Fifth International Congress: Program

SYMPOSIA

Symposium 1: Kienbiick’s Disease Monduy, May 25. 1l:OO AM

Introduction Radial shortening-Review of 53 cases Treatment of stages I and II-Avascular necrosis

Radial shortening

Rationale for treatment with triscaphe arthrodesis

Lunate revascularization

Symposium 2: Digital Replantation Tuesday, May 26, 2:00 PM

Introduction Replantation of severed digits-Results in 256 cases Multiple digital amputations-Indications and treat-

ment plan Replantations of more than four fingers in one hand

Digital replantation distal to DIP joint Comparison of replanted thumbs with revised thumb

amputations

J. Geldmacher (Germany), Chairman

J . P. Razemon ( France) W.P. Cooney (United States)

A.J. Weiland (United States)

H.K. Watson (United States)

S. Tamai (Japan)

A.K. Martini (Germany)

Y. Yamauchi (Japan), Chairman

P. Soucasos (Greece) A. Giilgonen (Turkey)

Haw-Yen Chiu (Taiwan)

Y. Yamano (Japan) J.R. Urban& (United States)

Symposium 3: Microsurgical Compound Transfers in Hand Reconstruction Wednesday, May 27, 8:00 AM

Immediate multiple microvascular transplants

Multiple toe transplantation in hand reconstruction Gliding tissue or fascia free flap: Anatomy and appli-

cation Sensory microsurgical transfer from foot in complex

hand mutilations

Functional muscle transplantation-Deltoid to

forearm Restoration of elbow flexion by intercostal nerve

transfer with and without free muscle transfer

Vascularized bone transplants to the upper extremity

Symposium 4: Secondary Flexor Tendon Surgery Wednesday, May 27, 1 I :OO AM

Introduction Flexor tendon grafts: current physiological concepts One-stage flexor tendon grafting and tenolysis

Two-stage flexor tendon grafting and active tendon

prosthesis Advanced techniques for rehabilitation of flexor ten-

don reconstructions Case presentations

H.J. Buncke (United States), Chairman

E. Biemer (Germany) A. Daniller (United States)

C. Le Quang ( France)

R.T. Manktelow (Canada)

M.B. Wood (United States)

M.B. Wood (United States)

R.H. Gelberman (United States), Chairman

R.H. Gelberman C.R. Ashworth (United States)

J.M. Hunter (United States)

E.J. Mackin (United States)

J.C.M. Van der Meulen (The Netherlands)

THE JOURNAL OF HAND SURGERY 395

396 IFSSH program

The Journal of HAND SURGERY

Symposium 5: Thumb Reconstruction Wednesday, May 27, 2:00 PM

Introduction

Pollicization of congenitally absent thumb

Pollicization of mutilated long finger

Vascularized forearm flaps in thumb and first web re-

V.E. Meyer (Switzerland), Chairman P.R. Manske (United States)

F. Iselin (France) A. Karev (Israel)

construction

Vascular rein technique for thumb reconstruction G. Loda (Argentina)

Wrap-around technique for thumb reconstruction Wei Fu-Chan (Taiwan)

Symposium 6: Scaphoid Pseudarthrosis Thursday, May 28. 8.00 AM

Introduction

Implications of unhealed scaphoid and degenerative changes

Clinical experience and current mode of treatment

Reconstruction of delayed nonunion with malalign-

ment and bony loss

Implications of avascularity of scaphoid proximal pole: Surgical observations and current status of

the Riisse approach

R.L. Linscheid (United States), Chairman J.E. Beltran Calvo (Spain)

J .J. Comtet (France) D.L. Femandez (Switzerland)

D.P. Green (United States)

E.R. Weber (United States) T.J. Herbert (Australia)

Symposium 7: Posttraumatic Extensor Tendons Reconstruction Thursday, May 28, I1 :00 AM

Introduction G. Brunelli (Italy), Chairman

Mallet finger-Acute and inveterate lesions W. Albertoni (Brazil)

Posttraumatic extensor tendon lesions A. Berger (Germany)

Differential gliding after extensor repair in zone 7 F. Moutet (France)

Anatomy of extensor mesotendon within extensor ret- P.R. Manske (United States)

inacular compartment

Extensor tendon grafting for posttraumatic loss of ex- tensor tendons

W.B. Conolly (Australia)

Lesions of extensor tendon in zone B3 (boutonniere

deformity)

