The 11th Thai Orthopaedic Trauma Annual Congress (TOTAC 2023)

It’s a great honor to invite you to participate “The 11th Thai Orthopaedic Trauma Annual Congress (TOTAC)” organized by Thai Orthopaedic Trauma Society (TOTS) during February 22nd -24th , 2023 at Laguna Grand Hotel, Songkhla, Thailand.
The theme of the congress is “The Challenges in Orthopedic Trauma Practice”. The purpose of this meeting is to enhance your knowledge and idea that hopefully will improve your clinical practice in fracture management in the future.
The meeting will cover a wide length of topics from simple to most complex problem in orthopaedic trauma from 6 international guest speakers and 84 local Thai speakers.
I am so excited to have you participate this meeting. I guarantee that you will have a good experience and knowledge together with a great hospitality from this events.

Best wishes,
Boonsin Tangtrakulwanich, MD., Ph.D.
Chief of PSU Orthopaedic Department
Prince of Songkla University

Event Details

สาสน์จากประธานอนุสาขา

       สวัสดีครับสมาชิกอนุสาขาทุกๆท่าน ในวันที่ 22-24 กุมภาพันธ์ ที่จะถึงนี้งานประชุมประจำปีนี้จะได้เริ่มขึ้นแล้วนะครับ ในปีนี้เราได้เดินทางกันไปยังจังหวัดสงขลา โดยความร่วมมือร่วมกันของ ภาควิชาออร์โธปิดิกส์ คณะแพทยศาสตร์ มหาวิทยาลัยสงขลานครินทร์กับทางอนุสาขา งานจะเกิดขึ้นที่โรงแรม laguna resort & spa หลังจากที่สถาณการณ์โรคระบาด COVID 19 ได้เริ่มบรรเทาเบาบางลง และการเดินทางสามารถทำได้สะดวกขึ้น ทำให้ทางอนุสาขาได้สานต่อความสัมพันธ์กับประเทศเกาหลีใต้ และ ไต้หวัน ภายใต้โครงการการแลกเปลี่ยน travelling fellow และ เชิญประธานของแต่ละประเทศมาแลกเปลี่ยนความรู้และแบ่งปันประสพการณ์ นอกไปจากนี้เรายังโอกาสได้รับเกียรติจากวิทยากรผู้เชี่ยวชาญจากประเทศ ญี่ปุ่น สิงคโปร์ และ ฟิลิปปินส์ มาเข้าร่วมด้วย ด้วยเป้าประสงค์จะให้เกิดประโยชน์ต่อผู้เข้าร่วมทำท่าน เพื่อประโยชน์สูงสุดของผู้ป่วย สุดท้ายขออนุญาติสวัสดีปีใหม่สมาชิกอนุสาขาทุกๆท่านและหวังว่าจะได้เจอกันในงานประชุมประจำปีในเดือนกุมภาพันธ์นี้นะครับ
       
นพ.ชนะการ พรพัฒน์กุล
ประธานอนุสาขา Trauma 2565-2567

Dear colleagues, distinguished guests, and delegates

       I am honored to welcome everyone to the 11th TOTAC meeting in Songkhla, the capital of the south of Thailand. This conference is hosted by the Thai Orthopaedic Trauma Society (TOTS) and the Department of Orthopaedics at Songkla University. It was planned two years ago. However, due to the COVID-19 situation, it was postponed twice. This year, once the COVID-19 situation starts to settle and travel opportunities become possible, we will have reunited the whole country as well as our neighboring countries. This year we have an opportunity to welcome friends from Korea, Taiwan, Japan, Singapore, and the Philippines. This conference is specifically designed for orthopaedic trauma injuries, with the main focus on general orthopaedic surgeons and trauma specialists. The advantage of this meeting is that it directly affects the daily practice of all orthopedists in treating their patients well. On behalf of the organizing committee, I would like to invite all members or anyone who has an interest to join this meeting. I hope to see everyone in February.

Best wishes,
Chanakarn Phornphutkul, MD.
President of TOTS 2022-2024

จังหวัดสงขลา เป็นเมืองที่มีอารยธรรมเจริญรุ่งเรืองมานาน มีโบราณสถาน โบราณวัตถุเป็นสิ่งที่ยืนยันได้ดี อีกทั้งวัฒนธรรม ประเพณีที่สืบทอดจากบรรพบุรุษก็น่าสนใจ เช่นเดียวกับเรื่องสถานที่ท่องเที่ยวซึ่งในจังหวัดสงขลานั้นมีอยู่หลากแนวหลายสไตล์ ทั้งชายทะเล ทะเลสาบ ป่าไม้ น้ำตก ฯลฯ สำหรับจุดเช็คอินห้ามพลาด จ.สงขลา ได้แก่

