Programme Information 2021

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