A.G. Pardini, Jr. (Brazil)

Symposium 8: Skin Coverage of the Upper Extremity Thursday, May 28, 2:00 PM

D.M. Evans (United Kingdom), Chairman

G. Magalon (France)

A.C. Masquelet (France) H. Pizza (Austria)

M. Rousso (Israel)

A. Carlier (Belgium)

ROUND TABLES

Round Table 1: The Rheumatoid Hand Monday, May 25, 8:00 AM

Introduction Surgical staging in rheumatoid upper extremity Involvement of flexor tendons in rheumatoid patient

and technique of flexor synovectomy

A.B. Swanson (United States), Chairman J.W. Madden (United States) R . G. Lisfranc ( France)

Tendon ruptures in rheumatoid hand and wrist Metacarpophalangeal joint reconstruction-Update Proximal interphalangeal joints in rheumatoid arthritis The rheumatoid thumb ray

L. Mannerfelt (Germany) A.B. Swanson (United States) W.A. Souter (United Kingdom) J.A. Pahle (Norway)

Vol. 17A. No. 2 March 1992 1FSSH program 397

Round Table 2: Spastic Hand Monday, May 25, 9:00 AM Introduction Hyponeurotization in spastic palsies Evaluation of sensibility as it relates to growth and

E. A. Zancolli (Argentina), Chairman

F. Brunelli (Italy) J.H. House (United States)

function in spastic hemiplegia

Causes of failure of surgical treatment Principles of operative treatment

Arthrodesis of the wrist Classification and surgical management of pronation

E Lipskeir (Israel)

I. Matev (Bulgaria)

I. Matev (Bulgaria) M.A. Tonkin (United States)

deformity Results of surgery for wrist and finger flexion defor- M.A. Tonkin (United States)

mity based on Zancolli’s classification Classification of hand deformities

Surgical program in spastic hand

E.A. Zancolli (Argentina)

E.R. Zancolli (Argentina)

Round Table 3: Radial Hand Club Monday, May 25, II:00 AM

Incidence. etiology, pathology Principles of management

Centralization Radialization

Staged reduction, traction. and centralization Lengthening of ulna, Ilizarov technique

Lengthening of ulna and correction of deformity by

T.R. Light (United States) D.W. Lamb (United Kingdom), Chairman

G. Hooper (United Kingdom)

D. Buck Gramcko (Germany) P. Bedeschi (Italy) P. Bedeschi (Italy)

A. Karev (Israel)

Kessler technique Pollicization in absent radius R. Malek (France)

Round Table 4: Arthroscopy of the Upper Extremity

Monday, May 25, 2:00 PM

D.A. Palmer (United States), Chairman

C. Bour ( France)

Round Table 5: Tumors Monday. May 25, 3:OO PM

G. Buterbaugh (United States)

J. Roth (Canada)

F. Fonseca Manez (Spain)

Principles of staging and corollary management con-

siderations for malignant bone and soft tissue le- sions of the hand and forearm

C.A. Peimer (United States)

Pathologic considerations for tumors of the upper

limb

P.J. Stern (United States)

Reconstructive considerations with or following pro- gressive limb-sparing resections of aggressive neo-

plasms of the upper limb

M.B. Wood (United States), Chairman

Benign nerve tumors of the upper limb Benign hand tumors Fibrolipoma of median nerve

Round Table 6: Epicondylitis

Tuesday, May 26, 8:00 AM

History of tennis elbow Normal and pathological anatomy Diagnosis of tennis elbow with and without radial

nerve irritation

F. Catalan0 (Italy) M.A. Tonkin (Australia) J. Glicenstein (France)

A.O. Narakas (Switzerland), Chairman W.E. Sanders (United States) G.P. Crawford (United States)

Diagnosis of other forms of epicondylalgia Tennis elbow and sports

J.B. Jupiter (United States) M. Mansat (France)

398 IFSSH program

The Journal of

HAND SURGERY

Conservative treatment by manipulation Manipulations and other forms of conservative

treatment

Surgical experience Surgical experience and technique

Other surgical proposals

T.G. Wadsworth (United Kingdom)

J.B. Jupiter (United States)

G.P. Crawford (United States)

S. Palazzi (Spain)

A.O. Narakas (Switzerland)

Round Table 7: The Painful Hand Tuesday, May 26, 9:00 AM Principles of management Pathological psychophysiology of pain

