W16 Course Program Registration Form

2016-11-18

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CURRENT CONCEPTS INSTITUTE

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Cleveland, Ohio
presents

CURRENT
CONCEPTS
IN JOINT
REPLACEMENT
REPLACEMENT
Winter 2016
Hyatt Regency Grand Cypress
Orlando, Florida

December 14 - 17, 2016
A Continuing Medical Education Program

Course Director:
A. Seth Greenwald, D.Phil.(Oxon)

®

FACULTY
Matthew P. Abdel, M.D., M.S.
Mayo Clinic
Rochester, Minnesota

Fares S. Haddad, M.D., F.R.C.S.
University College Hospital
London, United Kingdom

Douglas E. Padgett, M.D.
Hospital for Special Surgery
New York, New York

Robert L. Barrack, M.D.
Washington University School of Medicine
St. Louis, Missouri

George J. Haidukewych, M.D.
Orlando Health Orthopedic Institute
Orlando, Florida

Mark W. Pagnano, M.D.
Mayo Clinic
Rochester, Minnesota

Keith R. Berend, M.D.
Mt. Carmel New Albany Surgical Hospital
New Albany, Ohio

Moussa Hamadouche, M.D., Ph.D.
Centre Hospitalo-Universitaire Cochin - Port Royal
Paris, France

Wayne G. Paprosky, M.D.
Rush University Medical Center
Chicago, Illinois

Daniel J. Berry, M.D.
Mayo Clinic
Rochester, Minnesota
Peter J. Brooks, M.D., F.R.C.S.(C)
Cleveland Clinic
Cleveland, Ohio
John J. Callaghan, M.D.
University of Iowa
Iowa City, Iowa
Hugh U. Cameron, M.B., F.R.C.S.(C)
Orthopaedic & Arthritic Hospital
Toronto, Ontario, Canada
John C. Clohisy, M.D.
Washington University School of Medicine
St. Louis, Missouri
Craig J. Della Valle, M.D.
Rush University Medical Center
Chicago, Illinois
Lawrence D. Dorr, M.D.
Keck Medical Center of USC
Los Angeles, California
Michael J. Dunbar, M.D., F.R.C.S.(C), Ph.D.
Dalhousie University
Halifax, Nova Scotia, Canada
Clive P. Duncan, M.D., F.R.C.S.(C)
University of British Columbia
Vancouver, British Columbia, Canada
C. Anderson Engh, Jr., M.D.
Anderson Orthopaedic Research Institute
Alexandria, Virginia
Donald S. Garbuz, M.D., F.R.C.S.(C)
University of British Columbia
Vancouver, British Columbia, Canada

Aaron A. Hofmann, M.D.
Hofmann Arthritis Institute
Salt Lake City, Utah
William J. Hozack, M.D.
Rothman Institute
Philadelphia, Pennsylvania
Richard Iorio, M.D.
New York University Langone Medical Center
New York, New York
Joshua J. Jacobs, M.D.
Rush University Medical Center
Chicago, Illinois
Richard E. Jones, M.D.
University of Texas
Southwestern, Dallas, Texas
Matthew J. Kraay, M.D.
University Hospitals Case Medical Center
Cleveland, Ohio
Gwo-Chin Lee, M.D.
University of Pennsylvania
Philadelphia, Pennsylvania
David G. Lewallen, M.D.
Mayo Clinic
Rochester, Minnesota
Jay R. Lieberman, M.D.
Keck Medical Center of USC
Los Angeles, California
Adolph V. Lombardi, Jr., M.D.
Mt. Carmel New Albany Surgical Hospital
New Albany, Ohio
Steven J. MacDonald, M.D., F.R.C.S.(C)
University of Western Ontario
London, Ontario, Canada
Michael A. Mont, M.D.
Cleveland Clinic
Cleveland, Ohio

Javad Parvizi, M.D., F.R.C.S.
Rothman Institute
Philadelphia, Pennsylvania
Chitranjan S. Ranawat, M.D.
Hospital for Special Surgery
New York, New York
Jose A. Rodriguez, M.D.
Lenox Hill Hospital
New York, New York
Aaron G. Rosenberg, M.D.
Rush University Medical Center
Chicago, Illinois
Thomas P. Schmalzried, M.D.
Joint Replacement Institute
Los Angeles, California
Thomas P. Sculco, M.D.
Hospital for Special Surgery
New York, New York
Bryan D. Springer, M.D.
OrthoCarolina Hip & Knee Center
Charlotte, North Carolina
S. David Stulberg, M.D.
Northwestern University
Chicago, Illinois
Edwin P. Su, M.D.
Hospital for Special Surgery
New York, New York
Thomas S. Thornhill, M.D.
Harvard Medical School
Boston, Massachusetts
Robert T. Trousdale, M.D.
Mayo Clinic
Rochester, Minnesota

Allan E. Gross, M.D., F.R.C.S.(C)
University of Toronto
Toronto, Ontario, Canada

Arun Mullaji, F.R.C.S.(Ed), M.S.
The Arthritis Clinic
Mumbai, India

Kelly G. Vince, M.D., F.R.C.S.(C)
Whangarei Hospital
Whangarei, New Zealand

Kenneth A. Gustke, M.D.
Florida Orthopaedic Institute
Tampa, Florida

Stephen B. Murphy, M.D.
Tufts University
Boston, Massachusetts

Leo A. Whiteside, M.D.
Missouri Bone & Joint Center
St. Louis, Missouri

Steven B. Haas, M.D.
Hospital for Special Surgery
New York, New York

Denis Nam, M.D.
Washington University School of Medicine
St. Louis, Missouri

Russell E. Windsor, M.D.
Hospital for Special Surgery
New York, New York

COURSE DESCRIPTION
This CME Program is open to orthopaedic surgeons, residents, nurses, and
members of the orthopaedic and allied health industries.
• This meeting will focus on both primary and revision outcomes, surgical
approaches, current implant designs and materials including the clinical
manifestations of metal-on-metal articulations and the use of tapers, as well
as address problems of fixation, bone deficiency, instability, trauma, and
infection for hip and knee replacement.
• Topics delve into a triad of design, patient factors, and technical proficiency
responsible for achieving clinical longevity in hip and knee reconstruction.
• An assemblage of contemporary thought leaders will probe the boundaries
of these problems and offer solutions for joint pathologies where arthroplasty
is indicated.
• Plenary commentary, didactic clinical reports, technique videos, debate,
and case challenges define the formats of presentation, which provide an
optimal learning opportunity for orthopaedic surgeons and other allied
professionals involved in joint reconstruction.
LEARNING OBJECTIVES
As a result of attending this CME program, the participant will be able to:
•	 Identify problems, concerns and solutions relevant to primary and
revision hip and knee arthroplasty including articulating surface wear, intercomponent failure, fractures, infection and bone loss as well as short- and
long-term tissue response.
•	 Discuss optimal clinical application of current and evolving fixation
techniques in primary and revision procedures including cement,
hydroxyapatite, porous coating, press fit, impaction grafting and evolving
porous metal technologies.
•	 Appraise evolving surgical techniques and implant technologies through
didactic presentation as well as evaluate early and long-term clinical
outcomes.
ACCREDITATION STATEMENT	
The Current Concepts Institute is accredited by the Accreditation Council
for Continuing Medical Education (ACCME) to provide continuing medical
education for physicians.
The Current Concepts Institute designates this live activity for a maximum
of 23.5 AMA PRA Category 1 Credits TM. Physicians should claim only the
credit commensurate with the extent of their participation in the activity.

