Massachusetts General Hospital at AAOS 2020

Physicians and researchers from the Department of Orthopaedic Surgery at Massachusetts General Hospital will present on leading research and innovative approaches to treatment on topics including:

Hand & Upper Extremity

• Predicting Reoperation after Operative Treatment of Proximal Humerus Fractures
• Managing Challenges in Thumb Carpometacarpal Arthritis

Hip & Knee Replacement

• Periprosthetic Joint Infections
• Abductor Deficiency in Revision Total Hip Arthroplasty

Foot & Ankle

• Screw versus Suture Button in Treatment of Syndesmosis Instability
• Navigating Sprains, Strains and Ruptures about the Foot and Ankle

Oncology

• Tumors and Tumor-like Conditions of Which Every Orthopaedist Should Be Aware
• Immune Checkpoint Regulators: Failures, Successes & Side Effects

Shoulder

• Biologics or Prosthetics: What to do for the Failed Rotator Cuff Repair?
• Arthroscopic Repair Compared to Physical Therapy for Symptomatic Acetabular Labral Tears

Spine

• Adult Spinal Deformity: Surgical Planning and Complications
• Diagnosis and Management of Spinal Epidural Abscess

Surgery

•  Preparing for Your Worst/Best Moment in the Operating Room

Orthopaedic Surgery at Mass General

The Department of Orthopaedic Surgery is a world leader in treating the full spectrum of musculoskeletal conditions—from sprains and strains your children experience on the athletic field to limb-sparing oncology procedures; from carpel tunnel syndrome to complex spinal reconstruction. You name it, we excel at it. Our doctors see more than 80,000 patients each year.

Mass General Physicians and Researchers Presenting at AAOS 2020:

 

Hany Bedair, MD, Hip & Knee Replacement Surgeon

Posters:

• Poster No. 0145 (Session 1): Impact of Staged Hardware Removal and Concurrent Hardware Removal on Patient Outcomes Following Primary Total Knee Arthroplasty
• Poster No. 0579 (Session 2): Venous Thromboembolism in HIV Positive Patients Following Total Joint Replacement
• Poster No. 0622 (Session 2): The Association Between a History of Mental Health Disorders and Outcomes of Total Knee Arthroplasty

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Christopher Bono, MD, Executive Vice Chair, Department of Orthopaedic Surgery, Director, MGH/BWH Orthopaedic Spine Surgery Fellowship Program

Presentations:

• Wednesday, March 25 (Room W224E): Diagnosis and Management of Spinal Epidural Abscess
• Thursday, March 26 (Room W224E): Serum Albumin Levels Predict Which Patients Are at Increased Risk for Complications Following Surgical Management of Acute Osteoporotic Vertebral Compression Fractures 

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Charles Bragdon, PhD, Principal Investigator & Associate Director of Clinical Studies, Harris Orthopaedics Laboratory

Presentations:

• Tuesday, March 24 (Valencia Ballroom A): No Evidence for Higher Patient-reported Outcome Scores After Total Hip Arthroplasty with the Direct Anterior Approach at 1.5 Months Postoperatively, and Through a 5-Year Follow Up

Posters:

• Poster No. 0020 (Session 1): The Positional Relationship Between the Acetabular Screws and Blood Vessels in Primary Total Hip Arthroplasty: A CT-sed Cross-sectional Image Analysis Study
• Poster No. 0575 (Session 2): External Validation and Predictors of Achieving the Patient Acceptable Symptom State for the EuroQol Five Dimension Questionnaire After Total Hip or Knee Arthroplasty
• Poster No. 0622 (Session 2): The Association Between a History of Mental Health Disorders and Outcomes of Total Knee Arthroplasty

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Neal C. Chen, MD, Chief, Hand & Arm Center, Director, Hand Surgery Fellowship Program, Hand & Upper Extremity Surgeon

Presentations:

• Tuesday, March 24 (Valencia Ballroom A): Predicting Reoperation After Operative Treatment of Proximal Humerus Fractures
• Wednesday, March 25 (Room W204): Case Presentation: Rescuing the Elbow (Table Facilitator)
• Wednesday, March 25 (Room W205B): Reoperation Following Zone II Flexor Tendon Repair
• Friday, March 27 (Room W311E) Patient-reported Outcomes following Surgical Treatment of Symptomatic Digital Neuromas

Poster:

