Waldorf Astoria Naples, Naples, Florida 1 American Society for Reconstructive MicrosurgeryReconstructive American Society for Peripheral Nerve Peripheral for Naples, Florida Naples, Waldorf Astoria Naples Astoria Waldorf AMERICAN SOCIETY PERIPHERAL for NERVE 2013 January 11-13, AMERICAN SOCIETY RECONSTRUCTIVE for MICROSURGERY 2013 January 12-15, AMERICAN ASSOCIATION for HAND SURGERY SURGERY HAND for AMERICAN ASSOCIATION 2013 January 9 -12, for Hand Surgeryfor American Association with

PROGRAM BOOK

American Society of Plastic Surgeons of Plastic

sponsored by: sponsored Jointly 2013

ANNUAL MEETINGS ANNUAL AAHS ASPN ASRM AAHS Schedule at a Glance Legend: AAHS ASPN ASRM Combined Day/AAHS/ASPN/ASRM WEDNESDAY, 01/9 THURSDAY, 01/10 FRIDAY, 01/11 AAHS Program AAHS Program AAHS & ASPN Programs Hand Therapy Day 6:00 am

6:30 am AAHS 5K Run (Open Guest Activity) 7:00 am Breakfast with Breakfast with Instructional Instructional Breakfast with Exhibitors 7:30 am Exhibitors Courses Courses Exhibitors Instructional 8:00 am Courses HSE and HAND Journal Update Welcome & Panel 8:30 am Presidential Welcome 9:00 am Scientific Paper Sessions 9:30 am Concurrent Concurrent Scientific Paper Sessions Coffee Break with ASPN Council 10:00 am Surgeon Therapist Exhibitors Meeting Programming Programming 10:30 am Coffee Break with Exhibitors Scientific Paper Coffee Break with Exhibitors Sessions 11:00 am Scientific Paper Sessions Danyo Lecture 11:30 am James W. May, MD Invited Guest Lecture 12:00 pm Eduard R. Zancolli, MD Presidential Address Jesse B. Jupiter, MD Joint Concurrent AAHS/ ASPN Panel: Complex Elbow Trauma 12:30 pm Invited Guest Lecture Diego L. Fernandez, MD 1:00 pm Annual ASPN Welcome Lunch Business Concurrent Industry Lunch Industry Lunch Meeting with Scientific Paper 1:30 pm Therapist Symposium Symposium AAHS Programming Exhibitors Members Session 1 2:00 pm Only Invited Lecture Rolfe Birch, MD Surgeon Hands- 2:30 pm Coffee Break with On Development AAHS Tennis Hands-On Exhibitors 3:00 pm Workshop Workshop Tournament Therapist Hands- Skills Labs (Open Guest Comprehensive Instructional Activity) 3:30 pm On Development Hand Review Courses Workshop: Rehab Course 4:00 pm Management of Rotator Cuff 4:30 pm Scientific Paper Session 2 5:00 pm

5:30 pm Mentors Reception 6:00 pm 6:30 pm 7:00 pm Welcome Reception in the Exhibit Hall 7:30 pm 8:00 pm

8:30 pm AAHS Annual Meeting Dinner Dance 9:00 pm 9:30 pm 10:00 pm ii SATURDAY, 01/12 SUNDAY, 01/13 MONDAY, 01/14 TUESDAY, 01/15 Combined Day / AAHS / ASPN & ASRM ASRM Program ASRM Program ASPN / ASRM Programs Programs 6:30 am Breakfast with 7:00 am Breakfast Welcome with Exhibitors Exhibitors Instructional Breakfast with Scientific Exhibitors Breakout Breakout ASRM Breakfast 7:30 am Courses Instructional Paper Session Council Courses Panels Panels Meeting 8:00 am Presidents’ Welcome ASPN/ASRM Panel: Nerve and Technology 8:30 am Panel: Tissue Engineering Scientific ASRM Business Buncke Lecture 9:00 am ASPN/ASRM Scientific Paper Sessions Meeting Joseph Upton, MD Paper Session 9:30 am Coffee Break with Exhibitors Coffee Break with Exhibitors Coffee Break with Exhibitors President’s Concurrent Scientific Paper 10:00 am Scientific Sessions Invited Lecture Panel: Joint Outstanding Papers Paper Assessing Flap 10:30 am Hans Steinau, Session 5 Perfusion Concurrent MD Scientific 11:00 am Joint Presidential Keynote Invited Lecture Panel: Lower Paper Sessions Panel: Future of Breast Thomas Brushart Reconstruction Lecture Extremity 11:30 am Carl Hiaasen Reconstruction Scientific Paper Closing Remarks 12:00 pm Session 6 YMG Lunch ASPN Business Open with Lunch with Exhibitors 12:30 pm Meeting Closing Remarks & Awards Forum Exhibitors Presidential Lecture 1:00 pm ASPN Council Michael Neumeister, MD President Speech Breakout Robert Spinner, MD Meeting Panels 1:30 pm Invited Lecture YMG Panel Göran Lundborg, MD 2:00 pm Break with Exhibitors Masters Series in ASPN/ASRT Joint 2:30 pm Micro- Panel: Nerve and Concurrent Scientific Paper surgery Transplantation Session 3:00 pm 3:30 pm Scientific Paper Godina Lecture: Steven L. Session 3 Poster Reception Moran, MD 4:00 pm 4:30 pm ASPN Poster ASRT Panel 5:00 pm Session YMG/New Member Best Case/Best Save 5:30 pm Reception 6:00 pm Godina Alumni 6:30 pm ASPN/ASRM Welcome Club Reception Reception 7:00 pm 7:30 pm 8:00 pm

ASRM Evening Event 8:30 pm 9:00 pm

9:30 pm 10:00 pm ii iii Resort Map Naples Meeting Rooms

Resort Map Naples Grand Floor plan

N VISTA TERRACE W E Waldorf Astoria Naples MAPS Naples Astoria Waldorf VISTA BALLROOM S MEN WOMEN

AURA RESTAURANT MANGROVE TO PARKING POOL GARAGE

ELEVATORS RESORT THE BAR GIFT SHOP SUNSET DECK ESCALATORS TO MEETING LOBBY WOMEN ROOM LEVEL TO BEACH, GRAND STAIRCASE BEACH BAR MEN & GRILL

TO GOLDEN DOOR SPA® PALM TERRACE POOL & STRIP HOUSE RESTAURANT TO BUNGALOWS, POOL BAR HIBISCUS POOL & & GRILL TENNIS COURTS

GOLDEN ENTRANCE DOOR STRIP SPA HOUSE

iv TABLE OF CONTENTS

Schedule at a Glance ii - iii ASPN Council Members 53

Resort Maps iv ASPN Committees 54

General Information 7 ASPN Historical Information 55

2013 Exhibitor Listing 8 ASPN CME Information 56

Educational Resources/Networking Events 15 ASPN Friday Day-at-a-Glance 57

Future Annual Meeting Locations 15 ASPN President’s Invited Lecture: 58 Rolfe Birch, MChir, FRCS AAHS Board of Directors 17 ASPN Saturday Day-at-a-Glance 61 AAHS Committees 18 ASPN President’s Invited Lecture: 63 AAHS Historical Information 19 Gōran Lundborg, MD HAND – the Journal of AAHS 20 ASPN Sunday Day-at-a-Glance 67 Hand Surgery Endowment Contributor List 21 ASPN President’s Invited Lecture: 69 AAHS Acknowledgements and Symposium 22 Thomas Brushart, MD Table of Contents

AAHS CME Information 23 ASRM Council Members 71

AAHS Wednesday Day-at-a-Glance 25 ASRM Committees 72

Specialty Day Program 27 ASRM Historical Information 73

Invited Lecturer: Eduardo R. Zancolli, MD 29 ASRM CME Information 75

AAHS Thursday Day-at-a-Glance 31 ASRM Saturday Day-at-a-Glance 77

Invited Guest Speaker: Diego L. Fernandez, MD 35 ASRM Master Series in Microsurgery 79

AAHS Friday Day-at-a-Glance 37 ASRM Sunday Day-at-a-Glance 81

J. Joseph Danyo Presidential Invited Lecturer: 41 Presidents Invited Lecture: 83 James W. May, Jr., MD, FACS Hans-Ulrich Steinau, MD, PhD

Comprehensive Hand Surgery Review Course 41 ASRM Monday Day-at-a-Glance 85

AAHS Electronic Poster Listing 42 ASRM Presidential Lecture: 89 AAHS/ASRM/ASPN CME 47 Michael W. Neumeister, MD

AAHS/ASRM/ASPN Saturday Day-at-a-Glance 49 Godina Lecture: Steven L. Moran, MD 91

AAHS/ASRM/ASPN Presidents’ Invited Lecturer: 51 ASRM Tuesday Day-at-a-Glance 93

Carl Hiaasen, Novelist Buncke Lecture: Joseph Upton, MD 95

5 Gen Announce TAB Waldorf Astoria Naples, Naples, Florida Naples, Naples, Astoria Waldorf

6 General Announcements Registration Hours (subject to change) Exhibit Hours continued Tuesday, January 8 4:00pm – 7:00pm Wednesday, January 9 6:30am – 5:00pm Sunday, January 13 6:30 am – 1:00 pm Thursday, January 10 6:30am – 5:00pm Breakfast 6:30 am – 7:30 am Friday, January 11 6:30am – 6:00pm Break 9:30 am – 10:00 am Saturday, January 12 6:30am – 6:00pm Lunch 12:00 pm – 12:45 pm Sunday, January 13 6:30am – 2:30pm Poster Reception 3:45 – 4:30 pm Monday, January 14 6:30am – 5:30pm Monday, January 14 6:30 am – 1:00 pm Tuesday, January 15 6:30am – 12:00pm Breakfast 6:30 am – 8:30 am Break 9:30 am – 10:00 am

AAHS Electronic Poster Viewing Schedule Lunch 12:00 pm – 12:45 pm All posters will be displayed in an electronic poster (ePoster) format.

ePosters are electronic versions of presenters’ work in single power point slides that will be displayed in a kiosk on-site in the Royal Palm Speaker Ready Room Hours Foyer from Wednesday, January 9- Friday, January 11. Please The Speaker Ready Room will be located in the Cypress Room. refer to the ePosters listing in the book to reference a specific title or Wednesday, January 9 6:30am – 5:00pm author. Reference page 42 for details. Thursday, January 10 6:30am – 5:00pm Friday, January 11 6:00am – 5:00pm ASPN Poster Presentation Viewing Hours Saturday, January 12 6:00am – 5:00pm The ASPN Poster Presentations will be placed in the ASPN General Session, Royal Palm I-III from Friday, January 11th - Sunday January Sunday, January 13 6:00am – 5:00pm 13th. ASPN will host a Special Poster Presentation Session on Saturday, Monday, January 14 6:00am – 5:00pm

January 12 from 4:30pm-5:30pm. Tuesday, January 15 6:00am – 11:30am General Announcements

ASRM Poster Presentation Viewing Hours Dress Code The ASRM Posters will be placed in the Royal Palm Foyer from We encourage meeting attendees to dress casually and comfortably. Saturday, January 12th – Tuesday January 15th. A Poster & Exhibits Jackets and ties are not required for any business or networking reception will be held on Sunday January 13th from 3:45pm-4:30pm. events. If you plan to be outdoors in the evening, a jacket may be Come get a taste of Florida while you view and discuss fellow preferred. attendee’s poster presentations. Mobile Application Commercial Exhibits A mobile application containing contents of the programs, abstracts, The commercial exhibits will be located in the Orchid BallRoom and link to handouts, will be available on both the iOS (iPad and & Foyer. A variety of commercial exhibits are featured at the iPhone) and Android platforms. In addition, we will have a mobile meeting, enabling the attendees to learn about the technological website with the same content but different functionality for those advances pertaining to upper extremity surgery, neurosurgery and who have Blackberry smartphones. Please visit any of these websites reconstructive microsurgery, and to meet key suppliers. Please refer to download today www.handsurgery.org, www.peripheralnerve. to the Exhibit Listing in this book. org or www.microsurg.org

Message Board Exhibit Hours Wednesday, January 9 A message board will be set up near Meeting Services in the Registration area. Please refer to the message board for meeting Hand Therapy Exhibits 6:30 am – 2:30 pm notices and general announcements. Welcome Reception 6:30 pm – 8:00 pm COPYRIGHT Thursday, January 10 6:30 am – 12:00 pm All of the proceedings of the annual meeting, including the presentations of Breakfast 6:30 am – 8:00 am scientific papers, are intended solely for the benefit of the membership of the Break 10:30 am – 10:45 am American Association for Hand Surgery, American Society for Peripheral Nerve and American Society for Reconstructive Microsurgery. No statement or presentation Friday, January 11 6:30 am – 3:00 pm made at the meeting is to be regarded as dedicated to the public domain. Any statement or presentation is to be regarded as limited publication only and all Breakfast 6:30 am – 8:00 am property rights in the material presented, including common law copyright, are Break 9:45 am – 10:00 am expressly reserved to the speaker or to the American Association for Hand Surgery, American Society for Peripheral Nerve and American Society for Reconstructive Lunch 12:45 pm – 1:45 pm Microsurgery. Any sound reproduction, transcript, or other use of material Break 2:30 pm – 2:50 pm presented at the meeting without the permission of the speaker or the American Association for Hand Surgery, American Society for Peripheral Nerve and American Saturday, January 12 6:30 am – 2:15 pm Society for Reconstructive Microsurgery is prohibited to the full extent of common law copyright in such material. Breakfast 6:30 am – 8:00 am Break 9:30 am – 10:00 am THE USE OF CAMERAS OR PHOTOGRAPHIC EQUIPMENT Break 2:00 pm – 2:15 pm IS NOT PERMITTED 7 2013 Exhibitor Listing ADVISOR MEDICAL ARTHREX Table 38 Table 37 700 Commerce Drive, 1370 Creekside Blvd Suite 500 Naples, FL 34108-1945 Oak Brook, IL 60523 www.arthrex.com/ www.advisormedical.com Please stop by the Arthrex exhibit to experience hands on Industry leader in Orthopedic Ultrasound Equipment and Training. demonstrations of the following products: This week introducing a new cutting edge system specifically • CMC Mini TightRope designed for Orthopedics, complete with a comprehensive training package. The TOTAL Solution. Other companies just sell products; • SLAM Scapholunate Axis Method Advisor Medical goes one step farther ensuring a successful • Centerline Carpal tunnel implementation into your practice. • LRTI Kit Online at advisormedical.com or facebook.com/advisormedical. • Small Hand anchors A.M. Surgical Table 49 ASSI-ACCURATE SURGICAL 290 E Main Street, Table 65 Suite 200 300 Shames Drive Smithtown, NY 11787 Westbury, NY 11590 www.amsurgical.com www.accuratesurgical.com

A.M. Surgical, Inc offers an endoscopic release system featuring a ASSI® the world’s foremost supplier of surgical instrumentation for clear cannula and scope-mounting blade that is used for endoscopic the Hand, Reconstructive Surgeon, and Peripheral Nerve Surgeon will cubital tunnel, carpal tunnel and trigger finger release. The company be displaying the Lalonde Bone and Percutaneous Clamps, the finest also offers a line of non-spanning external fixation devices for distal Hand Crafted Microsurgical Instruments and Microvascular Clamps, radius fx, finger fx and proximal humerus fx. Hand Table, Titanium Microsurgical Instruments, Never Holding Forecep, New Levine Breast Retractor/Protector, Moliver Nipple Holding Foreceps, Hidalgo Lower Blepharoplasty Retractor, Nobel™ AMERICAN SOCIETY OF Non-Stick Biploar and MicroMonopolar Forceps, Bipolar Scissors, PLASTIC SURGEONS StaySharp® Ceramic Coated SuperCUt Scissors as well as Black Handel StaySharp® SuperCut Scissors, Epstein Breast Retractors, ASSI Lighted Table 57 Breast Retractors, Miller Wave Retractor, Lalonde Skin Hook Forceps 444 E. Algonquin Rd and Breast Sizers, Earlobe Clamp, and Instrumentation for the Plastic Arlington Heights, IL 60005 and Reconstructive Surgeon. www.plasticsurgery.org AUXILIUM American Society of Plastic Surgeons is the largest plastic surgery specialty organization in the world. The Society works to position Table 35/36

2013 Exhibitor Listing 2013 Exhibitor its members for success through educational forums and practice 40 Valley Stream Parkway management products and encourages excellence through Malvern, PA 19355 education, research, intellectual exchange, and promoting unity in www.xiaflex.com the specialty. Auxilium Pharmaceuticals (NASDAQ: AUXL) was founded in 1999 to develop and market pharmaceutical products that focus on APTIS MEDICAL LLC urology and sexual health. While we remain dedicated to this founding principle, Auxilium’s mission has expanded to include Table L20 the development and marketing of novel treatment options for 3602 Glenview Ave many of society’s unmet medical needs. To support this mission of Glenview, KY 40025 providing innovative solutions that promote healthy living, Auxilium www.aptismedical.com is: providing healthcare specialists with quality products and practice support building on its development capability to deliver APTIS MEDICAL specializes in taking current concepts to the high-quality products for a range of unmet health needs pursuing next level. With the success of the Scheker DRUJ prosthesis, Aptis licensing opportunities for additional products that complement its has provided a product that totally replaces the DRUJ, prevents mission and development portfolio exploring business development subluxation and allows the bearing of weight. Other new and and partnership opportunities. innovated designs for joint replacement are soon to follow.

8 2013 Exhibitor Listing AXOGEN, INC. BUXTON BIOMEDICAL Table 42 & 43 Table 62 13859 Progress Blvd, Suite 100 15A Melanie Lane Alachua, FL 32615 East Hanover NJ 07936 www.axogeninc.com www.buxtonbio.com AxoGen is a leading regenerative medicine company dedicated to advancing the science and commercialization of peripheral nerve Come linger in my parlor, Cooed the spider to the fly.Let me weave repair solutions. AxoGen’s products offer a full suite of surgical a web of wonder ‘bout products you should try. I’ve tidied up my nerve reconstruction solutions including Avance® Nerve Graft, the table, Everything’s arranged. Hand instruments familiar... and some a only commercially available processed nerve allograft for bridging little strange. Come in a little closer now And set yourself near here. severed nerves, AxoGuard® Nerve Connector and AxoGuard® Nerve This scissors just within your grasp; There’s nothing here to fear. I’ll Protector. spin my yarn of intrigue, Tell you stories oh so grand! Here, hold this rongeur or this rasp! AxoGen’s products include Avance® Nerve Graft, the only commercially available processed nerve allograft for bridging Don’t mind that silken strand. severed nerves, AxoGuard® Nerve Connector, a coaptation aid allowing for close approximation of severed nerves, and AxoGuard® Nerve Protector, a bioscaffold used to reinforce a coaptation site, wrap a partially severed nerve or isolate and protect nerve tissue. CARL ZEISS MEDITEC Table 24 5160 Hacienda Dr. BLACK HILLS SURGICAL Dublin, CA 94560 HOSPITAL www.meditec.zeiss.com Table 30 Carl Zeiss Meditec, Inc. is one of the world’s leading medical 216 Anamaria Drive technology companies and is dedicated to helping healthcare Rapid City, SD 57701 professionals enhance patient care. The Company’s portfolio of www.bhsh.com innovative solutions includes a comprehensive line of OPMI® surgical microscopes and EyeMag® surgical loupes that uncompromisingly

In the midst of beautiful scenery, wildlife, historic attractions, enhance visualization during plastic, reconstructive and hand 2013 Exhibitor Listing restaurants, and a lively downtown is Black Hills Surgical Hospital — surgery. South Dakota’s premier physician-owned hospital offering in-house hospitalists, state-of-the-art technology, high nurse to patient ratio, and patient experience that emulates a 5-star hotel stay. BHSH CHECKPOINT SURGICAL LLC physicians experience the highest levels of efficiency and Table 27 patient care. 22901 Millcreek Blvd. Suite 110 Cleveland, Ohio 44122 BLACK HILLS ORTHOPEDIC www.checkpointsurgical.com & SPINE CENTER CHECKPOINT® Stimulator/Locator is a state-of-the-art, hand-held, intra-operative nerve and muscle stimulator that helps surgeons Table 31 locate, identify and evaluate motor nerve tissue and muscle function P.O Box 6850, in surgical procedures that require careful and precise soft tissue Rapid City, SD 57709 dissection or nerve exploration and repair. Checkpoint helps www.bhosc.com surgeons make “real time” decisions with increased confidence. Black Hills Orthopedic & Spine Center is a regional orthopedic CONVENTUS ORTHOPAEDICS, INC. clinic located in Rapid City, SD. Our growing, independent practice includes 13 fellowship-trained surgeons and a Physical Therapy group Table L1 serving the five-state area around the beautiful Black Hills of South 1022 73rd Ave., N. Dakota. Maple Grove, MN 55369 www.conventusortho.com Taking its name from the Latin word for coming together or union, BORGESS HEALTH Conventus Orthopaedics is focused on creating less invasive solutions for fractures in and around joints, beginning with the wrist. The Table L14 company is dedicated to working with surgeons to improve healing 1521 Gull Road, MSB 350 and enable their patients’ return to normal activity. Kalamazoo, MI 49048 www.borgess.com

Borgess Medical Center is a 424-bed teaching hospital and Level 1 Trauma Center providing nationally recognized cardiac and neuro care with advanced capabilities in multiple specialties. Located in Kalamazoo, Michigan, Borgess offers a complete continuum of services to 1.1 million people living in 11 counties in southwest and south central Michigan.

9 2013 Exhibitor Listing

COOK MEDICAL HAND REHABILITATION Table L18 FOUNDATION 750 Daniels Way Table 56 Bloomington, IN 47404 700 S. Henderson Rd., Suite 100 www.cookmedical.com King of Prussia, PA 19406 A global pioneer in medical breakthroughs, Cook Medical is www.handfoundation.org committed to creating effective solutions that benefit millions of The Hand Rehabilitation Foundation, established in 1975, is a patients worldwide. Today, we serve 40 medical specialties with 501(c)(3) non-profit corporation formed to promote research and 16,000 products. Cook is a family-owned company founded in 1963 education, and disseminate information to physicians and therapists by a visionary who put patient needs and ethical business who work with children and adults with hand disorders caused by practices first. injury, disease, or present at birth. Among its other educational offerings, each year The Foundation sponsors an annual symposium known worldwide as The Philadelphia Meeting. This symposium ELSEVIER brings together an international faculty of hand surgeons and Table 64 certified hand therapists to teach and demonstrate the most current advances in hand rehabilitation correlated with hand surgery. 1600 JFK Boulevard, Suite 1800 Since the first symposium in 1974, thousands of hand therapists, Philadelphia, PA 19103 occupational therapists, physical therapists and surgeons have www.us.elsevierhealth.com increased their clinical skills and knowledge by attending this meeting. ELSEVIER is a leading publisher of health science publications, advancing medicine by delivering superior reference information and decision support tools to doctors, nurses, health practitioners and students. With an extensive media spectrum — print, online I.T.S. USA and handheld, we are able to supply the information you need in the Table 54 most convenient format. 1778 Park Ave. North Suite 200 Maitland, FL 32751 www.its-implantusa.com H-WAVE I.T.S. is an innovative trauma company focused on developing Therapist Specialty Day Exhibit superior solutions for fracture repair of the upper and lower 1011 Westchester Rd, extremities. Our products are constantly evolving and expanding to continually provide innovative trauma solutions. South Fark, PA 15129 www.h-wave.com

Electronic Waveform Lab, Inc. (EWL) is the sole developer and Manufacturer of the H-Wave® Instrument. This is a completely INSTRATEK, INC unique device which has unmatched success in rehabilitation and Table 34 pain control. H-Wave has built its reputation as one of the most 4141 Directors Road, Suite H unique and effective rehabilitative treatments in the country. We are dedicated to proving healthcare professional and patients with Houston, TX 77092 superior non-invasive and drug free solutions for the management of www.instratek.com

2013 Exhibitor Listing 2013 Exhibitor pain and restoration of function. Instratek, Inc. ™ is a Houston, TX based global medical device company, synonymous with minimally invasive surgical technologies for over 20 years. Instratek develops, manufactures, and markets endoscopic instrumentation for Carpal Tunnel and Trigger Finger. HAND BIOMECHANIC LAB In addition, implant products include the CMC Cable FIX for basal Table 61 thumb arthritis and the Mini Headed and Headless Bone Screw 77 Scripps Drive, System. Suite 104, Sacramento, CA 95825 www.handbiolab.com INTEGRA LIFESCIENCES Using an extension torque transmitted to the joint by skeletal pins, Table 23 the Digit Widget stimulates growth of the contracted palmar soft tissues. Increased extension is achieved without the surgical trauma 311 Enterprise Drive and scarring of an open release. There are many products to choose Plainsboro, NJ 08536 from when you plate a distal radius fracture, but if you need an www.integralife.com external fixator, be sure to ask for the WristJack. The WristJack is easy to use, less invasive then plating and effective. Integra LifeSciences Corporation, a world leader in regenerative medicine, manufactures and markets medical devices used in plastic and reconstructive surgery, orthopedics and general surgery. These products focus on lower extremity fixation, upper extremity fixation, wound repair, tendon protection, and peripheral nerve repair/ protection. Integra’s reconstructive portfolio includes NeuraGen Nerve Guide, Integra Dermal Regeneration Template and the KMI and Newdeal line of products fo http://www.h-wave.com/index.aspx r extremity fixation.

10 2013 Exhibitor Listing

LEICA MICROSYSTEMS, INC. MEDICAL MODELING, INC. Table 53 Table L21 1700 Leider Lane 17301 W. Colfax Ave., Ste. 300 Buffalo Grove, IL 60089 Golden, CO 80401 www.leica-microsystems.com/recon www.medicalmodeling.com Leica Microsystems surgical microscopes with optional FL800 Medical Modeling specializes in Virtual Surgical Planning (VSP®) and fluorescence provide real-time views of blood vessel patency - production of models, guides and templates to transfer a digital valuable when performing reconstructive microsurgery. Perfect pre-surgical plan to the operating room. Especially relevant to balance, safer illumination, vascular fluorescence, and superior reconstructive microvascular surgery, our work with VSP® of fibula optics help you complete every surgery with confidence. We will free flap grafts for maxilla/mandibular reconstruction has proven showcase the world-class M525 OH4 and cost-effective M525 F50 invaluable to many teams performing this operation. Stop by our surgical microscopes. Table to learn more about our unique product offering.

LIPPINCOTT WILLIAMS & WILKINS MEDISTIM Table L13 Table 22 SA (available on Saturday) 2652 Hourglass Drive 14000 25th Ave, N., Suite 108 Henderson, NV 89052 Plymouth, MN 55447 www.lww.com www.medistim.com Lippincott Williams & Wilkins is the leading Publisher of medical Medistim delivers the reference standard for blood flow verification, books, Journals, and electronic media for educational purpose. enabling procedural guidance during reconstructive surgery. Transit time flow assessment and Doppler image processing will inform your decision-making processes, optimizing flap viability and overall patient outcomes. MATERIALISE Table 48 2013 Exhibitor Listing 44650 Helm Court MICRINS Plymouth, MI 48170 28438 Ballard Dr. www.materialise.com/ortho Lake Forest, IL. 60045 www.micrins.com With SurgiCase Orthopaedics, Materialise equips surgeons with tools to try multiple approaches to complex reconstructive bone The MICRINS® brand of reconstructive microsurgical surgical procedures before they set foot in the operating room. The instruments have been used for over 25 years. Over the years our Materialise patient-specific solution includes virtual surgery planning instruments have evolved to keep up with new developments in services, construction of cut and drill guides individualized to fit the reconstructive microsurgery. With over 3000 different patterns patient and physical patient models. available we are certain that we will have just the instrument that you are looking for. MICRINS instruments are exclusively distributed by MAYO CLINIC MICROVASCULAR ERIEM Surgical, Inc. SURGERY EDUCATION Table 41 Stabile 9-48, 200 1St St. S.W. MICROAIRE Rochester MN 55905 Table 22 Mayo Clinic’s Microvascular Surgery Skills Course is a five day program 3590 Grand Forks Boulevard focused on skill development in the use of microvascular surgical Charlotte, VA 22911 techniques. The course allows each attendee to receive extensive www.microaire.com individualized training. Staff, residents and fellows are all welcome to attend. CME credits are also available. MicroAire Surgical Instruments, located in Charlottesville, Virginia, is a leading designer, manufacturer and distributor of surgical products in four key areas: Orthopaedic Power Instruments; Orthopaedic Specialties including Endoscopic Carpal Tunnel Release; Value MEDARTIS, INC Disposables; and Aesthetic Plastic Surgery. MicroAire is a team, dedicated to enhancing quality of life by providing innovative Table L19 surgical solutions that improve surgeon and patient outcomes. For 127 W Street Road, Suite 203 more information, visit www.microaire.com. Kennett Square, PA 19348 www.medartis.com MICROSURGERY INSTRUMENTS, INC Medartis is one of the leading manufacturers of medical devices Table 33 for cranio-maxillofacial surgery, hand and plastic surgery, as well as orthopaedic trauma. Medartis is committed to providing surgeons P.O. Box 1378 and operating room personnel with innovative titanium implants, Bellaire, Texas 77402 instruments and services that represent advances in bone fixation www.microsuregeryusa.com and thus patients’ quality of life. Microsurgery Instruments is one of the leading suppliers of surgical instruments and loupes. Our new instruments include: titanium scissors, needle holders, and debakey forceps. Our Super-Cut scissors are the sharpest in the market, and our newly designed surgical loupes offer up to 130mm field of view, and up to 11x magnification. 11 2013 Exhibitor Listing

ORTHOSCAN, INC. SHARPOINT Table L6 Table 51 8212 East Evans Road 100 Dennis Drive Scottsdale, AZ 85260 Reading, PA 19606 www.orthoscan.com www.sharpoint.com M.E.T.™ microsurgical needles utilize Infinite Edge™ technology, a OrthoScan presents the first mini c-arm with a flat detector. proprietary process that ensures incision products are consistently OrthoScan HD with Flat Detector provides improved image quality sharp and dimensionally true. All microsuture needles are made of through increased resolution and grayscale. The form factor enables specialty stainless-steel wire that has been tempered to a precision optimal positioning for orthopedic procedures. OrthoScan recently balance of hardness and tensile strength. Angiotech’s unique in- released Mobile DI: a 32lb self- contained, flat detector imaging house manufacturing processes ensures that each needle falls within device designed for office use. exceptionally tight production tolerances. The end result: a needle that holds a fine edge and is resistant to bending as you apply the necessary pressure. OSTEOMED SMALL BONE ORTHOPEDICS Table 47 3885 Arapaho Road SKELETAL DYNAMICS Addison, TX 75001 Table 52 www.osteomed.com 8905 SW 87th Ave OsteoMed Small Bone Orthopedics division offers the Hand and Miami, FL 33176 Upper Extremity surgeon premium implant products and quality service. OsteoMed is a leading global innovator, developer, GEMINUS Fossa Specific Plate: manufacturer and marketer of specialty medical devices, surgical The GEMINUS Fossa Specific Plate features a unique dual head design implants and powered surgical instruments. The company’s success that improves fit to the volar radial surface, minimizing the potential is driven by its ability to develop and deliver innovative, quality for flexor tendon injuries while providing the scaphoid and lunate products that improve patient outcomes and offer technically fossa with optimized subchondral support. Each malleable head can advanced, simple and cost effective solutions. OsteoMed’s state of also be adjusted independently to provide ideal patient matching. the art manufacturing facility and world headquarters is located in ALIGN Radial Head System: Dallas, Texas The ALIGN Radial Head System incorporates a revolutionary prosthesis design that offers the versatility of a bipolar prosthesis during final positioning through the proprietary alignment instrumentation, then locking permanently into a monoblock PLASTIC SURGERY EDUCATION NETWORK prosthesis that enables the surgeon to restore the kinematics of the (PSEN) native radial head specific to each patient. Table 58 IMPLATE - WRIST ARTHRODESIS NAIL SYSTEM: 444 E. Algonquin Road The IMPLATE Wrist Arthrodesis Nail System is the first intramedullary Arlington Heights, IL 60005 system of its kind that addresses total wrist fusion procedures www.psenetwork.org through a less invasive approach. Offered as a comprehensive modular platform, the IMPLATE System incorporates several key 2013 Exhibitor Listing 2013 Exhibitor The Plastic Surgery Education Network (PSEN) is the comprehensive features to achieve predictable and reproducible results, while online education portal for plastic surgery – the aggregator of the minimizing postoperative complications, or the potential for specialty’s core knowledge from residency to retirement. This hardware removal. collaborative site developed by ASPS in cooperation with ACAPS, AAHS, ASAPS, ASPN, ASRM, ASMS and PSRC offers procedural videos, recorded lectures, CME/MOC courses, and much more. SMALL BONE INNOVATORS Table 50 ROSE MICRO SOLUTIONS 1380 S. Pennsylvania Ave. Table 63 Morrisville, Pennsylvania 19067 4105 Seneca St., www.totalsmallbone.com West Seneca, NY 14224 Small Bone Innovations, Inc. (SBi) is a sole source provider of 716-608-0009 products, technology, and education for small bone and joint www.rosemicrosolutions.com surgeons worldwide in the medical device market. For more information about SBi, please visit http://www.totalsmallbone.com. Rose Micro Solutions sells High Quality Optical Loupes & LED Lights for Less! Our Loupes start @ $279.00. We are a “Family” Business consisting of 4 Brothers. We named the company after our mother “ROSE”. Stop by Booth #63 to see for yourself!

12 2013 Exhibitor Listing

SOLANA SURGICAL SYNOVIS MICRO COMPANIES Table L12 Table 32 6363 Poplar Ave., Suite 434 439 Industrial Lane Memphis, TN 38119 Birmingham, AL, 35211 www.solanasurgical.com www.synovismicro.com Simplifying Medical Technology- Solana Surgical is a premier Synovis Micro, The Microsurgeon’s Most Trusted Resource®, provides extremity orthopedic products company that develops breakthrough innovative, advanced technologies specifically for microsurgeons applications to restore motion while relieving pain. The trigger including the FLOW COUPLER; Microvascular Anastomotic Tome™ provides the hand surgeon with a minimally invasive COUPLERTM; GEM Neurotube® the gold standard in nerve conduits; alternative to performing a trigger finger release. With ultrasound S&T® Microsurgical Instruments; GEM Micro Sterilization TraysTM; guidance, dividing the A1 pully can be done quickly, accurately, GEM Original and SuperFine MicroClipsTM and Appliers; GEM and with minimal disruption of the palmar fascia, resulting in less FocusTM LED Cordless Headlight; and Acland® Micro Vascular Clamps discomfort and quicker recovery for the patient.

SURGICAL ACUITY SONICSURG INNOVATIONS, LLC Table L 17 Table 45 3225 Deming Way, Ste 190 3500 Vicksburg Lane N. Middleton, WI 53562 #333’ Plymouth, MN www.sybrondental.com 55447-1334 Surgical Acuity designs and manufactures high-performance magnification loupes for surgeons and other medical professionals. www.sonicsurg.com Renowned for quality craftsmanship, Surgical Acuity loupes deliver remarkable resolution over a deep and wide viewing field. Superior The Trigger Tome™ provides the hand surgeon with a minimally visualization is achieved through innovative, lightweight optics made invasive alternative to performing a trigger finger release. With from only the finest grade of glass. ultrasound guidance, dividing the A1 pulley can be done quickly, accurately, and with minimal disruption of the palmar fascia, resulting in less discomfort and quicker recovery for the patient. 2013 Exhibitor Listing SYNTHES CMF Table 25 SPECTROS CORP. 1301 Goshen Parkway Table 44 West Chester, PA 19380 808 Portola Rd. www.depuysynthes.com Portola Valley, CA 94028 Synthes is a leading global medical device company. We develop, produce and market instruments, implants and biomaterials for the www.spectros.com surgical fixation, correction and regeneration of the skeleton and its T-Stat manufactured by SPECTROS provides an accurate tissue soft tissues. saturation (St02%) value for reliable free flap monitoring. With a choice of noninvasive and easy to place sensors the T-Stat tissue oximeter is easy to use and quick to implement. The patented VLS technology utilizes broad band white light that captures and analyzes TRIMED, INC. a hundred more times the information of NIR (red light) technology, Table 59 giving an absolute measure that you can treat to. Wireless access 27533 Avenue Hopkins is also available for all platforms. For more information visit www. Santa Clarita, CA 91355 spectros.com www.trimedortho.com Focused on fixation technology for extremities, TriMed offers a complete product line for fixation of wrist and ankle fractures with STRYKER TRAUMA & EXTREMITIES the Wrist and Ankle Fixation Systems. These provide stable anatomic Table 49 fixation and early mobilization. TriMed also offers items for ulnar shortening, carpal fusions, and fixation of fractures of the hand 325 Corporate Drive and foot. Mahwah, NJ 07430 www.stryker.com Stryker has built a reputation as a market leader in products and VIOPTIX, INC, services by responding to the vital demands of emergency rooms, Table 26 trauma centers, and surgical clinics. Stryker now offers one of the 47224 Mission Falls Ct. widest ranges of product technologies in the industry for Hand and Upper Extremity. Fremont, CA 94539 www.vioptix.com 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.

13 14 Networking Events

Networking events are offered to promote collaboration in a social environment and to 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. We recommend that you purchase guest tickets in advance, as they will be available on a very limited basis at the meeting. Attendee name badge or a guest ticket is required for all social events.

