; Rainer Storb, MD; David Mathes, MD Institution where the work was prepared: University of Washington , Seattle, WA, USA

2:00 pm - 2:05 pm The Vascularized Bone Marrow Component of Composite Tissue Allografts Combined with Costimulatory Blockade Promotes Donor-Derived Hematopoietic Stem Cell Engraftment, Chimerism and Tolerance Cheng-Hung Lin; Qi Mao; Zuhaib Ibrahim; Wensheng Zhang; Timothy W. Ng; Xin Xiao Zheng; W.P. Andrew Lee; Gerald Brandacher Institution where the work was prepared: Johns Hopkins University School of Medicine, Baltimore, MD, USA

2:05 pm - 2:10 pm 89 Vascularized Bone Marrow Allotransplantation and Low-Dose Cyclosporine A Prolonged the Survival of Adipose Tissue Allotransplantation Hsieh Yu-Hsuan; Ming-Huei Cheng; Wei-Fan Chen; Jung-Ju Huang; Chih-Wei Wu Wu; Holger Engel Institution where the work was prepared: Yu-Hsuan Hsieh, Taoyuan 333, Taiwan

2:10 pm - 2:15 pm Discussion

2:15 pm - 4:15 pm American Society of Reconstructive Transplantation (ASRT) Programming

Welcome L. Scott Levin, MD, FACS

Funding VCA Bohdan Pomahac, MD

Tissue Vs. Organ: ASRT Efforts at OPO Regulation Sue McDiarmid, MD

Moving Towards International Registry and Outcomes Data Maria Siemionow, MD

Panel: Establishing a VCA Program Sunday, January 15 Panelists: L. Scott Levin, MD; Linda Cendales, MD; Kodi Azari, MD; W. P. Andrew Lee, MD

Panel: Complications to Date—the Bad and the Ugly Panelists: Warren Breidenbach, MD; Jaime Shores, MD; Bohdan Pomahac, MD; Laurent Lantieri, MD

4:30 pm - 6:30 pm ASRM Best Case/Best Save Submissions of the microsurgical salvage cases performed during the last year will be presented and a panel of experts will critique the submitted cases. Attendees will vote for the Best Microsurgical Save and Best Microsurgical Case of the year. Awards will be presented at the conclusion of the session. Supported by an educational grant from Synovis, MCA th 90 American Society for Reconstructive Microsurgery DAY-AT-A-GLANCE Monday, January 16, 2012 6:30am – 5:00pm Speaker Ready Room Willows

6:30am – 3:30pm Registration Registration

7:00am – 9:00am Breakfast with Exhibitors Charleston

7:30am – 8:30am Past Presidents Breakfast (Invitation Only) Hills 91 7:30am – 8:30am ASRM Concurrent Break Out Panels 407 Achieving Efficiency in Vascularized Bone Transfers Veranda A 408 Tracheo-Esophageal Reconstruction: A Hard Pill Veranda D to Swallow 409 Back to the Future: Tried and True Techniques in Veranda C Facial Reconstruction 410 Complex Abdominal Reconstruction: Trails Whose Role is it? 411 Genitourinary Reconstruction Siena 412 Management of Complex Chest Wall Defect Veranda B

8:45am – 9:45am PANEL: Young Microsurgeon’s Group (YMG) Panel Summerlin ABEF

9:45am – 10:00am Break with Exhibitors Charleston

10:00am – 11:15am ASRM Concurrent Scientific Paper Sessions Breast I Summerlin ABEF Head & Neck II Summerlin CD

11:15am – 11:45am Presidential Lecture: Summerlin ABEF Keith E. Brandt, MD

Day-at-a-Glance 11:45am – 12:30pm Lunch with Exhibitors Charleston

12:30pm – 1:30pm ASRM Panel: If I Knew Then What I Know Now: Summerlin ABEF Tips and Tricks Learned the Hard Way Over a Long And Distinguished Career

1:45pm – 2:45pm Concurrent Scientific Paper Sessions Torso & Complex Non-Micro Reconstruction Summerlin ABEF Extremities I Summerlin CD

