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51st Annual Meeting - May 1-3, 1998
McLean Hilton at Tysons Corner - Vienna, Virginia

Sponsored by Carilion Health System
Roanoke, Virginia

President: Paul N. Krop, M.D.
Program Chairman: John J. Schaffer, M.D.


DAVID W. ALTCHEK, M.D. - Associate Attending Orthopaedic Surgeon, Sports Medicine, Hospital for Special Surgery, New York. Assistant Professor of Surgery, Cornell University Medical Center. Team physician for the New York Mets baseball team. North American Medical Director for the Association of Tennis Professionals. Member of the Sports Science Committee for the United States Tennis Association.

JOSEPH J. BUCKWALTER, M.D. - Professor of Orthopaedic Surgery, University of Iowa College of Medicine, Iowa City, Iowa. Staff Physician, Chief of Orthopaedic Surgery Service, Iowa City Veterans Administration Medical Center, Iowa City. Team physician, Universityof Iowa Athletic Department Football Program. 

DAVID C. JORDAN - Assistant Chief of the Health Care Task Force, U.S. Department of Justice Antitrust Division.

MATT QUADE - Senior Benefits Consultant in Health and Welfare Practice with WTR Consulting Group, Bethesda, Maryland.

THOMAS G. SNEAD, JR. - President and Chief Operating Officer, Trigon Blue Cross Blue Shield.


FRIDAY, MAY 1, 1998

8:00 Board of Directors Breakfast Meeting Jackson Room
8:00 Speaker Ready Room Lee Room
12:00 - 6:00 Registration Pre-Function Area
12:00 Exhibits Hall Opens - Refreshments Ballroom B
12:50 - 5:15 Educational Program Ballroom C
3:00 - 3:20 Refreshment Break - Visit Exhibits Ballroom B
5:15 - 6:00 "Real Life" Session for Residents Ballroom C
6:30 - 7:30 Reception - All Attendees Martinique's


6:30 - 12:30 Registration Pre-Function Area
6:30 Speaker Ready Room Lee Room
6:45 Exhibits Hall Opens Ballroom B - Continental Breakfast
7:30 - 12:00 Educational Program Ballroom C
10:10 - 10:30 Refreshment Break - Visit Exhibits Ballroom B
12:00 Business Meeting Ballroom C
12:20 Adjourn for the Da
6:00 - 7:30 Reception  - Courtesy Howmedica - Virginia/Carolina, Inc.

SUNDAY, MAY 3, 1998

7:00 Registration Pre-Function Area
7:00 Speaker Ready Room Lee Room
8:00 - 11:15 Educational Program Ballroom C -
Including Regional Updates on Managed Care and Orthopaedic Internet Demonstration
10:10 - 10:20 Refreshment Break Pre-Function Area
11:15 - 11:30 Presidential Address
11:30 Best Resident Paper Award Presented
11:35 Business Meeting Ballroom C
12:00 1998 Annual Meeting Adjourns

Friday, May 1, 1998

12:50 Welcome and Opening Remarks - Paul N. Krop, M.D., President

Moderator: William E. Nordt, III, M.D. - Richmond

12:55 - 1:03 Determination of Contact Pressures at the Tendon Bone Interface in Rotator Cuff Repairs
Mark A. Mighell, M.D.; Mark Frankle, M.D.; Dan Unger, M.D.; Bill Graf, M.D. - Chesapeake

1:03 - 1:11 The Postero-inferior Shoulder Arthroscopy Portal and Its Relationship to the Axillary Nerve
Gregory Montalbano, M.D.; Robert P. Nirschl, M.D.; David Gonzalez, M.D. - Arlington

1:11 - 1:19 Anatomy of the Rotator Cuff
David Gonzalez, M.D.; Robert P. Nirschl, M.D.; Gregory Montalbano, M.D. - Arlington

1:19 - 1:27 Fixation Following Tibial Tubercle Osteotomy
Kenneth E. Davis, M.D.; P. E. Caldwell, B.S.; J. S. Wayne, Ph.D.; William Jiranek, M.D. - Richmond

1:27 - 1:40 Discussion

1:40 - 2:05 Elbow Injury in Throwing Athletes
David Altchek, M.D. - New York, NY

2:05 - 2:15 Discussion

2:15 - 2:40 Antitrust Issues Related to Physician Collaboration
David Jordan - Assistant Chief of Health Care Task Force, U.S. Department of Justice Antitrust Division