AAHS Mentors Reception Networking Events Wednesday, January 9 5:00 – 6:00 pm Sunset Deck 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 AAHS NEW ASRM YMG OPEN FORUM & LUNCH board members. Enjoy a glass of wine and the opportunity to mingle with leaders in the field of Sunday, January 13 12:00 – 12:45 pm hand surgery and hand therapy. Event includes hosted beverages and light appetizers. A Discussion of Your Practice and Politics: Local, Regional and Federal Invited Lecturer: Bob Murphy, MD AAHS Welcome Reception The Young Microsurgeon’s group invites you to participate in an open forum specially designed Wednesday, January 9 6:30 – 8:00 pm Orchid Ballroom & Foyer to foster discussion on your practice and politics at the local, regional and federal level with featured guest speaker Dr. Bob Murphy. Admission to the forum is included in the registration *New This Year: The Welcome Reception will be held in the Exhibit Hall. Time to catch up fee, however, pre-registration is required. with friends, network, and make new contacts within the hand surgery association. Hosted

beverages and light appetizers. n

Paid for by Auxilium Pharmaceuticals, Inc. Future Annual Locations Meeting ASRM Poster Reception AAHS Annual Meeting Dinner Dance Sunday, January 13 3:45 – 4:30 pm Get a taste of Florida while you view and discuss fellow attendee’s poster presentations. This Friday, January 11 7:00 – 10:00 pm Royal Palm IV-VIII reception takes place just before the popular Best Case/Best Save event so come early and join Join your fellow AAHS members, including the President and board members in a fun filled us for some networking, food and beverages, Florida style. evening of dinner and dancing. Hosted dinner, beverages and musical entertainment. ASRM Latin Style Social Event AAHS/ASRM Golf Tournament Monday, January 14 7:00 – 10:00 pm Saturday, January 12 12:00 – 5:30 pm Cost: 1 ticket included in ASRM registration. Cost: $240 fee, $70 club rental Additional adult tickets available @ $100 each; tickets for children and young adults ages 5 - 17 Just minutes from the host resort, the Naples Grande Golf Club is comprised of 18 glorious holes available @ $50 each. Tickets include drink tickets. designed by renowned golf architect Rees Jones. Relying on the natural surroundings and We’re turning up the heat tonight at our Miami-style dinner dance. We’ll set the mood with a existing foliage, Rees designed an optimum environment for golfers of any skill level. Mature delicious Floridian and Latin buffet. Then move to the sounds of south Florida’s most popular cypress trees and pines are the backdrop for this par 72 course, measuring a maximum of party bands, Private Stock. This is one party you don’t want to miss. 6,995 yards with a choice of 6 tee boxes. This year’s format is a Shamble. Each member of your foursome hits a teeshot. The best drive of the team is selected and all players play their own ball out from that point. Lunch will be provided on the carts upon arrival. Depart the resort in our ASRM Guest Fee transportation at 12:00 pm. Have your guest or spouse join you for the ASRM social events, breakfasts, and lunches during the official dates of the ASRM Meeting (Saturday-Tuesday). Please see ASRM daily schedules ASPN/ASRM Welcome Reception for details. ASRM guests are not eligible to claim CME credit. Any attendee that plans to attend general sessions and claim CME credit must be a healthcare professional and register as a Commercial support received from ASSI regular attendee. Cost $250 per ASRM Guest. Saturday, January 12 6:00 – 7:30 pm Cost: 1 ticket included in ASPN and ASRM registration. Additional adult tickets available @ $60 each; tickets for children and young adults ages 5 - 17 available @ $30 each. Tickets include 2 drinks and hors d’oeuvres. Enjoy a balmy south Florida evening on the outdoor Sunset Deck and the Vista Ballroom as we kick off the meeting with our fellow attendees. Casual, beach-inspired musical entertainment will set the tone for the days of learning ahead. Future Annual Meeting Locations AAHS ASPN ASRM 2014 Annual Meeting 2014 Annual Meeting 2014 Annual Meeting January 8-11, 2014 January 10-12, 2014 January 11-14, 2014 Grand Hyatt Kauai Resort & Spa Grand Hyatt Kauai Resort & Spa Grand Hyatt Kauai Resort & Spa 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 Resort Atlantis Resort Atlantis Resort Paradise Island, Bahamas Paradise Island, Bahamas Paradise Island, Bahamas

2016 Annual Meeting 2016 Annual Meeting 2016 Annual Meeting January 12-16, 2016 January 15-17, 2016 January 16-19, 2016 Westin Kierland Hotel Westin Kierland Hotel Westin Kierland Hotel Scottsdale, Arizona Scottsdale, Arizona Scottsdale, Arizona 15 AAHS TAB

16 2012-2013 BOARD OF DIRECTORS

President Jesse B. Jupiter, MD President-Elect Donald H. Lalonde, MD Vice-President Mark E. Baratz, MD Secretary Brian D. Adams, MD Treasurer Peter Murray, MD Historian Scott Steinmann, MD Parliamentarian Julie E. Adams, MD

Past Presidents Steven McCabe, MD A. Lee Osterman, MD

Senior Directors at Large Randip R. Bindra, MD

William C. Pederson, MD AAHS Board of Directors

Junior Directors at Large Jeffrey B. Friedrich, MD Jeffrey Greenberg, MD

Affiliate Directors Sharon Andruskiwec, PT, CHT Georgette A. Fogg, OTR/L, CHT Joy MacDermid, BScPT, PhD

2012-2013 Hand Surgery Endowment Board of Governors

President Ronald E. Palmer, MD Vice President Nicholas B. Vedder, MD Secretary-Treasurer Peter Murray, MD Member Joseph Danyo, MD Nash H. Naam, MD Allen L. Van Beek, MD Aviva Wolff, OTR, CHT Ex-Officio Michael W. Neumeister, MD

17 Please join us in thanking the AAHS Committee members and volunteer leadership for their work in 2012. Bylaws Committee (Affiliate Committee) Vargas Award Committee Julie E. Adams, MD, Chair Donald H. Lalonde, MD Georgette A. Fogg, OTR/L, CHT, Jaiyoung Ryu, MD Georgette A. Fogg, OTR/L, CHT Co-Chair Jerome D. Chao, MD Lynn Festa, OTR, CHT Robert R. Schenck, MD, Co-Chair Charles J. Eaton, MD Sharon Andruskiwec, PT, CHT Michael K. Obeng, MD Program Committee Lynn Bassini, MT, OTR, CHT David C. Ring, MD, Co-Chair Lisa M. Cyr, OTR/L, CHT Finance Committee Sharon Andruskiwec, PT, CHT, Paula Galaviz, OT Peter Murray, MD, Chair Affiliate Co-Chair Gretchen Kaiser, OTD, OTR/L Jesse B. Jupiter, MD Steven L. Moran, MD, Joy MacDermid, BScPT, PhD Gretchen Kaiser, OTD, MBA, OTR/L, CHT First Assistant Chair Steven McCabe, MD Loree K. Kalliainen, MD Thomas B. Hughes, MD, Susan Michlovitz, PT, PhD, CHT Donald H. Lalonde, MD Second Assistant Co-Chair Tuna Ozyurekoglu, MD Steven McCabe, MD Christine Novak, PT, PhD, Miguel A. Pirela-Cruz, MD William C. Pederson, MD Second Assistant Co-Chair Ronald E. Palmer, MD Randip R. Bindra, MD John S. Taras, MD HAND Journal Committee Neal C. Chen, MD Donald H. Lalonde, MD, Chair Georgette A. Fogg, OTR/L, CHT AAHS Representatives Michael W. Neumeister, MD, Editor Thomas Hunt, III, MD Mark E. Baratz, MD Asif M. Ilyas, MD American Academy of Scott Kozin, MD Sheel Sharma, MD Orthopedic Surgeons, Christine Novak, PT, PhD Kristin A. Valdes, OTD, OTR, CHT Board of Specialty Societies Jaiyoung Ryu, MD Aviva Wolff, OTR, CHT Communications - Scott F. Duncan, MD Victoria Ferrara, Springer Senior Editor Education - Thomas B. Hughes, MD Research Grant Committee Health Policy - Mark Rekant, MD Hand Surgery Quarterly Editors David T. Netscher, MD, Chair Presidential – Jesse B. Jupiter, MD Thomas B. Hughes, MD, Editor Eric P. Hofmeister, MD Research - David C. Ring, MD Amanda Higgins, BScOT, OT, Joy MacDermid, BScPT, PhD Affiliate Editor Peter Murray, MD Lorraine O’Grady, Managing Editor Simon G. Talbot, MD American Medical Association Kenneth F. Taylor, MD Peter C. Amadio, MD

AAHS Committee Members AAHS Committee Membership Committees Renata V. Weber, MD Nicholas B. Vedder, MD (Active Committee) Bradon J. Wilhelmi, MD Jeffrey B. Friedrich, MD, Chair ASSH/AAHS Coding Committee Brian D. Adams, MD Technology Committee Kyle D. Bickel, MD Joshua M. Abzug, MD A. Neil Salyapongse, MD, Chair Peter J. Evans, MD Lynn Festa, OTR, CHT Jonthan Isaacs, MD Thomas B. Hughes, MD ASSH/AAHS Specialty Day Co-Chair David T. Netscher, MD Jeff W. Johnson, MD David S. Zelouf, MD Michael W. Neumeister, MD (Affiliate Committee) Jaiyoung Ryu, MD International Federation of Kristin Valdes, OTD, OTR, CHT, Chair Prasad J. Sawardeker, MD Societies for Surgery of the Hand Ann Lund, OTR/L, CHT, CLT Shaoib I. Sheikh, MD Peter C. Amadio, MD Carol H. Mahony, ORT/L, CHT Renata V. Weber, MD

Nominating Committees (Active Committee) Steven McCabe MD, Chair Steven C. Hasse, MD N. Bradly Meland, MD Mark Rekant, MD 18 Marco Rizzo, MD Elvin Zook, MD 2004 Please join us in thanking the AAHS Committee members HISTORICAL INFORMATION Gavin Menzies 2005 and volunteer leadership for their work in 2012. 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 James Chang, MD 2012 Lawrence R. Werschky, MD 1977-1978 Robert T. Love, MD 1978-1979 Keynote Speakers Arnis Freiberg, MD 1979-1980 William L. White, MD 1978 Thomas J. Krizek, MD 1980-1981 John W. Madden, MD 1979 George L. Lucas, MD 1981-1982 Harold E. Kleinert, MD 1980 Garry S. Brody, MD 1982-1983 J. William Littler, MD 1981 James G. Hoehn, MD 1983-1984 Clifford C. Snyder, MD 1982 Peter C. Linton, MD 1984-1985 Robert A. Chase, MD 1983 Wallace H.J. Chang, MD 1985-1986 Richard J. Smith, MD 1984 Austin D. Potenza, MD 1986-1987 James M. Hunter, MD 1985 Lee E. Edstrom, MD 1987-1988 Bernard McC. O’Brien, MD 1986 C. Lin Puckett, MD 1988-1989 Erle E. Peacock, Jr., MD 1988 Robert J. Demuth, MD 1989-1990 Michael Jabelay, MD 1989 Robert M. McFarlane, MD 1990

Wyndell H. Merritt, MD 1990-1991 AAHS Historical Information Frederick R. Heckler, MD 1991-1992 James H. Dobyns, MD 1991 Robert D. Beckenbaugh, MD 1992-1993 Adrian E. Flatt, MD 1992 David J. Smith, Jr., MD 1993-1995 John B. Carlson, PhD 1993 James W. May, Jr., MD 1995-1996 Pat Clyne 1995 Robert H. Brumfield, Jr., MD 1996-1997 David M. Evans, FRCS 1996 Robert C. Russell, MD 1997-1998 Eugene Nelson, MD 1997 Peter C. Amadio, MD 1998-1999 Fritz Klein 1998 William M. Swartz, MD 1999-2000 Janet L. Babb 1999 William Blair, MD 2000-2001 Frank E. Jones, MD 2000 Robert Buchanan, MD 2001-2002 Joseph Buckwalter, MD 2001 Alan E. Freeland, MD 2002-2003 Linda Cendales, MD 2002 Allen Van Beek, MD 2003-2004 Arnold-Peter Weiss, MD 2003 Richard Berger, MD 2004-2005 Terry L. Whipple, MD 2005 Susan Mackinnon, MD 2005-2006 Jeff Lictman, MD, PhD 2006 Ronald E. Palmer, MD 2006-2007 Richard Kogan, MD 2007 N. Bradly Meland, MD 2007-2008 Ramez Naam 2008 Scott Kozin, MD 2008-2009 Daniel Gottlieb, PhD 2009 Nicholas B. Vedder, MD 2009-2010 Stephen Sullivan, MD and A. Lee Osterman, MD 2010-2011 Evan Lyons, MD 2010 Steven McCabe, MD 2011-2012 Michael Hayton, BSc 2011 Terry R. Light, MD 2012 Presidential Invited Lecturers Harold E. Kleinert, MD 1989 Clinician/Teacher of the Year Arthur C. Rettig, MD 1990 Forest Brown, MD 1995 Paul W. Brand, MD 1991 Robert Beckenbaugh, MD 1996 Ronald L. Linschied, MD 1993 James Hoehn, MD 1997 Guy Foucher, MD 1995 Alan E. Freeland, MD 1998 Michael R. Harrison, MD 1996 Wyndell Merritt, MD 1999 Dallas D. Raines 1997 Peter C. Amadio, MD 2000 John Texter, MD 1998 Anthony DeSantolo, MD 2002 Vincent R. Hentz, MD 1999 Michael Jabaley, MD 2002 Nancy Dickey, MD 2000 Maureen Hardy, PT, MS, CHT 2002 Michael Wood, MD 2001 Sterling Mutz, MD 2002 Francisco Rosas 2002 Sue Michlovitz, PT, PhD, CHT 2003 Arnold-Peter Weiss, MD 2003 Richard E. Brown, MD 2003 Susan Mackinnon, MD 2004 Nash Naam, MD 2004 Miguel Saldana, MD 2007 19 Editor-in-Chief Michael W. Neumeister, MD SIU School of Medicine Springfield, IL, USA

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 Chih-Hung Lin, MD, Chang Gung University, Kweishan, Taiwan University of Iowa, Iowa City, IA, USA Susan E. Mackinnon, MD Peter C. Amadio, MD Washington University School of Medicine, St. Louis, MO, USA Mayo Clinic, Rochester, MN, USA Steven McCabe, MD, MSc Bruno Battison, MD University of Louisville, Louisville, KY, USA Centro Traumatologico, Torino, Italy Susan L. Michlovitz, PT, PhD, CHT James Chang, MD, FACS Cayuga Hand Therapy PT, Ithaca, NY, USA Stanford University, Palo Alto, CA, USA Ather Mirza, MD M. Felix Freshwater, MD Long Island Hand Rehabilitation Center, Smithtown, NY, USA Miami Institute of Hand & Microsurgery, Miami, FL, USA Marek Molski, MD, PhD Alexandru Valentin Georgescu, MD, PhD Malia Plastic Surgery Center, Warsaw, Poland Spitalul Clinic de Recuperare, Cluj-Napoca, Romania Wayne Morrison, AM, MD, BS, FRACS Riccardo Giunta, MD University of Melbourne, Melbourne, Australia Technische Universitat, München, Germany Peter Murray, MD Elizabet Hagart, MD, PhD Mayo Clinic, Jacksonville, FL, USA Hand and Foot Reconstructive Surgery Center, Stockholm, Sweden A. Lee Osterman, MD, FACS Maureen Hardy, PT, MS, CHT Thomas Jefferson University, Philadelphia Hand Center, Villanova, PA, USA St Dominic Jackson Memorial Hospital, Jackson, MS, USA Michael Pick, MD Michael Hayton, MB, FRCS Rheumatology and Internal Medicine, Springfield, IL, USA Royal Manchester Children’s Hospital, Lancashire, United Kingdom Julian Pribaz, MD, FRACS, FACS

– the Journal of AAHS – the Journal Kingdom Mark Henry, Wrist and Hand Surgery Center, Houston, TX, USA Brigham and Women’s Hospital, Boston, MA, USA Rebecca von der Heyde, PhD, OTR/L, CHT Jaiyoung Ryu, MD Maryville University, St. Louis, MO, USA West Virginia University, Morgantown, WV, USA Eric P. Hofmeister, MD HAND S. Raj Sabapathy, MS, MCh, DNB, FRCS, Ed MAMS Naval Medical Center San Diego, San Diego, CA, USA Tamil Nadu Dr MGR Medical University, Ganga Hospital Coimbatore, India Jonathan Isaacs, MD Michael Sauerbier, MD, PhD VCU Medical Center, Richmond, VA, USA Main-Taunus Hospitals Hofeim and Bad Soden, Academic Hospital- Jesse B. Jupiter, MD University of Frankfurt, Frankfurt, Germany Massachusetts General Hospital, Harvard University, Boston, MA, USA Joseph Upton, MD Gretchen Kaiser, OTD, MBA, OTR/L, CHT Beth Israel Deaconess Hospital, Harvard University, Chestnut Hill, MA, USA The Orthopedic Clinic Association, Phoenix, AZ, USA Allan L. Van Beek, MD Ryosuke Kakinoki, MD, PhD, University of Minnesota, Edina, MN, USA Kyoto University, Kyoto, Japan Robert A. Weber, MD Carolyn L. Kerrigan, MD Scott & White Clinic, Temple, TX, USA Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA Fu-Chan Wei, MD, FACS Scott H. Kozin, MD Chang Gung University, Taipei, Taiwan, Republic of China Shriners Hospital for Children, Philadelphia, PA, USA Jeffrey Yao, MD Brian I. Labow, MD Stanford University, Palo Alto, CA, USA Children’s Hospital Boston, Harvard University, Boston, MA, USA Donald H. Lalonde, BSc, MSc, MD University of New Brunswick, Saint John, NB, Canada

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. 20 More information on HAND: http://handsurgery.org/Hand/ Submit online at http://www.editorialmanager.com/hand/ Hand Surgery Endowment 2012 Contribution 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.

Jason M. Anane-Sefah, MD Wyndell H. Merritt, MD Stephan Ariyan MD, FACS Susan Michlovitz, PT, PhD, CHT George W. Balfour, MD Jose J. Monsivais, MD Nabil A. Barakat, MD Hiram B. Morgan, MD Mark E. Baratz, MD L. Richard Morgan, MD Endowment Surgery Hand 2012 Contribution List Rocco Barbieri, MD Keith D. Morrison, MD Lynn Bassini, MT, OTR, CHT Peter Murray, MD Robert R. Bell MD Daniel Nagle, MD Matthew Bernstein, MD Toshiyasu Nakamura, MD Michael E. Berry, MD Michael W. Neumeister, MD Edward L. Birdsong, MD Jose Ortiz, MD David Bozentka, MD A. Lee Osterman, MD, FACS Lance M. Brunton, MD Srdjan A. Ostric, MD Robert C. Buckley, MD Patrick Owens, MD Linda C. Cendales, MD Eugenia Papadopoulos, OTR, CHT Mark Cohen, MD Mukund R. Patel, MD Geoffrey S. Cook, MD William C. Pederson, MD Craig Alan Davis, MD Linda G. Phillips, MD Donald M. Ditmars, MD Charles G. Polsen, MD Scott F. Duncan, MD, MPH Julian Pribaz, MD Charles J. Eaton, MD Gregory E. Rauscher, MD, FACS James F. Eckenrode, MD David F. Ruebeck, MD, FACS Carlos H. Fernandes, MD Todd K. Runyan, MD John J. Fernandez, MD A. Neil Salyapongse, MD Margaret J. Geringer James D. Schlenker, MD Mark Gonzalez, MD Grzegorz Sianos, MD Jeffrey Greenberg, MD Roger L. Simpson, MD, MBA, FA Amit Gupta, MD Jeffery M. Smith, MD Lon W. Howard, MD Elliot D. Sorene, MD Richard Howard, DO Alexander M. Spiess, MD Julianne Howell Chau Tai, MD Ghalib A. Husseini, MD Cary Tanner, MD Degreef Ilse, MD, PhD Michael A. Thompson, MD Asif M. Ilyas, MD David A. Toivonen, MD D. Marshall Jemison, MD Douglas R. Trzcinski, MD Curtis C. Johnson, MD Tsu-Min Tsai, MD Gretchen Kaiser, OTD, OTR/L Thomas L. Von Gillern, MD Martin A. Kassan, MD Renata V. Weber, MD J. Daniel Labs, MD Larry Weinstein, MD, FACS JoAnne Levitan, MD Kirsten Westberg, MD Terry R. Light, MD Michael J. White, MD, FACS John D. Lubahn, MD Todd Williams, MD Joy MacDermid, BScPT, PhD Barbara Winthrop Rose, MA, OTR, CHT John J. Mara, MD Aviva Wolff, OTR, CHT Rosendo E. Martinez, MD Levent Yalcin, MD Steven McCabe, MD Karen Zaderej, MD Patrick T. McCulloch, MD Richard J. Zienowicz, MD 21 More information on HAND: http://handsurgery.org/Hand/ Submit online at http://www.editorialmanager.com/hand/ Acknowledgments

The AAHS would like to thank the following companies for their promotional support:

Auxilium Pharmaceuticals, Inc AxoGen, Inc. Integra Lifesciences MicroAire Symposium Thursday January 10, 2013 1:00 pm – 2:30 pm Lunch Symposium 2:30 pm – 4:30 pm Hands-On Skills Lab Paid for by Auxilium Pharmaceuticals Inc. Paid for by MicroAire XIAFLEX® (collagenase clostridium MicroAire ECTR Surgeon Cadaver Training histolyticum) Case Series Workshop Description: Description: This concentrated two-hour cadaver-based bioskills course XIAFLEX® is a pharmacologic, nonsurgical procedure provides the training required to perform ECTR surgery approved by the FDA for the treatment of adult patients using MicroAire’s SmartRelease™ECTR system. Surgeons with Dupuytren’s contracture with a palpable cord. will have the opportunity to view a brief, pre-taped, fully Appropriate patient selection and cord anatomy are narrated, live-patient ECTR procedure performed by important factors when considering the use of XIAFLEX®. Thomas Trumble, MD as well as observe the technique This workshop will include an overview of efficacy in-person as demonstrated on a cadaver specimen by a and safety data for XIAFLEX®, followed by case study faculty surgeon. Additionally, participants will have the presentations in which XIAFLEX® is administered. Each chance to perform the demonstrated technique on their case will include a description of disease and patient own cadaver specimen as well as observe at least two characteristics, patient education, the injection procedure, other surgeons. the finger extension procedure, post-procedure care, and patient outcomes, followed by a brief, case-specific AAHS Acknowledgements and Symposium AAHS Acknowledgements question and answer session. This workshop is appropriate for physicians experienced in the treatment of Dupuytren’s 2:30 pm – 4:30 pm Workshop contracture. Paid for by Integra Lifesciences Management of Challenging Nerve and Soft 1:30 pm – 2:30 pm Lunch Symposium Tissue Injuries: Solutions for the Hand Paid for by AxoGen, Inc. My New Treatment Algorithm: Peripheral Description: This workshop will focus on classic and new innovative Nerve Injuries techniques for management of complex soft tissue injuries Description: in the hand in an interactive case discussion format. Leading experts in Peripheral Nerve discuss how they The use of intrinsic flaps and collagen templates will be have translated the principles of regenerative medicine, discussed for managing soft tissue loss. Role of nerve available technologies and clinical data into their clinical entubulation repair and collagen wraps for nerve scarring practice. will be highlighted using complex clinical cases with interactive participation from the audience.

22 CME Information American Association for Hand Surgery

Educational Overview Accreditation Statement The American Association for Hand Surgery Annual This activity has been planned and implemented in Meeting brings together health care professionals accordance with the Essential Areas and policies of from North America and abroad for a three-day the Accreditation Council for Continuing Medical continuing education program featuring the best Education (ACCME) through the joint sponsorship of evidence of the practice of hand and upper extremity the American Society of Plastic Surgeons® (ASPS) and health care. The program is multifaceted and includes the American Association for Hand Surgery (AAHS). 24 instructional courses, numerous panel discussions The ASPS is accredited by the ACCME to provide and case-based programs, and free papers selected continuing medical education for physicians. by a panel of experts. The learner will gain insight into both common and complex problems of the upper Designation Statement extremity, understand indications for surgery, therapy, The ASPS designates this live activity for a maximum outcomes of each, and potential complications of of 27 AMA PRA Category 1 Credits™. Physicians intervention. should claim only the credit commensurate with the extent of their participation in the activity. Intended Audience

The program is intended for health care professionals Disclosure Policy AAHS CME Information involved in the assessment and management of a The ASPS requires all faculty, authors, planners, wide variety of common and complex conditions of reviewers, managers, and other individuals in a the hand and upper limb. position to control or influence the content of an activity to disclose all relevant financial relationships Learning Objectives or affiliations. All identified conflicts of interest Following completion of this activity, participants will must be resolved and the educational content be able to: thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care • Discuss clinical and basic scientific research on hand recommendations. The ASPS also requires faculty/ and upper extremity problems. authors to disclose when off-label/unapproved • Integrate principles of hand therapy with surgical uses of a product are discussed in a CME activity or management of hand and upper extremity included in related materials. problems. • Evaluate surgical and nonsurgical principles of AAHS staff will provide full disclosure information managing common hand and upper extremity for this activity as a separate handout. If you do problems. not receive this handout, stop by the registration • Compare the intellectual discourses through desk to request one. an integrated program with the related surgical societies (ASRM and ASPN) and resolve conflicts. • Implement enhanced management of fractures, arthritis and congenital problems. • Compare clinical and nonclinical hand therapy issues for a variety of hand problems and fractures. The AAHS would like to thank the following company for its support: ABMS Core Competencies Medartis, Inc. This program will address the following ACGME/ ABMS Competencies:

• Patient Care and Procedural Skills • Medical Knowledge • Systems-Based Practice 23 24 American Association for Hand Surgery In collaboration with The Argentine Association of DAY-AT-A-GLANCE Hand Surgery (Associacio’n Argentina de Cirugia de la Wednesday, January 9, 2013 Manoy Reconstuctiva del Hand Therapy Day Miembro Superior)

6:30am – 5:00pm Speaker Ready Room Cypress 6:30am – 5:00pm Registration Royal Palm Foyer 6:30am – 2:30pm Hand Therapy Exhibits Royal Palm Foyer AAHS Day-at-a-Glance Wednesday, 9, January 2013 6:30am – 8:00am Continental Breakfast Royal Palm Foyer 7:00am – 8:00am AAHS Instructional Course 101 Current Concepts - Treatment of Distal Radius Fractures Acacia I & II 102 Rehabilitation after Nerve Transfer Acacia IV 103 The Weird The Wacky and The Ugly Acacia V & VI 104 Basal Joint OA Conservative Management Acacia VII 105 MSK Ultrasound Banyan I & II 106 Dupuytren’s; NA, Enzymes, Splinting Mangrove I & II 8:00am – 8:10am President and Program Chairs Welcome Royal Palm IV-VIII 8:10am – 8:20am Vargas Award Royal Palm IV-VIII 8:20am – 11:30am Concurrent Surgeons Programming Royal Palm IV-VIII 8:20am – 9:30am Session 1: Arthritis Royal Palm IV-VIII 9:30am – 10:30am Session 2: DRUJ Royal Palm IV-VIII 10:30am – 10:45am Coffee Break with Exhibitors Royal Palm Foyer 10:45am – 11:30am Session 3: Distal Radius Fractures Royal Palm IV-VIII 8:20am – 11:30am Concurrent Therapist Programming Royal Palm I-III “Moving Toward Recovery” 8:30am – 9:30am Panel: Management of Finger Fractures with Early Motion Royal Palm I-III 9:30am – 10:30am Panel: Early Motion after Extensor Tendon Repair Royal Palm I-III 10:30am – 10:45am Coffee Break with Exhibitors Royal Palm Foyer 10:45am – 11:30am Nerve Mobilization Science And Practice Royal Palm I-III 11:30am – 12:15pm Invited Guest Lecture Royal Palm IV-VIII Eduardo R. Zancolli, MD 12:30pm – 5:00pm Concurrent Surgeons Hands-On Development Vista Ballroom Workshop: Principles of Internal Fixation in the Wrist and Hand 12:30pm – 4:30pm Concurrent Therapist Programming Royal Palm I-III 12:30pm – 1:30pm ASHT Panel: RX of Complex Injuries Royal Palm I-III 1:30pm – 2:20pm Graded Motor Imagery (GMI)–Applications for Hand Therapy Royal Palm I-III 2:20pm – 2:30pm Coffee Break with Exhibitors Royal Palm Foyer 2:30pm – 4:30pm Concurrent Therapist Workshop Royal Palm I-III Rehab Management of Rotator Cuff Pathology 5:00pm – 6:00pm Mentors Reception Sunset Deck 6:30pm – 8:00pm Welcome Reception Orchid Ballroom & Foyer Paid for by Auxilium Pharmaceuticals, Inc. 25 AAHS Program Wednesday January 9, 2013 104 Basal Joint OA Conservative 6:30 am – 8:00 am Continental Breakfast Management Acacia VII Chair: Kristin Valdes, OTD, CHT Instructors: Alejandro Badia, MD; Lisa M. Cyr, OTR/L, CHT 7:00 am – 8:00 am Instructional Courses This session will provide information for the development of an evidence based conservative management program for the thumb CMC joint based upon biomechanical studies and thumb anatomy. 101Current Concepts on the Treatment of Joint protection education, orthotic intervention, and a specific Distal Radius Fractures Acacia I & II exercise program to target the stabilizing muscles of the thumb will be discussed. Specific case studies and patient examples will also be Chair: Jorge L. Orbay, MD included. Instructors: David Nelson, MD; Paulo H. Ruschel, MD; Luciano Poitevin, MD, Diego Fernandez, MD Objectives: Following this session, the participant will be able to: From the complex anatomy to the most common complications, this 1. Discuss the anatomy and biomechanics of the CMC joint. course will convey the different techniques and materials used to 2. Describe the pathomechanics of CMC OA. resolve distal radius fractures. The course will also examine the patient 3. Develop an exercise program to restore optimum biomechanics and what they can expect for the future. and function of the CMC joint. Objectives: Following this session, the participant will be able to: 1. Review the anatomy of distal radius fractures and examine concepts. 2. Analyze different techniques, approaches, and future solutions. 105 MSK Ultrasound Banyan I & II 3. Recognize the most common complications attributed to distal Chair: George W. Balfour, MD radius fractures. Instructors: Brian Jurbala, MD

This is an introduction to MSK ultrasound for the Hand and Upper Extremity Surgeon. We will touch on the basic principals of Rehabilitation after Nerve Transfer ultrasound, and of the medical economics of the modality. We will, 102 by the use of example cases, show the place for ultrasound in our Chair: Lorna Kahn, PT, CHT Acacia IV practices, and of diagnoses for which ultrasound is the diagnostic The purpose of this talk is to share a structured approach to the modality of choice. We believe you will leave this course determined rehabilitation and motor re-education of the nerve transfer point. The to bring ultrasound into your practice if you have not already done course will include an outline of therapist goals for the pre and post- so. If you already have ultrasound in your practice our cases should op patient, patient education guidelines and specific exercises for a help you improve and expand your use of your machine. variety of nerve transfers including DFT, Radial to Auxiliary, accessory to Suprascapular and AIN to deep motor Ulnar. Nerve Video clips of Objectives: Following this session, the participant will be able to: specific exercise and progression of patients to be included. 1. The course participant will be able to identify the basic anatomy of a scanned part. Objectives: Following this session, the participant will be able to: 2. To distinguish between hypoecholic and hyperecholic 1. Participants will demonstrate an understanding of both the structures and recognized anisotropic artifact. importance of and components of a comprehensive patient 3. Will have the basic criteria for Ultrasound machine selection. education program for the nerve transfer patient. 2. Participants will demonstrate an ability to develop an appropriate and staged exercise program for the nerve AAHS Program Wednesday, January 9, 2013 January 9, Wednesday, AAHS Program transfer pt. 106 Dupuytren’s; NA, Enzymes, Splinting, 3. Participants will demonstrate a greater understanding of the or Surgery (Asleep and Awake)? concept of motor re-education for the nerve transfer patient and be able to apply it to any potential nerve transfer they may see in Chair: Donald H. Lalonde, MD Mangrove I & II their clinic. Instructors: Charles J. Eaton, MD; Keith Denkler, MD; Juliana Larcoerie-Salgado, OT, MSC, CHT Each of the faculty will speak for 12 minutes and allow 3 minutes for question and answers. Dr Eaton is a world recognized expert

103 The Weird The Wacky and The Ugly; in NA and in Dupuytren’s in general. Dr Denkler has a very large Skin Lesions That Frequent experience with all modalities of treatment and will discuss where and when to use the different options. Dr Lalonde will talk about The Hand Surgeon Acacia V & VI NA Vs. wide awake or asleep surgery. Ms. Larocerie Salgado has Chair: Joshua M. Abzug, MD published on therapeutic orthotics for Dupuytren’s contracture. Instructors: A. Lee Osterman, MD; Mark Rekant, MD; Mark Cappel, MD; Alex Spiess, MD Objectives: Following this session, the participant will be able to: 1. Recommend and devise orthotics to improve as well as maintain Diagnosis and management of common benign and malignant skin extension. lesions encountered on the upper extremities will be presented. 2. Apply useful treatment pearls in NA (needle aponeurotomy) and Detailed discussion regarding pearls and pitfalls to avoid missing enzyme therapy (collagenase) from experts in the field. malignant lesions as well as management of all lesions will aid the 3. Will be able to perform the surgery with patients awake (no hand surgeon in their practice. tourniquet) or asleep. Objectives: Following this session, the participant will be able to: 4. Have a better understanding of the current roles of the different 1. Discuss the diagnosis and treatment of skin lesions commonly ways to treat this disease. encountered on the upper extremities 2. Provide pearls and pitfalls for the management of benign and malignant skin lesions commonly seen on the upper extremity 3. Aid the hand surgeon in knowing how to manage complications associated with common skin lesions encountered on the upper 26 extremities 8:00 am – 8:10 am President and Program Chairs Welcome 9:07 am – 9:09 am 6. Arthrodesis versus Prosthetic Arthroplasty for Osteoarthritis of the Index Finger PIP Joint Mark A. Vitale, MD, MPH, Steven L. Moran, MD, Sanjeev Kakar, MD Division of Hand Surgery, Mayo Clinic, Rochester, MN

9:09 am – 9:11 am 7. Clinical and Radiographic Outcomes of Metacarpophalangeal Pyrocarbon Arthroplasty for Osteoarthritis Jesse B. Jupiter, MD David C. Ring, MD Sharon Andruskiwec, PT, CHT AAHS President AAHS Program Chair Specialty Day, Chair Lindley B. Wall, MD1, Peter J. Stern, MD2 1Mary S. Stern Hand Surgery Fellowship, Cincinnati, OH, 2Orthopaedic Surgery, University of Cincinnati, Cincinnati, OH 8:10 am – 8:20am Vargas Award 9:13 am – 9:30 am Panel Discussion 8:20 am - 11:30 am Concurrent Surgeons & Therapist Programming 9:30 am – 10:30 am AAHS Program Wednesday, 9, January 2013 Session 2: DRUJ Concurrent Surgeons Programming Moderator: Thomas R. Hunt, MD

8:20 am – 9:30 am 9:30 am – 9:35 am Session 1: Arthritis Overview: Ulnar Shortening Osteotomy Moderator: Chaitanya S. Mudgal, MD Jerry I. Huang, MD

8:20 am – 8:24 am 9:37 am – 9:39 am Overview: Trapeziometacarpal Arthritis 8. Patient Characteristics Influencing Ulnar Shortening Jeff Yao, MD Osteotomy Outcomes using Trimed Dynamic Compression Plate Purab Viswanath, MD, John Lubahn, MD 8:25 am – 8:27 am Orthopedics, UPMC Hamot, Erie, PA 1. Arthroscopic Partial Trapeziectomy with Soft Tissue Interposition for Symptomatic Trapeziometacarpal Arthritis 9:39 am – 9:41 am Jonathan Twu, BS1, Kenneth J. Korcek, MD2 and Brian Bear, MD2 9. Long-term Outcome of Step-Cut Distal Ulnar-Shortening 1University of Illinois College of Medicine in Rockford, Rockford, IL, Osteotomy for Ulnar Impaction Syndrome 2Rockford Orthopedic Associates, Rockford, IL Dean G. Sotereanos, MD, Mark E. Baratz, MD, Loukia Papatheodorou, MD and Robert Weiser, MPAs, PA-C 8:27 am – 8:29 am Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, PA 2. Evaluation of the Effect of MCP Hyperextension on Functional Outcomes after Surgical Treatment of CMC Arthritis 9:41 am – 9:50 am Panel Discussion David Brogan, MD1, Todd Bertrand, MD2, Marc Richard, MD2 and Thomas R. Hunt, MD; Jerry I. Huang, MD; Randip R. Bindra, MD; Sanjeev Kakar, MD1 Thomas Wiedrich, MD; Eduardo R. Zancolli, MD 1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, 2Department of Orthopedic Surgery, Duke University, Durham, NC 9:50 am – 9:55 am Overview: DRUJ Prosthesis 8:29 am – 8:31 am Randip R. Bindra, MD 3. Predicting Pinch Strength Following LRTI of the First Carpometacarpal Joint 9:57 am – 9:59 am Abdo Bachoura, MD1, Joshua Abzug, MD2, Ebrahim Paryavi, MD2, 10. Distal Ulnar Head Prosthesis for DRUJ Arthritis Sidney M. Jacoby, MD1, A. Lee Osterman, MD1 Joyce Jhang, MS2, Abdo Bachoura, MD, Sidney M. Jacoby, Randall W. 1Philadelphia Hand Center, Philadelphia, PA, 2University of Maryland, Culp2 and Leonid Katolik Baltimore, MD The Philadelphia Hand Center, Jefferson Medical College, Philadelphia, PA 8:31 am – 8:41 am Panel Discussion Chaitanya S. Mudgal, MD; Jeff Yao, MD; Matthew M. Tomaino, MD; 9:59 am – 10:01 am Ryan Calfee, MD; Luciano Poitevin, MD 11. Long-term Follow Up of Total Distal Radioulnar Joint Prosthesis 8:43 am – 8:47 am Luis R. Scheker, MD, Erin Murphy, BA, Emilie Mailhot, Shushan Jacob Overview: SLAC Wrist, Matthew M. Tomaino, MD Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY

8:48 am – 8:50 am 10:01 am – 10:10 am Panel Discussion 4. Long Term Outcomes of Proximal Row Carpectomy- A Systematic Review 10:10 am – 10:15 am Harvey Chim, MD1, Steven L. Moran, MD, MPH2 Overview: TFCC 1Department of Plastic Surgery, Case Western Reserve University, Thomas Wiedrich, MD Cleveland, OH, 2Division of Hand Surgery, Mayo Clinic, Rochester, MN 10:17 am – 10:19 am 8:50 am – 8:52 am 12. Incidence of Partial or Total Foveal Tear of the 5. Long Term Clinical Outcomes of Proximal Row Carpectomy Tfcc on Druj Arthroscopy Tom Hong, MD, Mary Beth Cermak, MD, John Hood, MD, John Toshiyasu Nakamura, MD, PhD, Kazuki Sato, MD, PhD, Lubahn, MD Takuji Iwamoto, MD, PhD, Noboru Matsumura, MD, PhD, Orthopedics, UPMC Hamot, Erie, PA Yoshiaki Toyama, MD, PhD Department of Orthopaedic Surgery, School of Medicine, Keio 8:52 am – 9:02 am Panel Discussion University, Tokyo, Japan

9:02 am – 9:06 am Overview: Small Joint Arthroplasty Ryan Calfee, MD 27 10:19 am – 10:21 am 11:24 am – 11:26 am 13. TFCC Injuries in Elite Athletes: Implications and Expectations 21. Determinants of Distal Radius Fracture Management in Abdo Bachoura, MD1, Lee Diprinzio, BS1, Blane Sessions, MD1, Sidney Polytrauma Patients Jacoby, MD2, A. Lee Osterman1 and Randall W. Culp, MD1 Joshua M. Adkinson, MD1, Anna M. Soltys, MD2, Nathan F. Miller, BS3, 1The Philadelphia Hand Center, Thomas Jefferson University, Sherrine M. Eid, MPH4, Robert X. Murphy, MD, MS1 Philadelphia, PA, 2Department of Orthopaedic Surgery, Thomas 1Division of Plastic Surgery, Lehigh Valley Health Network, Allentown, Jefferson University Hospital, Philadelphia, PA PA, 2Department of Surgery, Lehigh Valley Health Network, Allentown, PA, 3Drexel University College of Medicine, Philadelphia, PA, 4Health 10:21 am – 10:30 am Panel Discussion Studies Department, Lehigh Valley Health Network, Allentown, PA

10:30 am – 10:45 am Coffee Break with Exhibitors 11:26 am – 11:30 am Panel Discussion

10:45 am – 11:30 am Concurrent Therapist Programming “Moving Toward Recovery” Session 3: Distal Radius Fractures Moderator: Asif Ilyas, MD 8:30 am - 9:30 am Panel: Management of Finger Fractures with Early Motion 10:45 am – 10:50 am Moderator: Georgette A. Fogg, OTR/L, CHT Overview: Distal Radius Fractures Invited Panelists: Donald H. Lalonde, MD; Jane Fedorczyk, PT, PhD, Asif Ilyas, MD CHT, ATC; Jennifer Thompson, PT, CHT; Brian Adams, MD This panel will discuss surgical options and rehabilitative treatment 10:52 am – 10:54 am following a finger fracture. Surgeons will share their techniques for 14. Temporary Loss of Normal Thumb Flexion after Volar Plate attaining a stable fracture and share their recommendations for Fixation of Distal Radius Fractures rehabilitative treatment to avoid stiffness. K-wire fixation with early Brian Chilelli, MD, Ronak Patel, MD, David Kalainov, MD finger motion will be discussed along with other surgical options Orthopaedic Surgery, Northwestern University, Chicago, IL and protocols. Therapists with evidence based knowledge and clinical expertise will discuss rehabilitative treatment options for 10:54 am – 10:56 am various cases. 15. Complications of Volar Locked Plating for Distal Radius Fractures Objectives: Following this session, the participant will be able to: Hillary Ann Becker, MD, David Micah Brogan, MD, Ashley Walker, 1. Emphasize aspects of the rehabilitative process to decrease David Gary Dennison, Alexander Y. Shin stiffness in finger fractures. Orthopedic Surgery, Mayo Clinic, Rochester, MN 2. Discuss early ROM protocol for patients who have had K-wire fixation. 10:56 am – 11:01 am Panel Discussion Asif Ilyas, MD; Ruby Grewal, MD; Jesse B. Jupiter, MD 9:30 am -10:30 am Enrique Pereira, MD Panel: Early Motion after Extensor Tendon Repair Moderator: Sharon Andruskiwec, PT, CHT 11:02 am – 11:04 am Invited Panelists: Wyndell H. Merritt, MD; Roslyn B. Evans, OTR/L, 16. Feasibility and Reliability of ORIF in Delayed Distal Radius CHT; Julianne Howell, PT, CHT Fracture Management: A Single Surgeon’s Five Year Experience Clifford Thomas Pereira, MD, James Rough, MD, Mark Sugi, MD, The myriad of benefits of early motion after tendon repair are well Prosper Benhaim, MD known. While these principles are a driving force in flexor tendon Division of Plastic Surgery, UCLA, Los Angeles, CA protocols there hasn’t been an equal sense of urgency to move when addressing extensor tendons. This panel will address the 11:04 am – 11:06 am anatomic rationale for the “relative motion” concept permitting 17. Randomized Clinical Trial for Surgical Treatment - Distal immediate active motion splinting, the combined use of local Radius Fractures - MIPO anesthesia with epinephrine at surgery, and present the different

