BOARD OF DIRECTORSPRESIDENTMark J. Romness, MDCharlottesville, VAPRESIDENT ELECTT. K. Miller, MDRoanoke, VASECRETARY-TREASURERQuanjun “Trey” Cui, MDCharlottesville, VAIMMEDIATE PAST PRESIDENTJohn W. Mann, MDRoanoke, VACOUNCILORS, AAOSN. Douglas Boardman III, MDRichmond, VADavid Romness, MD Arlington, VAMSV DelegateGregory Golladay, MDRichmond, VAMEMBERS AT LARGEJeffrey E. Schulman, MDFalls Church, VASeth A. Cheatham, MDRichmond, VABradley T. Butkovich, MDVirginia Beach, VAD. Nicole Deal, MDCharlottesville, VAGautham Gondi, MDLynchburg, VAPROGRAM COMMITTEEGregory Golladay, MDRichmond, VAJames A. Browne, MDCharlottesville, VAADMINISTRATIVE OFFICEStewart A. HinckleyExecutive DirectorAndrew MannAssociation Manager

On behalf of the Board of Directors and all the members of the Virginia Orthopaedic Society, welcome to the 68th Annual Meeting located at The Homestead in Hot Springs, Virginia. We have organized a meeting that we believe will be both educational and enjoyable for you and your family. The Homestead in Hot Springs, Virginia is known for many things, but perhaps above all, for Southern hospitality and elegant charm. This historic Virginia accommodation has welcomed guests, including 22 United States Presidents, as early as the 18th century. The legendary hot springs have drawn visitors from across the country for centuries to partake in water therapy as a source of relaxation and healing. In keeping with the tradition of “taking the waters,” we hope this meeting will rejuvenate you and allow you to connect and reconnect with colleagues from around the state.We have the pleasure of again welcoming exceptional keynote speakers to our annual meeting. Our presidential guest speaker is Dr. Armen Kelikian, an accomplished Professor of Clinical Orthopaedic Surgery at Northwestern University’s Feinberg School of Medicine and four-time recipient of the James K. Stack Teaching Award. Our other keynote speaker is Dr. Daniel Berry, former chair of Orthopaedic Surgery at the Mayo Clinic and past president of the American Academy of Orthopaedic Surgery. These guest speakers will help lead our focus on foot and ankle and adult reconstruction, respectively.

AnnualMeeting

1. Understand the advantages and disadvantages of surgical management of Achilles tendon ruptures.

2. Identify which patients may benefit from total ankle arthroplasty.3. Understand the pros and cons of different bearing options in total hip arthroplasty and

where future innovation may be required.4. Discuss current evidence regarding body mass index (BMI) cut-offs for total joint

arthroplasty and the perioperative risks of obesity.5. Discuss the current evidence for various intraarticular knee injections including

viscosupplementation and PRP.6. Understand current management of superior labral tears in the shoulder.7. Understand the use of ultrasound imaging in orthopaedics.8. Discuss recent advances in musculoskeletal imaging techniques.9. Understand and discuss bundled payments in orthopaedic surgery.

V I R G I N I A O R T H O P A E D I C S O C I E T Y

We are also excited about welcoming two excellent non-physician speakers to give us additional perspective on our profession. A man who will need no introduction to basketball fans, former UVA star and professional NBA basketball player Sean Singletary will speak to us about his experiences with hip and knee injuries and refl ections on being an orthopaedic surgery patient. We are also happy to welcome Congressman Andy Barr (R-KY) to discuss Medical Liability Reform, his ideas on safe harbors, expert panels, and alternative dispute resolution.Finally, we are thrilled with the quality of the scientifi c program for this year’s meeting. The number of abstract submissions was more than double that from years past and we had a diffi cult time narrowing these down to just 12 to be highlighted from the lectern. The caliber of scientifi c work coming from the state of Virginia is impressive and encouraging.Please enjoy your time in the beautiful Allegheny Mountains. In keeping with the history of the area, we trust the weekend will be enriching, educational, and relaxing for you and your family. We look forward to seeing you at the opening reception Friday evening and thank you again for coming.Sincerely,Gregory J. Golladay, MDJames A. Browne, MDConference Co-Chairs

