Orthopaedic Update 2018

Friday – Sunday, April 13-15, 2018

Nemacolin Woodlands Conference Center 
Farmington, Pennsylvania

SPONSORED BY
Department of Orthopaedic Surgery 
Allegheny Health Network 
Pittsburgh, Pennsylvania
Conference Co-Directors   Conference Faculty (continued)
Michael Levine, MD   George Eid, MD
Clinical Associate Professor, Orthopaedic Surgery  Professor of Surgery, Temple University
Temple University School of Medicine Adjunct Professor of Biomedical Engineering
Vice Chairman Deptartment of Orthopaedic Surgery  Carnegie Mellon University
Forbes Hospital System Division Chief, Minimally Invasive Surgery
Allegheny Health Network  System Director, Bariatric and Metabolic Institute
Pittsburgh, Pennsylvania Allegheny Health Network
Pittsburgh, Pennsylvania
Michael Scarpone, DO 
Associate Professor, Sports Medicine  Carlos Garcia, MD 
Drexel University College of Medicine  Regenerative Spine and Joint Institute
Medical Director, Trinity Sports Medicine Premier Pain Care
Team Physician, Pittsburgh Pirates Baseball Club American Board of Anesthesiology
Regenerative Medicine  Sanger, Texas
Allegheny General Hospital 
Pittsburgh, Pennsylvania Cheryl Haibach, PT, PCS
Director, Pediatric Therapy
Conference Faculty Pediatric Orthopedic Institute
Allegheny Health Network
Sam Akhavan, MD Wexford, Pennsylvania
Assistant Professor, Orthopaedic Surgery
Temple University School of Medicine Daniel G. Hoernschemeyer, MD
Allegheny General Hospital Assistant Professor Orthopedic Surgery
Allegheny Health Network Department of Orthopedic Surgery
Pittsburgh, Pennsylvania University of Missouri-Columbia
Columbia, Missouri
Joseph Albano, MD
Comprehensive Orthopedics and Sports Medicine Victor Ibrahim, MD
Albano Clinic Assistant Professor, Georgetown University School
Salt Lake City, Utah of Medicine
Director of the Performance and Musculoskeletal
Cheryl Bagley, NTP, CHFS, GAPS, QRA  Regenerative Center
Rejuvitrition   Medstar National Rehabilitation Hospital
Pittsburgh, Pennsylvania Washington, DC
Justin Baker, DC, MS, CCSP® CSCS  Susan L. Korch, BS, MPT, LMT
Trinity Sports Medicine and Performance Center President / Director
Director, Trinity P3 Performance Vital Force Therapeutics
Adjunct Faculty Franciscan University of Ohio Canonsburg, Pennsylvania
Mary Lee Beach, DPT, MS , OCS Wendi Liguori, ATC, Cfo, COA, C. Ped 
Oakmont Orthopeadic and Sports Physical Therapy Orthopedic Clinician
Oakmont, Pennsylvania Boston Orthotics & Prosthetics
Bridgeville, Pennsylvania
Robert Colin Brabender, MD
Hand and Upper Extremity Surgeon Robert Liss, MD
Allegheny Health Network Clinical Instructor, Orthopaedic Surgery
Pittsburgh, Pennsylvania Temple University School of Medicine
Orthopaedic Associates of Pittsburgh
Dave Crane, MD Allegheny Health Network
Bluetail Medical Group Pittsburgh, Pennsylvania
St. Louis, Missouri
Kelly Lodovico, MS, OTR/L
Occupational Therapist
Human Motion Rehabilitation-Monroeville
Allegheny Health Network
Pittsburgh, Pennsylvania
Conference Faculty (continued) Conference Faculty (continued)
Martine Marino, MPT, COMT Michael Seel, MD
Center Manager for NovaCare in Bethel Park Division of Adult Reconstruction
Pittsburgh, Pennsylvania Director, Orthopaedic Surgery
Western Pennsylvania Hospital
Jaclyn Martz, DPT Allegheny Health Network
Forbes Hospital Pittsburgh, Pennsylvania
Allegheny Health Network
Monroeville, Pennsylvania James Sferra, MD
Director, Division of Foot and Ankle Surgery
Brian F. Moore MD Director, Foot and Ankle Fellowship
Orthopedic Associates of Pittsburgh Allegheny General Hospital
Allegheny Health Network Allegheny Health Network
Pittsburgh, Pennsylvania Pittsburgh, Pennsylvania