2:40 - 3:00 Discussion

3:00 - 3:20 Refreshment Break - Visit Exhibits (Ballroom B)

Moderator: Timothy E. Budorick, M.D. - Norfolk

3:20 - 3:28 The Value of Lumbar Spine MRI to Predict Low Back Pain in Asymptomatic
Subjects: A 7-year Follow-up Study
James W. O'Mara, Jr., M.D.; David Borenstein, M.D.; Scott D. Boden,
M.D.; William Lauerman, M.D.; Alan Jacobson, M.D.; Craig Platenberg,
M.D.; Dieter Schellinger, M.D.; Sam Wiesel, M.D. - Alexandria

3:28 - 3:36 Computer Assisted CT Image Guided Insertion of Iliosacral Screws E. Frederick Barrick, M.D. - Falls Church

3:36 - 3:44 Early Experience with a Computer Assisted Technique for Iliosacral Screw Placement in Posterior Pelvic Ring Disruptions
Krishna Mallik, M.D.; David M. Kahler, M.D. - Charlottesville

3:44 - 4:00 Discussion

4:00 - 4:25 The Methods Employers Use to Choose Insurance Plans
Matthew Quade - Senior Benefits Consultant, WTR Consulting Group

4:25- 4:35 Discussion

4:35 - 5:00 Shoulder Instability, Current Concepts
David Altchek, M.D. - New York, New York

5:00 - 5:15 Discussion

5:15 - 6:00 "Real Life" Session for Residents

Saturday, May 2, 1998

Moderator: Wilford K. Gibson, M.D. - Norfolk

7:30 - 7:38 Magnetic Distal Targeting and Modular Femoral Nail Design
Alfred A. Durham, M.D. - Roanoke

7:38 - 7:46 Allograft Reconstruction of Reruptures of the Patellar
Tendon: A Case Report
Kenneth G. Ward, M.D. - Woodbridge

7:46 - 7:54 Allograft Reconstruction of the Avulsed Patellar Tendon Following Total
Knee Arthroplasty - A Proposed Surgical Technique
Kenneth G. Ward, M.D. - Woodbridge

7:54 - 8:02 Salvage of Malunited Calcaneal Fractures
Michael M. Romash, M.D. - Chesapeake

8:02 - 8:15 Discussion

8:15 - 8:40 Repair, Regeneration, and Transplantation of Articular Cartilage
Joseph A. Buckwalter, M.D. - Iowa City, Iowa

8:40 - 8:50 Discussion

Moderator: Joseph A. Buckwalter, M.D. - Iowa City, Iowa

8:50 - 8:58 Nontraumatic Avascular Necrosis of the Femoral Head: Histologic Correlation with Magnetic Resonance Imaging
Anil Taneja, M.D., LCDR, MC, USN; Joel Stewart, M.D., LT, MC,
USNR; George Markovich, M.D., LCDR, MC, USNR; John Russell,
M.D., Capt, MC, USN; Lynn Beach, M.D., Lt, MC, USNR; Chris
Anderson, M.D., CDR, MC, USNR - Portsmouth Naval Medical Center

8:58 - 9:06 Histology Following Primary Hip and Knee Arthroplasty: Expensive and Expendable
T. Lawrence, M.D.; David Diduch, M.D.; Joseph Moskal, M.D. - Charlottesville

9:06 - 9:14 Reversing the White Blood Cell Response for Infectious Arthritis in Rabbit Knees
Christopher J. Hogan, M.D.; David Diduch, M.D.; Guo-Dong Fang,
M.D.; Michael Scheld, M.D.; Joel Linden, M.D. - Charlottesville

9:14 - 9:22 Insulin-like Growth Factor-1 Induces Chondrogenesis in Periosteum Explants
Cay M. Mierisch, M.D.; R. E. Topping, M.D.; P.C. Anderson, M.S.;
G. Balian, Ph.D., D.R. Diduch, M.D. - Charlottesville

9:22 - 9:35 DiscussionGUEST LECTURE
9:35 - 10:00 Co-existence of Physicians and Insurance Plans
Thomas G. Snead - President and Chief Operating Officer
Trigon Blue Cross Blue Shield

10:00 - 10:10 Discussion

10:10 - 10:30 Refreshment Break - Visit Exhibits (Ballroom B)

Moderator: Thomas Temple, M.D.

