HAWAI CONFERENCE jANUARY 2020

Schedule at a Glance
SUNDAY
Industry Workshop Breakfast**
6:00am – 7:00am
General Sessions
7:00am – 12:30pm
Exhibit Hall Refreshments & Poster Display
9:15am & 11:45am
Industry Workshop Lunch**
12:30pm – 1:30pm
Free Time to Explore Kauai
MONDAY
6:00am – 7:00am
General Sessions
7:00am – 12:30pm
9:40am & 11:05am
12:30pm – 1:30pm
TUESDAY
6:00am – 7:00am
General Sessions
7:00am – 12:30pm
8:50am & 10:30am
12:30pm – 1:30pm
WEDNESDAY
6:00am – 7:00am
General Sessions
7:00am – 12:30pm
9:00am & 11:00am
12:30pm – 1:30pm
THURSDAY
6:00am – 7:00am
General Sessions
7:00am – 12:30pm
9:10am & 11:00am
Note: Schedule subject to change. | **This portion of the meeting is not approved for AMA PRA Category 1 Credit(s)™ and is neither provided by nor endorsed by
Orthopedics Today Hawaii 2020 or its accredited provider.
SESSION DETAILS
Industry Workshop Breakfasts are an excellent start to each morning, providing an in-depth discussion on a hot topic while you
enjoy breakfast.
General Sessions feature daily didactic and interactive presentations that cover the entire scope of your practice; topics range from
clinical and surgical to coding and practice management.
Exhibit Hall Breaks scheduled throughout the meeting offer refreshments while you receive updates in technology, equipment and
services to benefit your orthopedic practice.
Poster Display is open every day during exhibit hall hours providing more opportunities to exchange ideas as you view peer-
conducted research. Submit your own abstract by September 13. Click here for more information.
Industry Workshop Lunches are an excellent addition to each afternoon, providing an in-depth discussion on a hot topic while you
enjoy lunch.
Now is the best time ever to visit Kauai and witness first-hand the famous Napali Coast offering breathtaking views of mountains,
waterfalls and rainforests; Waimea Canyon, described as "The Grand Canyon of the Pacific;" and an extraordinary helicopter tour
showcasing the Garden Isle's scenery that is mostly uninhabited and inaccessible from the ground.
Sunday's Program
INDUSTRY WORKSHOP BREAKFAST**
6:00 am – 7:00 am
Educational Content and Breakfast
Sponsored by Arthrex, Inc.
**Not approved for AMA PRA Category 1 Credit(s)™ and is neither provided by nor endorsed by Orthopedics Today Hawaii 2020 or its accredited provider.
7:00 am – 7:05 am
Break
GENERAL SESSIONS
Opening Remarks
7:05 am – 7:15 am
Welcome and Introduction
Anthony A. Romeo, MD
Case Presentations, Audience Questions and Discussion

Moderator: Jack M. Bert, MD
Panelists: William R. Beach, MD; Jason L. Dragoo, MD; John D. Kelly IV, MD; Hollis G. Potter, MD; Matthew T. Provencher, MD,
CAPT, MC, USNR; Nicholas A. Sgaglione, MD; Michael J. Stuart, MD
7:15 am – 8:15 am
Meniscus: Resist, Resect, Repair
 When to Leave the Meniscus Alone, Resect It or Repair It and Does Age Matter?
 When are Biologics Important to Assist in Repair?
 Is There a Role for Meniscal Transplants or Substitutes in 2020?
 Can You Make a Preoperative Decision Based upon the MRI on When to Repair or Resect the Meniscus?
 How to Rehabilitate a Meniscal Repair: Separating Fact from Fiction
 How to Manage the Meniscectomized Patient with Persistent Pain
8:15 am – 9:15 am
Articular Cartilage
 Knee Injectables: Cortisone, Viscosupplementation, PRP, Stem Cells and the Science Behind What Really Works and
What Doesn’t!
 Surgical Case Presentations: Marrow Stimulation, OATS, Osteochondral Allografts, Subchondroplasty and Upper Tibial
Osteotomy
 When is “Staging Arthroscopy” Appropriate?
 Is it Possible to Determine the Condition of the Articular Surface and Subchondral Bone on the Pre-op MRI?
 Is In-office Arthroscopy Helpful Compared to MRI to Diagnose and Determine Further Knee Surgery?
 How Do You Rehabilitate Patients After Articular Cartilage Surgery?
9:15 am – 9:45 am
Refreshments and Networking in the Exhibit Hall
9:45 am – 10:45 am
Ligaments
 Is Timing for Ligament Repair Important and Does Age Matter?
 Is There an “Ideal” Graft Source?
 When to Use Allograft vs. Autograft? Which One is Best to Use for Primary Repair – Quad Tendon, Hamstrings, Patellar
Tendon or Hybrid Grafts?
 Should an Internal Brace Be Added to ACL Repair?
 Is the Anterolateral Ligament a Factor in ACL Repair?
 Should ACL Revisions with Bone Loss Be Staged?
 What is the Algorithm for Multiligament Repair: What to Do When and How?
 MRI Pearls for Torn Ligaments
10:45 am – 11:45 am
Patellofemoral Pathology and Treatment
 Is Chondromalacia a Treatable Disease and What Works?

