Preliminary Program

DAY 1 :: Monday, 8 March 2027 GENERAL PRINCIPLE IN REPLANTATION SURGERY, MICROSURGICAL TECHNIQUES, OSTHEOSINTHESIS AND TENDON SUTURE
8.00 – 8.15	Arrival and Registration
Morning	Moderators: Sarah Tucker (UK) - Camillo Fulchignoni (IT)
8.15 – 8.25	Opening lectures – introduction to the course	Ignacio Roger da Oña (ES), Pierluigi Tos (IT)
8.25 – 8.35	FESSH Education Committee	Jonathan Hobby (UK), Camillo Fulchignoni (IT)
8.35 – 8.50	Vascular, nerve, tendon/muscle anatomy of the upper limb	Andrii Lysak (UA)
8.50 – 9.05	Indication in Upper Limb Replantation	Armando Fonzone Caccese (IT), Massimo Corain (IT)
9.05 – 9.20	Strategy on replantation – what we need to know in each level – basic principle for small and big segments, from bone to skin	Ignacio Roger de Oña (ES)
9.20 – 9.32	Techniques in vascular repair	Andrea Garcia Villanueva (ES)
9.32 – 9.44	Techniques of nerve repair	Michiel Zuidam (NL)
9.44 – 10.00	Strategy in mangled hand – principles	Fatih Kabakas (TR)
10.00 – 10.30	Break
10.30 – 13.00	Practical session – Microscope
	Practicing microsurgery on chicken leg – referencing course on Microsurgery – microscope setting Vessels (t-t, t-l, vein grafts), nerves, nerve graft, tubulisation
13.00 – 13.45	Light lunch
Afternoon	Moderators: Andrea Garcia Villanueva (ES) - Fatih Kabakas (TR)
13.45 – 14.00	Principles in tendon suture – flexors, extensors, graft	Valentina Cecconato (IT)
14.00 – 14.15	Principles in muscle suture – tendon lengthening, transfers, fasciotomies	Sarah Tucker (UK)
14.15 – 14.30	Principles of osteosynthesis in replantation surgery - principle of a "fast" and stable osteosynthesis	Massimo Corain (IT)
14.30 – 16.30	Practical Session - "a la carte"
	1 hour Tendon sutures, Muscle suture – pig model - 4 strands / 2 strands / Tsuge suture (Arthrex) 1 hour on sawbones Bone fixation: principles, plate forearm and phalanx, K wire, Endo medullary screws, ex-fix
15 min	Principles of osteosynthesis plate/screws	Jonathan Hobby (UK)
15 min	External fixation in mangled hand - principle and technique	Massimo Corain (IT)
20 min	Discussion - Debriefing	Pierluigi Tos (IT), Ignacio Roger de Oña (ES)
PRACTICAL PART OF THE DAY – "A LA CARTE" CHOSEN BY THE PARTECIPANTS ACCORDING TO EXPERIENCE

DAY 2 :: Tuesday, 9 March 2027 BIG SEGMENT REPLANTATION
Morning	Moderator: Michiel Zuidam (NL)
8.15 - 8.30	Spare part concept and clinical application	Andrii Lysak (UA)
8.30 - 8.45	Flaps in emergency (local and free flaps, venous flaps)	Pierluigi Tos (IT)
8.45 - 9.05	Tips and Tricks in small segment replantation	Fatih Kabakas (TR)
9.05 - 9.20	Progression on big segment replantation and cases	Pierluigi Tos (IT)
9.20 - 9.40	What I should do? Interactive case series on mangled hand	Michiel Zuidam (NL)
9.40 - 10.00	Break
10.00 - 16.30	Practical Session 1 specimen for each 2 participants
13.00 - 13.30	Light Lunch
	Big segment replantation (the segment is cut at the middle third/distal third of the forearm and a replantation should be performed. The two surgeons help each other (synthesis plates), arteries, flexor tendons, veins, nerves, extensors, skin – double vision microscope is used 1 forearm / arm in 2 participants – 1 microscope 2 participants (double optic – 2 surgeons help each other)
45 min	Disscussion - Debriefing	Ignacio Roger de Oña (ES), Pierluigi Tos (IT)

DAY 3 :: Wednesday, 10 March 2027 SMALL SEGMENTS REPLANTATION
Morning	Moderators: Massimo Corain (IT), Andrii Lysak (UA)
8.15 - 8.30	Epidemiology, transport and preservation	Camillo Fulchignoni (IT)
8.30 - 9.00	Progression in Finger and thumb replantation (maybe two fingers so they can help each other), finger in different zones, thumb replantation	Fatih Kabakas (TR)
9.00 - 9.15	Complications intraop and postop in microsurgery and in replantation – how to face problems	Sarah Tucker (UK)
9.15 - 9.30	Secondary surgery	Ignacio Roger de Oña (ES)
9.40 - 16.30	Practical Session - Thumb replantation Practice Session: Finger replantation Synthesis, volar vessels, tendons, veins, etc
13.00 - 13.30	Light Lunch
16.30 - 16.45	Closing remarks	Pierluigi Tos (IT), Ignacio Roger de Oña (ES)