Sports Nutrition and Ortho Congress December 08-09,2016 Philadelphia,USA

Biography:

Abstract:

Osteonecrosis of the femoral head (ONFH) is a debilitating disease in orthopedics, frequently progressing to femoral head collapse and osteoarthritis. It is thought to be a multifactorial disease. ONFH ultimately results in femoral head collapse in 75-85% of untreated patients. Total hip arthroplasty yields satisfactory results in the treatment of the end stage of the disease in older patients. However, disease typically affects males between the ages of 20 and 40 years and joint replacement is not the ideal option for younger patients. Recently, mesenchymal stem cells and platelet rich plasma (PRP) have been used as an adjunct to core decompression to improve clinical success in the treatment of pre-collapse hips.

Biography:

Dr. Ahmed Samy is an assistant proessor of orthopedic,Tanta University,Egypt. He is a consltant in arthroplasty, got his M.D. from Rizzoli Institute,Bologna University, Italy at 2010. And he got his PH.D. at Tanta University Hospital at 2011.

Abstract:

Osteonecrosis of the femoral head (ONFH) is a debilitating disease in orthopedics, frequently progressing to femoral head collapse and osteoarthritis. It is thought to be a multifactorial disease. ONFH ultimately results in femoral head collapse in 75-85% of untreated patients. Total hip arthroplasty yields satisfactory results in the treatment of the end stage of the disease in older patients. However, disease typically affects males between the ages of 20 and 40 years and joint replacement is not the ideal option for younger patients. Recently, mesenchymal stem cells and platelet rich plasma (PRP) have been used as an adjunct to core decompression to improve clinical success in the treatment of pre-collapse hips.

Biography:

Mohamed Mediouni is currently working at University of Sherbrooke, Canada. His research projects are computer graphics, physics simulation, artificial life, immersion, virtual reality, augmented reality, medical imaging, haptic, and robotics. Also, he is the founder director of O3DC (Orthopaedic 3D Collection). He published many articles in national and international journals related to Orthopaedics. He is interested in the behavior of the next generation of scientists.

Abstract:

The drilling of bone has become a common step in orthopedics and Traumatology for fixation of implants and replacement of damaged joints. For that purpose, monitoring the temperature during drilling is important to avoid the problem of osteonecrosis. Simulation with 3D graphics modelling enables several parameters to be estimated which leads to enhanced clinical outcomes.

Biography:

Abstract:

Objectives: Despite the progress in understanding acute pain physiology during recent decade, eighty percent of patients still suffer from post-operative discomfort. Pregabalin is an anticonvulsant agent that is approved for painful neuropathies in diabetic patients and post herpetic neuralgia. The main objective of the present study was to compare the improvement in post-operative pain management and patient lifestyle in 3 groups, as first group received placebo, second who received Pregabalin for one day and the last group those who received it for 14 days.

Methods: This was a prospective single center, randomized, triple-blind, 3-arm, parallel group study. In this triple-blind study, patients were allocated to 1 of 3 groups. All the patients were operated based on standard surgery techniques, bilateral foramenotomy and interlaminar discectomy. The first group received placebo for 14 days, the second group received Pregabalin 300mg 8 hours preoperatively and 150mg 12 and 24 hours postoperatively and for the rest of 13 days received placebo and  the third group received Pregabalin 300mg eight hours preoperatively and 15omg every 12 hours postoperatively for 14 days. Name, age, gender, height, weight, education, duration of pain, past medical history, drug history ,total morphine requirement at the time of discharge and MRI findings of all the patients were recorded, also the Numerical scale system (NRS) and Oswestry low back pain disability index (ODI) questionnaire were completed for them . 

Biography:

Abstract:

Background: Acromioclavicular joint dislocation is one of the most common shoulder problems in general orthopedics practices. The aim of this study is to evaluate a modified augmentation technique for AC joint dislocations in order to change the suture knot location to sub-clavicular position.

Methods: Seventy-two patients with type IV and V acromioclavicular joint dislocation were operated with this modified technique. A 1mm doubled Ethibond suture is entangled between two flip buttons. For this attachment, the Ethibond cerclage is performed through the flip buttons via their internal eyelets, but in modified method the two limbs of stitches are between the two flip buttons.

Results: The main mechanism of injury in fifty seven patients was motor vehicle accident and in 15 other patients was falling trauma. The SST demonstrated statistically significant improvement (P < 0.05).Total UCLA score demonstrated an improvement from a mean and SD of 23.21 ± 3.46 before surgery to 34.03 ± 2.39 post surgery, with 63 shoulders achieving excellent or good scores (87.5%) and 9 having a fair score (12.5%).