Brian Mosier,MD Brian Shiple, DO

Department of Orthopedic Surgery Associate Clinical Professor of Family and
Allegheny Health Network Community Medicine,
Pittsburgh, Pennsylvania Temple University School of Medicine
Center for Sports Medicine
George F. Muschler, MD Springfield, Pennsylvania
Professor, Orthopaedic Surgery
Center for Adult Reconstructive Surgery Nicholas Sotereanos, MD
Director, Regenerative Medicine Laboratory Assistant Professor, Orthopaedic Surgery
Cleveland Clinic Drexel University College of Medicine
Cleveland, Ohio Executive Vice-Chair,
Department of Orthopaedic Surgery
David Neushwander, MD  Director, Division of Adult Reconstruction
Forbes Hospital Allegheny General Hospital
Allegheny Health Network Allegheny Health Network
Pittsburgh, Pennsylvania Pittsburgh, Pennsylvania

Nicholas Piuzzi, MD  Peter Tang, MD, MPH

Orthopaedic Regenerative Medicine and Cellular Associate Professor, Drexel University College of
Therapies Medicine
Cleveland Clinic Director, Allegheny General Hospital
Cleveland, Ohio Hand, Upper Extremity & Microvascular Surgery
Fellowship
Gregory J. Purnell Jr., MD Department of Orthopaedic Surgery
Assistant of Orthopedic Surgery Allegheny General Hospital
Drexel University School of Medicine Allegheny Health Network
Department of Orthopaedic Surgery Pittsburgh, Pennsylvania
Forbes Hospital
Allegheny Health Network Tony Zuloaga, PT, MS, OCS
Pittsburgh, Pennsylvania Director and Clinician at NovaCare Physical Therapy
North
Jessica Rubino, OTR/L Outpatient Orthopedic and Sports Physical Therapy
Forbes Hospital Clinic
Allegheny Health Network McMurray, Pennsylvania
Monroeville, Pennsylvania

Timothy J. Sauber, MD 

Department of Orthopaedic Surgery
Division of Adult Reconstruction/Hip Preservation
Allegheny General Hospital
Allegheny Health Network
Pittsburgh, Pennsylvania
Conference Overview and Intended Audience
The last several years have brought an explosion of new technologies and
techniques in orthopaedics. Use of robotic surgery, smaller incisions, more
aggressive rehabilitation, new pain control protocols and new types of implants
all carry implications for changes in care. Accordingly, reduction of complications
following orthopaedic procedures is vital in improving outcomes for the
orthopaedic patient. This conference is intended for physicians, chiropractors,
physician assistants, athletic trainers, nurses, physical and occupational therapists
and surgical technologists.

Course Objectives
At the conclusion of this conference, participants should be able to:
n Recognize national clinical guidelines for managing patients with orthopaedic
concerns
n Evaluate and diagnose knee, shoulder and joint pain
n Provide non-operative treatment of sports injuries
n Assess the aging process with a healthy musculoskeletal system, including sleep
patterns, hormone supplementation in healing, exercise, and the use of biologics
in the healing process
n Identify the effects of obesity on musculoskeletal problems
Conference Agenda 
Friday, April 13, 2018
7:00 am   Registration and Breakfast/Visit exhibits
7:45 am Opening Remarks 
Michael Scarpone, DO
8:00 am Bone Marrow and Blood Derived Cellular Therapies-Quality
and Composition   
Nicholas S. Piuzzi, MD
8:30 am Orthobiologics in Joint Preservation: What Is Working and
How Would We Know? 
George F. Muschler, MD
9:00 am Proof! We Can Fix Our Patient’s Injuries!
Brian Shiple, DO
9:30 am Longitudinal Follow-up of Severe Knee OA after Subchondral
Cellular Injection 
Joseph Albano, MD, RMSK
10:00 am Break (Visit Exhibits)
10:30 am Advances in Nerve Regeneration: The Next Frontier
Victor Ibrahim, MD
11:00 am Update Medial Meniscal Extrusion and Capsule Repair
Dave Crane, MD
11:30 am What Is New with Bio Cellular Disc Therapies?
Carlos Garcia, MD
12:00 pm  Lunch and Visit Exhibits
1:00 pm Upper Extremity Neurodynamics: Evaluation and Treatment
Justin Baker, DC
1:30 pm Manual Therapy Assessment and Intervention of the Sacroiliac Joint
and Proximal Hip
Tony Zuloago, PT, MS, OCS, and Susan Korch, BS, MPT, LMT
3:00 pm   Afternoon Break
Evening Session
5:45 pm   Welcome Remarks and Overview
6:00 pm Total Joint Replacement in the Obese Patient
Nicholas Sotereanos, MD
6:30 pm Functional Activities in the Obese Patient   
Jessica Rubino, OTR/L and Jaclyn Martz, DPT
7:00 pm Nutritional Alternatives for Obesity   
Cheryl Bagley, NTP, CHFS, GAPS, QRA
7:30 pm Bariatric Surgery in 2018 
George Eid, MD
8:00 pm  Adjournment
Saturday, April 14, 2018
7:00 am Registration and Breakfast/Visit exhibits
7:30 am MI Eye Adult Reconstruction and Sports Medicine 
Timothy Sauber, MD, and Sam Akhavan MD
8:00 am Arthroscopic Rotator Cuff Repair  
Gregory Purnell, MD, and Mary Lee Beach, DPT, MS, OCS
8:45 am Arthroscopic Shoulder Instability  
Sam Akhavan, MD, and Mary Lee Beach, DPT, MS , OCS
9:30 am Robotic Total Hip Replacement  
Michael Seel, MD, and Mary Lee Beach, DPT, MS , OCS
10:15 am Break
10:30 am Robotic Total Knee Replacement
Brian Moore, MD, and Martine Marino, MPT, COMT
11:15 am Arthroscopic ACL Repair 
David Neuschwander, MD, and Martine Marino, MPT, COMT
12:00 pm   Lunch (Visit exhibits)
1:00 pm  Osteochondral Allograft of the Knee 
Brian Mosier MD
1:30 pm  Posterior Spine Fusion 
Robert Liss, MD, and Martine Marino, MPT, COMT
2:15 pm  Future Treatments for Adolescent Idiopathic Scoliosis:
Fusionless Correction  
Daniel G. Hoernschemeyer, MD
2:45 pm Discrepancies in the Treatment/Management of Spondylotic
Conditions
Wendi Liguori, ATC, Cfo, COA, C. Ped, and
Cheryl Haibach, PT, PCS
3:45 p.m. Adjournment
Sunday, April 15, 2018
7:30 am Registration and Breakfast
8:00 am Achilles Tendon Reconstruction 
James Sferra, MD, and Martine Marino, MPT, COMT
8:45 am CMC reconstruction
Robert C. Brabender, MD, and Kelley Lodovico, MS, OTR/L
9:30 am  Distal Radius Fractures  
Robert C. Brabender, MD, and Kelley Lodovico, MS, OTR/L
10:15 am Scapular Winging
Peter Tang, MD
10:45 am   Closing Remarks/Adjournment