AAHS Program Wednesday, January 9, 2013 January 9, Wednesday, AAHS Program Marcio A. Aita, MD, Eduardo Gasparotti, Resident, early motion protocols for extensor tendon rehabilitation. Alvaro Baik Cho, MD, Rafael Saleme Orthopaedic Surgery Department, Faculdade de Medicina do ABC, Objectives: Following this session, the participant will be able to: Santo Andre, Brazil 1. Participants will understand extensor anatomy and how this relates to active motion protocols. 11:06 am – 11:11 am Panel Discussion 2. Participants will gain sufficient insight into early motion protocols for zones 3-6 extensor tendons after repair to 11:11 am – 11:13 am incorporate these into their clinical practice. 18. Treatment of Unstable Distal Radius Fractures with a Novel Non-spanning External Fixation Device Compared to a 10:30 am – 10:45 am Coffee Break with Exhibitors Historical Control Group Nicholas Crosby, MD1, C. Liam Dwyer, MD1, William Seeds, MD2, 10:45 am - 11:30 am John Lubahn, MD1 Nerve Mobilization Science And Practice 1Orthopedics, UPMC Hamot, Erie, PA, 2Seeds Orthopedics, Ashtabula, OH Moderator: Lisa Cyr, OTD/CHT Instructor: Mark T. Walsh, DPT, CHT 11:13 am – 11:15 am This presentation will include the significant changes that have 19. Multiplanar Fixation System for the Treatment of Complex occurred since the concept of Nerve Mobilization was incorporated Intra-articular Distal Radius Fractures into therapy intervention for the treatment of neurogenic related Ather Mirza, MD, Justin B. Mirza, DO symptoms and dysfunction. It will comprise a brief history, the Ather Mirza, MD, Smithtown, NY development of the current approach to Nerve Mobilization, an algorithm for treatment progression and a discussion on where 11:15 am – 11:20 am Panel Discussion the future of this concept is likely to be of value for the practicing clinician considering current best evidence. 11:22 am – 11:24 am 20. Outcomes Following Operative Treatment of Open Fractures Objectives: Following this session, the participant will be able to: of the Distal Radius: A Case Control Study 1. Describe the biomechanical principles involved in nerve Brendan J. Mackay, MD1, Nicole M. Montero, MD1, Nader Paksima, DO2 2 excursion (gliding) and the pathophysiology related to changes and Kenneth A. Egol, MD that affect the peripheral nervous system. 1Orthopedic Surgery, New York University Hospital for Joint Diseases, 2 2. Provide a logical sequence of examination and evaluation of the 28 New York, NY, Orthopedic Surgery, New York University, New York, NY peripheral nervous system. 3. Explain the rational for a theoretical algorithm for progressing a 1:30 pm - 2:20 pm patient with Neurogenic symptoms and dysfunction through Graded Motor Imagery (GMI) – Applications for Hand Therapy nerve mobilization intervention. Moderator: Georgette Fogg, OTR/L, CHT 4. Present the current rational for the application of Nerve Instructors: Aviva Wolff, OTR/L, CHT; Kristin Valdes, OTD, CHT Mobilization and its application considering best practice evidence. This presentation will review the principles of neuroscience and the theory behind the use of graded motor imagery in rehabilitation. 11:30 am – 12:15 pm Invited Guest Lecture (Not for Credit) Application of graded motor imagery to specific diagnostic groups will be discussed including complex regional pain syndrome, “The Mystery of Coincidences” upper limb amputation and phantom limb pain, and focal dystonia. Eduardo R. Zancolli, MD Neuroplastic and cortical changes related to complex pain, and phantom limb pain will be reviewed. Case presentations illustrating Dr. Zancolli invites us to reflect upon the role of use of graded motor imagery will be presented, and treatment coincidences, their meaning and the impact they have strategies integrating the use of GMI principles such as laterality had and still have on our lives. As a result, he forces reconstruction, visual and motor imagery, and mirror therapy will be us to rethink our path, to look at it from an angle we identified. might have brushed aside. He invites us to look into an alternate path, a path we have yet to walk. Objectives: Following this session, the participant will be able to: 1. Explain the principles of neuroscience that underlie the use of 12:30 pm – 5:00 pm graded motor imagery in rehabilitation. AAHS Program Wednesday, 9, January 2013 Concurrent Surgeons Hands-On Development Workshop: 2. Understand the application of GMI for specific diagnostic groups Principles of Internal Fixation in the Wrist and Hand within hand therapy practice. (Box Lunch Provided) Supported by Medartis, Inc. 3. Identify appropriate diagnostic groups for which GMI is an indicated and effective treatment intervention. Chair: Jerry I. Huang, MD 4. Develop specific GMI strategies for intervention to reduce pain Instructors: Seth Dodds, MD; Marco Rizzo, MD; Greg Rafijah, MD; and improve function. Thomas B. Hughes, MD; Jason Ko, MD; Ryan Calfee, MD; Steven Hasse, MD 2:20 pm - 2:30 pm Coffee Break with Exhibitors The AAHS Principles of Internal Fixation in the Wrist and Hand Workshop is a Surgeons Workshop designed to provide participants 2:30 pm - 4:30 pm an opportunity to learn techniques for internal fixation and Concurrent Therapist Workshop – Rehab Management of technical pearls in wrist and hand fractures as well as fusion options Rotator Cuff Pathology from an expert faculty panel and put them into practice in a hands- Chair: Paul Brach, MS, PT, CHT on sawbone workshop. Instructors: Tambra Marik, OTD, Kim McVeigh, OTR/L, CHT This 2 hour workshop will review rehabilitation of the shoulder Objectives: Following this session, the participant will be able to: through a combination of didactic and hands on learning. Topics 1. Recognize fracture patterns and characteristics in the distal covered will include shoulder anatomy and biomechanics, radius and perform volar plating and fragment specific plating in musculoskeletal dysfunction and its implications, surgical a distal radius sawbone model. management, manual therapy skills, and the integration of 2. Demonstrate on a saw bone model the application of alternative therapeutic approaches including core stabilization and basic principles of lag screw fixation, neutralization plate, and Pilates. Rehab including and “beyond” rotator cuff exercises. compression plating in hand fractures. 3. Discuss surgical options for fusion in the wrist and hand and Objectives: Following this session, the participant will be able to: perform them in a sawbone model. 1. Describe functional anatomy and biomechanics of the shoulder as it relates to evaluation and treatment. 12:30 pm – 4:30 pm 2. Classify movement dysfunction and identify impairments, Concurrent Therapist Programming functional limitations and disability experienced by patients with (Box Lunch Provided) musculoskeletal dysfunction of the shoulder. 3. Integrate manual therapy skills into the overall plan of care to 12:30 pm - 1:30 pm reduce or eliminate impairments, activity limitations and ASHT Panel: RX of Complex Injuries restrictions associated with rotator cuff pathology of the Moderator: Mike Cricchio, MBA, OTR/L, CHT shoulder. Invited Panelists: Jennifer Dodson, OTR/L; Elisabeth McGee, OTR/L, 4. Describe current surgical management of rotator cuff pathology PT, MOT, CHT, MTC; Brian Laney, OTR/L, CHT; Nik Allain, OTR/L, CHT and how it pertains to rehab management. This panel will present and discuss four complex upper extremity 5. Integrate CORE stabilization, pilates and other out of the box cases involving soft tissue, fracture, and wound management. therapeutic exercises into the overall plan of care to improve the Each presenter will detail the specific diagnoses and treatment overall functional performance of the individual with rotator cuff of the complex upper extremity case and invite group discussion pathology. regarding rational and evidence to support management of the case. Approximately 10-15 minutes will be granted for each case 5:00 pm – 6:00 pm Mentors Reception presentation and group discussion. Wednesday, January 9 5:00 – 6:00 pm Sunset Deck

Objectives: Following this session, the participant will be able to: This late afternoon event was created for young hand surgeons and therapists (in practice 1. Promote understanding of management and treatment of five years or less) as well as those still in training to come and meet some of the seasoned AAHS board members. Enjoy a glass of wine and the opportunity to mingle with leaders in complex soft tissue injuries of the upper extremity. the field of hand surgery. Event includes hosted beverages and light appetizers. 2. Promote understanding of management and treatment of complex fractures of the upper extremity. 3. Promote understanding of management and treatment of 6:30 pm – 8:00 pm complex wound management of the upper extremity. Welcome Reception in Exhibit Hall 4. Develop awareness of the management and treatment of the Wednesday, January 9 6:30 – 8:00 pm Orchid Ballroom entire upper extremity following complex injuries of the arm. *New This Year: The Welcome Reception will be held in the Exhibit Hall. Time to catch up 5. Provide therapist the opportunity to discuss and collaborate on with friends, network, and make new contacts within the hand surgery association. Hosted complex upper extremity cases. beverages and light appetizers. Paid for by Auxilium Pharmaceuticals, Inc. 29 30 American Association for Hand Surgery DAY-AT-A-GLANCE Thursday, January 10, 2013

6:00am – 7:00am Open Guest Activity AAHS 5K Fun Run Hotel Entrance 6:30am – 5:00pm Speaker Ready Room Cypress 6:30am – 5:00pm Registration Royal Palm Foyer AAHS Day-at-a-Glance Thursday, 10, January 2013 6:30am – 12:00pm Exhibit Hall Hours Orchid & Orchid Foyer 6:30am – 8:00am Continental Breakfast with Exhibitors Orchid Ballroom 7:00am – 8:30am MOC Instructional Course 107 Metacarpal Fracture Acacia I & II (ABPS MOC-PS®-approved) 7:30am – 8:30am AAHS Instructional Courses 108 The Scaphoid- Treatment of the Entire Spectrum Acacia IV 109 Pediatric Hand- Soft Tissue Injuries, Fractures, and Complications Acacia V & VI 110 Tendon Transfers for Tetraplegia - an Overview Acacia VII 111 Diagnosis and Treatment of Hand and Wrist Injuries in Elite Contact Sports Athletes Banyan I & II 112 DRUJ Instability Mangrove I & II

8:00am – 8:15am Presidential and Program Chair Welcome Royal Palm IV-VIII 8:40am – 9:45am Session 4: General Royal Palm IV-VIII 9:45am – 10:30am Session 5: Trauma Royal Palm IV-VIII 10:30am- 10:45am Coffee Break with Exhibitors Orchid Ballroom & Foyer 10:45am – 11:45am Session 6: Carpal Tunnel Syndrome/Tendon Royal Palm IV-VIII 11:45am – 12:15pm Presidential Address Royal Palm IV-VIII Jesse B. Jupiter, MD 12:15pm – 1:00pm Invited Guest Speaker Royal Palm IV-VIII Diego L. Fernandez, MD 1:00pm – 2:30pm Lunch Symposia (Not for Credit) Paid for by Auxilium Pharmaceuticals, Inc. Royal Palm IV-VIII Paid for by AxoGen, Inc. Vista Ballroom 2:30pm – 4:30pm Hands-On Skills Labs (Not for Credit) Royal Palm II Paid for by MircoAire Workshop (Not for Credit) Royal Palm III Paid for by Integra Lifesciences 2:00pm – 4:00pm Open Guest Activity AAHS Tennis Tournament Tennis Courts (Separate Registration Required)

31 AAHS Program Thursday January 10, 2013 109 Pediatric Hand- Soft Tissue Injuries, Fractures, and Complications 6:00 am – 7:00 am Open Guest Activity AAHS 5K Fun Run Chair: Dan Zlotolow, MD Acacia V & VI Instructors: Joshua M. Abzug, MD; Theresa O. Wyrick, MD; Aviva Wolff, OTR/L, CHT 7:00 am – 8:00 am Continental Breakfast with Exhibitors The course is case based presentations with interactive discussion from the audience devoted to pediatric upper extremity problems. 7:00 am – 8:30 am MOC Instructional Course Participants will participate in dialogue to ensure lively interaction and will focus on pediatric soft tissue injuries, fractures, and complications. Metacarpal Fracture Acacia I & II 107 Objectives: Following this session, the participant will be able to: (ABPS MOC-PS®-approved) 1. Discuss childhood fingertip injuries with respect to mechanism of injury and treatment. Chair: Nicholas B. Vedder, MD 2. State the treatment for zone II flexor tendon injuries in children. Instructors: Warren C. Hammert, MD; Jerry Huang, MD; 3. List the carpal injuries that occur in children. John Seiler, MD; Terri Wolfe, OTR/L, CHT 4. Summarize the complications related to hand fractures in children This course will feature a pre –test and post-test and is approved by the ABPS for MOC parts II and IV as an educational module for the practice improvement module of metacarpal fractures. The goal is to present a non–biased, evidence based assessment of the treatment 110 Tendon Transfers for Tetraplegia alternatives for patients with metacarpal fractures. – an Overview Acacia VII Objectives: Following this session, the participant will be able to: Chair: Phillip Heyman, MD 1. Understand Parts II and IV of MOC and the requirements of Instructors: Eric Britton, MD; Michael S. Bednar, MD; Gail Ward, OTR the American Board of Plastic Surgery and the American Board of Orthopedic Surgery. In this course, we will cover the technique and expected outcomes 2. Understand the relevant anatomy pertinent to the management of the commonly done sets of transfers that can be performed of metacarpal fractures. for the tetraplegic patient. Among those procedures covered are 3. Apply current evidence to the non-surgical and surgical methods procedures for key pinch, procedures for restoring pinch and grasp, of treatment of metacarpal fractures and compare the current and procedures for restoring elbow extension. evidence for diagnosis and treatment to their own practice in order to improve practice Objectives: Following this session, the participant will be able to: 1. To identify which spinal cord injury patients are candidates for 7:30 am – 8:30 am Instructional Courses which tendon transfer surgery. 2. To review the techniques and expected results of tendon transfers for elbow extension, pinch, and grasp. 108 The Scaphoid- Treatment of the Entire 3. To discuss the role of the therapist in the pre and postoperative Spectrum: From Fresh Fractures, management of the patient. to Stable Scaphoid Nonunions, to Unstable Scaphoid Nonunions with 111 Diagnosis and Treatment of AVN and Humpbacked Collapse Hand and Wrist Injuries in Elite AAHS Program Thursday, January 10, 2013 January 10, Thursday, AAHS Program Chair: T. Greg Sommerkamp, MD Acacia IV Contact Sports Athletes Banyan I & II Instructors: William B. Geissler, MD; Pablo De Carli, MD Chair: Steven W. Margles, MD The entire spectrum of scaphoid pathology will be presented from Instructors: Alejandro Badia, MD; Enrique Pereira, MD the acute fracture stage, to stable nonunions, progressing to unstable Elite athletes in contact sports are prone to serious injuries to scaphoid nonunions with AVN and carpal instability (humpbacked col- the hand and wrist. The specific requirements of the sport may lapse). Each of the faculty members will be presented a typical set of necessitate treating these individuals differently than the “weekend images from each of these various stages of scaphoid fracture patholo- warrior.” Return to the sport as rapidly as possible with a “fix” that gy, and then will walk the audience through their preferred method of treatment for each of those particular stages. A combination of various will stand up to the anticipated forces of the sport. Principles of treatment techniques will be presented ranging from percutaneous diagnosis and treatment, with specific examples and illustrations, fixation to arthroscopic assisted internal fixation, arthroscopic guided will be explained. bone grafting, and ORIF with a variety of vascularized bone grafts. A treatment continuum will be stressed, emphasizing that the selected Objectives: Following this session, the participant will be able to: treatment plan must be highly individualized to the patient’s specific 1. Learn what injuries can be expected in specific contact sports fracture / nonunion with respect to elapsed time from injury, location – and how to diagnose them. waist vs. proximal pole, stability (displacement / angulation), presence 2. Will be able to identify the recommended treatment for these of cystic resorption and proximal pole perfusion/ viability. injuries. 3. Analyze how and when certain treatments should be used from Objectives: Following this session, the participant will be able to: more classic treatments of the same injury. 1. Correctly identify the various stages of pathologic scaphoid fracture progression extending from the fresh fracture to the unstable nonunion with AVN and carpal instability. 2. Identify the appropriate treatment techniques or methods for each particular stage of scaphoid pathology. 3. Discuss the indications for arthroscopic assisted cancellous bone graft, open structural corticocancellous grafts, and a variety of vascularized bone grafts. 4. Discuss the unique characteristics and demands of the small 32 proximal pole delayed union / nonunion 8:57 am – 8:59 am 112 DRUJ Instability Mangrove I & II 26. Informed Shared Decision Making and Patient Satisfaction Arjan G.J. Bot, MD, Jeroen K.J. Bossen, BS, James H. Herndon, MD, Chair: Jorge Boretto, MD; Gabriel Clembosky, MD MBA, David E. Ruchelsman, MD, David C. Ring, MD, PhD, Ana-Maria Instructors: Carlos Zaidenberg, MD; William Kleinman, MD; William Vranceanu, PhD Geissler, MD; Eduardo R. Zancolli, Jr., MD; Brian D. Adams, MD Orthopaedic Hand and Upper Extremity Service, Massachusetts General Instability of the DRUJ can develop acutely after injury or may Hospital, Boston, MA develop insidiously after bony misalignment or soft tissue laxity. Diagnosis and treatment have some controversial points that will 8:59 am – 9:01 am be discussed. The course will focus on anatomy of the DRUJ and its 27. The Influence of Job Satisfaction and Burnout on Disability clinical implications in open and arthroscopic treatment. after Finger Injuries John J. Kadzielski, MD, Arjan G.J. Bot, MD, David Ring, MD, PhD Objectives: Following this session, the participant will be able to: Orthopedic Hand and Upper Extremity Service, Massachusetts General 1. To clinically examine the patients injuries properly and create a Hospital, Boston, MA decision-tree to its diagnosis. 2. To identify the tendon reconstruction for chronic instability. 9:01 am – 9:03 am 28. Psychosocial Factors in Patients Diagnosed with Saddle Syndrome of the Hand 8:30 am – 8:40 am President and Program Chair Welcome Shailee Shah, BS, Abdo Bachoura, MD, Sidney M. Jacoby, MD, Brian

(Not for Credit) George, MD, Randall W. Culp, MD AAHS Program Thursday, 10, January 2013 The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA

9:03 am – 9:13 am Panel Discussion

9:13 am – 9:15 am Overview Jesse B. Jupiter, MD David C. Ring, MD Edward Akelman, MD David C. Ring, MD AAHS President AAHS Program Chair ASSH President 9:17 am – 9:19 am 8:40 am – 9:45 am 29. Postoperative Outcomes of Electrothermal Capsular Session 4: General Shrinkage as an Effective Treatment for Midcarpal Instability Moderator: David C. Ring, MD Andrew Wroblewski, BS, Abdo Bachoura, MD, Sidney M. Jacoby, MD, Randall W. Culp, MD 8:40 am – 8:41 am Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA Overview: General David C. Ring, MD 9:19 am – 9:21 am 30. Results with a New Mini Invasive Decompression for the 8:42 am – 8:44 am Pronator Teres Syndrome 22. Radial Head Arthroplasty: Restoring the Radiocapitellar Eduardo Rafael Zancolli III, MD, Christian Perrotto, MD, Joint Contact Pressure Eduardo Pablo Zancolli IV, MD 1 1 2 Michael Alan Cohn, MD , Anthony Sapienza, MD , Sergio Glait, MD , Hand Surgery, Sanatorio de la Trinidad, Buenos Aires, Argentina Young Kwon, MD, PhD3 1 Hand and Upper Extremity, NYU Hospital for Joint Diseases, New York, 9:21 am – 9:23 am 2 NY, Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, 31. Treatment of Radial Tunnel Syndrome with Radial Tunnel 3 Shoulder and Elbow, NYU Hospital for Joint Diseases, New York, NY Release via an Anterior Approach Rohan Ashok Habbu, MS, MBBS, Department of Orthopaedics, 8:44 am – 8:46 am University of Minnesota, Minneapolis, MN, Loree Kalliainen, MD 23. Comparison of Smooth-Stemmed Bipolar with In-Growth Plastic and Hand Surgery, Regions Hospital, St. Paul, MN Monopolar Radial Head Implants 1 1 1 T. Sean Lynch, MD , John C. Berschback, MD , David M. Kalainov, MD , 9:23 am – 9:33 am Panel Discussion Robert W. Wysocki, MD2, Mark S. Cohen, MD2, Bradley R. Merk, MD1 1 Department of Orthopaedic Surgery, Northwestern University, Chicago, 9:33 am – 9:34 am 2 IL, Department of Orthopaedic Surgery, Midwest Orthopeadics, Rush Overview University Medical Center, Chicago, IL David C. Ring, MD

8:46 am – 8:51 am Panel Discussion 9:34 am – 9:36 am David C. Ring, MD; Edward Akelman, MD; Kevin C. Chung, MD; 32. Minimal Clinically Important Difference of Carpal Tunnel Mark E. Baratz, MD; Andrew L. Koman, MD; Carlos E. Martinez, MD; Release in Diabetic and Non-diabetic Patients Juan M. Patino, MD Kagan Ozer, MD1, Sunitha Malay, MPH2, Serdar Toker, MD3, Kevin Chung, MD, MS2 8:51 am – 8:52 am 1Department of Orthopaedic Surgery, University of Michigan, Overview Ann Arbor, MI, 2Department of Surgery Section of Plastic Surgery, David C. Ring, MD University of Michigan, Ann Arbor, MI, 3Department of Orthopaedic Surgery, Konya University, Meram, Turkey 8:53 am – 8:55 am 24. The Fate of Asymptomatic Joint Arthritis in Patients 9:36 am – 9:38 am Undergoing Rotator Cuff Surgery 33. How Surgeons Decide When the Evidence Is Inconclusive Prasad J. Sawardeker, MD, Katie E. Kindt, BS, Mark E. Baratz, MD, Michael Hageman, MD, Thierry Guitton, MD, PhD, Darren Frank, MD David Ring, MD, PhD Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, PA Orthopedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA 8:55 am – 8:57 am 25. Narcotic Prescription Patterns Following Elective Carpal 9:38 am – 9:45 am Panel Discussion Tunnel Release Robert G. Neumann, MD, William Mathewson, MD, Loree K. Kalliainen, MD Department of Plastic Surgery, Regions Hospital, St Paul, MN 33 9:45 am – 10:30 am 10:16 am – 10:18 am Session 5: Trauma 41. Outcomes of Pediatric Supracondylar Humerus Fractures Moderator: Neal C. Chen, MD Treated by Adult Hand Surgeons Joshua Abzug, MD, Thao Nguyen, Ray Pensy, Andrew Eglseder, 9:45 am – 9:50 am Vincent Pellegrini Overview: Scaphoid/ Scapholunate Ligament Department of Orthopaedic Surgery, University of Maryland, Seth Dodds, MD Baltimore, MD

9:50 am – 9:52 am 10:18 am – 10:30 am Panel Discussion 34. Outcomes of Open Reduction and Internal Fixation of Acute Proximal Pole Scaphoid Fractures 10:30 am – 10:45 am Coffee Break with Exhibitors David Brogan, MD1, Steven Moran, MD2, Alexander Shin, MD1 1Orthopedic Surgery, Mayo Clinic, Rochester, MN, 2Plastic Surgery, Mayo 10:45 am – 11:45 am Clinic, Rochester, MN Session 6: Carpal Tunnel Syndrome/Tendon Moderator: Peter C. Amadio, MD 9:52 am – 9:54 am 35. Outcomes Following the Use of Two Scaphoid Compression 10:45 am – 10:50 am Screws for the Treatment of Acute Fractures and Nonunions Overview: Carpal Tunnel Syndrom Ryan M. Garcia, MD1, Fraser Leversedge, MD2, J. Mack Aldridge, MD2, David Dennison, MD Marc Richard, MD2, David Ruch, MD2 1Surgery, Division of Plastic and Reconstructive Surgery, Duke University 10:52 am – 10:54 am Medical Center, Durham, NC, 2Orthopedic Surgery, Duke University 42. Treatment of Carpal Tunnel Syndrome by Members of Medical Center, Durham, NC the American Society for Surgery of the Hand: A 25 Years Perspective 9:54 am – 9:56 am Charles Leinberry, Michael Rivlin, Pedro Beredjiklian, Jonas Matzon, 36. Long Term Outcomes of Capitohamate Bone-Ligament-Bone Mitchell Maltenfort, Asif M. Ilyas, MD Grafts for Scapholunate Dissociation Douglas Hutchinson, Rothman Institute, Thomas Jefferson University, Robert J. van Kampen, MD1, Steven L. Moran, MD1, Philadelphia, PA Richard A. Berger, MD, PhD2 1Department of Surgery, Division of Plastic Surgery, Mayo Clinic, 10:54 am – 10:56 am Rochester, MN, 2Department of Orthopedic Surgery, Mayo Clinic, 43. Management of Carpal Tunnel Syndrome by Members of the Rochester, MN American Association for Hand Surgery Eon K. Shin, MD, Abdo Bachoura, MD, Sidney M. Jacoby, MD, Neal C. 9:56 am – 9:58 am Chen, MD, A. Lee Osterman 37. Early Outcomes Following a Modified Reduction and The Philadelphia Hand Center, PC, Thomas Jefferson University Hospital, Association of the Scaphoid and Lunate with a Bioabsorbable Philadelphia, PA Compression Screw Brandon J. Ball, BSc, MD, Kevin Mowbrey, BSc, Michael Morhart, MSc, 10:56 am – 10:58 am MD, FRCSC 44. Electrodiagnostic Findings and Clinical Symptoms of the Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB, Contralateral Side in Patients with Abnormal Distal Sensory Canada Latency of the Median Nerve Charlotte E.S. Hoogstins, BA, Stéphanie J.E. Becker, MD, 9:58 am – 10:05 am Panel Discussion David C. Ring, MD, PhD Neal C. Chen, MD; Seth Dodds, MD; Phani Dantuluri, MD; Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts Pablo De Carli, MD General Hospital, Boston, MA

AAHS Program Thursday, January 10, 2013 January 10, Thursday, AAHS Program 10:05 am – 10:10 am 10:58 am – 11:08 am Panel Discussion Overview: Trauma Peter C. Amadio, MD; David Dennison, MD; Mark Rekant, MD; Phani Dantuluri, MD Robert R. L. Gray, MD

10:10 am – 10:12 am 11:08 am – 11:13 am 38. Radial Collateral Ligament Injuries of the Thumb Overview: Trigger Finger Metacarpophalangeal Joint: Incidence and Epidemiology in a Mark Rekant, MD Military Population Kenneth F. Taylor, MD, Joseph T. Lanzi, MD, J. Matthew Cage, DO, 11:13 am – 11:15 am Matthew L. Drake 45. Immediate A-1Pulley Release versus Conventional Treatment Orthopaedic Surgery Service, Tripler Army Medical Center, Honolulu, HI in Diabetic Patients Miguel J. Saldana, MD 10:12 am – 10:14 am Hand Surgery Specialist, San Antonio, TX 39. Hook of Hamate Fractures in Competitive Baseball Payers Abdo Bachoura, MD1, Sidney M. Jacoby1, Andrew Wroblewski, BS1, 11:15 am – 11:17 am Randall W. Culp1, A. Lee Osterman, MD2 46. Comparison of Type 3 and 4 Locked Trigger Thumb Treated 1Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, with Corticosteroid Injection versus Percutaneous Release PA, 2Department of Orthopaedic Surgery, Thomas Jefferson University Melissa S. Arief, MD, MHS, Mukund Patel, MD Hospital - The Philadelphia Hand Center, Philadelphia, PA Orthopedic Surgery, SUNY Downstate Medical Center, Brooklyn, NY

10:14 am – 10:16 am 11:17 am – 11:27 am Panel Discussion 40. Sequelae of Foreign Bodies in the Wrist and Hand Vishnu C. Potini, MD, Ramces Francisco, MD, Benhoor Shamian, MD, 11:27 am – 11:32 am Virak Tan, MD Overview: Tendon Department of Orthopedics, University of Medicine and Dentistry of Robert R. L. Gray, MD New Jersey- New Jersey Medical School, Newark, NJ

34 11:32 am – 11:34 am 47. Outcomes of Zone IV/V and TI to TIV Extensor Tendon Repair 12:15 pm – 1:00 pm Invited Guest Speaker Using Running Interlocking Horizontal Mattress Technique Diego L. Fernandez, MD 1 2 Grant Altobelli, MD , Stacy Conneely, CHT/OT , Christina Haufler, CHT/ A Tribute to my Teachers and Friends OT2, Maura Walsh, CHT/OT2, David Ruchelsman, MD3 1Orthopaedic Surgery, Tufts Medical Center, Boston, MA, 2Division of 3 Dr. Diego L. Fernandez is an Orthopedic Hand Hand Therapy, Newton-Wellesley Hospital, Newton, MA, Orthopaedic Surgeon who currently practices in the Department of Hand Surgery, Newton-Wellesley Hospital, Newton, MA Orthopedic Surgery at the Lindenhof Hospital in Berne, Switzerland. Dr. Fernandez will speak about anecdotes 11:34 am – 11:36 am and graphic documentation about his teachers and mentors: 48. A Prospective Randomized Controlled Trial of Night Leoncio Fernandez, Eduardo A. Zancolli, Harold B. Boyd, Lee Milford Splinting versus No Splinting after Treatment of Mallet Finger and Maurice E. Müller and how they influenced his career with Jillian Gruber, BA, Arjan G.J. Bot, MD, David C. Ring, MD, PhD, special emphasis on hand and upper limb surgery. Dr. Fernandez Orthopaedic Hand and Upper Extremity Service, Massachusetts General will highlight issues and teachings such as surgical manual dexterity, Hospital, Boston, MA the traumatic handling of tissues, the cultivating and profound knowledge of the anatomy, classifying the appropriate treatment 11:36 am – 11:38 am for modality, orthopedic philosophy, the art of clinical hand 49. An Institutional and Nationally-Extrapolated Cost examination, as well as the meticulously plan of preoperative bone Analysis of Surgical and Nonsurgical Management of Lateral and soft tissue procedures and how to carefully document your Epicondylitis results to enable late evaluation. AAHS Program Thursday, 10, January 2013 Anthony Fillmore, MD1, Kyongsei Sohn, PhD2, Thomas F. Breen, MD1 and Edward R. Calkins, MD1 1Department of Orthopedics, Hand Surgery Division, UMass Memorial 2 1:00 pm – 2:30 pm Medical Center, Worcester, MA, School of Business Administration and Industry Lunch Symposia (not for credit) Economics, State University of New York, The College at Brockport, Paid for by Auxilium Pharmaceuticals, Inc. Brockport, NY Paid for by AxoGen, Inc.

11:38 am – 11:45 am Panel Discussion 2:30 pm – 4:30 pm Hands-On Skills Labs (not for credit) Paid for by MicroAire 11:45 am – 12:15 pm Presidential Address Introduction: Donald H. Lalonde, MD Workshop (not for credit) Jesse B. Jupiter, MD Paid for by Integra Lifesciences Scott’s Parabola and the Impact of The Medical- 2:00 pm – 4:00 pm Industrial Complex Open Guest Activity AAHS Tennis Tournament (Separate Registration Required) Innovation is an important hallmark in healthcare yet it needs to be supported by scientific evidence and ideally not be “market driven”. However we are continuously confronted with the introduction of new surgical procedures or technology which begin with tremendous enthusiasm, rapid acceptance, but ultimately are proven not reproducible and fall out of favor ie “Scott’s Parabola”.

This lecture will highlight these phenomena and then address what many have termed the “medical-industrial complex”. Multiple examples will be used to highlight this complex association. While innovative research is often industry sponsored with potentially biased findings, the researchers themselves can be biased as it is easier to publish positive results which may also advance careers. Potential alternatives to today’s concerns, “conflicts of interests”, and the difficulty of true “evidence-based” research in our specialty will be discussed.

Objectives: Following this session, the participant will be able to: 1. Clearly understand the dangers of the medical-industrial complex. 2. Understand the dangers of published studies which have outcomes that cannot be reproduced. 3. Have a clearer perspective of the dangers of innovations which are not supported by scientific evidence.

35 36 American Association for Hand Surgery DAY-AT-A-GLANCE Friday, January 11, 2013

6:30am – 5:00pm Speaker Ready Room Cypress 6:30am – 6:00pm Registration Royal Palm Foyer 6:30am – 2:50pm Exhibit Hall Hours Orchid Ballroom & Foyer 6:30am – 8:00am Continental Breakfast with Exhibitors Orchid Ballroom & Foyer AAHS Day-at-a-GlanceFriday, 11, January 2013 6:30am – 8:30am MOC Instructional Course 113 Basal Joint Arthoplasty Acacia I & II (ABPS MOC-PS®-approved) 7:00am – 8:00am AAHS Instructional Courses 114 Recurrent Ulnar Neuropathy Acacia IV 115 Nerve Repair Reconstruction; Conduits/Allograft Acacia V & VI 116 Vascular Disorders of the Upper Extremity: Acacia VII Diagnosis and Management 117 The Smashed Elbow Banyan I & II 118 Workers’ Compensation: Legal and Psychological Mangrove I & II Issues Impacting Our Care

8:00am – 8:10am Hand Surgery Endowment (HSE) President Report Royal Palm IV-VIII 8:10am – 8:15am HAND Journal Update Royal Palm IV-VIII 8:15am – 8:55am Session 7: Dupuytren Disease/Infection Royal Palm IV-VIII 8:55am – 9:45am Session 8: Mirco/Flaps/Congenital Royal Palm IV-VIII 9:45am – 10:00am Coffee Break with Exhibitors Orchid Ballroom and Foyer 10:00am – 11:00am Session 9: Nerve/Brachial Plexus Royal Palm IV-VIII 11:00am – 11:45am Danyo Lecture Royal Palm IV-VIII James W. May, Jr., MD, FACS 11:45am – 12:45pm Joint AAHS/ ASPN Panel: Complex Elbow Trauma Royal Palm IV-VIII 12:45pm – 1:30pm Annual Business Meeting (AAHS Members Only) Royal Palm IV-VIII 12:45pm – 1:45pm Lunch with Exhibitors Orchid Ballroom & Foyer 1:30pm – 5:50pm Comprehensive Hand Review Course Vista Ballroom 3:15pm – 3:30pm Coffee Break Vista Ballroom 2:00pm – 4:00pm Open Guest Activity Beach Volleyball Beach 7:00pm – 10:00pm AAHS Banquet Royal Palm IV-VIII

37 AAHS Program Objectives: Following this session, the participant will be able to: Friday January 11, 2013 1. Participants will understand the anatomy and physiology of peripheral nerve injuries in the upper extremity. 6:30 am – 8:00 am Continental Breakfast 2. Attendees will be able to recognize the elements of an appropriate diagnostic workup including physical examination and interpretation of electrodiagnostic studies. 7:00 am – 8:30 am MOC Instructional Course 3. Attendees will gain an awareness of the current treatment options and recommendations for nerve repair and reconstruction. 113 Basal Joint Arthoplasty Acacia I & II 4. After attending this course, participants will comprehend the ® postoperative therapy protocols required after nerve injury and (ABPS MOC-PS -approved) reconstruction. Chair: Donald H. Lalonde, MD Instructors: Matthew M. Tomaino, MD; Peter Murray, Kristin A. Valdes, ODT, OTR, CHT 116 Vascular Disorders of the This course will feature a pre –test and post-test and is approved Upper Extremity: by the ABPS for MOC parts II and IV as an educational module for the practice improvement module of basilar thumb arthritis. The Diagnosis and Management goal is to present a non–biased evidence based assessment of the treatment alternatives for patients with thumb arthritis. Chair: Michael S. Murphy, MD Acacia VII Instructors: James P. Higgins, MD; Michael McClinton, MD; Objectives: Following this session, the participant will be able to: Andy Tyser, MD 1. Understand Parts II and IV of MOC and the requirements of This course will cover complex vascular problems of the upper the American Board of Plastic Surgery and the American Board of extremity, present diagnostic, and treatment dilemmas. Few Orthopaedic Surgery. hand surgeons outside of major referral centers garner extensive 2. Use an evidence based treatment plan for when to recommend experience in their management. As a result many hand surgeons and how to apply orthotics in patients with arthritis of the thumb are not as familiar or facile with their treatment alternatives. This CMCJ, as well as understand their value. course will also review the pertinent vascular anatomy, with an 3. Apply current evidence to the non-surgical and surgical emphasis on critical variations. Appropriate use of diagnostic strategies of treatment of CMC arthritis of the thumb. testing including office based alternatives, capabilities of the vascular lab and radiographic studies will be presented. Finally, common vascular problems and their treatment options, both 7:00 am – 8:00 am Instructional Courses surgical and nonsurgical, will be reviewed utilizing a case based format.

Objectives: Following this session, the participant will be able to: Recurrent Ulnar Neuropathy Acacia IV 1. Understand the vascular anatomy. 114 2. Learn available diagnostic tests and how to order them in an Chair: Joshua M. Abzug, MD appropriate and cost effective fashion. Instructors: A. Lee Osterman, MD; Peter C. Amadio, MD; 3. Present common vascular disorders and their treatment Dean G. Sotereanos, MD; Steve K. Lee, MD alternatives both conservative and surgical. Diagnosis and management of failed cubital tunnel surgery will be presented. Detailed discussion regarding pearls and pitfalls to avoid

AAHS Program Friday, January 11, 2013 January 11, Friday, AAHS Program the recurrence as well as management will aid the hand surgeon in The Smashed Elbow Banyan I & II their practice. 117 Chair: Scott Steinmann, MD Objectives: Following this session, the participant will be able to: Instructors: Julie E. Adams, MD; Mark E. Baratz MD; Neal Chen, MD; 1. Discuss the diagnosis and treatment of failed cubital tunnel Rodriguez Sanmartino, MD surgeries. The Smashed Elbow will discuss new techniques for addressing the 2. Provide pearls and pitfalls for the management of failed cubital most common fractures of the elbow. Attention will be directed at tunnel surgery. surgical steps to allow for ideal fixation. The complications that may 3. Aid the hand surgeon in knowing how to manage complications occur as well as the current state of postoperative management will associated with failed cubital tunnel surgery. be discussed.