Biography:

Dr.Pramod Lamichhane is a Senior Orthopaedic Surgeon and Head of Department of Orthopaedics and the Chair person of Alive Hospital and Trauma Centre, a busy trauma centre located 150 kilometers south west of Kathmandu. His sound knowledge in trauma developed the system of prompt treatment of trauma victims, especially open injuries with excellent results and he was awarded as the best young Orthopaedic Surgeon in 2^nd Nepal Japan Annual Orthopaedic Symposium in 2013. He is sound in surgery for Spine, Pediatric and physically disabled persons. He has been organizing national and international CMEs and workshops regularly.

Abstract:

There are different ways of management of long bones fractures and the most common  is conservative with closed reduction and plaster. With the advancing techonology, operative management is increasing in certain cases. The common methods of operative management are fixation with  pin and plaster, k-wires, rush pins, kuntscher nails and plating. We treated 131 long bones fractures with intramedullary rush pins within 12 hours of injury and immobilized in slab for 1 month from August 2011 to July 2016.  There were 62 both bone forearm fractures, 43 shaft of femur fractures and 26 shaft of tibia fractures. There were 25 open fractures and  4 multiple fractures. They were between 3 to 16 years of age. There were 65 males and 41 females.  All the fractures united in  6 weeks to 3 months time. There were no infections, no refracture, no deformity and no any other complications with relatively  less morbidity. Operative treatment with intramedullary rush pins in pediatric long bones fractures especially in multiple and open fractures is effective ,safe and with good outcome and  less morbidity.

Biography:

As an intern through all years of medical school , I have developed into an enthusiastic person, with great passion towards volunteering and public health promotion . Furthermore, I was an active organizer in many events and conferences at my university. In addition, I was the president of the media committee of the university medical student club.

Abstract:

Biography:

As an intern through all years of medical school , I have developed into an enthusiastic person, with great passion towards volunteering and public health promotion . Furthermore, I was an active organizer in many events and conferences at my university. In addition, I was the president of the media committee of the university medical student club.

Abstract:

Objective: To assess the functional outcome and the time of healing in supracondylar femur fractures fixed with intramedullary tibial nail.

Methods:It was a randomized control trial study comprising of 25 patients with closed supracondylar femoral fractures operated with tibial intramedullary nail in Al Noor speciality hospital during a period of four years (2009-2013). The functional outcome was measured by Tegner Lysholm criteria during and after 4 years.

Results:

Out of 25 patients 20 were male and 5 were female. The mean time of healing was 15.80(2.646) weeks. 6(24%) patients showed excellent results, 12(48%) patients showed good results and 7(28%) patients showed fair results. There were no poor results in our study.

Conclusions:

Retrograde tibial nails are cheaper, convenient and comparable option for stabilizing the supracondylar fracture compared to standard retrograde femoral nails

Keywords:

Supracondylar femur fractures, tibial interlocking nail,retrograde femoral, nail

Biography:

Bing Lu has completed his MD from China and PhD in Biostatistics from the University of North Carolina at Chapel Hill. He is an Assistant Professor of Medicine at Harvard Medical School and is an Associate Professor (Adjunct) at Albert Medical School of Brown University. He has published more than 90 papers in reputed journals and has been serving as an Editorial Board Member of several international journals.

Abstract:

The objective of this study was to examine the relationship between being overweight or obese and developing rheumatoid arthritis (RA) in two large prospective cohorts, the nurses’ health study (NHS 1984-2014) and nurses’ health study II (NHSII 1991-2013). We followed 76,597 women aged 30-55 years enrolled in NHS and 93,392 women aged 25-42 years in NHSII at baseline and free from RA or other connective tissue diseases, who provided lifestyle, environmental exposure and anthropometric information through biennial questionnaires. We used the pooled data from two large cohorts and assessed the association between time-varying body mass index (BMI) in WHO categories of normal, overweight and obese (18.5≤25, 25.0≤0, ≥30.0 kg/m²) and incident RA meeting the 1987 American College of Rheumatology (ACR) criteria. We estimated HRs for overall RA and serologic subtypes with Cox regression models adjusted for potential confounders. During 4,832,369 person-years of follow-up, we validated 1220 incident cases of RA. There was a significant trend toward increased risk of all RA among overweight and obese women [HR (95% CI): 1.23 (1.08, 1.40) and 1.36 (1.17, 1.58), p for trend=0.001]. Among RA women aged 55 years or younger, this association appeared stronger [HR 1.48 (1.20, 1.81) for overweight and 1.76 (1.42, 2.20) for obese women (p trend <0.001)]. In conclusion, risks of RA were elevated among overweight and obese women, particularly among young or middle aged women.