 Is There a Role for Lateral Release and When to Do It?
 What is the Best Way to Treat a Subluxing/Dislocating Patella and How?
 When to Do an Osteotomy for PF Disease?
 Are Biologic Injections Ever Indicated in PF Disease?
 MPFL vs. MQTFL: Does it Matter?
 When is MRI Helpful in PF Disease?
11:45 am – 12:15 pm
12:15 pm – 12:30 pm
Concussions in Sports: What You Need to Know!
Jack M. Bert, MD; Matthew T. Provencher, MD, CAPT, MC, USNR; Michael J. Stuart, MD
INDUSTRY WORKSHOP LUNCH**
12:30 pm – 1:30 pm
Educational Content and Lunch
Monday's Program
6:00 am – 7:00 am
Sponsored by Stryker Trauma
7:00 am – 7:05 am
Break
GENERAL SESSIONS
Opening Remarks
7:05 am – 7:10 am
Shoulder Imaging and Live Physical Examination Pearls

Moderator: Christopher S. Ahmad, MD
7:10 am – 7:25 am
Basic and Advanced Shoulder MRI Interpretation
Hollis G. Potter, MD
7:25 am – 7:40 am
Live Shoulder Physical Examination Pearls
Moderator: Christopher S. Ahmad, MD
Examiners: Joseph A. Abboud, MD; John D. Kelly IV, MD; Mark A. Mighell, MD; Matthew T. Provencher, MD, CAPT, MC, USNR;
Shoulder Instability
Moderator: John D. Kelly, MD
7:40 am – 7:50 am
Arthroscopic Shoulder Instability: What I do Differently Today Compared to Last Year
7:50 am – 8:00 am
Good SLAP vs. Bad SLAP Lesions
Christopher S. Ahmad, MD
8:00 am – 8:10 am
Open Shoulder Stabilization in My Practice
Joseph A. Abboud, MD
8:10 am – 8:20 am
Complications of Shoulder Instability Surgery and How to Avoid Them
Matthew T. Provencher, MD, CAPT, MC, USNR
8:20 am – 8:40 am
Case Presentations and Audience Questions
Moderator: John D. Kelly IV, MD
Panelists: Joseph A. Abboud, MD; Christopher S. Ahmad, MD; Hollis G. Potter, MD; Matthew T. Provencher, MD, CAPT, MC,
USNR; Anthony A. Romeo, MD
Rotator Cuff and Biceps

Moderator: Anthony A. Romeo, MD
8:40 am – 8:50 am
Double Row Subscapularis Repair Spotlight
8:50 am – 9:00 am
Os Acromiale Case-based Treatment
Christopher S. Ahmad, MD
9:00 am – 9:10 am
Superior Capsular Reconstruction vs. Balloons vs. Reverse
9:10 am – 9:20 am
Proximal Biceps Pathology: Practical Cases Presented to Panel
9:20 am – 9:35 am
Panelists: Joseph A. Abboud, MD; Christopher S. Ahmad, MD; John D. Kelly IV, MD; Mark A. Mighell, MD; Matthew T. Provencher,
MD, CAPT, MC, USNR
9:35 am – 10:00 am
Shoulder Arthritis and Arthroplasty

