AO Trauma Course –

Basic Principles of Fracture

Management
ON-LINE part: May, 5-25, 2021
ON-SITE part: May, 27–28, 2021 Timisoara, Romania EVENT PROGRAM
Mission
The AO‘s mission is promoting excellence
in patient care and outcomes in trauma
and musculoskeletal disorders.
Purpose statement
AO Trauma is committed to improve patient
care outcomes through the highest quality
education. We strive to combine the right
knowledge and surgical skills that empower
the orthopedic and trauma surgeon to put
theory into practice and to improve fracture
management for the benefit of the patient.
Content

Mission | Purpose statement

2 The AO principles of fracture management
4 Welcome

5 Course description
Goal of the course
Target participants
Learning objectives
6 Chairpersons | Faculty

7 On-line - Week 1

On-line - Week 2
8
9 On-line - Week 3

On-site - Day 1 - May 27, 2021

10
On-site - Day 2 - May 28, 2021
11
12 Event organization
Event information and logistics
13 General information

15 Event venue

16 AO Foundation –
Principles of AO educational events

AO Trauma Course – Basic Principles of Fracture Management 3

Welcome
Dear AOTrauma course participant,
Welcome to the AO Trauma Course – Basic Principles of Fracture Management, which is planned
and delivered to meet your needs using a competency-based curriculum approach and the AO‘s
seven principles for high-quality education.

AO Trauma‘s innovative approach to education has been further strengthened as a result of the
successful collaboration with the AO Education Institute in the application of state-of-the-art edu-
cational concepts in curriculum planning and all faculty development programs.

This course is one of our many educational activities for providing lifelong learning, from the Resi-
dents Education Program through to specialized Continuing Professional Development (CPD) for
practicing surgeons and clinicians.

We believe that your active engagement in this course will result in improved care for your pati-
ents. Your current level of knowledge and skills will be challenged by the activities and throughout
the entire event. We are confident that the combination of education principles and relevant con-
tent from our curriculum, as well as your interaction with colleagues and expert faculty will provide
an effective learning experience that meets your needs.

This course is part of an overall competency-based educational program that includes many other
activities and resources for self-directed learning. The educational activities in each program are
developed by an international taskforce of clinical experts and educationalists and made available
to you through the Education section of www.aotrauma.org.

We hope you enjoy the course and benefit from the networking opportunities it provides for you to
share experiences with your colleagues.

Wa‘el Taha Michael Baumgaertner

Chairperson AO Trauma Chairperson AO Trauma
Education Commission International Board

If you enjoy the experience during your course and would like to stay in touch with the organiza-
tion and its international network of surgeons, we invite you to become a member of AO Trauma.
The benefits of membership, including options to get involved in new opportunities that advance
trauma care are described at www.aotrauma.org.

AO Trauma Course – Basic Principles of Fracture Management 4

Course description
Online precourse self-assessment prepares participants for the course and allows the faculty to
tailor the course to the needs of the participants. Before attending the course, participants are
expected to complete an online module on bone healing.

The course contains several evidence-based lectures, which cover the key information required.
The AO Skills Lab engages participants in hands-on learning of basic principles and practical
know-how needed for live surgery. With experiences such as proper tightening of a screw and
feeling the difference between drilling with sharp and blunt drill bits, participants gain important
surgical skills and learn about basic biomechanical concepts in a safe, instructive environment. In
practical exercises participants will be trained in the application of fixation techniques. Discussing
cases in small groups helps participants to understand decision-making and management skills.

After the course, an online postcourse self-assessment will provide participants an opportunity to
review the important topics from the course.

Goal of the course

The AO Trauma Course – Basic Principles of Fracture Management teaches fundamental princi-
ples and current concepts in the treatment of injuries, incorporating the latest techniques in ope-
rative fracture management. The AO Trauma Basic Principles course is the initial step along the
path of lifelong learning in the area of operative fracture management. This course mainly focuses
on the basic principles of fracture management.

Target participants
The AO Trauma Course – Basic Principles of Fracture Management is targeted at physicians in
surgical training but is also open to anyone else who is interested in furthering their knowledge
and skills in operative fracture management.