2:45pm – 3:45pm ASRM Godina Lecture: Summerlin ABEF Samir Mardini, MD

3:45pm – 4:45pm ASRM Business Meeting (Members Only) Summerlin ABEF

6:00pm – 7:00pm Godina Alumni Reunion (Invitation Only) Lobby Lounge

7:00pm – 10:00pm ASRM Vegas-Style Evening Event Charleston ASRM Program 411Genitourinary Reconstruction Monday January 16, 2012 Chair: Lawrence Gottlieb, MD Instructors: Lawrence Colen, MD; Sinikka Suominen, MD 7:00 am - 9:00 am Breakfast with Exhibitors Take the myth and mystery out of genitorurinary reconstruction. 7:30 am - 8:30 am ASRM Breakout Panels Experts will share their knowledge in this challenging field. Genitourinary reconstruction in the setting of trauma, tumor extirpation and gender re-assignment will be addressed. 407 Achieving Efficiency in Vascularized Objective: Following this session, the participant will be able to: Bone Transfers 1. Demonstrate proficiency in genitourinary reconstruction in the setting of trauma, tumor extirpation and gender re-assignment. Chair: Babak Mehrara, MD Panelists: Giorgio DeSantis, MD Experts will discuss their method of transferring vascularize bone Management of Complex and composite bone flaps for various scenarios. Tips and pearls on 412 dissection and insetting will be discussed by experts in the field. Chest Wall Defect Chair: Michael Sauerbier, MD Objectives: Following this session, the participant will be able to: Instructors: Michael Wong, MD; Scott Oates, MD; Daniel Pyo, MD 1. Demonstrate various methods of transferring vascularized bone and composite bone flaps for various circumstances. What’s new in complex chest wall reconstruction? Experts will share 2. Determine how to perform surgery in the setting of adjuvant their experience with flaps, biologic mesh and rigid fixation for these ASRM Program therapy and maximize results. complex problems. Objective: Following this session, the participant will be able to: 1. Indentify new techniques in complex chest wall reconstruction. 408 Tracheo-Esophageal Reconstruction: 2. Discuss the usage of flaps, biologic mesh and rigid fixation for these A Hard Pill to Swallow complex problems. Chair: Peirong Yu, MD Instructors: Samir Mardini, MD; Jan Vranckx, MD 8:45 am - 9:45 am Panel: Young Microsurgeon’s Group Panel The latest advances in trachea-esophageal reconstruction will Moderator: Matthew Hanasono, MD be discussed. The right flap for the right occasion and learn from Invited Panelists: Robert Whitfield, MD; Liza Wu, MD experts as to what these are. Young microsurgeons will present their most challenging and difficult Objectives: Following this session, the participant will be able to: cases with commentary from a paired expert in the field. New insights 1. Discuss the latest advances in trachea-esophageal reconstruction. into complications and the manner in which they were addressed will 2. Determine the right flap for various occasions. be discussed and debated. Objective: Following this session, the participants will be able to: Discuss new insights into complication in reconstructive surgery from 409 Back to the Future: Tried and True both young and experienced surgeons in the field. Techniques in Facial Reconstruction 9:45 am - 10:00 am Break with Exhibitors Chair: Hung-Chi Chen, MD Instructors: Yur Ren Kuo, MD 10:00 am - 11:15 am ASRM Concurrent Scientific Paper Sessions In this era of CTA for the face, what about the tried and true techniques that have been utilized for decades? Experts will discuss what these techniques are and how to perform them. BREAST I Moderators: Pierre Chevray, MD and Hakim Said, MD Objectives: Following this session, the participant will be able to: 1. Demonstrate various methods of transferring vascularized bone Throughout this program a series of basic and clinical research papers and composite bone flaps for various circumstances. chosen by the Program Committee will be presented. 2. Determine how to perform surgery in the setting of adjuvant therapy and maximize results. Objective: The participants will be exposed to ongoing research in the field of reconstructive microsurgery and other complex 92 reconstructions. 410 Complex Abdominal Reconstruction: Whose Role is it? 10:00 am - 10:05 am Local Heat Preconditioning in Skin Sparing Mastectomy Chair: Charles Butler, MD Saahil Mehta, MRCS, MBBS, BSc; Yves Harder, MD; Jian Farhadi, MD, PD, Instructors: Maurice Nahabedian, MD; Michael Rosen, MD; FMH, EBOPRA Michael Franz, MD Institution where the work was prepared: Guy’s and St. Thomas’ Hospital, With the advent of sub-atmospheric pressure therapy, biologic London, United Kingdom mesh and component separation, whose role is it to reconstruct the difficult ventral hernia? What’s the best method? Learn from 10:05 am - 10:10 am experts in different fields as they discuss their approaches to this The “Oncoplastic” Movement among General Breast Surgeons: challenging problem. Will Plastic Surgery Lose the Turf War Over Breast Reconstruction? Theresa Y. Wang, MD; Jennifer McGrath; Brynn Wolff; Brian Czerniecki; Objective: Following this session, the participant will be able to: Liza C. Wu 1. Determine whose role it is to reconstruct the difficult ventral Institution where the work was prepared: University of Pennsylvania, hernia with the strongest method possible. Philadelphia, PA, USA 10:10 am - 10:15 am 11:00 am - 11:05 am Obese Patients’ Breast Reconstruction Failure Rates Higher with The Effect of Postoperative Radiation in Assessing the Risks and Implants vs. Abdominal-Based Free Flaps Benefits of Immediate Bilateral Free Flap Breast Reconstruction Patrick B. Garvey, MD; Mark T. Villa; Alexander T. Rozanski; Geoffrey L. Michael N. Mirzabeigi; James M Smartt; Joshua Fosnot; Jonas A. Robb; Elisabeth K. Beahm Nelson; Joseph M. Serletti; Liza C. Wu Institution where the work was prepared: The University of Texas MD Institution where the work was prepared: University of Pennsylvania, Anderson Cancer Center, Houston, TX, USA Philadelphia, PA, USA