Objectives: Following this session, the participant will be able to: 1. Understand the most common fracture patterns in the elbow. 115 Nerve Repair Reconstruction; 2. Learn surgical approaches to coronoid, distal humerus and radius Conduits/Allograft Acacia VII fractures. Chair: John S. Taras, MD 3. Recognize the instability patterns in association with fractures. Instructors: Jonathan Isaacs, MD; Randip R. Bindra, MD; 4. Learn complications that might occur and how to avoid them. Christine Novak, PT, PhD Management of the injured peripheral nerve has changed over the last decade. Advances in techniques and products have led to improved and more reliably positive outcomes. This course will provide an overview of the anatomy and physiology of the injured peripheral nerve and give recommendations for appropriate clinical assessment and EMG interpretation of these injuries. Reconstructive options including direct repair, nerve conduit, allograft, and autograft will be discussed. The role of splinting and therapy after nerve reconstruction will be presented. 38 118 Workers’ Compensation: Legal and 8:26 am – 8:28 am 53. Temporal Effects of Collagenase Clostridium Histolyticum Psychological Issues Impacting Injection and Therapy on PIPJ Contractures in Dupuytren’s Our Care Mangrove I & II Disease Kelsea Smith, Abdo Bachoura, MD, Lauren DeTullio, Chair: Stephen Leibovic, MD Sidney M. Jacoby, MD, Randall W. Culp, MD, A. Lee Osterman, MD and Instructors: Beverly Masuda, Esq; Niurka Santana, PhD Terri M. Skirven, CHT Philadelphia Hand Center, Philadelphia Hand Center, Philadelphia, PA One measure of our success in treatment of the Workers’ Compensation patient is their return to work. Psychological issues 8:28 am – 8:36 am Panel Discussion and legal issues are factors outside our realm of expertise which Warren C. Hammert, MD; Prosper Benhaim, MD; Charles R. Leinberry, can have a significant impact on return to work. If we can improve MD; Luciano Poitevin, MD our understanding of these issues we may be able to facilitate more efficient return to work 8:38 am – 8:43 am Overview: Infection Objectives: Following this session, the participant will be able to: Charles R. Leinberry, MD 1. Understand the differences between the medical definition of work related and the legal definition of compensable. 8:43 am – 8:45 am 2. Be able to opine on the compensability of an injury or condition 54. Risk Factors for Increased Length of Stay in Hand Infections AAHS Program Friday, 11, January 2013 using a legal definition, recognizing that a compensable John Fowler, Mitchell Maltenfort and Asif M. Ilyas, MD condition may or may not be entirely work related from a Rothman Institute, Thomas Jefferson University, Philadelphia, PA medical perspective. 3. Appreciate some of the psychological barriers to returning to 8:45 am – 8:47 am gainful employment, and learn from a psychologist’s perspective 55. Cat Bite Infections of the Hand: Predictors of Severity, how our interactions with patient may raise or lower those Morbidity, and Outcomes barriers. Nikola Babovic1, Brian T. Carlsen, MD2, Cenk Cayci, MD2 4. Think about surgeon’s role in reviewing surveillance videos on 1School of Medicine, Mayo Clinic, Rochester, MN, 2Department of Plastic Workers’ Compensation patients. Surgery, Mayo Clinic, Rochester, MN

8:47 am – 8:49 am 8:00 am – 8:10 am 56. Do Povidone-Iodine Soaks Affect the Number of Operations Hand Surgery Endowment (HSE) President Report (not for credit) Needed to Treat Hand Infections? Ronald E. Palmer, MD Rick Tosti, MD, John Fowler, MD, Justin Lorio, MD, Joseph Thoder, MD, Alyssa Schaffer, MD 8:10 am – 8:15 am Orthopaedic Surgery and Sports Medicine, Temple University, HAND Journal Update (not for credit) Philadelphia, PA Michael W. Neumeister, MD

8:49 am – 8:55 am Panel Discussion 8:15 am – 8:55 am Session 7: Dupuytren Disease/ Infection 8:55 am – 9:45 am Moderator: Warren C. Hammert, MD Session 8: Micro/Flaps/ Congenital Moderator: James P. Higgins, MD 8:15 am – 8:20 am Overview: Dupuytren Disease 8:55 am – 9:00 am Prosper Benhaim, MD Overview: Flap Jeffrey B. Friedrich, MD 8:20 am – 8:22 am 50. Recurrence of Dupuytren’s Contracture Following 9:00 am – 9:02 am Collagenase Clostridium Histolyticum Injection 57. Mini-Propeller Flaps in Fingers Reconstruction Heather McMahon, BS, Sidney M. Jacoby, MD, Lauren DeTullio, Alexandru Georgescu, Prof, MD, PhD, Irina Capota, MD, PhD, Ileana OTR/L, CHT, Terri M. Skirven, OTR/L, CHT, Randall W. Culp, MD, A. Lee Matei, MD, PhD Osterman, MD Plastic Surgery and Reconstructive Microsurgery Clinic, UMF Iuliu The Philadelphia Hand Center, Thomas Jefferson University, Hatieganu, Cluj Napoca, Romania Philadelphia, PA 9:02 am – 9:04 am 8:22 am – 8:24 am 58. Lateral Proximal Phalanx Flap: A New Technique for 51. Dupuytren’s Contracture Recurrence after Treatment with Coverage the Proximal Interphalangeal Joint. An Anatomic and Collagenase Clostridium Histolyticum: Diathesis and Other Clinical Study Disease Factors Aldo G. Beltran Pardo, MD, Cirugía de Mano, Hospital Central Policía Catherine Curtin, MD, Division of Plastic Surgery, Stanford University, Nacional, Bogotá, Colombia and Camilo Romero, MD Palo Alto, CA, Brian Cohen, PhD Cirugía de Mano, Universidad El Bosque, Colombia Auxilium Pharmaceuticals, Inc, Malvern, PA 9:04 am – 9:06 am 8:24 am – 8:26 am 59. Pediatric Thenar Flaps: A Case Series 52. Safety and Efficacy of Concurrent Collagenase Clostridium Michael W. Chu, MD, Jason S. Barr, BA, Vishal Thanik, MD, Jamie P. Histolyticum Injections to Treat Multiple Dupuytren’s Cords Levine and Sheel Sharma, MD F. Thomas Kaplan, MD1, Stephen Coleman, MBBS2, David Gilpin, Institute of Reconstructive Plastic Surgery, New York University School of MBBS2, Anthony Houston, MBBS3, Gregory J. Kaufman, MD4, Brian M. Medicine, New York, NY Cohen, PhD4, Nigel Jones, BSc5 1Indiana Hand Center, Indianapolis, IN, 2Brisbane Hand & Upper Limb 9:06 am – 9:11 am Panel Discussion Center, Brisbane, Australia, 3Private Practice Clinic, Redcliffe Hospital, James P. Higgins, MD Jeffrey B. Friedrich, MD Andrea Bauer, MD Redcliffe, Australia, 4Auxilium Pharmaceuticals, Inc, Malvern, PA, Amir Tagihinia, MD 5Auxilium Pharmaceuticals, Inc, Windsor, United Kingdom 39 9:11 am – 9:13 am 10:05 am – 10:07 am 60. Arterial Injury of Forearm in Well-perfused Limb: Can It Wait? 67. Chondroitinase and Insulin-like Growth Factor Promote Min Jung Park, MD, MMSc1, Itai Gans, BA1, Ines C. Lin, MD2, L. Scott Nerve Regeneration after Limb Transplantation 1 1 1 Levin, MD, FACS1, David J. Bozentka, MD1, David R. Steinberg, MD3 Nataliya Kostereva, PhD , Yong Wang, MD , Jignesh Unadkat, MD , 1 1 2 1Department of Orthopedic Surgery, University of Pennsylvania, Rami Zanoun, MD , Wensheng Zhang, PhD , Timothy Ng, MD , Xin 1 1 Philadelphia, PA, 2Division of Plastic Surgery, Hospital of the University Xiao Zheng, MD , Vijay Gorantla, MD, PhD 1 2 of Pennsylvania, Philadelphia, PA, 3University of Pennsylvania, Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, Surgery, Philadelphia, PA University of Pittsburgh, Pittsburgh, PA

9:13 am – 9:15 am 10:07 am – 10:09 am 61. Does Prior Axillary Lymph Node Dissection Affect Radial 68. Adult Rat Mesenchymal Stem Cells Delay Forearm Free Flap Reliability: Denervated Muscle Atrophy A Single Surgeon’s Seventeen Year Experience Junjian Jiang, PhD Clifford Thomas Pereira, MD, Travis Shiba, MD, Joel Sercarz, MD, Department of Hand Surgery, Huashan Hospital, Fudan University, Elliot Abemayor, MD, Vishad Nabili, MD, Keith Blackwell, MD Shanghai, China Division of Plastic Surgery, UCLA, Los Angeles, CA 10:09 am – 10:17 am Panel Discussion 9:15 am – 9:17 am Ranjan Gupta, MD, Steve K. Lee, MD, Roger Cornwall, MD; Jorge 62. Known Pre-operative DVT and/or Pulmonary Embolus – Boretto, MD To Flap or Not to Flap the Severely Injured Extremity? Ian L. Valerio, MD, MS, MBA1, Jennifer Sabino, MD1, Reed Heckert, MD2, 10:17 am – 10:19 am Scott M. Tintle, MD2, Mark Fleming, DO2 and Anand Kumar, MD3, 69. Sequelae Following Use of Sural Nerve for Nerve 1Plastic and Reconstructive Surgery, Walter Reed National Military Reconstruction Medical Center, Bethesda, MD, 2Department of Orthopaedics and Lars B. Dahlin, MD, PhD, Alexander Hallgren, MD, Anette Chemnitz, Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD, Anders Björkman, MD, PhD MD, 3Division of Plastic and Reconstructive Surgery, University of Hand Surgery, Department of Clinical Sciences Malmö, Malmö, Sweden Pittsburgh Medical Center, Pittsburgh, PA 10:19 am – 10:21 am 9:17 am – 9:22 am Panel Discussion 70. Restoration of Peripheral Nerve after Acute Injury Using Epineural Sheath Conduit Enhanced with Bone Marrow Stromal 9:22 am – 9:27 am Cells in Diabetic Conditions Overview: Congenital Miroslaw Lukaszuk, MD, Halil Safak Uygur, MD, Maria Madajka, PhD Andrea Bauer, MD and Maria Siemionow, MD, PhD, DSc Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH 9:27 am – 9:29 am 63. The Use of Bilobed Flap in Syndactly Release 10:21 am – 10:23 am Cihan Sahin, MD, Ozge Ergun, MD 71. Recovery Outcomes of Short Gap Sensory Nerve Repairs Plastic and Reconstructive Surgery, Kasimpasa Military Hospital, with Processed Nerve Allografts from a Multi-center Registry Istanbul, Turkey Study Brian Rinker, MD1, Renata V. Weber, MD2, John Ingari, MD3, Bauback 4 4 4 9:29 am – 9:31 am Safa, MD , Darrell Brooks, MD and Gregory M. Buncke, MD 1 64. Developing a Pollicization Outcomes Measure Division of Plastic Surgery, University of Kentucky, Lexington, KY, 2 Dan Zlotolow, MD1, Sarah Ashworth, OTR1, Scott Kozin, MD1, Institute for Nerve, Hand, and Reconstructive Surgery, Rutherford, 3 4 Joshua Abzug, MD2 NJ, WellSpan Health Orthopedics, York, PA, The Buncke Clinic, San 1Shriners Hospital for Children Philadelphia, Philadelphia, PA, Francisco, CA 2Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD 10:23 am – 10:33 am Panel Discussion AAHS Program Friday, January 11, 2013 January 11, Friday, AAHS Program 9:31 am – 9:33 am 10:33 am – 10:38 am 65. Metacarpal Synostosis: Treatment with a Longitudinal Overview: Brachial Plexus Osteotomy and Bone Graft Substitute Interposition Steve K. Lee, MD Hilton P. Gottschalk, MD1, Michael Bednar, MD1, Molly Moor, MPh2, Terry Light, MD1 10:38 am – 10:40 am 1Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL, 72. Traumatic Brachial Plexus Palsy: How Accurate is the 2Loyola University Medical Center, Maywood, IL Pre-operative Diagnosis? Peter M. Murray, MD, Michael B. Wood, MD 9:33 am – 9:35 am Department of Orthopedic Surgery/Division of Hand Surgery, Mayo 66. The Surgical Treatment of Camptodactyly and Reversal of Clinic, Jacksonville, FL Radiographic Changes in Children David T. Netscher, MD, Kristy L. Hamilton, BA 10:40 am – 10:45 am Department of Orthopedic Surgery and Division of Plastic Surgery, 73. Natural Course of Brachial Plexus Injuries and the Alteration Baylor College of Medicine, Houston, TX of this Trajectory through Tendon Transfers Eric Wagner, MD, Mayo Clinic, Rochester, MN, Bassem T. Elhassan, MD 9:35 am – 9:45 am Panel Discussion Orthopaedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN 9:45 am – 10:00 am Coffee Break with Exhibitors 10:45 am – 11:00 am Panel Discussion 10:00 am – 11:00 am Session 9: Nerve/ Brachial Plexus Moderator: Ranjan Gupta, MD

10:00 am – 10:05 am Overview: Nerve Ranjan Gupta, MD

40 11:00 am – 11:45 am Danyo Lecture 1:55 pm – 2:15 pm Moderators: Jesse B. Jupiter, MD, DRUJ/ TFCC James W. May, Jr., MD, FACS Speaker: Warren C. Hammert, MD Gain Without Pain, The Dawn Of Elective Surgery James W. May is most recognized for his teaching, 2:15 pm – 2:35 pm having won teaching awards at the Massachusetts Scaphoid Fractures/ Nonunions General Hospital and at Harvard University. He has Speaker: Thomas B. Hughes, MD been elected as a member of the Academy of the Harvard Medical School. He was recognized by the American 2:35 pm – 2:55 pm Society of Plastic Surgeons in 2006 with the life-time Educational Carpal Instability Award. During the Danyo Lecture, Dr. May will discuss the history Speaker: Steven L. Moran, MD of the first public demonstration of ether anesthesia at the Massachusetts General Hospital. In addition, he will examine 2:55 pm – 3:15 pm the lessons learned from the men who made this event possible Wrist Arthritis and will explore current challenges facing modern educators in Speaker: Gregory Rafijah, MD Hand Surgery. 3:15 pm – 3:30 pm Break

11:45 am – 12:45 pm 3:30 pm – 3:50 pm Joint AAHS/ ASPN Panel: Complex Elbow Trauma Flexor and Extensor Tendon Injuries AAHS Program Friday, 11, January 2013 Moderator: Robert J. Spinner, MD Speaker: Jeffrey B. Friedrich, MD Panelists: Jesse B. Jupiter, MD; David C. Ring, MD; Susan E. Mackinnon, MD 3:50 pm – 4:10 pm Nerve Injuries – Repair, Grafting, Transfer Achieving both stability and mobility of the elbow joint in a Speaker: Randip R. Bindra, MD complex elbow trauma is no easy task. The problem is even more challenging when the nerves around the joint are involved. This 4:10 pm – 4:30 pm panel features experts who deal with this situation on a regular Nerve Compressions/ CRPS basis and will present the pearls and pitfalls in the management of Speaker: Alexander M. Spiess, MD these difficult injuries. 4:30 pm – 4:50 pm 12:45 pm – 1:30 pm Annual Business Meeting (not for credit) Finger Fractures and Dislocations (AAHS Members Only) Speaker: David Dennison, MD

12:45 pm – 1:45 pm Lunch with Exhibitors 4:50 pm – 5:10 pm Basal Joint Arthritis 1:30 pm – 5:50 pm Speaker: Asif M. Ilyas, MD Comprehensive Hand Review Course Chair: Warren C. Hammert, MD 5:10 pm – 5:30 pm Experienced faculty will deliver a comprehensive review of Tendinopathies and Dupuytren’s Contracture commonly encountered hand and upper extremity conditions. They Speaker: Sanjeev Kakar, MD will cover principles of diagnosis and treatment, while providing an overview of conditions encountered on board examinations 5:30 pm – 5:50 pm and resident in-training examinations. The course is ideal for Tumors in the Upper Extremity residents, fellows and hand therapists who wish to increase depth of Speaker: E. Gene Deune knowledge in hand surgery as well as surgeons in practice seeking a knowledge update or preparing for a MOC exam. 2:00 pm – 4:00 pm Open Guest Activity Volleyball on the Beach Objectives: Following this course, the participant will be able to: 1. Discuss non-operative and operative treatment approaches for 7:00 pm – 10:00 pm Annual Meeting Dinner Dance 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 carpal and DRUJ conditions, peripheral nerve, tendon and other common problems. 5. Compare different treatment methods to avoid complications and improve patient outcomes

1:30 pm – 1:35 pm Introduction Warren C. Hammert, MD

1:35 pm – 1:55 pm Distal Radius Fractures/ Forearm Fractures Speaker: David C. Ring, MD

41 2013 AAHS Electronic Poster Listing P1. Ulnar Collateral Ligament Strain of the Thumb P11. Evaluation of an examination maneuver for Ulnocarpal Metacarpophalangeal Joint: Biomechanical Comparison of Two Instability: a Biomechanical Study Postoperative Immobilization Techniques Christopher J. Dy, MD1, Anna-Lena Makowski2, Edward Milne, BS3, John R. Lien, MD, Abhishek Julka, MD, Alexander Brunfeldt, MS and David Kaimrajh, MS3, Loren Latta, PhD, PE3, E. Anne Ouellette4, Jeffrey N. Lawton, MD Richard J. Harrison Jr, MD5 Orthopaedic Surgery, University of Michigan Health System, Ann Arbor, MI 1Hospital for Special Surgery, New York, NY, 2Physicians For The Hand/The Hand Place, Coral Gables, FL, 3Max Biedermann Institute for Biomechanics/ P2. Subcoracoid Impingement is a Variant of Thoracic Outlet Mt Sinai Medical Center, Miami Beach, FL, 4Physicians For The Hand, Coral Syndrome Found in Neonatal Brachial Plexus Palsy Gables, FL, 5Viera Sports Medicine/Orthopedic Center, Melbourne, FL Kevin J. Little, MD1, Charles T. Mehlman, DO, MPH1, Linda Michaud, MD2 1Orthopaedic Surgery, Cincinnati Children’s Hospital, University of P12. Triqutral Rotational Index: Cincinnati, Cincinnati, OH, 2Physical Medicine and Rehabilitation, A Measure of Ulnocarpal Instability Cincinnati Children’s Hospital, University of Cincinnati, Cincinnati, OH Christopher J. Dy1, Arianna Trionfo, MD2, Anna-Lena Makowski3, Edward Milne, BS4, Loren Latta, PhD, PE4, E. Anne Ouellette3 P3. An Uncommon Treatment for an Uncommon Entity: 1Hospital for Special Surgery, New York, 2UMDNJ, Camden, 3Physicians For Reconstruction of Traumatic Pseudoaneurysms of the Superficial The Hand/The Hand Place, Coral Gables, FL, 4 Max Biedermann Institute for Palmar Arch. Literature Review and Report of Two Unique Cases Biomechanics, Miami Beach, FL Patrick L. Reavey, MD, MS, P. Niclas Broer, MD, Michael Alperovich, MD, Lawrence Draper, MD, Sheel Sharma, MD P13. Access to Upper Extremity Care for People with Tetraplegia: Institute of Reconstructive Plastic Surgery, New York University Langone An International Perspective Medical Center, New York, NY Paige M. Fox, MD, PhD, Vincent Hentz, MD and Catherine Curtin, MD Division of Plastic and Reconstructive Surgery, Stanford University, P4. Peripheral TFCC Tears Cause Ulnocarpal Instability: Palo Alto, CA a Biomechanical Study Christopher J. Dy, MD1, Richard J. Harrison Jr., MD2, Anna-Lena P14. Endoscopic Cubital Tunnel Decompression - Makowski3, Edward Milne, BS4, Loren Latta, PhD, PE4, A Modified Technique E. Anne Ouellette, MD, MBA5 Chris Bainbridge, MBChB, FRCS, Nakul Kain, MBBS, MRCS 1Hospital for Special Surgery, New York, NY, 2Viera Sports Medicine/ Department of Hand Surgery, The Pulvertaft Hand Unit, Derby, Orthopedic Center, Melbourne, FL, 3Physicians For The Hand, Coral Gables, United Kingdom FL, 4Max Biedermann Institute for Biomechanics/Mt Sinai Medical Center, Miami Beach, FL, 5Physicians For The Hand, Coral Gables, FL P15. Feasibility of Outpatient Fixation of Distal Radius fractures: Focus on Post-operative Pain Control P5. Antibiotic Bone Cement in the Treatment of Osteomyelitis: Hilton P. Gottschalk, MD1, R. Bindra, MD2, Michael Bednar, MD2, a Case Series of 3 Patients Molly Moor, MPh3, Terry Light2 Scott Licata1, David Ruchlesman, MD2 1Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL, 1Tufts University, Boston, MA, 2Orthopaedics, Newton-Wellesley Hospital, 2Department of Orthopaedics, Loyola Medical Center, Maywood, IL, Newton, MA 3Loyola University Medical Center, Maywood, IL

P6. Melorheostosis Involvement in the Upper Extremity P16. Surgical Options for Managing Recurrent and Persistent Stephanie Nicole Toomey, OTR/L, CHT, Mary L. Jurisson, MD, Mary Carpal Tunnel Syndrome Pyfferoen, PT, Leah Johnson, OTR/L Pobe Luangjarmekorn, MD, Tsu-Min Tsai, MD Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY

P7. Comparison of the Modified Nelson Thumb Score to the DASH P17. Hydrophilic Polymers Prolong Distal Axon Survival for Patient Outcome Assessment of Basal Joint Arthritis after Allografting

AAHS Electronic Poster Listing AAHS Electronic Poster Michael Fitzmaurice, MD Charles Rodriguez-Feo, BS1, Kevin Sexton, MD2, L. B. Nanney, PhD2, Bruce Scottsdale Healthcare Hospital, Scottsdale, AZ Shack, MD2, W. P. Thayer, MD, PhD2 1Vanderbilt University School of Medicine, Vanderbilt University, Nashville, P8. Early Experience of Negative Pressure Wound Therapy on TN, 2Department of Plastic Surgery, Vanderbilt University, Nashville, TN Composite Graft Repair of Fingertip Amputation Chung-Chen Hsu, MD, Cheng-Hung Lin, MD, Yu-Te Lin, MD, P18. Systematic Review of Intramedullary Fixation for Chih-Hung Lin, MD, Metacarpal Fractures Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Joseph P. Corkum, BEng, MS, Peter G. Davison, BSc, MD, Donald H. Chang Gung University, Taoyuan, Taiwan Lalonde, BSc, MSc, MD Plastic Surgery Dept, Dalhousie University, Saint John, NB, Canada P9. Spraying bFGF for Successful Fingertip Replantation Kensuke Tashiro, MD1, Isao Koshima, MD1, Takeshi Todokoro, MD1 and P19. 1st CMC Arthroplasty Combined with Radial Approach for Taku Iwamoto, MD2 Carpal Tunnel Release Procedure – Follow up and Outcome 1The University of Tokyo, Tokyo, Japan, 2Tomei Atsugi Hospital, Xueyuan Li, PHD, Tsu-Min Tsai, MD, Silvia Aviles and Saad Elrahmany, Atsugi, Japan Kleinert Kutz Institute for Hand Surgery, University of Louisville, Louisville, KY P10. Randomized Clinical Trial for Surgical Treatment - Proximal Phalanx Fractures - MIPO versus lateral plate P20. Meniscal Allograft Arthroplasty for the Treatment of Marcio A. Aita, MD, Gasparotti Eduardo, Resident, Alvaro Baik Cho, MD, Trapeziometacarpal Arthritis of the Thumb Rafael Saleme Paul Scott Shapiro, MD1, Edward Diao, MD2 Orhtopaedic Surgery Department, Faculdade de Medicina do ABC, 1Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, MI, Santo Andre, Brazil 2Orthopaedic Surgery, California Pacific Medical Center, San Francisco, CA

P21. The Use of Collagan Conduits in Treatment of Brachial Plexus Birth Palsy: a Comparative Cohort Study Felicity G. Fishman, MD1, Andrea S. Bauer, MD2, Michelle A. James, MD2, Ann E. Van Heest, MD1 1Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, 2Department of Orthopaedic Surgery, Shriners Hospital 42 for Children Northern California, Sacramento, CA P22. Differences in Volar Plating Systems for Distal Radius Fractures: A Report on the Perceptions of P34. Redefining the Supraclavicular Anatomy of the Industry Representatives Brachial Plexus Jason Hyunsuk Ko, MD, Andrew J. Watt, MD, Stephen A. Kennedy, MD, Sophia Leung, MD1, Dan Zlotolow, MD2, Scott Kozin, MD2, Lucie Krenek, MD, Jeffrey B. Friedrich, MD Joshua Abzug, MD1 University of Washington, Seattle, WA 1Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD, 2Shriners Hospital for Children Philadelphia, P23. Vehicle Factors and Outcomes Associated with Hand-out- Philadelphia, PA window Motor Vehicle Collisions Adam J. Bakker, MD1, Jessica Moseley, BA, BS2, Jeffrey Friedrich, MD3 P35. Carpometacarpal Dislocation Classification System for 1Orthopedics and Sports Medicine, University of Washington, Seattle, WA, Treatment and Prognosis 2Surgery, University of Washington, Seattle, WA, 3Surgery and Orthopedics, Emily Nuse, MD, Nicholas Noce, MD, John Rawlings, MD University of Washington, Seattle, WA Orthopaedic Surgery, Madigan Army Medical Center, Tacoma, WA

P24. Five and a Half Week Old Flexor Pollicis Longus Laceration: P36. Landmarks and Measurements in the Treatment of Wide Awake Primary Repair, FDS Transfer, or Palmaris Longus Trigger Thumb Tendon Graft? Ronak Patel, MD, Brian Chilelli, MD, Andre Ivy, MD, David Kalainov, MD Peter G. Davison, BSc, MD, Donald H. Lalonde, BSc, MSc, MD Orthopaedic Surgery, Northwestern University, Chicago, IL Plastic Surgery, Dalhousie University, Saint John, NB P37. Interpositional Arthroplasties with Swanson Prosthesis for P25. Post-operative Management of Dupuytren’s Disease with Osteoarthritis of the Trapeziometacarpal Joint – Topical Nitroglycerin Early to Mid-term Results Russell E. Kling, BA1, Patrick I. Emelife, BA2, Ronit Wollstein, MD1 Cynthia Tsang, MBChB, Erez Avisar, MD, Elliot Sorene, MB, BS, FRCS 1Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, Department of Trauma & Orthopaedics, University College Hospital, 2University of Pittsburgh, Pittsburgh, PA London, United Kingdom AAHS Electronic PosterAAHS Electronic Listing P26. New Technique for Anatomic Reconstruction of the P38. A Comparison Of Two Pyrolytic Carbon Hemiarthoplasty Scapholunate Ligament with Tendon Graft and SwiveLock Anchor Implants In The Treatment Of Trapezial-metacarpal Arthritis Fixation: A Biomechanical Cadaveric Study Mark A. Vitale, MD, MPH, Marco Rizzo, MD, Steven L. Moran, MD Timothy McGrath, MD1, Nikola Zivaljevic, MD, MBA, MHMS2 Division of Hand Surgery, Mayo Clinic, Rochester, MN 1Hand and Upper Extremity Surgery, Excelsior Orthopaedics, Amherst, NY, 2Department of Orthopaedic Surgery, SUNY at Buffalo, Buffalo, NY P39. Double Y or H Incisions for Excision of “Giant” Giant Cell Tumors of the Tendon Sheath; Report of 30 Cases P27. Osteochondral Autograft Transplantation for Articular Melissa S. Arief, MD, MHS, Mukund Patel, MD Defects in the Hand and Wrist Orthopedic Surgery, SUNY Downstate Medical Center, Brooklyn, NY Paul A. Sibley, DO1, Sidney M. Jacoby, MD2, Abdo Bachoura, MD2, Randall W. Culp, MD2 P40. Expression Analysis of Macrodactyly Identifies 1Department of Orthopedics, Philadelphia College of Osteopathic Pleiotrophin Upregulation Medicine, Philadelphia, PA, 2The Philadelphia Hand Center, Thomas Frank Lau, MD1, Fang Xia2, Adam Kaplan2, Felecia Cerrato1, Jefferson University, Philadelphia, PA Arin K. Greene, MD1, Amir Taghinia, MD1, Chad A. Cowan, PhD2, Brian I. Labow, MD1 P28. Results of Distal Radius Fracture Reduction in the Emergency 1Department of Plastic and Oral Surgery, Boston Children’s Hospital, Department With or Without Fluoroscopic Assistance Boston, MA, 2Center for Regenerative Medicine and Cardiovascular Nicholas Crosby, MD, Daniel Tayag, MD, Tom Hong, MD, Research Center, Massachusetts General Hospital, Boston, MA John Lubahn, MD Orthopaedics, UPMC Hamot, Erie, PA P41. Open Carpal Tunnel Release with Use of a Nasal Turbinate Speculum P29. Intracellular Signalling in Schwann cells after Nerve Injury Raghuveer Muppavarapu, MD, David Ruchelsman, MD, Mark Belsky, MD and Repair in Healthy and Diabetic Rats Hand Surgery PC, Newton Wellesley Hospital, Newton, MA Lars B. Dahlin, MD, PhD1, Lisa Martensson, PhD2, Lena Stenberg, PhD1, Martin Kanje, PhD2 P42. Ropivacaine Induced Toxicity by Local Conduction 1Department of Clinical Sciences Malmö - Hand Surgery, Lund University, Anesthesia and Treatment Using Lipid Emulsion Infusion Malmö, Sweden, 2Department of Biology, Lund University, Lund, Sweden Yukihiko Obara1, Toshiyasu Nakamura2, Eiko Yamabe2 1Orthopedics department, Saitama Social Insurance Hospital, Saitama, P30. Anatomical Study as a Basis for Endoscopic Cubital Japan, 2Department of Orthopaedic Surgery, School of Medicine, Tunnel Release Keio University, Tokyo, Japan Ather Mirza, MD, Justin B. Mirza, DO Ather Mirza, MD, Smithtown, NY P43. Cortical Thickness: A Determinant of Malrotation for Diaphyseal Both Bone Forearm Fractures? P31. Wrist Hemiarthroplasty: A Motion-sparing Treatment Meredith Osterman, MD1, Joshua Abzug, MD2, David Zelouf1, Scott Alternative for Wrist Arthritis Kozin, MD3, Dan Zlotolow, MD3 Dzi-Viet Nguyen, DO1, H. Brent Bamberger, DO2, Marc Trzeciak, DO2 1Department of Orthopaedic Surgery, Thomas Jefferson University 1Orthopedic Surgery, Grandview Hospital and Medical Center, Dayton, Hospital, Philadelphia, PA, 2Department of Orthopaedic Surgery, 2Grandview Hospital and Medical Center, Dayton, OH University of Maryland, Baltimore, MD, 3Shriners Hospital for Children Philadelphia, Philadelphia, PA P32. Predictors of Missed Appointments in a Randomized Placebo-Controlled Trial P44. Multiplanar Wrist Joint Proprioception: The Effect of Stéphanie J.E. Becker, MD1, Thierry Guitton2, David C. Ring, MD, PhD1 Anesthetic Blockade of the Posterior Interosseous Nerve or Skin 1Orthopaedic Hand and Upper Extremity Service, Massachusetts General Envelope Surrounding the Joint Hospital, Boston, MA, 2Department of Orthopaedic Surgery, Academic Kenneth F. Taylor, MD, Robert J. Lachky, Vanessa M. Meyer, Medical Center, Amsterdam, Netherlands Laurel B. Coffey, Michael B. Lustik Orthopaedic Surgery Service, Tripler Army Medical Center, Honolulu, HI P33. Evaluation of Surgical Management of Polydactyly Ian Craig Hoppe, MD Plastic Surgery, New Jersey Medical School - UMDNJ, Newark, NJ 43 2013 AAHS Electronic Poster Listing

P45. 3D - Computed Tomography Analyses of Intramedullary P55. 3-bone Intercarpal Fusion Using a Novel, Variable Angle, Headless Screw Fixation of Metacarpal Neck Fractures Radiolucent Plate Paul Willem Louis Ten Berg, MSc1, Chaitanya S. Mudgal, MD2, Matthew Noah Raizman, MD, MFA1, Ngozi Mogekwu Akabudike, MD2, Peter J. Leibman, MD3, Mark Belsky, MD4, David Ruchelsman, MD4 Evans, MD, PhD, FRCSC2 1Academic Medical Centre (AMC), Amsterdam, Netherlands, 2Hand & 1Orthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, Upper Extremity Service, Mass General Hospital / Harvard Medical School, OH, 2Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH Boston, MA, 3Hand Surgery PC, Newton-Wellesley Hospital/Tufts University School of Medicine, Newton, MA, 4Hand Surgery PC, Newton Wellesley P56. Echogenicity and Stiffness Changes of Healing Flexor Hospital, Newton, MA Digitorum Profundus Tendons in Zone II: a Rabbit Model Danielle M. Stoll1, Jonathan L. Tueting, MD2, Sarah Duenwald-Kuehl, P46. New Method of Mallet Fracture Fixation using a Hook Plate PhD1, Ellen M. Leiferman, DVM1, Ray Vanderby Jr, PhD1 Yields Good Anatomic Alignment and Function 1Orthopedics and Rehabilitation, University Wisconsin Madison, Madison, Haritha B. Veeramachaneni, MD, Brad Edgerton WI, 2Orthopedic Surgery, University Wisconsin Madison, Madison, WI Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, CA P57. Manipulation under Anesthesia: An Effective Treatment for Stiffness After Proximal Row Carpectomy P47. Rac1 Activity Maintains the Human Tenocyte Phenotype Devan Griner, MD1, Clay Spitler, MD2, Chris Pankiw, MD2, Rowena McBeath, MD, PhD1, A. Lee Osterman, MD1, D.Marshal Jemison, MD1 Andrzej Fertala, PhD2 1Department of Plastic Surgery, University of Tennessee College of 1The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, Medicine, Chattanooga, TN, 2Department of Orthopaedic Surgery, PA, 2Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA University of Tennessee College of Medicine, Chattanooga, TN

P48. Retrospective Review of the Use of Ultrasound Guidance P58. Distal Radius Fractures and the Volar Marginal Fragment: While Injecting Collagenase Clostridium Histolyticum (Xiaflex®) Spring Wire Fixation in Addition to Locked Volar Plate Fixation into a Dupuytren’s Cord Amy M. Moore, MD1, David Dennison, MD2 Paul J. DeMarco, MD, FACP, FACR1, Ashley D. Beall, MD1, Alan K . 1Division of Plastic and Reconstructive Surgery, Washington University Matsumoto, MD1, Herbert S.B. Baraf, MD1, David R. Mandel, MD2 School of Medicine, St. Louis, MO, 2Orthopaedic Surgery, Div Hand Surgery, 1Arthritis, Rheumatism Associates, Wheaton, MD, 2Private Practice, Mayo Clinic, Rochester, MN Mayfield Village, OH P59. Combined Medialis Pedis and Medial Plantar P49. Outcomes and Recurrence Rates of Arthroscopically Resected Fasciocutaneous Flaps Reconstruct Skin Defects of Multiple Digits Dorsal Wrist Ganglion with a Minimum 4-Year Follow up Period with Reducing Times of Flap Division and Function Loss C. H. Fernandes, MD, L. M. Meirelles, PHT, J. B. G. Santos, MD, J. Raduan Hideki Ueyama, MD, Mitsuhiro Okada, MD, PhD, Takuya Uemura, MD, Neto, MD, F. Faloppa, MD PhD, Mikinori Ikeda, MD, Hiroaki Nakamura, MD, PhD Orthopedic and Traumatology Department/Hand Surgery Group, Department of Orthopaedic Surgery, Osaka City University Graduate Sao Paulo Federal University, Sao Paulo, Brazil School of Medicine, Osaka, Japan

P50. Basal Thumb Stabilization Using Percutaneous Suture Button P60. Complications of One-Bone Forearm Surgery Fixation: Technique and Outcome Lee Diprinzio, BS1, Abdo Bachoura, MD1, Sidney M. Jacoby, MD2, Andrew K. Lee, MD, Mark Khorsandi, DO A. Lee Osterman, MD1, Randall W. Culp, MD1 Department of Orthopedic and Hand Surgery, American Total 1The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, Orthopedics/Brown Hand Center, Houston, TX PA, 2Department of Orthopaedic Surgery, Thomas Jefferson University

AAHS Electronic Poster Listing AAHS Electronic Poster Hospital, Philadelphia, PA P51. Flap Options for Limb Salvage: The Increased Use of Skin/ Perforator Flaps P61. Outcomes Following Total Joint Arthroplasty of the Distal Jennifer Sabino, MD1, Ian L. Valerio, MD, MS, MBA1, Radioulnar Joint in Rheumatoid Arthritis Patients Mark Shashikant, MD2 Elkin Galvis, MD1, Joel Pessa2, Luis Scheker1 1Plastic and Reconstructive Surgery, Walter Reed National Military Medical 1Hand Surgery, Christine M. Kleinert Institute for Hand and Microsurgery, Center, Bethesda, MD, 2Plastic and Reconstructive Surgery, Fort Belvoir Louisville, KY, 2Plastic Surgery, UT Southwestern Medical Center, Dallas, TX Community Hospital, Fort Belvoir, VA P62. Repair of a Segmental Peripheral Nerve Injury with an P52. Arthroscopic Radial Styloidectomy for Scapholunate Aligned-Nanofiber Conduit Filled with a Collagen and Hyaluronan Advanced Collapse and Scapholunate Nonunion Advanced Hydrogel in a Rat Model Collapse Wrists Sonja Limburg, MD1, Sunil Kumar Joshi, BA1, Rebeccah Landmann, MS1, Anna Walden, DC1, Tyson Cobb, MD2 Jenny Jin, MD1, Qia Zhang, BA1, Hubert Kim, MD, PhD2, 1Clinical Research, Palmer Center for Chiropractic Research, Davenport, IA, Alfred Kuo, MD, PhD1 2Director of Hand Surgery, Orthopaedic Specialists, PC, Davenport, IA 1Department of Orthopaedic Surgery, San Francisco VA Medical Center, San Francisco, CA, 2Department of Orthopaedic Surgery, University of P53. Correlation of Ulnar Variance on MRI and Plain Radiographs California, San Francisco, CA Natalie Marie Egge, MD1, Hartley Sirkis, MD2, Lacey McIntosh, DO2, Wenyun Yang, MS3, Marci Jones, MD4 P63. Hand Call Availability Correlates with Metropolitan 1Department of Orthopedic Surgery, University of Massachusetts, Location in TN Worcester, MA, 2Department of Radiology, University of Massachusetts, Joshua Anthony1, Victoria Poole2, Kevin Sexton, MD3, Melissa Mueller4, Worcester, MA, 3Department of Quantitative Health Sciences, University of Bruce Shack4,Wesley Thayer, MD, PhD3 Massachusetts, Worcester, MA, 4Department of Orthopedic Surgery, Hand 1School of Medicine, Meharry Medical College, Nashville, TN, 2School and Upper Extremity Division, University of Massachusetts, Worcester, MA of Biomedical Engineering, Purdue University, West Lafayette, IN, 3Department of Plastic Surgery, Vanderbilt University, Nashville, TN, P54. Percutaneous Release of the A1 Pulley: A Cadaveric Study 4School of Medicine, Vanderbilt University, Nashville, TN Rohan Ashok Habbu, MS, MBBS, Julie E. Adams, MD, Matthew D. Putnam, MD, Department of Orthopaedics, University of Minnesota, Minneapolis, MN 44 P64. The Impecunious Treatment for Chronic Paronychia and P74. Four Popular Donor Muscle Insertion Sites for Opposition Ingrown Fingernails: Back to the Future Tendon Transfers Produce Similarly Mis-directed Grasp Wyndell Merritt, MD Force Vectors Orthopaedic Research of Virginia, Henrico, VA Joseph D. Towles, PhD1, Maciej Krolikowski2, Sean Hannon2, Mark McDaniel, MD3, Michael Bednar, MD3, Avinash Patwardhan, PhD3 P65. Stability of Dorsal PIP joint Fracture Dislocations: a 1Department of Mechanical Engineering, University of Wisconsin Madison, Biomechanical Study Madison, WI, 2Rehabilitation R&D Service, Edward Hines Jr. VA Hospital, Andrew Robert Tyser, MD, Kenneth Means Hines, IL, 3Department of Orthopedic Surgery and Rehabilitation, Loyola Curtis National Hand Center, Baltimore, MD University Chicago, Maywood, IL

P66. Evaluation of the Scratch Collapse Test for the Diagnosis of P75. Stress View Radiograph in Normal and Arthritic Thumbs: The Carpal Tunnel Syndrome Effect of Intermetacarpal Angle and Load Heeren S. Makanji, MS, Stéphanie J.E. Becker, MD, Erin Kelly Campaigniac, MD, Chason Ziino, BA, Laura Ferraro, BA, Chaitanya S. Mudgal, MD, Jesse B. Jupiter, MD, David C. Ring, MD, PhD Federico Martinez, MD, Travis Peterson, DO, Wenyun Yang, MS, Thomas Orthopaedic Hand and Upper Extremity Service, Massachusetts General Breen, MD, Marci Dara Jones, MD Hospital, Boston, MA Department of Orthopedic Surgery, University of Massachusetts, Worcester, MA P67. The Role of Soft Tissues in Rigidity of Fracture Fixation of Upper Extremities; Application for Battlefield Use P76. The Second Data Milestone of an Expanded Enrollment E. Anne Ouellette, MD, MBA1; Winston Elliott, BS2; Loren Latta, PhD, PE3; from an Ongoing Multicenter Registry Study on the Use of Edward Milne, BS3; David Kaimrajh, MS3; Jason Lowe, MD4; Processed Nerve Allograft for Sensory, Mixed, and Motor Nerve Anna-Lena Makowski1, Eleanor Herndon, BS1; Check Kam, MD5; Reconstructions Prasad J. Sawardeker, MD6 Bauback Safa, MD1, Brian Parrett, MD1, Jozef Zoldos, MD2, John Ingari, 1Physicians For The Hand, Miami, FL, 2University of Colorado, Boulder, CO, MD3, Wesley Thayer, MD, PhD4, Brian Rinker, MD5, Darrell Brooks, MD1, 3Max Biedermann Inst for Biomech/University of Miami/Mt. Sinai Medical Gregory M. Buncke, MD1 Center, Miami, FL, 4University of Alabama, Birmingham, AL, 5Indiana 1The Buncke Clinic, San Francisco, CA, 2Arizona Center for Hand Surgery, 6 3 4