10:30 - 10:38 Osteonecrosis of the Femoral Head Treated with Cementless Total Hip Arthroplasty
William T. Hartley, M.D.; James P. McAuley, M.D.; William J.
Culpepper, M.S; C. Anderson Engh, Jr., M.D.; Charles A. Engh,
Sr., M.D. - Alexandria

10:38 - 10:46 Concerns with the Use of Extensively Porous Coated Femoral Components in the Total Hip Arthroplasty
James P. McAuley, M.D.; W. J. Culpepper, M.S.; C. A. Engh, M.D.- Alexandria

10:46 - 10:58 Results of Femoral Revision with Extensively Porous-Coated Stems in Patients with Severe Proximal Femoral Bone Loss: Minimum 10-year Follow- up
Thomas J. Ellis, M.D.; Lisa M. Losito, MPH; C. Anderson Engh, Jr.,
M.D. - Alexandria

10:58 - 11:06 Porous Coated Cementless Total Hip Arthroplasty in Elderly Patients
James P. McAuley, M.D.; K.D. Moore, M.D.; W.J. Culpepper, M.S.;
C.A. Engh, M.D. - Alexandria

11:06 - 11:15 Discussion

11:15 - 11:30 Orthopaedics Internet Demonstration
Harry C. Eschenroeder, M.D. - Lynchburg

11:30 - 11:50 Evaluation and Treatment of Metastatic Disease of the Skeleton
Joseph A. Buckwaltear, M.D. - Iowa City, Iowa

11:50 - 12:00 Discussion

12:00 Business Meeting

Adjourn for the Day

Sunday, May 3, 1998

Moderator: Martin K. Deafenbaugh, M.D. - Portsmouth

8:07 - 8:15 Repair of Radial Tears of the Meniscus
Terry L. Whipple, M.D., F.A.C.S. - Richmond

8:15 - 8:23 Changes in Radiocarpal Contact Pressures Following Proximal Row Carpectomy
Christopher J. Hogan, M.D.; Patricia McKay, M.D.; Gregory G.
Degnan, M.D. - Charlottesville

8:23 - 8:31 Twenty-five Years of Distraction Lengthening in Hands - What I'e Learned the Hard Way
Norman J. Cowen, M.D. - Washington, DC

8:31 - 8:39 Hemiplegic Cerebral Palsy: An Analysis of Motor Classification
Bettina M. Gyr, M.D.; Mark F. Abel, M.D.; Diane L. Damiano, Ph.D.;
Kevin P. Granata, Ph.D. - Charlottesville

8:39 - 8:50 Discussion

8:50 - 9:40 Regional Updates on Managed Care in Virginia
Anthony J. DiStasio, II, M.D. - Hampton Roads
Terry L. Whipple, M.D. - Richmond
Joseph T. Moskal, M.D. - Roanoke
Robert P. Nirschl, M.D. - Northern Virginia

9:40 - 10:00 Audience Discussion on Managed Care

10:00 - 10:20 Refreshment Break

Moderator: Gwo-Jaw Wang, M.D. - Charlottesville

10:20 - 10:28 The Influence of Activity and Design on the Kinematics of Total Knee Replacements
George D. Markovich, M.D.; S. A. Banks, M.D.; R. Kaneyama, M.D. - Chesapeake

10:28 - 10:36 The Treatment of Tibial Stress Fractures and Degenerative Arthritis of the Knee with Total Knee Replacement with a Long Stemmed Tibial Component
John W. Mann, III, M.D.; Joseph T. Moskal, M.D. - Roanoke

10:36 - 10:44 A Radiographic Sign of Periprosthetic Metallosis in Failed Total Knee Arthroplasty
Thomas F. McGovern, M.D.; Joseph T. Moskal, M.D. - Roanoke

10:44 - 10:52 Total Knee Arthroplasty in Patients with Associated Extra- articular Angular Deformity
John W. Mann, III, M.D.; John Insall, M.D.; Giles Scuderi, M.D. - Roanoke

10:52 - 11:00 Revision of Failed Unicompartmental Knee Arthroplasty
Gerard A. Engh, M.D.; James P. McAuley, M.D.; Deborah Ammeen, B.S. - Alexandria

11:00 - 11:15 Discussion

11:15 - 11:30 Presidential Address - Paul N. Krop, M.D. - Norfolk

11:30 Resident Paper Award

11:35 Business Meeting

12:00 Adjourn 1998 Annual Meeting

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