• Poster No. 0672 (Session 2): Surgery for Lower Extremity Symptomatic Neuroma: Long-Term Outcomes and Predictive Factors

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Christopher DiGiovanni, MD, Chief, Foot & Ankle Service, Vice-Chair for Academic Affairs, Department of Orthopaedic Surgery, Orthopaedic Foot & Ankle Surgeon

Presentations:

• Tuesday, March 24 (Room W205B): Impact of Patient Age and Graft Type on Fusion Following Ankle and Hindfoot Arthrodesis
• Thursday, March 26 (Room W224E):  Screw Versus Suture Button in Treatment of Syndesmosis Instability: Clinical and Radiographic Outcomes Using PROMIS and Weight-bearing CT Scan
• Friday, March 27 (Room W205B): Range of Normal and Abnormal Syndesmotic Measurements Using Weight-Bearing CT

Posters:

• Poster No. 0167: Reproducibility and Reliability of Dynamic Ultrasound for Evaluating Tibiofibular Translation in the Sagittal Plane 
• Poster No. 0668: Diagnosing Medial Ankle Instability with Gravity Stress and Weight-bearing Ultrasound – Establishing Natural Variations in Healthy Population

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Daniel Guss, MD, MBA, Orthopaedic Foot & Ankle Surgeon

Presentations:

• Thursday, March 26 (Room W224E):  Screw Versus Suture Button in Treatment of Syndesmosis Instability: Clinical and Radiographic Outcomes Using PROMIS and Weight-bearing CT Scan
• Friday, March 27 (Room W204): Case Presentation: Management of Most Common Foot and Ankle Pathologies (Table Facilitator)
• Friday, March 27 (Room W205B): Range of Normal and Abnormal Syndesmotic Measurements Using Weight-bearing CT

Posters:

• Poster No. 0167 (Session 1): Reproducibility and Reliability of Dynamic Ultrasound for Evaluating Tibiofibular Translation in the Sagittal Plane 
• Poster No. 0668 (Session 2): Diagnosing Medial Ankle Instability with Gravity Stress and Weight-Bearing Ultrasound – Establishing Natural Variations in Healthy Population

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Marilyn Heng, MD, MPH, FRCSC, Orthopaedic Trauma Surgeon

Posters:

• Poster No. 0269: Every Minute Counts in Total Joint Arthroplasty
• Poster No. 0447: Non-traumatic Acute Compartment Syndrome Secondary to Substance Use: A Retrospective Review from Two Level 1 Trauma Centers

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Stuart H. Hershman, MD, Orthopaedic Spine Surgeon

Presentations:

• Tuesday, March 24 (Room W205B): Spine I (Moderator)
• Tuesday, March 24 (Room W204): Case Presentation: Adult Spinal Deformity: Surgical Planning and Complications (Facilitator)
• Wednesday, March 25 (Room W244C): Spine III (Moderator)
• Wednesday, March 25 (Room W244C): ICL 1.5 Hour: Is It the Back or the Hip? Differentiating Lumbar Spine from Hip Pathologies: Key Points of Evaluation and Treatment
• Thursday, March 26 (Room W224E): Serum Albumin Levels Predict Which Patients are at Increased Risk for Complications following Surgical Management of Acute Osteoporotic Vertebral Compression Fractures

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Jesse B. Jupiter, MD, Hand & Upper Extremity Surgeon

Presentations:

• Tuesday, March 24 (Room W202B): ICL 2-Hour: Reevaluation of the Scaphoid Fracture: What is the Current Best Evidence? (Moderator)
• Thursday, March 26 (Room W307): ICL 1.5 Hour: Managing Challenges in Thumb Carpometacarpal Arthritis
• Friday, March 27 (Room W307): ICL 2-Hour: Posttraumatic Arthritis of the Distal Radioulnar Joint: Contemporary Perspectives (Moderator)
• Friday, March 28 (Room W303): ICL 1.5-Hour: Contemporary Questions and Controversies Regarding the Assessment and Management of Distal Radius Fractures: What is the Best Evidence in 2020?