In accordance with the Accreditation Council for Continuing Medical Education (ACCME)
and the policy of Allegheny General Hospital, presenters must disclose all relevant
financial relationships, which in the context of their presentation(s), could be perceived
as a real or apparent conflict of interest, (e.g., ownership of stock, honoraria or
consulting fees). Any identifiable conflicts will be resolved prior to the activity. Any such
relationships will be disclosed to the learner prior to the presentation(s).
 Accreditation
This conference will provide a total of 17.5 hours of education
Friday = 7.75 Saturday = 6.75 Sunday = 3.00
This activity has been planned and implemented in accordance with the Essential Areas
and policies of the Accreditation Council for Continuing Medical Education (ACCME)
through joint providership of Allegheny General Hospital and Forbes Hospital.
Allegheny General Hospital is accredited by the Accreditation Council for Continuing
Medical Education to provide continuing medical education for physicians.

Credit Designation Statement

Allegheny General Hospital designates this live activity for a
maximum of 17.5 AMA PRA Category 1 CreditsTM Physicians should
claim only the credit commensurate with the extent of their
participation in the activity.

Other Credit
American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1
CreditsTM from organizations accredited by the ACCME.
American Academy of Nurse Practitioners (AANP) accepts AMA PRA Category 1
CreditsTM from organizations accredited by the ACCME.
American Academy of Physician Assistants (AAPA) accepts AMA PRA Category 1
CreditsTM from organizations accredited by the ACCME.
Ohio Chiropractic Board accepts AMA PRA Category 1 CreditsTM from organizations
accredited by the ACCME
Allegheny General Hospital has approved this activity for 17.7 contact hours for
non-physicians
Athletic Trainers
Allegheny General Hospital (BOC AP#: P2827) is approved by the Board of
Certification, Inc. to provide continuing education to Athletic Trainers. This
program has been approved for a maximum of 17.5 EBP Category hours/CEUs.
ATs should claim only those hours actually spent in the educational program.

