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THURSDAY, MAY 9 3:30 - 4:45 p.m.

ICL101: Joint Preservation Techniques for the Knee in 2024: The Utility of Biologics, Osteotomies and Cartilage Restoration Procedures

The goal of this ICL is to provide a comprehensive overview of joint preservation techniques for the knee, including biologic and reconstructive approaches, with an emphasis on evidence-based treatment guidelines for young, high-demand patients. This will be a case-based course with an emphasis on clinical and surgical decision-making, with case examples of in-season athletes, contact athletes, endurance athletes and patients with previous failed joint preservation surgery. Experts in joint preservation will provide pearls and pitfalls for the management of these challenging patients, with real-life (as opposed to theoretical) case examples.

Rachel M. Frank, M.D., Moderator, Armando F. Vidal, M.D., Seth L. Sherman, M.D., Michael J. Alaia, M.D.

ICL102: My Arthroscopic Bankart Failed, Now What? Revision Treatment Options for Recurrent Instability Following Failed Anterior Arthroscopic Stabilization

Recurrence following arthroscopic Bankart repair is a common scenario, often without significant bone loss. This course will discuss optimal revision options with a focus on evolving literature and techniques, including arthroscopic bone reconstructive approaches.

Albert Lin, M.D., Moderator, Aman Dhawan, M.D., Katherine J. Coyner, M.D., Caroline M. Hettrich, M.D.

ICL103: New Paradigms in the Disabled Throwing Shoulder

This course will delve into the pathomechanics and various presentations of the disabled throwing shoulder. Faculty will provide a closer look at what truly constitutes a clinically significant labral injury. Additionally, faculty will discuss the etiology of latissimus and teres major tears, as well as the presentation and treatment of suprascapular nerve lesions. By the course’s conclusion, participants will receive surgical pearls that focus on indications for and execution of a biceps tenodesis.

John D. Kelly IV, M.D., FAANA, Moderator, William B. . Kibler, M.D., Michael T. Freehill, M.D., Michael J. O’Brien, M.D., FAANA, Brian R. Waterman, M.D., FAANA

ICL104: Optimizing ACL Reconstruction in 2024: A Case-Based Approach

During this ICL, participants will review methods to optimize outcomes following ACL reconstruction, including graft choice, augmentation with ALL or LET and internal augmentation with suture tape.

Mary K. Mulcahey, M.D., FAANA, Moderator, Cassandra A. Lee, M.D., Clayton W. Nuelle, M.D., FAANA, Harris S. Slone, M.D., FAANA

ICL 105: This Is the Kind of Cartilage Damage I See All the Time: When Should I Do Something About It? Old Tricks and New Technology

This ICL will cover surgery indications, including established options like MACI, allograft cartilage, OATS and OCA, as well as new technologies like coral implants and medial implantable shock absorbers. Faculty will also address when to consider concurrent procedures like MPFL reconstruction, TTO and HTO.

Sabrina M. Strickland, M.D., Moderator, Andreas H. Gomoll, M.D., Matthew A. Tao, M.D., Jacqueline M. Brady, M.D., Camila Cohen-Kaleka, M.D.

FRIDAY, MAY 10 7 - 8:15 a.m.

ICL 201: ACL Repair: Modern-Day Techniques, Outcomes and Their Role in Today’s ACL Toolbox

There is a renewed interest in modern primary ACL repair as new arthroscopic techniques and selective patient-focused algorithms, considering tear type and tissue quality, have been adopted. Grounded in lessons learned from the historical outcomes and the most recent results of contemporary selective ACL primary repair (ACLPR), this ICL discusses the differences in the latest innovative approaches and the relevance of suture augmentation. Additionally, this ICL will review the role of the ALL and LET and the potential role of biologic augmentation. Included in this discussion will be a review of technical pitfalls and pearls. Upon conclusion of the course, participants will have a broad understanding of the available approaches for modern-day ACL repair, including indications and techniques, to further enhance their surgical skill set in the modern-day ACL toolbox.

