Day 1 :
University of Pennsylvania – Pennsylvania Hospital, USA
Keynote: The treatment of acetabular bone loss with associated pelvic discontinuity in revision total hip arthroplasty: Acetabular distraction technique
Time : 09:30-10:15
Neil Sheth is Assistant Professor of Orthopaedic Surgery at the University of Pennsylvania. He is also the Pennsylvania Hospital Site Director for the Adult Reconstruction Hip and Knee Fellowship. Dr. Sheth obtained his undergraduate degree in Biomedical Engineering with a minor in Finance at the University of Pennsylvania. He then spent 2 years on Wall Street as a Financial Analyst in Solomon Smith Barney's Healthcare Investment banking division prior to attending medical school at the Albany Medical College. Following medical school, he completed a 6 year Orthopaedic Surgery residency at the Hospital of the University of Pennsylvania. Following residency, he completed an adult hip and knee reconstruction fellowship at Rush University as well as a 3-month mini-fellowship at the Endo Klinik in Hamburg, Germany focusing on peri-prosthetic infection. Sheth has now returned to join the faculty at the University of Pennsylvania and focuses his research on acetabular bone loss pertaining to revision total hip arthroplasty, peri-prosthetic infection and the role of orthopaedic surgery in global health. He is currently leading a team to build an orthopaedic center of excellence in Moshi, Tanzania.
As the number of primary total hip arthroplasty (THA) procedures performed continues to rise, the burden of revision THA procedures is also expected to increase. With patients undergoing THA at younger ages and living longer, revision patients are presenting with greater bone loss at the time of revision surgery. The proper evaluation and treatment of acetabular bone loss at the time of revision surgery is complex and is further complicated in the face of a chronic pelvic discontinuity. Identifying Proper pre-operative patient assessment in conjunction with detailed pre-operative planning is essential for obtaining favorable clinical results. Appropriate radiographs are critical in assessing acetabular bone loss, and specific classification schemes can identify bone loss patterns and guide available treatment options. The presentation reviews the surgical decision making and clinical results of different surgical options for the treatment of acetabular bone loss, and introduces a novel technique for the treatment of a chronic pelvic discontinuity.
National University of Malaysia Medical Center, Malaysia
Keynote: The fifty shades of low back pain
Time : 10:15-11:00
Dr. Ayman Al-Bedri is a pioneer trainer and a board member in Exercise Is Medicine Malaysia (EIMM). My advanced training in family medicine give me the opportunity to deal directly with chronic disease patient and offering then exercise prescription. I assisted in training many general practitioner, physiotherapist and exercise profession during the process of acquiring their EIMM certificates. Currently I am heading the exercise prescription clinic in the National University of Malaysia Medical Center.
Low back pain (LBP) is a medical condition that can be encountered in both general and specialist practice. In several studies, the prevalence of low back pain varies between 10-63% (mean ± 37%) with no sex difference. Studies in Malaysia showed similar results with the prevalence of low back pain was found to be around 12-60 % (higher in population at risk). Low back pain (LBP) is a complex multidimensional phenomenon. For some individuals, LBP can be a recurrent and incurable condition while for others can be chronic leading to disability and distress. LBP can be classified into acute or chronic depends on the duration of the pain. LBP can be divided into vertebral, non-vertebral and non-specific pain. The hallmark of treating a patient with low back pain is to understand the symptoms and accurately interprets the physical signs. Only then a proper treatment can be initiated. That can be achieved through careful history and physical examination. The main aim of history and physical examination is to differentiate the serious spinal pathology “Red Flags”, “Yellow flags” and benign musculoskeletal pain.
The management of LBP depends on the condition that causes the pain. The current exercise guidelines recommend staying active and avoid bed rest. It is important to avoid exercise immediately after acute episodes and during the exacerbation of the pain. There is no preference for a kind of exercise over another. The FITT module suggests a tailored individual prescription rather than a fix exercise module.
Team Doctors Chiropractic Center , USA
Time : 11:20-12:05
Team Doctors® president, Dr James Stoxen DC, FSSEMM (Hon) has been inducted into the prestigious National Fitness Hall of Fame, the Personal Trainers Hall of Fame and appointed to the Advisory Board for the American Board of Anti-Aging Health Practitioners. He developed the new advanced model of biomechanics, the integrated spring-mass model and the approach to the earliest detection, intervention and prevention of age related diseases. In 2015, Dr Stoxen was presented with an honorary fellowship award by a member of the Royal Family, the Sultan of Pahang, at the World Congress of Sports and Exercise Medicine in Kuala Lumpur Malaysia for his distinguished research and contributions to the advancement of Sports and Exercise Medicine on an International level.He is a sought after speaker internationally lecturing at over 50 medical conferences on treatment, training and progressive preventive approaches.
The use of hand held devices (HHD) such as mobile phones, game controls, tablets, portable media players and personal digital assistants have increased dramatically in past decade. This drastic change has led to new batch of difficult to treat, Musculoskeletal Disorders of the Upper Extremities such as myofascial pain syndrome of neck and upper back and thoracic outlet syndrome.
This month over 60,000 people have used thoracic outlet syndrome to search for more information on this condition according to Google. This compares equally to the number of searches for neck pain.
The thoracic outlet anatomy and how the bundle passes through the passageway is complex for even musculoskeletal experts. So for doctors trained in other specialties there can be an inadequate understanding about nature and cause of thoracic outlet syndrome.
A syndrome rather than a disease, the Mayo Clinic, Cleveland Clinic and the National Institute of Neurological Disorders And Stroke, plus top 10 ranked hospitals for neurology and neurosurgery agree persistent compression of nerves, arteries and veins traveling through the thoracic outlet is what leads to thoracic outlet syndrome.
I will discuss the three models of human movement, the inverted pendulum model, the spring-mass model and the integrated spring-mass model (ISMM). The (ISMM), which integrates the spring suspension systems of the foot and shoulder region as well as the torsion spring of the spine and the mass, the head. I will discuss my clinical findings show compressive disorders like TOS and herniated discs are merely an over control of tension on the human spring mechanism leading to these syndromes.
I will give brief review of the symptoms and their patterns, the common orthopedic tests, and diagnostic tests, the 16 different common conservative therapies and the 10 reasons for when surgery is medically necessary. I will discuss an alternative treatment for this disorder based on the integrated spring mass model.