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I think the importance of such a meeting is really to bring the network together. Having a Congress such as this one allows the different groups and individuals who will not normally interact to come together. That level of learning, socialising together and understanding what is happening in other departments is critically important to the future of Academic Medicine.








~ Prof Elizabeth Armstrong
Clinical Professor in Paediatrics & Director, Harvard Macy Institute, Harvard Medical School


Programme >

Musculoskeletal Symposium
Challenging Topics in Musculoskeletal Surgery

Track type: Symposium


 Duration: 90 minutes


 Location: Academia, Level 1, L1-S3

Topic 1:

Hip Arthroscopy: Indications, Techniques and Trends

Dr Poh Seng Yew

Hip arthroscopy has seen an exponential growth especially in the last 20 years, and is now widely accepted as a minimally invasive method to perform selective hip preservation procedures, without the morbidity of an open surgical dislocation. Nevertheless, hip arthroscopy remains a technically demanding procedure, and the learning curve is steep. This talk will focus on the current accepted indications for hip arthroscopy, and explore the techniques of hip arthroscopy with regards to setup, and portal entry. Case examples are given of therapeutic procedures that can be performed, as well as the limitations and future trends of hip arthroscopy in general.

Topic 2: 

Surgical Reconstruction of Brachial Plexus Injuries – Challenges and Advances

Dr Jacqueline Tan Siau Woon

Injuries to major nerves of the upper extremities, especially the brachial plexus, have devastating consequences owing to the resultant loss of motor, sensory, and autonomic function associated with such injuries. These functional deficits require complex microsurgical reconstruction, which include nerve repair/grafts, nerve transfers (neurotizations) and free functioning muscle transfers. 
The priorities of surgical reconstruction are to restore elbow flexion, shoulder abduction, wrist and hand prehension and last but not least, sensory function of the hand. Management of brachial plexus injuries is often philosophy driven. Over the years, there have been great advances in the treatment options for such injures. In this presentation, Dr Tan will focus on the philosophy, concepts and techniques of brachial plexus reconstruction, in particular, neurotizations and free functioning muscle transfers.

Topic 3: 

Overview of Clinical Approach to Congenital (Developmental) Orthopaedic Conditions 

Assoc Prof Arjandas Mahadev
To have a good approach to congenital or developmental orthopaedic conditions is paramount as many of these conditions are amenable to some form of screening. Once screened early, intervention with simple yet effective methods can be carried out to ensure a better outcome than that of natural history.

This becomes even more important as the later these conditions are recognised, the less effective the intervention is going to be, leading to highly invasive surgeries that still may not be as effective as those of early screening and intervention.

In this session, Assoc Prof Mahadev will discuss the following conditions:
• Developmental Dysplasia of the Hips
• Structural Idiopathic Clubfeet
• Torticollis

All these conditions can be screened at birth and all have an effective, simple and non-invasive form of early intervention for complete resolution.
Topic 4: 
Perforator Flaps for Lower Limb Reconstruction 
 Speaker: Dr Terence Goh

In the past, limb salvage and complex lower limb reconstruction was made possible with free tissue transfers employing muscle flaps or musculocutaneous flaps. Clarification of the vascular anatomy has led to refinement and evolution of such flaps. Building on the anatomical work of Taylor and the concept of perforasomes, we are now able to refine bulky free tissue flaps to thin skin flaps. The advantage of understanding perforator anatomy enables the reconstructive surgeon to raise flaps of varying thickness to match the contour of the lower limb, whilst sparing the muscle morbidity at the donor site. There are now unlimited donor site options that also enable the surgeon to pick a donor site that can be well concealed.

The presentation will showcase reconstructive options for lower limb salvage using only perforator skin flaps. 

*Information is correct at time of update