Sebastian Rilk, M.D., Moderator, Gregory S. DiFelice, M.D., Andreas H. Gomoll, M.D., Sabrina M. Strickland, M.D., Adnan Saithna, M.D., FAANA, Wiemi A. Douoguih, M.D., Mark F. Sherman, M.D.

ICL 203: Cartilage Conundrums in 2024: Cases From the Experts

This ICL will focus exclusively on challenging cases centered on cartilage and joint preservation, from real-life clinical scenarios, with a diverse faculty perspective. Speakers will highlight the good, the bad and the ugly from real-life cases, focusing on both evidence-based and cutting-edge techniques. This ICL will be different from traditional ICLs, in that it will be exclusively case-based.

Rachel M. Frank, M.D., Moderator, Brian J. Cole, M.D., M.B.A., FAANA, Armando F. Vidal, M.D., Aaron J. Krych, M.D.

ICL 204: Case-Based, Advanced Decision-Making in Complex Shoulder Instability: Anterior, Posterior, Bone Loss and Revisions

This ICL is designed to be an interactive, case-based session devoted to decision-making in complex shoulder instability. Case presentations will highlight the history, physical findings and advanced imaging followed by interactive, moderated discussions focusing on evidence-based treatment alternatives and controversies. Bone loss and revision pathology will be prominent in the presented cases. Faculty will emphasize state-of-the-art surgical solutions in detail while addressing both short and long-term complications.

Richard K.N. Ryu, M.D., Moderator, Jeanne C. Patzkowski, M.D., FAANA, John M. Tokish, M.D., FAANA, Michael J. O’Brien, M.D., FAANA , Stephen A. Parada, M.D.

ICL 205: Emerging Techniques for Hip Instability: From Advanced Arthroscopic Capsular Management to PAO

The diagnosis and management of hip instability remains controversial. This course will review the physical exam with anatomical correlation and new concepts in imaging techniques. Surgical indications for arthroscopic capsular and labral repair and reconstruction; the role of revision hip arthroscopy; and when to consider periacetabular osteotomy and femoral derotational osteotomy will be highlighted.

Srino Bharam, M.D., M.B.A., Moderator, Yi-Meng Yen, M.D., Ph.D., Hal Martin, M.D., Thomas H. Wuerz, M.D., M.Sc., Travis Matheney, M.D.

ICL 206: Rotator Cuff Repair From A to Z

This course will serve as an overview of approaching rotator cuff pathology from partial to complex revisions. Highlights include cutting-edge techniques and terminology, as well as technology to deal with these challenging situations.

Alan S. Curtis, M.D., FAANA, Moderator, Mark H. Getelman, M.D., FAANA, Jeffrey S. Abrams, M.D., Bassem T. Elhassan, M.D., Paul M. Sethi, M.D.

FRIDAY, MAY 10 5 - 6:15 p.m.

ICL221: All Things Patellofemoral: Cartilage, Trochleoplasty and More

MPFL reconstruction continues to become increasingly popular in the treatment of patellar instability. Reported complication rates are as high as 25 percent, with nearly half attributed to technical errors. This ICL will review common complications in MPFL reconstruction, including failure, and will provide surgical technique pearls for how to assess, address and prevent. Faculty will present cases demonstrating examples to highlight each principle.

Miho J. Tanaka, M.D., Ph.D., Moderator, Seth L. Sherman, M.D., Sabrina M. Strickland, M.D., Betina Hinckel, M.D., Ph.D.

