Maryland OrthopaedicAssociation2018 Annual Meeting

Preliminary Program

www.mdortho.org

Scott H. Kozin, MDShriners Hospital for Children

Philadelphia, PA

Guest SpeakersMichael J. McCaslin, CPA

Somerset CPA and AdvisorsIndianapolis, IN

February 10, 2018 ◆ Loews Annapolis Hotel ◆ Annapolis, MD

9CME

Credits

SCIENTIFIC PROGRAMACCREDITATION INFORMATION

2018 PROGRAM COMMITTEEA sincere thank you to this year’s Pro-gram Committee for developing an out-standing scientific program. Your hardwork and dedication are appreciated.

Joshua M. Abzug, MD, ChairMohit Gilotra, MDJohn V. Ingari, MDAdam S. Levin, MD

SCIENTIFIC PROGRAM DETAILSThe Maryland Orthopaedic Associa-tion’s Annual Meeting has been devel-oped by the MOA Program Committeein conjunction with the American Acad-emy of Orthopaedic Surgeons.

TARGET AUDIENCEThe 2018 MOA Annual Meeting is de-signed to meet the needs of OrthopaedicSurgeons and Orthopaedic Residentsand Fellows. Information presented mayalso be of interest to physicians workingin an orthopaedic setting.

CME ACCREDITATIONThis activity has been planned and im-plemented in accordance with the ac-creditation requirements and policies ofthe Accreditation Council for Continu-ing Medical Education (ACCME)through the joint providership of theAmerican Academy of Orthopaedic Sur-geons and the Maryland OrthopaedicAssociation. The American Academy ofOrthopaedic Surgeons is accredited bythe ACCME to provide continuing medi-cal education for physicians.

The American Academy of OrthopaedicSurgeons designates this live activity fora maximum of 9 AMA PRA Category 1Credits™. Physicians should claim onlythe credit commensurate with the ex-tent of their participation in the activity.

PURPOSEExchange of scientific information is vi-tal to continuing professional develop-ment; therefore the Program Committeeof the MOA has selected the topic ofTrauma: A case based approach toavoiding complications. Current re-search findings will be presented as wellas a practical case-based approach inorder to directly share scientific knowl-edge with the practicing orthopaedicsurgeon.

President’s WelcomeJames J. York, MDPresident, Maryland Orthopaedic Association

Dear Colleague,

It has been an honor to serve as President of our MarylandOrthopaedic Association. We at MOA have focused on severalareas of service to our members. First is continuing medicaleducation. We have continued to provide web based clinical mate-rial, and an Annual Meeting which balances clinical updates,practice management material, cutting edge research and net-

working with our colleagues around the state. Our other critical area of activity isinteraction with government. Advocacy at the legislature and with the stateexecutive branch continues to be a critical mission for our State Society.

Besides the legislature, the Department of Health and the Medical LicensingBoard have had a profound impact on our ability to practice Orthopaedic Surgery.To that end we retain an excellent, experienced lobbyist to represent us and ourissues to each of the branches of our state government. Just as important as theMOA lobbyist, are the relationships that our Board Members and many of ourcolleagues have with our state legislators.

Sometimes I hear, “How can I participate in Orthopaedic Advocacy when I am upto my eyeballs in work?” If you cannot come to Annapolis during the legislativesession or meet with your delegates or state senator, you CAN participate in ourMOA Political Action Committee (PAC). The PAC is a valuable communicationtool and provides Maryland Orthopaedists access to legislators. Every electedofficial remembers those who contribute to reelection funds.

PAC contribution forms are as close as your computer or smartphone:www.mdortho.org. PAC forms are available at the Annual Meeting RegistrationBooth. Join our PAC now!

Year over year, we strive to make our Annual Meeting relevant to you with abalance of practical clinical updates, a peek at the future of Orthopaedics withcutting edge research papers, practice management symposia and updates / re-ports on our advocacy efforts. I would like to thank our program committee led byDr. Joshua Abzug for constructing a superb 2018 Annual Meeting.

The Annual Meeting welcomes you at no cost if you are an MOA member.

I am sure that you will find our 2018 meeting valuable and relevant. I always lookforward to catching up with our colleagues. We appreciate your involvement,participation, and membership in the Maryland Orthopaedic Association.

See you at the meeting!