WELCOME

PROGRAM OBJECTIVESUpon completion, participants at the VOS 68th Annual Meeting should be able to:

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V I R G I N I A O R T H O P A E D I C S O C I E T Y FACULTY

Robert S. Adelaar, MD Professor and John Cardea Chair Virginia Commonwealth University Richmond, VADaniel J. Berry, MD L.Z. Gund Professor of Orthopedics Mayo Clinic Rochester, MNJames A. Browne, MD Assistant Professor Department of Orthopaedic Surgery University of Virginia Health System Charlottesville, VABradley T. Butkovich, MD Atlantic Orthopaedic Specialists Virginia Beach, VAJeffrey Carlson, MD Orthopaedic and Spine Center Newport News, VAJames T. Chandler, MD Assistant Professor Department of Orthopaedic Surgery Virginia Tech Carilion School of Medicine Roanoke, VASeth A. Cheatham, MD Associate Professor Virginia Commonwealth University Richmond, VAAlex D. Colquhoun, MBChB, FRCA Medical Director, PACE Center Associate Professor Anesthesiology Virginia Commonwealth University Richmond, VAM. Truitt Cooper, MD Assistant Professor Department of Orthopaedic Surgery University of Virginia Health System Richmond, VAD. Nicole Deal, MD Associate Professor Department of Orthopaedic Surgery University of Virginia Health Systems Charlottesville, VABradley S. Ellison, MD Advanced Orthopaedics Richmond, VAJim Gera Senior Vice President Signature Medical Group St. Louis, MO

Annual MeetingApril 24-26, 2015

The Homestead • Hot Springs, Virginia

FRIDAY – APRIL 24, 20153:00 pm – 5:00 pm Registration5:30 pm – 7:00 pm Opening Reception with Posters and Exhibitors

SATURDAY – APRIL 25, 20156:30 am – 7:30 am Continental Breakfast with Exhibitors and Registration 7:15 am – 7:30 am Introduction / Welcome Mark Romness, MD, President James A. Browne, MD and Gregory J. Golladay, MD

Conference Co-Chairs

Abstract PresentationsModerator: Gregory J. Golladay, MD7:30 am – 7:38 am Interbody Cage

Height Affects Subsidence Rate after Transforaminal Lumbar Interbody Fusion Scott C. Wagner, MD

7:38 am – 7:46 am Neutrophil-specific, Near-infrared Fluorescence Imaging of Acute Intervertebral Disc Herniation Xudong Li, MD, PhD

7:46 am – 7:54 am Radiation Exposure during Direct Anterior Total Hip Arthroplasty Brandon Bucker, MD

7:54 am – 8:02 am Total Knee Arthroplasty within Six Months after Knee Arthroscopy is Associated with Increased Postoperative Complications Brian C. Werner, MD

8:02 am – 8:10 am Thick or Thin? Patellar Cut and Composite Thickness: The Influence of Post-operative Motion and Complications in Total Knee Arthroplasty Zachary D. Weidner, MD

8:10 am – 8:18 am Primary Total Knee Arthroplasty in Super Obese Patients: Dramatically Higher Post-operative Complication Rates When Compared to Revision Surgery Brian C. Werner, MD