WALKING WITH GIANTS

®

ASK THE EXPERTS

An intimate session to discuss your complex cases.
CCJR participants have an opportunity to present a problem
hip or knee case to faculty experts for discussion on Thursday,
December 15, 2016. If you are interested in bringing a case,
please E-Mail Info@CCJR.com for submission details.
DISCLAIMER
It is the policy of the Current Concepts Institute to comply with the Accreditation Council
for Continuing Medical Education (ACCME) Standards for Commercial Support of
Continuing Medical Education. All persons serving in a position to control the content of
the educational activity are required to disclose all relevant financial relationships with any
commercial interests. This information will be disclosed to activity participants prior to the
commencement of the educational activity in the materials distributed.
DISCLOSURE STATEMENT
The information in this educational activity is provided for general medical education
purposes only and is not meant to substitute for the independent medical judgment of
a physician relative to diagnostic and treatment options of a specific patient’s medical
condition. The viewpoints expressed in this CME activity are those of the author/faculty.
They do not represent an endorsement by the Current Concepts Institute. In no event will
the Current Concepts Institute be liable for any decision made or action taken in reliance
upon information provided through this CME activity.

COURSE LOCATION
Known and awarded for its long-standing grandeur, the course is being
held and participants can stay at the Hyatt Regency Grand Cypress, a
magnificent self-contained 1,500-acre resort paradise with its own 21-acre
private white-sand beach front lake. Experience 45 holes of Jack Nicklaus
Signature Design golf and explore miles of tropical nature trails for bicycling
and jogging. Enjoy the half-acre outdoor pool with 12 waterfalls, two
whirlpools, water slide tower pavilion and water jet splash zone. Stay fit
at the Hyatt StayFit gym, use the basketball, racquetball and tennis courts;
all on property. The guest experience is elevated with perfect serenity and
rejuvenation offered at the Marilyn Monroe Spa.
Equally as enchanting, participants can also stay at the Orlando World
Center Marriott, with out-of-this-world services and stellar amenities
that allow participants to retreat to an environment ideal for unwinding.
Experience the resort’s Falls Pool Oasis, featuring two 200-foot winding
water slides, a 90-foot speed slide, kid’s splash park and multiple pools.
From 18 holes of championship golf and award-winning restaurants, a
full-service spa with a variety of treatments, massages and services to the
state-of-the-art fitness center, this resort inspires guests. When it’s time to
rest, retire to modern guest rooms with all of the comforts of home.
Both luxury resorts are located in the very heart of Orlando’s most popular
theme parks including Walt Disney World, Universal Studios, SeaWorld
and LEGOLAND.
Late risers need only turn on the television and tune into the CCJR channel
to stay current with live meeting proceedings at both properties. Shuttle
transportation is provided between the Orlando World Center Marriott
and the Hyatt Regency Grand Cypress during meeting hours.
HOTEL RESERVATIONS
Both the Hyatt and the Marriott are offering these special CCJR rates. The
deadline, November 16, 2016, is based on room availability. Reservations
must be guaranteed with a credit card for the full stay.
HYATT REGENCY GRAND CYPRESS
One Grand Cypress Blvd, Orlando, FL 32836 Tel: 407-239-1234
Single / Double Room $149.00/Night+Tax
ORLANDO WORLD CENTER MARRIOTT
8701 World Center Drive, Orlando, FL 32821 Tel: 407-238-8618
Single / Double Room $127.00/Night+Tax
VISIT ONLINE

www.CCJR.com/WINTER/accommodations
COURSE REGISTRATION
REGISTER NOW - A $50 late fee is applied after November 14, 2016.
Registration will not be held without payment. Cancellation after
November 14, 2016 is subject to a $100 penalty and must be received
in writing. Registrations are non-refundable after November 28, 2016.
Registration can be transferred to another individual wishing to attend
CCJR-W16. Confirmation is sent by e-mail.

TRAVEL ARRANGEMENTS
Avis Car Rental	
Internet: www.avis.com 	

Tel: 1-800-331-1600
AWD Number: J992905

United Air Lines	
Internet: www.united.com 	

Tel: 1-800-468-7022
Offer Code: ZWAE374978

Americans with Disabilities Act

Current Concepts Institute fully intends to comply with the legal requirements of the
Americans with Disabilities Act. If you need assistance, please call 216-295-1900
at least two weeks prior to the activity.

CURRENT CONCEPTS IN JOINT REPLACEMENT ® - Winter 2016
REGISTRATION: Grand Cypress Ballroom Foyer
	 6:00p.m. - 8:00p.m. Wednesday, December 14
	 6:30a.m. - 1:00p.m. Thursday-Saturday, December 15-17

WEDNESDAY, DECEMBER 14, 2016
WELCOME RECEPTION: Regency Hall
	 6:00p.m. - 8:00p.m.