ICL222: From Arthroscopy to Arthroplasty: Treatment Strategies for the Young Patient with Glenohumeral Arthritis

Managing young patients with glenohumeral arthritis is complex due to high patient demands and various subtypes, including capsulorrhaphy arthropathy, dislocation arthropathy, chondrolysis, osteonecrosis, glenoid dysplasia and inflammatory arthropathies. Arthroscopic interventions are effective for milder cases, while biologic solutions like glenoid resurfacing and osteochondral reconstructions have limited support and uncertain long-term outcomes. Prosthetic shoulder arthroplasty (hemiarthroplasty, total and reverse) is definitive for end-stage cases but presents challenges such as patient dissatisfaction, higher complication rates and reoperations, especially in young patients. This ICL will review types of glenohumeral arthritis in young patients and discuss surgical options, including arthroscopic treatments, nonprosthetic arthroplasty, hemiarthroplasty (including resurfacing and ream and run), anatomic total shoulder arthroplasty and specific indications for reverse shoulder arthroplasty in this population.

Samer S. Hasan, M.D., Ph.D., Moderator, Robert U. Hartzler, M.D., M.S., Joseph A. Abboud, M.D., Michael H. Amini, M.D. 

ICL223: Preserve the Meniscus: Advanced Repair Techniques and Biologic Augmentation to Maximize Your Results

Meniscal tears can be broadly categorized as vertical, radial, horizontal and oblique. Meniscal preservation is critical to restore the functions of chondral protection and joint stability while preserving long-term knee health. Meniscal preservation’s success depends on the selection and implementation of appropriate repair techniques. Repair healing is influenced by the biomechanical environment and postoperative rehabilitation; therefore, it must be tailored to the repair technique, tissue condition and concomitant procedures.

Repair techniques are categorized as inside-out, outside-in, all-inside and tunnel-based; some tear patterns may require a combination of these techniques. Each technique has certain advantages and disadvantages in terms of morbidity and structural stability. Due to the meniscus’s microvascular anatomy, certain tear patterns are considered to have a lower probability of healing following repair. In some cases, using autologous blood products like fibrin clots, marrow venting, platelet-rich plasma or bone marrow concentrate can enhance meniscal healing. Attendees will learn how and when to incorporate these concepts and potential surgical treatments into their practice with the goal of increasing the rates of meniscal repair and improving clinical outcomes.

Andrew G. Geeslin, M.D., Moderator, Christopher J. Tucker, M.D., FAANA, Nathan K. Endres, M.D., Scott C. Faucett, M.D., M.S., Leah C. Brown, M.D.

ICL224: Revision and Reconstructive Hip Arthroscopy: When and When Not to Use Grafts and Augments

Participants will review the use of both didactic and case-based methods to thoroughly examine the process of revision and primary hip arthroscopy during this ICL. Topics of focus include the appropriate indications and contraindications for utilizing soft tissue grafts, dermal augmentation and cartilage grafts, as well as labral and ligamentous reconstructions. Participants will also discuss salvage procedures and when to consider periacetabular osteotomy or total hip arthroplasty.

The session will also address capsular and ligamentous reconstructions, techniques, revisions and extra-articular pathologies. By the end, participants will be more confident in complex hip reconstructions for both revision and primary arthroscopies.

Michael B. Banffy, M.D., Moderator, Elizabeth J. Scott, M.D., Robert W. Westermann, M.D., Jovan R. Laskovski, M.D., FAANA, Thomas H. Wuerz, M.D., M.Sc.

ICL 225: The Athlete's Elbow: Treatment and Return to Play for Sports-Specific Elbow Injuries in Gymnastics, Tennis, Golf, Baseball and More

This ICL will address common sport-specific elbow injuries including presentation, up-to-date nonoperative/operative treatments and sport-specific return to play protocols. Additionally, faculty will review how to manage the gymnast’s elbow, pediatric thrower’s elbow, adult thrower’s elbow, recalcitrant golfer’s and tennis elbow, as well as arthroscopic and open surgical treatment of the arthritic elbow in athletes.

Jocelyn R. Wittstein, M.D., Moderator, J. Todd Lawrence, M.D., Ph.D., Marc Richard, M.D., Tyler Pidgeon, M.D., Christopher Klifto, M.D.