  • หาดสมิหลา 
  • หาดชลาทัศน์ 
  • ถนนคนเดินสงขลาแต่แรก 
  • พิพิธภัณฑสถานแห่งชาติสงขลา 
  • ย่านเมืองเก่าสงขลา 
  • Street Art เมืองสงขลา 
  • สะพานติณสูลานนท์ สถาบันทักษิณคดีศึกษา เกาะยอ 
  • มัสยิดกลางสงขลา 
  • ตลาดน้ำคลองแห 
  • สวนสาธารณะเทศบาลเมืองหาดใหญ่ 
  • ตลาดกิมหยง 
  • ควนคานหลาว 
  • น้ำตกโตนงาช้าง

Orthopaedic surgeon
Head of Orthopaedic Trauma Service
M.D., PH.D.
M.D., PhD
Assistant Professor
M.D. , Ph D.
Speaker, Moderator, Panelist

18.00 Trauma night – Dinner symposium (Thai)
18.00 – 18.15 Segmental femur fracture
18.15 – 18.30 Proximal humeral fracture-dislocation
18.30 – 18.45 Pilon fracture
18.45 – 19.00 Proximal humerus fracture
19.00 – 19.30 Welcome/ introduction/ Fun from TOTS
19.30 – 19.45 Fracture-dislocation of the shoulder
19.45 – 20.00 Gustilo lllB open fracture of the tibia
20.00 – 20.15 Peri-implant fracture of the femur
20.15 – 20.30 Tibial plateau fracture

9.30 Opening ceremony
9.30 – 10.30 Presidential lectures
10.00 – 10.15 “Safety and Efficacy of Prophylactic Closed Incision Negative Pressure Wound Therapy (CiNPWT) after Acute fracture surgery”
10.15 – 10.30 Management of nonunion in the elderly
10.30 Coffee break
11.00 Complex proximal femoral fractures (English)
11.00 – 11.12 “Femoral neck fractures in young adults: upcoming trends in fixation”
11.12 – 11.24 “High-energy trochanteric fractures: Avoiding mistakes to optimize success “
11.24 – 11.36 Plating subtrochanteric fractures: When and how to do!
11.36 – 11.48  Subtrochanteric fractures: Avoiding malreductions after nailing
11.48 – 12.00  Q & A
12.00 Lunch Symposium
13.00 AO Trauma Seminar: Complex fractures around the elbow (English)
13.00 – 13.10 Role of 3D printing in complex fracture of the elbow
13.10 – 13.20 Soft tissue reconstruction for Gustilo IIIB open fractures of the elbow
13.20 – 13.30 Management of coronal shear fracture of distal humerus
13.30 – 13.40 Olecranon fractures: Tips and Tricks from the expert
13.40 – 13.50 Neglected fracture-dislocation of the elbow
13.50 – 14.00 Q & A
14.00 Pelvic fractures: All about the posterior pelvic ring injuries (English)
14.00 – 14.12 Sacral fractures: diagnosis, classification and treatment strategies
14.12 – 14.24 Iliosacral screw: how to make it safe and avoid complications?
14.24 – 14.36 “Sacroiliac joint dislocations & crescent fractures:strategies and plans of treatment?”
14.36 – 14.48 Triangular osteosynthesis: when & how?
14.48 – 15.00 Q & A
15.00 Coffee break
15.30 Acetabulum fractures: All about the posterior-based injuries (English)
15.30 – 15.42 Clinical applications of Kocher-Langenbeck & Gibson intervals
15.42 – 15.54 Trochanteric osteotomy in acetabulum fractures: when and how?
15.54 – 16.06 Posterior wall and column fractures: simple fractures with the worst outcomes
16.06 – 16.18 Transverse and T-type acetabulum fractures: fixing from the posterior approach
16.18 – 16.30 Q & A
16.30 – 17.00 Trauma fellowship commencement