8:18 am – 8:30 am Question and Answer Panel of Abstract Presenters

PA Breakout SessionModerator: Joseph R. Howell, DHSc, PA-C

7:00 am – 10:00 am Ultrasound Hands-on

Speaker TBA10:00 am – 11:00 am

Differential Diagnosis Speaker TBA

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FACULTY

Gregory J. Golladay, MD Associate Professor Virginia Commonwealth University Richmond, VAGautham Gondi, MD Orthopaedic Center of Central Virginia Lynchburg, VAF. Winston Gwathmey, MD Assistant Professor Department of Orthopaedic Surgery University of Virginia Health System Charlottesville, VAJoseph R. Howell Director, Advanced Practice Clinician Fellowship in Emergency Medicine Assistant Professor Department of Interprofessionalism Virginia Tech Carilion School of Medicine Roanoke, VAWilliam A. Jiranek, MD Professor Virginia Commonwealth University Richmond, VAArmen S. Kelikian, MD Northwestern and North Shore University Health Care Systems Chicago, ILJohn W. Mann III, MD Associate Professor Department of Orthopaedic Surgery Virginia Tech Carilion School of Medicine Roanoke, VAThomas K. Miller, MD Vice Chair Department of Orthopaedic Surgery Virginia Tech Carilion School of Medicine Roanoke, VASteven K. Neufeld, MD Inova Fairfax, Virginia Hospital Center Falls Church, VAMark J. Romness, MD Associate Professor Department of Orthopaedic Surgery University of Virginia Medical School Charlottesville, VAAnuj Singla, MD Assistant Professor Department of Orthopaedic Surgery University of Virginia Health System Charlottesville, VASean Singletary Former Pro Basketball Player Charlottesville, VA

Foot & Ankle and JointsModerator: D. Nicole Deal, MD8:30 am – 9:00 am The Gold Standard for Achilles Tendon Ruptures in 2014:

Non-operative vs. Surgical Management Robert S. Adelaar, MD and M. Truitt Cooper, MD

9:00 am – 9:30 am Stiff and Painless or Mobile and Painful: Ankle Arthroplasty vs. Arthrodesis for Ankle Arthritis Steven K. Neufield, MD and James T. Chandler, MD

9:30am – 10:15 am Keynote Speaker The Cavus Foot: Orthopaedic Manifestations Armen S. Kelikian, MD

10:15 am – 10:45 am Break with Posters and Exhibitors 10:45 am – 11:15 am BMI Cut-offs for Joint Replacement: Good Medicine or a Big Fat

Mistake? John W. Mann III, MD and James A. Browne, MD

11:15 am – 11:45 am Bearing Surfaces in THA: Is Any More Innovation Really Necessary? William A. Jiranek, MD and Bradley S. Ellison, MD

11:45 am – 12:30 pm Special Guest Speaker Introduction of New Technology in Orthopaedic Surgery: Lessons Learned from Joint Arthroplasty Daniel J. Berry, MD

12:30 pm – 1:30 pm Lunch with Exhibitors and Business Meeting with Speaker Congressman Andy Barr

5:00 pm VOS PAC Wine Reception

SUNDAY – APRIL 26, 20156:45 am – 7:30 am Breakfast 7:25 am – 7:30 am Welcome

James A. Browne, MD and Gregory J. Golladay, MD Conference Co-Chairs

Abstract PresentationsModerator: James A. Browne, MD 7:30 am – 7:38 am Diurnal Variations of T1rho Relaxation Times Within Tibial

Cartilage Kevin Taylor

7:38 am – 7:46 am Biomechanical Evaluation of the Risk of Secondary Fracture Around Short vs. Long Femoral Intramedullary Nails William E. Daner III, MD

7:46 am – 7:54 am Surgical Excision as a Definitive Treatment for Heterotopic Ossification in Combat Related Amputations Gabriel J. Pavey, MD

7:54 am – 8:02 am Inhibition of Osteoclastogenesis and Bone Loss by Antioxidative Fullerol Xinlin Yang, MD, PhD

8:02 am – 8:10 am Allogenic and Autogenous Bone Graft is Affected by Historical Donor Environmental Exposure Ani Gowd

8:10 am – 8:18 am Comparing Anterior and Posterior Surgical Approaches in Lenke Five Curves for Adolescent Idiopathic Scoliosis Anuj Singla, MD, Assistant Professor

8:18 am – 8:30 am Question and Answer Panel of Abstract Presenters

AccreditationThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Academy of Orthopaedic Surgeons and the Virginia Orthopaedic Society. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

The American Academy of Orthopaedic Surgeons designates this live activity for a maximum of 8.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

KEYNOTE SPEAKER

Daniel J. Berry, MDDr. Berry attended Harvard Medical School, then performed his orthopedic surgery residency in the Harvard Combined Program. He performed a six-month fellowship in surgery of the hip in Bern, Switzerland and Paris, France, and another fellowship in Adult Reconstruction at Mayo Clinic, Rochester, Minnesota. In 1991, Dr. Berry joined the Mayo Clinic staff and served as Chairman of the Department of Orthopedic Surgery at Mayo Clinic from 2005-2014, where he is currently the L. Z. Gund Professor of Orthopedic Surgery.