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Young-Min Kwon, MD, PhD, Program Director, Adult Reconstructive Surgery, Fellowship Program Director, Bioengineering Laboratory, Hip and Knee Replacement Orthopaedic Surgeon

Presentations:

• Tuesday, March 24 (Room W224E):  Elevated Levels of Serum Erythrocyte Sedimentation Rate and C-reactive Protein Prior to Second-stage Reimplantation Revision Surgery for Periprosthetic Joint Infection are Associated with Poor Outcomes
• Tuesday, March 24 (RoomW22E): The Prognostic Value of Serum Neutrophil/Lymphocyte Ratio and Monocyte/Lymphocyte Ratio as Diagnostic Markers for Periprosthetic Joint Infection  
• Tuesday, March 24 (RoomW22E): Development of a Preoperative Risk Calculator for Periprosthetic Joint Reinfection Following Revision Surgery for Periprosthetic Joint Infection
• Tuesday, March 24 (RoomW22E): Serum Platelet Count/Lymphocyte Ratio and Platelet Count/Mean Platelet Volume Ratio are Useful Biomarkers for Diagnosis of Periprosthetic Joint Infection
• Friday, March 27 (Room W224E): Outcome of One- Versus Two-stage Exchange Arthroplasty for Chronic Culture Negative Periprosthetic Joint Infection
• Friday, March 27 (Valencia Ballroom D): Outcome of Dual Mobility Articulations for Abductor Deficiency in Revision Total Hip Arthroplasty Secondary to Adverse Local Tissue Reaction
• Friday, March 27 (Valencia Ballroom B): Is Irrigation and Debridement with Modular Component Exchange a Good Option for Acute Hematogenous Periprosthetic Joint Infection?
• Friday, March 27 (Valencia Ballroom A): Assessment of Fatty Degeneration of the Gluteal Muscles in Patients with Total Hip Arthroplasty Using MARS MRI: Reliability and Accuracy of Commonly Used Classification Systems

Posters:

• Poster No. 0018 (Session 1): Two-stage Reimplantation in Patients Requiring an Interim Spacer Exchange for Periprosthetic Joint Infection is Associated with Poorer Functional Outcomes
• Poster No. 0511 (Session 2): Increased Failure After Irrigation and Debridement Alone Compared with Irrigation and Debridement with Modular Components Exchange for Acute Periprosthetic Joint Infection
• Poster No. 0526 (Session 2): Single-Stage Revision of the Infected Total Joint Arthroplasty is Associated with Improved Patient-reported Outcomes
• Poster No. 0537 (Session 2): Three Dimensional Kinematic Analysis of Impingement and Dislocation in Dual Mobility Total Hip Arthroplasty Constructs

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Henrik Malchau, MD, PhD, Director Emeritus, Harris Orthopaedics Lab, Alan Gerry Professor of Orthopaedic Surgery, Emeritus, Harvard Medical School

Presentation:

• Tuesday, March 24 (Valencia Ballroom A): No Evidence for Higher Patient-reported Outcome Scores After Total Hip Arthroplasty with the Direct Anterior Approach at 1.5 Months Postoperatively, and Through a 5-Year Follow Up

Posters:

• Poster No. 0020 (Session 1): The Positional Relationship Between the Acetabular Screws and Blood Vessels in Primary Total Hip Arthroplasty: A CT-sed Cross-sectional Image Analysis Study
• Poster No. 0575 (Session 2): External Validation and Predictors of Achieving the Patient Acceptable Symptom State for the EuroQol Five Dimension Questionnaire After Total Hip or Knee Arthroplasty
• Poster No. 0622 (Session 2): The Association Between a History of Mental Health Disorders and Outcomes of Total Knee Arthroplasty

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Scott Martin, MD, Director, Joint Preservation Service, Director, Sports Medicine Fellowship Program

Presentations:

• Tuesday, March 24 (Valencia Ballroom D): Clinical Effectiveness and Value-sed Care Analysis of Physical Therapy Compared with Watchful Waiting for the Treatment of Adhesive Capsulitis of the Shoulder: A Prospective Randomized Controlled Trial
• Tuesday, March 24 (Valencia Ballroom D): Novel Physical Exam Test in Predicting Rotator Cuff Tears – The Dynamic Isokinetic Manipulation Exam Test: A Prospective Study of 169 Patients
• Wednesday, March 25 (Valencia Ballroom D): Arthroscopic Repair Compared to Physical Therapy for Symptomatic Acetabular Labral Tears: A Randomized Controlled Trial in Patients Age 40 and Over

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Christopher M. Melnic, MD, Hip and Knee Replacement Orthopaedic Surgeon

Poster:

• Poster No. 0145: Impact of Staged Hardware Removal and Concurrent Hardware Removal on Patient Outcomes Following Primary Total Knee Arthroplasty
• Poster No. 0269: Every Minute Counts in Total Joint Arthroplasty
• Poster No. 0622: The Association Between a History of Mental Health Disorders and Outcomes of Total Knee Arthroplasty

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Kevin Raskin, MD, Interim Chief, Orthopaedic Oncology Service, Director, Musculoskeletal Oncology Fellowship Program, Orthopaedic Oncology Surgeon

Presentations:

• Tuesday, March 24 (Room W205A): ICL 2-Hour: Orthopaedic Disaster Course: Preparing for Your Worst/Best Moment in the Operating Room
  Tuesday, March 24 (Room W203): Case Presentation: How to Stay Out of Trouble in the Pediatric/Adolescent Patient
  Wednesday, March 25 (Room W202B): ICL 1.5-Hour: Tumors and Tumor-like Conditions of Which Every Orthopaedist Should Be Aware

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Joseph H. Schwab, MD, MS, Chief, Orthopaedic Spine Center, Co-Director, Stephan L. Harris Center for Chordoma Care, Orthopaedic Spine & Orthopaedic Oncology Surgeon

Presentations:

• Wednesday, March 25 (Room W205B): Orthopaedic Management of Neurologic Deficits
• Thursday, March 26 (Room W311E): High Risk of Symptomatic Venous Thromboembolism After Surgery for Spine Metastatic Bone Lesions: A Retrospective Study
• Thursday, March 26 (Room W224E): Serum Albumin Levels Predict Which Patients Are at Increased Risk for Complications Following Surgical Management of Acute Osteoporotic Vertebral Compression Fractures
• Thursday, March 26 (Valencia Ballroom B): Symposium: Artificial Intelligence in Orthopaedics: Machine Learning, Natural Language Processing and Deep Learning (Moderator)
• Friday, March 27 (Room W311A): Immune Checkpoint Regulators: Failures, Successes, & Side Effects

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Jon J.P. Warner, MD, Chief, Harvard Shoulder Service, Co-Director, Harvard Shoulder and Elbow Fellowship, Orthopaedic Shoulder Surgeon

Presentations:

• Tuesday, March 24 (Valencia Ballroom A): Predicting Reoperation After Operative Treatment of Proximal Humerus Fractures
• Tuesday, March 24 (W203): Case Presentation: Management of Humeral and Glenoid Bone Deficiency in Shoulder Arthroplasty (Table Facilitator)
• Wednesday, March 25 (Valencia Ballroom A): Symposium: How Do I Get Out of This Jam? Managing Intraoperative and Early Postoperative Problems in Shoulder Arthroplasty
• Thursday, March 26 (Booth 579, Hall A): Ask an Expert: Shoulder
• Friday, March 27 (Valencia Ballroom A): Symposium: Biologics or Prosthetics: What to do for the Failed Rotator Cuff Repair?
• Friday, March 27 (Room W204): Case Presentation: Complex Shoulder Arthroplasty: Primary and Revision, Anatomic and Reverse, Three-dimensional Planning – When and How? (Table Facilitator)

Posters:

• Poster No. 0333 (Session 2): Early Clinical Outcomes of Superior Capsular Reconstruction Compared to Tendon Transfers
• Poster No. 0778 (Session 1): Patient-Specific Planning Reduces Errors Before Surgery and Potentially Improves Outcomes
• Poster No. 0821: Comparisons of Latissimus Dorsi Transfer to Lower Trapezius Transfer Clinical Outcomes for the Treatment of Massive Rotator Cuff Tears

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Gregory Waryasz, MD, Orthopaedic Foot & Ankle Surgeon

Presentations:

• Tuesday, March 24 (Valencia Ballroom A): Predicting Reoperation After Operative Treatment of Proximal Humerus Fractures
• Wednesday, March 25 (Room W315): ICL 1.5-Hour: The Land of Ligaments: Navigating Sprains, Strains and Ruptures about the Foot and Ankle
• Friday, March 27 (Room W205B): Range of Normal and Abnormal Syndesmotic Measurements Using Weight-bearing CT

Posters:

• Poster No. 0167 (Session 1): Reproducibility and Reliability of Dynamic Ultrasound for Evaluating Tibiofibular Translation in the Sagittal Plane
• Poster No. 0668 (Session 2): Diagnosing Medial Ankle Instability with Gravity Stress and Weight-Bearing Ultrasound – Establishing Natural Variations in Healthy Population