Day 1: March 8 Programs
8 am – 9 am: Registration
9 am – 9:10 am: Introductory remarks + Introduction of faculty: Chaitanya S. Mudgal
HAND MODULE 1: Soft tissue Moderator: Sudhir Warrier
9:10 am – 9:50 am 45-year-old pianist with dorsal oblique dominant thumb amputation through distal half distal phalanx.
Opinion 1: Shorten bone and let it heal by secondary intention: Sheeja Rajan
Opinion 2: FTSG: Shailesh Gupta
Opinion 3: Flap coverage: Sam Pallapati
Review of thumb amputation: Amit Vyas
9:50 am – 10:20 am 50-year-old male laborer with a 10-day-old dominant middle finger zone 2 flexor tendon laceration
Opinion 1: Repair both FDS and FDP: Sreekanth R
Opinion2: Excise FDS and repair only FDP: Anil Mathew
Review of Zone 2 flexor tendon injury: Pulley venting, suture technique and rehabilitation strategy: Marco Rizzo
10:20 am – 10:50 am Panel discussion: Flexor tendon injury and fingertip injury: pulley reconstruction, tendon adhesions after malunited fracture, one/two-stage tendon graft
10:50 am – 11:10 am Opening ceremony
11:10 am – 11:30 am: Coffee Break
HAND MODULE 2: Bony/ Joint Moderator: Anil Bhat
11:30 am – 12:10 pm 33-year-old IT professional with a 9-week-old bony mallet injury of the right IF with joint subluxation
Opinion 1: Treat non-operatively or do a CRPP only: Anil Bhat
Opinion 2: ORIF is needed: Shailesh Gupta
Opinion 3: Primary DIP fusion: Sreenivasan Rajappa
The role of WALANT in hand and wrist surgery: A primer for the beginner: Don Lalonde
12:10 pm – 12:40 pm 60-year-old male laborer with a 10-day-old 5th metacarpal neck fracture and apex dorsal angulation of 60 degrees
Opinion 1: Non-operative treatment- nature knows best: Ravi Bharadwaj
Opinion 2: ORIF with early ROM: Anirban Chatterjee
Opinion 3: Intramedullary fixation is best: Chaitanya S. Mudgal
12:40-1:10 pm Small Group Discussion: CMC / PIP injury / Metacarpal fractures
1.10 pm – 2.00 pm: Lunch
WRIST MODULE 1: Soft tissue. Moderator: Pankaj Ahire
1:10 pm – 1:40 pm 34-year-old female advertising executive with symptoms suggestive of carpal tunnel syndrome
But with a normal nerve conduction study
Opinion 1: Splinting + Vit B6 is a safe effective option: Sheeja Rajan
Opinion 2: Injection of the carpal tunnel with/without splinting: Pankaj Ahire
Opinion 3: Surgery for CTS: Sudhir Warrier
1:40 pm – 2:20 pm A 64-year-old female retiree with thenar wasting and severe carpal tunnel syndrome on nerve conduction study
Opinion 1: CTR only: Vamsi Krishna
Opinion 2: CTR + Opponensplasty: Praveen Bhardwaj
Opinion 3: CTR + internal neurolysis: Sam Pallapati
Review: CTS in the older patient with wasting: Marco Rizzo
2:20 pm -2:45 pm Panel Discussion: CTS / Cubital tunnel syndrome / Failed Carpal tunnel release/ Palmar cutaneous branch of median nerve injury
2.45 pm – 3.00 pm Coffee break
WRIST MODULE 2: Bone Moderator: Sam Pallapati
3:00 pm – 3:40 pm 24-year-old male IPL batsman with proximal pole scaphoid nonunion
Opinion 1: ORIF + local bone graft: Anil Bhat
Opinion 2: ORIF + VBG: Binu Thomas
Opinion 3: ORIF + free tissue transfer: Sudhir Warrier
Review: Management of the acute scaphoid fracture in the active sports person: Amit Gupta
3:40 pm – 4:20 pm 42-year-old female professor with SNAC stage 2 wrist
Opinion 1: This needs a PRC: Praveen Bhardwaj
Opinion 2: Scaphoid excision and 4 bone fusion is superior: Anirban Chatterjee
Opinion 3: Scaphoid excision + 2 or 3 bone fusion gives better motion: Anil Bhat
Review: Management of the SNAC wrist: Sreenivasan Rajappa
4:20 pm -5:00 pm Panel Discussion: Other carpal fractures and/or perilunate dislocations
6 pm – 10 pm Dinner
Day 2 : March 9  Programs
8 am – 8:10 am Recap of day 1
FOREARM / ELBOW MODULE 1: Moderator: Shailesh Gupta
8:10 am – 8:50 am 56-year-old homemaker with displaced distal radius fracture + comminuted ulnar head fracture
Opinion 1: Fix the radius; The distal ulnar fracture can be left alone: Pankaj Ahire
Opinion 2: Fix the radius; The distal ulnar fracture must need ORIF: Sudhir Warrier
Opinion 3: Fix the radius and do a Darrach: Chaitanya S Mudgal
Review: Management of the concomitant distal ulnar fracture with a distal radius fracture: Marco Rizzo
8:50 am – 9:20 am 24-year-old male desk worker with 6-week-old Hotchkiss type 2 radial head fracture with restriction of forearm rotation
Opinion 1: Needs ORIF: Amit Vyas
Opinion 2: Needs Radial Head Arthroplasty: Vamsi Krishna
Opinion 3: Needs radial head excision: Shailesh Gupta
Review: Management of the neglected Monteggia injury in adults: Thilak Jepegnanam
9:20 am – 9:50 am Small group discussion: Distal radius / distal ulna / radial head / failed distal radius fracture fixations.
9:50 am – 10.05 am: Coffee break
10:05 am – 10:45 am Kudav-Mudgal Oration: Dr. Rajendra Nehete – President, Indian Society for Surgery of the Hand
FOREARM / ELBOW MODULE 2: Moderator: Binu Thomas
10:45 am – 11:30 am 45-year-old male musician with malunited distal humerus fracture having signs and symptoms of cubital tunnel BUT a normal nerve conduction study
Opinion 1: Splinting only and wait: Sheeja Rajan
Opinion 2: Decompress ulnar nerve: Ravi Bharadwaj
Opinion 3: Transposition is a must: Sreenivasan Rajappa
Review: Management of tardy ulnar nerve dysfunction: Binu Thomas
11:30 am – 12:10 pm A 38-year-old male with a 6-month-old humerus shaft fracture and radial nerve palsy with no recovery
Opinion 1: Splint and wait longer or do an internal splint with
pronator teres and wait: Praveen Bhardwaj
Opinion 2: Tendon transfers for radial nerve palsy: Sam Pallapati
Opinion 3: Nerve transfers are better: Sreekanth
Review: Radial nerve palsy with humerus fracture – management: Anil Mathew
12:10 pm – 12:50 pm Panel discussion: cubital tunnel / radial nerve
12:50 pm – 1:00 pm Recap of day 2 and closing remarks
1.00 pm Lunch
CMC Tendon Workshop And Hand Splints/POP Techniques Live Demo & Hands-On