THURSDAY, DECEMBER 15, 2016
	 6:30a.m.	 Buffet Breakfast

Opening Remarks:
7:30		
A. Seth Greenwald, D.Phil.(Oxon)
SESSION I – Thomas S. Thornhill, M.D.
	 7:35	#1	 Silent Trunnion Corrosion: What Surgeons Need to Know in 2016
				 Clive P. Duncan, M.D., F.R.C.S.(C)
Orthopaedic Crossfire® I: Contemporary Hip Technologies, Do They Work?
	 7:45		
Ceramic-Ceramic Bearings in Patients <60 Assures Longevity
		 #2		 Gwo-Chin Lee, M.D. – Affirms
		 #3		 Douglas E. Padgett, M.D. – Opposes
	 8:05		The Anterior Approach: Better, Faster, Safer
		 #4		 Jose A. Rodriguez, M.D. – Affirms
		 #5		 Bryan D. Springer, M.D. – Opposes
	 8:25		The Outpatient THA: A Paradigm Change
		 #6		 Keith R. Berend, M.D. – Affirms
		 #7		 Jay R. Lieberman, M.D. – Opposes
SESSION II – Robert L. Barrack, M.D.
Primary Hip Replacement: What Works & for Whom?
	 8:45	#8	 Crosslinked Polymers: Enough is Enough
				 C. Anderson Engh, Jr., M.D.
	 8:52	#9	 Cemented Femoral Fixation: The French Paradox & Beyond
				 Moussa Hamadouche, M.D., Ph.D.
	 8:59	#10	 Not All Cementless Stems are Created Equal: Is There a Selection Bias?
				 Edwin P. Su, M.D.
	 9:06	#11	 Femoral Neck Modularity: Both Sides Now
				 Stephen B. Murphy, M.D.
	 9:13	#12	 Acetabular Cup & Liner Options
				 David G. Lewallen, M.D.
	 9:20	#13	 Patient Activity Following Arthroplasty: Will the Above Endure?
				Thomas P. Schmalzried, M.D.
	 9:27		
Discussion
SESSION III – Daniel J. Berry, M.D.
	 9:47	#14	 Performing a Primary Hip Arthroplasty
				 Peter J. Brooks, M.D., F.R.C.S.(C)
				 John C. Clohisy, M.D.
				 Donald S. Garbuz, M.D., F.R.C.S.(C)
				 Moussa Hamadouche, M.D., Ph.D.
	10:22		Refreshments in the Exhibit Area
SESSION IV – Fares S. Haddad, M.D., F.R.C.S.
Fractures About the Hip: The Confounding, Curious & Commonplace
	10:47	#15	 Displaced Femoral Neck Fx’s in the 50-60 Year Old: Dilemmas of Choice
				 George J. Haidukewych, M.D.
	10:54	#16	When Proximal Femoral Fixation Fails: Salvage Options
				William J. Hozack, M.D.
	11:01	 #17	 Pathologic Fx’s: In a Class of Their Own
				 Matthew P. Abdel, M.D., M.S.
	11:08	 #18	 Acetabular Fx’s in the Young & Elderly: The Role of Arthroplasty
				 Bryan D. Springer, M.D.

	11:15	 #19	Intra-Operative Fx’s During THA: See It Before It Sees You
				 Donald S. Garbuz, M.D., F.R.C.S.(C)
	11:22	 #20	 Peri-Prosthetic Fx’s: Is It a Problem on the Rise?
				 Aaron G. Rosenberg, M.D.
	11:29		
Discussion
SESSION V – Clive P. Duncan, M.D., F.R.C.S.(C)
Orthopaedic Crossfire® II: Controversial Issues in Hip Arthroplasty
	11:49		Why Cut Off Your Head? Resurface It Instead
		 #21		 Peter J. Brooks, M.D., F.R.C.S.(C) – Affirms
		 #22		 Steven J. MacDonald, M.D., F.R.C.S.(C) – Opposes
	12:09		The Short Stem: Proven Solution for ALL Primary Hips
		 #23		 S. David Stulberg, M.D. – Affirms
		 #24		Lawrence D. Dorr, M.D. – Opposes
	12:29		
Ceramic-XLPE in Patients <60: The New Standard
		 #25		 Adolph V. Lombardi, Jr., M.D. – Affirms
		 #26		Thomas P. Schmalzried, M.D. – Opposes
	12:49	 #27	 OREF/CCJR Clinical Award Paper
				 Denis Nam, M.D.
	12:59		Lunch
SESSION VI – Joshua J. Jacobs, M.D.
The Difficult Primary: Pathologies that Bedevil
	 1:59	#28	 Obesity in THA: Does It Matter?
				Richard E. Jones, M.D.
	 2:06	#29	The Dysplastic Hip: Not for the Shallow Surgeon
				 John C. Clohisy, M.D.
	 2:13	#30	 Acetabular Protrusio: Avoiding the Deep
				 Kenneth A. Gustke, M.D.
	 2:20	#31	The Down Syndrome Patient: Not a Downer
				 John J. Callaghan, M.D.
	 2:27	#32	Neurovascular Challenged Patients: The Untouchables?
				 Clive P. Duncan, M.D., F.R.C.S.(C)
	 2:34	#33	 Osteonecrosis: Is It an Arthroplasty Solution?
				Richard Iorio, M.D.
	 2:41		
Discussion
SESSION VII – Steven J. MacDonald, M.D., F.R.C.S.(C)
	 3:01	#34	 What Would YOU do? Challenges in Hip Surgery
			
	 Hugh U. Cameron, M.B., F.R.C.S.(C)
			
	 Lawrence D. Dorr, M.D.
			
	 C. Anderson Engh, Jr., M.D.
			
	 Stephen B. Murphy, M.D.
				 Bryan D. Springer, M.D.
	 3:36		Refreshments in the Exhibit Area
SESSION VIII – Mark W. Pagnano, M.D.
	 4:01	#35	Hip Joint Preservation: Avoiding or Deferring Arthroplasty
				 John C. Clohisy, M.D.
Hip Arthroplasty: Avoiding Pitfalls & Managing Problems
	 4:11	#36	 Pre-Operative Planning: Lest We Forget
				 Chitranjan S. Ranawat, M.D.
	 4:18	#37	I-Robot: Helping Assure Outcome in the Complex Primary Hip
				 Douglas E. Padgett, M.D.
	 4:25	#38	 Blood Conservation: Pre, Peri & Post-Operative Strategies
				 Matthew J. Kraay, M.D.
	 4:32	#39	 Post-Surgical Neuropathy: Consequences & Treatment
				William J. Hozack, M.D.
	 4:39	#40	 DVT Prophylaxis: Risk Stratification Solutions
				 Javad Parvizi, M.D., F.R.C.S.
	 4:46	#41	 Metal-Metal Hip Replacement: Monitoring & Managing the Returns
				 Joshua J. Jacobs, M.D.
	 4:53		
Discussion

SESSION IX – Lawrence D. Dorr, M.D.
Recurrent Dislocation: The Most Common Indication for Revision THA
	 5:13	#42	 Causes of Hip Instability: An Algorithmic Approach to Treatment
				 Craig J. Della Valle, M.D.
	 5:20	#43	The 36mm Femoral Head, One Size Fits All: Problem Solved?
				 Adolph V. Lombardi, Jr., M.D.
	 5:27	#44	 Constrained Liners: Yesterday’s Solution?
				Thomas P. Sculco, M.D.
	 5:34	#45	The Dual Mobility Cup: A Long Term Solution
				 Moussa Hamadouche, M.D., Ph.D.
	 5:41	#46	Intra-Operative Digital Imaging: Assuring Component Alignment
				Robert L. Barrack, M.D.
	 5:48	#47	 Overcoming Abductor Deficiency: A Soft Tissue Solution
				Leo A. Whiteside, M.D.
	 5:55		
Discussion
	 6:15		
Adjournment

EXHIBITORS’ RECEPTION: Regency Hall
	6:15p.m.-7:30p.m.

