Program

1. World class plaster techniques:

• Forearm fracture: Cast index
• Hip spika for shaft femur fracture
• Single leg walking spika for shaft femur
• Tibia fracture long leg cast, functional cast brace
• Humerus fractures hanging cast, functional cast brace
• Safe cast cutting

2. Elastic nailing in Children: Standard , Smart and extended usage

• Principles of TEN
• Femur Fracture: Standard technique, TEN v/s Ender,
• Fracture table v/s ree hand,Entry points, Special tips, Distal and proximal femur, Comminuted fractures, TEN plus ex fix, TEN plus plating, End caps
• Tibia fracture: Standard technique, Anatomical issues, TEN plus plaster/Brace,
• Forearm fractures: TEN v/s K wires, Slim nail,
• Radial neck fractures:
• Humerus fractures: Proximal, Shaft and Distal
• Flexible nailing for hand fractures

3. Plating in pediatric fractures : Principles and techniques

• Principles of plating and locking
• MIPPO for shaft femur
• Proximal femur fracture plating
• Distal femur plates
• Plating of forearm fractures
• Tibial fracture plating

Live International breakfast and High tea Symposia on the web from the world masters

1. Compartment syndrome and vascular complications of fractures in children
2. TRASH lesions of elbow
3. Hand and foot injuries in children

Sessions
Sessions 1. Basics

• Why children’s fractures are special
• Normal radiological variants which appear like fractures, Subtle Fractures which appear normal
• Remodelling: biology and mechanics
• How to know which fractures will remodel and which will not

Session 2 Physeal injuries

• ABCD of physeal fractures: Anatomy Biomechanics Classification Diagnosis
• Management of acute injuries based on classification: Reduction techniques, Arthrogram, Fixation techniques, Follow up
• Management of acute injuries based on fracture site some case examples : Lower radius, Upper humerus Lower Femur, Upper Tibia, Lower Tibia
• Panel Discussion with audience participation: Delayed presentations, Sequlae, Complications
• Summary of the lessons learnt

Session 3 Long bone fractures: Femur Tibia Humerus

• Basic principles of managing long bone fractures
• Management of Standard Femur fracture based on age: case based discussion
• Panel Discussion with audience participation: Difficult femur fractures: Proximal femur, Distal femur, Bilateral femur fractures , Delayed fracture, Malunited fractures, Pathological fractures
• Tibial fractures: Cast v/s nail, Indications for nailing, Proximal tibia , Distal tibia, Compound fractures, Severely Communited fractures, Displacement in plaster, Isolated tibial fractures, Malunited fracture
• Difficult humerus fractures: Options of conservative management, Comminution, Nerve injury

Session 4 Forearm fractures
• ABCD of forearm fractures: Anatomy Biomechanics Classification Diagnosis
• Principles of acute management: Green stick, Complete, Plastic deformation
• Panel Discussion with audience participation : Difficult forearm fractures: Displacement in plaster, rotational malalignment, Refracture, Segmental fractures, Malunited fractures, Nonunion
• ABCD of distal radial fractures: Anatomy Biomechanics Classification Diagnosis
• Standard Management of acute distal radial fracture
• Panel Discussion with audience participation Difficult Distal Radial fractures: Bayonet apposition, Redisplacement, Angulation, Galleazi fracture dislocation, Nerve palsy, Nonunion
• ABCD of distal radial fractures: Anatomy Biomechanics Classification Diagnosis
• Standard management of acute Monteggia fracture: Cast or fix, What not to miss
• Panel Discussion with audience participation: Difficult Monteggia: Missed, Mistreated, Delayed, Recurrent
Session 5 Neck Femur Humerus and Radius
• ABCD of distal fracture neck femur: Anatomy Biomechanics Classification Diagnosis
• Fracture neck femur : Standard technique of closed reduction and fixation, Open reduction
• Panel Discussion with audience participation: Difficult Fracture neck femur: Irreducible, Nonunion, delayed fractures, Redo, Pathological, Implant failure, AVN, Complications
• Standard management of acute fracture neck humerus
• Panel Discussion with audience participation :Difficult Fracture neck humerus
• Standard management of acute fracture neck humerus
• Panel Discussion with audience participation : Difficult Radial neck fractures: irreducible, delayed, malunited, stiff.
Session 6 Supracondular Fracture Humerus
• ABCD of supracondylar fracture humerus: Anatomy Biomechanics Classification Diagnosis
• Acute supracondylar standard technique and controversies: Timing of procedure, Reduction methods, pin configurations, Intrafocal reduction, external fixation, open reduction
• Panel Discussion with audience participationDifficult supracondylar: Delayed, Irreducible, Nerve injury, Pulseless,Compartment syndrome
Session 7 Lateral Condylar Fractures humerus
• ABCD of lateral condylar fracture humerus: Anatomy Biomechanics Classification Diagnosis
• Acute lateral condyle fractures standard techniques: In situ pinning, Closed reduction and pinning, Open reduction and fixation, Pin configurations, K wire v/s compression screw, Unconventional fixation techniques and newer implants
• Panel Discussion with audience participation Difficult Lateral condyle fractures: Delayed presentation, Nonunion, Deformity, Stiff
Session 8 Foot and ankle injuries
• Ligamentous injuries to ankle:
• ABCD of ankle fractures in children: Anatomy Biomechanics Classification Diagnosis
• Acute ankle fractures standard management
• The transition fractures Triplane and Tilleaux
• Panel Discussion with audience participation Difficult ankle fractures : Missed, Delayed presentation, Physeal bar
Session 9 Knee injuries
• Ligamentous injuries to knee in children: ACL PCL Medial collateral MPFL
• ABCD of fractures around knee in children: Anatomy Biomechanics Classification Diagnosis
• Acute fractures around knee: standard management. Lower femur Upper tibia Tibial spine Tibial tuberosity
• Panel Discussion with audience participation Difficult knee fractures : Intraarticular fractures, Missed, Delayed presentation, Physeal bar


Session 10 Uncovered fractures
• Medial epicondyle fractures
• Medial condyle fractures humerus
• Capitellar fractures
• Clavicle fractures
• Pelvic fractures
• Hip dislocation
• Acetabular fractures
Special sessions
• Malunited pediatric fractures
• Adolescent fractures
• Pathological fractures: Fractures in osteomyelitis, fractures with bone cysts, Fragility fractures
• Nonunion in pediatric fractures
• Joint stiffness after pediatric fractures
• Management of infections after fracture
Audience participation
• Delegate case presentations
• The grand IFICS Quiz