2013 Program

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23rd Annual Open Scientific Meeting of MSIS
August 2 & 3, 2013
Dorrance H. Hamilton Building, Thomas Jefferson University Campus

Friday–August 2, 2013

6:30 7:30 a.m. Breakfast and Registration – Visit Corporate Partners
7:30 7:45 a.m. Welcome, Disclosures
Javad Parvizi, MD – President
7:45 8:30 a.m. International Consensus Meeting (ICM) Report
Thorsten Gehrke, MD
Javad Parvizi, MD
8:00 am 5:00 p.m. Posters
8:30 10:00 a.m. Basic Science Scientific Paper Presentations
Moderators: Noreen Hickok, MD and Carl Deirmengian, MD
8:30 8:36 a.m. Intraoperative Dip–coating with Hydrophobic Polycations Inhibits
Biofilms and Supports Bone Healing in an Infection Osteotomy
Model – Thomas Schaer, MD
8:37 8:43 a.m. Bioavailability of Gentamicin and Vancomycin Released from
Bone Cement in Patients Undergoing a Septic One–Stage THA
Revision – Daniel Kendoff, MD
8:44 8:50 a.m. 68Ga–DOTA–Siglec–9 PET Imaging Detects Biomaterial
Infection caused by S. Epidermidis – Hannu T. Aro, MD
8:51 8:57 a.m. The Effect of Pathophysiologic Glucose Concentration on Biofilm
Growth In Vitro – Ryan McLemore, MD
8:58 9:31 a.m. Discussion
9:14 9:20 a.m. Resorbable Hydrogel Provides Effective Anti–Bacterial Coating of
Implants In Vitro and In Vivo – Carlo Luca Romano, MD
9:21 9:27 a.m. GD–DTPA is a Good Antimicrobial Surrogate for In Vivo Imaging
Ryan McLemore, MD
9:28 9:34 a.m. The Biocompatibility of Vancomycin Containing PLLA/β–TCP
Composite and Its Role in Implant Related Osteomyelitis
Feza Korkusuz, MD
9:35 9:41 a.m. Early Detection of Biofilm by Measuring the Impedance between
Interdigital Electrodes – David Jahoda, MD
9:42 9:48 a.m. Antimicrobial Delivery from Resorbable Temperature–Responsive
Hydrogels Are Effective at Controlling Infection
Derek Overstreet, PhD
9:48 10:00 a.m. Discussion
10:00 10:30 a.m Refreshment Break – Visit Corporate Partners
10:30 12:00 p.m Management of Periprosthetic Infection: Emerging Evidence
Moderators: William Hozack, MD and Mark Spangehl, MD
10:30 10:50 a.m Prevention of Surgical Site Infection: CDC Guidelines
Sandra J. Berrios–Torres, MD
10:50 11:05 a.m Operative Room Environment (Laminar Flow/Ultraviolet)
Kelly George Vince, MD
11:05 11:20 a.m Perioperative Antibiotics – Markus Vogt, MD
11:20 11:35 a.m Diagnosis of PJI – Carl Deirmengian, MD
11:35 12:00 p.m Discussion
12:00 1:00 p.m Luncheon – Visit Corporate Partners
12:00 1:00 p.m Clinical Scientific Paper Presentations
Moderators: Paul Holtom, MD and Stefano Bini, MD
1:00 2:30 p.m Sonication for Enhanced Diagnosis of Prosthetic Joint Infection
Curtis Hartman, MD
1:05 1:10 p.m Knee Arthrodesis is Most Likely to Control Infection and Preserve
Function Following Failed 2 Stage Procedure for Treatment of
Infected TKA – Chancellor F. Gray, MD
1:10 1:15 p.m Surgical Treatment of Periprosthetic Joint Infection: Prognostic
Classification – Ron Huang, MD
1:15 1:20 p.m Is There a Role for Routine Intraoperative Cultures to Diagnose
Subclinical Periprosthetic Joint Infection during Revision Total
Hip and Knee Arthroplasty? – Paul Edwards, MD
1:20 1:25 p.m The Use of PRP and Wound–healing Complications after Total
Ankle Arthroplasty – James A. Costanzo, MD
1:25 1:40 p.m Discussion
1:40 1:45 p.m Occult Prosthetic Joint Infection (PJI) is Rare in Patients with
Staphylococcus aureus Bacteremia (SAB) – Aaron Tande, MD
1:45 1:50 p.m Antibiotic Cement–Coated Nails: An Effective Treatment of
Infected Nonunions, Fusions, and Bone Defects
Janet Conway, MD
1:50 1:55 p.m High Rates of Infection before and after Revision of Failed Metal–
on–Metal Total Hip Arthroplasty: A Study of 50 Patients
Cody C. Wyles, BS
1:55 2:00 p.m MoM vs. PJI: That is the Question – Vinay Aggarwal, MD
2:00 2:05 p.m Diagnosing Infection in Failed Metal–on–Metal Hip Arthroplasty:
Are Synovial Fluid Aspirations Helpful? – Cody C. Wyles, BS
2:05 2:30 p.m Discussion
2:30 3:00 p.m Refreshment Break – Visit Corporate Partners
3:00 4:30 p.m Clinical Scientific Paper Presentation (Clinical)
Moderators: Lars Lidgren, MD and Greg W. Stocks, MD
3:00 3:05 p.m Aquacel® Surgical Dressing Reduces the Rate of Acute PJI
Following Total Joint Arthroplasty: A Case–Control Study
Jenny Cai, BS
3:05 3:10 p.m The Girdlestone Procedure for the Treatment of the Septic Hip
Joint – Charalampos Zalavras, MD
3:10 3:15 p.m Multiple Periprosthetic Joint Infections: Evidence for Decreasing
Prevalence – John Haverstock
3:15 3:20 p.m Positive Culture from the Liquid Medium Only after Total Joint
Arthroplasty: Is it Reliable? – Robert P. Good, MD
3:20 3:25 p.m Preoperative Anemia of Chronic Disease is a Strong Independent
Risk Factor for Surgical Site Infection after Total Joint
Arthroplasty – Joshua Everhart, MD
3:25 3:45 p.m Discussion
3:45 3:50 p.m Increased Sensitivity of Detecting MSSA Colonization Using
Groin and Gluteal Cleft Swabs – Antonia F. Chen, MD
3:50 3:55 p.m Incidence of and Risk Factors for Failing Dental Clearance Prior to
Hip and Knee Arthroplasty – Gregory K. Deirmengian, MD
3:55 4:00 p.m Diagnosis of Periprosthetic Joint Infection in Medicare Patients:
The Role of Multicriteria Decision Analysis
Claudia Diaz–Ledezma, MD
4:00 4:05 p.m Management of Below the Knee Amputation (BKA) Stump
Breakdown Using Antibiotic–loaded Synthetic Calcium Sulfate
Beads: A Case Series – Joseph Whitlark, MD, FACS, RVT
4:05 4:10 p.m Fungal Periprosthetic Infection is Associated with a Poor Outcome
Colten Bracken, MD
4:10 4:30 p.m Discussion
4:30 5:30 p.m Symposium: PJI: MSIS vs. EBJIS: What are we to do in the
future?