Sincerely,

James J. York, MD2017-2018 President

PresidentJames J. York, MD

President ElectRobert S. Sterling, MD

2nd Vice PresidentScott C. McGovern, MD

Secretary-TreasurerS. Ashfaq Hasan, MD

MOA Board of DirectorsAAOE RepresentativeMark Chaput

MPCAC RepresentativeNicholas P. Grosso, MD

ResidentRepresentativesSteven Horton, MDAlex Johnson, MDAndrew Trontis, MD

Past PresidentRonald E. Delanois, MD

Members-At-LargeJohn Antoniades, MDJohn V. Ingari, MDBarry Waldman, MD

BOC RepresentativesAmir R. Moinfar, MDGary Pushkin, MD

2018 OBJECTIVESEducational objectives will be metthrough a general session offering guestpresentations, panel discussions, casepresentations, and presentations of orig-inal research. Participation in the pro-gram will afford attendees theopportunity to:

Objective 1: Have open dialogue oncurrent orthopaedic trauma topics andtechniques and to discuss their role inorthopaedic practice.

Objective 2: Incorporate innovationsfrom clinical and basic science researchinto application in orthopaedic practice.

Objective 3: Understand and to helpaddress the issues that orthopedic sur-geons in Maryland face and the chal-lenges held by private practice,hospital-based, and university employ-ees with respect to health-care reform.

Objective 4: Understand the extent ofadvocacy efforts on behalf of practicingorthopaedic surgeons by the AAOS andMOA in Annapolis and Washington, DC.

SCIENTIFIC E-POSTER SESSIONScientific Posters are an important fea-ture of the MOA Annual Meeting. Post-ers will be on display during theScientific Program, 7:00 am – 6:00 pm.

DISCLAIMERThe products, procedures and opinionspresented at this meeting reflect theviewpoint or approach of the presenteronly, and are not to be attributed to theMaryland Orthopaedic Association. TheMaryland Orthopaedic Association pres-ents such material for informationalpurposes only, and does not endorse anysuch product or the content of any suchpresentation.

FORMATThe educational sessions will be heldSaturday, February 10, from approxi-mately 7:30 am – 6:00 pm at the LoewsAnnapolis Hotel, Annapolis, MD.

PHYSICIAN REGISTRATION FEERegistration fee covers the ScientificProgram Sessions, Meeting Syllabus,General Meeting Expenses and Conti-nental Breakfast, Breaks and Lunch.

MOA is pleased to have Guest Speaker, Michael J. McCaslin,CPA of Somerset CPA’s and Advisors. Mr. McCaslin providesservices for health care clients in multiple states throughout thecountry. As a principal in the health care group, he has manyareas of expertise which include the development of health caredelivery systems and multi-physician specialty organizations,and the negotiation of physician and hospital relationships. He

also specializes in joint venture and merger analysis and transactions, strategicplanning, buy-in and buy-out structuring and restructuring, development of gover-nance structures and succession planning structures. In addition, he assistsclients with income distribution methodology design and change management,new services development, ambulatory surgery center development and otherphysician and health system consulting needs.

Mr. McCaslin speaks on health care, accounting and practice management issuesto physicians, hospitals and other medical organizations. He believes that the keyto success is to surround yourself with smart, capable people and then empowerthem to make full use of their talent and expertise.

Guest SpeakerMichael J. McCaslin, CPASomerset CPA and Advisors

Presidential Guest SpeakerScott H. Kozin, MDShriners Hospital for Children, Philadelphia

MOA is pleased to have Scott H. Kozin, MD as the 2018 Presiden-tial Guest Speaker. Dr. Kozin is the chief of staff for ShrinersHospitals for Children – Philadelphia and is board certified by theAmerican Board of Orthopaedic Surgery. He received an under-graduate degree in computer science from Duke University andearned a medical degree from Hahnemann University School of

Medicine. Dr. Kozin completed his residencies in orthopaedic surgery at AlbertEinstein Medical Center and Shriners Hospitals for Children – Philadelphia. Healso completed a fellowship in hand and microvascular surgery at Mayo Clinic inRochester, Minnesota.

Areas of special interest to Dr. Kozin include upper extremity/brachial plexusinjuries, spinal cord injuries, congenital differences and upper limb reconstruction.