Pain resulting form peripheral nerve lesion

Systemic causes of hand pain

Chronic hand pain accessible to neurosurgery

The painful hand

G.E. Omer (United States), Chairman

M. Peze (France)

F. Boureau (France)

W.E. Burkhalter (United States) P. Mertens (France)

G.R. Fisk (United Kingdom)

Round Table 8: Trapeziometacarpal (TM) Joint Arthritis Tuesday, May 26, I I :00 AM Biomechanics of the TM joint A. I. Kapandji ( France)

TM joint arthritis in women-pathogenesis and man- H. Lugnegard (Sweden)

ual work

Staging of thumb TM joint arthritis Tendon interposition arthroplasty

Total joint replacement Problems of the scaphotrapezial joint: Primary/sec-

ondary failure

R.G. Eaton (United States), Chairman A.I. Froimson (United States)

W.P. Cooney (United States) P. Hales (Australia)

Trapeziectomy by an original volar surgical exposure D. Le Viet (France)

Round Table 9: Research in Congenital Malformations of the Upper Limb Tuesday, May 26, 1l:OO AM D.A. McGrouther (Scotland), Chairman

T. Ogino (Japan) R.W. Pho (Singapore)

K. Tada (Japan) L. Wolpert (United Kingdom)

Round Table 10: Intra Articular Fractures of Phalanges Tuesday, May 26, 3:00 PM Vascularization of the IP joints J. Braga da Silva (Brazil)

Long term results of intra-articular fractures N.J. Barton (United Kingdom), Chairman

Conservative management of fractures of the PIP W.M. Steel (United Kingdom)

joint using the extension block splint The acurate splint dynamic traction

Compound splint dynamic traction Open reduction and internal fixation Open fractures and complex injuries

R.R. Schenck (United States) S.P. Chow (Hong Kong) U. Btichler (Switzerland)

F. Dap (France)

Round Table 11: Wrist Imaging Wednesday, May 27, 9:00 AM P.M. Weeks (United States), Chairman

A. Constantinesco (France) G. Cristiani (Italy)

L.A. Gilula (United States)

J.-J . Merland ( France)

Vol. 17A. No. 2 March 1992 IFSSH program 399

Round Table 12: Occupational Diseases in the Hand Wednesday, May 27, J J :OO AM

Introduction

General overview and economic consequences Occupational hypothenar hammer syndrome

High pressure injection injuries Hand infections related to work

Industrial upper limb pain in Australia Overuse in musicians: A model

F.D. Burke (United Kingdom), Chairman

M.L. Kasdan (United States) S. Vilkki (Finland)

F.D. Burke (United Kingdom)

P.C. Amadio (United States)

D. Ireland (Australia)

J. Leijnse (The Netherlands)

Round Table 13: Paralysis Wednesday, May 27, 3:00 PM

Introduction Radial nerve palsy

Median nerve palsy Ulnar nerve palsy Restoration of function of the upper limb in tetra-

plegia

T. Tajima (Japan), Chairman R.G. Chuinard (United States)

H. Bureau (France)

H. Saito (Japan) V.R. Hentz (United States)

B.B. Joshi (India)

Round Table 14: Nerve Lesions of the Upper Extremity Thursday, May 28, 9:00 AM

D .H . Millesi (Austria), Chairman F.W. Bora (United States)

H. Alaya (Spain) C. Oberlin (France)

P. L . Raimondi (Italy) J.K. Terzis (United States)

Round Table 15: IP Joint Arthritis Thursday, May 28, 1 I :OO AM

General comments Silicone rubber arthroplasty for posttraumatic PIP

joint arthritis: A long-term followup

Arthroplasty of the PIP joint

Joint fusions with pegs

Soft tissue treatment for the boutonniere deformity Volar plate arthroplasty for the arthritic PIP joint

PIP joint arthroplasty as an emergency (to prevent

degenerative arthritis)

Joint fusion techniques

Round Table 16: Wrist Instability Thursday, May 28, 3:00 PM

Introduction Dorsal capsulodesis for rotary subluxation of the

scaphoid: A review of the long-term results

Scapholunate dissociations: Treatment by partial ar-

throdesis

Scapholunate advanced collapse Proximal row carpectomy vs limited carpal arthro-

desis in the treatment of carpal instability

Nonunion/ malunion of the scaphoid and associated carpal instability

Fracture of the distal radius and associated carpal

instabilities

E.A. Nalebuff (United States), Chairman L.H. Millender (United States)