10:15 am - 10:20 am 11:05 am - 11:10 am The First Reported Use of the Transversus Abdominis Plane Hypercoagulability In Microvascular Breast Reconstruction: (TAP) block in the Abdominal Donor Site following Autologous An Algorithmic Approach for an Underestimated Situation Breast Reconstruction: A Prospective Cohort Study of Suhan Ayhan, PROFESSOR; Billur Sezgin; Ayse Sencan; Mubin Aral; 45 Patients Serhan Tuncer Toni Zhong, MD; Karen Wong; Homan Cheng; Marie Ohja, RN, -, Institution where the work was prepared: Gazi University Faculty of EC, MN; Coimbatore Srinivas, DR; Stuart McCluskey; Hance Clarke, Medicine, Ankara, Turkey MD, MSc, FRCPC, Ph; Lindsay Jacks, MSc; Stefan O.P. Hofer, MD, PhD, FRCS(C) 11:10 am - 11:15 am Discussion Institution where the work was prepared: University Health Network, Toronto, ON, Canada HEAD & NECK II 93 10:20 am - 10:25 am Discussion Moderators: Peter Cordiero, MD and Mark Sisco, MD 10:25 am - 10:30 am Throughout this program a series of basic and clinical research Randomized Comparison of Prone Liver Phase MRA versus papers chosen by the Program Committee will be presented. CTA for Breast Reconstruction Demonstrates Improved Objective: The participants will be exposed to ongoing research Intramuscular Vascular Detail in the field of reconstructive microsurgery and other complex Maryann Martinovic; Chris Campbell, MD reconstructions. Institution where the work was prepared: Virginia Commonwealth University, Richmond, VA, US Virgin Islands 10:00 am - 10:05 am 10:30 am - 10:35 am Transaxillary-Subclavian Transfer of Pedicled Latissimus Dorsi Value of Preoperative Computed Tomographic Angiography Musculocutaneous Flap to Head and Neck Region of both Donor and Recipient site in Microsurgical Breast Yener Demirtas; Caglayan Yagmur; Osman Kelahmetoglu; Reconstructions Ahmet Demir; Ethem Guneren Goo-Hyun Mun, MD; Hyungsuk Kim Institution where the work was prepared: Ondokuz Mayis University, Institution where the work was prepared: Samsung Medical Center, Samsun, Turkey Sungkyunkwan Univ. School of Medicine, Seoul, South Korea 10:05 am - 10:10 am 10:35 am - 10:40 am Advanced Cranial Reconstructions in the War Wounded: Localization Of The Dominant Deep Inferior Epigastric Artery Indications and Applications for an Intracranial Free Flap Perforator by Computer Tomography Angiogram. Does The Ian L. Valerio, MD, MS, MBA; Patrick L. Basile, MD; Robert T. Howard, MD; Standard DIEP Flap Design Include The Dominant Perforator? Kerry Latham, MD; Rocco Armonda, MD; Meryl Severson, MD; Anand Adam Saad, MD; Matthew W Wise; M’liss Hogan; Hugo St. Hilaire; Kumar, MD

Ali Sadeghi; Charles L Dupin Institution where the work was prepared: National Naval Medical Center, Monday, January 16th Institution where the work was prepared: Louisiana State University Bethesda, MD, USA Health Science Center, New Orleans, LA, USA 10:10 am - 10:15 am 10:40 am - 10:45 am The Utility of the Multi-Island Vertical Rectus Abdominis Superficial Inferior Epigastric Vessel Delay Greatly Increases the Myocutaneous (VRAM) Flap in Head and Neck Reconstruction Availability of the S.I.E.A. Flap Evan Matros; Nima P. Patel, MD; Peter G. Cordeiro Jonathan R. Weiser, MD; J. Craig Uecker, MD Institution where the work was prepared: Memorial Sloan Kettering Institution where the work was prepared: Physician’s Institute of Cancer Center, New York, NY, USA Cosmetic and Reconstructive Surgery, Hollywood, FL, USA 10:15 am - 10:20 am Discussion 10:45 am - 10:50 am Discussion 10:20 am - 10:25 am 10:50 am - 10:55 am Design of Reliable Skin Paddle for Fibula Osteocutaneous Flap: Simultaneous Scarless Contralateral Breast Augmentation Perforator Anatomy Revisited During Unilateral Breast Reconstruction Using Bilateral Peirong Yu; Edward I. Chang; Matthew M. Hanasono Differentially Split DIEP Flaps Institution where the work was prepared: MD Anderson Cancer Center, Jung-Ju Huang; Li-Fen Chao, MSc; Chih-Wei Wu; Dung Nguyen, MD; Houston, TX, USA Ian Valerio, MD, MS, MBA; Ming-Huei Cheng Institution where the work was prepared: Chang Gung Memorial 10:25 am - 10:30 am Hospital, Taoyuan, Taiwan Perforator Patterns of the Ulnar Artery Perforator Flap Peirong Yu; Edward I. Chang, MD; Jesse C. Selber; Matthew M. 10:55 am - 11:00 am Hanasono Trials and Tribulations of the Inferior Gluteal Artery Perforator Institution where the work was prepared: MD Anderson Cancer Center, (IGAP) Flap in Autologous Breast Reconstruction Houston, TX, USA Michael N. Mirzabeigi; Alexander Au, MD; Shareef Jandali; Noel Natoli; Hani Sbitany; Joseph M. Serletti 10:30 am - 10:35 am Institution where the work was prepared: University of Pennsylvania, CTA of the LCFA Facilitates Harvesting Double Island ALT and ALT/ Philadelphia, PA, USA AMT Flaps for Head and Neck Reconstruction Jennifer W. Robinson, MD; Patrick B. Garvey, MD; Jesse C. Selber, MD; John Madewell, MD; Jun Liu, PhD; Peirong Yu, MD Institution where the work was prepared: The University of Texas MD Anderson Cancer Center, Houston, TX, USA EXTREMITIES I Throughout this program a series of basic and clinical research 10:35 am - 10:40 am Discussion papers chosen by the Program Committee will be presented.