Moderator: Mark A. Mighell, MD
10:00 am – 10:10 am
Musculoskeletal Tumors: How to Recognize and Save Your Patients and Practice
Kristy L. Weber, MD, FAAOS
10:10 am – 10:20 am
Can Arthroscopy Improve Symptoms in the Young Patient with Shoulder OA?
10:20 am – 10:30 am
Stemless Arthroplasty Update
10:30 am – 10:40 am
Diagnosing and Managing Subscapularis Failure after Anatomic TSR
Mark A. Mighell, MD
10:40 am – 10:50 am
Augmented Glenoid Components
10:50 am – 11:05 am
Moderator: Mark A. Mighell, MD
Panelists: Joseph A. Abboud, MD; Christopher S. Ahmad, MD; John D. Kelly IV, MD; Matthew T. Provencher, MD, CAPT, MC,
USNR Anthony A. Romeo, MD
11:05 am – 11:30 am
Sports Elbow Conditions Roundtable: Elbow Conditions of the Young Thrower

Moderator: Joseph A. Abboud, MD
11:30 am – 11:35 am
Olecranon Stress Reaction and Fracture
John D. Kelly IV, MD
11:35 am – 11:40 am
Medial Epicondyle Avulsion
Christopher S. Ahmad MD
11:40 am – 11:45 am
Partial UCL Tear
11:45 am – 11:50 am
Capitellar OCD
11:50 am – 11:55 am
Audience Questions and Discussion
Distinguished Lecture
11:55 am – 11:56 am
Introduction
11:56 am – 12:15 pm
The New Strategic Plan for AAOS: Experience, Quality and Culture
Kristy L. Weber, MD, FAAOS
12:15 pm – 12:30 pm
Town Hall Forum with Dr. Kristy Weber
12:30 pm – 1:30 pm
Sponsored by Stryker Sports Medicine
Tuesday's Program
6:00 am – 7:00 am
7:00 am – 7:05 am
Break
GENERAL SESSIONS
Opening Remarks
7:05 am – 7:10 am
Anthony A. Romeo, MD; Frank A. Liporace, MD
The Treatment of Upper and Lower Extremity Fractures: An Interactive Lecture Series
Moderator: Frank A. Liporace, MD
7:10 am – 7:28 am
Posterior Malleolus: Case 1-3
Cory A. Collinge, MD
7:28 am – 7:46 am
Lisfranc, Talus, Calcaneus: Case 1-3
J. Tracy Watson, MD
7:46 am – 7:51 am
7:51 am – 8:09 am
Nail vs. Plate for the Distal Tibia: Case 1-3
J. Tracy Watson, MD
8:09 am – 8:27 am
The Truth on Suprapatella Nailing: The Good, The Bad, The Reasoning: Cases 1-3
J. Tracy Watson, MD
8:27 am – 8:45 am
Vancouver B1 vs. “Sort of Loose B2:” Case 1-3
Frank A. Liporace, MD
8:45 am – 8:50 am
8:50 am – 9:15 am
9:15 am – 9:33 am
Failing Intertroch/Subtroch in the Elderly: Case 1-3
9:33 am – 9:45 am
Failing Intertroch/Subtroch in the Elderly: What to Do Now?
9:45 am – 10:03 am
Femoral Neck Fractures: Case 1-3
J. Tracy Watson, MD
9:51 am – 10:03 am
Failing Intertroch/Subtroch in the Elderly: Case 4-5
10:03 am – 10:21 am
Distal Femur Peri-prosthetic: When to Nail, When to Plate and Should We Ever Do Both: Cases 1-3
Cory A. Collinge, MD
10:21 am – 10:30 am
10:30 am – 11:00 am
11:00 am – 11:18 am
Proximal Humerus Factures: Fix vs. Replace: Case 1-3
Mark A. Mighell, MD
11:18 am – 11:36 am
Humeral Shaft Factures: Nail or Plate: Case 1-3
J. Tracy Watson, MD
11:36 am – 11:45 am
11:45 am – 11:57 am
ORIF vs. TEA Elderly Distal Humerus Fractures
Mark A. Mighell, MD
11:57 am – 12:09 pm
Forearm Top to Bottom: Monteggia, Galeazzi, Transolecranon Fractures-dislocation
Mark A. Mighell, MD
12:09 pm – 12:21 pm
Fix or Leave It: The Elderly Distal Radius
12:21 pm – 12:30 pm
12:30 pm – 1:30 pm
Sponsored by Heron Therapeutics
Wednesday's Program
6:00 am – 7:00 am
Sponsored by DePuy Synthes Companies
7:00 am – 7:05 am
Break
GENERAL SESSIONS
Opening Remarks
7:05 am – 7:10 am
The Great Debate: Approach for Total Hips
Moderator: Thomas P. Schmalzried, MD
7:10 am – 7:16 am
Direct Lateral Approach for Primary and Revision
David G. Lewallen, MD
7:16 am – 7:22 am
Posterior Approach for Primary and Revision
Wayne G. Paprosky, MD, FACS
7:22 am – 7:28 am
Direct Anterior Approach for Primary (and Revision)
Joel M. Matta, MD
7:28 am – 7:34 am
Direct Superior Portal Assisted
Brad L. Penenberg, MD
7:34 am – 7:40 am
Does it Matter? Registry Data on Approach
Andrew J. Shimmin, MBBS, FRACS
7:40 am – 7:46 am
Is it the Approach, or is it the Surgeon?
Douglas A. Dennis, MD
7:46 am – 8:00 am
Audience Questions and Answers
Grand Rounds Panel Discussion