Dr. Kozin is the past president of the American Society for Surgery of the Handand past president of the American Association of Hand Surgery. He is also aclinical professor for the department of orthopaedic surgery at Temple UniversitySchool of Medicine. He is the team leader for the Touching Hands Project, theoutreach arm of the American Society for Surgery of the Hand that createsopportunities for hand specialists to give back their knowledge and expertise to theglobal community, with a vision of a world where all people have access toexceptional hand care.

Future MOA MeetingsAbrams Memorial Lecture – October 2018

Sponsored by University of Maryland

The Annual Sinai Orthopaedic Lecture – November 2018Sponsored by the Jerome P. Reichmister, MD Educational Fund

Robinson Memorial Lecture – January 2019Sponsored by Johns Hopkins University

2019 Annual Meeting – Winter/Spring 2019

7:00 am – 7:25 am Scientific E-Poster SessionPresenters will be available to answerquestions.

7:00 am – 7:25 am Registration & ContinentalBreakfast

7:00 am – 6:00 pm Speaker Ready Room

7:25 am – 7:30 am Welcome & Course OverviewJoshua M. Abzug, MD, Program ChairJames J. York, MD, President

SESSION 1: Traumatic Sports InjuriesModerator: Miho J. Tanaka, MD, Johns Hopkins University

7:30 am – 7:40 am Evidence Based UpdateMiho J. Tanaka, MD, Johns HopkinsUniversity

7:40 am – 8:10 am Case Based DiscussionJonathan D. Packer, MD, University ofMarylandLucas R. Wymore, MD, SouthernMaryland Orthopaedic & SportsMedicine CenterAmir R. Moinfar, MD, EliteOrthopaedic & Musculoskeletal Center

SESSION 2: Traumatic Foot and Ankle InjuriesModerator: James R. Ficke, MD, Johns Hopkins University

8:10 am – 8:25 am Evidence Based UpdateJames R. Ficke, MD, Johns HopkinsUniversity

8:25 am – 8:55 am Case Based DiscussionClifford L. Jeng, MD, Mercy MedicalCenterAdam J. Mandel, DO, PeninsulaOrthopaedic AssociatesJeffrey T. Brodie, MD, TowsonOrthopaedic Associates

8:55 am – 9:15 am Break with Exhibitors

SESSION 3: Basic Science Research PresentationsModerator: Mohit Gilotra, MD, University of Maryland

9:15 am – 9:19 am Novel Rabbit Model to EvaluateTreatment of Prosthetic Joint InfectionJohn Thompson, MD, Johns HopkinsUniversity

9:19 am – 9:23 am Oxazine-4 Fluorescence ImprovesNerve Visualization During RevisionSurgery in MiceJay Reidler, MD, MPH, JohnsHopkins University

9:23 am – 9:27 am Evaluation of a BiodegradableSubacromial Balloon Spacer onGlenohumeral Joint Biomechanics inthe Setting of Irreparable SuperiorRotator Cuff TearsRoshan T. Melvani, MD, MedStarUnion Memorial Hospital

9:27 am – 9:31 am Comparison of Multiple-RodConstructs Across a PedicleSubtraction Osteotomy: ABiomechanical StudyJarid Tareen, MD, University ofMaryland

9:31 am – 9:35 am Controlling Axonal Regeneration withAcellular Nerve Allograft ReducesNeuroma FormationPatrick Grimm, MD, Walter ReedNational Military Medical Center

9:35 am – 9:45 am Discussion

SESSION 4: Periprosthetic/Oncologic TraumaModerator: Daniel Valaik, MD, Johns Hopkins University

9:45 am – 9:55 am Evidence Based UpdateDaniel Valaik, MD, Johns HopkinsUniversity

9:55 am – 10:25 am Case Based DiscussionJulius K. Oni, MD, Johns HopkinsUniversityJames H. MacDonald, MD, Orthopedicand Sports Maryland SpecialistsFarshad Adib, MD, University ofMaryland

10:25 am – 10:45 am Break with Exhibitors

SESSION 5: Guest SpeakersModerator: Joshua M. Abzug, MD, University of Maryland

10:45 am – 11:30 am Key Strategies for Patient CenteredCare – Differentiating Your PracticeMichael J. McCaslin, CPA, SomersetCPA and Advisors