10:40 am - 10:45 am Objective: The participants will be exposed to ongoing research 2-D and 3-D Osteotomies for Fibula Flap Mandible in the field of reconstructive microsurgery, and other complex reconstructions. Reconstruction – Technique and Results Eric G. Halvorson, MD Moderators: Rob Whitfield, MD and Michael Howard, MD Institution where the work was prepared: University of North Carolina, Chapel Hill, NC, USA 1:45 pm - 1:50 pm Sartorius Muscle and Myocutaneous flap: Redefining the Vascular 10:45 am - 10:50 am Anatomy Using 3D CT Angiography and Clinical Applications 1 2 3 Teaching Core Competencies of Reconstructive Microsurgery Corrine Wong, MRCS , Jordan Farkas, MD , Ali Mojallal, MD, PhD and M 1 1 with the Use of Standardized Patients Saint-Cyr , 2 Ji Son, MS; Kamakshi Zeidler, MD; Michael Ahdoot; Gordon Lee, MD Dept of Plastic Surgery, UT Southwestern Medical Center, Dallas, TX, Dept 3 Institution where the work was prepared: Ji Son, Stanford, CA, USA of Plastic Surgery, UT Southwestern Medical Center, Dallas, Hospices Civils de Lyon, University of Lyon, France, Lyon, France 10:50 am - 10:55 am Outcome of Anterolateral Thigh, Radial Forearm and Jejunal 1:50 pm - 1:55 pm Free Tissue Transfer for Circumferential Esophagopharyngeal Prophylactic Muscle Flaps in Vascular Surgery: A Novel Scoring Reconstruction System to Optimize Outcomes Ngian Chye Tan; Yen-Chou Chen, MD; Hsiang-Shun Shih, MD; Pao- John P. Fischer; Jonas Nelson, MD; Mirzabeigi Michael, BS; Yuan Lin, MD; Yur-Ren Kuo, MD, PhD, FACS Joseph Serletti, MD; Kanchwala Suhail, MD Institution where the work was prepared: Kaohsiung Chang Gung Institution where the work was prepared: University of Pennsylvania,

ASRM Program Memorial Hospital, Kaohsiung, Taiwan Philadelphia, PA, USA

10:55 am - 11:00 am 1:55 pm - 2:00 pm Prefabrication of Trachea for the Reconstruction of Lymphatic Microsurgery Today: Techniques and Long-Term Hemilaryngeal Defects After Hemilaryngectomy Sparing Clinical Outcome for an Effective Treatment of Lymphatic One Vocal Cord Disorders Jan Jeroen Vranckx, MD, PhD; Katarina Segers, MD; Lloyd Nanhekhan, Corrado Cesare Campisi, MD; Pierluigi Santi, MD; Francesco Boccardo, MD; Pierre Delaere, MD, PhD MD, PhD; Rosalia Lavagno, MD; Corradino Campisi, MD, PhD Institution where the work was prepared: KUL Leuven University Institution where the work was prepared: National Institute for Cancer Hospitals, Leuven, Belgium Research (IST), Genoa, Italy

11:00 am - 11:06 am Discussion 2:00 pm - 2:05 pm Discussion

11:15 am - 11:45 am ASRM Presidential Lecture 2:05 pm - 2:10 pm Vascularized Groin Lymph Node Transfer Using Wrist or Elbow As Keith E. Brandt, MD A Recipient Site for Postmastectomy Lymphedema Will the ASRM Suffer the Same Fate as Ming-Huei Cheng, MD; Steven Henry, MD; Jung-Ju Huang, MD; Jerry Philippides? He Died. Chih-Wei Wu, MD; Dung H. Nguyen, MD Institution where the work was prepared: Chang Gung Memorial An entertaining romp through the history of Hospital, Taipei, Taiwan the ASRM and the Marathon. 2:10 pm - 2:15 pm Vascularized Submental Lymph Node Flap Transfer for the 11:45 am - 12:30 pm Lunch with Exhibitors Treatment of Lower Extremity Lymphedema Ming-Huei Cheng, MD; Dung H. Nguyen; Michel Saint-Cyr; Jung-Ju Huang; Jerry Chih-Wei Wu 12:30 pm - 1:30 pm Panel: Institution where the work was prepared: Chang Gung Memorial If I Knew Then What I Know Now: Hospital, Taipei, Taiwan Tips and Tricks Learned the Hard Way Over a Long and Distinguished Career 2:15 pm - 2:20 pm Moderator: Peter C. Neligan, MD Quantitative Fluorescence in 4305 Readings: Predictive, Sensitive Invited Panelists: Julian Pribaz, MD; Fu Chan Wei, MD; Chris and Specific for Vascular Compromise in Microsurgery: A 94 Pederson, MD; Joe Serletti, MD Negative Test Means You Can Sleep Soundly Bauback Safa, MD, MBA, FACS; Brian Parrett, MD; Gregory Buncke, MD, Icons in microsurgery will share their knowledge and wisdom that they FACS; Darrell Brooks, MD; Rudy Buntic, MD, FACS have accumulated over a career. The attendee will gain insight into how Institution where the work was prepared: The Buncke Clinic, San these experts solved problems and what they would now do differently. Francisco, CA, USA Objective: Following this session, the participants will be able to: Solidify potential problem solving techniques in controlling damage 2:20 pm - 2:25 pm Discussion during surgery. 2:25 pm - 2:30 pm Free Vascularized Cartilage Transfer From the Medial Trochlea of the Femur: A New Procedure For Wrist Reconstruction Heinz Burger, MD; James P. Higgins Institution where the work was prepared: Curtis National Hand Center, Baltimore, MD, USA

