|
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
 Speaker: 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.
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:
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
|