SESSION X – Allan E. Gross, M.D., F.R.C.S.(C)

W

W

G

ALKING
ITH
IANTS® ASK THE EXPERTS
07:30	#48	
				- Participant-Presented Problem Cases
				 Daniel J. Berry, M.D.
				 Fares S. Haddad, M.D., F.R.C.S.
				Wayne G. Paprosky, M.D.
				 Aaron G. Rosenberg, M.D.
08:30		
Adjournment

FRIDAY, DECEMBER 16, 2016
	 6:30a.m.	 Buffet Breakfast

SESSION XI – Leo A. Whiteside, M.D.
The Revision Femur: A Potpourri of Options
	 7:30	#49	 Classifying Femoral Bone Deficiency: Choosing the Right Implant
				Wayne G. Paprosky, M.D.
	 7:37	#50	 Femoral Stem Impaction Grafting: Extending the Role of Cement
				Javad Parvizi, M.D., F.R.C.S.
	 7:44	#51	 A Modular Metaphyseal Sleeve: A Long Term Straight Stem Solution
				Hugh U. Cameron, M.B., F.R.C.S.(C)
	 7:51	#52	Tapered Modular Stems: A Versatile Option
				William J. Hozack, M.D.
	 7:58	#53	 Femoral Stem Modularity: How I Kicked the Habit
				 Jose A. Rodriguez, M.D.
	 8:05	#54	 Monobloc or Modular Revision Stems: How Do I Decide?
				 Clive P. Duncan, M.D., F.R.C.S.(C)
	 8:12		
Discussion
SESSION XII – John J. Callaghan, M.D.
	 8:32	#55	 Bone Grafts & Their Substitutes: Understanding the Three O’s
				 Joshua J. Jacobs, M.D.
The Revision Acetabulum
	 8:42	#56	The Jumbo Cup: The Workhorse of the Acetabular Revision
				 C. Anderson Engh, Jr., M.D.
	 8:49	#57	Highly Porous Shells & Augments: Big Hopes for Big Holes
				 David G. Lewallen, M.D.
	 8:56	#58	The Custom Acetabular Component: The 3D Printed Solution
				Javad Parvizi, M.D., F.R.C.S.
	 9:03	#59	 The Triflange Cup: Build It & They Will Wait
				 Keith R. Berend, M.D.
	 9:10	#60	 Acetabular Distraction: An Alternative Approach for Pelvic Discontinuity
				Wayne G. Paprosky, M.D.
	 9:17	#61	 Massive Acetabular Deficiency: The Cage Solution
				 Allan E. Gross, M.D., F.R.C.S.(C)
	 9:24		
Discussion

SESSION XIII – Aaron G. Rosenberg, M.D.
	 9:44	#62	 Hip & Knee Arthroplasty 2016: What’s New, What’s True,
			
Does it Matter? Evidence Based Issues
				 Michael J. Dunbar, M.D., F.R.C.S.(C), Ph.D.
				 Matthew J. Kraay, M.D.
				 Michael A. Mont, M.D.
				Thomas P. Schmalzried, M.D.
				 Edwin P. Su, M.D.
	10:19		Refreshments in the Exhibit Area
SESSION XIV – Robert T. Trousdale, M.D.
Orthopaedic Crossfire® III: Re-Examining Hip & Knee Arthroplasty Technologies
	10:44		
Avoiding Instability: The Transtrochanteric Approach
		 #63		 Moussa Hamadouche, M.D., Ph.D. – Affirms
		 #64		 Matthew P. Abdel, M.D., M.S. – Opposes
	11:04		Neutral Mechanical Alignment: Stickin’ With the One that Brung Ya!
		 #65		 Chitranjan S. Ranawat, M.D. – Affirms
		 #66		 Michael J. Dunbar, M.D., F.R.C.S.(C), Ph.D. – Opposes
	11:24		The Cementless TKA: It’s About Time
		 #67		Leo A. Whiteside, M.D. – Affirms
		 #68		 John J. Callaghan, M.D. – Opposes
SESSION XV – Kelly G. Vince, M.D., F.R.C.S.(C)
	11:44	#69	The Causes of TKA Failure: Avoiding Your Next Revision
				Thomas S. Thornhill, M.D.
Compartmental Knee Disease: Solution Options
	11:54	 #70	 Cartilage Repair: A Realistic or Forestalling Option?
				 Allan E. Gross, M.D., F.R.C.S.(C)
	12:00	#71	 Knee Braces 2016: A Growing Appreciation of Benefit
				 Michael A. Mont, M.D.
	12:06	#72	 Distal Femoral Osteotomy: Unloading the Lateral Compartment
				 Peter J. Brooks, M.D., F.R.C.S.(C)
	12:12	 #73	 Proximal Tibial Osteotomy: Unloading the Medial Compartment
				 Mark W. Pagnano, M.D.
	12:18	#74	The Medial Uni-Compartment Alternative: Fixed or Mobile?
				 Craig J. Della Valle, M.D.
	12:24	#75	Isolated Patello-Femoral Replacement: A Third Compartment Solution
				 Aaron A. Hofmann, M.D.
	12:30	 #76	The Tri-Compartment Solution: Just Read the Literature
				 Steven J. MacDonald, M.D., F.R.C.S.(C)
	12:36		
Discussion
	12:56		Lunch
SESSION XVI – Bryan D. Springer, M.D.
Management Factorials in Primary TKA: Ensuring a Winner!
	 1:56	#77	Improving Patient Satisfaction After TKA: Restoring Nature’s Geometry
				 Jose A. Rodriguez, M.D.
	 2:03	#78	 Correcting Severe Varus Deformity: Unbowed
				 Arun Mullaji, F.R.C.S.(Ed), M.S.
	 2:10	#79	 Correcting Severe Valgus Deformity: Taking Out the Knock
				 Steven B. Haas, M.D.
	 2:17	#80	 Assuring Soft Tissue Balance: The Use of Smart Trials
				 Kenneth A. Gustke, M.D.
	 2:24	#81	 Peri-Operative Pain Management: Assuring a Happy Patient
				Richard Iorio, M.D.
	 2:31	#82	 Simultaneous Bilateral TKA: Does it Have a Place?
				Thomas P. Sculco, M.D.
	 2:38		
Discussion
SESSION XVII – Adolph V. Lombardi, Jr., M.D.
	 3:03	#83	 What Would YOU Do? Challenges in Knee Surgery
				Richard Iorio, M.D.
				Richard E. Jones, M.D.
				 Gwo-Chin Lee, M.D.
				 Douglas E. Padgett, M.D.
				Thomas S. Thornhill, M.D.
	 3:38		Refreshments in the Exhibit Area