2:30 pm - 2:35 pm Reconstructing Large Bony Defects of the Femur - What Have We Learned in 11 years? Ravit Yanko-Arzi, MD; Yehuda Kollender, MD; Jacob Bickels, MD; Shlomo Dadia, MD; Itai Gueta, MD; Yoav Barnea, MD; Eyal Gur, MD; Isaac Meller, MD; Arik Zaretski, MD Institution where the work was prepared: Tel Aviv Souraski Medical Center, Tel Aviv, Israel 2:35 pm - 2:40 pm Return to Ambulation Following Microsurgical Lower Extremity Dynamic Abdominal Wall Reconstruction With Pedicled Reconstruction Versus Below-Knee Amputation for Non- Innervated Flaps From The Anterolateral Thigh. Dynometric traumatic Wounds in High-Risk Patients Studies Of Recipientand Donor Site Ketan M. Patel, MD; Mitchel Seruya; Brenton Franklin; Benjamin Jan Jeroen Vranckx, MD, PhD; André D’Hoore; Marc Miserez; Brown; Ivica Ducic, MD, PhD; Christopher Attinger Katarina Segers, MD; Lloyd Nanhekhan, MD; Gerd Fabre, MD; Institution where the work was prepared: Georgetown University Marc Vandevoort, MD Hospital; Dept. of Plastic Surgery, Washington, DC, USA Institution where the work was prepared: KUL Leuven University Hospitals, Leuven, Belgium 2:40 pm - 2:45 pm Discussion 2:25 pm - 2:30 pm Discussion

2:30 pm - 2:35 pm 1:45 pm - 2:45 pm ASRM Concurrent Free Flap Reconstruction of the Trunk Following Sarcoma Scientific Paper Sessions Extirpation: An Eleven Year Experience Mark T. Villa; Annika Card, MD, DVM; Lei Feng, BS; David W. Chang, MD TORSO/ COMPLEX NON-MICROSURGERY Institution where the work was prepared: University of Texas MD RECONSTRUCTION Anderson Cancer Center, Houston, TX, USA Throughout this program a series of basic and clinical research 2:35 pm - 2:40 pm 95 papers chosen by the Program Committee will be presented. Reconstructive Strategies for Desmoid Tumor Defects Based on Surgical Outcomes Objective: The participants will be exposed to ongoing research Patrick B. Garvey, MD; Donald P. Baumann; Kathy A. Calhoun; Raphael in the field of reconstructive microsurgery, and other complex E. Pollock, MD; Charles E Butler reconstructions. Institution where the work was prepared: The University of Texas MD Moderators: William Kuzon, MD and Michael Wong, MD Anderson Cancer Center, Houston, TX, USA 1:45 pm - 1:50 pm Application of Epineural Sheath Patch Enhances Peripheral Nerve 2:40 pm - 2:45 pm Discussion Recovery After Crush Injury in Rat Sciatic Nerve Model – A Preliminary Report Can Ozturk, MD; Jacek Szopinski, MD, PhD; Maria Madajka ; Maria Siemionow 2:45 pm - 3:45 pm ASRM Godina Lecture Institution where the work was prepared: Cleveland Clinic, Samir Mardini, MD Cleveland, OH, USA “Marko Godina was distinguished by his tireless energy, his impeccable logic, his boundless 1:50 pm - 1:55 pm optimism, and his constant good humor and Robotic Harvest of the Latissimus Dorsi Muscle Flap: Cadaver courtesy” – G. Lister Study and Case Series Jesse Selber It is these qualities that are sought after in Institution where the work was prepared: The University of Texas, MD choosing the ASRM Godina Lecturer, honoring Anderson Cancer Center, Houston, TX, USA Dr. Marko Godina, an unrivaled leader and innovator in reconstructive microsurgery whose life was tragically 1:55 pm - 2:00 pm cut short at the young age of 43. Established by the trustees of Chest Wall Reoncstruction After Eloesser Flaps the Marko Godina Fund, this distinguished lectureship highlights a Steven M. Levine, MD; Joseph J. Disa; Peter Cordeiro, MD; Andrea L. young, upcoming microsurgeon who has demonstrated leadership, Monday, January 16th Pusic; Collen M. McCarthy; Evan Matros; Babak J. Mehrara innovation and ongoing commitment to our field in the best Institution where the work was prepared: Memorial Sloan-Kettering traditions of Dr. Godina. It is a pleasure to introduce Samir Mardini, Hospital, New York, NY, USA MD as the 2011 Godina Traveling Fellow.

2:00 pm - 2:05 pm Congenital Phalloplasty Using the Radial Forearm Free Flap 3:45 pm - 4:45 pm ASRM Business Meeting Rachel Bluebond-Langner, MD; John Gearhart, MD; Richard J. Redett (ASRM Members Only) Institution where the work was prepared: Johns Hopkins University School of Medicine, Baltimore, MD, USA 6:00 pm - 7:00 pm Godina Alumni Club Reception

2:05 pm - 2:10 pm Discussion 7:00 pm - 10:00 pm ASRM VEGAS-STYLE Evening Event

2:10 pm - 2:15 pm Expanding the Envelope: The PORSH-Liver Composite Vascular Allograft Justine C. Lee, MD, PhD; Reynold Lopez-Soler; John F. Renz; J. Michael Millis; Lawrence J. Gottlieb Institution where the work was prepared: University of Chicago Medical Center, Chicago, IL, USA

2:15 pm - 2:20 pm Comparison of Bioprosthetic and Synthetic Meshes in Ventral Hernia Repair Using the Component Separation Technique Daniel William Suver, MD; Hakim Said; John Cleveland; Otway Louie Institution where the work was prepared: University of Washington, Seattle, WA, USA 2:20 pm - 2:25 pm 96 American Society for Reconstructive Microsurgery DAY-AT-A-GLANCE Tuesday, January 17, 2012

