Faculty: Theodore A. Blaine, MD, Stephen F. Brockmeier, MD, Ryan W. Simovitch, MD, Thomas W. Wright, MD
Description: Present different mechanisms of failure for anatomic and reverse total shoulder arthroplasty, and how to avoid, diagnose and correct when presented with a failed total shoulder arthroplasty.
ICL #302: The Humeral Side of Shoulder Arthroplasty – How Much Stem is Needed?
Moderator: Ian R. Byram, MD
Faculty: Ryan T. Bicknell, MD, MSc, FRCSC, Anand M. Murthi, MD, Howard D. Routman, DO
Description: As shoulder arthroplasty has evolved, smaller humeral implants have been developed that allow for more bone preservation. Surgeons and patients now have numerous options for the humeral side of arthroplasty. In this case-based ICL, we plan to explore the rationale and clinical evidence for using stemless, short stem, standard stem, and augmented humeral stems in both anatomic and reverse arthroplasty. Cases will include glenohumeral OA in the young patient, humeral deformity, primary and revision arthroplasty, and humeral bone loss. The faculty will debate options for each case, encouraging audience participation.
Each faculty member offers unique experience in this topic. An innovator in shoulder arthroplasty, Dr. Goldberg designed the Catalyst stemless humeral implant. Dr. Bicknell’s international experience has afforded him the opportunity to use multiple implant types unavailable in the US, giving him perspective on the advantages and shortcomings of stemless and short stem implants. Experienced in multiple types of shoulder implants, Dr. Routman has designed humeral stem augments for cases with bone loss.
ICL #303: The Past, Present and Future of Same Day Shoulder Arthroplasty
Moderator: Ronald A. Navarro, MD
Faculty: Surena Namdari, MD, MSc, Anshuman Singh, MD, Thomas (Quin) W. Throckmorton, MD
Description: As same day discharge of shoulder arthroplasty gains acceptance by patients, surgeons, payers and regulatory agencies, it is important to understand the types of patients who should be indicated for this new paradigm and how expansion might occur. We will review the past literature, provide an approach to standardize this episode of care (including optimal pain management and discharge planning [nurse navigation] needed to make this work) and review the future regulatory landscape as it relates to wider acceptance of same day discharge of shoulder arthroplasty.
ICL #304: Current Concepts in UCL Reconstruction including Primary Repair Augmentation, Hybrid Reconstruction and Revision Surgery
Moderator: George A. Paletta, Jr., MD
Faculty: Michael G. Ciccotti, MD, Jeffrey R. Dugas, MD, Michael T. Freehill, MD
Description: This ICL will focus on the changing landscape of ulnar collateral ligament surgery including the role of primary repair, augmented repair and reconstruction, hybrid repairs and revision UCL. In addition to highlighting evolving surgical techniques, the course will focus on the current state of imaging for UCL injury, the use of orthobiologics such as PRP and stem cells for non-surgical and post-op treatment as well as latest outcomes for UCL surgery and factors affecting return to play.
ICL #305: Evidence-Based Infection Diagnosis, Prevention, and Treatment Strategies in Shoulder Arthroplasty
Moderator: Eric T. Ricchetti, MD
Faculty: Jason E. Hsu, MD, H. Mike Kim, MD, Marc S. Kowalsky, MD, John W. Sperling, MD, MBA
Description: With increasing interest in prosthetic shoulder infection, the literature saw an influx of studies experimenting various preoperative and intraoperative interventions to prevent infection. This ICL will review the current evidence of infection prevention strategies and provide a comprehensive discussion by experienced faculty (preoperative, intraoperative, and postoperative). The case discussion will provide practical tips and pearls on how to implement the study findings in a real clinical setting.
ICL #306: Complications in Reverse Shoulder Arthroplasty: How to Avoid and Manage?
Moderator: Patric Raiss, MD
Faculty: April D. Armstrong, MD, FRCSC, Patrick J. Denard, MD, Philipp Moroder, MD, Vani J. Sabesan, MD
Description: The ICL deals with one of the most important and most interesting topics in shoulder surgery: how to avoid and manage complication in reverse shoulder arthroplasty (RSA). The number of shoulder replacements are increasing year by year, the percentage of RSA is still growing, and new implant designs have been developed. Therefore, it is of substantial interest to understand and to know how to avoid and how to deal with potential complications. The first speaker will give an overview on the most common complications in 2020 and how they may have changed over the last decades. The following presentations will address the 4 most common complications after RSA. Instability of RSA is one of the most common problems and potential reasons for this will be shown as well as strategies to avoid and to manage it. The 3rd talk will focus on reasons and treatment strategies for acromial stress fractures. The problem of scapular notching will be addressed, and strategies will be shown how to avoid them. The last talk will focus on the prevention and treatment of periprosthetic infections after RSA.
