How to Optimize Outcomes with Diaphyseal Nonunions: A Case-based Discussion

Friday, October 25, 2024

4:40 PM – 5:40 PM EDT

Location: 510BD

Moderator(s)

Stephen J. Warner, MD, PhD

University of Texas Health Science Center at Houston

Financial Disclosures: AAOS: Board or committee member AO North America: Board or committee member Bonebridge: Paid consultant Globus Medical: Paid consultant; Paid presenter or speaker Orthopaedic Trauma Association: Board or committee member Smith & Nephew: Paid presenter or speaker Stryker: Paid consultant; Paid presenter or speaker

Faculty(s)

TA

Timothy S. Achor, MD

UT Houston
McGovern Medical School At University of Texas Health Science Houston
Houston, Texas, United States

Financial Disclosures: Globus Medical: Paid consultant|Imagen Technologies: Stock or stock Options|Stryker: Paid consultant|
Mark A. Lee, MD (he/him/his)

UC Davis
Sacramento, California, United States

Financial Disclosures: AO Foundation: Board or committee member|Globus Medical: IP royalties|Osteocentric: Stock or stock Options|Osteocentric/SMV: Paid consultant|Synthes: Paid consultant; Paid presenter or speaker|
MB

Mark R. Brinker, MD

Fondren Orthopedic Group

Financial Disclosures: Wolters Kluwer Health - Lippincott Williams & Wilkins: Publishing royalties, financial or material support|Zimmer: IP royalties|
Mitchell Bernstein, MD

Associate Professor
McGill University Health Center
Montreal, Quebec, Canada

Financial Disclosures: Limb Lengthening and Reconstruction Society: Board or committee member|Nuvasive: Paid consultant|NXTSens MY01: Research support|Orthofix, Inc.: Paid consultant|Resolute Medical: Paid consultant|Restor3d: Paid consultant; Stock or stock Options|Smith & Nephew: Paid consultant|Synthes: Paid consultant|

Diaphyseal nonunions result in significant patient morbidity and are often challenging clinical scenarios. With evolving methods of clinical management and operative techniques, it is critical for orthopaedic surgeons to have a thorough understanding of the most effective treatment methods based on specific clinical situations. Through case-based, interactive discussions with leaders in the field of nonunion treatment, attendees will be engaged in learning how to treat patients with diaphyseal nonunions. The cases presented will highlight surgical decision-making, operative techniques, and specific problem scenarios such as infections and bone loss. Each faculty member will bring extensive experiences and unique perspectives within the field of nonunion treatment to provide comprehensive discussions on the topic.

Learning Objectives:

At the completion of this activity, participants will be able to:

Discuss reliable algorithms for effective clinical management of patients with diaphyseal nonunions, including medical management, preoperative evaluation, and surgical decision-making.
Practice appropriate operative techniques for treatment of diaphyseal nonunions, including dynamization, exchange nailing, augmentative plating, cell-based therapy, and external fixation.
Demonstrate evolving treatment options for more complex diaphyseal nonunion scenarios, including the presence of infection and segmental bone loss.