Friday, October 28, 2016

Buenos Aires IFSSH Meeting

It was my pleasure to attend the 50th anniversary meeting of the IFSSH- the International Federation of Societies for Surgery of the Hand.  This international organization meets every three years (previous meetings in South Korea and India, next meeting in Germany) with a weeklong exchange and dialog on hand surgery.  I was pleased to have the opportunity to be a part of a great symposium as well as share our work in 3 scientific presentations.

Steve Moran organized a great congenital hand symposium including Scott Oishi (USA), Michael Tonkin (Australia), Goo Hyun Baek (South Korea), Miguel Hernandez (Mexico), and Neil Jones (USA) discussing late complications after a variety of congenital procedures.  I was pleased to participate and discuss late complications after syndactyly reconstruction.  I shared our experience in St Louis including the early positive findings with hyalomatrix.  Great symposium!

We also shared our experience in scientific presentations for
1) humerus rotational osteotomy for internal rotation posture in arthrogryposis
2) hyalomatrix early outcomes with syndactyly reconstruction
3) Elbow release procedures

Buenos Aires is an amazing city which I was briefly able to tour. A few of the sites:

One of the many beautiful churches in Buenos Aires

The widest avenue in the world with the Obelisk in the distance

One of the few "Thinker" statues by Rodin, in Buenos Aires.

In short, while my trip was brief, it was both a great cultural experience and scientific experience!

Charles A. Goldfarb, MD
My Bio at Washington University

Saturday, October 8, 2016

ASSH Annual Meeting 2016

I recently returned from Austin Texas, site of the American Society for Surgery of the Hand Annual Meeting.  This was the first time the meeting was held in Austin but I am sure we will be back.  I thought the overall meeting was really well done with a great mix of scientific content and review materials.

I want to briefly highlight some of the events regarding congenital hand and upper extremity differences.

Scott Oishi from Texas Scottish Rite Hospital in Dallas led a Symposium on "What I Have Learned' on Congenital Differences.  There were talks on the timing of surgery, (Oishi) radial polydactyly (thumb duplication) (Steven Hovius from Rotterdam, The Netherlands), radial longitudinal dysplasia (Michelle James, Northern California Shriners Hospital), toe transfers (Scott Kozin, Philadelphia Shriners Hospital) and syndactyly (mine).  I learned from each speaker including new techniques.

We had an Instructional Course on What Works for Congenital Differences.  This was a great course with participants Doug Hutchinson, Michelle James, Ann Van Heest, and Darryl Chew (Singapore) with talks on common issues (trigger thumb) and rare conditions (central polydactyly).

Group for ICL

And finally, I was able to present the Manske Award for the Best Congenital Hand Surgery Manuscript for 2015.  This award is presented on behalf on the Pediatric Hand Study Group and former fellows of Dr Manske.  This is the fifth year of the award with previous winners from across the world (Sweden, India, and England) on topics such as radial deficiency, multiple hereditary exostosis, and social adaptation.  This year's winner was "Tendon Transfer Surgery in Upper-Extremity Cerebral Palsy Is More Effective Than Botulinum Toxin Injections or Regular, Ongoing Therapy" by authors Van Heest, Bagley, Molitor, and James.  The paper found that surgery provided improved outcomes (modest) compared to botulinum toxin and ongoing therapy.  Ann Van Heest accepted the award on behalf of her co-authors.

Manske Award Presentation to Ann Van Heest

Charles A. Goldfarb, MD
My Bio at Washington University