He has published over 171 peer-reviewed papers, over 85 book chapters and has edited seven books on hip and knee arthroplasty.

Dr. Berry has served as a Director of the American Board of Orthopaedic Surgery, as the Chairman of the Maurice E. Müller Foundation, President of the Mid-America Orthopaedic Association, President of the American Association of Hip and Knee Surgeons and President of the American Academy of Orthopaedic Surgeons. He is in the presidential line of the Hip Society and Chair of Board of Directors of the American Joint Replacement Registry. He is a member of the Board of Trustees of the Mayo Clinic and of The Journal of Bone and Joint Surgery.

Armen S. Kelikian, MDArmen S. Kelikian, MD, is a professor of orthopedics at North-western and North Shore University Health Care Systems. His career began in pediatric orthopedics

with the past 25 years being devoted to the foot and ankle. Aside from numerous presentations and articles, he has co-authored Disorders of the Ankle, Saunders-1984 with H. Kelikian, MD; Op-erative Treatment of the Foot & Ankle - Appleton /Lange,1999; Pocketbook of the Foot & Ankle - McGraw/Hill, 2003, and Sarrafian’s Anatomy of the Foot & Ankle, Third Edition, Wolters/Lip-pincot-2011. Cavus foot in the adult population is usually idiopathic and the underlying cause of numerous maladies of the foot such as peroneal tendon pathology, tibial stress fractures, fourth and fifth metatarsal stress fractures, ankle insta-bility and ankle arthritis, to name a few. A ratio-nal approach to history, physical, diagnosis, and treatment will be reviewed.

Practice ManagementModerator: F. Winston Gwathmey, MD8:30 am – 9:00 am Bundled Payments

Jim Gera9:00 am – 9:30 am Perioperative Surgical Home - Opportunity for Orthopedics

Alex D. Colquhoun, MBChB, FRCA9:30 am – 10:00 am Ultrasound in Orthopaedics

Jeffrey Carlson, MD10:00 am – 10:15 am Break with Posters

Sports MedicineModerator: Gautham Gondi, MD 10:15 am – 11:00 am A Professional Athlete Reflects on Orthopaedics

Sean Singletary11:00 am – 11:30 am SLAP Tear Repair: A Tried-and-True Option or an Archaic

Operation that has No Indication? F. Winston Gwathmey, MD and Bradley T. Butkovich, MD

11:30 am – 12:00 pm Knee Injections with Viscosupplementation and PRP: Showing Promise or just Snake Oil? Thomas K. Miller, MD and Seth A. Cheatham, MD

12:00 pm – 12:30 pm Closing Remarks / Awards Thomas K. Miller, MD

KEYNOTE SPEAKER

Sean SingletarySean Singletary is among the all-time greatest and most popular basketball players in University of Virginia history. A three-time first team All-ACC performer,

Sean scored 2,079 points in his celebrated career finishing in the school’s all-time top ten in scoring, assists, three-pointers, and steals. He is the only ACC player in history to record over 2000 points, 500 assists, 400 rebounds, and 200 steals. UVA fans clearly remember his falling away game-winning overtime shot against Duke in 2007 that helped propel UVA to a first place finish in the ACC standings and a #4 seed in the NCAA tournament. His #44 jersey now hangs in the rafters at John Paul Jones arena. Sean was drafted by the Sacra-mento Kings in the second round of the 2008 NBA draft. His promising professional career was derailed by injuries and he retired from professional basketball in 2014. He now lives in Charlottesville and continues to be active in the community teaching the fundamentals of basketball to the next generation of athletes.