Biography:

He had this rare privilege and honor of doing this work at the University of Liverpool, UK along with Dr. Martin A Elloy, PhD, (A biomechanical study of fixation of femoral neck fractures. PhD Thesis, University of Liverpool, Liverpool 1977). a biomedical  Engineer who was instrumental in helping me in the cadaveric study prior to clinical application in patients to device a Modified Posterior Approach to the Hip Joint at a time when dislocations were the main reason for the conventional Posterior Approach to the Hip Joint not being used despite of having all its advantages. He was formerly General Manager of Chas F Thackray Ltd and was at that time associated with Sir John Charnley at Wrightinton. I first presented this research at Singapore in 1984, when it was appreciated by Emeritis Professor, Robert Cofield of the Mayo Clinic, Minnesota, USA and I have been following this approach till today along with citations

Abstract:

The posterior approach is the most common and relatively easy to expose the hip joint. The posterior approaches allow excellent visualization of the acetabulum and the upper femoral shaft and hence, are very popular in revision joint replacement surgery particularly in cases where only the femoral component needs to be replaced. This modification offers greater visibility and decreased blood loss to the hip joint, conferring greater stability posteriorly as compared with the conventional posterior approach as described by Austin Moore in 1957. This modification was devised at the time when the cause of dislocation was being blamed on the posterior approach to the hip joint. This approach has been tested on cadavers prior to clinical application in patients, and since bone is attached to bone, it confers greater stability than an ordinary suture through soft tissues and hence reduces dislocation of the hip joint.

Biography:

FREY Alain, MD, 53 years old, is an emergency and sport medecine doctor. Since 2012, he’s the chief od the Department Medical of the French National Sport Institute (INSEP) in Paris. Before he was the chief of  the emergency departement in Poissy, hospital near Paris. He works also in the french federation of Judo and modern Pentathlon and he’s member of the french  medical committee of the national olympic commitee. He’s participated in a lot of congress in Emergency and Sport medecine.

PAPON Pierre, MD, 33 years old, is a young sport medical doctor working at INSEP.     
 

Abstract:

Purpose of the study:The lesion of DFTS are often unknow during  ankle trauma. We wanted to see the incidence of this lesion and to validate the specific clinical signs.

Materiel and method:Between March, 2015 and March, 2016, we included any ankle trauma of our high-level sportsmen. They all benefited from an  initial clinical examination diligently of the Ottawa rules and a ultrasound  realized in 3 days. If there was a lesion of the AITFL in ultrasound, a MRI and stress radiographies were realized. A protocol of treatment was proposed: functional treatment if distension of AITFL, hiking boots if isolated rupture of AITFL, plaster if rupture of AITFL and lesion of  inter osseous membrane without diasthasis, surgery if diasthasis. All were seen again to day 8 with reeducation,  day 30 and between 4 and 6 months after their trauma.

Results:126 ankle sprains were analyzed (77 M, 49 F) with 28 lesion of DFTS (22.2 %). On day 8, the sensibility and the specificity of the main clinical signs are respectively: AITFL palpation ( 0.94/0.86), lateral rotation test (0.72/0.97), dorsal flexion compression test (0.72/0.97), squeeze test (0.24/0.97). In ultrasound as in MRI, besides the AITFL, are observed 8 inter-osseous membranes lesions, one PITFL lesion, 2 anterior MCL lesion and 8 TFA lesion. 15 functional treatment, 8 hiking boots and  5 plaster. The return to sport at the same level was made between 3 and 12 weeks according to the gravity.

Conclusion:This ligamentary lesion is frequent and affects several sports. The clinical examination repeated to day 8, coupled with ultrasound, seems to be the best compromise to adapt the management.

Biography:

Abstract:

Introduction:

Wound complications within the immediate perioperative period for lower extremity amputation at any level ranges from 13 to 79%. More than half of readmissions following TMA, BKA and AKA, specifically, are due to wound related complications . Although multiple risk factors contribute to suture line complications a major factor is inadequate perfusion to the suture line. Fluorescence angiography allows for intraoperative assessment of suture line perfusion and facilitates intraoperative modifications to ensure adequate perfusion to the suture line exists prior to leaving the operating room.

Materials and Methods:

Fluorescence angiography was used in 27 cases (26 patients) requiring lower extremity amputation ranging from digital to above knee amputation to assess microperfusion of the flaps after creation and closure. Results of this imaging was used to guide the need for modification to ensure adequate perfusion to the amputation site prior to leaving the operating room.