Hand to Shoulder Center, Indianapolis, IN, Allegheny General Hospital, Phoenix, AZ, WellSpan Health Orthopedics, York, PA, Department of PosterAAHS Electronic Listing Pittsburgh, PA Plastic Surgery, Vanderbilt University, Nashville, TN, 5Division of Plastic Surgery, University of Kentucky, Lexington, KY P68. Outcomes of Radial Shortening Osteotomy and Metaphyseal Core Decompression in Kienbock’s Disease P77. Relationships of Palmaris Longus and Long Finger Flexor Arush Patel, MD, Alidad Ghiassi, MD, Ryan Dellamaggiora, MD, Digitorum Superficialis Tendons to the Median Nerve and Ulnar Milan Stevanovic, MD, PhD Artery in the Proximal Carpal Tunnel Department of Orthopaedic Surgery, University of Southern California, Ebrahim Paryavi, MD1, James Wilkerson, MD1, David Zelouf, MD2, Los Angeles, CA Joshua Abzug, MD3 1Orthopaedics, University of Maryland School of Medicine, Baltimore, P69. Demographic Aspects of Pediatric Patients who have MD, 2Department of Orthopaedic Surgery, Thomas Jefferson University Undergone Ulnar Shortening Osteotomy Hospital, Philadelphia, PA, 3Department of Orthopaedics, University of Abdo Bachoura, MD1, Joshua Abzug, MD2, Sidney M. Jacoby1, Maryland Medical Center, Baltimore, MD Dan Zlotolow, MD3, Scott Kozin, MD3, Randall W. Culp4 1Philadelphia Hand Center, Philadelphia Hand Center, Philadelphia, PA, P78. Functional Donor Morbidity and Clinical Reliability of Radial 2Department of Orthopaedic Surgery, University of Maryland, Baltimore, Forearm Free Flaps in Patients with Raynauds Phenomenon MD, 3Shriners Hospital for Children Philadelphia, Philadelphia, PA, Clifford Thomas Pereira, MD, Travis Shiba, MD, Joel Sercarz, MD, Elliot 4Department of Orthopaedic Surgery, Thomas Jefferson University Abemayor, MD, Vishad Nabili, MD, Keith Blackwell, MD Hospital, Philadelphia, PA Division of Plastic Surgery, UCLA, Los Angeles, CA

P70. Treatment and Outcomes of Fingertip Injuries at a Large P79. Changes in Treatment Plan for Carpal Tunnel Syndrome Metropolitan Public Hospital Based on Electrodiagnostic Test Results Nicholas T. Haddock, MD, Katie E. Weichman, MD, Stelios C. Wilson, Feras Stéphanie J.E. Becker, MD, Heeren S. Makanji and Samra1, Patrick L. Reavey, MD, MS, Sheel Sharma, MD David C. Ring, MD, PhD Institute of Reconstructive Plastic Surgery, New York University Langone Orthopaedic Hand and Upper Extremity Service, Massachusetts General Medical Center, New York, NY Hospital, Boston, MA

P71. Increased Compliance of the Carpal Tunnel after Carpal P80. Teaching Flexor Tendon Repair Tunnel Release Samuel Buonocore, MD1, Marc Walker, MD, MPh1, Charlie Chen, MD1, Dong Hee Kim, MD1, Tamara L. Marquardt1, Joseph N. Gabra1, Zhilei Liu Niclas Broer, MD2, John W. Emerson, PhD3, J. Grant Thomson, MD1, Shen1, Peter J. Evans2, William H. Seitz3, Zong-Ming Li1 Michael K. Matthew, MD4 1Biomedical Engineering, Cleveland Clinic, Cleveland, OH, 2Hand & Upper 1Section of Plastic and Reconstructive Surgery, Yale University School of Extremity Surgery, Cleveland Clinic, Cleveland, OH, 3Orthopaedic Surgery, Medicine, New Haven, CT, 2Institute of Reconstructive Plastic Surgery, New Cleveland Clinic, Cleveland, OH York University, New York, NY, 3Department of Statistics, Yale University, New haven, CT, 4Department of Surgery, Section of Plastic Surgery, Yale P72. Clinical Applications of Pedicled Perforator Flaps for Upper University, New Haven, CT Limb Reconstruction Mitsuhiro Okada, MD, PhD1, Kiyohito Takamatsu, MD, PhD2, Takuya P81. Medication Adherence and Immunologic Activity in Upper Uemura, MD, PhD1, Mikinori Ikeda, MD1, Hideki Ueyama, MD1, Extremity Transplantation Hiroaki Nakamura, MD, PhD1 Vincent A. Chavanon, BA, Joseph E. Losee, MD, Daniel E. Foust, RN, BSN, 1Department of Orthopaedic Surgery, Osaka City University Graduate Vijay S. Gorantla, MD, PhD, Alexander M. Spiess, MD School of Medicine, Osaka, Japan, 2Department of Orthopaedic Surgery, Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA Osaka CIty General Hospital, Osaka, Japan P82. Decellularized Tendon-Bone Composite Grafts are Less P73. Chemical Cross-linking and Incorporation of Minerals in Immunogenic and Stronger than Untreated Grafts – an In Vivo Collagen-GAG Scaffolds Enhance In Vitro Osteogenesis Experimental Study in Rat Clifford Thomas Pereira, MD, Weibiao Huang, PhD, David Bischoff, PhD, Simon Farnebo, MD, PhD, Colin Woon, MD, Taliah Schmitt, MD, George Rudkin, MD, Dean Yamaguchi, MD, PhD, Timothy Miller, MD Hung Pham, BS, James Chang, MD Division of Plastic Surgery, UCLA, Los Angeles, CA Division of Plastic Surgery, Stanford University Medical Center, Palo Alto, CA 45 2013 AAHS Electronic Poster Listing

P83. Scaphoid Nonunions in Adolescents AAHS/ASPN/ASRM TAB Nash Naam, MD1, Abdel Hakim A. Massoud, MD2, Essam El Karef, MD3, Patrick Stewart, MD1, Lisa M. Sasso, MD1 1Plastic and Reconstructive Surgery, Southern Illinois Hand Center and Southern Illinois University, Effingham, IL,2 Department of Orthopedic Surgery, Al Azhar University, Effingham, IL, 3Orthopedic Surgery, Alexandria Universtiy, Alexandria, Egypt

P84. Pediatric Scapholunate Ligament Injuries Robert J. van Kampen, MD, Steven L. Moran, MD Department of Surgery, Division of Plastic Surgery, Mayo Clinic, Rochester, MN

P85. Patient Rated Outcomes of Anatomic Radioulnar Ligament Reconstruction Mark Henry, MD Hand and Wrist Center of Houston, Houston, TX

P86. The Declining Incidence of MRSA Hand Infections John Fowler, Mitchell Maltenfort, Asif M. Ilyas, MD Rothman Institute, Thomas Jefferson University, Philadelphia, PA

P87. Validity and Responsiveness of Patients’ DASH Scores as an Outcome Measure Following Ulnar Nerve Transposition for Cubital Tunnel Syndrome Gregory C. Ebersole, MS, MS, Kristen Davidge, MD, Marci Bailey, RN, MSN, Susan E. Mackinnon, MD Division of Plastic and Reconstructive Surgery, Washington University School of Medicine in St Louis, Saint Louis, MO

P88. Early motion following four-corner arthrodesis using headless compression screws: A biomechanical study Andrew Greenberg, MD, Mark Shreve, MD, Daniel Bazylewicz, MD, Michael Cohn, MD, Anthony Sapienza, MD Orthopaedic Surgery/ Division of Hand Surgery, The Hospital for Joint Diseases, New York, NY

P89. Clinical Outcomes of Limited-Open Retrograde Intramedullary Headless Screw Fixation of Metacarpal Fractures David Ruchelsman1, Mark Belsky1, Matthew Leibman1, Sameer Puri2 1Hand Surgery PC, Newton Wellesley Hospital, Newton, MA, 2Resident, Department of Orthopaedic Surgery, Tufts University School of Medicine, Boston, MA

P90. Diffusion Tensor Imaging and High Definition Fiber Tracking for AAHS Electronic Poster Listing AAHS Electronic Poster Monitoring Cortical Neurointegration after Human Hand Transplantation Vijay Gorantla, MD, PhD1, Vince Lee, BA2, Anto Bagic3, Fernando Boada, PhD2, Alexander Spiess4, Joseph Losee4 1Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, 2Radiology, University of Pittsburgh, Pittsburgh, PA, 3Neurology, University of Pittsburgh, Pittsburgh, PA, 4Plastic Surgery, University of Pittsburgh, Pittsburgh, PA

P91. Peripheral Cross-neurotization Inducing Unaffected Hemisphere Reorganization to Enhance the Motor Control of the Spastic Hemiplegic Hand in Central neurologic injury Wen-Dong Xu Department of Hand Surgery, Huashan Hospital, Shanghai, China

P92. Use of P4HB Membrane as a Barrier against Adhesion Formation after Flexor Tendon Repair in a Chicken Model Meredith Larsen, MD1, Randy Bindra, MD1, Sherri Yong, MD2 1Department of Orthopaedics, Loyola University Medical Center, Maywood, IL, 2Department of Pathology, Loyola University Medical Center, Maywood, IL

P93. A Mechanical Leech for Successful Zone I Replantation Sang Wha Kim, MD1, Sung No Jung, MD, PhD1, Youn Hwan Kim, MD, PhD2 1Department of Plastic and Reconstructive Surgery, The Catholic University of Korea, Uijongbu, South Korea, 2Department of Plastic and Reconstructive Surgery, Hanyang University, Seoul, Korea

46 AAHS/ASPN/ASRM Joint Meeting Continuing Medical Education

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 3.25 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 AAHS/ASPN/ASRM Continuing Education Medical patient-care options, participants will have a broader Disclosure Policy 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 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 of hand surgery, peripheral nerve and/or neural must be resolved and the educational content regeneration, and microneurovascular surgery and thoroughly vetted by ASPS for fair balance, scientific other complex reconstructions. objectivity, and appropriateness of patient care recommendations. The ASPS also requires faculty/ Learning Objectives authors to disclose when off-label/unapproved uses of Following completion of this activity, participants will a product are discussed in a CME activity or included be able to: in related materials. • Discuss clinical and basic science research. • Apply the high resolution MRI in imaging AAHS, ASPN, and ASRM will provide full disclosure traumatic lesions, nerve tumors or with other information for this activity as a separate handout. pathological conditions. If you do not receive this handout, stop by the • Discuss nerve transfers as a potential option for registration desk to request one. treating spinal cord injuries.

ABMS Core Competencies This program will address the following ACGME/ABMS Competencies: • Patient Care and Procedural Skills • Medical Knowledge • Systems-Based Practice

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) and 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.

47 48 AAHS/ASPN/ASRM DAY-AT-A-GLANCE

Saturday, January 12, 2013 AAHS/ASPN/ASRM Day-at-a Glance Saturday, 12, January 2013

6:00am – 3:00pm Speaker Ready Room Cypress 6:30am – 6:00pm Registration Royal Palm Foyer 6:30am – 2:45pm Exhibit Hall Hours Orchid Ballroom and Foyer 6:30am – 8:00am Breakfast with Exhibitors Orchid Ballroom and Foyer

7:00am – 8:00am AAHS/ASPN/ASRM Instructional Courses 201 Common Nerve Transfers to Restore Upper Extremity Mangrove I & II Function: Indications, Surgical Options and Post-Operative Therapy 202 Brachial Plexus Update Acacia V & VI 203 Targeted Reinnervation Banyan I-II 204 Cortical Reorganization Acacia VII 205 Avulsion Injuries of the Upper Extremity Acacia IV 206 The Future of Microsurgery Training: Acacia I-II Training Microsurgeons in the Era of Duty Hours, Patient Safety, and Quality Improvement

8:00am – 8:15am AAHS/ASPN/ASRM President’s Welcome Royal Palm IV-VIII

8:15am – 9:30am AAHS/ASPN/ASRM Panel: Tissue Engineering Royal Palm IV-VIII

9:30am – 10:00am Coffee Break with Exhibitors Orchid Ballroom and Foyer

10:00am – 11:00am AAHS/ASPN/ASRM Joint Outstanding Papers Royal Palm IV-VIII

11:00am – 12:00pm AAHS/ASPN/ASRM Joint Presidential Keynote Lecture Royal Palm IV-VIII Carl Hiaasen: Stranger Than Fiction

49 AAHS/ASPN/ASRM Combined Day Saturday January 12, 2013 205 Avulsion Injuries of the 6:30 am - 8:00 am Breakfast with Exhibitors Upper Extremity Acacia IV Moderator: Scott Hansen, MD 7:00 am – 8:00 am AAHS/ASPN/ASRM Instructional Courses Instructors: Amir Taghinia, MD; Babak Safa , MD Replantation is one of the most challenging problems we face- 201 Common Nerve Transfers to Restore particularly difficult in the setting of avulsion mechanisms. Find out Upper Extremity Function: Indications, how to tackle this difficult problem and improve your odds of success. Surgical Options and Objectives: Following this session, the participant will be able to: 1. Discuss challenges in replantation in the setting of avulsion Post-Operative Therapy mechanisms. Chair: Susan E. Mackinnon, MD Mangrove I & II 2. Utilize tools to improve odds of success in replantation. Instructors: Ida K. Fox, MD; Amy Moore, MD; Lorna Kahn, PT, CHT This course will discuss the indications, patient selection and surgical techniques for restoring upper extremity function with the use 206 The Future of Microsurgery Training: of nerve transfers after nerve injury and in tetraplegia. From the Training Microsurgeons in the Era of shoulder to the hand, reinnervation options for motor and sensory function will be described and the post operative therapy protocols Duty Hours, Patient Safety, and and expectations will be emphasized. Quality Improvement Acacia I & II Objectives: Following this course, the participant will be able to: 1. To establish an algorithm for treating a patient with a nerve injury. Moderator: Ruben Bueno, MD 2. To understand the options for restoring critical motor and sensory Instructors: Gordon Lee, MD; Anuja Antony, MD; Gustavo Perez- function to the upper extremity. Abadia, MD 3. To understand the importance of timing of nerve transfers after nerve injury. Training the next generation of microsurgeons while remaining 4. To gain knowledge of the post operative therapy protocols to compliant with duty hour regulations and hospital initiatives on enhance post operative function after nerve patient safety can be challenging to residency and fellowship 5. To establish use of distal nerve transfers in the tetraplegic patient program directors. Panelists will share their experiences in training population and discuss rationale, indications, pre-operative residents and fellows in a high-stakes learning environment. assessment, intra-operative tips and preliminary results. Objectives: Following this session, the participant will be able to: 1. Integrate new training techniques for microsurgeons in compliance with duty hour regulations, hospital initiatives and Brachial Plexus Update Acacia V & VI patient safety regulations. 202 2. Discuss experiences in following current regulations associated Instructors: Allen Belzberg, MD; Howard Clarke, MD, PhD with residency training programs. This course will review the relevant anatomy of the brachial plexus and the factors predictive of prognosis. The various surgical options for the typical injuries seen by peripheral nerve surgeons are 8:00 am - 8:15 am President Welcome (Not for credit) highlighted, as well as the evolution of the treatment algorithm. Objectives: Following this session, the participant will be able to: 1. Locate the relevant anatomy of the brachial plexus. AAHS/ASPN/ASRM Combined Day Saturday January 12, 2013 January 12, Saturday Day AAHS/ASPN/ASRM Combined 2. Determine the factors predictive of prognosis in the brachial plexus injury cases.

Jesse B. Jupiter, MD Robert J. Spinner, MD Michael W. Neumeister, MD 203 Targeted Reinnervation Banyan I & II AAHS President ASPN President ASRM President Instructors: Gregory Dumanian, MD; Paul Cederna, MD; Oskar Aszmann, MD

As prosthetics improve, the ability to interface the motor and sensory 8:15 am - 9:30 am systems becomes increasingly important. This course will review the anatomy, techniques and goals of targeted muscle and sensory AAHS/ASPN/ASRM Combined Panel: Tissue Engineering reinnervation. Moderator: Gregory Evans, MD, FACS Objectives: Following this session, the participant will be able to: Panelists: Geoffrey Gurtner, MD; Paul S. Cederna, MD; 1. Analyze the anatomy, techniques and goals of targeted muscle Raymond Dunn, MD and sensory reinnervation. Current and future prospects of tissue engineering in reconstruction in defects in the extremities. 204 Cortical Reorganization Acacia VII Objectives: Following this session, the participant will be able to: Instructors: Martijn Malessy, MD; Wendong Xu, MD 1. Discuss the role of Tissue Engineering in reconstruction in defects Peripheral alteration produced by neurotization often leads to in the extremtities. extensive functional reorganization of the sensorimotor cortex. This course will highlight the findings in cortical recognition and reorganization following intercostal nerve transfer and contralateral 9:30 am - 10:00 am Break with Exhibitors C7 transfer. Objectives: Following this session, the participant will be able to: 1. Discuss current findings in cortical recognition and reorganization. 50 2. Analyze findings in cortical recognition and reorganization following intercostal nerve transfer and contralateral C7 transfers. 10:00 am - 11:00 am AAHS/ASPN/ASRM Joint Outstanding Paper Presentations 10:54 am – 11:00 am Discussion Objective: The participants will be exposed to ongoing research in the field of hand, peripheral nerve and reconstructive surgery. 11:00 am - 12:00 pm Joint Presidential Keynote Lecture Moderators: David C. Ring, MD; Huan Wang, MD; AAHS/ASPN/ASRM Combined Day Saturday 12, January 2013 (Not for credit) James Higgins, MD; Michael Sauerbier, MD Stranger Than Fiction Carl Hiaasen, Novelist, Miami, Florida 10:00 am - 10:07 am A Prospective Randomized Study Comparing the Effectiveness Bestselling novelist and journalist Carl Hiaasen is of One versus Two Injections for Symptomatic Stenosing among South Florida’s most vital natural resources. Tenosynovitis (Trigger Finger) He writes in a comic style – Hiaasenesque – that combines thrilling plot lines, blunder-prone schemes, Charles Leinberry, MD1, Emran Sheikh, MD2, John Peters, BS3, Will headstrong men and women, corrupt politicians, and Sayde, MD4, James Dowdell, BS3 a loving nod to the natural landscape of South Florida. 1Rothman Institute, Thomas Jefferson University, Philadelphia, PA, Carl Hiaasen will present true weird stories of Florida 2Institute for Nerve, Hand and Reconstructive Surgery, Rutherford, NJ, and how they weave their way into the novels. 3Jefferson Medical College, Philadelphia, PA, 4Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 10:07 am - 10:14 am Improving Hand Function Through the Use of the FES Hand 12:00 pm Adjourn Glove 200 Yasmin Gonzalez, OTR/L, ABDA, CLT, Lisa Gould, MD, PhD, John Merritt, MD, Wanda VanHarlinger, OTR/L, ABDA, CLT, Kevin White, MD, Jill Massengale, MS, ARNP-C and Steven Scott, DO Spinal Cord Injury, James A Haley Veterans Hospital, Tampa, FL

10:14 am - 10:20 am Discussion

10:20 am - 10:27 am Skin Derived Precursor Schwann Cells Improve Behavioral Recovery for Acute and Delayed Nerve Repair Helene T. Khuong1, Ferry Senjaya1, Ranjan Kumar1, Aleksandra Ivanovic1, Joanne Forden1, Jeff Biernaskie2 and Rajiv Midha, MD, MSc, FRCS(C)1 1Department of Clinical Neuroscience and Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada,2 Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, AB, Canada 10:27 am - 10:34 am Schwann Cell Senescence: A Mechanism for Failure of Axonal Regeneration in Long Acellular Nerve Allografts Maryam Saheb-Al-Zamani, BS, Scott J. Farber, MD, Ying Yan, MD, PhD, Piyaraj Newton, BS, Daniel A. Hunter, Susan E. Mackinnon, MD and Philip J. Johnson, PhD Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, MO

10:34 am - 10:40 am Discussion

10:40 am - 10:47 am An Interim Analysis Health Related Quality of Life in Breast Cancer Patients after Breast Reconstructive Surgery Rika Ohkuma, MD, Marcelo Lacayo-Baez, MD, Michele A. Manahan, MD, Ariel N. Rad, MD, PhD, Justin M. Sacks, MD, Damon S. Cooney, MD, PhD, Carisa M. Cooney, MPH and Gedge D. Rosson, MD Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD 10:47 am - 10:54 am Trachea Allotransplantation: The Learning Curve Jan Jeroen Vranckx, MD, PhD1, P. Delaere, MD, PhD2, K. Segers, MD1 and V. Van der Poorten, MD, PhD2 1Dept Plastic & Reconstructive Surgery, KUL Leuven University Hospitals, Leuven, Belgium, 1ORL, KUL Leuven University Hospitals, Leuven, Belgium 51 ASPN TAB

52 2012-2013 ASPN COUNCIL

President Robert J. Spinner, MD

President-Elect Allan Belzberg, MD, FRCSC

Vice President Nash Naam, MD

Secretary Thomas H.H. Tung, MD

Treasurer Martijn Malessy, MD, PhD 2012-2013 ASPN COUNCIL

Immediate Past President Ivica Ducic, MD, PhD

Past President Paul S. Cederna, MD

Historian David L. Brown, MD, FACS

Council Members at Large

Gregory H. Borschel, MD

Ranjan Gupta, MD

Christine B. Novak, PhD, PT

53 Please join us in thanking these ASPN committee members for their work in 2012

ASPN Representative to the Grant Generation Committee Scientific Program Committee ASPS/PSEF Board of Directors Martijn Malessy, MD, Chair Huan Wang, MD, Chair Thomas H.H. Tung, MD Allan Belzberg, MD J. Henk Coert, MD Stephen H. Colbert, MD Martijn Malessy, MD ASPN Section Editor for PSEN Ivica Ducic, MD, PhD Michael W. Neumeister, MD Gregory Borschel, MD Christine Novak, PhD, PT Willem Pondaag, MD Ziv Mani Peled, MD Shai Rozen, MD Bylaws Committee Huan Wang, MD Jonathan Winograd, MD David Brown, MD, Chair Robert J. Spinner, MD Thomas H.H. Tung, MD Gregory Borschel, MD Robert J. Spinner, MD Gedge Rosson, MD Membership Committee Robert J. Spinner, MD Allan Belzberg, MD, Chair Technical Exhibits/Website Eric L. Zager, MD Gregory Borschel, MD Committee Martijn Malessy, MD J. Henk Coert, MD, Chair Coding and Reimbursement Abdul W. Shararah, MD Gregory Buncke, MD Committee Jonathan Winograd, MD Darrell Brooks, MD Justin Brown, MD, Chair Robert J. Spinner, MD Robert J. Spinner, MD Gedge Rosson, MD

Robert J. Spinner, MD Newsletter Committee Time and Place Committee Renata Weber, MD Nash Naam, MD, Chair Allan Belzberg, MD, Chair Jonathan E. Isaacs, MD Nash Naam, MD Education Committee ASPN committee members ASPN committee Renata Weber, MD Gregory Borschel, MD Rajiv Midha, MD, Chair Robert J. Spinner, MD Justin M. Brown, MD Paul Cederna, MD Paul Cederna, MD Stephen H. Colbert, MD Nominating Committee Ivica Ducic, MD, PhD Melanie Urbanchek, MD Ivica Ducic, MD, PhD, Chair Ranjan Gupta, MD Robert J. Spinner, MD Gregory Buncke, MD Martijn Malessy, MD Ida Fox, MD Christine Novak, PhD, PT Finance Committee Marie-Noelle Hebert-Blouin, MD Robert J. Spinner, MD Robert Russell, MD, Chair Lynda Yang, MD, PhD Thomas H. H. Tung, MD Ida Fox, MD Robert J. Spinner, MD Bradon J. Wihelmi, MD Robert J. Spinner, MD

54 ASPN Historical Information

Founding Council (Established April 19, 1990) Past Presidents Warren Breidenbach, MD Julia K. Terzis, MD PhD 1990-1992 Thomas Brushart, MD A. Lee Dellon, MD 1992-1993 David T.W. Chiu, MD Berish Strauch, MD 1993-1994 A. Lee Dellon, MD H. Bruce Williams, MD 1994-1995 Richard Ehrlichman, MD Susan E. Mackinnon, MD 1995-1996 Nelson Goldberg, MD Wyndell Merritt, MD 1996-1997 Roger Khouri, MD Allen Van Beek, MD 1997-1998 Howard Klein, MD Saleh Shenaq, MD 1998-1999 Susan E. Mackinnon, MD David T. W. Chiu, MD 1999-2001 Hallene Maragh, MD Nancy H. McKee, MD 2001-2002 Wyndell Merritt, MD William M. Kuzon, Jr., MD, PhD 2002-2003 Michael Orgel, MD Keith E. Brandt, MD 2003-2004 ASPN Historical Information Elliot Rose, MD Steven McCabe, MD 2004-2005 Joseph Rosen, MD Maria Siemionow, MD, PhD 2005-2006 Brooke Seckel, MD Rajiv Midha, MD 2006-2007 Saleh Shenaq, MD Gregory R. D. Evans, MD, FACS 2007-2008 Thomas Stevenson, MD Robert C. Russell, MD 2008-2009 Berish Strauch, MD Howard M. Clarke, MD, PhD 2009-2010 Julia K.Terzis, MD, PhD Paul S. Cederna, MD 2010-2011 Allen Van Beek, MD Ivica Ducic, MD, PhD 2011-2012 H. Bruce Williams, MD

55 CME Information American Society for Peripheral Nerve Educational Overview Designation Statement After the completion of this program, participants will The ASPS designates this live activity for a maximum of have an enhanced knowledge of the pathophysiology 15.25 AMA PRA Category 1 Credits™. Physicians should and the management of targeted reinnervation, claim only the credit commensurate with the extent of cortical reorganization and tissue engineering their participation in the activity. including the scope and application of surgical techniques used in treating and management of Disclosure Policy peripheral nerve injuries. 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 The American Society for Peripheral Nerve (ASPN) activity to disclose all relevant financial relationships Annual Meeting is intended for surgeons, researchers or affiliations. All identified conflicts of interest must and other healthcare professional working in be resolved and the educational content thoroughly disciplines related to peripheral nerve and/or neural vetted by ASPS for fair balance, scientific objectivity, regeneration. and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are Learning Objectives discussed in a CME activity or included in related Following completion of this activity, participants will materials. be able to: • Describe and discuss the revolutions in tissue ASPN staff will provide full disclosure information animation. for this activity as a separate handout. If you do not • Analyze and discuss new ideas of bioengineering receive this handout, stop by the registration desk for the construction of improved artificial nerve to request one. conduits. • Examine alternative options for restoring lost function in the upper or lower extremity with nerve transfers or tendon transfers. The ASPN would like to thank the following • Explain and discuss new advances in nerve companies for their support: transplantation and repair. • Describe and discuss ways to improve the ability to AxoGen, Inc.

CME Information American Society for Peripheral Nerve Society American Peripheral for CME Information interface the motor and sensory systems. ASSI

ABMS Core Competencies This program will address the following ACGME/ABMS Competencies: • Patient Care and Procedural Skills • Medical Knowledge • Systems-Based Practice

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) and the American Society for Peripheral Nerve (ASPN). The ASPS is accredited by the ACCME to provide continuing medical education for physicians.

56 American Society for Peripheral Nerve DAY-AT-A-GLANCE Friday, January 11, 2013

6:00am – 5:00pm Speaker Ready Room Cypress ASPN DAY-AT-A-GLANCE Friday, 11, January 2013 6:30am – 6:00pm Registration Royal Palm Foyer

6:30am – 3:00pm Exhibit Hall Hours Orchid Ballroom and Foyer

9:00am – 11:00am ASPN Council Meeting Acacia III

11:45am – 12:45pm AAHS/ASPN Panel: Complex Elbow Trauma Royal Palm IV-VIII

12:45pm – 12:55pm ASPN President and Program Chair Welcome Royal Palm I-III

12:55pm – 2:00pm Scientific Paper Session 1 Royal Palm I-III

2:00pm – 2:30pm President’s Invited Lecture: Power and Pain Royal Palm I-III Rolfe Birch, MChir, FRCS

2:30pm – 2:50pm Break with Exhibitors Orchid Ballroom and Foyer

2:50pm – 3:45pm ASPN Instructional Courses 301 Nerve Transfers in Tetraplegia: The New Frontier Mangrove I & II 302 Nerve Surgery of the Future Acacia I & II 303 Obstetrical Brachial Plexus Palsy Acacia IV & V

3:45pm – 5:20pm Scientific Paper Session 2 Royal Palm I-III

57 ASPN Program 1:15pm - 1:20pm Friday, January 11, 2013 Release of the Internal Rotation Contracture of the Shoulder in Children with a Brachial Plexus Injury Using the 9:00 am - 11:00 am ASPN Council Meeting (Not for credit) Subscapularis Slide Igor Immerman, MD; Sergio Glait, MD; Herbert Valencia, RN, CFA; Patricia DiTaranto, MD; Edward Delsole, BS; Andrew E. Price, MD; 11:45 am - 12:45 pm Joint AAHS/ASPN Panel: John A. Grossman, MD Complex Elbow Trauma Institution where the work was prepared: New York University Hospital for Joint Diseases, New York, NY, USA Moderator: Robert J. Spinner, MD Invited Panelists: Jesse B. Jupiter, MD; David C. Ring, MD; Susan E. 1:20pm - 1:25pm Mackinnon, MD Developing Core Sets for Patients with Neonatal Brachial Plexus Palsies Based on the International Classification of Functioning, Achieving both stability and mobility of the elbow joint in a complex Disability and Health elbow trauma is no easy task. The problem is even more challenging Willem Pondaag; Cigdem Sarac; Rob GHH Nelissen; Martijn JA Malessy when the nerves around the joint are involved. This panel features Institution where the work was prepared: Leiden University Medical experts who deal with this situation on a regular basis and will present Center, Leiden, Netherlands the pearls and pitfalls in the management of these difficult injuries. Objectives: Following this session, the participant will be able to: 1:25pm – 1:30pm Discussion 1. Describe the challenges of complex elbow traumas that involve 1:30pm - 1:35pm nerves around the joint. Ulnar Nerve Branches and Anterior Transposition for 2. Determine new ways to approach the management of complex Cubital Tunnel Syndrome – Surgical Considerations and elbow traumas Possible Complications Zhi Yang Ng, MBChB; Prem Ruben Jayaram, MBChB; Jennifer H. Mitchell, BSc; Quentin A. Fogg, BSc, (Hons), PhD; Andrew M. Hart, MD, PhD, FRCS 12:45 pm - 12:55 pm President and Program Chair Welcome Institution where the work was prepared: University of Glasgow, Glasgow, (Not for credit) United Kingdom

1:35pm - 1:40pm Longterm Outcome of the Ulnar Nerve Decompression and Vascularized Submuscular Transposition for Primary Entrapment at the Elbow Jesse B. Jupiter, MD; Juan Del Pino, MD Institution where the work was prepared: Massachusetts General Hospital, Robert J. Spinner, MD Huan Wang, MD, PhD Boston, MA, USA ASPN President Program Chair 1:40pm - 1:45pm Management of Sciatic Nerve Injuries Following Total Hip Arthroplasty 12:55 pm - 2:00 pm Scientific Paper Session 1 Jagwant Singh, MRCS; L Jeyaseelan; M Sicuri; M Fox; M Sinisi Institution where the work was prepared: Royal National Orthopaedic Objective: The participants will be exposed to ongoing research in Hospital, London, United Kingdom the field of peripheral nerve surgery 1:45pm - 1:50pm Moderators: Gregory Borschel, MD; Mikael Wiberg, MD The Radial Recurrent Fascial Flap in the Chronic Ulnar ASPN Program Friday, January 11, 2013 January 11, Friday, ASPN Program Neuropathy at the Elbow 12:55pm - 1:00pm Jean Marc Claise, MD; Jean Paul Haloua Neonatal Brachial Plexus Palsies with Neurotmesis C5 Institution where the work was prepared: Clinique de la chataigera, and Avulsion C6: Supraclavicular Reconstruction Strategies Beaumont, France. and Outcome Martijn J.A. Malessy, PhD; Willem Pondaag, PhD Institution where the work was prepared: Leiden University Medical 1:50pm – 2:00pm Discussion Center, Leiden, Netherlands 2:00 pm - 2:30 pm President’s Invited Lecture 1:00pm - 1:05pm Botulinum Toxin for the Treatment of Motor Imbalance in Power and Pain Obstetrical Brachial Plexus Palsy Rolfe Birch, MChir, FRCS Ehud Arad, MD; Derek Stephens, MSc; Christine G. Curtis, BScPT, MSc; This talk will focus on the effect of pain upon muscle Howard M. Clarke, MD, PhD function and the power of patients to live their lives Institution where the work was prepared: Hospital for Sick Children, and also the way in which restoration of power, by Toronto, ON, Canada reinnervation, so often abolishes pain. The lecture will also refer to the effect of muscle reinnervation 1:05pm - 1:10pm on brachial plexus pain and on aspects of the classical syndromes of Distal Nerve Transfers for Elbow Flexion in Infants with Obstetric causalgia, post traumatic neuralgia and neurostenalgia based on the Brachial Plexus Injuries: Clinical Outcomes recent work in the changing phenotype of the afferent fibers and their Amy M. Moore, MD; David Shin, BS; Robert J. Spinner, MD; Allen T. cell bodies. Bishop, MD; Alexander Y. Shin, MD Institution where the work was prepared: Mayo Clinic, Rochester, MN, USA Objectives: Following this session, the participant will be able to: 1. Discuss the effect of muscle reinnervation on brachial plexus pain. 1:10pm - 1:15pm 2. Analyze the changing phenotype of the afferent fibers and the cell Timing of Recovery of Shoulder Function in bodies in classical syndromes of causalgia, post traumatic neuralgia Brachial Plexus Birth Palsy and neurostenalgia. Dan Zlotolow, MD; Joseph Ferguson; Scott Kozin 58 Institution where the work was prepared: Shriners Hospital for Children, Philadelphia, PA, USA 3:50pm - 3:55pm 2:30 pm - 2:50 pm Break with Exhibitors In Vivo Pressure-Response Recordings of Tactile Sensation in the Rat 2:50 pm - 3:45 pm ASPN Instructional Courses Kristoffer B. Sugg, MD; Melanie G. Urbanchek, PhD; Elmer K. Kim, MS; Gregory J. Gerling, PhD; Paul S. Cederna, MD; Nicholas B. Langhals, PhD Institution where the work was prepared: University of Michigan, Ann Arbor, MI, USA Nerve Transfers in Tetraplegia: 301 3:55pm - 4:00pm The New Frontier Mangrove I & II MMP-3 Deletion Enhances Functional Motor Recovery After Instructors: Susan Mackinnon, MD; Christine Novak, PhD, PT; Surgical Repair of Traumatic Nerve Injury Ida Fox, MD Tom Chao, MD; Derek Frump; Vincent Caiozzo; Tahseen Mozaffar; Ranjan Gupta Nerve transfer is an established procedure in the management of Institution where the work was prepared: University of California, Irvine, peripheral nerve injuries. Only recently have nerve transfers been Irvine, CA, USA considered as a potential option for treating spinal cord injury (SCI) patients. This course will present nerve transfer strategies for the 4:00pm - 4:05pm restoration of hand function in patients with tetraplegia after cervical ErbB2-Receptor Inhibition with Herceptin (Trastuzumab) Reduces SCI. The importance of postoperative motor retraining will also be Nerve Regeneration after Peroneal Nerve Cut and Repair in the highlighted. Rat Model ASPN Program Friday, 11, January 2013 Objectives: Following this session, the participant will be able to: Eva Placheta; Matthew D. Wood; Christine Lafontaine; Edward H. Liu; 1. Determine nerve transfer strategies for the restoration of hand Cecilia Alvarez Veronesi; Manfred Frey; Tessa Gordon; Gregory H. function in patients with tetraplegia after cervical SCI. Borschel 2. Formulate new ideas surrounding the importance of postoperative Institution where the work was prepared: Division of Plastic Surgery, The retraining. Hospital for Sick Children, Toronto, Canada 4:05pm - 4:10pm The Neuroprotective Compound P7C3 and its Analogue P7C3A20 302 Nerve Surgery of the Future Acacia I & II Enhances Functional Recovery Following Neonatal Nerve Injury in a Dose Dependent Manner Instructors: Tessa Gordon, PhD; Mikael Wiberg, MD Stephen W. P. Kemp; Andrew A. Pieper, MD; Matthew D. Wood; Mark Basic research keeps pushing the envelope and pushing us into the Szynkaruk; Krisanne N. Stanoulis; Tessa Gordon; Gregory H. Borschel future. In this course, animal work with brief low frequency electrical Institution where the work was prepared: The Hospital for Sick Children/ stimulation to accelerate nerve regeneration as well as its application The University of Toronto, Toronto, ON, Canada in patients is discussed. Side-to-side bridging between an intact and a denervated nerve is presented as a strategy to “protect’ for regeneration over distance and time. Also featured is nerve injury: its 4:10pm – 4:15pm Discussion dying neurons and challenging nerve defect. Objectives: Following this session, the participant will be able to: 4:15pm - 4:20pm 1. Debate animal work with low frequency electrical stimulation to Axons regenerating from an intact donor nerve to a denervated accelerate nerve regeneration. recipient nerve stump through side-to-side bridges improves 2. Integrate side-to-side bridging between an intact and denervated nerve regeneration after delayed nerve repair in Sprague- nerved as a strategy to protect for regeneration over distance Dawley rats and time. Tessa Gordon, PhD; Adil Ladak; Christine A Lafontaine; Matthew D Wood; Gregory H Borschel Institution where the work was prepared: Hospital for Sick Children, Toronto, ON, Canada 303 Obstetrical Brachial Plexus Palsy Acacia IV & V 4:20pm - 4:25pm Instructors: Howard Clarke, MD, PhD; Martijn Malessy, MD Schwann Cell Senescence: A Result of Chronic Denervation? This course will focus on obstetrical brachial plexus palsy, its natural Scott Farber, MD; Ying Yan, MD, PhD; Maryam Saheb-Al-Zamani, BA; course, and unique characteristics that set it apart from adult plexus Piyaraj Thiranansakul; Daniel A. Hunter; Susan E. Mackinnon, MD; Philip lesions, caveat of physical examination, timing and algorithm of J. Johnson, PhD treatment. Institution where the work was prepared: Washington University in Saint Louis, Saint Louis, MO, USA Objectives: Following this session, the participant will be able to: 1. Recognize obstetrical brachial plexus palsy in its natural course. 4:25pm - 4:30pm 2. Determine the unique characteristics that set brachial plexus birth An Experimental Study on Culture of Rat Satellite Cells in Vivo and palsy apart from adult plexus leisons. Transplantation of Satellite Cells to Denervated Muscle Li Chen, MD, PhD; Lei Xu, MD, PhD; Jianguang Xu, MD, PhD; Huashan 3:45pm - 5:20pm Scientific Paper Session 2 Hospital Institution where the work was prepared: Huashan Hospital, Fudan Objective: The participants will be exposed to ongoing research in the University, Shanghai, China field of peripheral nerve surgery 4:30pm - 4:35pm Moderators: A. Lee Dellon, MD, PhD Functional Recovery Following Delayed Nerve Repair is Affected by the Duration of GDNF Release 3:45pm - 3:50pm Matthew D. Wood; Tessa Gordon; Stephen W. P. Kemp; Edward H. Liu; Excessive Calcium Accumulation Impedes Nerve Regeneration- An Howard Kim; Molly Shoichet; Gregory H. Borschel Experiment in Rats Institution where the work was prepared: The Hospital for Sick Children, Kristen A. Hudak, MD; John LoGiudice; Lin Ling Zhang; Agresti Michael; Toronto, ON, Canada Yu-Hui Yan; Hani Matloub; James Sanger; Ji-Geng Yan Institution where the work was prepared: Medical College of Wisconsin, 4:35pm – 4:40pm Discussion Milwaukee, WI, USA 59 Scientific Paper Session 2 continued next page Scientific Paper Session 2 continued

4:40pm - 4:45pm Restoration of Long Nerve Defects with Epineural Sheath Conduit Supported with Bone Marrow Stromal Cells in Sheep Model. A Preliminary Report Maria Madajka, PhD; Can Ozturk, MD; Miroslaw Lukaszuk, MD; Jacek Szopinski, MD, PhD; Vlodek Siemionow, PhD; Maria Z. Siemionow, MD, PhD, DSc Institution where the work was prepared: Cleveland Clinic, Cleveland, OH, USA

4:45pm - 4:50pm Circulating MicroRNAs Expression During Nerve Allografting In A Mouse Model Ching-Hua Hsieh, MD, PhD; Johnson Chia-Shen Yang Institution where the work was prepared: Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan

4:50pm - 4:55pm Monocyte Chemotactic Protein-1 Expression in Rats Decreases with Age in Response to Peripheral Nerve Injury Zhongyu Li, MD, PhD; Johannes F. Plate, MD; Jiaozhong Cai; Jonathan C. Barnwell, MD; Thomas L. Smith, PhD Institution where the work was prepared: Department of Orthpaedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA

4:55pm - 5:00pm Detergent-free Nerve Decellularization For Long-gap Peripheral Nerve Reconstruction Srikanth Vasudevan, MS; Edward W. Keefer, PhD; Barry R. Botterman, PhD; Jonathan Cheng, MD Institution where the work was prepared: University of Texas Southwestern Medical Center, Dallas, TX, USA

5:00pm - 5:05pm Facial Nerve Regeneration Through Cross-Face Nerve Grafts Is Improved by End-to-Side Coaptation of Sensory Nerves to the Graft Eva Placheta; Christine Weber; Matthew D. Wood; Tessa Gordon; Manfred Frey; Gregory H. Borschel Institution where the work was prepared: Division of Plastic Surgery, The Hospital for Sick Children, Toronto, ON, Canada