Learning objectives
At the end of this course, participants will be able to:
• Discuss the concepts of stability, their influence on bone healing, and how to apply implants to achieve
appropriate stability
• Plan a treatment based on assessment, imaging, classification, and decision making
• Apply reduction techniques in fracture management with attention to the importance of the soft tissues
• Use appropriate fixation techniques to treat diaphyseal and simple (peri)articular fractures
• Evaluate and recognize the special problems related to fractures in the immature skeleton, pelvic
injuries, osteoporotic fractures, postoperative infection, delayed union and/or nonunion
• Plan the initial treatment of the polytraumatized patient

AO Trauma Course – Basic Principles of Fracture Management 5

Chairperson

Gabriel Dinu Silviu-Marian Dragusanu

Bucharest, Romania Timisoara, Romania

National faculty
Mircea Radu Popescu Romania Timisoara
Mihai Roman Romania Sibiu
Radu Fleaca Romania Sibiu
Radu Malancea Romania Botosani
Andrei Ursache Romania Bucharest
Gheorghe Bogdan Hogea Romania Timisoara
Adrian Todor Romania Cluj Napoca
Razvan Anitas Romania Satu Mare
Dan Cojocaru Romania Timisoara

AO Trauma Course – Basic Principles of Fracture Management 6

ON-LINE – Week 1
Start Wednesday, May 5, 2021 – End Tuesday, May 25, 2021

Module 1: GENERAL PRINCIPLES

Biology of bone healing

Influence of patient factors and the mechanism of injury on fracture management

Soft-tissue injury

AO/OTA Fracture and dislocation classification 2018 – Review

Module 2: STABILITY AND BIOMECHANICS OF BONE HEALING

Absolute stability: biomechanics, techniques, and fracture healing

Relative stability: biomechanics, techniques, and fracture healing

Use of plates in fracture fixation

Principles of external fixation

AO Trauma Course – Basic Principles of Fracture Management 7

ON-LINE – Week 2
Start Wednesday, May 5, 2021 – End Tuesday, May 25, 2021

Module 3: TREATMENT OF DIAPHYSEAL FRACTURES

Management of diaphyseal fractures

Fractures of the humeral diaphysis – management principles

Fractures of the femoral diaphysis

Fractures of the tibial diaphysis – management principles

Intramedullary nailing – to ream or not to ream?

Module 4: TREATMENT OF ARTICULAR FRACTURES

Management of articular fractures

Tension band and cerclage wiring

Ankle fractures – a systematic approach to their fixation

Femoral neck fractures

Trochanteric fractures

Introduction to tibial plateau fractures

AO Trauma Course – Basic Principles of Fracture Management 8

ON-LINE – Week 3
Start Wednesday, May 5, 2021 – End Tuesday, May 25, 2021

Module 5: EMERGENCY MANAGEMENT AND MINIMALLY

INVASIVE SURGERY

Minimally invasive plate osteosynthesis (MIPO) – when to use it?

Radiation hazards

Treatment algorithms for the polytrauma patient

Emergency management of pelvic fractures

Module 6: SPECIAL SITUATIONS AND PROBLEMS

Management of open fractures

FRI – how to prevent, diagnose and manage infections

Delayed healing – causes and treatment principles

Fixation principles in osteoporotic bone – the geriatric patient

Fractures in the growing skeleton – how are they different?

Violation of principles

AO Trauma Course – Basic Principles of Fracture Management 9

ON-SITE – Day 1
Thursday, May 27, 2021

9.00 – 10.00 Faculty precourse

10.00 – 11.00 Participant registration

11.00 – 11.10 Opening remarks G. Dinu

S. M. Dragusanu

11.10 – 11.20 Recap from online module 1&2 A. Ursache

11.20 – 12.25 PRACTICAL EXERCISE I – Internal fixation with screw and

plates – absolute stability A. Ursache

12.25 – 13.25 Lunch

13.25 – 15.25 SKILLS LAB All faculty

15.25 – 15.30 Change to Practical exercise rooms

15.30 – 16.40 PRACTICAL EXERCISE II – Principle of the internal fixator

using the locking compression plate (LCP) R. I. Malancea

16.40 – 17.00 Break and change to discussion rooms

17.00 – 18.00 SMALL GROUP DISCUSSION 1 – Discussion on general

principles, classification, concepts of stability, their influence
on bone healing All faculty