Biography:

Dr Ibrahim Abuomira is an Lecturer of of orthopedic, Alazhar University,Egypt. He is a consultant in Deformity correction and limb lengthening, Pediatric Orthopedic surgery, got his M.D. from  Institute  cliinico humanitus, Milano University, Italy at 2007-2010. And he got his PH.D. at  Al-Azhar University at 2011. Member of Egypt ASAMI, Member of international ASAMI,Member of American Academy for CP

Abstract:

The trauma after vascular disease is the most common indication for amputation in patients under the age of fifty. Amputations due to traumatic lacerations have a number of unique characteristics not found in vascular disease. The remaining stump often has an excellent blood supply and the patient is usually young and in good general condition and is expected to regain a high level of function. The use of prothesis has many complications,  irritation and skin Issues, general fatigue, reduced mobility, poor balance, instability, or a fear of falling, current prosthetic not meeting your needs, back pain and intact limb pain. The Ilizarov method is a reliable method for the lengthening foot stump. The technique of distraction osteogenesis can also be used to improve the quality of life of patients with short foot amputation stumps by giving them a better mechanical stump that is more effective than prosthetic use, and for the function of the adjacent joint.

Biography:

Dr Ibrahim Abuomira is an Lecturer of of orthopedic, Alazhar University,Egypt. He is a consultant in Deformity correction and limb lengthening, Pediatric Orthopedic surgery, got his M.D. from  Institute  cliinico humanitus, Milano University, Italy at 2007-2010. And he got his PH.D. at  Al-Azhar University at 2011. Member of Egypt ASAMI, Member of international ASAMI,Member of American Academy for CP

Abstract:

Poliomyelitis first occurred nearly 6000 years ago in the time of the ancient Egyptian. Poliomyelitis is still a common condition in developing countries. Immunization has decreased the number of new patients, but still there are many patients (old polio patient). With skeletal growth, fixed soft tissue and deformities develop in the foot in poliomyelitis. Conventional operative treatment of this deformity involves corrective osteotomies, arthrodesis, extensive tissue release and tendon transfers, may result in neurovascular injury and soft tissue problems. Leg shortening and complex foot deformity are common in patients with deformity after poliomyelitis. This study aims to find out the special technique for deformity correction of the foot for restore plantigrade foot and improve ambulation. The Ilizarov method of gentle, gradual correction of this deformity has become a treatment option for poliomyelitis foot deformity. This method is considered to be safe than traditional methods of the treatment.

Biography:

Pr. Yves Jammes has completed his MD  and DSci degrees in Faculty of Medicine of Marseille and has been an assistant professor in Mc Gill University (CA). He is the director of the “fatigue” team in UMR MD2 and a  scientific consultant in the Podiatric School of Marseille. He has published 223 papers in reputed journals.

Abstract:

In patients with foot malalignment and/or abnormal arch foot,  four weeks of foot orthoses could increase the gait distance and attenuate the post-6MWT (6-min walk test) posture alterations. Indeed,  we already reported these benefits of foot orthoses  in individuals with no foot malalignment  (Vie et al., Effect of the 6-minute walk test on plantar loading and capability to produce ankle plantar flexion forces. Gait Posture in press).

In 10 normal weight and 10 overweight patients with foot malalignment and/or abnormal arch foot, the benefits of four weeks of custom-molded orthosis intervention (D30) were examined on the 6MWT gait distance, the scores of fatigue sensation, (Pichot and MFI fatigue scales) and the post-6MWT sway of the center of pressure (CoP).

One month of foot orthosis intervention significantly improved the ambulatory performances during the 6MWT, attenuated bodily fatigue sensation after the 6MWT, and reduced the post-6MWT CoP deviations, the benefits of insoles being significantly accentuated in overweight subjects.

Biography:

Antonio Gonçalves is graduated in Medicine at the Bahia Foundation for Science Development - FBDC (1996), Specialization - Medical Residency in Orthopedics and Traumatology at COT - Martagão (1997-1999) and Pediatric Orthopaedics and Foot Surgery in HCRP-USP (2000- 2001). He is currently Orthopedist of Sister Dulce Social Works (OSID) of the Orthopedics and Traumatology Clinic (COT), Doctor's Office - Medical Center Fernando Filgueiras, coordinator of Orthopedics Child Hospital Pediatric of Social Works of Sister Dulce (since 2001), Coordinator Child Trauma Suburban Hospital (since 2010). Since 2001 staff  in Orthopedics and Traumatology COT.  Master degree in Healthy Tecnology at Escola Bahiana de Medicina (EBM).