11:30 am – 11:45 am Current Healthcare in MarylandGene M. Ransom III, CEO MedChi

2018 MOA ANNUAL MEETINGFocus on Trauma:

A Case Based Approach to Avoiding Complications

Presenters and timessubject to change

9CME

Credits

11:45 am – 12:00 pm Business Meeting Including Advocacyand AAOS UpdateJames J. York, MD, The Orthopaedicand Sports Medicine Center

12:00 pm – 1:00 pm Lunch

SESSION 6: Presidential Guest LectureModerator: James J. York, MD, The Orthopaedic and SportsMedicine Center

1:00 pm – 1:45 pm VolunteerismScott H. Kozin, MD, Shriners Hospitalfor Children Philadelphia

SESSION 7: Clinical Science Research Presentations IModerator: John T. Antoniades, MD, St. Agnes Hospital

1:45 pm – 1:49 pm Cost Effectiveness of a BPCI Protocolbased on Preoperative EducationAhmed Siddiqi, DO, PhiladelphiaCollege of Osteopathic Medicine

1:49 pm – 1:53 pm Incidence, Risk Factors and Causes ofUnplanned Interventions after TotalJoint ArthroplastyAndrea Stone, MSN, CRNP, AnneArundel Medical Center

1:53 pm – 1:57 pm Intrawound Antibiotic PowderDecreases Frequency of Deep InfectionAfter AmputationBenjamin W. Hoyt, MD, Walter ReedNational Military Medical Center

1:57 pm – 2:01 pm Socioeconomics, Not Walking Age,Predicts Blount’s Disease in BlackChildrenWalter B. Klyce III, BA, Johns HopkinsUniversity

2:01 pm – 2:05 pm Preoperative Lumbar CorticosteroidInjections and Infection Rates inLumbar ArthrodesisAlfred Pisano, MD, Walter ReedNational Military Medical Center

2:05 pm – 2:10 pm Discussion

SESSION 8: Pediatric TraumaModerator: Paul D. Sponseller, MD, MBA, Johns HopkinsUniversity

2:15 pm – 2:25 pm Evidence Based UpdatePaul D. Sponseller, MD, MBA, JohnsHopkins University

2:25 pm – 2:55 pm Case Based DiscussionJohn E. Herzenberg, MD, FRCSC,Rubin Institute for AdvancedOrthopedicsJoshua M. Abzug, MD, University ofMarylandScott H. Kozin, MD, Shriners Hospitalfor Children Philadelphia

SESSION 9: Upper Extremity Trauma (Hand &Shoulder/Elbow)Moderator: Raymond A. Pensy, MD, University of Maryland

3:00 pm – 3:10 pm Evidence Based UpdateRaymond A. Pensy, MD, University ofMaryland

3:10 pm – 3:40 pm Case Based DiscussionNgozi M. Akabudike, MD, University ofMarylandVipul N. Nanavati, MD, Mercy MedicalCenterJohn V. Ingari, MD, Johns HopkinsUniversity

3:40 pm – 4:00 pm Break with Exhibitors

SESSION 10: Spine TraumaModerator: Kelley E. Banagan, MD, University of Maryland

4:00 pm – 4:10 pm Evidence Based UpdateKelley E. Banagan, MD, University ofMaryland

4:10 pm – 4:40 pm Case Based DiscussionEugene Y. Koh, MD, PhD, University ofMarylandScott C. McGovern, MD, PeninsulaOrthopedic AssociatesEmeka J. Nwodim, MD, The Centersfor Advanced Orthopaedics

SESSION 11: Trauma InjuriesModerator: Marcus F. Sciadini, MD, University of Maryland

4:45 pm – 4:55 pm Evidence Based UpdateMarcus F. Sciadini, MD, University ofMaryland

4:55 pm – 5:30 pm Case Based DiscussionFlorian G. Huber, MD, PeninsulaOrthopaedic AssociatesBabar Shafiq, MD, MS, Johns HopkinsUniversityTodd D. Jaeblon, DO, University ofMaryland

2018 MOA ANNUAL MEETINGFocus on Trauma:

A Case Based Approach to Avoiding Complications

Presenters and timessubject to change

9CME

Credits

SESSION 12: Clinical Research Presentations IIModerator: Brian Shiu, MD, Towson Orthopaedic Associates

5:30 pm – 5:34 pm Quantitative Measurement OfThoracic Outlet Decompression FavorsFirst Rib ResectionPatrick E. Assi, MD, Medstar UnionMemorial Hospital