SESSION XVIII – Thomas P. Sculco, M.D.
Orthopaedic Crossfire® IV: Controversies in Knee Arthroplasty
	 4:03		The Cemented All Poly Tibia in the Active <60 Patient
		 #84		Robert T. Trousdale, M.D. – Affirms
		 #85		 Aaron A. Hofmann, M.D. – Opposes
	 4:23		The Bi-Cruciate Retaining Knee: A Bridge Too Far
		 #86		 Mark W. Pagnano, M.D. – Affirms
		 #87		 Adolph V. Lombardi, Jr., M.D. – Opposes
	 4:43		
Patella Resurfacing: Rarely, if Ever, Necessary
		 #88		Robert L. Barrack, M.D. – Affirms
		 #89		 Steven B. Haas, M.D. – Opposes
SESSION XIX – Javad Parvizi, M.D., F.R.C.S.
The Infected Knee Arthroplasty: Bugs, Drugs & Solution Options
	 5:03	#90	 Minimizing Infection Risk: A Peri-Operative Checklist
				 Gwo-Chin Lee, M.D.
	 5:09	#91	 Diagnosing Infection: Pathways to Progress 2016
				 Fares S. Haddad, M.D., F.R.C.S.
	 5:15	#92	 Antibiotic Infusion: Single Stage Solution for the Infected Cementless Knee
				Leo A. Whiteside, M.D.
	 5:21	#93	 An “Inadvertent” One Stage Solution
				 Donald S. Garbuz, M.D., F.R.C.S.(C)
	 5:27	#94	The Two Stage Standard: Techniques, Timing & Statistics
				 Daniel J. Berry, M.D.
	 5:33	#95	Wound Healing Problems: A Knee is Not a Hip
				 Jay R. Lieberman, M.D.
	 5:39		Remits & Recommendations
	 5:59		
Adjournment

EXHIBITOR SATELLITE EVENTS
	 6:00p.m.- 8:00p.m.

SATURDAY, DECEMBER 17, 2016
	 6:30a.m.	 Buffet Breakfast

SESSION XX – David G. Lewallen, M.D.
	 7:30	#96	 Gain Sharing in Bundled Payment TJA:
			
The Requisite of Surgeon Leadership
				 Stephen B. Murphy, M.D.
Problems After Knee Arthroplasty: “Things that go Bump in the Night”
	 7:40	#97	 Pre & Post-Operative Opioid Use: A Clear & Present Problem
				 John J. Callaghan, M.D.
	 7:47	#98	The Painful Knee: Diagnosis & Deliverance
				 Kelly G. Vince, M.D., F.R.C.S.(C)
	 7:54	#99	The Stiff Knee: Etiology & Treatment Options
				 Edwin P. Su, M.D.
	 8:01	#100	 Peri-Prosthetic Fx’s: Repair or Replace
				 George J. Haidukewych, M.D.
	 8:08	#101	 Problems & Solutions of the Extensor Mechanism
				 C. Anderson Engh, Jr., M.D.
	 8:15		
Discussion
SESSION XXI – Thomas S. Thornhill, M.D.
Orthopaedic Crossfire® V: Still More Controversies in Knee Arthroplasty
	 8:35		
Knee Navigation: Lost in Space
		 #102		Robert T. Trousdale, M.D. – Affirms
		 #103		 Arun Mullaji, F.R.C.S.(Ed), M.S. – Opposes
	 8:55		The Medial Stabilized Knee: The “Post-Cam” Replacement
		 #104		 Fares S. Haddad, M.D., F.R.C.S. – Affirms
		 #105		 Chitranjan S. Ranawat, M.D. – Opposes
	 9:15		
The Tourniquetless TKA: Let It Bleed
		 #106		Robert L. Barrack, M.D. – Affirms
		 #107		 Keith R. Berend, M.D. – Opposes

SESSION XXII – Steven B. Haas, M.D.
Revision Knee Arthroplasty: Doin’ the Right Thing
	 9:35	#108	 Planning Your Next Revision: Step by Step
				 Douglas E. Padgett, M.D.
	 9:42	#109	 Exposure Options for the Revision Knee: Getting There Safely
				 Michael J. Dunbar, M.D., F.R.C.S.(C), Ph.D.
	 9:49	#110	Instability After TKA: Causes & Cures
				Russell E. Windsor, M.D.
	 9:56	#111	 UKA to TKA: Is It as Good as a Primary Result?
				 Craig J. Della Valle, M.D.
	10:03	#112	 Metaphyseal Cones for Severe Bone Loss: When Only Metal Will Do
				 David G. Lewallen, M.D.
	10:10	 #113	The Hinge: A Simple Solution for a Complex Problem
				 George J. Haidukewych, M.D.
	10:17		
Discussion
	10:37		Refreshments in the Exhibit Area
SESSION XXIII – Daniel J. Berry, M.D.
	11:02	 #114	 The Multiply Revised Knee Arthroplasty: End Game
			
	 Kenneth A. Gustke, M.D.
				 Aaron A. Hofmann, M.D.
				 Kelly G. Vince, M.D., F.R.C.S.(C)
			
	 Russell E. Windsor, M.D.
SESSION XXIV – Thomas P. Schmalzried, M.D.
Tips, Techniques & Technologies in Knee & Hip Reconstruction, “A Baker’s Dozen”
	11:37	#115	Nano-Texturing of Bio-Interfaces: What They Portend in TJA
				 Edwin P. Su, M.D.
	11:43	#116	TJA in the Super Elderly: Indications & Management
				 S. David Stulberg, M.D.
	11:49	#117	 Avoiding Patella Problems in TKA: Do’s & Don’ts
				Richard E. Jones, M.D.
	11:55	 #118	 Alignment in TKA: Getting Our Ducks in a Row
				 Kelly G. Vince, M.D., F.R.C.S.(C)
	12:01	#119	The Humble Toothbrush: A Disruptive Technology for Cemented TKA
				 Arun Mullaji, F.R.C.S.(Ed), M.S.
	12:07	#120	 Extensor Mechanism Deficiency: A Synthetic Mesh Approach
				 Matthew P. Abdel, M.D., M.S.
	12:13	#121	 Getting Out the Well-Fixed Knee: A Seamless Solution
				 Kenneth A. Gustke, M.D.
	12:19	 #122	Heterotopic Bone: Prevention & Treatment
				 Michael A. Mont, M.D.
	12:25	 #123	Hip Fusion Takedown: Why & How
				Hugh U. Cameron, M.B., F.R.C.S.(C)
	12:31	#124	 Osteolysis in the Well-Fixed Socket: Retain or Replace?
				 Jay R. Lieberman, M.D.
	12:37	#125	Removal of the Well-Fixed Cemented Stem
				 Matthew J. Kraay, M.D.
	12:43	#126	 Antibiotic Spacers in the Infected Hip: Optimizing Placement
				 Javad Parvizi, M.D., F.R.C.S.
	12:49	#127	Trabecular Metal Augments for Acetabular Revision: A “How To”	
				 Allan E. Gross, M.D., F.R.C.S.(C)
	12:55		
Closure	

CLOSING LUNCH				
12:55p.m. – 1:55p.m.		 	

MEETING PROCEEDINGS
A THUMB DRIVE CONTAINING THE AUDIO MP3 RECORDINGS AS
WELL AS A PDF OF THE ABSTRACT BOOK WILL BE GIVEN TO EACH
PARTICIPANT DURING THE CLOSING lunch.
THE VIDEO PROCEEDINGS WILL BE MADE AVAILABLE TO EACH
PARTICIPANT FOLLOWING THE MEETING AT www.CCJR.com.
past programs can also be viewed at www.CCJR.com.