6:30am – 12:45pm Speaker Ready Room Willows

6:30am – 1:00pm Registration Registration 97 7:00am – 9:00am Breakfast Charleston

7:30am – 8:30am ASRM Council Meeting Hills

7:30am – 8:45am ASRM Concurrent Break Out Panels 413 CPT Coding Workshop Veranda A 414 The Business of Reconstructive Surgery: Trails Maximizing Economic Value 415 Marketing your Reconstructive Practice: Veranda D Pearls And Pitfalls 416 Super Microsurgery Veranda C 417 Facial Reanimation Veranda B 418 Targeted Muscle Reinnervation Siena

9:00am – 10:00am Panel: Complex Reconstruction-How to Be Mission Summerlin ABEF Critical to your Institution

10:00am – 11:00am Buncke Lecturer: Summerlin ABEF Prof. Wayne Morrison, MD

11:00am – 11:15am Coffee Break Foyer

Day-at-a-Glance 11:15am – 12:45pm ASRM Concurrent Scientific Paper Sessions Breast II/Basic Translational Research Summerlin ABEF Extremities II/ Outcome Studies Summerlin CD

12:45pm – 1:45pm Panel: Innovative Surgery vs. Experimentation: Summerlin ABEF Where is the Line?

1:45pm Closing Remarks Summerlin ABEF ASRM Program 417 Facial Reanimation Chair: Ronald Zuker, MD Instructors: Michael Klebuc, MD; Travis Tollefson, MD; Masakazu Tuesday January 17, 2012 Kurita, MD, PhD; Fausto Viterbo, MD 7:00 am - 9:00 am Breakfast What’s new and improved in facial animation surgery? Experts will discuss tried and true principles and new techniques on how to 7:30 am - 8:30 am ASRM Council Meeting reanimate the face. Objectives: Following this session, the participant will be able to: 7:30 am - 8:45 am ASRM Breakout Panels Implement new and sustainable techniques for facial animation surgery 413 CPT Coding Workshop Chair: Thomas Tung, MD Targeted Muscle Reinnervation Panelists: Melissa Crosby, MD; Scott Oates, MD 418 Chair: Oskar Aszmann, MD Learn to code appropriately and accurately to maximize value and Instructors: Paul Cederna, MD; Susan Mackinnon, MD minimize hassles. Experts will share “do’s” and “don’ts” of CPT coding. What muscles benefit for target reinnveration to maximize function Objective: Following this session, the participant will be able to: and to prepare for prosthetics. Experts will share their tips and tricks Implement correct coding practices appropriately and accurately to to maximize functional results.

ASRM Program maximize value and minimize hassles. Objectives: Following this session, the participant will be able to: Be able to identify what muscles benefit for target reinnervation to 414 The Business of Reconstructive maximize function and prepare for prosthetics. Surgery: Maximizing Economic Value NOT FOR CREDIT 9:00 am - 10:00 am Panel: Chair: Loren Schechter, MD Complex Reconstruction – How To Be Panelists: Scott Hultman, MD; Kayvan Khiabani, MD Mission Critical To Your Institution How do they remain profitable in this era by performing Moderator: L. Scott Levin, MD, FACS reconstructive surgery? Experts will share their knowledge and Invited Panelists: Gregory Evans, MD, FACS; Geoff Robb, MD the ways in which they gained efficiency, maximize return and minimize costs. Following this session, the participants will be able to: Objective: Following this session, the participant will be able to: 1. Discuss and engage in conversations about the most effective 1. Manage profit gains in today’s reconstructive practice. ways to be mission critical to your institution. 10:00 am - 11:00 am Buncke Lecture 415 Marketing your Reconstructive Prof. Wayne Morrison, MD (NOT FOR CREDIT) Practice: Pearls and Pitfalls NOT FOR CREDIT The Harry Buncke Lectureship has been Moderator: Tom Davenport, MD created with the support of the California Panelists: Karen M. Horton, MD; Jamie Levine, MD; Pacific Medical Center to honor Dr. Buncke’s Wes Schooler, MD remarkable contributions to the field of microsurgery. Dr. Harry Buncke has played Can you market reconstructive surgery successfully and ethically? a major role in the development of our Experts will share their experience with marketing their practices specialty and has helped develop several microsurgical laboratories and share tips and pearls on effective marketing. From earned and across the globe. He has influenced countless residents and fellows paid media to social media, experts will share their experiences as to as well as numerous department chairs throughout the world. It is what works and what doesn’t. with great appreciation that we are able to honor Dr. Harry Buncke Objectives:: Following this session, the participant will be able to: with his lectureship due funding provided by the California Pacific 1. Market reconstructive surgery successful and ethically. Medical Center. It is our pleasure to introduce Professor Wayne 2. Discuss difference in experiences for market outlets, from paid to Morrison, MD as the 2012 Buncke Lecturer. social media. Supported by an educational grant from 98 California Pacific Medical Center 416 Super Microsurgery 11:00 am - 11:15 am Coffee Break Chair: David Chang, MD 11:15 am - 12:45 pm ASRM Concurrent Paper Sessions Instructors: Isao Koshima, MD; Jaume Masia, MD Where are we today with supermicrosurgery? What tools are needed? What settings best utilize supermicrosurgery. Experts will BREAST II/BASIC TRANSLATIONAL RESEARCH share their experience on this topic. Throughout this program a series of basic and clinical research Objectives: Following this session, the participant will be able to: papers chosen by the Program Committee will be presented. 1. Identify current status of supermicrosurgery. 2. Determine what settings best utilize supermicrosurgery. Objective: The participants will be exposed to ongoing research in the field of reconstructive microsurgery and other complex reconstructions. Moderators: Joyce Aycock, MD and John Hijawi, MD 12:07 pm - 12:12 pm 11:15 am - 11:20 am The Effect of Prior Abdominal Surgery on Abdominal Based Free Investigation of the Engraftment Of Donor Adipose-Derived Flaps in Breast Reconstruction Stem Cells Modulated The Composite Tissue Allotransplantation Jason Roostaeian; Paymon Rahgozar; Ivan Sanchez; Salazar Jones; Survival in a Rodent Model Matthew Tamplen; Andrew Da Lio; Jaco Festekjian; Christopher Yur-Ren Kuo, MD, PhD, FACS; Chien-Chang Chen; Shigeru Goto Crisera Institution where the work was prepared: Kaohsiung Chang Gung Institution where the work was prepared: UCLA Plastic Surgery at the Memorial Hospital, Kaohsiung, Taiwan David Geffen School of Medicine, Los Angeles, CA, USA