KEYNOTE SPEAKER

One form per registrant. PLEASE PRINT

First Name _____________________________________________________ M.I. _______ Last Name ____________________________Credentials (MD, DO, PA, RN, NP, DT) ____________________ Specialty ____________________________________________________Affiliation/Business/Organization _____________________________________________________________________________________Primary Mailing Address qHome qWork ___________________________________________________________________________City/State/Zip _____________________________________________________________________________________________________Country ___________________Office Phone ________________________________ Fax _______________________________________Emailu ___________________________________________________ uEmail is required for registration confirmation. Please print clearly for successful email delivery of your confirmation letter.

Are you a Resident Physician? q Yes qNo A Fellow? q Yes qNoIf you require special assistance because of a disability or do you have any dietary restrictions, please describe. _______________________________________________________________________________________________________________________________________

Registration FeesPlease check appropriate category below. After April 1, 2015, late fees apply. Through After 4/1/2015 4/1/2015 q VOS Member $200 $ ____________ q Member PA, PT, NP $50 $ ____________ q Practice Manager for a VOS Member $50 $ ____________ q VOS Non-Member Eligible* $400 $ ____________ q Emeritus Member N/C $ ____________ q Resident q Fellow N/C $ ____________ q Non-Member Physician $250 $ ____________ q Non-Member PA, PT, NP $150 $ ____________ q Friday Night Reception with Exhibitors N/C $ ____________ TOTAL $ ____________

Virginia Orthopaedic Society68th Annual Meeting • April 24-26, 2015 • The Homestead • Hot Springs, VA

Registration Form

* A portion of your registration fee will be applied to 2015 dues.

If you do not receive a confirmation letter from the VOS office within 30 days of submitting your completed registration form and payment information, please call the VOS office at (804) 282-0063 to confirm that your registration material has been received.

P L E A S E N OT EPlease return this form to: Virginia Orthopaedic Society

2209 Dickens Road Richmond, VA 23230-2005

Phone: (804) 282-0063 • Fax: (804) 282-0090

PaymentMake checks (US currency) payable to: Virginia Orthopaedic Society Credit Card Payment: q VISA qMasterCard qDiscoverCredit Card No. ______________________________________________ Exp. Date __________ CVV Security Code** _________

Billing Address _______________________________________________________________________ Billing Zip Code _________

Signature ___________________________________________ Printed Name on Card ____________________________________

**CVV code is the three-digit number on the back of VISA, MC or Discover cards.

Refund Policy: 80% refund through 4/1/15; no refund after 4/1/15. Refunds will be determined when date written cancellation is received. All cancellations must be in writing. Contact the VOS headquarters with any questions.

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$225$75$75$445N/C$25$300$200N/C

Things to Do

HOTEL RESERVATION INFORMATION

In order to qualify for these special group rates, The Omni Homestead must receive your reservation request by

March 24, 2015Rooms and Rates are Subject to Availability

Reservations can be made online by visiting

www.vos.orgOr by calling (800) 830-1766

Type of Accommodations Nightly Rate Per Room

Traditional Room $189.00 (plus 15% resort tax and 9.3% room tax)

Each of our 483 distinctive guest rooms and suites is beautifully appointed with rich fabrics and furnishings where down pillows and featherbeds ensure a superb night’s sleep. Artwork throughout the hotel has been hand-selected to showcase Virginia’s history. Our rooms are outfitted with every modern convenience, from wi-fi to flat-screen TVs, coupled with special authentic details such as sun porches and working fireplaces to evoke the comfort of a quieter era.

Known for our championship golf courses and the largest hot springs in a Virginia hotel, The Omni Homestead has an extensive list of resort activities sure to please travelers of any age. Our rooms offer the luxury and cozy relaxation you’ll look for-ward to after a fun-filled day. Affordable hotel packages let you complete your Hot Springs hotel experience with your choice of resort activities, spa and wellness pack-ages, family packages and even holiday-themed packages.

