A/Prof Cutbush attended the 13th Meeting of Combined Orthopaedic Associations (COMOC) April 2016 in Cape Town. He gave two instructional course lectures and two scientific papers.The instructional course lectures were:
ICSE29 (P183) "Arthroscopic Latarjet and Labral Repair" Dr Cutbush presented his results of 61 arthroscopic latarjet with labral repair surgeries. He described his technique of preserving the anterior labrum and capsule that allows it to be repaired once the transfer of the coracoid process has been performed. He outlined the advantages of combining the labral repair: 20% increase in stability of repair; the ability to address posterior and inferior stability at the same time as the latarjet surgery to deal with these sometimes coexisting problems; placement of the bone block extracapsular that is proposed to aid union of the bone block to the glenoid. These are significant advantages when treating patients with dififcult anterior instability problems. Dr Cutbush summarised his approach to anterior and posterior unidirectional instability.
ICSE10 (P182) "Deltoid Exposure for Fractures" Dr Cutbush discussed his technique of extending the standard deltopectoral or anteromedial apporach to the anterior shoulder by dissection and reflection of the deltoid from the clavicle and anterior acromion. Dr Cutbush presented his results showing that the approach was safe and without complication in the series of 20 patients that he studied. This extended deltopectoral approach greatly enhances the exposure in proximal humeral fractues and difficult shoulder replacementcases and avoids the sometimes devastating complication that patients sometimes experience where the anterior deltoid is destroyed by over vigorous retraction during these surgeries.
The free scientific papers were:
P185 "Arthroscopic Subscapularis Repair – Is Preservation of the Rotator Interval & Comma Sign Important?" Dr Cutbush presented his experience with repairing 23 full thickness complete or near complete subscapularis tears. There was one failure of the repair representing a retear rate of 4.3% retear rate. He concluded that it is unecessary to preserve the rotator interval, superior glenohumeral ligament and middle glenohumeral ligament when repairing large full thickness subscapularis tears.
P184 "Arthroscopic Posterior Bone Block Augmentation of the Glenoid for Posterior Instability" Dr Cutbush described his experience with arthroscopic posterior block surgery for patients with failed surgery for posterior instability.
