Programme Information 2021

Please note the details shown below are from a previous OpenTibia.org course. New 2023 details will be added here shortly.

9th & 10th September 2021
Human Anatomy Resource Department
University of Liverpool
Familiarisation with 2020 BAPRAS / BOA Standards &  NICE Guidelines

Thursday 9th September 2021

08:30 Individual Arrivals & Registration
09:00 Welcome and Introduction
09:05 History of the Management of Open Fractures
09:20 Case Discussion
Early Management 
09:35 Emergency Room
09:45 Wound Extensions & Soft Tissue Debridement
09:55 Bone Debridement
10:05 Debate: “Loose fragments retain or remove”
10:15 Questions
10:25 Tea/Coffee Break
Perfusion Problems
10:40 Compartment Syndrome
10:55 Vascular Injuries
11:05 Degloving
11:15 Questions
Cadaveric Lab
11:25 1. Demonstration of Fasciotomy Technique
2. Debridement, Wound Extensions, Fasciotomy

Perforator localization

Fixation and cover part 1 

12:30  Temporary Skeletal Stabilization
12:40 Lunch
Cadaveric Lab
13:25 Application of spanning external fixator across tibia & ankle
Fixation and cover part 2
14.30 Temporary Dressings
14:40  Principles of Soft Tissue Reconstruction
1455 Debate: “fascia vs muscle and free vs local flaps”
1505 Questions
15:15 Coffee
Cadaveric Lab
15:30

Distally-based Fasciocutaneous flap

Other distal local flaps

Perforator Localization

16:40 Debate “compartment syndrome late diagnosis, decompress or not? ”
16:55 End of Day 1

Friday 10th September 2021

08:30 Coffee
08:45 Day 1 Recap
Key Topics
 08:50 Definitive stabilization: Internal or External fixation
09:00 Severe open fractures in children
09:10 Debate: “The Liverpool classic – Nail vs frame”
09:20 Questions
Cadaveric Lab
09:30 Demonstration and Practical
1. Popliteal fossa exposure, godina approach, shunting
2. Proximal soft tissue defect cover
i) Proximally based fasciocutaneous flap
ii) Medial gastrocnemius flap
10:45 Coffee
Complex Scenarios
11:00 Amputation in open tibia fractures
11:10 Management of bone defects
11:20 Blast and high velocity injuries
11:35 Discussion
When things go wrong…
11:45 with soft tissues
11:55 with Bone
12:05 Pourring pus “The phone call
12:15 Ortho management of infection
12:25 Med micro in open fractures
12:45 Allocation of cases for discussion
13:15 Lunch Break
Cadaveric Lab
14:05 Application of monocortical fixator
Semiextended nailing
Case Discussion
15:00 Case presentations and discussion
16:30 Concluding remarks, feedback forms and course certificates