Abstract:

Objective: Evaluate the radiograph as a method of measuring effectiveness of Ponseti technique for the treatment of unilateral congenital clubfeet using plain radiography. Methods: We conducted a descriptive, retrospective study from medical record data on patients with congenital idiopathic unilateral clubfoot, with ages ranging from 48 to 177 months. Patients underwent radiographs in anteroposterior and profile, load and angles were traced to measure the relationship between the tarsal bones of the middle and hind foot of the treaty and normal.

Results: The final average Pirani score was 0.35. Statistical analysis showed that the calcaneus-fifth metatarsal angle on the anteroposterior view, tibial-calcaniano profile and the horizontal-calcaneus profile also showed when subjected to the comparison test similarity, with p values> 0.05. Other angles did not show statistical similarity when compared with the foot control (p <0.01). All angles were within the normal range when compared to literature data. There was no significant correlation between radiographic results and parameter based on Pirani score.

Conclusion: Radiography is not an appropriate method to evaluate the effectiveness of the results of the Ponseti method in cases of unilateral idiopathic congenital clubfeet and may be indicated for after infancy or in treatments of neglected cases. There was no significant correlation between radiographic findings and clinical parameters used to assess correction.

Biography:

Antonio Gonçalves is graduated in Medicine at the Bahia Foundation for Science Development - FBDC (1996), Specialization - Medical Residency in Orthopedics and Traumatology at COT - Martagão (1997-1999) and Pediatric Orthopaedics and Foot Surgery in HCRP-USP (2000- 2001). He is currently Orthopedist of Sister Dulce Social Works (OSID) of the Orthopedics and Traumatology Clinic (COT), Doctor's Office - Medical Center Fernando Filgueiras, coordinator of Orthopedics Child Hospital Pediatric of Social Works of Sister Dulce (since 2001), Coordinator Child Trauma Suburban Hospital (since 2010). Since 2001 staff  in Orthopedics and Traumatology COT.  Master degree in Healthy Tecnology at Escola Bahiana de Medicina (EBM).

Abstract:

Background: The Ponseti method has been shown to be the most effective treatment for congenital clubfoot. The current challenge is to establish sustainable national clubfoot treatment programs that utilize the Ponseti method and integrate it within a nation’s governmental health system. The Brazilian Ponseti Program (Programa Ponseti Brasil) has increased awareness of the utility of the Ponseti method and has trained >500 Brazilian orthopaedic surgeons in it.

Methods: A group of 18 of those surgeons had been able to reproduce the Ponseti clubfoot treatment, and compiled their initial results through structured spreadsheet.

Results: The study compiled 1040 patients for a total of 1621 feet. The average follow-up time was 2.3 years with an average correction time of approximately 3 months. Patients required an average of 6.40 casts to achieve correction.

Biography:

Abstract:

Total knee replacement is an operation frequently needed by haemophilia patients. Which greatly improves their quality of life? This operation however carries a higher risk of bleeding and infection for haemophiliacs than it does for osteoarthritis sufferers. It is advisable to implant prosthetic components using antibiotic - loaded cement. It is essential to maintain a level of 100% of the replacement clotting factor for 02 weeks. Haematological treatment must be established, depending on the patient factor levels and other pharmacokinetic parameters such as recovery and half-life, optimal doses and treatment time. It is preferable to use General anaesthesia due to the risk of spinal bleeding. The lifespan of total knee replacement in haemophilic patients is shorter than in patients of the increased risk of infection.

Biography:

Abstract:

Rheumatoid arthritis is a systemic inflammatory disorder affecting many organs (skin., joints, lung ,liver) but commonly affecting synovial fluid of joints.

 It affects 1% of the world population. It has no known causative factor despite the many possible theories. It is one of the causes of disability.

  In developed countries, because of DMRADS and ‘biologics’ the treatment option is expanded and the quality of life of these patients improved. On the other hand in developing countries, like Ethiopia, the options of treatment pause on only NSAIDs and steroids.

NSAIDs and steroids may decrease the progression of the inflammatory response but do not halt the inflammatory process.

In Ethiopia, especially in rural areas, a lot people are affected by this disease. In addition, though the disease usually affects those with age 40- 50yrs in Ethiopia we found many patients with the age of 20 – 30yrs.  In Delgi Hospital, it is the 8^th leading cause of hospital visit in outpatient departments in above 5yr patients and it accounts 6.59% of patients seen between March 30 and June 27, 2016G.C.

Despite the above figure the treatment includes only NSAIDs and steroids. Most of these patients will subsequently have follow up in the hospital. The progression slows down but after 15-20 years they eventually develop permanent disability.

Introducing DMRADs and ‘biologics’ in developing countries like Ethiopia may help reduce rate of disabilities thereby saving the working population which may contribute to saving the countries economy.