11:20 am - 11:25 am 12:12 pm - 12:17 pm Serum Proteomic Analysis of Adipose-derived Stem Cells Induced A Systematic Review of Antibiotic Use and Infection in Immune Tolerance of Composite Tissue Allotransplant in a Breast Reconstruction: What is the Evidence? Rodent Hind-limb Model Brett T. Phillips, MD; Muath Bishawi; Alexandra Rodman; Kristen Yur-Ren Kuo, MD, PhD, FACS; Yu-Ting Huang; Chien-Chang Chen; Aliano; Alexander B. Dagum; Sami U. Khan; Duc T. Bui Shigeru Goto; Feng-Sheng Wang Institution where the work was prepared: Stony Brook University Medical Institution where the work was prepared: Kaohsiung Chang Gung Center, Stony Brook, NY, USA Memorial Hospital, Kaohsiung, Taiwan 12:17 pm - 12:22 pm 11:25 am - 11:30 am Acellular Dermal Matrix in Post-Mastectomy Breast Nitrite Attenuates I/R-induced Microcirculatory Alterations Reconstruction: A Systematic Review and Metaanalysis and Mitochondrial Dysfunction in the Microvasculature of Rika Ohkuma; Raghunandan Venkat; Helen G Hui-Chou; Michele A 99 Skeletal Muscle Manahan; Michael Magarakis; Gedge D. Rosson Wei Z. Wang, MD; Xin-Hua Fang; Linda L. Stephenson; Xinlan Zhang; Institution where the work was prepared: Johns Hopkins Medical Shelley J. Williams; Richard C. Baynosa; Kayvan T. Khiabani; Institution, Baltimore, MD, USA William A. Zamboni Institution where the work was prepared: University of Nevada School of 12:22 pm - 12:27 pm Medicine, Las Vegas, NV, USA Patient Reported Assessment of Functional Gait Outcomes Following Superior Gluteal Artery Perforator (SGAP) 11:30 am - 11:35 am Reconstruction Fabrication of Biocompatible Biodegradable Artificial Tissue Kevin Hur; Rika Ohkuma; Michele A Manahan; Ariel N Rad; Constructs via Sacrificial Poloxamer Networks Gedge D Rosson Nikola Lekic, MS; Alyssa J. Reiffel, MD; Justin L. Perez, BS; Jason A. Institution where the work was prepared: Johns Hopkins Medical Spector, MD, FACS Institution, Baltimore, MD, USA Institution where the work was prepared: Weill Cornell Medical College, New York, NY, USA 12:27 pm - 12:33 pm Discussion

11:35 am - 11:41 am Discussion

11:41 am - 11:46 am EXTREMITIES II/OUTCOME STUDIES Modifications to Extend the Transverse Musculocutaneous Throughout this program a series of basic and clinical research Gracilis Flap in Breast Reconstruction: Clinical Series and Results papers chosen by the Program Committee will be presented. Corrine Wong, MRCS; Georges Tabbal; Georgette Oni; Andrew Trussler; Michel Saint-Cyr Objective: The participants will be exposed to ongoing research Institution where the work was prepared: Corrine Wong, Dallas, TX, USA in the field of reconstructive microsurgery, and other complex reconstructions. Tuesday, January 17th 11:46 am - 11:51 am Vascular Variations of the TUG Flap in Consideration for Breast Moderators: Charles Tseng, MD and Lucio Pavone, MD Reconstruction 11:15 am- 11:20 am Noel Blythe Natoli, MD; Liza C. Wu The Effect of Neoadjuvant versus Adjuvant Radiation on Institution where the work was prepared: University of Pennsylvania, Microvascular Free Flap Reconstruction in Sarcoma Patients Philadelphia, PA, USA Albert H. Chao, MD; David W. Chang; Matthew M. Hanasono Institution where the work was prepared: University of Texas MD 11:51 am - 11:56 am Anderson Cancer Center, Houston, TX, USA Using Angiosome-Based Flap Design to Extend the Utility of the Abdominal Donor Site in the Obese Patient 11:20 am - 11:25am Brad Michael Gandolfi, MD; William Samson; Joseph H. Dayan; Erez The Anatomical Basis of the Profunda Artery Perforator (PAP) Dayan; Arif Chaudhry; Mark L. Smith Flap – A Cadaver and Computer Tomography Angiogram Study Institution where the work was prepared: Beth Israel Medical Center, New Adam Saad, MD; Ali Sadeghi; Robert J. Allen, MD York, NY, USA Institution where the work was prepared: Louisiana State University Health Sciences Center, New Olreans, LA, USA 11:56 am - 12:01 pm Objective Evaluation of Skill Acquisition in Novice Microsurgeons 11:25 am - 11:30 am John P. Brosious, MD; Shawn T. Tsuda, MD; John M. Menezes, MD; The Limited Utility and High Cost of Implantable Dopplers for Linda L. Stephenson, BS, MT(ASCP); Richard C. Baynosa, MD; William A. Free Flap Monitoring Zamboni, MD, FACS Eric G. Halvorson, MD Institution where the work was prepared: University of Nevada School of Institution where the work was prepared: University of North Carolina, Medicine-Las Vegas Hospitals, Las Vegas, NV, USA Chapel Hill, NC, USA