5:34 pm – 5:38 pm Effects of Medicaid Expansion onHand Trauma and Quaternary Care:The Curtis National Hand CenterExperienceCharles Daly, MD, Curtis NationalHand Center at Union MemorialHospital

5:38 pm – 5:42 pm Patient-Reported Outcomes in KneeSurgery Patients Using PreoperativeOpioidsSean Meredith, MD, University ofMaryland

5:42 pm – 5:46 pm Socioeconomic Status as a Risk Factorfor Advanced Presentation of AISEve Hoffman, MD, University ofMaryland

5:46 pm – 5:50 pm Adolescent Idiopathic Scoliosis:Increased Body Mass Associated withDecreased OutcomesAdam Margalit, MD, Johns HopkinsUniversity

5:50 pm – 6:00 pm Discussion

6:00 pm – 6:05 pm Awards Presentation For BestPaper & E-Poster PresentationJoshua M. Abzug, MD, University ofMaryland

Social Activity6:05 pm – 7:00 pm Cocktails and Complications —

My Worst Complication From theMastersJames R. Ficke, MD, Johns HopkinsUniversityJohn E. Herzenberg, MD, FRCSC,Rubin Institute for AdvancedOrthopaedics, Sinai HospitalPaul D. Sponseller, MD, MBA, JohnsHopkins University

2018 MOA ANNUAL MEETINGFocus on Trauma:

A Case Based Approach to Avoiding Complications

Presenters and timessubject to change

9CME

Credits

Keep Orthopaedic Care Accessible & AffordableContribute to the MOA PAC Today

The Maryland Orthopaedic Association Political Action Committee (MOA PAC)supports candidates and legislators at the state level who understand the challengesof practicing as an orthopaedist in Maryland, and who are responsive to the orthopaediccommunity’s viewpoints and objectives. With the passage of legislation that will trans-form healthcare as we know it, your support is crucial.

Your contribution to the MOA PAC will help ensure orthopaedic care remains accessi-ble and affordable for all Marylanders!

Contribute online at www.mdortho.org

Contributions to PACs are not tax deductible as charitable contributions. A person can contribute no more than $4,000 to oneMaryland state campaign account and a total of $10,000 to all Maryland non-federal campaign accounts during the four year cycle,

including in-kind contributions. The current cycle began on January 1, 2015 and will end December 31, 2018.

2018 MOA ANNUAL MEETING REGISTRATIONFebruary 10, 2018Loews Annapolis Hotel

126 West Street • Annapolis, MD 21401

MAIL: MOA, 110 West Road, Suite 227, Towson, MD 21204PHONE: 877-337-1200 or 410-847-9300FAX: 410-494-0515ONLINE: www.mdortho.org

NAME ___________________________________________________________________ DEGREE ___________________

PRACTICE ____________________________________________________________________________________________

ADDRESS _____________________________________________________________________________________________

CITY ______________________________________________ STATE ___________ ZIP CODE _____________________

PHONE _________________________________________ FAX _________________________________________________

EMAIL ________________________________________________________________________________________________

STATUS (circle one) FEE

MOA Member FreeActive Duty Military Free

Resident/Fellow/Student FreeAllied Health Professional $25

Non-Member $100

REGISTRATION FEES(Registration Fee includes Scientific Sessions, Continental Breakfast, Lunch, and Breaks)

□ Enclosed is a check for $__________________________ (payable to Maryland Orthopaedic Association)

□ Please charge my credit card: □ Visa □ MasterCard □ American Express

Credit Card # _________________________________________ Exp Date ________________ CVV ________________

Name on Card __________________________________________________________________________________________

Billing Address _________________________________________________________________________________________

PAYMENT METHOD

Full refund (less $35 administrative fee)will be granted if a cancellation is madeprior to 10 business days before the meet-ing date; a 50% refund if canceled between5 and 10 business days before the meetingdate. No refund will be granted within 5business days of the meeting date.

CANCELLATION POLICY

110 West Road, Suite 227Towson, MD 21204

MarylandOrthopaedicAssociation

Maryland Orthopaedic Association2018 Annual Meeting

February 10, 2018Loews Annapolis Hotel • Annapolis, MD

Special Guest SpeakersScott H. Kozin, MD

Shriners Hospital for Children, Philadelphia

Michael J. McCaslin, CPASomerset CPA and Advisors

9CME

Credits