Occupational Therapists
Intermediate Level
This program has been approved for 1.7 AOTA CEUs/17.25 contact hours. As part of the American Occupational
Therapy Association (AOTA)’s Approved Provider Program – Single Course Approval, AOTA is requesting that
participants of this course complete a short online survey about your continuing education experience with our
organization as an AOTA Approved Single Course Provider. Completing this survey will also enter you into a quarterly
drawing for a $100 voucher for AOTA publications or CE. To access the survey go to: https://www.surveymonkey.com/
s/AOTAsinglecourse
Physical Therapists
Application will be submitted to the PA and Ohio State Board of Physical Therapy for approval of continuing education
credit.
Surgical Technologists
For the purposes of recertification, AST the Association of Surgical Technology Inc., accepts AMA PRA Category 1
CreditsTM issued by organizations accredited by the ACCME.
Location and Accomodations
Nemacolin Woodlands Conference Center Farmington, Pennsylvania. A block of
rooms has been reserved at Nemacolin Woodlands — slightly more than a one
hour drive from Pittsburgh. Special conference rates are $239/night + tax for a
Chateau room and $189/night + tax for a Lodge room or townhouse. Reservations
may be made by calling 1-800-422-2736 or 724-329-8555. The room block closes on
March 22, 2018.

Please be sure to mention the Ortho Update 2018 conference to take advantage of
the special conference room rates. Please Note: Per our contract with Nemacolin,
the following charges will automatically be applied to each room:

Resort Fee: $15.00 per room/per night, Includes: Valet parking, on-property shuttle
service, Fitness Center access, inclusive of Wet Areas), wireless internet, local and
toll free calls, outdoor pool access, in-room coffee or designated complimentary
coffee areas, newspaper, 3:00 p.m. Art Tours Sunday – Friday, Fallingbrook Mini Golf
and hiking / winter trails access. Additional charges may be advised depending on
requirements. Prices available upon request. NO ADDITIONAL GRATUITY REQUIRED.

For directions to Nemacolin Woodlands, please visit their Web site at

www.nemacolin.com.

If you require assistance with hearing, vision, or mobility to make this conference
accessible to you, please check this box and contact the CME office at 412-359-4952
at least two weeks prior to the conference date

Activities
15% discount on merchandise purchased by Individual guests in the Nemacolin
Retail Shoppes (excluding the Hardy Family Art Collection and Hardy & Hayes) 10%
discount on all resort activities purchased by individual guests, including spa and
shooting academy (excluding Lady Luck Casino).

For additional information concerning Orthopaedic Update 2018, please contact

the CME office by e-mail to Bernice.sulkowski@ahn.org
Refund Policy
A refund of the registration fee, less a $25 processing fee, will be made when
a written request or a telephone request followed by a written confirmation is
received prior to April 2, 2018. After this date, refunds cannot be made. Fees will
not be refunded for failure to attend.

Registration Information
The registration fee includes the course materials, continental breakfast, lunch and
break refreshments.

Fee: $275 Physicians

$140 Nurses and Other Health Care Professionals (Athletic Trainers, Physical
and Occupational Therapists)
$75 AHN Employees
$75 Surgical Technologists
$75 Residents and Fellows*
* Verification letter from program director required.

Deadline: April 6, 2018

(Registrations will be taken after the deadline date on a space-available basis.)

To Register: To register online, please go to www.aghcme.org. To register by

mail or fax, complete the registration form and return it with the registration fee
or fax to:

Continuing Medical Education

Allegheny General Hospital
320 East North Avenue
Pittsburgh, Pennsylvania 15212-4772
Fax (412) 359-8218

The preferred method of payment is by VISA, MasterCard, American Express or

Discover; however checks will be accepted made payable to Allegheny General
Hospital CME.

Allegheny Health Network does not discriminate on the basis of race, color, national
origin, religion, sex, disability, military status, sexual orientation or age. Allegheny
Health Network is committed to accessibility and non-discrimination in all aspects of
its continuing education activities. Participants who have special needs are
encouraged to contact program organizers so that all reasonable efforts to
accommodate these needs can be made.
REGISTRATION FORM
Registration for Orthopaedic Update 2018 is required. Please complete this registration
form and return it with your payment no later than April 6, 2018.

Name

Degree

Specialty

Affiliation

Address

City State Zip

E-mail

Day Telephone ( )

FAX# ( )

Method of Payment: ❏ Credit Card ❏ Check

Credit Card Type: ❏ Visa ❏ MasterCard ❏ American Express ❏ Discover

Total Amount

Credit Card #

Exp. Date

Name on Card

Signature*

* By signing this form, I authorize ❏ If you require assistance with hearing,

Allegheny General Hospital to charge
my credit card for the above amount.
My signature also indicates that I will not
dispute this charge in the future through
my credit card company.
vision or mobility to make this confer-
ence accessible to you, please check
this box and contact the CME office
at (412) 359-4952 at least two weeks
prior to the conference date.
Continuing Medical Education
Non-Profit
Allegheny General Hospital Organization
320 East North Avenue U.S. Postage
Pittsburgh, Pennsylvania 15212-4772 PAID
Pittsburgh, PA
Permit No. 2885

www.aghcme.org