12:01 pm - 12:07 pm Discussion 11:30 am - 11:35am Discussion ABSTACTS

11:35 am - 11:40 am 12:15 pm - 12:20 pm Evaluating Nerve Repair Outcomes in Complex Soft Tissue The Unfavorable Results of Toe Transfers – Reconstructions, a Multicenter Study Approach Risk Factors for Reopen and Failure Darrell Brooks, MD; Bauback Safa, MD; Renata V. Weber; Shiuan-Tzuen Su; Ching-hsuan Hu, Medical, doctor; Yu-Te Lin; Mickey Cho, MD; Christopher Wilson, MD; Michael Robichaux, MD; Chih-Hung Lin; Fu-Chan Wei Jozef Zoldos, MD Institution where the work was prepared: Department of Plastic and Institution where the work was prepared: Buncke Clinic, Reconstructive Surgery, Chang Gung Mem, Taoyuan, Taiwan San Francisco, CA, USA 12:20 pm - 12:25 pm 11:40 am - 11:45 am Staged Resection and Reconstruction of Soft Tissue Sarcoma – Supermicrosurgical Lymphaticovenular Anastomosis for The Ohio State University Experience Treatment of Lymphedema Jonathan Yang, MD; James Herbert Boehmler, MD; Pankaj Tiwari; Yener Demirtas; Murat Topalan Michael J. Miller, MD; Daniel Donato; Thomas Scharschmidt, MD; Institution where the work was prepared: Ondokuz Mayis University, Joel Mayerson Samsun, Turkey Institution where the work was prepared: The Ohio State University Medical Center, Columbus, OH, USA 11:45 am - 11:50 am The Use of Magnetic Resonance Angiography for Vascularized 12:25 pm - 12:30 pm Groin Lymph Node Transfer: An Anatomic Study The Effect of Systemic Injury Score on the Decision Making of Erez Dayan, MD; Joseph H. Dayan, MD; Alexander Kagen, MD; Mark L. Mangled Lower Extremities Smith, MD Hsuan-Keng Yeh, MD; Yu-Te Lin, MD; Hung-Chang Chen; Cheng-Hung Institution where the work was prepared: Beth Israel Medical Center, New Lin; Chih-Hung Lin; Chung-Chen Hsu

ASRM Program York, NY, USA Institution where the work was prepared: Chang Gung Memorial Hospital, Taoyuan, Taiwan 11:50 am - 11:55 am Discussion 12:30 pm - 12:35 pm 11:55 am - 12:00 pm Pathogens Associated with Failed Limb Salvage Following Building a Successful High-Volume FreeFlap Center: Microsurgical Lower Extremity Reconstruction The Penn Experience Mitchel Seruya, MD; Ketan M. Patel, MD; B Franklin; M Gatti; I Ducic Theresa Y. Wang, MD; Richard Agag; Jennifer McGrath; Liza C. Wu; Institution where the work was prepared: Georgetown University David W Low; Stephen J Kovach; Joseph M. Serletti Hospital, Washington, DC, USA Institution where the work was prepared: University of Pennsylvania, Philadelphia, PA, USA 12:35 pm - 12:41 pm Discussion

12:00 pm - 12:05 pm 12:45 pm - 1:45 pm Panel: Using a Web-Based Microsurgical Curriculum to Enhance Innovative Surgery vs. Experimentation: Microsurgical Skills in Plastic Surgery Residency Training Where Is The Line? Thomas Satterwhite, MD; Ji Son; Joseph Carey; Kamakshi Zeidler; Sina Bari; Geoffrey Gurtner; James Chang; Gordon Lee Moderator: Lawrence Gottlieb, MD Institution where the work was prepared: Stanford University Medical Invited Panelists: Roger Khouri, MD; Geoff Gurtner, MD Center, Stanford, CA, USA As reconstructive microsurgeons, innovation is a part of our daily lives, but where is the line between innovation and 12:05 pm - 12:10 pm experimentation? This panel will be lead by one of our country’s The Impact of Residency and Fellowship Training on the Practice leading surgical ethicist. Attendees will gain insight as to the criteria of Microsurgery by Members of the American Society for Surgery of what is ethically innovative surgery and what may border on of the Hand experimentation. River M. Elliott, MD; Abtin Foroohar, MD; Keith D. Baldwin, MD, MPH, MSPT; L. Scott Levin, MD, FACS Objective: Following this session, the participants will be able to: Institution where the work was prepared: University of Pennsylvania Discuss new insights as to the criteria of what is ethically innovative Health System, Philadelphia, PA, USA surgery and what may border on experimentation.

12:10 pm - 12:15 pm Discussion 1:45 pm Closing Remarks

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