No other Virginia accommodations give you access to over two centuries of history and inspired, genuine Southern hospitality that spans generations. For a truly memo-rable hotel experience, whether it’s with your family, fiance or friends, browse our accommodations options to find your ideal room or suite.

The Allegheny Mountains of Virginia are bursting with diverse activities to suit any taste, any age, anyone. No matter the time of year or the weather, you’ll never find yourself with a lack of things to do. The Homestead offers a host of exclusive resort activities as well as recommendations for exploring the town of Hot Springs and sightseeing in the surrounding Virginia landscape.

For adrenaline junkies and nature aficionados, the mountains and valleys surrounding our resort are bursting with outdoor activities. From romantic carriage rides and horseback riding, to exploratory hiking, paintball, archery, Segway tours and even falconry, you can take your pick from over a dozen distinctive Virginia activities. Professional and amateur players alike will enjoy our championship golf courses and tennis courts. And in winter, The Homestead embraces the colder weather with an offering of winter resort activities, including skiing, snowboarding, ice skating and snowmobile tours.

If your idea of relaxing doesn’t include the great outdoors, The Homestead has no shortage of indoor resort activities. You can play games with your family, take a Homestead history tour, or stay in for our nightly movie in our very own movie theater. You can also explore the town of Hot Springs with our recommended shopping and dining options.

No one should miss out on enjoying the famed Virginia hot springs that flow into our indoor and outdoor pools and are utilized in many of our spa treatments. Whether you’re on a romantic getaway, enjoying a family trip or vacationing solo, the Virginia activities available to you are what memories are made of at The Homestead.

V I R G I N I A O R T H O P A E D I C S O C I E T Y

Annual MeetingApril 24-26, 2015

The Homestead • Hot Springs, Virginia

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Virginia Orthopaedic Society2209 Dickens RoadRichmond, VA 23230-2005

Pre-sort StandardUS Postage

PAIDPermit No. 290Richmond, VA

Disclosure of Faculty Financial Affi liationsThe American Academy of Orthopaedic Surgeons (AAOS), as an ACCME accredited provider, and the Virginia Orthopaedic Society (VOS) endorse and strive to comply with the Accreditation Council for Continuing Medical Education (ACCME) Standards of Commercial Support, Commonwealth of Virginia statutes, and associated federal and private regulations and guidelines on the need for disclosure and monitoring of proprietary and fi nancial interests that may affect the scientifi c integrity and balance of content delivered in continuing medical education activities under our auspices.

The AAOS and VOS require that all CME activities accredited through this institution be developed independently and be scientifi cally rigorous, balanced and objective in the presentation/discussion of its content, theories and practices.

All faculty presenters participating in an accredited CME activity are required to disclose relevant fi nancial relationships with commercial entities occurring within the past 12 months (such as grants or research support, employee, consultant, stock holder, member of speakers bureau, etc.). The AAOS and VOS will employ appropriate mechanisms to resolve potential confl icts of interest to maintain the standards of fair and balanced education to the reader. Questions about specifi c strategies can be directed to the Offi ce of Continuing Medical Education, American Academy of Orthopaedic Surgeons, 6300 North River Road, Rosemont, IL 60018-4262.

Disclosure of Discussion of Non-FDA Approved Uses for Pharmaceutical Products and/or Medical DevicesThe American Academy of Orthopaedic Surgeons (AAOS) and VOS, as ACCME providers, require that all faculty presenters identify and disclose any off-label uses for pharmaceutical and medical device products. AAOS recommends that each physician fully review all the available data on new products or procedures prior to clinical use.

CME Activity Participant RequirementThe American Academy of Orthopaedic Surgeons Offi ce of Continuing Medical Education and VOS require that all participants at live CME activities sign attendance sheets daily to confi rm participation in the CME activity for that day. Certifi cates of attendance designating the maximum number of hours of participation, are distributed to each participant at the CME activity. Participants are responsible for accurately tracking their actual participation at live events.