8.30 Complex proximal humerus fractures: We can fix them (English)
8.30 – 8.40 Management of metaphyseal bone void
8.40 – 8.50 How to deal with anterior fracture-dislocations of the proximal humerus
8.50 – 9.00 How to deal with posterior fracture-dislocations of the proximal humerus
9.00 – 9.10 How to deal with proximal humerus head-splitting fractures
9.10 – 9.20 Complications after fixation: how to avoid them
9.20 – 9.30 Q & A
10.30 Coffee break
11.00 Fracture-dislocations (English)
11.00 – 11.10 Femoral head Fractures: When to fix or replace?
11.10 – 11.20 Irreducible hip fracture-dislocations: How to manage?
11.20 – 11.30 Proximal tibial fracture dislocation what do we know
11.30 – 11.40 Avulsion fractures around the knee and their importances
11.40 – 11.50 Hawkins III/IV talus fracture-dislocations: not so easy!
11.50 – 12.00 Q & A
12.00 Lunch Symposium
13.00 Common fractures in the upper extremities (English)
13.00 – 13.15 Surgical fixation of humeral shaft fracture: When and how?
13.15 – 13.30 Surgical strategies in the management of distal humerus fractures
13.30 – 13.45 Complex proximal ulnar fractures
13.45 – 14.00 “Radial Head fractures: Surgical exposures and treatment options”
14.00 – 14.07 Q & A
14.07 – 14.22 Distal radius fractures: From the X-ray to the operation
14.22 – 14.37 External fixation for the upper extremity fractures
14.37 – 14.52 Surgical planning for terrible triad of the elbow
14.52 – 15.00 Q & A
15.00 Coffee break
15.30 Common rotational ankle injuries (English)
15.30 – 15.42 Tri-malleolar fracture: how to make it properly?
15.42 – 15.54 “Syndesmotic injury in ankle fracture: Update treatment and outcomes”
15.54 – 16.06 “Deltoid ligament injury in ankle fracture: How should we do now?”
16.06 – 16.18 “How to manage ankle fracture in unhealthy bone: Diabetic and osteoporotic ankle fracture”
16.18 – 16.30 Q & A

8.30  ICL: Common practice challenges for orthopedic surgeons (Thai)
08.30 – 08.45 “Minimally invasive plate osteosynthesis (MIPO): What we need to know before start?”
08.45 – 09.00  How to avoid intra-operative malalignment for femoral fracture?
09.00 – 09.15  External fixator: our good friend for truama cases
09.15 – 09.30  Infection after osteosynthesis: How to approach properly
10.30 Coffee break
11.00 Trauma clinic part I (Thai)
12.00 Lunch Symposium
13.00 Relive surgery (Thai)
13.00 – 13.20 “Proximal humeral fractures: step-by-step reduction & fixation “
13.20 – 13.40 “IM nailing in pertrochanteric fractures: from the beginning to the end”
13.40 – 14.00 “Supra-acetabular external fixations: it isn’t difficult as you think”
14.00 – 14.10 Q & A
14.10 – 14.25 Retrograde femoral nailing
14.25 – 14.40 Suprapatellar tibial nailing
14.40 – 14.55 Lateral parapatellar tibial nailing
14.55 – 15.00 Q & A
15.00 Coffee break
15.30 Innovation / personal technique to solve problem (Thai)
15.30-15.50 “Where Good Ideas & Innovations come from: 40 Years of Experiences”
15.50-16.10 Clinical advantage of fishing pole external fixator in fracture distal tibia
16.10-16.30 Innovative idea in surgical field to research work

8.30-9.30 Orientation New Trauma Fellow 2023
10.30-12.00 Medronic Kanghui: Workshop 1 The Mystery of Extra-articular Proximal Tibial Fractures
12.00 Lunch Symposium
13.00-14.30 Workshop 2
15.30-17.00 Bangkok Unitrade: Workshop Discover Our Trauma Innovation in Virtual Reality

8.30 “Along and around” Peri-implant and periprosthetic fractures (English)
8.30 – 8.42 Surgical management in fractures around “well-fit” femoral stem
8.42 – 8.54 “Dual plating of the distal femur in periprosthetic knee fracture: when and how?”
8.54 – 9.06 Surgical managements of the inter-implant femoral shaft fractures
9.06 Case discussion
9.06 – 9.18 Periprosthetic fractures
9.18 – 9.30 Peri-implant fractures
9.30 Management of the polytrauma patient (English)
9.30 – 9.42 “Extremity traumas with vascular injuries: How to save limbs & function?”
9.42 – 9.54 Pelvic fractures with shock: How to save lives?
9.54 Case discussion: Strategy for damage control orthopaedics
9.54 – 10.09 Case 1
10.09 – 10.24 Case 2
10.24 – 10.30 Q & A
10.30 Coffee break
11.00 Management of malunion (English)
11.00-11.15 Deformity analysis for lower extremity malunion
11.15-11.30 Principles of deformity correction
11.30 Case discussion
11.30 – 11.50 Acute correction
11.50 – 12.10 Gradual correction
12.10 – 12.30 “Complex cases”
12.30 Lunch symposium
13.30 Nonunion and fixation failure (English)
13.30 – 13.45 A systematic approach for nonunion management
13.45 – 14.00 Valgus osteotomy for femoral neck nonunion: Technical tricks
14.00 – 14.15 Implant failures: How to remove bent/broken nail?
14.15 Case discussion
14.15 – 14.30 Humeral nonunion
14.30 – 14.45 Femoral shaft nonunion
14.45 – 15.00 Tibial nonunion

