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 |
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Fixation and cover part 1 |
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| 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 |
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| 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 |
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| 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 |
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| Case Discussion | ||
| 15:00 | Case presentations and discussion | |
| 16:30 | Concluding remarks, feedback forms and course certificates |