5:05pm – 5:20pm Discussion ASPN Program Friday, January 11, 2013 January 11, Friday, ASPN Program

60 American Society for Peripheral Nerve DAY-AT-A-GLANCE Saturday, January 12, 2013

6:00am – 5:00pm Speaker Ready Room Cypress ASPN DAY-AT-A-GLANCE Saturday, 12, January 2013

6:30am – 6:00pm Registration Royal Palm Foyer

6:30am – 2:15pm Exhibit Hall Hours Orchid Ballroom and Foyer

6:30am – 8:00am Breakfast with Exhibitors Orchid Ballroom and Foyer

7:00am – 8:00am AAHS/ASPN/ASRM Instructional Courses 201 Common Nerve Transfers to Restore Upper Mangrove I & II Extremity Functional: Indications, Surgical Options and Post-Operative Therapy 202 Brachial Plexus Update Acacia V & VI 203 Targeted Reinnervation Banyan I & II 204 Cortical Reorganization Acacia VII 205 Avulsion Injuries of the Upper Extremity Acacia IV 206 The Future of Microsurgery Training: Training Acacia I & II Microsurgeons in the Era of Duty Hours, Patient Safety, and Quality Improvement

8:00am – 8:15am AAHS/ASPN/ASRM President’s Welcome Royal Palm IV-VIII

8:15am – 9:30am AAHS/ASPN/ASRM Panel: Tissue Engineering Royal Palm IV-VIII

9:30am – 10:00am Coffee Break with Exhibitors Orchid Ballroom and Foyer

10:00am – 11:00am AAHS/ASPN/ASRM Joint Outstanding Papers Royal Palm IV-VIII

11:00am – 12:00pm AAHS/ASPN/ASRM Joint Presidential Keynote Lecture Royal Palm IV-VIII Carl Hiaasen: Stranger Than Fiction

12:00pm – 1:00pm ASPN Business Meeting (Members Only) Royal Palm I-III

12:00pm ASPN Grab -N- Go Lunch Royal Palm I-III

1:00pm – 1:30pm ASPN Presidential Speech: Robert J. Spinner, MD Royal Palm I-III

1:30pm – 2:00pm ASPN President’s Invited Lecturer: Mind the Gap Royal Palm I-III Göran Lundborg, MD

2:00pm – 2:15pm Break with Exhibitors Orchid Ballroom and Foyer

2:15pm – 3:15pm ASPN/ASRT Panel: Nerve and Transplantation Royal Palm I-III

3:15pm – 4:15pm Scientific Paper Session 3 Royal Palm I-III

4:30pm – 5:30pm ASPN Poster Session Royal Palm I-III

6:00pm – 7:30pm ASPN/ASRM Welcome Reception Vista Room & Sunset Deck 61 ASPN Program

Saturday, January 12, 2013 205 Avulsion Injuries of the Upper Extremity AAHS/ASPN/ASRM Combined Day Moderator: Scott Hansen, MD Acacia IV Instructors: Amir Taghinia, MD; Babak Safa , MD 6:30 am - 8:00 am Breakfast with Exhibitors Replantation is one of the most challenging problems we face- 7:00 am – 8:00 am AAHS/ASPN/ASRM Instructional Courses particularly difficult in the setting of avulsion mechanisms. Find out how to tackle this difficult problem and improve your odds of success. Objectives: Following this session, the participant will be able to:  201 Common Nerve Transfers to Restore 1. Discuss challenges in replantation in the setting of avulsion Upper Extremity Function: mechanisms. Indications, Surgical Options and 2. Utilize tools to improve odds of success in replantation. Post-Operative Therapy Mangrove I & II Chair: Susan E. Mackinnon, MD 206 The Future of Microsurgery Training: Instructors: Ida K. Fox, MD; Amy Moore, MD; Lorna Kahn, PT, CHT Training Microsurgeons in the Era This course will discuss the indications, patient selection and surgical techniques for restoring upper extremity function with the use of Duty Hours, Patient Safety, and of nerve transfers after nerve injury and in tetraplegia. From the Quality Improvement Acacia I & II shoulder to the hand, reinnervation options for motor and sensory function will be described and the post operative therapy protocols Moderator: Ruben Bueno, MD and expectations will be emphasized. Instructors: Gordon Lee, MD; Anuja Antony, MD; Objectives: Following this course, the participant will be able to: Gustavo Perez-Abadia, MD 1. To establish an algorithm for treating a patient with a nerve injury. Training the next generation of microsurgeons while remaining 2. To understand the options for restoring critical motor and sensory compliant with duty hour regulations and hospital initiatives on function to the upper extremity. patient safety can be challenging to residency and fellowship 3. To understand the importance of timing of nerve transfers after program directors. Panelists will share their experiences in training nerve injury. residents and fellows in a high-stakes learning environment. 4. To gain knowledge of the post operative therapy protocols to enhance post operative function after nerve Objectives: Following this session, the participant will be able to: 5. To establish use of distal nerve transfers in the tetraplegic patient 1. Integrate new training techniques for microsurgeons in population and discuss rationale, indications, pre-operative compliance with duty hour regulations, hospital initiatives and assessment, intra-operative tips and preliminary results. patient safety regulations. 2. Discuss experiences in following current regulations associated with residency training programs. 202 Brachial Plexus Update Acacia V & VI Instructors: Allen Belzberg, MD; Howard Clarke, MD, PhD 8:00 am - 8:15 am President Welcome (Not for credit) This course will review the relevant anatomy of the brachial plexus and the factors predictive of prognosis. The various surgical options for the typical injuries seen by peripheral nerve surgeons are highlighted, as well as the evolution of the treatment algorithm. Objectives: Following this session, the participant will be able to: ASPN Saturday January 12, 2013 January 12, ASPN Saturday 1. Locate the relevant anatomy of the brachial plexus. 2. Determine the factors predictive of prognosis in the brachial plexus injury cases. Jesse B. Jupiter, MD Robert J. Spinner, MD Michael W. Neumeister, MD 203 Targeted Reinnervation Banyan I & II AAHS President ASPN President ASRM President Instructors: Gregory Dumanian, MD; Paul Cederna, MD; Oskar Aszmann, MD 8:15 am - 9:30 am As prosthetics improve, the ability to interface the motor and sensory systems becomes increasingly important. This course will review AAHS/ASPN/ASRM Combined Panel: Tissue Engineering the anatomy, techniques and goals of targeted muscle and sensory Moderator: Gregory Evans, MD, FACS reinnervation. Panelists: Geoffrey Gurtner, MD; Paul S. Cederna, MD; Objectives: Following this session, the participant will be able to: Raymond Dunn, MD 1. Analyze the anatomy, techniques and goals of targeted muscle and sensory reinnervation. Current and future prospects of tissue engineering in reconstruction in defects in the extremities. Objectives: Following this session, the participant will be able to: 204 Cortical Reorganization Acacia VII 1. Discuss the role of Tissue Engineering in reconstruction in defects Instructors: Martijn Malessy, MD; Wendong Xu, MD in the extremtities. Peripheral alteration produced by neurotization often leads to extensive functional reorganization of the sensorimotor cortex. 9:30 am - 10:00 am Break with Exhibitors This course will highlight the findings in cortical recognition and reorganization following intercostal nerve transfer and contralateral C7 transfer. Objectives: Following this session, the participant will be able to: 1. Discuss current findings in cortical recognition and reorganization. 62 2. Analyze findings in cortical recognition and reorganization following intercostal nerve transfer and contralateral C7 transfers. 10:00 am - 11:00 am 11:00 am - 12:00 pm Joint Presidential Keynote Lecture AAHS/ASPN/ASRM Joint Outstanding Paper Presentations (Not for credit) Objective: The participants will be exposed to ongoing research in Stranger Than Fiction the field of hand, peripheral nerve and reconstructive surgery. Moderators: David C. Ring, MD; Huan Wang, MD; Carl Hiaasen, Novelist, Miami, Florida James Higgins, MD; Michael Sauerbier, MD Bestselling novelist and journalist Carl Hiaasen is among South Florida’s most vital natural resources. 10:00 am - 10:07 am He writes in a comic style – Hiaasenesque – that A Prospective Randomized Study Comparing the Effectiveness combines thrilling plot lines, blunder-prone schemes, of One versus Two Injections for Symptomatic Stenosing headstrong men and women, corrupt politicians, and a loving nod to Tenosynovitis (Trigger Finger) the natural landscape of South Florida. Carl Hiaasen will present true Charles Leinberry, MD1, Emran Sheikh, MD2, John Peters, BS3, weird stories of Florida and how they weave their way into Will Sayde, MD4, James Dowdell, BS3 the novels. 1Rothman Institute, Thomas Jefferson University, Philadelphia, PA, 2Institute for Nerve, Hand and Reconstructive Surgery, Rutherford, NJ, 3Jefferson Medical College, Philadelphia, PA, 4Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 12:00 pm -1:00 pm ASPN Business Meeting with Lunch (Not for credit) (members only) 10:07 am - 10:14 am Improving Hand Function Through the Use of the 1:00 pm - 1:30 pm ASPN Presidential Speech (Not for credit) FES Hand Glove 200 Yasmin Gonzalez, OTR/L, ABDA, CLT, Lisa Gould, MD, PhD, John Six Degrees of Separation Merritt, MD, Wanda VanHarlinger, OTR/L, ABDA, CLT, Kevin White, Robert J. Spinner, MD ASPN Saturday 12, January 2013 MD, Jill Massengale, MS, ARNP-C and Steven Scott, DO Spinal Cord Injury, James A Haley Veterans Hospital, Tampa, FL As part of my research on intraneural ganglion cysts, I searched for the first known example. This led to a series of discoveries: 1) the first cyst from 1810 10:14 am - 10:20 am Discussion was still extant, and when examined, showed evidence that would support the articular theory; and 2) the relatively obscure individual 10:20 am - 10:27 am who made the initial observation (referred to only as M. Beauchêne), Skin Derived Precursor Schwann Cells Improve Behavioral not only had a rich legacy, but could be traced historically to me. Recovery for Acute and Delayed Nerve Repair This talk will describe the chain of acquaintances via certain familiar Helene T. Khuong1, Ferry Senjaya1, Ranjan Kumar1, Aleksandra individuals, such as Baron Guillaume Dupuytren, Emanuel Kaplan, Ivanovic1, Joanne Forden1, Jeff Biernaskie2 and Rajiv Midha, MD, MSc, Arthur Barsky, and Morton Spinner. FRCS(C)1 1Department of Clinical Neuroscience and Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada,2 Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, AB, Canada 1:30 pm - 2:00 pm President’s Invited Lecturer (Not for credit)

10:27 am - 10:34 am Mind the Gap Schwann Cell Senescence: A Mechanism for Failure of Axonal Gōran Lundborg, MD Regeneration in Long Acellular Nerve Allografts Maryam Saheb-Al-Zamani, BS, Scott J. Farber, MD, Ying Yan, MD, PhD, This lecture will talk about brain plasticity - how our Piyaraj Newton, BS, Daniel A. Hunter, Susan E. Mackinnon, MD and brains evolved to their present status, the importance Philip J. Johnson, PhD of brain plasticity in several situations, not least nerve Division of Plastic and Reconstructive Surgery, Washington University injuries. New aspects on sensory relearning and re-educational School of Medicine, Saint Louis, MO programs and some new information what the child’s superior brain plasticity means for the results of nerve repair will be presented.

10:34 am - 10:40 am Discussion Objectives: Following this session, the participant will be able to: 1. Recognize aspects of brain plasticity in regards to nerve injuries. 2. Practice new aspects of sensory re-learning. 10:40 am - 10:47 am An Interim Analysis Health Related Quality of Life in Breast Cancer Patients after Breast Reconstructive Surgery Rika Ohkuma, MD, Marcelo Lacayo-Baez, MD, Michele A. Manahan, 2:00 pm - 2:15 pm Break with Exhibitors MD, Ariel N. Rad, MD, PhD, Justin M. Sacks, MD, Damon S. Cooney, MD, PhD, Carisa M. Cooney, MPH and Gedge D. Rosson, MD Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD

10:47 am - 10:54 am Trachea Allotransplantation: The Learning Curve Jan Jeroen Vranckx, MD, PhD1, P. Delaere, MD, PhD2, K. Segers, MD1 and V. Van der Poorten, MD, PhD2 1Dept Plastic & Reconstructive Surgery, KUL Leuven University Hospitals, Leuven, Belgium, 1ORL, KUL Leuven University Hospitals, Leuven, Belgium

10:54 am – 11:00 am Discussion

63 2:15 pm - 3:15 pm 3:50pm - 3:55pm ASPN/ASRT: Nerve and Transplantation A Novel Method to Enhance Sensory Feedback and Improve Moderator: L. Scott Levin, MD, FACS Function of Myoelectric Prostheses after Upper Limb Amputation Faculty: Susan Mackinnon, MD; Maria Siemionow, MD; Michael Morhart; Jaret Olson; Ming Chan; Jacqueline Hebert Thomas Tung, MD Institution where the work was prepared: University of Alberta, Edmonton, AB, Canada Reconstruction of lengthy nerve defects remains a challenging clinical problem, especially when there is not enough donor 3:55pm - 4:00pm nerve to be used as grafts. This assembly of members of ASPN and Nerve Transfers to Improve Upper Extremity Function in American Society for Reconstructive Transplantation will discuss the Tetraplegia – Anatomical Feasibility and Clinical Case options of nerve allograft and the latest advancements in transplant Andreas Gohritz, MD immunology. Institution where the work was prepared: Plastic, Hand and Reconstructive Surgery, Medical School Hanover, Hanover, Germany Objectives: Following this session, the participant will be able to: 1. Examine alternative options of nerve allografting in the field of 4:00pm - 4:05pm transplant and immunology. A New Nerve Transfer Strategy for Lower Brachial Plexus Injury, an Anatomic Study Omar Nazir, MD; Sandeep Mannava, MD; David Schippert, MD; 3:15 pm - 4:15 pm Scientific Paper Session 3 Zhongyu Li, MD; Jonathan Barnwell, MD; Michael Xu, MD; Phillip Mason, MD Objective: The participants will be exposed to ongoing research in Institution where the work was prepared: Wake Forest University School the field of peripheral nerve surgery of Medicine, Winston-Salem, NC, USA

Moderators: Martijn Malessy, MD; Justin Brown, MD 4:05pm - 4:10pm Simultaneous Modified Camitz Opponensplasty Using a Pulley 3:15pm - 3:20pm at Radial Flexor Retinaculum in Severe Carpal Tunnel Syndrome An Electrophysiological Study on Function of C7 Nerve Root and Naoki Kato, MD, PhD; Takahiro Yoshizawa, MD; Hiroya Sakai, MD, PhD Clinical Implication in Ipsilateral C7 Transfer For C5-C6 Avulsion Institution where the work was prepared: Saitama Medical Center, of the Brachial Plexus Saitama Medical University, Kawagoe City, Japan Jianguang Xu, MD, PhD; Lei Xu, MD, PhD; Junjian Jiang, MD, PhD; Shihui Gu, MD, PhD; Li Chen, MD, PhD 4:10pm – 4:15pm Discussion Institution where the work was prepared: Huashan Hospital, Fudan University, Shanghai, China 4:30pm - 5:30pm ASPN Poster Session (Not for credit)

3:20pm - 3:25pm Special Session: Posters (not for credit) Comparison Between Long Nerve Grafts and Nerve Transfers for Axillary Nerve Injuries Objective: The participants will be exposed to ongoing research in Scott W. Wolfe, MD; Parker Johnsen; Adele Mirbey; Joseph Feinberg, the field of peripheral nerve surgery. MD; Steve Lee, MD Moderators: Allan Belzberg, MD Institution where the work was prepared: Hospital for Special Surgery, New York, NY, USA A Detailed Investigation of the Potential Role of Anabolic Steroid 3:25pm - 3:30pm Reversal of Denervation Atrophy in a Rodent Model Functional Nerve Transfers for High Nerve Injuries of the Forearm Jonathan Isaacs, MD; Satya Mallu, MD; Ilvy Friebe, MD; Ashkon Razavi, Fatih Zor, MD; Ismail Safaz; Umit H. Ulas; Serdar Ozturk; Selcuk Isik MD; Joseph Feher, PhD; Mary Shall, PhD; Michael Fox, PhD; Scott Vota, ASPN Saturday January 12, 2013 January 12, ASPN Saturday Institution where the work was prepared: Gulhane Military Medical MD; Sagar Shah, BS Academy, Ankara, Turkey Institution where the work was prepared: Virginia Commonwealth University, Richmond, VA, USA 3:30pm - 3:35pm Prespinal Contralateral C7 Transfer for Total Palsy in Birth-Related Transplantation of Induced Pluripotent Stem Cell-derived Brachial Plexus Injury Neurospheres for Peripheral Nerve Repair Ann Schwentker, MD; Kevin Yakuboff Takuya Uemura, MD; Kiyohito Takamatsu, MD; Mikinori Ikeda; Institution where the work was prepared: Cincinnati Children’s Hospital Mitsuhiro Okada; Hiroaki Nakamura Medical Center, Cincinnati, OH, USA Institution where the work was prepared: Osaka City University Graduate School of Medicine, Osaka, Japan 3:35pm - 3:40pm CC7 Transfer For BPI – Experience in Pre-spinal Route A Combination of Induced Pluripotent Stem Cell and Basic Lei Xu, MD, PhD; Jiuzhou Lu, MD, PhD; Li Chen, MD, PhD; Fibroblast Growth Factor Enhances Sciatic Nerve Regeneration Jianguang Xu, MD, PhD in Mice Institution where the work was prepared: Huashan Hospital, Fudan Mikinori Ikeda; Takuya Uemura; Kiyohito Takamatsu; Mitsuhiro Okada; University, Shanghai, China Hiroaki Nakamura Institution where the work was prepared: Osaka City University Graduate 3:40pm -3:45pm Discussion School of Medicine, Osaka, Japan

3:45pm - 3:50pm A Study of Carpal Tunnel Syndrome by Using 3 Tesla Magnetic The First Permanent Human Implant of the Stimulus Router Resonance Imaging System and Nerve Conduction Study System: A Novel Blue Tooth Neural Prosthesis Mikinori Ikeda; Mitsuhiro Okada; Takuya Uemura; Kiyohito Takamatsu; Jaret Olson, MD, FRCSC; Michael J. Morhart; Liu Shi Gan; Einat Reid; Lisa Hiroaki Nakamura Korus; Jan Kowalczewski; Arthur Prochazka Institution where the work was prepared: Osaka City University Graduate Institution where the work was prepared: University of Alberta, School of Medicine, Osaka, Japan Edmonton, AB, Canada

64 Assessment of Neurotrophin Presence in Avance® Nerve Grafts 6:00pm - 7:30pm ASPN/ASRM Welcome Reception Curt Deister, PhD; Florence C. Beck; Mark Friedman, PhD; Erick DeVinney Institution where the work was prepared: AxoGen Inc, Alachua, FL, USA Support received from ASSI

Minimal Incision Cubital Tunnel Release Gather inside the Vista Room or outdoors on the Sunset Deck to greet Nash Naam, MD fellow attendees and enjoy some musical entertainment. This casual Institution where the work was prepared: Southern Illinois University and reception will be sure to set the tone for the days of learning ahead. Southern Illinois Hand Center, Effingham, IL, USA

Motor Axon Misdirection and Behavioral Deficit in Rat Sciatic Neuroma in Continuity Injuries Jacob D. Alant, MBChB, FRCS(C); Ferry Senjaya; Joanne Forden; Aleksandra Ivanovic; Antos Shakhbazau, PhD; Rajiv Midha, MD, MSc, FRCS(C) Institution where the work was prepared: University of Calgary, Calgary, AB, Canada

Traumatic Peripheral Nerve Injury Causes Degradation of the Motor Endplate Tom Chao, MD; Derek Frump; Tahseen Mozaffar; Ranjan Gupta Institution where the work was prepared: University of California, Irvine, Irvine, CA, USA

Extrapelvic Obturator Nerve Release Guided by MR Neurography Benjamin Z. Phillips, MD, MPH; Francesco Gargano, MD; Peter ASPN Saturday 12, January 2013 Evangelista, MD; Scott Schmidt, MD Institution where the work was prepared: The Warrern Albert Medical School of Brown University, Providence, RI, USA

Restoration Of Shoulder Abduction using Double Muscle Transfer In Brachial Plexus Injury Ashok Gupta, MS, MCh Institution where the work was prepared: Bombay Hospital Institute of Medical Sciences, Mumbai, India

Relationship between the Elbow Position and the Morphology of the Cubital Tunnel: An in vivo Study Jing Xu, MD; Jianguang Xu, MD; Lei Xu, MD Institution where the work was prepared: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China

Transfer of the Pronator Teres Motor Branch of Median Nerve to the Deep Branch of Radial Nerve: an Anatomic Study Dong Han, MD; Jianguang Xu; Lei Xu Institution where the work was prepared: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China

Comparisons of Functional Recovery Outcomes with Increasingly Rigorous Threshold Parameters from a Multi-center Registry Study of Processed Nerve Allografts Gregory M. Buncke, MD; John Ingari, MD; Renata V. Weber, MD; Wesley Thayer, MD, PhD; Brian Rinker, MD; Bauback Safa, MD; Darrell Brooks, MD Institution where the work was prepared: The Buncke Clinic, San Francisco, CA, USA

End-to-side Neurorrhaphy Versus End-to-End Neurorrhaphy at the Peroneal Nerve in Rats: the Same Amazing Result Fausto Viterbo, PhD; Ryane Brock; Fábio Oliveira Maciel; Benoit Ayestaray; Cecilia Pessoa Rodrigues; Jose Antonio Garbino Institution where the work was prepared: Sao Paulo State University, Botucatu, Brazil

Double Fascicular Nerve Transfer for Elbow Flexion and Extension Paul R. Yang; Louis Brunworth; Robert R. Gray; Roy Cardoso Institution where the work was prepared: University of Miami Miller School of Medicine, Miami, FL, USA

A Mechanism to Explain the “Bands Of Fontana” in Peripheral Nerve Antonio Merolli, MD, FBSE Institution where the work was prepared: Universita Cattolica, Rome, Italy

65 66 American Society for Peripheral Nerve DAY-AT-A-GLANCE Sunday, January 13, 2013

6:30am – 6:30pm Speaker Ready Cypress ASPN DAY-AT-A-GLANCE Sunday, 13, January 2013 6:30am – 1:00pm Registration Royal Palm Foyer

6:30am – 2:30pm Exhibit Hall Hours Orchid Ballroom and Foyer

6:30am –7:30am Breakfast with Exhibitors Orchid Ballroom and Foyer

7:00am – 8:00am Instructional Courses 304 Outcome Measurement Mangrove I & II 305 Tissue Engineering and Regenerative Medicine Acacia IV 306 Nerve vs. Tendon Transfer Acacia I & II 307 Nerve Imaging Acacia V & VI

8:00am – 9:00am ASPN/ASRM Panel: Nerve & Technology Royal Palm IV-VIII

9:00am – 9:30am ASPN/ASRM Scientific Paper Session Royal Palm IV-VIII

9:30am – 10:00am Break with Exhibitors Orchid Ballroom and Foyer

10:00am – 11:00am Scientific Paper Session 5 Royal Palm I-III

11:00am – 11:30am President’s Invited Lecture: Royal Palm I-III Thomas Brushart, MD: The Sine qua non of Peripheral Nerve Regeneration

11:30am – 12:30pm Scientific Paper Session 6 Royal Palm I-III

12:30pm – 12:45pm Closing Remarks & Awards Royal Palm I-III

12:45pm – 1:45pm ASPN Council Meeting Acacia III

67 ASPN Program Sunday, January 13, 2012 8:00 am - 9:00 am Joint ASPN/ASRM Panel: Nerve and Technology 7:00 am - 8:00 am ASPN Instructional Courses Moderator: Paul Cederna, MD Panelists: Gregory Borschel, MD; Rajiv Midha, MD; Tessa Gordon, PhD Outcome Measurement Mangrove I & II The American Society for Peripheral Nerve and American Society of 304 Reconstructive Microsurgery are pleased to announce the Combined Instructors: Scott Wolfe, MD; Alexander Shin, MD; ASPN/ASRM Panel Entitled, “ Technologic Advances in Peripheral Christine Novak, PhD, PT Nerve Surgery to Improve Functional Recovery Following Devastating In the era of evidence-based medicine, a consensus in outcomes Nerve Injuries”. The purpose of the panel is to highlight the measurement is increasingly important. This course calls for a technologic advances which will help war fighter and civilian patients standardized, user-friendly approach to evaluate outcomes in experience enhanced functional recovery following severe extremity peripheral nerve repair and brachial plexus reconstruction, the most injuries. In particular, we will highlight the technologic advances in complex form. nerve conduit development and provide a glimpse into the future as to what will be possible. We will also examine the use of growth Objectives: Following this session, the participant will be able to: factors, cellular elements, and even computer microchips to enhance 1. Apply standardized user-friendly approaches to evaluate outcomes neural regeneration. We will similarly discuss the use of electrical in peripheral nerve repair and brachial plexus reconstruction. stimulation and the exciting potential of this intervention to enhance axonal sprouting and elongation. Lastly, we will investigate the use of biosynthetic, regenerative peripheral nerve interfaces to provide high 305 Tissue Engineering and fidelity motor control and sensory feedback in patients suffering from limb loss. This will prove to be an exciting look at the most current Regenerative Medicine Acacia IV technologic advances in peripheral nerve surgery and provide a look Instructors: Rajiv Midha, MD; Gregory Borschel MD into the future. This course will discuss new ideas of bioengineering for the Objectives: Following this session, the participant will be able to: construction of improved artificial nerve conduits by the use of skin- 1. Compare the technologic advances in nerve conduit development. derived precursor cells, adult autologous Schwann cells and cytokine/ 2. Examine the use of growth factors, cellular elements, and computer drug delivery. microchips to enhance neural regeneration. Objectives: Following this session, the participant will be able to: 9:00 am - 9:30 am ASPN/ASRM Scientific Paper Presentations 1. Discuss new ideas for bioengineering for construction improved (Session 4) artificial nerve conduits. Objective: The participants will be exposed to ongoing research in 2. Evaluate the strength of using skin derived precursor cells, adult the field of peripheral nerve surgery autologous Schwann cells and cytokine/ drug delivery. Moderators: Jonathan Winograd, MD; Gregory R. Evans, MD, FACS, Keith E. Brandt, MD 306 Nerve vs. Tendon Transfer Acacia I & II Instructors: Allen Bishop, MD; Thomas Tung, MD; 9:00am - 9:04am Christine Novak, PhD, PT Orthodromic Temporalis Flap and End-to-Side Cross Face Nerve Grafts for Facial Reanimation What technique should one choose to restore a lost function in the Fausto Viterbo, PhD; Adriana Romao upper or lower extremity: nerve transfer or tendon transfer? The Institution where the work was prepared: Sao Paulo State University, indications and contraindications, the pros and cons of each option Botucatu, Brazil will be discussed. The common transfer procedures will be presented.

ASPN Sunday, January 13, 2013 January 13, ASPN Sunday, The rehabilitation considerations and options will also be highlighted. 9:04am - 9:08am Objectives: Following this session, the participant will be able to: The In Vivo Imaging Platform for Cell Tracking in Vascularized Composite Allotransplantation 1. Determine what techniques should be chosen to restore a lost Chih-jen Wen, PhD; H.Y. Cheng, PhD; Y.L. Wang, PhD; Ling-Yi Shih; function in the upper or lower extremity. Chih-Fan Lin; Xiao-Ting Huang; FC Wei 2. Debate the merits of nerve vs. tendon transfers. Institution where the work was prepared: Chang Gung Memorial Hospital, Taoyuan, Taiwan 307 Nerve Imaging Acacia V & VI 9:08am - 9:12am Occipital Nerve Excision for Occipital Migraines Refractory to Instructors: Kimberly Amrami, MD; Matthew Howe, MD Surgical Decompression Interdisciplinary collaboration between peripheral nerve surgeons and John M. Felder, MD; Ivica Ducic, MD, PhD; Neelam Khan; Sojin Youn radiologists can lead to enhanced diagnostic accuracy. Understanding Institution where the work was prepared: Medstar Georgetown University the images can frequently guide the treatment. This course will focus Hospital, Washington, DC, USA on the application of high resolution MRI in imaging traumatic lesions, nerve tumors or other pathological conditions. Varied sequences and 9:12am - 9:16am protocols that are tailored to visualize various clinical entities will be A Reliable Approach for Massteric Nerve Dissection in the Setting presented as well as the limitations. of Facial Reanimation Objectives: Following this session, the participant will be able to: Angela Cheng, MD; Thorir Audolfsson, MD; Andres Rodriguez, MD, PhD2; Corrine Wong, MD; Shai Rozen, MD 1. Understand images to frequently guide treatment. Institution where the work was prepared: University of Texas Southwestern 2. Apply high resolution MRI’s in imaging traumatic leisons, nerve Medical Center, Dallas, TX, USA tumors or other pathological conditions. 9:16am - 9:20am Functional Outcomes in Facial Animation: Comparison of Innervation Sources Alison Snyder-Warwick, MD; Leanne Zive; Adel Fattah; William Halliday; Gregory Borschel; Ronald Zuker; The Hospital for Sick Children Institution where the work was prepared: The Hospital for Sick Children, 68 Toronto, Canada 9:20am - 9:24am 10:40am - 10:45am Experience of A One-stage Procedure by Using Spinal Accessory Anatomical Course of the Greater Auricular Nerve: Nerve to Innervate a Functioning Free Muscle for Facial Paralysis Implications of Surgical Decompression in Symptomatic David Chwei-Chin Chuang, MD; Chang Gung Memorial Hospital Allodynia Following Rhytidectomy Institution where the work was prepared: Department of Plastic John R. Barbour, MD; Gil Gontre, MD; David E. Halpern, MD Surgery, Chang Gung Memorial Hospital, Cha, Taipei-Linkou, Taiwan Institution where the work was prepared: Barnes-Jewish Hospital, Saint Louis, MO, USA 9:24am – 9:30am Discussion 10:45am - 10:50am Intercostal Neuroma PAIN After Endoscopic Cholecystectomy: 9:30 am – 10:00 am Break with Exhibitors Diagnosis and Treatment A. Lee Dellon, MD, PhD Institution where the work was prepared: Johns Hopkins University, 10:00 am - 11:00 am Scientific Paper Session 5 Baltimore, MD, USA Objective: The participants will be exposed to ongoing research in 10:50am – 11:00am Discussion the field of peripheral nerve surgery Moderators: Ivica Ducic, MD, FACS 11:00 am - 11:30 am President’s Invited Lecture The sine qua non of Peripheral Nerve 10:00am - 10:05am Regeneration Outcomes Evaluation Modalities: The Pursuit to Identify A “Toolbox” in Conducting Peripheral Nerve Research Thomas Brushart, MD Jing Rui, MD; Robert J. Spinner, MD; Michael J. Yaszemski, MD, PhD; This talk will discuss the potential for regeneration Anthony J. Windebank, MD; Huan Wang, MD, PhD specificity in the context of clinical and experimental Institution where the work was prepared: Mayo Clinic, Rochester, MN, USA observations. Mechanisms of specificity generation and their potential manipulation to improve outcomes will be ASPN Sunday, 13, January 2013 10:05am - 10:10am emphasized. Non-Invasive Isometric Muscle Force Measurement of Plantar Flexion in the Rat Sciatic Nerve Injury Model Objectives: Following this session, the participant will be able to: Aditya S. Chawla, BS; Robert J. Spinner, MD; Michael J. Yaszemski, MD, 1. Employ potential regeneration techniques based upon clinical PhD; Anthony J. Windebank, MD; Huan Wang, MD, PhD and experimental observations. Institution where the work was prepared: Mayo Clinic, Rochester, MN, USA 2. Understand the potential manipulation to improve outcomes by mechanisms of specificity generation. 10:10am - 10:15am CNS Adaptation and Cortical Plasticity After Nerve Transfer: How Complete Is It? 11:30 am - 12:30 pm Scientific Paper Session 6 Douglas C. Ross, MD, MEd; Thomas Allen Miller, MD Objective: The participants will be exposed to ongoing research in Institution where the work was prepared: University of Western Ontario, the field of peripheral nerve surgery London, ON, Canada Moderators: Tessa Gordon, PhD; Rajiv Midha, MD 10:15am - 10:20am Long-term Ongoing Cortical Remodeling after Contralateral C7 Nerve transfer 11:30am - 11:35am Xu-Yun Hua, PhD, MD; Wen-Dong Xu; Jian-Guang Xu; Yu-Dong Gu Chronic Nerve Compression Injury Alters Neurovascular Institution where the work was prepared: Huashan Hospital, Blood Flow Shanghai, , China James Jung; Peter Hahn, BS; Bernard Choi, PhD; Ranjan Gupta Institution where the work was prepared: University of California, Irvine, Irvine, CA, USA 10:20am – 10:25am Discussion 11:35am - 11:40am Functional Recovery after Sciatic Nerve Laceration and Direct or 10:25am - 10:30am Transcutaneous Electrical Stimulation in Mice Comparison of Surgical Outcome in Patients Selected for Jenny C. Lin, MD, PhD; Anne-Marie Pion, MD; Andree-Anne Roy, MD; Migraine Headache Surgery Using Nerve Blocks versus Eric Beaumont, PhD; Botulinum Toxin Institution where the work was prepared: University of Montreal, Nancy Wong, MD; Stacy Wong, BS; Mehdi Ansarinia, MD; Montreal, QC, Canada Kayvan T. Khiabani, MD Institution where the work was prepared: University of Nevada School of 11:40am - 11:45am Medicine, Las Vegas, NV, USA Electrical Stimulation Improve Muscle and Nerve Regeneration after End-to-Side Neurorraphy of the Fibular Nerve in Rats 10:30am - 10:35am Fausto Viterbo, PhD; Fábio Oliveira Maciel; Laís de Fátima Chuvukian Decision Making in the Surgical Treatment of Meralgia Chinaque; Bárbara Moraes Souza Paresthetica: Neurolysis versus Neurectomy Institution where the work was prepared: Sao Paulo State University, Godard C.W. de Ruiter, MD; Johannes A.L. Wurzer; Alfred Kloet Botucatu, Brazil Institution where the work was prepared: Medical Center Haaglanden, The Hague, Netherlands 11:45am - 11:50am Axonal Misdirection in a Femoral Nerve Neuroma in Continuity 10:35am - 10:40am Injury Model Targeted Reinnervation as a Strategy for Neuroma Treatment: Jacob D. Alant, MBChB, FRCS(C); Joanne Forden; A Multi-Center Study Rajiv Midha, MD, MSc, FRCS(C) Jason M. Souza, MD; Jason H. Ko, MD; Mickey S. Cho, MD; Aaron E. Institution where the work was prepared: Department of Clinical Barrow, MD; Todd A. Kuiken, MD, PhD; Gregory A. Dumanian Neurosciences, University of Calgary., Calgary, AB, Canada Institution where the work was prepared: Northwestern University, Feinberg School of Medicine, Chicago, IL, USA 69 ASRM TAB

11:50am - 11:55am Introducing New Software Programs for the Counting of Nerve Axons and the Determination of Mean Axon Area Chase Tobin, BS; Ziyi Wang, BS; Lin-Ling Zhang, MD; Michael Agresti, MS; Hani Matloub, MD; Ji-Geng Yan, MD, PhD Institution where the work was prepared: Medical College of Wisconsin, Milwaukee, WI, USA

11:55am – 12:00pm Discussion

12:00pm - 12:05pm Computational Biomechanical Study of the Contributions of Posterior Deltoid and Teres Minor to Shoulder Strength and Function Dustin L. Crouch, BS; Johannes F. Plate; Zhongyu Li, MD, PhD; Katherine R. Saul, PhD Institution where the work was prepared: Wake Forest School of Medicine, Winston Salem, NC, USA

12:05pm - 12:10pm High-Resolution Ultrasound Imaging for Nerve Fascicular Anatomy Vijay Gorantla, MD, PhD; Ada Zhang, BS; John Galeotti, PhD; V. Shivaprabhu, PhD; George Stetten, PhD; Institution where the work was prepared: University of Pittsburgh Medical Center, Pittsburgh, PA, USA

12:10pm - 12:15pm High resolution 3 Tesla MR Neurography- Impact On Patient Management Avneesh Chhabra, MD; Eric H. Williams, MD; Allan J. Belzberg; Gedge D. Rosson; E. Gene Deune, MD, MBA; John Eng; J.A. Carrino, MD Institution where the work was prepared: Johns Hopkins University, Baltimore, MD, USA

12:15pm - 12:20pm Diagnostic Accuracy and Interpretation Reliability of Pelvic MR Neurography in Meralgia Paresthetica Avneesh Chhabra, MD; Allan J. Belzberg; Eric Howard Williams, MD; J.A. Carrino, MD Institution where the work was prepared: Johns Hopkins University, Baltimore, MD, USA

12:20pm - 12:25pm Combined Peroneal and Tibial Nerve Lesions after Knee Dislocation Chandan G. Reddy, MD; Kimberly K. Amrami; Robert J. Spinner

ASPN Sunday, January 13, 2013 January 13, ASPN Sunday, Institution where the work was prepared: Mayo Clinic, Rochester, MN, USA

12:25pm – 12:30pm Discussion

12:30 pm – 12:45 pm Closing Remarks and Awards

12:45 pm – 1:45 pm ASPN Council Meeting

70 2012-2013 ASRM EXECUTIVE COUNCIL MEMBERS

President Michael W. Neumeister, MD

President-Elect Joseph Serletti, MD

Vice-President Allen T. Bishop, MD

Secretary Elisabeth Beahm, MD ASRM Executive Council Members

Treasurer Charles E. Butler, MD

Immediate Past President Keith E. Brandt, MD

Senior Members-At-Large Joseph Disa, MD

Lawrence Gottlieb, MD

Junior Members-At-Large Michael Klebuc, MD

Joan E. Lipa, MD

Historian A. Lee Dellon, MD, PhD

71 Please join us in thanking the following ASRM committees who have helped make the 2012 year successful. Audit Committee Endowment Committee Program Committee Elisabeth Beahm, MD, Chair L. Scott Levin, MD FACS, Chair James Higgins, MD, Co-Chair Scott Oates, MD Lawrence Colen, MD Michael Sauerbier, MD, Co-Chair Roman Skoracki, MD Joseph Serletti, MD Elisabeth Beahm, MD Ronald Zuker, MD Philip Blondeel, MD Buncke Lectureship Committee Ruben Bueno, MD Keith E. Brandt, MD, Chair Finance Committee Allen Bishop, MD Greg Buncke, MD Joseph Serletti, MD, Chair Paul Cederna, MD James Higgins, MD Charles E. Butler, MD Gregory Evans, MD Samir Mardini, MD Raymond Dunn, MD Lawrence Gottlieb, MD Michael Neumeister, MD Joan Lipa, MD Michael Sauerbier, MD Godina Fellowship Selection Steve Moran, MD Committee Jesse Selber, MD Bylaws Committee Joseph Serletti, MD, Chair David Song, MD Paul Cederna, MD, Chair Otway Louie, MD Robert Whitfield, MD David Mathes, MD Samir Mardini, MD Michael Zenn, MD Michael Neumeister, MD Technical Exhibits Committee Michael Zenn, MD Liza Wu, MD Chair Clinical Guidelines & Outcomes Melissa Crosby, MD Committee Masters Series Symposium William Dwyerzinski, MD Roman Skoracki, MD, Chair Committee David Mathes, MD William Pederson, MD, Chair Time & Place Committee Lee Pu, MD John Hijjawi, MD Keith E. Brandt, MD, Chair Hakim Said, MD Peter Neligan, MD Membership Committee William Zamboni, MD CPT/RUC Committee Joseph Serletti, MD, Chair Paul Cederna, MD, Chair Allen Bishop, MD Young Microsurgeons Group Greg Buncke, MD David Chang, MD Committee Raymond Dunn, MD E. Gene Deune, MD Robert Whitfield, MD, Chair Gabriel Kind,MD Jeffrey Friedrich, MD Ruben Bueno, MD Daniel Nagle, MD David Mathes, MD Melissa Crosby, MD

ASRM Committees William Pederson, MD Matthew Hanasono, MD Michael Zenn, MD Micro Fellowship Committee John Hijjawi, MD Michel Saint-Cyr, MD, Chair Doan Nguyen, MD Education Committee Gregory Buncke, MD Vu T. Nguyen, MD Michael Miller, MD, Chair Peter Cordiero, MD Julie Park, MD Thomas Hayakawa, MD Peter Neligan, MD Jesse Selber, MD John Hijjawi, MD Liza Wu, MD Samir Mardini, MD Nominating Committee Electronic Communications Keith E. Brandt, MD, Chair Committee Lawrence Gottlieb, MD Matthew Concannon, MD, Chair John Hijjawi, MD Elisabeth Beahm, MD Michel Saint-Cyr, MD Michael Klebuc, MD Jesse Selber, MD Howard Langstein, MD Milan Stevanovic, MD Vu T. Nguyen, MD

72 ASRM HISTORICAL INFORMATION

1983 Founding Council James B. Steichen, MD Berish Strauch, MD Julia K. Terzis, MD, PhD 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 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 ASRM Historical Information 1990 Allen L. Van Beek, MD Toronto, Ontario, Canada Andrew Lightbody, MD 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, PhD 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 73 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 James Urbaniak, MD Buncke Lecture ASRM Historical Information ASRM Historical 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 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 2011-2012 Keith E. Brandt, MD Las Vegas, Nevada Samir Mardini, MD Godina Lecturer Prof. Wayne Morrison, MD Buncke Lecture 74 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 practice and application of microsurgical techniques the Accreditation Council for Continuing Medical in breast, upper/lower extremity and head and neck Education (ACCME) through the joint sponsorship of reconstruction. Included will be specifics of patient the American Society of Plastic Surgeons® (ASPS) and and flap selection, inset techniques, and avoidance the American Society for Reconstructive Microsurgery and management of complications. (ASRM). The ASPS is accredited by the ACCME to provide continuing medical education for physicians. Intended Audience This educational activity is intended for surgeons Designation Statement and other healthcare professionals engaged in the The ASPS designates this live activity for a maximum practice of clinical reconstructive microneurovascular of 20.75 AMA PRA Category 1 Credits™. Physicians surgery and other complex reconstructions and/ should claim only the credit commensurate with the or involvement in research into and teaching of extent of their participation in the activity. microneurovascular 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 ASRM CME Information be able to: position to control or influence the content of an • Discuss state of-the-art techniques in microsurgery activity to disclose all relevant financial relationships and complex reconstruction. or affiliations. All identified conflicts of interest • Effectively implement interdisciplinary interaction must be resolved and the educational content and cooperative learning among colleagues in thoroughly vetted by ASPS for fair balance, scientific professional practice. objectivity, and appropriateness of patient care • Interact professionally with microsurgeons from recommendations. The ASPS also requires faculty/ various countries worldwide for the beneficial authors to disclose when off-label/unapproved exchange of medical knowledge and surgical uses of a product are discussed in a CME activity or techniques. included in related materials. • Analyze current reconstructive practices and evaluate professional effectiveness with respect to ASRM staff will provide full disclosure information best practices and patient safety. for this activity as a separate handout. If you did • Implement new methods of reconstruction and not receive this handout, stop by the registration reinnervation in their practices. desk to request one.