ICLs Recorded from Live Virtual Meeting
(These ICLs to be posted after completion of meeting)
Recorded on Friday, October 2, 2020
ICL #101: Volume to Value – Quality Care and the Transition to Population Health in Shoulder Surgery
Moderator: Daniel E. Davis, MD
Faculty: Tyler J. Brolin, MD, Charles L. Getz, MD, Andrew Jawa, MD, Ronald A. Navarro, MD, Matthew L. Ramsey, MD
Description: In the developing healthcare environment there is a strong push to transition from a model of fee for performance to one where value is emphasized with quality metric outcomes linked with decreasing costs. This ICL would explore the multi-faceted approach to achieving these goals in shoulder surgery through discussions focused on quality outcome measurements, bundled payment initiatives, cost controlling measures, and how these factors lead us to the future of population health.
ICL #102: Innovative Strategies for Proximal Humeral Fractures and their Seqeulae in 2020
Moderator: Joaquin Sanchez-Sotelo, MD, PhD
Faculty: Lawrence V. Gulotta, MD, Jonas J.R. Rudzki, MD, MSc
Description: Goal of the ICL is to review current best evidence and emerging trends for the treatment of proximal humerus fractures and their sequelae. Speakers will review relevant current literature and present cases to illustrate treatment options, optimize outcomes, and address complications in an interactive format.
ICL #103: Frontiers in Elbow Arthroscopy: What Can Be Done in 2020 and Beyond?
Moderator: Mark E. Morrey, MD
Faculty: Michael Hausman, MD, Shawn W. O'Driscoll, PhD, MD, Felix H. Savoie, III, MD
Description: This ICL will cover techniques to safely treat the advancing indications in elbow arthroscopy including: OCD, fractures, instability, contracture treatment and heterotopic ossification removal with cases to illustrate the skills and techniques necessary for success.
Recorded on Saturday, October 3, 2020
ICL #201: The Massive Rotator Cuff Tear: Too Many Options, I Want Answers – An Algorithm for Success
Moderator: Kevin D. Plancher, MD
Faculty: Joseph A. Abboud, MD, George S. Athwal, MD, FRCSC, Bassem T. Elhassan, MD, Larry D. Field, MD, Mark H. Getelman, MD
Description: Massive rotator cuff tears pose a challenging dilemma due to poor healing, fatty degeneration, and muscle atrophy. This ICL will discuss the indications, contraindications, clinical rationale, and surgical technique for partial repair, repair with patch augmentation, superior capsular reconstruction, and tendon transfers in order to optimize patient outcomes, avoid complications, and prevent re-injury.
ICL #202: Management of Complex Shoulder Instability – What are the Options for the Toughest Cases?
Moderator: Grant E. Garrigues, MD
Faculty: Robert A. Arciero, MD, T. Bradley Edwards, MD, Michael T. Freehill, MD, Alexandre Lädermann, MD, Patric Raiss, MD, Markus Scheibel, MD, Nikhil N. Verma, MD
Description: Management of shoulder instability is straightforward…until it’s not. Learn from the experts on the latest techniques from around the world to manage complex instability cases with bony and soft tissue deficiencies. Learn the technical details and indications to bring the best to your patients.
ICL #203: Clash of the Plans – Decision Making with Various Preoperative Planning Softwares
Moderator: Moby Parsons, MD
Faculty: Thomas R. Duquin, MD, Andrew Jawa, MD, Rick F. Papandrea, MD, Bradford O. Parsons, MD, Eric T. Ricchetti, MD, Walter G. Stanwood, MD
Description: We will have members using different preoperative planning software pre-plan several cases that reflect controversies around the limits of ATSA in shoulders with significant glenoid deformity. The panel will then discuss their decision-making tactics and debate differences between plans. This discussion will also address how these different platforms measure version and inclination and how this may affect decision making. Threshold for augments use, degree of acceptable residual retroversion in ATSA, degree of corrective reaming and when to bail to RTSA in the cuff intact shoulder will all be addressed.