18.00 – 18.05 Change to Practical exercise rooms

18.05 – 18.15 Recap from online module 3&4 G. Dinu

18.15 – 19.25 PRACTICAL EXERCISE III – Intramedullary nailing of

a proximal femur using TFNA R. Fleaca

19.25 End of day 1

AO Trauma Course – Basic Principles of Fracture Management 10

ON-SITE – Day 2
Friday, May 28, 2021

8.00 – 8.05 Introduction to Day 2 S. M. Dragusanu

8.05 – 8.50 PRACTICAL EXERCISE IV – Preoperative planning – plan

your operation M. R. Popescu

8.50 – 9.50 PRACTICAL EXERCISE V – Operate your plan M. R. Popescu

9.50 – 10.20 Break

10.20 – 10.50 PRACTICAL EXERCISE VI – Tension band wiring

of the olecranon G. Dinu

10.50 – 10.55 Change to discussion rooms

10.55 – 12.00 SMALL GROUP DISCUSSION 2 – Management principles for

the treatment of diaphyseal fractures All faculty

12.00 – 13.00 Lunch

13.00 – 14.00 PRACTICAL EXERCISE VII – Tibial shaft fractures – IM nailing

with the expert tibial nail (ETN) S. M. Dragusanu

14.00 – 14.05 Change to discussion rooms

14.05 – 15.05 SMALL GROUP DISCUSSION 3 – Management principles for

the treatment of articular fractures All faculty

15.05 – 15.10 Change to practical exercise rooms

15.10 – 15.50 PRACTICAL EXERCISE VIII – Application of a modular large

external fixator M. D. Roman

15.50 – 16.20 Break

16.20 – 16.30 Recap from online module 5&6 M. R. Popescu

16.30 – 17.30 PRACTICAL EXERCISE IX – Management of a type 44C

malleolar fracture B. G. Hogea

17.30 – 18.00 MCQ test S. M. Dragusanu

18.00 – 18.10 Closing remarks G. Dinu

S. M. Dragusanu

18.10 End of Day 2 and Course

AO Trauma Course – Basic Principles of Fracture Management 11

Event organization
AOTRAUMA Europe and Southern Africa

Anja Sutter
Phone: +41 81 414 27 25
Email: asutter@aotrauma.org

AO funding sources

Unrestricted educational grants from different sources are collected and pooled together centrally
by the AO. All events are planned and scheduled by local and regional AO surgeon groups based
on local needs assessments. We rely on industrial/commercial partners for in-kind support to run
simulations/skills training if educationally needed.

Event information and logistics

AO Courses Central Eastern Europe countries

Jarka Horáková
Phone: +420 736 681 505
Email: jaroslava.horakova@aocourses.org

AO Trauma Course – Basic Principles of Fracture Management 13

General information
Event fee

AO Trauma Course – Basic Principles of Fracture Management 480,00 €

Included in the event fee are seminar attendance, program, bag, pen, paper, coffee break, lunch,
course certificate.

Evaluation guidelines

All AOTrauma events apply the same evaluation process, either online (pre- and post-event eva-
luation) or/and on-site by audience response system (ARS) or paper and pencil questionnaires.
This helps AOTrauma to ensure that we continue to meet your training needs.

Intellectual property

Event materials, presentations, and case studies are the intellectual property of the event faculty.

All rights are reserved. Check hazards and legal restrictions on www.aofoundation.org/legal.

Recording, photographing, or copying of lectures, practical exercises, case discussions, or any

event materials is absolutely forbidden.

The AO Foundation reserves the right to film, photograph, and audio record during their events.
Participants must understand that in this context they may appear in these recorded materials.
The AO Foundation assumes participants agree that these recorded materials may be used for
AO marketing and other purposes, and made available to the public.

Security

Wearing of a name tag is compulsory during lectures, workshops, and group discussions.