Moderator: David G. Lewallen, MD
8:00 am – 8:24 am
The Challenging Primary THA: Severe Hip Dysplasia, Morbidly Obese, Severe Osteoporosis, Post-traumatic Femoral
Deformity
Panelists: Robert L. Barrack, MD; Douglas A. Dennis, MD; Adolph V. Lombardi Jr., MD, FACS; Steven J. MacDonald, MD, FRCSC;
Joel M. Matta, MD; Wayne G. Paprosky, MD, FACS; Brad L. Penenberg, MD; Hollis G. Potter, MD; Thomas P. Schmalzried, MD;
8:24 am – 8:32 am
The Robots are Coming!

Moderator: Adolph V. Lombardi Jr., MD, FACS
8:32 am – 8:38 am
Navio-assisted TKA Learning Curve
8:38 am – 8:50 am
Debate: A Robot Makes Every Surgeon Better
Pro: Robert L. Barrack, MD
Con: Steven J. MacDonald, MD, FRCSC
8:50 am – 9:00 am
9:00 am – 9:30 am
Advanced Imaging
Moderator: Wayne G. Paprosky, MD, FACS
9:30 am – 9:38 am
The Role of EOS in Hip and Knee Arthroplasty
Robert L. Barrack, MD
9:38 am – 9:44 am
Digital Templating
9:44 am – 9:50 am
Digital Intra-operative Imaging and Analysis
9:50 am – 9:58 am
Pre-operative Evaluation of Spinopelvic Mobility
9:58 am – 10:08 am
Best Uses of MRI in Hip Arthroplasty
10:08 am – 10:18 am
Best Uses of MRI in Knee Arthroplasty
10:18 am – 10:28 am
When Crosslinked Polyethylene is Not Enough

Moderator: Steven J. MacDonald, MD, FRCSC
10:28 am – 10:34 am
Joint Preservation/PAO
Joel M. Matta, MD
10:34 am – 10:40 am
The Role for Hip Resurfacing
10:40 am – 10:46 am
The Role for Ceramic-on-Ceramic
10:46 am – 10:52 am
The Role for Primary Dual Mobility
Adolph V. Lombardi Jr., MD, FACS
10:52 am – 11:00 am
11:00 am – 11:30 am
Great Debates in Knee Arthroplasty

Moderator: Robert L. Barrack, MD
Alignment: How and Why
11:30 am – 11:36 am
Kinematic
11:36 am – 11:42 am
Conventional
11:42 am – 11:48 am
Constraint: Case-based Why and How
11:48 am – 11:54 am
Uni-compartmental
11:54 am – 12:00 pm
Posterior Cruciate Retaining
12:00 pm – 12:06 pm
Posterior Cruciate Substituting
Steven J. MacDonald, MD, FRCSC
12:06 pm – 12:12 pm
Medially Stabilized TKA
12:12 pm – 12:18 pm
Rotating Platform TKA
12:18 pm – 12:30 pm
12:30 pm – 1:30 pm
Thursday's Program
6:00 am – 7:00 am
Sponsored by DePuy Synthes Companies
7:00 am – 7:05 am
Break
GENERAL SESSIONS
Opening Remarks
7:05 am – 7:10 am
Practice Management: Case Presentations

Moderator: Jack M. Bert, MD
7:10 am – 7:55 am
The Case for Outpatient Total Joint Arthroplasty
Panelists: William R. Beach, MD; David M. Glaser, JD; Sam Moen, BS; Anthony A. Romeo, MD; Nicholas A. Sgaglione, MD
Discussion Topics:
 How Do You Determine Which Patients are Appropriate Surgical Candidates?