ABMS Core Competencies This program will address the following ACGME/ ABMS Competencies: • Patient Care and Procedural Skills • Medical Knowledge • Systems-Based Practice

Commercial Support This activity received support from ASSI, The California Pacific Medical Center and Synovis, MCA.

75 76 American Society for Reconstructive Microsurgery DAY-AT-A-GLANCE Saturday, January 12, 2013

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

6:30am – 6:00pm Registration Royal Palm Foyer ASRM Day-at-a-Glance Saturday 12, January 2013 6:30am – 2:15pm Exhibit Hall Hours Orchid Ballroom and Foyer

6:30am – 8:00am Breakfast with Exhibitors Orchid Ballroom and Foyer

7:00am – 8:00am AAHS/ASPN/ASRM Instructional Courses 201 Common Nerve Transfers to Restore Upper Extremity Mangrove I & II Functional: Indications, Surgical Options and Post-Operative Therapy 202 Brachial Plexus Update Acacia V & VI 203 Targeted Reinnervation Banyan I & II 204 Cortical Reorganization Acacia VII 205 Avulsion Injuries of the Upper Extremity Acacia IV 206 The Future of Microsurgery Training: Acacia I & II Training Microsurgeons in the Era of Duty Hours, Patient Safety, and Quality Improvement

8:00am – 8:15am AAHS/ASPN/ASRM President’s Welcome Royal Palm IV-VIII

8:15am – 9:30am AAHS/ASPN/ASRM Panel: Tissue Engineering Royal Palm IV-VIII

9:30am – 10:00am Coffee Break with Exhibitors Orchid Ballroom and Foyer

10:00am – 11:00am AAHS/ASPN/ASRM Joint Outstanding Papers Royal Palm IV-VIII

11:00am – 12:00pm AAHS/ASPN/ASRM Joint Presidential Keynote Lecture Royal Palm IV-VIII Carl Hiaasen: Stranger Than Fiction 12:00pm – 5:00pm ASRM Master Series in Microsurgery Royal Palm IV-VIII

5:00pm – 6:00pm ASRM Young Microsurgeons Group/ New Member Palm Pool Deck Reception (Invitation Only)

6:00pm – 7:30pm ASPN/ASRM Welcome Reception Vista Room & Sunset Deck

77 ASRM Program AAHS/ASPN/ASRM Combined Day 205 Avulsion Injuries of the Upper Extremity 6:30 am - 8:00 am Breakfast with Exhibitors Moderator: Scott Hansen, MD Acacia IV 7:00 am – 8:00 am AAHS/ASPN/ASRM Instructional Courses Instructors: Amir Taghinia, MD; Babak Safa , MD Replantation is one of the most challenging problems we face- 201 Common Nerve Transfers to Restore particularly difficult in the setting of avulsion mechanisms. Find out how to tackle this difficult problem and improve your odds of success. Upper Extremity Function: Indications, Objectives: Following this session, the participant will be able to: Surgical Options and 1. Discuss challenges in replantation in the setting of Post-Operative Therapy Mangrove I & II avulsion mechanisms. 2. Utilize tools to improve odds of success in replantation. Chair: Susan E. Mackinnon, MD Instructors: Ida K. Fox, MD; Amy Moore, MD; Lorna Kahn, PT, CHT This course will discuss the indications, patient selection and surgical 206 The Future of Microsurgery Training: techniques for restoring upper extremity function with the use Training Microsurgeons in the Era of of nerve transfers after nerve injury and in tetraplegia. From the shoulder to the hand, reinnervation options for motor and sensory Duty Hours, Patient Safety, function will be described and the post operative therapy protocols and Quality Improvement Acadia I & II and expectations will be emphasized. Moderator: Ruben Bueno, MD Objectives: Following this course, the participant will be able to: 1. To establish an algorithm for treating a patient with a nerve injury. Instructors: Gordon Lee, MD; Anuja Antony, MD; 2. To understand the options for restoring critical motor and sensory Gustavo Perez-Abadia, MD function to the upper extremity. Training the next generation of microsurgeons while remaining 3. To understand the importance of timing of nerve transfers after compliant with duty hour regulations and hospital initiatives on nerve injury. patient safety can be challenging to residency and fellowship 4. To gain knowledge of the post operative therapy protocols to program directors. Panelists will share their experiences in training enhance post operative function after nerve residents and fellows in a high-stakes learning environment. 5. To establish use of distal nerve transfers in the tetraplegic patient Objectives: Following this session, the participant will be able to: population and discuss rationale, indications, pre-operative 1. Integrate new training techniques for microsurgeons in assessment, intra-operative tips and preliminary results. compliance with duty hour regulations, hospital initiatives and patient safety regulations. 202 Brachial Plexus Update Acacia V & VI 2. Discuss experiences in following current regulations associated with residency training programs. Instructors: Allan Belzberg, MD; Howard Clarke, MD, PhD This course will review the relevant anatomy of the brachial plexus and the factors predictive of prognosis. The various surgical options 8:00 am - 8:15 am President Welcome (Not for credit) for the typical injuries seen by peripheral nerve surgeons are highlighted, as well as the evolution of the treatment algorithm. Objectives: Following this session, the participant will be able to: 1. Locate the relevant anatomy of the brachial plexus. 2. Determine the factors predictive of prognosis in the ASRM Saturday January 12, 2013 January 12, ASRM Saturday brachial plexus injury cases.

Jesse B. Jupiter, MD Robert J. Spinner, MD Michael W. Neumeister, MD 203 Targeted Reinnervation Banyan I & II AAHS President ASPN President ASRM President Instructors: Gregory Dumanian, MD; Paul Cederna, MD ; Oskar Aszmann, MD As prosthetics improve, the ability to interface the motor and sensory 8:15 am - 9:30 am systems becomes increasingly important. This course will review the anatomy, techniques and goals of targeted muscle and sensory AAHS/ASPN/ASRM Combined Panel: Tissue Engineering reinnervation. Moderator: Gregory Evans, MD, FACS Objectives: Following this session, the participant will be able to: Panelists: Geoffrey Gurtner, MD; Paul S. Cederna, MD; 1. Analyze the anatomy, techniques and goals of targeted muscle Raymond Dunn, MD and sensory reinnervation. Current and future prospects of tissue engineering in reconstruction in defects in the extremities. 204 Cortical Reorganization Acacia VII Objectives: Following this session, the participant will be able to: Instructors: Martijn Malessy, MD; Wendong Xu, MD 1. Discuss the role of Tissue Engineering in reconstruction in defects in the extremtities. Peripheral alteration produced by neurotization often leads to extensive functional reorganization of the sensorimotor cortex. This course will highlight the findings in cortical recognition and 9:30 am - 10:00 am Break with Exhibitors reorganization following intercostal nerve transfer and contralateral C7 transfer. Objectives: Following this session, the participant will be able to: 1. Discuss current findings in cortical recognition and reorganization. 2. Analyze findings in cortical recognition and reorganization 78 following intercostal nerve transfer and contralateral C7 transfers. 10:00 am - 11:00 am 11:00 am - 12:00 pm Joint Presidential Keynote Lecture AAHS/ASPN/ASRM Joint Outstanding Paper Presentations (Not for credit) Objective: The participants will be exposed to ongoing research in the field of hand, peripheral nerve and reconstructive surgery. Stranger Than Fiction Moderators: David C. Ring, MD; Huan Wang, MD; Carl Hiaasen, Novelist, Miami, Florida James Higgins, MD; Michael Sauerbier, MD Bestselling novelist and journalist Carl Hiaasen is 10:00 am - 10:07 am among South Florida’s most vital natural resources. A Prospective Randomized Study Comparing the Effectiveness He writes in a comic style – Hiaasenesque – that of One versus Two Injections for Symptomatic Stenosing combines thrilling plot lines, blunder-prone schemes, Tenosynovitis (Trigger Finger) headstrong men and women, corrupt politicians, and Charles Leinberry, MD1, Emran Sheikh, MD2, John Peters, BS3, a loving Will Sayde, MD4, James Dowdell, BS3 nod to the natural landscape of South Florida. Carl 1Rothman Institute, Thomas Jefferson University, Philadelphia, PA, Hiaasen will present true weird stories of Florida and how they weave 2Institute for Nerve, Hand and Reconstructive Surgery, Rutherford, NJ, their way into the novels. 3Jefferson Medical College, Philadelphia, PA, 4Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 12:00 pm Adjourn 10:07 am - 10:14 am Improving Hand Function Through the Use of the FES Hand Glove 200 12:00 pm - 5:00 pm Masters Series in Microsurgery Yasmin Gonzalez, OTR/L, ABDA, CLT, Lisa Gould, MD, PhD, John (Not for credit) Merritt, MD, Wanda VanHarlinger, OTR/L, ABDA, CLT, Kevin White, Chair: William Pederson, MD MD, Jill Massengale, MS, ARNP-C and Steven Scott, DO ASRM Saturday 12, January 2013 Spinal Cord Injury, James A Haley Veterans Hospital, Tampa, FL Lower Extremity Reconstruction - Tips and Tricks Emmanuel Melissinos, MD

10:14 am - 10:20 am Discussion Refinements in Head and Neck Reconstruction Eric Halvorson, MD

10:20 am - 10:27 am Teaching Microsurgery - How to Avoid Disasters Skin Derived Precursor Schwann Cells Improve Behavioral L. Scott Levin, MD, FACS Recovery for Acute and Delayed Nerve Repair Applications for Innervated Muscle Transfer Helene T. Khuong1, Ferry Senjaya1, Ranjan Kumar1, Aleksandra in the Upper Extremity Ivanovic1, Joanne Forden1, Jeff Biernaskie2 and Milan Stevanovic, MD Rajiv Midha, MD, MSc, FRCS(C)1 1Department of Clinical Neuroscience and Hotchkiss Brain Institute, Breast Reconstruction in Private Practice – University of Calgary, Calgary, AB, Canada,2 Department of Comparative Technical and Fiscal Tips Biology and Experimental Medicine, University of Calgary, Gabe Kind, MD Calgary, AB, Canada Surgical Approach to Lymphedema – Separating the Wheat from the Chaff 10:27 am - 10:34 am David Chang, MD Schwann Cell Senescence: A Mechanism for Failure of Axonal Regeneration in Long Acellular Nerve Allografts Maryam Saheb-Al-Zamani, BS, Scott J. Farber, MD, Ying Yan, MD, PhD, 5:00 pm - 6:00 pm ASRM Young Microsurgeons Group/ Piyaraj Newton, BS, Daniel A. Hunter, Susan E. Mackinnon, MD and New Member Reception (Invitation Only) Philip J. Johnson, PhD Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, MO 6:00 pm - 7:30 pm ASPN/ASRM Welcome Reception Supported by ASSI 10:34 am - 10:40 am Discussion Cost: 1 ticket included in ASPN and ASRM registration. Additional adult tickets available @ $60 each; tickets for children 10:40 am - 10:47 am and young adults ages 5 - 17 available @ $30 each and include An Interim Analysis Health Related Quality of Life in Breast 2 drink tickets. Cancer Patients after Breast Reconstructive Surgery Rika Ohkuma, MD, Marcelo Lacayo-Baez, MD, Michele A. Manahan, Gather inside the Vista Room or outdoors on the Sunset Deck to MD, Ariel N. Rad, MD, PhD, Justin M. Sacks, MD, Damon S. Cooney, greet fellow attendees and enjoy some musical entertainment. MD, PhD, Carisa M. Cooney, MPH and Gedge D. Rosson, MD This casual reception will be sure to set the tone for the days of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, learning ahead. Baltimore, MD

10:47 am - 10:54 am Trachea Allotransplantation: The Learning Curve Jan Jeroen Vranckx, MD, PhD1, P. Delaere, MD, PhD2, K. Segers, MD1 and V. Van der Poorten, MD, PhD2 1Dept Plastic & Reconstructive Surgery, KUL Leuven University Hospitals, Leuven, Belgium, 1ORL, KUL Leuven University Hospitals, Leuven, Belgium

10:54 am – 11:00 am Discussion

79 80 American Society for Reconstructive Microsurgery DAY-AT-A-GLANCE Sunday, January 13, 2013

6:00am – 6:30pm Speaker Ready Room Cypress 6:30am – 2:30pm Registration Royal Palm Foyer 6:30am – 1:00pm Exhibit Hall Hours Orchid Ballroom and Foyer ASRM Day-at-a-Glance Saturday 13, January 2013 6:30am – 7:30am Breakfast with Exhibitors Orchid Ballroom and Foyer 7:00am – 7:15am ASRM President/Program Chair Welcome: Royal Palm IV-VIII Michael Neumeister, MD James Higgins, MD & Michael Sauerbier, MD 7:15am – 8:00am ASRM Scientific Paper Session: Royal Palm IV-VII Breast I 8:00am – 9:00am ASPN/ASRM Panel: Nerve & Technology Royal Palm IV-VIII 9:00am – 9:30am ASPN/ASRM Scientific Paper Session Royal Palm IV-VIII 9:30am – 10:00am Coffee Break with Exhibitors Orchid Ballroom and Foyer 10:00am –11:00am President’s Invited Lecturer: A Path to Innovation Royal Palm IV-VIII Hans-Ulrich Steinau, MD, PhD 11:00am – 12:00pm ASRM Panel: Lower Extremity Reconstruction 26 Years Royal Palm IV-VIII After Godina 12:00pm – 12:45pm YMG Open Forum Royal Palm IV-VIII Invited Lecture: Bob Murphy, MD 12:00pm – 12:45pm Lunch with Exhibitors Orchid Ballroom and Foyer 12:45pm – 2:00pm ASRM Concurrent Break Out Panels 401 Atypical Microsurgical Indications Mangrove I & II 402 Facial Reanimation in the Oncological Setting Acacia I & II 403 Management of Sarcoma Reconstruction of Acacia IV Extremities and the Thoracic Wall/Trunk 404 Tips and Tricks for Approaching Unusual Acacia VII Replantations 405 Technical Aspects of Face Transplantation Royal Palm IV-VIII 406 Reimagining: Alternative Anastomotic Techniques Banyan I & II to Direct Suture 407 Decision Making and Ethical Aspects in Palliative Acacia V & VI Reconstructive Microsurgery

3:45pm – 4:30pm Poster & Exhibits Reception Royal Palm Foyer 4:30pm – 6:30pm Best Case/Best Save Programming Royal Palm IV-VIII

81 ASRM Program 7:45am - 7:50am Sunday, January 13, 2013 Six-Year Experience in Surgical Treatment of Lymphedema Related to Breast Cancer 6:30 am - 7:30 am Breakfast with Exhibitors Jaume Masia, MD, PhD; Gemma Pons, MD; Marylu Nardulli, MD 7:00 am - 7:15 am President and Program Chair Welcome Institution where the work was prepared: Sant Pau University Hospital, Barcelona, Spain (Not for credit) 7:50am - 7:55am Free Tissue Transfer in Previously Failed Flap Patients: Is the Second or Third Time the Charm? Theresa Y. Wang, MD; Carrie Stransky, MD; Joseph Serletti, MD; David Low, MD; Liza Wu, MD Institution where the work was prepared: University of Pennsylvania, Philadelphia, PA, USA Michael Neumeister, MD James Higgins, MD Michael Sauerbier, MD ASRM President Program Chairman Program Chairman 7:55am – 8:00am Discussion

7:15 am - 8:00 am Scientifc Paper Session 8:00 am - 9:00 am Joint ASPN/ASRM Panel: Nerve and Technology BREAST Moderator: Paul Cederna, MD Moderators: Elisabeth Beahm, MD & Raymond Dunn, MD Panelists: Gregory Borschel, MD; Rajiv Midha, MD; Tessa Gordon, PhD Objective: The participants will be exposed to ongoing research The American Society for Peripheral Nerve and American Society for in the field of reconstructive microsurgery and other complex Reconstructive Microsurgery are pleased to announce the Combined reconstructions. ASPN/ASRM Panel Entitled, “ Technologic Advances in Peripheral Nerve Surgery to Improve Functional Recovery Following Devastating 7:15am - 7:20am Nerve Injuries”. The purpose of the panel is to highlight the Longitudinal outcome analysis of complications after free technologic advances which will help war fighter and civilian patients autologous breast reconstruction – 7-year experience of experience enhanced functional recovery following severe extremity 1,303 flaps injuries. In particular, we will highlight the technologic advances in John P. Fischer, MD; Brady Sieber, MD; Jonas A. Nelson, MD; Emily nerve conduit development and provide a glimpse into the future Cleveland, BA; Stephen J. Kovach, MD; Liza C. Wu, MD; Suhail as to what will be possible. We will also examine the use of growth Kanchwala, MD; Joseph M. Serletti, MD factors, cellular elements, and even computer microchips to enhance Institution where the work was prepared: Hospital of the University of neural regeneration. We will similarly discuss the use of electrical Pennsylvania, Philadelphia, PA, USA stimulation and the exciting potential of this intervention to enhance 7:20am - 7:25am axonal sprouting and elongation. Lastly, we will investigate the use of Comparison of irradiated versus non-irradiated DIEP flaps biosynthetic, regenerative peripheral nerve interfaces to provide high in patients undergoing immediate bilateral DIEP flap fidelity motor control and sensory feedback in patients suffering from reconstruction with unilateral post-mastectomy radiation limb loss. This will prove to be an exciting look at the most current Emily Clarke-Pearson, MD; Manjeet Chadha, MD; Joseph Dayan, MD; technologic advances in peripheral nerve surgery and provide a look William Sampson, MD; Mark Sultan, MD, FACS; Mark Smith, MD, FACS into the future. Institution where the work was prepared: Beth Israel Medical Center, New York, NY, USA ASRM Sunday January 13, 2013 January 13, ASRM Sunday 9:00 am - 9:30 am ASPN/ASRM Scientific Paper Presentations 7:25am - 7:30am Microvascular Modifications to Optimise the Transverse Upper Moderators: Jonathan Winograd, MD; Gregory R. Evans, MD, FACS, Gracilis (TUG) Flap For Breast Reconstruction Keith E. Brandt, MD Judith E. Hunter, MA/D, FRCS(Plast); Simon P Mackey; Paul A Harris Objective: The participants will be exposed to ongoing research Institution where the work was prepared: The Royal Marsden Hospital, in the field of reconstructive microsurgery and other complex London, United Kingdom reconstructions.

7:30am – 7:35am Discussion 9:00am - 9:04am Orthodromic Temporalis Flap and End-to-Side Cross Face Nerve 7:35am - 7:40am Grafts for Facial Reanimation Correlation between Abdominal Perforator Vessels Identified Fausto Viterbo, PhD; Adriana Romao with Preoperative CT Angiography and Intraoperative Institution where the work was prepared: Sao Paulo State University, Fluorescent Angiography in the Microsurgical Breast Botucatu, Brazil Reconstruction Patient Ivo Alexander Pestana, MD; Wake Forest University; 9:04am - 9:08am Michael R. Zenn, MD The in Vivo Imaging Platform For Cell Tracking in Vascularized Institution where the work was prepared: Duke University, Composite Allotransplantation Durham, NC, USA Chih-jen Wen, PhD; H.Y. Cheng, PhD; Y.L. Wang, PhD; Ling-Yi Shih; Chih-Fan Lin; Xiao-Ting Huang; FC Wei 7:40am - 7:45am Institution where the work was prepared: Chang Gung memorial Hospital, Thoracodorsal Artery Perforator (TDAP) Flap in Breast Taoyuan, Taiwan Reconstruction after Radiation Therapy 9:08am - 9:12am Jonathan Bank, MD; Kelly Ledbetter, BA; David H. Song, MD Occipital Nerve Excision for Occipital Migraines Refractory to Institution where the work was prepared: The University of Chicago, Surgical Decompression Chicago, IL, USA John M. Felder, MD; Ivica Ducic, MD, PhD; Neelam Khan; Sojin Youn Institution where the work was prepared: Medstar Georgetown University 82 Hospital, Washington, DC, USA 9:12am - 9:15am Discussion 12:45 pm - 2:00 pm ASRM Breakout Panels

9:15am - 9:19am A Reliable Approach for Massteric Nerve Dissection in the Setting of Facial Reanimation 401 Atypical Microsurgical Indications Angela Cheng, MD; Thorir Audolfsson, MD; Andres Rodriguez, MD, PhD2; Corrine Wong, MD; Shai Rozen, MD Chair: Guenter Germann, MD Mangrove I & II Institution where the work was prepared: University of Texas Panelists: Milomir Ninikovic, MD; Lawrence Colen, MD; Southwestern Medical Center, Dallas, TX, USA Pedro Cavadas, MD; Bruno Battiston, MD

9:19am - 9:23am Find yourself performing procedures never before described? Feel Functional Outcomes in Facial Animation: Comparison of like you have been required to “think outside the box?” Come listen Innervation Sources to some our most creative colleagues describe how they have applied Alison Snyder-Warwick, MD; Leanne Zive; Adel Fattah; William their microsurgical trechniques in innovative and unusual settings. Halliday; Gregory Borschel; Ronald Zuker; The Hospital for Objectives: Following this session, the participant will be able to: Sick Children Institution where the work was prepared: The Hospital for Sick Children, 1. Apply new microsurgical techniques in innovative and Toronto, Canada unusual settings.

9:23am - 9:27am Experience of A One-stage Procedure by Using Spinal Accessory 402 Facial Reanimation in the Nerve to Innervate a Functioning Free Muscle for Facial Paralysis Oncologic Setting Acacia I & II David Chwei-Chin Chuang, MD; Chang Gung Memorial Hospital Institution where the work was prepared: Department of Plastic Surgery, Chair: Joseph Dayan, MD Chang Gung Memorial Hospital, Cha, Taipei-Linkou, Taiwan Panelists: Gregory Borschel, MD; Mark Smith, MD; Daniel Labbe, MD; David Chuang, MD ASRM Sunday 13, January 2013 9:27am - 9:30am Discussion Patients facing ablative surgery for head and neck tumors constitute a significant percentage of people with facial nerve deficits and may pose a number of challenges. A variety of techniques, the timing of 9:30 am – 10:00 am Coffee Break with Exhibitors reanimation, and treatment of synkinesis will be addressed by the panelists in an effort to maximize the quality of life of these patients. 10:00 am – 11:00 am President’s Invited Lecturer (Not for credit) Objectives: Following this session, the participant will be able to: Professor of Plastic Surgery 1. Discuss a multitude of techniques including the timing of reanimation and treatment of synkinesis to maximize the quality Hans-Ulrich Steinau, MD, PhD of life. Formerly serving as chief at the Department for Plastic, Reconstructive and Hand Surgery BG University Hospital Bergmannsheil, Ruhr University 403 Management of Sarcoma Reconstruction Bochum. He is currently a Senior Consultant Plastic of Extremities and the Thoracic Wall/Trunk Surgeon University of Essen. Professor Steinau was also the President of the German Society for Plastic, Reconstructive Chair: David W. Chang, MD Acacia IV and Aesthetic Surgery and most notably was the first Plastic Surgeon Panelists: Peter Vogt, MD; Steven Moran, MD; Marco Innocenti, MD; to become president of the German Society of Surgery. Michael Sauerbier, MD Sarcoma treatment poses challenges from diagnosis to surgical and 11:00 am – 12:00 pm nonsurgical treatment and surveillance. These experts will debate issues regarding imaging and surgical diagnosis, techniques of Panel: Lower Extremity Reconstruction 26 Years After Godina surgical exenteration, and goals of reconstruction with local and Chair: Randy Sherman, MD distant tissue. Panelists: Marco Innocenti, MD; Steven Kovach, MD; Objectives: Following this session, the participant will be able to: Emmanuel G. Melissinos, MD, Andrew Pollak, MD 1. Determine challenges in diagnosing surgical and nonsurgical treatments in sarcoma. Marco Godina’s concepts sparked a revolution in the treatment of 2. Assess the issues regarding imaging and surgical diagnosis. lower extremity trauma. How much further have we come? Are 3. Evaluate techniques of surgical exenteration and goals of the concepts of Godina still relevant today? Hear some of the field’s experts share their ideas on the present and future of lower extremity reconstruction with local and distant tissue. reconstruction.

12:00 pm – 12:45 pm 404 Tips and Tricks for Approaching YMG Open Forum (Not for credit) Unusual Replantations Acacia VII A Discussion of Your Practice and Politics: Local, Regional and Federal Chair: Raja Sabapathy, MD Invited Lecturer: Bob Murphy, MD Panelists: Heinz Burger, MD; Murat Topalan, MD; The Young Microsurgeon’s group invites you to participate in an open Abraham Thomas, MD forum specially designed to foster discussion on your practice and Scalp avulsions, Face, Scrotum and Penis amputations ...... These rare politics at the local, regional and federal level with featured guest surgical challenges have high stakes. Successful revascularization speaker Dr. Bob Murphy. can yield great outcomes; salvage reconstructions can be disabling. Join the experienced team of panelists to learn the special tricks to approach these difficult nights on call. 12:00 pm – 12:45 pm Lunch with Exhibitors Objectives: Following this session, the participant will be able to: 1. Incorporate special techniques and approaches to difficult 83 challenges in unusual replantation. 405 Technical Aspects of Face Transplantation Chair: Bohdan Pomahac, MD Royal Palm IV-VIII Panelists: Eduardo Rodriguez, MD, DDS; Benoit Lengele, MD Facial allotransplantation has become an available, and exciting option for facial restoration. Surgical techniques are evolving. This panel will discuss surgical experience with performed cases and current controversies. The audience will be able to share their thoughts on surgical indications in patients presented at the end of the session. Objectives: Following this session, the participant will be able to: 1. Share ideas on surgical indications in patients presented regarding face transplantation. 2. Describe current controversies and options for facial restoration

406 Reimagining: Alternative Anastomotic Techniques to Direct Suture Approximation Chair: Jesse Selber, MD Banyan I & II Panelists: Raman Mahabir, MD; Geoff Gurtner, MD; Alexander Gaggl, MD Techniques for microvascular anastomosis has changed little since the days of Alexis Carrel, yet the technical demands of microsurgery remain a barrier to the average surgeon. This panel explores alternative microanastomotic techniques that hold the potential to alter our everyday approach to microsurgery. Objectives: Following this session, the participant will be able to: 1. Determine alternative microanastomotic techniques to potential alter every day approaches to microsurgery. 2. Apply reimaging techniques to direct suture approximation.

407 Decision Making and Ethical Aspects in Palliative Reconstructive Microsurgery Chair: Lawrence Gottlieb, MD Mangrove I & II

ASRM Sunday January 13, 2013 January 13, ASRM Sunday Panelists: Kerstin Stenson, MD; Joseph Disa, MD; Matthew Hanasono, MD; Julian Pribaz, MD When do we say “enough is enough?” When do we think it is reasonable to perform complex reconstruction in patients who present with advanced disease when our interventions may not impact the progression of disease or patient survival? This interdisciplinary panel will help us through the difficult decision- making process and ethical considerations of palliative reconstructive surgery. Objectives: Following this session, the participant will be able to: 1. Measure the decision making process and ethical concerns of palliative reconstructive surgery. 2. Discuss options for complex reconstruction in patients with advanced diseases.

4:30 pm - 6:30 pm ASRM Best Case/Best Save Supported by Synovis, MCA Submissions of 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 the best Microsurgical Case of the year. Awards will be presented at the conclusion of the session.

84 American Society for Reconstructive Microsurgery DAY-AT-A-GLANCE Monday, January 14, 2013

6:00am – 5:00pm Speaker Ready Room Cypress 6:30am – 5:30pm Registration Royal Palm Foyer 6:30am – 1:00pm Exhibit Hall Hours Orchid Ballroom & Foyer ASRM Day-at-a-Glance Monnday, 14, January 2013 6:30am – 8:30am Breakfast with Exhibitors Orchid Ballroom & Foyer 7:00am – 8:00am Past Presidents Breakfast (Invitation Only) Vista Terrace 7:00am – 8:15am ASRM Concurrent Break Out Panels 408 Computer Aided Design/Modeling in Complex Acacia VII Craniofacial Reconstruction 409 Profitability and Microsurgical Breast Acacia I & II Reconstruction: Oxymoron or Reality? 410 Trachea Reconstruction Acacia IV 411 Medial Femoral Condyle Vascularized Bone Flap: Acacia V & VI Expanding Indications and Applications 412 Innovations in Facial Reconstruction Banyan I & II 413 Refinements in Toe Transfer, Minimizing Morbidity Mangrove I & II and Improving Aesthetics 8:30am – 9:30am Scientific Paper Session Royal Palm IV-VIII Head & Neck I 8:30am – 9:30am ASRM Business Meeting (Members ONLY) Royal Palm I-III 9:30am – 10:00am Coffee Break with Exhibitors Orchid Ballroom and Foyer 10:00am – 11:00am ASRM Panel: Assessing Flap Perfusion with Technology Royal Palm IV-VIII 10:00am – 12:00pm Scientific Paper Session Royal Palm I-III Basic Science & CTA 11:00am – 12:00pm Scientific Paper Session Royal Palm IV-VIII Microsurgical Practice 12:00pm – 12:45pm Lunch with Exhibitors Orchid Ballroom & Foyer 12:45pm – 1:15pm ASRM Presidential Lecture: Royal Palm IV-VIII Michael Neumeister, MD 1:15pm – 2:15pm YMG Panel Royal Palm IV-VIII 2:15pm – 3:30pm Concurrent Scientific Paper Session Breast II Royal Palm IV-VIII Torso & Trunk Royal Palm I-III 3:30pm – 4:30pm ASRM Godina Lecture: Royal Palm I-III Steve L. Moran, MD 4:30pm – 5:30pm ASRT Panel Royal Palm I-III 6:00pm – 7:00pm Godina Alumni Reunion (Invitation Only) Chill Lounge (Lobby Bar) 7:00pm – 10:00pm ASRM Latin Style Social Event Royal Palm IV-VIII 85 ASRM Program Monday, January 14, 2013 410 Trachea and Larynx Reconstruction: 6:30 am - 8:30 am Breakfast with Exhibitors Hot Topics in Air Supply Acacia IV Chair: Jan Vranckx, MD 7:00 am - 8:15 am ASRM Breakout Panels Panelists: Peirong Yu, MD; Stefan Hofer, MD; Michael Neumeister, MD This panel focusses on the fascinating and growing field of trachea and larynx reconstruction. Until recent, extensive operations on 408 Computer Aided Design/Modeling in trachea and larynx were hardly performed since their reconstructions were considered to be too complex. Many patients ended in Complex Craniofacial Reconstruction a palliative state and with a permanent tracheostome which Chair: Jesse Taylor, MD Acacia VII dramatically alters quality of life. Past decade, innovative strategies and more refined techniques have delivered new treatment options. Panelists: Stephen Baker, MD; Matthew Hanasono, MD; Four experts will cover the current armamentarium which include Eduardo Rodriguez, MD microvascular prefabrication and prelamination, tissue engineering Preoperative surgical simulation has proven a particularly valuable protocols and allotransplantation. tool in challenging cases of mandibular, midface, and orbital Objectives: Following this session, the participant will be able to: reconstruction where traditional “cut as you go” techniques may compromise essential functionality and optimal aesthetic outcomes. 1. Debate issues on trachea and larynx reconstruction. Please join our international experts as they provide a “how-to- 2. Apply techniques on new treatment options and refined primer” and insight into the use of CAD / CAM modeling for complex techniques. congenital, tumor, and Vascularized Composite Allotransplantation (VCA) cases. Objectives: Following this session, the participant will be able to: 411 Medial Femoral Condyle Vascularized 1 Manage ways to primer the use of CAD/CAM modeling for complex Bone Flap: Expanding Indications congenital, tumor, and Vascularized Composite Allotransplantation (VCA) cases. and Applications Acacia V-VI 2. Distinguish the compromises made of essential functionality Chair: Heinz Burger, MD and optimal aesthetic outcomes in traditional “cut as you go” Panelists: Alexander Gaggl, MD; Allen Bishop, MD; James Higgins, MD techniques. Since its initial description in 1991, the free MFC flap has proven to be a versatile tool with increasingly wide applications. Learn about the many ways this flap has proven to be a solution to some of the most 409 Profitability and Microsurgical Breast challenging problems we face. Reconstruction: Oxymoron or Reality? Objectives: Following this session, the participant will be able to: 1. Cite the manys the MFC Flap has proven to be a solution to some of Moderator: Maurice Nahabedian, MD Acacia I &II the challenging problems a micorsurgeon faces. Panelists: Navin Singh MD, MBA; Steven Davison, MD, MBA; David H. Song, MD, MBA, FACS Innovations in Facial Reconstruction There is an increasing assumption that microsurgical breast 412 reconstruction is less profitable when compared to alternative options Chair: Peter Neligan, MD Banyan I & II of breast reconstruction. This panel will focus on factors that can Panelists: Julian Pribaz, MD; Roman Skoracki, MD; Isao Koshima, MD positively and negatively impact economic profitability. Perspectives ASRM Monday January 14, 2013 January 14, ASRM Monday from surgeons in the private sector, academic institutions, and Leaders in the field of facial reconstruction will share their thoughts hospital administration will be reviewed, discussed, and debated. about: • Prefabrication and prelamination of flaps for facial reconstruction Objectives: Following this session, the participant will be able to: • The interaction of craniofacial and microsurgical disciplines in 1. Judge the factions that positively and negatively impact economic facial reconstruction probability in breast reconstruction. • Computer generated planning of facial defect reconstruction 2. Examine the different perspectives from surgeons in private sectors, academic institutions and hospital administration. Objectives: Following this session, the participant will be able to: 1. Identify prefabrication and prelamination of flaps for facial reconstruction. 2. Construct the interaction of craniofacial and microsurgical disciplines in facial reconstruction. 3. Utilize computer generated planning of facial defect reconstruction.

