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Pelvic & tumor reconstruction workshop
8th November, 2008

Venue: Aga Khan University

First session: Orthopedic Oncology

  • Tumor Biopsy
    • Which tumors need a biopsy
    • Who should do it
    • Indications for closed biopsy
    • Indications for open biopsy
    • Suitable sites of biopsy in common anatomical locations (distal femur, proximal tibia, distal radius, prox. humerus, distal tibia, groin, pelvis, and sacrum).
    • Complications/Dangers of a wrong biopsy
  • Video session – demonstration of biopsy by various techniques
  • Exercise
    • Needle biopsy technique in a cadaver
    • Trucut biopsy technique in a cadaver
    • Open biopsy technique in a cadaver
  • Tumor resections around the knee
    • Relevant anatomy
    • Favorable approaches
    • Indications & techniques of Van Ness Rotation Plasty
  • Video session – demonstration of tumor resection around the knee and reconstruction by mega-prosthesis.
    • Demonstration of the technique of rotation plasty.
  • Exercise
    • Excision of tumors of the distal femur in a cadaver.
    • Technique of rotation plasty
  • Tumor resections in the pelvis
    • Indications of internal hemi-pelvectomy
    • Contra-indications for internal hemi-pelvectomy
    • Indications for no surgery in pelvic tumors
    • Hemi-pelvectomy & its types
    • Approaches to the pelvis
    • Approaches to the sacrum
  • Video session – demonstration of tumor resection of the pelvis.
  • Exercise
    • Utilitarian incision for a posterior flap hemi-pelvectomy
    • Approaches for sacral tumors

 

Second Session: Pelvic reconstruction Osteotomies 

o       Arthritis of the hip joint in young adult

o       Etiology of painful hip joint in adolescent & young adults

o       Imaging for a painful hip in young adults

o       Salvage options – pelvic Osteotomies

o       Salvage options – Femoral Osteotomies

o       Role of joint distraction in hip arthritis in young adults

o       Long term results of salvage procedures

o       Role of hip arthroscopy

o       Video Session – Demonstration of a Ganz pelvic osteotomy

o       Exercise

o       Ganz pelvic osteotomy in a cadaver model.

2nd Orthopedic Oncology Course  

9th February, 2007
Pearl Continental Hotel
COURSE SCHEDULE

Opening Ceremony
8:00 – 8:30   State of the Art: Management of pelvic sarcomas   
8:30 – 9:00   State of the Art: Challenges in managing bone sarcomas in the toddlers  
9:00 – 9:30   State of the Art: life-time experience of a bone pathologist  
9:30 – 9:45   Musculoskeletal sarcomas : Staging system  
9:45 – 10:00   Biopsy of musculoskeletal tumors  
10:00 – 10:15   Principles of musculoskeletal tumor  surgery  
10:15 – 10:30   General Principles of Chemotherapy  
10:30 – 10:45   General Principles of Radiotherapy  
10:45 – 11:00   Tea Break  
11:00 – 11:30   State of the Art: Radiological evaluation of malignant bone tumors  
Reconstructive options after surgery for primary malignant bone sarcomas
11:30 – 11:45   Starting a Bone bank  - Indian experience  
11:45 – 12:00   Scapula & Humerus – Upper, shaft and distal end  
12:00 – 12:15   Forearm & Hand  
12:15 – 12:30   Femur – Proximal, shaft and distal end  
12:30 – 12:45   Foot & Tibia - Proximal, shaft and distal end  
12:45 – 1400   Lunch & Prayer Break  
14:00 – 14:15   Osteogenic sarcoma  
14:15 – 14:25   Pathology of osteogenic sarcoma  
14:25 – 14:40   Chondrosarcoma  
14:40 – 14:50   Pathology of Chondrosarcoma  
14:50 – 15:05   Ewing’s sarcoma  
15:05 – 15:15   Role of Radiotherapy in Ewing’s sarcoma  
15:15 – 15:25   Pathology of Small Cell tumors/MFH/Fibrosarcoma  
15:25 – 15:45   Tea Break  
15:45 – 17:15   Case Discussion/ tumor board  
17:15 – 17:45   Free paper session  
17:45 – 18:00   Soft tissue reconstruction after surgery for extremity sarcomas  
18:00 - 18:30   State of the Art: Surgical Management of pathologic fractures  


 
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