 What are the Most Common Problems Associated with Setting Up an OP Program?
 Is There a Way to Avoid Complications and Re-admissions?
 How Can you Optimize Results?
 Do Bundled Programs Make Sense and are They Profitable?
 Is There a Way to Reduce ASC Costs to Ensure Financial Success?
 Is There a Way to Collect Outcomes of Care?
 How Do You Market an OP Program to Employers and Payers?
7:55 am – 8:05 am
8:05 am – 8:30 am
National Political Activity Updates
 Update on PSAs and Hospital Agreements

 Update on Healthcare Market Issues Relative to Orthopedics
 Update on Direct to Employer Contracting
8:30 am – 9:00 am
9:00 am – 9:10 am
Coding Update: Practical Coding Information for 2020
William R. Beach, MD
9:10 am – 9:30 am
Modern Delivery of Total Hip and Total Knee

Moderator: Thomas P. Schmalzried, MD
9:30 am – 9:36 am
Physician Hospital Partnerships
9:36 am – 9:42 am
The Ambulatory Surgery Center and Total Joint Replacement
9:42 am – 9:48 am
Organizing for Bundled Payments
Nader A. Nassif, MD
9:48 am – 9:54 am
How to Avoid “Bundle Busters”
Nader A. Nassif, MD
9:54 am – 10:00 am
Pre-operative Patient Optimization
10:00 am – 10:06 am
Anesthesia, Injections and Peri-operative Pain Management
Nader A. Nassif, MD
10:06 am – 10:12 am
DVT prophylaxis in 2020
Robert D. D’Ambrosia, MD
10:12 am – 10:18 am
Value and Patient Satisfaction Down Under
10:18 am – 10:24 am
Value and Patient Satisfaction in the Canadian Healthcare System
10:24 am – 10:30 am
Grand Rounds Panel Discussion

Moderator: Douglas A. Dennis, MD
10:30 am – 10:54 am
The Challenging Primary TKA: Severe Valgus, Severe Flexion Contracture, Extra-articular Deformity, Failed Uni-knee
Panelists: Robert L. Barrack, MD; Robert D. D’Ambrosia, MD; David G. Lewallen, MD; Adolph V. Lombardi Jr., MD, FACS; Steven
J. MacDonald, MD, FRCSC; Nader A. Nassif, MD; Wayne G. Paprosky, MD, FACS; Brad L. Penenberg, MD; Thomas P.
Schmalzried, MD; Andrew J. Shimmin, MBBS, FRACS
10:54 am – 11:00 am
11:00 am – 11:30 am
Revision Total Joints

Moderator: Brad L. Penenberg, MD
11:30 am – 11:36 am
Evaluation and Management of the Infected Total Joint
Nader A. Nassif, MD
11:36 am – 11:42 am
Evaluation and Management of the Unstable Total Hip
11:42 am – 11:48 am
Removing a Well-fixed THA
11:48 am – 11:54 am
Addressing Acetabular Bone Loss in THA
David G. Lewallen, MD
11:54 am – 12:00 pm
Modular Stems in Revision THA
12:00 pm – 12:06 pm
Evaluation and Management of the Stiff Total Knee
12:06 pm – 12:12 pm
Metal Allergy and Lymphocyte Transformation Testing
Thomas P. Schmalzried, MD
12:12 pm – 12:18 pm
Removing a Well-fixed TKA
12:18 pm – 12:24 pm
Managing Bone Loss in TKA
12:24 pm – 12:30 pm
12:30 pm
Meeting Concludes
Program Director
 Anthony A. Romeo, MD
 Chief of Orthopaedics
 Rothman Orthopaedic Institute
 New York
 Shoulder and Elbow Specialist
 New York, New York
Program Committee