Moderator: Thorsten Gehrke, MD
Jason Calhoun, MD
J. David Blaha,MD
Montri Danny Wongworawat, MD
Camelia Marcuelscu,MD
Stephen Schmitt, MD
Douglas R. Osmon, MD
Carlo Luca Romano, MD
Alex Sorano, MD
Heinz Winkler, MD
Eivind Witso, MD
A. Volker, MD
Craig A. Aboltins, MBBS, FRACP
5:30 p.m Adjourn
7:00 10:00 p.m President’s Reception
Participants are responsible for transportation
Directions will be available

The College of Physicians
19 South 22nd Street
Philadelphia, PA 19103
http://www.collegeofphysicians.org/mutter-museum/

Saturday–August 3, 2013

6:45 7:45 a.m Breakfast – Visit Corporate Partners
7:00 7:30 a.m Business Meeting – MSIS Members Only
7:30 am 12:30 p.m. Posters
7:30 9:00 a.m Scientific Paper Presentations
Moderators: Daniel Kendoff, MD and Tobias Winkler, MD
7:30 7:35 a.m Diagnosing Perioprosthetic Joint Infection: The Era of the
Biomarker has Arrived – Carl Deirmengian, MD
7:35 7:40 a.m A Simple Conversion between High and Low Sensitivity CRP in
the Assessment of PJI – Michael Milone, MD
7:40 7:45 a.m Preoperative Staphylococcus Decolonization in Elective Spine
Cases is Effective – Antonia F. Chen, MD
7:45 7:50 a.m Revision Total Hip Arthroplasty: Tantalum may be Protective
against Infection – Anthony Tokarski, BS
7:50 7:55 a.m Systemic Inflammatory Markers and Joint Aspirate Cell–Count are
Unable to Differentiate between Bacterial or Fungal Periprosthetic
Infection – Colten Bracken, MD
7:55 8:00 a.m Fungal and Mycobacterial Septic Arthritis and Osteomyelitis of the
Extremities – Charalampos Zalavras, MD
8:00 8:20 a.m Discussion
8:20 8:25 a.m Low–dose Gentamicin–loaded Spacers are Effective for Two–
stage Revision – Carlo Luca Romano, MD
8:25 8:30 a.m Bone Grafts as Vancomycin Carriers in Local Therapy of Resistant
Infections – David Jahoda, MD
8:30 8:35 a.m Variations in the Bacterial Genome of Methicillin–Resistant
Staphylococcus Aureus Causing Pediatric Osteomyelitis within a
Community – Lawson A. B. Copley, MD
8:35 8:40 a.m Two–stage Revision Total Knee Arthroplasty with anArticulatin
Spacer: Minimum Five–Year Review – Ted Vasarhelyi, MD
8:40 8:45 a.m Safety and Efficacy of High–Dose Daptomycin Therapy for
Prosthetic Joint Infection – Jeremy J. Reid, MD
8:45 9:00 a.m Discussion
9:00 10:30 a.m Rapid Fire Session: Challenges We Face
Moderator: Javad Parvizi, MD
Gerald Williams, MD
Thorsten Gehrke, MD
Ed McPherson, MD
S.V. Vaidya, MD
Julio Garcia, MD
Jacek Kruczynski, MD
David Backstein, MD
10:30 11:00 a.m Refreshment Break – Visit Corporate Partners
11:00 12:00 p.m Presidential Guest Speaker
12:00 12:15 p.m Introduction of Incoming President
Javad Parvizi, MD

Presidential Address
Camelia Marculescu MD

12:15 12:30 p.m Presentation of Jon T. Mader Award
Presentation of Jeanette Wilkins Award
Douglas R. Osmon, MD
Presentation of George Cierny Award
Javad Parvizi MD
12:30 p.m Adjourn
2:00 p.m Social Program
The Barnes Foundation Museum of Art
http://www.barnesfoundation.org/
- tickets must be requested by July 3, 2013
- group will meet in Hamilton lobby at 1:15 p.m. and walk to
museum