EXHIBITORS

American Academy of Orthopaedic Surgeons
Aston Medical
CeramTec Medical Products
Compression Solutions
ConforMIS, Inc.
Consensus Medical Systems, Inc.
Conventus Orthopaedics, Inc.
DePuy Synthes
DVTlite, LLC
Elsevier, Inc.
Exactech, Inc.
Gauthier Biomedical
Hely & Weber
Iconacy Orthopedic Implants, LLC
Innomed, Inc.
Kinamed, Inc.
Koros USA, Inc.
Lima Corporate
Materialise
Matortho Limited
Medacta International SA
Medtronic
MicrogenDX
MicroPort Orthopedics Inc.
Nimbic Systems
OrthoSensor
Pacira Pharmaceuticals
Sage Products LLC
Sectra
Shanghai Bojin Electric Instrument & Device Co., Ltd.
Shukla Medical
SLACK Incorporated
Smith & Nephew, Inc.
Surgical Planning Associates, Inc.
Tecomet
THINK Surgical, Inc.
United Orthopedic Corporation
US Army Healthcare
The Value Based Healthcare Consortium
Wolters Kluwer
Zimmer Biomet
ZipLine Medical, Inc.
Exhibitor Satellite events
CCJR participants can also attend company-sponsored workshops for
increased exposure to emerging and contemporary technologies as well
as gain surgical technique experience.

Current Concepts in Joint Replacement
Winter 2016

®

IMMEDIATE REGISTRATION & CONFIRMATION AVAILABLE AT

www.CCJR.com

COURSE REGISTRATION
Course Fee: 	 $900	 Surgeon - Nurse - Allied Health - All Other
	
$450	Resident/Fellow-in-Training
		
(Program Director Certification Required)
INCLUDES
• Comprehensive Syllabus - Abstract Book + PDF Version •
• Audio MP3 Recordings and Video Proceedings •
• Two Lavish Evening Receptions • Three Buffet Breakfasts •
• Three Plated Lunches •
• Five Refreshment Breaks •
CONTINUING MEDICAL EDUCATION
23.5 AMA PRA Category 1 Credits TM

WELCOME RECEPTION
Sign-in, Badge and Course Material Pickup
Wednesday, December 14, 2016 from 6:00p.m. - 8:00p.m.
Additional Registration Hours on
December 15 - 17, 2016 from 6:30a.m. - 1:00p.m.

REGISTRATION INFORMATION
COURSE PRE-REGISTRATION DEADLINE: November 14, 2016
Course Fee may be paid by Credit Card or
US Bank Check payable to: Current Concepts Institute
• Registration received after November 14, 2016 is subject to a $50 late fee •
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• Cancellation after November 28, 2016 is subject to a $100 penalty •
• Cancellation must be received in writing •
• No refund will be granted after November 28, 2016 •
• Transfer to another individual wishing to attend CCJR-W16 only •
• Confirmation is sent by e-mail •

COURSE INFORMATION
Current Concepts Institute
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2310 Superior Avenue East, Suite 100, Cleveland, Ohio 44114 - USA
Tel: 216-295-1900 • Fax: 216-295-9955
Internet: www.CCJR.com • E-Mail: Info@CCJR.com

Current Concepts in Joint Replacement ® Winter 2016
Immediate Registration & Confirmation Available at

www.CCJR.com

$900 Surgeon - Nurse - Allied Health - Other

Course Fee:

$450 Resident/Fellow-in-Training, Program Director Certification Required

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xmp.iid:95C0BEE99B34E5119084F69E1EB9C7B5, xmp.iid:99C0BEE99B34E5119084F69E1EB9C7B5, xmp.iid:9AC0BEE99B34E5119084F69E1EB9C7B5, xmp.iid:B9DDA0B01B4CE511B12BBDDF262F6BB1, xmp.iid:BEDDA0B01B4CE511B12BBDDF262F6BB1, xmp.iid:73C92701BA4CE511BA22A76720D514AA, xmp.iid:76C92701BA4CE511BA22A76720D514AA, xmp.iid:90C7544ABC4CE511BA22A76720D514AA, xmp.iid:0BEE2EDF1662E511AAD0F00D986BD0F9, xmp.iid:0EEE2EDF1662E511AAD0F00D986BD0F9, xmp.iid:0FEE2EDF1662E511AAD0F00D986BD0F9, xmp.iid:A3C06C33C871E511AC9DBD482FC08A00, xmp.iid:A6C06C33C871E511AC9DBD482FC08A00, xmp.iid:A9C06C33C871E511AC9DBD482FC08A00, xmp.iid:03E672E27E72E5118F4D85D3CF9D713A, xmp.iid:8A83A4082578E511A64FE737CBA49BA5, xmp.iid:8D83A4082578E511A64FE737CBA49BA5, xmp.iid:D3D9941EC178E511B025F0D0C8865074, xmp.iid:D6D9941EC178E511B025F0D0C8865074, xmp.iid:C58B9694F278E5119D8AF16238419182, xmp.iid:50609001A684E511939B92B89D99CA09, xmp.iid:53609001A684E511939B92B89D99CA09, xmp.iid:D759CCD4C68EE511AE22EA641334AD7C, xmp.iid:570A5707EA8EE511AE22EA641334AD7C, xmp.iid:7EC3B8ABACD5E511B16BB0C37089E786, xmp.iid:5740617DADD5E511B16BB0C37089E786, xmp.iid:5F40617DADD5E511B16BB0C37089E786, xmp.iid:D9DFC5C8B7D5E511B16BB0C37089E786, xmp.iid:DADFC5C8B7D5E511B16BB0C37089E786, xmp.iid:DDDFC5C8B7D5E511B16BB0C37089E786, xmp.iid:DEDFC5C8B7D5E511B16BB0C37089E786, xmp.iid:C740DDEE36D7E511B1EDBCAD4F281D7E, xmp.iid:CA40DDEE36D7E511B1EDBCAD4F281D7E, xmp.iid:6F6D97AD45DAE511A00C8EA4C45A1B45, xmp.iid:0C67633402E6E5118AB9B6BCCEAB8E5E, xmp.iid:0F67633402E6E5118AB9B6BCCEAB8E5E, xmp.iid:96F34670FFE6E51197638D659DC12BE4, xmp.iid:0821B0E87AF6E511A5AEC42031E0B833, xmp.iid:0D21B0E87AF6E511A5AEC42031E0B833, xmp.iid:233A479498F6E511A5AEC42031E0B833, xmp.iid:263A479498F6E511A5AEC42031E0B833, xmp.iid:687695FE6EFAE51180BDB9A2945BE7E1, xmp.iid:6B7695FE6EFAE51180BDB9A2945BE7E1, xmp.iid:0360EF45BBFDE5118870EAF34FD928E9, xmp.iid:8ED219AA4502E6119277F515A9E9DDF0, xmp.iid:8C126010D016E611B07B812547B8B24D, xmp.iid:9FE2D5617217E611BBCD9D1A77AB3D6D, xmp.iid:FFFB6CEFBB17E611BBCD9D1A77AB3D6D, xmp.iid:86239064EE4CE611A8E381E8C47FCEFA, xmp.iid:89239064EE4CE611A8E381E8C47FCEFA, xmp.iid:DAB58699F84CE611A8E381E8C47FCEFA, xmp.iid:DCB58699F84CE611A8E381E8C47FCEFA, xmp.iid:DEB58699F84CE611A8E381E8C47FCEFA, xmp.iid:E0B58699F84CE611A8E381E8C47FCEFA, xmp.iid:E2B58699F84CE611A8E381E8C47FCEFA, xmp.iid:085AACD3FD4CE611A8E381E8C47FCEFA, xmp.iid:0A5AACD3FD4CE611A8E381E8C47FCEFA, xmp.iid:17C48DEB7859E6118643C87A942F7FAD, xmp.iid:19C48DEB7859E6118643C87A942F7FAD, xmp.iid:39BACAD98C60E611804FBC32A0973F60, xmp.iid:3BBACAD98C60E611804FBC32A0973F60, xmp.iid:BB4646F40966E611A87FB4FDA53BC5C8, xmp.iid:A09E42BEFF75E6119DFFB6936D0C6F61, xmp.iid:A29E42BEFF75E6119DFFB6936D0C6F61, xmp.iid:28EE4464EF78E6118E57F660672A97FE, xmp.iid:82C541220A79E6119B9AB761A6C5642F, xmp.iid:84C541220A79E6119B9AB761A6C5642F, xmp.iid:C117A011BE79E6119746BDFD2B136143, xmp.iid:4124A0C66C91E611A3EA981524BF978B, xmp.iid:F138B019FD96E6119ACAE3B37E63A891, xmp.iid:6337D12181A7E61182A5B7B02147BE69, xmp.iid:6537D12181A7E61182A5B7B02147BE69, xmp.iid:6737D12181A7E61182A5B7B02147BE69
History When                    : 2011:02:13 16:18:21-05:00, 2011:02:13 16:18:21-05:00, 2011:02:13 16:18:51-05:00, 2011:02:13 16:18:51-05:00, 2011:02:13 16:20:25-05:00, 2011:02:13 16:20:25-05:00, 2011:02:13 17:32:34-05:00, 2011:02:13 17:32:34-05:00, 2011:02:13 17:44:06-05:00, 2011:02:13 17:45:55-05:00, 2011:02:13 17:47:55-05:00, 2011:02:16 18:55:08-05:00, 2011:02:17 12:55:32-05:00, 2011:02:24 10:09:07-05:00, 2011:02:24 10:09:24-05:00, 2011:02:24 10:09:24-05:00, 2011:02:24 10:14:45-05:00, 2011:02:24 10:14:45-05:00, 2011:02:24 10:49:53-05:00, 2011:02:24 11:03:26-05:00, 2011:02:24 15:18:51-05:00, 2011:02:24 15:29:19-05:00, 2011:02:28 13:02:51-05:00, 2011:02:28 13:02:51-05:00, 2011:02:28 13:04:38-05:00, 2011:02:28 13:04:38-05:00, 2011:03:09 11:35:11-05:00, 2011:03:09 11:35:11-05:00, 2011:03:09 11:40:37-05:00, 2011:03:09 12:02:24-05:00, 2011:03:09 16:02:55-05:00, 2011:03:29 09:01:36-04:00, 2011:03:29 09:01:36-04:00, 2011:03:29 16:08:48-04:00, 2012:01:25 11:20:56-05:00, 2012:01:25 11:20:56-05:00, 2012:01:25 11:28:12-05:00, 2012:01:25 11:30:28-05:00, 2012:01:25 14:10:08-05:00, 2012:01:25 14:11:10-05:00, 2012:01:26 10:36:38-05:00, 2012:01:26 10:39:40-05:00, 2012:01:27 11:10:54-05:00, 2012:01:27 11:10:54-05:00, 2012:01:27 11:12:08-05:00, 2012:02:15 10:17:51-05:00, 2012:02:15 10:17:51-05:00, 2012:02:15 14:45:49-05:00, 2012:02:20 08:49:45-05:00, 2012:02:20 08:49:45-05:00, 2012:02:20 08:56:26-05:00, 2012:02:20 12:27:38-05:00, 2012:02:22 13:50:18-05:00, 2012:02:22 13:50:18-05:00, 2012:02:22 13:51:54-05:00, 2012:03:26 14:43:53-04:00, 2012:03:26 14:43:53-04:00, 2012:03:26 14:56:01-04:00, 2012:03:26 14:57:23-04:00, 2012:03:26 16:39:32-04:00, 2012:03:28 13:55:44-04:00, 2012:03:28 13:55:44-04:00, 2012:03:28 13:56:45-04:00, 2012:04:10 11:52:45-04:00, 2012:04:10 11:52:45-04:00, 2012:04:10 16:23:15-04:00, 2012:04:16 11:26:07-04:00, 2012:04:16 11:26:07-04:00, 2012:04:16 11:29:17-04:00, 2012:04:20 08:51:27-04:00, 2012:04:20 08:51:27-04:00, 2012:04:20 08:53:34-04:00, 2012:05:02 09:37:04-04:00, 2012:05:02 09:37:04-04:00, 2012:05:02 09:38:18-04:00, 2012:05:02 09:40:30-04:00, 2012:05:02 09:47:48-04:00, 2012:05:08 14:54:06-04:00, 2012:05:08 14:54:06-04:00, 2012:05:08 