 Christopher S. Ahmad, MD
 Chief
 Sports Medicine Service
 Professor of Orthopaedic Surgery
 Columbia University
 New York, New York

 Jack M. Bert, MD
 Adjunct Clinical Professor
 University of Minnesota
 School of Medicine
 Minneapolis, Minnesota
 Minnesota Bone and Joint Specialists, Ltd.
 Woodbury, Minnesota

 Frank A. Liporace, MD
 Chairman
 Jersey City Medical Center
 Department of Orthopaedics
 RWJ/Barnabas Health
 Jersey City, New Jersey

 Thomas P. Schmalzried, MD
 Medical Director
 Joint Replacement Institute
 St. Vincent Medical Center
 Physician Specialist
 University of California
 Los Angeles, California
Faculty

 Joseph A. Abboud, MD
 Senior Vice President
 Rothman Institute
 Professor of Orthopaedic Surgery
 Thomas Jefferson University
 Philadelphia, Pennsylvania

 Robert L. Barrack, MD
 Charles and Joanne Knight
 Distinguished Professor
 Washington University School of Medicine
 St. Louis, Missouri

 William R. Beach, MD
 Fellowship Director
 Orthopedic Research of Virginia
 Director of Sports Medicine
 Tuckahoe Orthopaedic Associates
 Richmond, Virginia

 Cory A. Collinge, MD
 Orthopedics
 Trauma Surgery
 Texas Health Fort Worth
 Fort Worth, Texas

 Robert D. D’Ambrosia, MD
 Professor
 Emeritus Chair
 University of Colorado
 School of Medicine
 Aurora, Colorado

 Douglas A. Dennis, MD
 Adjunct Professor
 Department of Biomedical Engineering
 University of Denver
 Assistant Clinical Professor
 University of Colorado School of Medicine
 Denver, Colorado

 Jason L. Dragoo, MD
 Professor and Vice Chairman
 University of Colorado
 Denver, Colorado

 David M. Glaser, JD
 University of Michigan Law School
 Minneapolis, Minnesota

 John D. Kelly IV, MD
 Professor
 Director
 Shoulder Sports
 University of Pennsylvania
 Director
 Penn Throwing Clinic
 Philadelphia, Pennsylvania

 David G. Lewallen, MD
 Professor of Orthopedic Surgery
 Mayo Clinic
 College of Medicine
 Consultant
 Department of Orthopedic Surgery
 Mayo Clinic
 Rochester, Minnesota

 Adolph V. Lombardi Jr., MD, FACS
 President
 Joint Implant Surgeons, Inc.
 New Albany, Ohio

 Steven J. MacDonald, MD, FRCSC
 J. C. Kennedy Professor
 Chairman of Orthopaedic Surgery
 Western University
 London Health Sciences Centre
 London, Ontario, Canada

 Joel M. Matta, MD
 The Steadman Clinic
 Vail, Colorado

 Mark A. Mighell, MD
 Associate Professor
 University of South Florida
 Tampa, Florida
 Co-Director
 Upper Extremity
 Fellowship
 Florida Orthopaedic Insititute
 Tampa, Florida

 Sam D. Moen, BA
 Saint Paul, Minnesota

 Nader A. Nassif, MD
 Hoag Orthopedic Institute
 Irvine, California

 Wayne G. Paprosky, MD, FACS
 Professor and Surgeon
 Rush University Medical Center
 Chicago, Illinois

 Brad L. Penenberg, MD
 Chief
 Arthroplasty Service
 Cedars-Sinai Medical Center
 Angeles, California

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Schedule at a Glance

Case Presentations, Audience Questions and Discussion

 Is Chondromalacia a Treatable Disease and What Works?

Shoulder Imaging and Live Physical Examination Pearls

Rotator Cuff and Biceps

Shoulder Arthritis and Arthroplasty

Sports Elbow Conditions Roundtable: Elbow Conditions of the Young Thrower

Grand Rounds Panel Discussion

The Robots are Coming!

When Crosslinked Polyethylene is Not Enough

Great Debates in Knee Arthroplasty

Practice Management: Case Presentations

 How Do You Determine Which Patients are Appropriate Surgical Candidates?

 Update on PSAs and Hospital Agreements

Modern Delivery of Total Hip and Total Knee

Grand Rounds Panel Discussion

Revision Total Joints

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