ICL 226: The Biceps Matter: The Emerging Role of the Long Head of the Biceps With Rotator Cuff Pathology

Once considered vestigial with many opting for tenotomy in standard rotator cuff cases, the long head of the biceps now serves as a crucial autograft source for complex and irreparable rotator cuff tears. The course will examine current literature and compare tenotomy to tenodesis using various techniques, including inlay versus only, suprapec versus subpec and different fixation methods, weighing their pros and cons. The course will also review and demonstrate the latest biceps tendon graft techniques for complex rotator cuff pathology through case-based examples. Faculty will demonstrate its use in-situ, transposed from the biceps groove as a "Bio-SCR," and as a free graft for bursal-sided augmentation in tears requiring biological augmentation.

Mark H. Getelman, M.D., FAANA, Moderator, Larry D. Field, M.D., FAANA, Bonnie P. Gregory, M.D., Oke A. Anakwenze, M.D., Kevin F. Bonner, M.D., FAANA

SATURDAY, MAY 11 7 - 8:15 a.m.

ICL301: Considerations and Challenges in Revision ACL Reconstruction

This ICL will discuss workup considerations and technical challenges in revision ACL reconstruction, including bone loss, tunnel malposition, malalignment correction and utilizing extra-articular procedures.

Aman Dhawan, M.D., Moderator, Brian R. Waterman, M.D., FAANA, Jonathan F. Dickens, M.D., COL, USAR, Katherine J. Coyner, M.D., M.B.A., Seth L. Sherman, M.D.  

ICL302: Hype, Promise and Reality: Orthopaedic Use of Biologics in 2024

This ICL will cover the most recent updates regarding the uses of orthobiologics when managing of orthopaedic patients. Discussion topics will include regulatory aspects of orthobiologics; basic science and clinical evidence in the treatment of osteoarthritis and soft tissue restoration; and strategies for billing in the use of orthobiologics.

Stephen C. Weber, M.D., Moderator, Scott A. Rodeo, M.D., Kenneth R. Zaslav, M.D., Jason L. Dragoo, M.D., FAANA

ICL303: Hip Arthroscopy: From Basic to Advanced Techniques

This course will aim to provide state-of the-art tips and tricks on hip arthroscopy, from basic setup to advanced techniques.

Spencer M. Stein, M.D., Moderator, Thomas Youm, M.D., Robert J. Meislin, M.D., Guillem Gonzalez-Lomas, M.D., Christopher M. Larson, M.D.

ICL304: How to Be Successful as an Early Career Surgeon in 2024 and Beyond: Pearls and Pitfalls

This ICL will focus on how to achieve success early in practice within the ever-changing landscape of practicing orthopaedic surgery in 2024, highlighting the pearls, pitfalls, lessons and different approaches from a diverse faculty perspective.

Rachel M. Frank, M.D., Moderator, Elizabeth G. Matzkin, M.D., Mary K. Mulcahey, M.D., FAANA, Clayton W. Nuelle, M.D., FAANA, John M. Tokish, M.D., FAANA, Eric C. McCarty, M.D.

ICL 305: Measure Twice, Cut Once: The Future of Digitally Planned Knee Osteotomies

This course will educate attendees on state-of-the-art, computer-guided planning and executing a range of knee osteotomy procedures.

Laith M. Jazrawi, M.D., Moderator, Andreas H. Gomoll, M.D., Anil S. Ranawat, M.D., Michael J. Alaia, M.D.

ICL 306: Optimal Non-Arthroplasty Management of Massive Irreparable Rotator Cuff Tears: A Case-Based Approach

Optimal treatment of irreparable rotator cuff tears with joint preservation remains controversial. Faculty will provide an evidence-based approach for all options: debridement/marginal convergence, tendon transfer, SCR, allograft bridge augmentation and subacromial balloon spacer.

Albert Lin, M.D., Moderator, Robert U. Hartzler, M.D., M.S., Eric R. Wagner, M.D., M.S., Ivan H. Wong, M.D., FAANA, Sara L. Edwards, M.D.