14:56:44-04:00, 2013:03:01 14:43:50-05:00, 2013:03:01 14:43:50-05:00, 2013:03:01 14:55:33-05:00, 2013:03:01 14:58:38-05:00, 2013:03:01 16:27:33-05:00, 2013:03:04 13:02:52-05:00, 2013:03:05 09:54:32-05:00, 2013:03:05 09:55:12-05:00, 2013:03:05 10:33:38-05:00, 2013:03:05 13:12:33-05:00, 2013:03:05 13:16:29-05:00, 2013:03:06 09:42:33-05:00, 2013:03:07 10:35:17-05:00, 2013:03:07 10:45:15-05:00, 2013:03:07 10:48:08-05:00, 2013:03:08 16:20:20-05:00, 2013:03:11 16:32:36-04:00, 2013:03:14 08:58:50-04:00, 2013:03:14 09:03:07-04:00, 2013:04:22 14:06:06-04:00, 2013:04:22 14:06:06-04:00, 2013:04:22 14:07:36-04:00, 2013:04:22 15:22:31-04:00, 2013:04:22 16:17:48-04:00, 2014:02:18 11:39-05:00, 2014:02:18 11:39-05:00, 2014:02:18 13:58:32-05:00, 2014:02:18 16:12:28-05:00, 2014:02:18 16:13:14-05:00, 2014:02:18 16:13:14-05:00, 2014:02:18 16:15:46-05:00, 2014:02:19 08:20:40-05:00, 2014:02:19 08:21:52-05:00, 2014:02:19 14:09:19-05:00, 2014:02:19 15:00:33-05:00, 2014:02:19 16:14:18-05:00, 2014:02:19 16:17:53-05:00, 2014:02:20 08:19:39-05:00, 2014:02:20 08:22:30-05:00, 2014:02:20 09:37-05:00, 2014:02:20 09:39:42-05:00, 2014:02:20 09:48:38-05:00, 2014:02:20 11:17:21-05:00, 2014:02:20 11:22-05:00, 2014:02:20 13:36:04-05:00, 2014:02:20 15:28:41-05:00, 2014:02:20 15:28:41-05:00, 2014:02:20 15:31:56-05:00, 2014:02:20 15:55:07-05:00, 2014:02:21 08:33:48-05:00, 2014:02:21 09:51:21-05:00, 2014:02:26 15:31:09-05:00, 2014:02:26 15:36:13-05:00, 2014:04:25 11:06:27-04:00, 2014:04:25 11:15:06-04:00, 2014:04:25 11:16:07-04:00, 2015:02:13 12:50:06-05:00, 2015:02:13 12:50:06-05:00, 2015:02:13 13:21:38-05:00, 2015:02:13 13:38:23-05:00, 2015:02:13 13:42:55-05:00, 2015:02:13 13:48:14-05:00, 2015:02:13 13:48:54-05:00, 2015:02:13 13:53:09-05:00, 2015:02:17 15:19:32-05:00, 2015:02:17 15:23:15-05:00, 2015:02:18 08:20:49-05:00, 2015:02:18 08:26:09-05:00, 2015:07:24 16:28:54-04:00, 2015:07:24 16:28:54-04:00, 2015:07:27 08:25:24-04:00, 2015:07:27 08:25:24-04:00, 2015:07:27 09:41:52-04:00, 2015:07:27 09:49:52-04:00, 2015:07:27 09:57:07-04:00, 2015:07:27 09:57:59-04:00, 2015:07:27 09:59:28-04:00, 2015:07:27 10:19:43-04:00, 2015:07:27 10:24:40-04:00, 2015:07:27 11:01:49-04:00, 2015:07:27 11:01:49-04:00, 2015:07:27 16:18:26-04:00, 2015:07:27 16:33:45-04:00, 2015:07:27 16:34:42-04:00, 2015:08:26 13:55:51-04:00, 2015:08:26 14:00:37-04:00, 2015:08:27 08:49:07-04:00, 2015:08:27 08:49:22-04:00, 2015:08:27 09:05:28-04:00, 2015:09:23 13:16:47-04:00, 2015:09:23 13:17:17-04:00, 2015:09:23 13:21:36-04:00, 2015:10:13 12:33:57-04:00, 2015:10:13 12:36:51-04:00, 2015:10:13 12:42:06-04:00, 2015:10:14 10:21:39-04:00, 2015:10:21 14:53:35-04:00, 2015:10:21 14:56:06-04:00, 2015:10:22 09:50:23-04:00, 2015:10:22 09:51:50-04:00, 2015:10:22 15:24:57-04:00, 2015:11:06 12:09:32-05:00, 2015:11:06 12:12:20-05:00, 2015:11:19 12:11:29-05:00, 2015:11:19 13:19:10-05:00, 2016:02:17 14:34:41-05:00, 2016:02:17 14:34:41-05:00, 2016:02:17 15:47:48-05:00, 2016:02:17 15:48:22-05:00, 2016:02:17 15:51:17-05:00, 2016:02:17 16:15:51-05:00, 2016:02:17 16:17:16-05:00, 2016:02:19 13:31:04-05:00, 2016:02:19 13:44:36-05:00, 2016:02:23 14:36:53-05:00, 2016:03:09 09:21:24-05:00, 2016:03:09 11:58:33-05:00, 2016:03:10 15:34:07-05:00, 2016:03:30 09:28:11-04:00, 2016:03:30 11:02:22-04:00, 2016:03:30 12:58:08-04:00, 2016:03:30 14:07:56-04:00, 2016:04:04 10:10:32-04:00, 2016:04:04 11:00:24-04:00, 2016:04:08 14:54:07-04:00, 2016:04:14 09:34:51-04:00, 2016:05:10 13:40:35-04:00, 2016:05:11 08:17:51-04:00, 2016:05:11 17:04:22-04:00, 2016:07:18 11:01:26-04:00, 2016:07:18 11:01:26-04:00, 2016:07:18 11:17:24-04:00, 2016:07:18 11:31:36-04:00, 2016:07:18 11:32:12-04:00, 2016:07:18 11:34:42-04:00, 2016:07:18 11:35:53-04:00, 2016:07:18 11:39:34-04:00, 2016:07:18 15:40:50-04:00, 2016:08:03 08:50:56-04:00, 2016:08:03 08:53:54-04:00, 2016:08:12 09:01:14-04:00, 2016:08:12 09:06:32-04:00, 2016:08:19 08:39:22-04:00, 2016:09:08 16:06:35-04:00, 2016:09:08 16:09:07-04:00, 2016:09:12 09:47:05-04:00, 2016:09:12 12:58:31-04:00, 2016:09:12 15:45:33-04:00, 2016:09:13 10:26:32-04:00, 2016:10:13 13:45:05-04:00, 2016:10:20 15:40:48-04:00, 2016:11:10 15:06:14-05:00, 2016:11:10 15:08:04-05:00, 2016:11:10 15:11:36-05:00
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History Changed                 : /;/metadata, /metadata, /;/metadata, /metadata, /metadata, /, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata
Derived From Instance ID        : xmp.iid:86239064EE4CE611A8E381E8C47FCEFA
Derived From Document ID        : xmp.did:5740617DADD5E511B16BB0C37089E786
Derived From Original Document ID: adobe:docid:indd:54bd5f85-3296-11df-91c0-8cac7218aacb
Derived From Rendition Class    : default
Metadata Date                   : 2016:11:10 15:12:29-05:00
Creator Tool                    : Adobe InDesign CS5 (7.0)
Page Image Page Number          : 1, 2
Page Image Format               : JPEG, JPEG
Page Image Width                : 256, 256
Page Image Height               : 256, 256
Page Image                      : (Binary data 9338 bytes, use -b option to extract), (Binary data 13151 bytes, use -b option to extract)
Doc Change Count                : 5099
Format                          : application/pdf
Producer                        : Adobe PDF Library 9.9
Trapped                         : False
Page Count                      : 9
EXIF Metadata provided by EXIF.tools

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