8.30 Common fractures in the lower extremity (English)
8.30 – 8.40 Posteromedial tibial plateau fractures: How to approach?
8.40 – 8.50 A-type distal Femur Fractures: Nail, plate, or both?
8.50 – 9.00 Surgical tactics in C-type distal femoral fractures
9.00 – 9.10 Hoffa fractures: Evidence-based approach
9.10 – 9.20 Treatment strategy in bicondylar tibial plateau fractures
9.20 – 9.30 Comminuted fractures of the patella: It is not so easy
9.30 – 9.45 Q & A
9.45  Case discussion
9.45 – 10.00 Distal femural fracture
10.00 – 10.15 Tibia plateau fracture
10.15 – 10.30 Complex fractures around the knee
10.30 Coffee break
11.00 Geriatric fracture treatments (English)
11.00-11.12 How to increase stability of fixation in elderly with poor bone stock?
11.12-11.24 “Fragility pelvic fractures: Diagnosis and treatment plan”
11.24-11.36 “””Impact valgus”” femoral neck fractures: Fixation or replacement?”
11.36-11.48 How to achieve satisfactory reduction in intertrochanteric fractures?
11.48-12.00 “Role of Primary replacement in intertrochanteric fractures: When and how?”
12.00 Case discussion
12.00-12.12 Fragility pelvic fracture
12.12-12.24 4-part Proximal femoral fracture
12.24-12.30 Q & A
12.30 Lunch symposium
13.30 Common diaphyseal fracture treatments What an orthopedic trauma surgeon needs to know (Thai)
13.30 – 13.42 Difficult midshaft clavicular fractures: How to fix it?
13.42 – 13.54 “Distal third humerus fractures: Anterior or posterior approach?”
13.54 – 14.06 “Infra-isthmus femoral fractures: How to achieve adequate stability?”
14.06 – 14.18 “Medial plating of the femur: When and how to do it?”
14.18 – 14.30 Floating knee injuries: Treatment strategy for success
14.30 – 14.42 “Proximal tibial fractures: Challenges and tricks for successful outcome”
14.42 – 14.54 Segmental femoral fractures: How to deal with?
14.54 – 15.00 Q & A

12.30Lunch symposium: Zuellig Pharma
9.00 Research presentation part 1
9.00-9.10 Comparative study of union rate in closed humerus shaft fracture after operative fixation with anteromedial vs anterolateral plating by anterolateral approach
9.10-9.20 A Study of Callus Area to Determine Healing Progression of Femoral Shaft Fractures Treated with Intramedullary Nail Fixation Using OrthoRead Program
9.20-9.30 Prediction models for risk of postoperative bedridden status at 12 weeks in elderly patients with intertrochanteric fractures treated with short cephalomedullary nails
9.30-9.40 The relation between femoral greater trochanter overhang and the entry point of cephalomedullary nailing in Thai population
9.40-9.50 The effect of axial femoral rotation on the projected femoral neck-shaft angle: a study of three-dimensional femoral models from CT recontruction
9.50-10.00 Does PHILOS plate match with the distal diaphysis of the humerus ? An anatomical study of Thai population
10.00-10.10 Relationships and degravitating factors of the osteporosis compression fracture with the hip fracture in elderly
10.10-10.20 How can we interpret the axial CT scan in acetabular fractures? A novel technique using 3D segmentation with a stepwise interpretation for Letournel classification
10.20-10.30 Intra-articular alterations after suprapatellar nailing in tibia shaft fracture: Arthroscopic evaluation
10.30-11.00 Coffee break
11.00 Research presentation part 2
11.00-11.10 Recombinant human erythropoietin increases hemoglobin levels and reduces blood transfusions in patients with femur fractures; a randomized controlled trial study
11.10-11.20 Clinical Outcome in Minimally Invasive Approach of Mini Plate versus Screw Fixation of Joint Depression type Calcaneal Fracture
11.20-11.30 Functional outcome after 2 step operation following 1 years neglected posterior hip dislocation : a case report
11.30-11.40 Artificial intelligence assistance in the decisions of management for the patients with polytrauma conditions: A systematic review and future perspectives
11.40-11.50 The Outcome of Posterior Milking Maneuver for Reduction of Complete Displaced Extension Type Supracondylar Humeral Fractures in Children
12.30-13.30 Lunch symposium: Zuellig Pharma
Osteoanabolic Agent : state of the potential for orthopaedic surgeons
13.30-15.00 Trauma clinic part 2 (Thai)

09.30-10.15 Home video: Interesting surgical tricks
9.30-9.40 Periprosthetic hip fracture fixation on traction table: An alternative method for good screws trajectory
9.40-9.50 Bicortical screw in peri-implant fracture
9.50-10.00 Surgical tips for prevent varus malreduction in subtrochanteric fracture
10.00-10.10 Surgical treatment for floating shoulder injury
10.10-10.20 Anterolateral approach for humeral shaft fracture
10.20-10.30 Q&A
10.30-11.00 Coffee break

Event Details
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