86 9:00am - 9:05am 413 Refinements in Toe Transfer, Minimizing The Internal Mammary Artery Pedicled Flaps and Their Use in Morbidity and Improving Aesthetics Head and Neck Reconstruction Guilherme Cardinali Barreiro, MD; Rachel Rossine Baptista; Kiril Endo Chair: Gregory Buncke, MD Mangrove I & II Kasai; Fabio Busnardo; Fabio Gaiotto; Marcus Castro Ferreira Panelists: Joseph Upton, MD; Tom Hayakawa, MD; Ryan Katz, MD Institution where the work was prepared: Clinics Hospital of the University of Sao Paulo, Sao Paulo, Brazil Microsurgeons are familiar with the basic techniques in Toe Transplantation, however patients frequently request that their transplanted toe looks more like a thumb or finger. The panel of 9:05am – 9:10am Discussion experts will demonstrate their techniques to improve the end result. Objectives: Following this session, the participant will be able to: 9:10am - 9:15am 1. Examine techniques in improving aesthetics in toe transfers. Trachea autotransplantation to restore the hemilarynx after unilateral larynx cancer resection to spare one vocal cord Jan Jeroen Vranckx, MD, PhD; P. Delaere, MD, PhD; LL Nanhekhan, MD; 8:30 am - 9:30 am ASRM Business Meeting K. Segers, MD; V. Van der Poorten, MD, PhD (Not for credit) (Members Only) Institution where the work was prepared: KUL Leuven University Hospitals , Leuven, Belgium

8:30 am - 9:30 am Scientific Paper Session 9:15am - 9:20am Giant Congenital Nevi of the Face: Radical Resection and Resurfacing with Prefabricated Induced Expanded HEAD & NECK Supraclavicular Skin Flap Moderators: Jay Boehmler, MD & Samir Mardini, MD Murat Topalan; Baris Yigit, MD; Yener Demirtas Institution where the work was prepared: Istanbul University Istanbul Objective: The participants will be exposed to ongoing research School of Medicine, Istanbul, Turkey ASRM Monday 14, January 2013 in the field of reconstructive microsurgery and other complex reconstructions. 9:20am - 9:25am The Transverse Cervical Vessels: Ideal Primary Recipient Vessels in Head and Neck Free Flap Reconstruction 8:30am - 8:35am Brian Parrett; Bauback Safa, MD; Gregory M. Buncke; Mark I. Singer; Free Adipofascial ALT Flap for Reconstructing Anterior Skull Rudolf Buntic Base Defects: Clinical Series and Anatomical Study using Three- Institution where the work was prepared: The Buncke Clinic, San Dimensional Tomography Francisco, CA, USA Thorir Audolfsson, MD; Andres Rodriguez, MD, PhD; Rafael Acosta- Rojas, MD; Corrine Wong, MD; Angela Cheng, MD; Gary Arbique, PhD; 9:25am – 9:30am Discussion Shai Rozen, MD Institution where the work was prepared: Uppsala University Hospital / UT South Western, Uppsala / Dallas, TX, Sweden 8:35am - 8:40am 9:30 am - 10:00 am Coffee Break with Exhibitors High Fidelity Tissue Engineering of Patient Specific Auricles for Reconstruction of Pediatric Microtia Alyssa J. Reiffel, MD; Bryan Brown, PhD; Karina A. Hernandez, DO; 10:00 am - 11:00 am Justin L. Perez, BS; Rachel Campbell, MD; Sherry Zhou; Jason A. Spector, MD, FACS Panel: Assessing Flap Perfusion with Technology Institution where the work was prepared: Weill Cornell Medical College, Chair: Michael Zenn, MD New York, NY, USA Panelists: Risal Djohan, MD; Patrick B. Garvey, MD; Justin Sacks, MD As we perfect flap harvest and transfer, plastic surgeons strive to 8:40am - 8:45am maximize blood supply to tissue while minimizing donor morbidity. Functional Soft Palate Reconstruction Technology available today can greatly assist the surgeon in flap Dirk J. Schaefer, MD, PhD planning and flap execution. The most popular of these technologies Institution where the work was prepared: University Hospital Basel, will be presented and compared. Basel, Switzerland Objectives: Following this session, the participant will be able to: 8:45am – 8:50am Discussion 1. Utilize technology to harvest flaps by maximizing blood flow to tissues while minimizing donor morbidity. 2. Discuss what practices would be most affect for each physician 8:50am - 8:55am utilizing new technology techniques. Involuntary movement during mastication in patients with long- term facial paralysis reanimated with a partial gracilis free neuro- muscular flap innervated by the masseteric nerve 10:00 am - 12:00 pm Concurrent Scientific Paper Session Shai Rozen, MD; Thao Duong, MS; Bridget Harrison, MD Institution where the work was prepared: University of Texas Southwestern Medical Center, Dallas, TX, USA BASIC SCIENCE & CTA PAPER SESSION Moderators: William Zamboni, MD & Ronald Zuker, MD 8:55am - 9:00am Moderators: David Mathes, MD; Riccardo Giunta, MD, PhD The Versatility of the Thoracodorsal-Angular Artery Scapula Chimeric Flap for Bony Reconstruction of the Head and Neck Objective: The participants will be exposed to ongoing research Grant M. Kleiber, MD; Nicole A. Phillips, MD; Aaron T. Pelletier, MD; in the field of reconstructive microsurgery and other complex Lawrence J. Gottlieb, MD reconstructions. Institution where the work was prepared: University of Chicago Medical Center, Chicago, IL, USA

87 10:00am - 10:05am 10:50am - 10:55am A New Rat Model for Orthotopic Abdominal Wall Fibroblast Growth Factor-2 and Vascular Endothelial Growth Allotransplantation Factor Mediated Augmentation of Angiogenesis and Bone William Lao, MD; Yl Wang, PhD; A. Ramirez; Cj Wen; HY Cheng; FC Wei Formation in Vascularized Bone Allotransplants - Short-Term Institution where the work was prepared: Chang Gung Memorial Hospital, Versus Long-Term Results Linkou, Taiwan Mikko Larsen, MD, PhD; Wouter F. Willems, MD; Michael Pelzer, MD, PhD; Patricia F. Friedrich, AAS; Mahrokh Dadsetan, PhD; 10:05am - 10:10am Allen T. Bishop, MD Human Di-Chimeric Cells a New Approach for Tolerance Inducing Institution where the work was prepared: Mayo Clinic, Rochester, MN, USA Protocols in Transplantation: A Preliminary Study Joanna Cwykiel, MSc; Medhat Askar, MD, PhD; Maria Siemionow, MD, PhD, DSc 10:55am - 11:00am Institution where the work was prepared: Cleveland clinic, Engineering Small-diameter Blood Vessels with a Functional Cleveland, OH, USA Vascular Tunica Media: Adding Transforming Growth Factor Beta One to Vascular Smooth Muscle Cells in Microchannels 10:10am - 10:15am Gavin Kang, MD; KK Women’s and Children’s Hospital; Evaluation of the Optic Nerve Regeneration In A New Orbital Mary B. Chan-Park, PhD Composite Tissue Allotransplantation Model Institution where the work was prepared: Nanyang Technological Ramazan Murat Polat; Fatih Zor; Selcuk Isik; Bulent Kurt; Fatih Ors; University, Singapore Bilal Battal Institution where the work was prepared: GULHANE MILITARY MEDICAL ACADEMY, ANKARA, , Turkey 11:00am - 11:05am Paracrine Instruction of Vasculogenesis within Naturally Derived, 10:15am - 10:20am Biodegradable Hybrid Hydrogel Scaffolds Utilization of spatial frequency domain imaging to monitor Alyssa J. Reiffel, MD; Justin L. Perez, BS; Karina A. Hernandez, DO; composite facial transplantation with microsurgical vascular Rachel Campbell, MD; Natalia Jimenez, MD, MS; anastomosis Jason A. Spector, MD, FACS John T. Nguyen, MD; Yoshitomo Ashitate, MD; Sylvain Gioux, PhD; Institution where the work was prepared: Weill Cornell Medical College, John V. Frangioni, MD, PhD; Bernard T. Lee, MD, MBA New York, NY, USA Institution where the work was prepared: Beth Israel Deaconess Medical Center, Boston, MA, USA 11:05am - 11:10am G-Protein Involvement in HBO Reduction of IR-Induced CD18 10:20am – 10:25am Discussion Polarization Nancy Wong, MD; Marc A. Cerruti, BS; John P. Brosious, MD; Linda L. Stephenson, MT(ASCP); Kayvan T. Khiabani, MD; Wei Z. Wang, MD; 10:25am - 10:30am William A. Zamboni, MD Immunoregulatory Effects of Adipose-Derived Stem Cells in an In Institution where the work was prepared: University of Nevada School of Vitro Mouse Model of Reconstructive Transplantation Medicine, Las Vegas, NV, USA Nance Yuan, BA; Qi Mao, MD; Lehao Wu, MD; Kakali Sarkar, PhD; W.P. Andrew Lee, MD; Gerald Brandacher, MD; Damon S. Cooney, MD, PhD 11:10am – 11:15am Discussion Institution where the work was prepared: Johns Hopkins University, Baltimore, MD, USA 11:15am - 11:20am Pre- and Postischemic Extracorporeal Shock Wave Conditioning Modulates Expression of Inflammatory Factors in Cremaster 10:30am - 10:35am Ischemia/Reperfusion Injury Model Tolerance to Vascularized Composite Tissue Allografts via Joanna Cwykiel, MSc; Aleksandra Klimczak, PhD; Lukasz Krokowicz, Hematopoietic Stem Cell Infusion MD, PhD; Maria Siemionow, MD, PhD, DSc ASRM Monday January 14, 2013 January 14, ASRM Monday Jeff Chang, MS, MD; Scott Graves; Tiffany Miwongtum; Rainer Storb, Institution where the work was prepared: Cleveland Clinic, MD; David W. Mathes Cleveland, OH, USA Institution where the work was prepared: University of Washington Seattle, Seattle, WA, USA 11:20am - 11:25am Near-Infrared Indocyanine Green Lymphography as a Minimally 10:35am - 10:40am Invasive Modality for Imaging Lymphatic Reconstitution in a Rat Immunomodulatory Effects of Adipose-Derived Stem Cells on T Orthotopic Hind Limb Transplantation Model Helper Cell Development Induces Tolerance in a Rat Orthotopic Kate J. Buretta; Gabriel A. Brat; Joani M. Christensen; Zuhaib Ibrahim; Hemi-Abdominal Wall Allotransplant Model Johanna Grahammer; Georg Furtmueller; Hiroo Suami; Damon S. Y.L. Wang, PhD; W.W.K. Lao, MD; A. Ramirez, MD; H.Y. Cheng, PhD; C.J. Cooney; W.P. Andrew Lee; Gerald Brandacher; Justin M. Sacks Wen, PhD; F.C. Wei, MD Institution where the work was prepared: Johns Hopkins University School Institution where the work was prepared: Research Center for Vascularized of Medicine, Baltimore, MD, USA Composite Allotransplantation, Taipei, Taiwan 11:25am - 11:30am 10:40am - 10:45am Establishing A Lymphedema Rat Model for Vascularized Lymph Recipient Autologous Adipose-derived Mesenchymal Stem Cells Nodes Transfer Prolong Vascularized Composite Tissue Allotransplant Survival Is Chin-Yu Yang, M, Sc; Dung H. Nguyen, MD; Pan-Yu Chou, MD; Kun-Ju Correlated with T-cell Regulation in a Swine Hind-Limb Model Lin, MD; Jung-Ju Huang, MD; Chih-Wei Wu, MD; Ming-Huei Cheng, MD Chien-Chang Chen; Shigeru Goto; Chin-Kuei Hsieh, MS; Yur-Ren Kuo, Institution where the work was prepared: Chang Gung Memorial Hospital, MD, PhD, FACS Taoyuan, Taiwan Institution where the work was prepared: Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan 11:30am - 11:35am 10:45am – 10:50am Discussion Evaluation of the Effect of Vascularized Lymph Nodes Transfer on Lymphatic Drainage and Local Immune Function in An Experimental Rat Lymphedema Model Dung H. Nguyen, MD; Chin-Yu Yang, M, Sc; Pan-Yu Chou, MD; Kun-Ju 88 Lin, MD; Jung-Ju Huang, MD; Chih-Wei Wu, MD; Ming-Huei Cheng, MD Institution where the work was prepared: Chang Gung Memorial Hospital, Taoyuan, Taiwan 11:35am – 11:40am Discussion 11:30am - 11:35am Flap Salvage After Late Anastomotic Thrombosis in

Microvascular Reconstruction 11:40am - 11:45am John G. Fernandez, MD; Peter W. Henderson; Yeliz Cemal; Babak Investigation of Mesenchymal Stem Cell-Seeded Polymer J. Mehrara; Andrea Pusic; Colleen McCarthy; Evan Matros; Peter G. Scaffolds for Osteogenesis in a Model of Vascularized Tissue Cordeiro; Joseph J. Disa Prefabrication Institution where the work was prepared: Memorial Sloan Kettering Shu-Wei Kao, BS; Chih-Wei Wu, MD; Shu-Rui Yang, MS; Eric M. Brey, Cancer Center, New York, NY, USA PhD; Chang-Kuan Chang, MD; Jung-Ju Huang, MD; Sakshi Sahni; I-Ming Chu; Ming-Huei Cheng, MD, MBA Institution where the work was prepared: Chang Gung Memorial Hospital, 11:35am - 11:40am Taoyuan, Taiwan Increased Hospital Volume is Associated with Improved Outcomes Following Abdominal-based Breast Reconstruction

A. Patel, MD, MBA; JA Persing, MD; A. Au, MD 11:45am - 12:00pm Institution where the work was prepared: Yale University School of The Role of Anemia in Free Flap Breast Reconstruction: Medicine, New Haven, CT, USA A Comprehensive Analysis of 834 Patients Jonas A. Nelson, MD; John P. Fischer, MD; Jessica erdman-Seider, md; Emily C. Cleveland, BA; Brady Sieber; Suhail Kanchwala; Liza C. Wu, 11:40am – 11:45am Discussion MD; Joseph M. Serletti, MD

Institution where the work was prepared: University of Pennsylvania, 11:45am - 11:50am Philadelphia, PA, USA Using Motion Analysis to Provide Immediate Feedback in Microsurgery Education Microsurgical Practice Paper Session Ji Son, MS; Thomas Satterwhite, MD; Gordon K. Lee, MD Moderators: Joan Lipa, MD & Eyal Gur, MD Institution where the work was prepared: Stanford, Stanford, CA, USA Objective: The participants will be exposed to ongoing research in the field of reconstructive microsurgery and other complex 11:50am - 11:55am ASRM Monday 14, January 2013 reconstructions. Quantitative fluorimetry for detecting vascular compromise in microvascular surgery: 8300 readings with 100% negative 11:00am - 11:05am predictive value Donor Site Morbidity Following Harvest of the Medial Femoral Bauback Safa, MD, MBA, FACS; Brian Parrett, MD; Gregory Buncke, MD; Condyle Flap Johnny T. Chang, MD, MSME; Rudolf Buntic, MD Samir S. Rao, MD; Carlton C. Sexton, MD; James P. Higgins, MD Institution where the work was prepared: The Buncke Clinic, San Institution where the work was prepared: Curtis National Hand Center, Francisco, CA, USA MedStar Union Memorial Hospital, Baltimore, MD, USA 11:55am – 12:00pm Discussion 11:05am - 11:10am Efficient Use of the Subscapular System: A Two-Team Approach Without the Need for 12:00 pm - 12:45 pm Lunch with Exhibitors Repositioning in 64 Microvascular Transplants Farrah M. Yau, MD, FRCSC; Brian Parrett, MD, FACS; Gregory Buncke, MD, FACS; Rudolf Buntic, MD, FACS; Bauback Safa, MD, MBA, FACS 12:45 pm - 1:15 pm ASRM Presidential Lecture (Not for credit) Institution where the work was prepared: Buncke Medical Clinic, San Francisco, CA, USA Michael Neumeister, MD ASRM President 11:10am - 11:15am The CAQ in Microsurgery: Consideration for Subspecialty Certification in Microvascular Surgery Neil Tanna, MD, MBA; P. Niclas Broer, MD; Pierre B. Saadeh, MD; Christopher A. Crisera, MD; Liza C. Wu, MD; J. Brian Boyd, MD; Joseph 1:15 pm - 2:15 pm YMG Panel M. Serletti, MD; Jamie P. Levine, MD; Steven M. Levine, MD Chair: Robert Whitfield, MD, FACS Institution where the work was prepared: New York University, New York, Invited Panelists: Patrick Garvey, MD; Jay Granzow, MD, MPH; NY, USA Ned Snyder, MD Young Microsurgeons will present their most challenging and difficult 11:15am - 11:20am cases with commentary from a paired expert in the field. New insights Tracking the Learning Curve in Microsurgical Skill Acquisition into complications and the manner in which they were addressed will Jesse Selber, MD, MPH; Edward Chang; Jun Liu; Hiroo Suami; David be discussed and debated. Adelman; Patrick Garvey; Matthew Hanasono; Charles Butler Institution where the work was prepared: MD Anderson Cancer Center, 2:15 pm - 3:30 pm Concurrent Scientific Paper Sessions Houston, TX, USA Torso and Trunk Paper Session 11:20am – 11:25am Discussion Moderators: Detlev Erdmann, MD & Gedge Rosson, MD Objective: The participants will be exposed to ongoing research 11:25am - 11:30am in the field of reconstructive microsurgery and other complex A Prospective Study of Transit Time Flow Volume (TTFV) reconstructions. Measurement for Intra-operative Evaluation and Optimization of Free Flaps for Oncologic Reconstruction Jesse Selber, MD, MPH; Patrick Garvey; Mark Clemens; Edward Chang; 2:15pm - 2:20pm Hong Zhang; Matthew Hanosono, MD Reconstruction after Internal Hemipelvectomy: Outcomes and Institution where the work was prepared: MD Anderson Cancer Center, Reconstructive Algorithm Houston, TX, USA Albert H. Chao, MD; Sara A. Neimanis, BS; David W. Chang, MD; Valerie O. Lewis, MD; Matthew M. Hanasono, MD Institution where the work was prepared: M.D. Anderson Cancer Center, Houston, TX, USA 89 2:20pm - 2:25pm 3:05pm - 3:10pm Laser-assisted ICG Angiography - A Critical Appraisal Reinforcement of the Abdominal Wall Following Breast Cindy Wu, MD; Sendia Kim, MD; Eric Halvorson, MD Reconstruction with Abdominal Flaps: A Comparison of Synthetic Institution where the work was prepared: University of North Carolina, and Biologic Mesh Chapel Hill, NC, USA Ketan M. Patel, MD; John Shuck; Rex Hung; Maurice Nahabedian Institution where the work was prepared: Georgetown University Hospital;

Dept. of Plastic Surgery, Washington, DC, USA 2:25pm - 2:30pm Immediate Flap Reconstruction of the Perineum after Pelvic Exenteration or Abdominoperineal Resection: A Systematic Review 3:10pm – 3:15pm Discussion Marcelo Lacayo Baez, MD; Laurel Karian, MD; Onyebuchi U. Ogbuagu, MD, MPH; Stella Seal; Justin M. Sacks, MD; Michele A. Manahan, MD; Gedge D. Rosson, MD; Ami Vikani, MPH 3:15pm - 3:20pm Institution where the work was prepared: Johns Hopkins Medical Tension-Free Closure of Large Spina Bifida Defects with V-Y Institutions, Baltimore, MD, USA Crescentic Rotation Advancement Flaps Daniel Butz, MD, BS; Iris Angela Seitz, MD, PhD; David Frim; Russell Reid; Lawrence Gottlieb 2:30pm – 2:35pm Discussion Institution where the work was prepared: University of Chicago Medical Center, Chicago, IL, USA

2:35pm - 2:40pm 3:20pm - 3:25pm Indications and Outcomes of the Superficial Inferior Epigastric Additional Venous Drainage Improves Flap Survival in the Radial Artery Flap: A Ten-Year Experience Forearm Free-Flap Phalloplasty Steven M. Levine, MD; Chelsea Snider, MD; Jay Granzow, MD; P. Niclas Matthew Greives, MD; Jonathan Bank, MD; Kelly Ledbetter; Broer, MD; Neil Tanna, MD, MBA; Robert J. Allen, MD Lawrence Gottlieb, MD Institution where the work was prepared: New York University Langone Institution where the work was prepared: University of Chicago Hospitals, Medical Center, NEW YORK, NY, USA Chicago, IL, USA

2:40pm - 2:45pm Quantitative Outcomes from a Multi-center Registry Study 3:25pm – 3:30pm Discussion of Processed Nerve Allografts in Sensory and Mixed Repairs Presenting with Concomitant Injuries Wesley Thayer, MD, PhD; Renata V. Weber, MD; Jozef Zoldos, MD; Mickey S. Cho, MD; Brian Rinker, MD; John Ingari, MD; Bauback Safa, 2:15 pm - 3:30 pm Concurrent Scientific Paper Session MD; Darrell Brooks, MD; Gregory M. Buncke, MD Institution where the work was prepared: Vanderbilt University Medical Breast II Paper Session Center, Nashville , TN, USA Moderators: Jay Granzow, MD & Michael Miller, MD Objective: The participants will be exposed to ongoing research 2:45pm - 2:50pm in the field of reconstructive microsurgery and other complex Free tissue transfers in Head and Neck Reconstruction: reconstructions. Complications and Outcome Analysis of 2019 Flaps Pao-Yuan Lin, MD; Yun-Ta Tsai; Johnson Chia-Shen Yang; Yen-Chou 2:15pm - 2:20pm Chen; Yur-Ren Kuo

ASRM Monday January 14, 2013 January 14, ASRM Monday Tackling Autologous Breast Reconstruction in the Face of Institution where the work was prepared: Kaohsiung Chang Gung Radiation Therapy: Comparing Two Reconstructive Algorithms Memorial Hospital , Kaohsiung, Taiwan Ketan Patel; Frank Albino; Kenneth Fan; Maurice Nahabedian Institution where the work was prepared: Georgetown University Hospital;

Dept. of Plastic Surgery, Washington, DC, USA 2:50pm – 2:55pm Discussion

2:20pm - 2:25pm Analysis of Factors Contributing to Severity of Breast Cancer 2:55pm - 3:00pm Related Lymphedema Functional Outcomes in Reconstruction of Massive Chest Wall Michelle Coriddi, MD; Ibrahim Khansa, MD; James Boehmler, MD; Defects: A 17-Year Experience Pankaj Tiwari, MD Mark Clemens; Patrick Garvey; Joseph P. Corkum, BEng; Jun Liu; Institution where the work was prepared: Wexner Medical Center at the Donald P. Baumann; Wayne Hofstetter, MD; Charles Butler Ohio State University, Columbus, OH, USA Institution where the work was prepared: MD Anderson Cancer Center, Houston, TX, USA 2:25pm - 2:30pm Do the number of perforators influence the outcome of DIEP flaps 3:00pm - 3:05pm in autologous breast reconstruction? Intraoperative Vasopressor Therapy Does Not Affect Free Flap Ritwik Grover, BA; Jonas Nelson, MD; Joseph Serletti, MD; Liza Wu, MD Viability: A Myth Busted Institution where the work was prepared: University of Pennsylvania, T. Oguz Acarturk, MD; Nick Vial; Vincent Chavanon; Lauren Zammerilla; Philadelphia, PA, USA Bonnie Lu; James M. Russavage; Ernest K. Manders Institution where the work was prepared: University of Pittsburgh / Plastic Surgery, Pittsburgh, PA, USA 2:30pm – 2:35pm Discussion

90 2:35pm - 2:40pm 3:20pm - 3:25pm Behind the Drapes: An Analysis of Intraoperative Anesthetic A Comprehensive Analysis of Free Autologous Tissue Transfer Management in 687 Autologous Breast Reconstruction Patients in the Obese Patient—Our Experience with 1,258 Abdominally- Jonas A. Nelson, MD; Ritwik Grover, BA; John P. Fischer, MD; Priscilla Based Reconstructions Nelson; A. Au, MD; Michael Mirzabegi, MD; Joseph M. Serletti, MD; John P. Fischer, MD; Jonas A. Nelson; Brady Sieber; Emily Cleveland; Liza C. Wu, MD Stephen J. Kovach; Liza C. Wu; Joseph M. Serletti; Suhail Kanchwala Institution where the work was prepared: University of Pennsylvania Institution where the work was prepared: Hospital of the University of Perelman School of Medicine, Philadelphia, PA, USA Pennsylvania, Philadelphia, PA, USA

2:40pm - 2:45pm 3:25pm – 3:30pm Discussion Complications after Total Skin-Sparing Mastectomy: Comparison of Autologous Reconstruction to 3:30 pm - 4:30 pm ASRM Godina Lecture Expander-Implant Reconstruction (Not for credit) A. Warren Peled, MD; R.D. Foster, MD; C.A. Ewing, MD; M. Alvarado, MD; E.S. Hwang, MD, MPH; L.J. Esserman, MD, MBA; H. Sbitany, MD Steven L. Moran, MD Institution where the work was prepared: University of California, San Francisco, San Francisco, CA, USA “Marko Godina was distinguished by his tireless energy, his impeccable logic, his boundless optimism, and his constant good humor and courtesy” – G. Lister 2:45pm - 2:50pm Perforator Number and Flap Weight Predict Fat Necrosis It is these qualities that are sought after in choosing the ASRM in Breast Reconstruction Using DIEP Flaps Godina Lecturer, honoring Dr. Marko Godina, an unrivaled leader and Carolyn L. Mulvey, BS; Francis F. Daily; Onyebuchi U. Ogbuago, MD; innovator in reconstructive microsurgery whose life was tragically Rika Ohkuma, MD; Dominic Heffel, MD; Ariel N. Rad, MD/PhD; Michele cut short at the young age of 43. Established by the trustees of the ASRM Monday 14, January 2013 A. Manahan, MD; Gedge D. Rosson, MD; Justin M. Sacks, MD Marko Godina Fund, this distinguished lectureship highlights a Institution where the work was prepared: Johns Hopkins Medical young, upcoming microsurgeon who has demonstrated leadership, Institutions, Baltimore, MD, USA innovation and ongoing commitment to our field in the best traditions of Dr. Godina. It is a pleasure to introduce Steven L. Moran, MD as the 2012 Godina Traveling Fellow. 2:50pm – 2:55pm Discussion

4:30 pm - 5:30 pm American Society for Reconstructive 2:55pm - 3:00pm Transplantation Panel A National Analysis of Volume Outcomes in Autologous Breast Panelists: Linda Cendales, MD; W.P. Andrew Lee, MD, FACS; Reconstruction Bohdan Pomahac, MD Claudia R. Albornoz; Joseph J. Disa, MD; Babak J. Mehrara, MD; Andrea Pusic, MD, MHS; Colleen McCarthy, MD, MS; Peter G. Cordeiro, MD; Evan Matros, MD, MMSc 6:00 pm - 7:00 pm Godina Alumni Club Reception Institution where the work was prepared: Memorial Sloan Kettering (invite only) Cancer Center, New York, NY, USA 7:00 pm - 10:00 pm ASRM Latin Style Evening Event 3:00pm - 3:05pm Buried Perforator Flap Reconstruction in Nipple-Sparing Mastectomies: Advancing Towards Single-Stage Breast Reconstruction Steven M. Levine, MD; Chelsea Snider, MD; Neil Tanna, MD, MBA; P. Niclas Broer; Robert J. Allen Institution where the work was prepared: Steven Levine, New York, NY, USA

3:05pm - 3:10pm Rib-Sparing and Internal Mammary Artery-Preserving Microsurgical Breast Reconstruction with Free DIEP Flap Goo-Hyun Mun, MD Institution where the work was prepared: Samsung Medical Center, Seoul, , South Korea

3:10pm – 3:15pm Discussion

3:15pm - 3:20pm Quality of Life Outcomes Associated with Staged Breast Reconstruction Carisa M. Cooney, MPH, CCRP; Jake Golman; Rika Ohkuma; Ariel N. Rad, MD, PhD; Michele A. Manahan, MD; Damon S. Cooney, MD, PhD; Justin M. Sacks, MD; Gedge D. Rosson, MD Institution where the work was prepared: Johns Hopkins University School of Medicine, Baltimore, MD, USA

91 92 American Society for Reconstructive Microsurgery DAY-AT-A-GLANCE Tuesday, January 15, 2013

6:00am – 11:30am Speaker Ready Room Cypress

6:30am – 12:00pm Registration Royal Palm Foyer ASRM Day-at-a-Glance Tuesday 15, January 2013 6:30am – 8:30am Breakfast Royal Palm Foyer

7:00am – 8:30am ASRM Council Meeting Acacia III

7:00am – 8:15am ASRM Concurrent Break Out Panels

414 Getting Published in Reconstructive Surgery: Mangrove I & II What You Need To Know To Succeed

415 Venous Flaps: When, Where and Why to Use them Acacia I & II Hand Reconstruction 416 Aesthetic, Functional and Technical Evolution in Banyan I & II Mandible and Maxilla Reconstruction in the Last Two Decades 417 Vascularized Bone Flaps vs. Bone Grafts vs. Acacia IV Alloplastic Reconstruction in Cranioplasty 418 Minimally Invasive Flap Harvest: Big Flaps, Orchid III Small Incisions 419 Vascularized Lymph Node Transfer for the Treatment Royal Palm I-III of Lymphedema: Controversies in Safety and Efficacy 420 Controversies in Autogenous Breast Reconstruction Acacia V & VI

8:30am – 9:30am Buncke Lecture: Joseph Upton, MD Royal Palm IV-VIII

9:30am – 10:45am ASRM Concurrent Scientific Paper Sessions Extremities Royal Palm IV-VIII Head & Neck II Royal Palm I-III

10:45am – 11:45am Panel: Future of Breast Reconstruction Royal Palm IV-VIII

11:45am Closing Remarks Royal Palm IV-VIII

93 ASRM Program Tuesday, January 15, 2013 417 Vascularized Bone Flaps vs. Bone Grafts vs. Alloplastic 6:30 am - 8:30 am Breakfast Reconstruction in Cranioplasty 7:00 am - 8:30 am ASRM Council Meeting Chair: Eduardo Rodriguez, MD, DDS Acacia IV 7:00 am - 8:15 am ASRM Breakout Panels Panelists: Alexander Gaggl, MD; Anthony Wolfe, MD; Amir Dorafshar, MD Experts in the field will discuss the benefits of various methods of reconstruction of large cranial defects. Discussion will focus on how 414 Getting Published in Reconstructive our approach to these problems has evolved and what the future Surgery: What You Need may hold. To Know To Succeed Acadia V & VI Objectives: Following this session, the participant will be able to: 1. Recognize the various methods of reconstruction of large cranial Chair: Stefan Hofer, MD defects. Panelists: Michael Neumeister, MD; Peter Neligan,MD 2. Apply approaches learned to target problems in Vascularized Have a lot of great ideas, but difficulty getting them published? Hear Bone Flaps, Bone Grafts, and Alloplastic Reconstruction in from editors of three reconstructive journals provide guidelines for Cranioplasty. success in getting your innovative ideas in print Objectives: Following this session, the participant will be able to: 418 Minimally Invasive Flap Harvast: 1. Formulate strategic plans to get published in today’s microsurgical Big Flaps, Small Incisions Orchid III world Chair: Jesse Selber, MD Panelists: Neil Fine, MD; John Pederson, MD; Paul Cederna, MD Venous Flaps: When, Where and Why to 415 Are big incisions a thing of the past? Listen to innovative surgeons Use them In Hand Reconstruction describe how they have used minimally invasive approaches to Chair: Rudy Buntic, MD Acacia I & II harvest everyday flaps with minimal donor site morbidity. Objectives: Following this session, the participant will be able to: Panelists: Avi Isulur, MD; Jay Agrawal, MD; Bauback Safa, MD 1. Practice minimally invasive approaches in every day microsurgery Difficult hand soft tissue reconstructions can often be simplified and to harvest flaps. best treated with a venous free flap. Panelists will discuss designing, harvesting and incorporating these flaps into everyday practice so that the surgeon unfamiliar with them can get started and use them to their full potential. 419 Vascularized Lymph Node Transfer Objectives: Following this session, the participant will be able to: for the Treatment of Lymphedema: 1. Incorporate a venous free flap in everyday practice to familiarize Controversies in Safety other surgeons with the technique. and Efficacy Royal Palm I-III Chair: Joseph Dayan, MD 416 Aesthetic, Functional and Panelists: David Chang, MD; Corrine Becker, MD; Ming-Huei Cheng, ASRM Tuesday January 15, 2013 January 15, Tuesday ASRM Technical Evolution in Mandible MD; Babak Mehrara, MD and Maxilla Reconstruction Vascularized lymph node transfer has been become increasingly popular as a treatment for lymphedema, but has also raised in the Last Two Decades significant controversy regarding the technique as well as safety and efficacy. Experts in the field will share their experience including Chair: Giorgio DeSantis, MD Banyan I & II details on patient selection, technique, morbidity, and outcomes. Panelists: Eric Santamaria, MD; Evan Matros, MD; Babak Mehrara, MD Objectives: Following this session, the participant will be able to: In the last two decades demonstrated a revolution in microsurgical 1. Evaluate current practices in vascularized lymph node tranfers for mandible and maxilla reconstruction. Aesthetic evolution the treatment of lymphedema. (segmental osteotomies, use of the CAD-CAM), functional evolution 2. Determine if these practices are efficient in patient selection, (implantology, mucosal prelamination), technical evolution (bone technique, and morbidity to produce successful outcomes. stabilization), will be the main topics to be debated in this course. Objectives: Following this session, the participant will be able to: 1. Debate the past two decades of revolution in microsurgical 420 Controversies in Autogenous Breast mandible and maxilla reconstruction. Reconstruction Acacia V & VI 2. Evaluate the advances made in aesthetic evolution, functional evolution, and technical evolution. Co-Chairs: Bob Allen, MD & Christoph Heitmann, MD Panelists: Aldona Spiegel, MD; Ali Sadeghi, MD; Karen Horton, MD Despite many options for breast reconstruction, autogenous techniques are the gold standard. Sensibility, alternative donor sites, radiation effects, and fat grafting will be addressed. Objectives: Following this session, the participant will be able to: 1. Determine alternative donor sites for autogenous breast reconstruction. 2. Analyze fat grafting techniques 94 3. Understand radiation effects. 8:30 am - 9:30 am Buncke Lecture (Not for credit) 10:00am - 10:05am Surgical Algorithm for Upper Limb Hemiartheroplasty Joseph Upton, MD Ravit Yanko-Arzi, MD; Arik Zaretski; Mario Scaglioni; Yoav Barnea; The Harry Buncke Lectureship has been created with Yehuda Kollender; Jacob Bickels; Yair Gorchak; Eyal Gur the support of the California Pacific Medical Center to Institution where the work was prepared: Tel Aviv Sourasky Medical honor Dr. Buncke’s remarkable contributions to the Center, Tel Aviv, Israel field of microsurgery. Dr. Harry Buncke has played a

major role in the development of our specialty and has 10:05am - 10:10am helped develop several microsurgical laboratories across the globe. Injectable phosphatidylcholine and deoxycholic acid for He has influenced countless residents and fellows as well as numeral chemical debulking of sensate and non-sensate flaps department chairs throughout the world. It is with great appreciation Goetz A. Giessler, MD, PhD that we are able to honor Dr. Harry Buncke with his lectureship due Institution where the work was prepared: BG Trauma Center , to funding provided by the California Pacific Medical Center. It is our Murnau, Germany pleasure to introduce Joseph Upton, MD as the 2013 Buncke Lecturer. Support received from California Pacific Medical Center 10:10am – 10:15am Discussion

9:30 am - 10:45 am Concurrent Paper Session 10:15am - 10:20am Vascularized Supraclavicular Lymph Node Transfer for Lower EXTREMITY Extremity Lymphedema Treatment Chuma J. Chike-Obi, MD; G. Althubaiti, MD; Melissa Crosby, MD; Moderators: Wee Leon Lam, MD & Ryan Katz, MD David Chang, MD Objective: The participants will be exposed to ongoing research Institution where the work was prepared: MD Anderson Cancer Center, in the field of reconstructive microsurgery and other complex Houston, TX, USA ASRM Tuesday 15, January 2013 reconstructions. 10:20am - 10:25am Combination of Charles’ Procedure and Microsurgical Transfer 9:30am - 9:35am of Lymph Nodes to the Foot for Advanced Lymphoedema with Algorithmic Approach When Encountering Anterolateral Severe Fibrosis Thigh Flaps without Suitable Perforators in Lower Extremity Shih-Heng Chen, MD; Yueh-bih Tang, MD, PhD; Hung-chi Chen, MD, Reconstruction MHA, FACS; Samir Mardini; Christopher J. Salgado, MD Johnny Chuieng - Yi Lu, MD; Chih Hung Lin; Chung-Chen Hsu; Yu-Te Institution where the work was prepared: China Medical University Lin; Cheng Hung Lin Hospital, Taichung, Taiwan Institution where the work was prepared: Chang Gung Memorial Hospital, Taoyuan, Taiwan 10:25am - 10:30am 9:35am - 9:40am The Use of Reverse Lymphatic Mapping in Vascularized Lymph The Impact of Reconstructive Timing in Traumatic Lower Node Transfer: A New Technique to Facilitate Lymph Node Extremity Free Tissue Transfer Harvest and Minimize the Risk of Lymphedema at the Donor Site J. Bradford Hill, MD; Pooyan Rohani, ME; Kevin W. Sexton, MD; Gabriel Erez Dayan, MD; Mark Smith, MD, FACS; Mark Sultan, MD; William A. Del Corral, MD; Oscar D. Guillamondegui, MD, MPH; R. Bruce Shack; Samson, MD; Joseph H. Dayan, MD J. Blair Summitt, MD Institution where the work was prepared: Beth Israel Medical Center, New Institution where the work was prepared: Vanderbilt University Medical York, NY, USA Center, Nashville, TN, USA 10:30am – 10:35am Discussion

9:40am - 9:45am Extremity Flap Coverage and Identified Trends Over the Last 10:35am - 10:40am Decade of War Reconstruction Experience The Effect of Ischemic Time on Salvage of Type IIIc Tibiofibular Ian L. Valerio, MD, MS, MBA; Jennifer Sabino, MD; Scott M. Tintle, MD; Open fracture Mark Fleming, DO; Anand Kumar, MD Yen-Chih Chen, MD; Chung-Chen Hsu; Yu-Te Lin; Cheng-Hung Lin; Institution where the work was prepared: Walter Reed National Military Chih-Hung Lin Medical Center, Bethesda, MD, USA Institution where the work was prepared: Yen-Chih, Taoyuan, Taiwan 10:40am – 10:45am Discussion 9:45am - 9:50am Flap Coverage After Proximal Vascular Repair in War Related Limb Salvage 9:30am – 10:45am Concurrent Scientific Paper Session Jennifer Sabino, MD; Jamie Diaz, MD; Mark Shashikant, MD; Ian L. Valerio, MD, MS, MBA Institution where the work was prepared: Jennifer Sabino, HEAD AND NECK II PAPER SESSION Bethesda, MD, USA Moderators: Dirk Schaefer, MD & Robert Walton, MD Objective: The participants will be exposed to ongoing research 9:50am – 9:55am Discussion in the field of reconstructive microsurgery and other complex reconstructions. 9:55am - 10:00am Multiple Flap Limb Salvages within Same War Wounded 9:30am - 9:35am Casualties: A Multi-Institutional Consecutive Case Series over a Trends in Head and Neck Reconstruction Research Decade of War Trauma Michael T. Larsen, MD, MPH; Kongkrit Chaiyasate; Michael J. Miller Ian L. Valerio, MD, MS, MBA; Jennifer Sabino, MD; Scott M. Tintle, MD; Institution where the work was prepared: The Ohio State University, Mark Fleming, DO; Mark Shashikant, MD; Patrick L. Basile, MD; Robert Columbus, OH, USA T. Howard, MD; Barry Martin, MD; Anand Kumar, MD Institution where the work was prepared: Walter Reed National Military 95 Medical Center, Bethesda, MD, USA 9:35am - 9:40am 10:30am - 10:35am Virtual Surgical Planning in Complex Composite Microsurgical Reconstruction of Ameloblastoma Maxillofacial Reconstruction Niclas Broer; Neil Tanna; Pierre Sadeeh; Vishal Thanki; Jamie Levine Adam Saad, MD; Hugo St. Hilaire Institution where the work was prepared: New York University Plastic Institution where the work was prepared: New Orleans, LA, USA Surgery, New York, NY, USA

9:40am - 9:45am 10:35am - 10:40am The Evolution of Critical Concepts in Aesthetic Craniofacial Facial Reanimation in the Locally Aggressive Head and Neck Microsurgical Reconstruction Cancer Population Using Nerve to Masseter Transfer: Expanding Mark Fisher, BA; Amir H. Dorafshar, MBChB; Branko Bojovic, MD; Paul the Role for Dynamic Reconstruction Following Oncologic N. Manson, MD; Eduardo D. Rodriguez Resection Institution where the work was prepared: R Adams Cowley Shock Trauma Erez Dayan, MD; Mark L. Smith; Mark Sultan; William Samson; Joseph Center, Univ. of Maryland SOM, Baltimore, MD, USA H. Dayan, MD Institution where the work was prepared: Beth Israel Medical Center, New

York, NY, USA 9:45am – 9:50am Discussion

9:50am - 9:55am 10:40am – 10:45am Discussion Prefabricated Neck Expanded Skin FLAP with the Superficial Temporal Vessels for Facial Resurfacing Yi Xin Zhang, MD; Zheming Pu; Weijie Su; Davide Lazzeri 10:45 am - 11:45 am Panel: Future of Breast Reconstruction Institution where the work was prepared: Shanghai Ninth People’s Moderator: Joseph Serletti, MD Hospital, Shanghai, China Panelists: Bob Allen, MD; Liza Wu, MD; Kevin Fox, MD; David Song, MD, MBA, FACS 9:55am - 10:00am This panel will explore the current and evolving “state of the art” Modified Free Flaps in Hemilarynx, Epiglottis in free flap breast reconstruction. Panelist will discuss how the and Trachea Reconstructions future may impact our current practices. We will specifically address Adam Jacek Maciejewski, MD, PhD; Cezary Szymczyk, MD, PhD; the current and future directions in patient selection, free flap Maciej Grajek, MD, PhD; Krakowczyk Lukasz; Jedzejewski Piotr; choices, the economics of free flap breast reconstruction, and the Szumniak Ryszard future management of breast cancer and how it may impact our Institution where the work was prepared: dept. Oncologic and reconstructive practices. The panelists are all recognized experts in Reconstructive Surgery, IMSC Cancer Center, Gliwice, Poland their assigned areas and will give us a fascinating perspective into the future of breast reconstruction.

10:00am - 10:05am Objective: The participants will be exposed to ongoing research The Use of Auricular Free Flap in Combination with Radial in the field of reconstructive microsurgery and other complex Forearm Free Flap in Total Nasal Reconstruction reconstructions. Lukasz Krakowczyk, MD, PhD; Adam Maciejewski; Cezary Szymczyk; Janusz Wierzgoñ; Maciej Grajek; Piotr Jêdrzejewski; Miros³aw Dobrut; Ryszard Szumniak; Rafal Ulczok; Stanislaw Póltorak 11:45 am Closing Remarks Institution where the work was prepared: Center of Oncology IMSC. Department of Oncological and Reconstruction, Gliwice, Poland

10:05am – 10:10am Discussion

ASRM Tuesday January 15, 2013 January 15, Tuesday ASRM 10:10am - 10:15am Reconstruction of the Maxilla and Midface Using 3-dimensional Printing Modeling Technology Piotr Jedrzejewski; Adam Maciejewski; Cezary Szymczyk; Janusz Wierzgon; Miroslaw Dobrut; Ryszard Szumniak; Maciej Grajek; Lukasz Krakowczyk; Rafal Ulczok; Stanislaw Poltorak Institution where the work was prepared: Department of Surgical and Reconstructive Surgery, Cancer Centre, Gliwice, Poland

10:15am - 10:20am Head and Neck Reconstruction with the Supraclavicular Artery Flap: Patient Selection, Technique, and the Role of Flap Delay Eric G. Halvorson, MD; Grace G. Kim, MD; Trevor G. Hackman, MD Institution where the work was prepared: UNC, Chapel Hill, NC, USA

10:20am - 10:25am Prelamination of the Radial Forearm Flap with Morcelized Buccal Mucosa Eric G. Halvorson, MD; Grace G. Kim, MD; Trevor G. Hackman, MD; William C. Pederson, MD; Giorgio De Santis, MD Institution where the work was prepared: UNC, Chapel Hill, NC, USA

10:25am – 10:30am Discussion

96 97 2014 AAHS ASPN ASRM ANNUAL MEETINGS

Grand Hyatt Kauai Resort & Spa Kauai, Hawaii

January 8 – 11 American Association for Hand Surgery January 10 – 12 American Society for Peripheral Nerve January 11 – 14 American Society for Reconstructive Microsurgery

AAHS-ASPN-ASRM-ProgramBook-BackCover.indd 1 11/19/2012 11:22:11 AM