Report: AO course in Sydney 2011
What did I learn?
- How to respect soft tissue. A better outcome of any
surgery depends very much on the delicate handling and
respect for soft tissue. The use of instruments cannot be
emphasized. On top of that, the importance to delay surgery
to ensure that the soft tissue has settled is
- Preoperative planning. This is important as it ensure
one to think about the difficulty and what particular
approach to use, the instruments one will use etc. Also it
makes one to meditate and start thinking about all the fine
details of any procedure.
- Absolute and relative fixation. The morphology and
difficulty of any fracture determines this. Also the
anatomic location of the fracture. If possible, we must
ensure an absolute reduction in the forearm at all cost. Of
course, fragmented fracture of the long bones can be dealt
with by relative stability. Also the type of construct use
is also highlighted.
- In the practical sessions, the important points of ORIF
are highlighted. An important one is to avoid over
stripping of the periosteum. Also, how to use the important
instruments on how to do an IMNail (femur and tibia),
external fixation etc.
- Group discussions. During the group discussions we
contribute various ideas on how to approach a particular
problem. I learnt the importance of communicating with your
colleagues and other very important senior surgeons.
Listening and accepting and trying to comprehend each
other's point of view are of greatest importance.
- A fracture of children and adult. The management of a
fracture of a child and adult is very different. An adult
is not an expanded version of a child. It is different
because a child is growing and because of the growth
What will I change in my daily work?
- CMEs. In order to stay focus and be like my other
colleagues I need to continue to read resources,
presentations and research. We have now ventured on a 3
times a week CME and continue teaching ward rounds.
- Preoperative conference. Unlike any time since I joined
the team, we now have regular preoperative conference. We
look at each case for operation the next day, we look at
the patients overall status, review the X-rays, discuss the
difficulty of the injury, what approach to use, the
intended hardware to use and the post operative
expectations and what to do. This is very important and I
can tell the benefit of it.
- Research. I need to start looking at problem areas and
try to make some sort of study.
- Take a more proactive role in the running of the
- Communication with local and overseas colleague on
problem cases. Join the iPath.
- To start some major operations e.g. IMN, PMR etc.
What do I want to learn next?
- Hand surgery - For some reason I am very interested and
have done some hand cases.
- Do the advanced AOTrauma
- Look forward to Swiss attachment. I am not so sure if
we are allowed to assist in cases.
- The ATLS. Need to do one.
- To do hip and knee replacements.
© May 2011, Dr George Kabwere