B.P. Simmons (United States)

D. Harrison (United Kingdom)

H.E. Kleinert (United States)

R.G. Eaton (United States)

D.V. Egloff (Switzerland)

M . Vastamaki ( Finland)

J. Taleisnik (United States), Chairman

G. Blatt (United States)

W.B. Kleinman (United States)

U.B. Lanz (Germany) P. Saffar (France)

G. Herzberg (United States)

J. Taleisnik (United States)

400 IFSSH program

The Journal of

HAND SURGERY

INSTRUCTIONAL COURSES

Course 1: Current trends in primary repair of flexor tendons in the hand

Course 2: Basic science in nerve repair

Course 3: Congenital syndactyly

Course 4: Traumatic brachial plexus Course 5: Dupuytren’s disease

Course 6: Anatomy and function of the extensor ap- paratus

Course 7: Congenital anomalies excluding syndac- tylies

Course 8: Obstetrical palsy of the brachial plexus Course 9: Anatomy in thoracic outlet syndrome

Course 10: Reconstruction after finger mutilation

Course 11: Various flaps reconstructions in upper ex-

tremity

Course 12: Rheumatoid wrist

Course 13: Treatment of bone defect on long bones of the upper limb

Course 14: Ligamentous trauma of the hand Course 15: Hand tendinous problems in sports

Course 16: Complex trauma of the hand

J.W. Strickland (United States)

G. Lundborg (Sweden)

D. Buck-Gramcko (Germany) J.Y. Alnot (France)

J.T. Hueston (Australia)

J.M.F. Landsmeer (The Netherlands)

G. Lister (United States)

A. Gilbert (France) L. Poitevin (Argentina)

G. Foucher (France)

Y. Ikuta (Japan)

Y. Allieu (France)

R.W.H. Pho (Singapore)

C. Irisarri (Spain)

J. Engel (Israel)

M. Merle (France)

SOCIAL PROGRAM

Gala Evening: Tuesday, May 26, 1992, at le Chateau de Chantilly: visit the museum; cocktails,

dinner, and dancing in the Royal Stables; horse show.

SPOUSES SOCIAL PROGRAM

May 27 and May 28: A day boat excursion on the Seine; sightseeing of Monet’s garden at

Giverny and memories of Van Gogh at Auvers-sur-Oise. May 25, 26, and 27: Half-day visit of private collections at Hermes, Christophie, and Vuitton.

Visits of principal museums in Paris organized at your request.

REGISTRATION

All fees are in French francs.

Participants, 2600 Residents/fellows in training, 1300

Physiotherapists, 1300

Accompanying person, 1200

Banquet, 600

Vol. 17A. No. 2 March 1992

ACCOMMODATIONS

All prices are in French francs, on a per night basis.

Hotels Concorde Lafayette (single: 1520; double: 1660) Meridien Etoile (single: 1520; double: 1660) Tradotel (sing/e: 850; double: 850)

Studios, Montparnasse area Studio, 2 persons (580) Studio, 4 persons (995)

Studios/apartments, Trocadero area Studios, 2 persons (725) Studio, 3 persons (860) Apartments, 4 persons ( 1185)

Studios, Austerlitz area Studio, 2 persons (495)

Studio, 3 persons (620)

Please send all correspondence to: INTERNATIONAL CONGRESS OF HAND SURGERY 15 rue Benjamin Franklin, 75116 Paris, FRANCE Tel. (33-l) 42.88.88.88 Fax: (33-l) 40.50.94.62

POST-CONGRESS MEETINGS

Venice, Italy-May 30 to June 2, 1992 For information: Dott. Landino Cugola, Clinica Ortopedica, Dell’ Universita di Verona,

Policlinico Borgo Roma, 37 134 Verona, Italy.

Vienna, Austria, and Budapest, Hungary-May 29 to June 3, 1992 For information: P.C. Amadio. Mayo Clinic. 200 First Street, S.W., Rochester, MN 55905

! Fax: 507-284-5539).

A. Renner, National Institute of Traumatology, P.O. Box 21-1430, Budapest VIII Mezo’ Imre ut 17, Hungary (Fax: 36-l-l 136-801).

H. Millesi, Lange Gasse 48, 1080 Vienna, Austria.