AO Trauma Course – Basic Principles of Fracture Management 13

No insurance

The event organization does not take out insurance to cover any individual against accidents,
theft, or other risks.

Waiver of Liability

The Participant hereby absolves the AO Foundation, its directors, officers, employee representa-
tives or any natural or legal person related to or in connection with the AO Foundation of any and
all liability to the participant, his personal representatives, heirs and next of kind, for any injuries,
disease, illness or any other loss or damage that may occur during or after the AO educational
course or caused directly or indirectly by the attendance in the AO educational course.

Mobile phone use

Mobile phone use is not allowed in the lecture halls and in other rooms during educational acti-
vities. Please be considerate of others by turning off your mobile phone.

Transportation

Not provided for participants

Dress code

Casual

Hygiene guidelines for AO educational events

General protective measures must be followed throughout the event

• Routine cleaning and disinfection of frequently touched surfaces
• Face masks must be worn through the entire duration of the event
• Frequent hand hygiene (when entering and exiting rooms)
• Hand disinfectants must be used in each room – it will be provided at each door
• Physical distancing of min. 1.5 m between persons at AO events

At practical exercise stations

• Personal Protective Equipment (PPE) FFP2 face masks and gloves must be worn by all
participants and faculty.
• All instruments will be disinfected (sprayed) after the practical exercise is completed.
• Participants re-use the same station for the full duration of the event.

AO Trauma Course – Basic Principles of Fracture Management 14

Event venue
Hotel TIMISOARA

Str Marasesti nr 1-3, 300086, Timisoara, Timis, Romania

https://hoteltimisoara.ro/contact

AO Trauma Course – Basic Principles of Fracture Management 16

Principles of AO educational events
1 Academic independence 3 Branding and advertising
Development of all curricula, design of scien- No industry logos or advertising (with the ex-
tific event programs, and selection of facul- ception of the AO Foundation and AO Clinical
ty are the sole responsibilities of volunteer Division) are permitted in the area
surgeons from the AO network. All educati- where educational activities take place.
on is planned based on needs assessment Sponsors providing financial or in-kind support
data, designed and evaluated using con- are allowed to have a promotional booth or run
cepts and evidence from the most current activities outside the educational area with ap-
medical education research, and involving proval from the event chairperson.
the expertise of the AO Education Institute
(www.aofoundation.org). 4 Use of technologies and products in simu-
Industry participation is not allowed during the lations
entire curriculum development and planning If case simulations are chosen as an educational
process to ensure academic independence method to educate skills, we only use techno-
and to keep content free from bias. logy approved by the AOTK System (AOTK) – a
large independent group of volunteer surgeons
2 Compliance to accreditation and industry developing and peer-reviewing new technology
codes (more information about AOTK, its development
All planning, organization, and execution of and approval process can be found on the AO
educational activities follow existing codes for Foundation website: www.aofoundation.org).
accreditation of high-quality education:
• Accreditation Criteria of the Accreditation 5 Personnel
Council for Continuing Medical Education, Industry staff is not allowed to interfere with the
USA (www.accme.org) educational content or engage in educational
• ACCME Standards for Commercial Support: activities during the event.
Standards to Ensure Independence in CME
Activities (www.accme.org)
• Criteria for Accreditation of Live Educational
Events of the European Accreditation Coun-
cil for Continuing Medical Education
(www.uems.eu)

Events that receive direct or indirect unrestric-

ted educational grants or in-kind support from
industry also follow the ethical codes of the
medical industry, such as:
• Eucomed Guidelines on Interactions with
Healthcare Professionals
(www.medtecheurope.org)
• AdvaMed Code of Ethics on Interactions
with Health Care Professionals (advamed.org)
• Mecomed Guidelines on Interactions with
Healthcare Professionals
(www.mecomed.org)

AO Trauma Course – Basic Principles of Fracture Management 16

Notes

AO Trauma Course – Basic Principles of Fracture Management 17

Notes

AO Trauma Course – Basic Principles of Fracture Management 18

Notes

AO Trauma Course – Basic Principles of Fracture Management 19