2026 DisasterPlasty Agenda*

*topic and times subject to change

Day 1: WEDNESDAY, September 30, 2026
12:30pm – 6:00pm

OPENING REMARKS

THE BASICS I

  • Work-up for patient with painful revision knee – what’s the workup?

  • Natural products for DJD – Do they work – Is stem cell / PRP an option, and when?

  • Patient MEDICAL optimization prior to surgery

  • Patient NUTRITIONAL optimization before and after surgery

  • DISCUSSION

THE BASICS II

  • Pain Management: Pre- and post- surgery for revision (chronic pain / patient dilemma)

  • Antibiotic stewardship – High dose antibiotics for infections: does it work and how long for joint infections?

  • How do I decide on an implant? is there an algorithm?

  • Infection failure is on the rise, normal products no longer working; WHY? MIC and standard testing obsolete, or did we miss the obvious (COVID)?

  • DISCUSSION

  • BREAK

SHOULDER I

  • There are so many options – When to do a reverse versus total shoulder (what about resurfacing)?

  • Steps to decrease shoulder infections

  • Algorithm for what to do for unstable reverse TSR

  • DISCUSSION

SCATTER SHOOTING I

  • Point Counterpoint: Cement versus Cementless stems for revision Knee

  • X-Ray Conference

  • Non-surgical alternative treatments for infected joints

  • Point Counterpoint: Morbid obesity (BMI > 45) - Surgery? Yes, No?

  • Adjourn for the Day

WELCOME RECEPTION

Day 2: THURSDAY, October 1, 2026
7:30am – 3:00pm

OPENING REMARKS

KNEES I

  • When is UKA indicated? Avoiding Disasters from the Start

  • Best option for wound closure and treatment to decrease infection.

  • Treatment for arthrofibrosis (non-operative vs operative vs major operative)

  • When to constrain a primary knee

  • Increased Constraint or hinge for revision TKA, and when?

  • DISCUSSION

INFECTION I

  • Major points from the 2025 PJI Consensus Meeting: Any changes?

  • Is there a best antibiotic spacer (knee & Hip)

  • What is the best antibiotic combination for cement and infection? How long does elution really occur?

  • Can we still save an infected joint, or must it come out?

  • DISCUSSION

  • BREAK

HIP I

  • Consensus on hip fractures in the elderly – Do they all need a total hip, and do you cement or not?

  • Treatment of periprosthetic fractures

  • Acetabular options for revisions: Custom, Tri-Flange, Cage, Jumbo Cup.

  • Treatment options for laxity of the hip

  • DISCUSSION

  • Rapid Fire – Things we should all know

WORKING LUNCH (10 to 15-minute NON-CME corporate presentations)

SCATTER SHOOTING II

  • I have a soft tissue defect of the knee – what can an orthopedic surgeon do to solve transfer of soft tissue / muscle?

  • Best treatment for post-op decreased drainage. Can we treat conservatively, and when?

  • Direct anterior approach (DAA) – how do I get out of trouble and how can I fix it?

  • When to use cones Chris Johnson, MD

  • DISCUSSION

  • Point / Counterpoint (5 min each debater)

    • DAA or Posterolateral

  • Point / Counterpoint (5 min each debater)

    • One stage vs. 1.5 stage vs. Two Stage for chronic PJI

  • ADJOURN

  • Late Night X-Ray Conference

Day 3: FRIDAY, October 2, 2026
7:30am – 5:00pm

OPENING REMARKS

KNEES II

  • Periprosthetic fracture options (Knee)

  • Put the knee in by x-ray / computer / robotics and fixed balancing – Is this the mechanical or kinematic or natural – What am I missing?

  • Only one half of my femur is left – Options for a DFR and is there a limit to how much bone I need?

  • I have a painful knee – Ruled out infection, am I allergic?? Or is this a natural reaction?

  • DISCUSSION

INFECTION II

  • Long-term antibiotics, yes or no?

  • What should we know about the microbiome

  • Failed multiple revisions of the knee for infection – what are my treatment options?

  • When to say NO!!!

  • DISCUSSION

  • BREAK / POSTER REVIEW

HIP II

  • Revision for instability – How and why they fail so often?

  • Periprosthetic femoral fracture – When to use PFR vs. Modular vs. Fixation.

  • When to use allograft for revision hips / acetabulum?

  • Is there a role for resurfacing the hip?

  • DISCUSSION

SCATTER SHOOTING III

  • Options for treating a stiff shoulder pre- and post-TSR

  • When to fix or replace a shoulder fracture?

  • DISCUSSION

  • Point / Counterpoint

    • Patient specific implants? Yes, No?

WORKING LUNCH (10 to 15-minute NON-CME corporate presentations)

BUSINESS OF MEDICINE I

  • Political Direction for Orthopedics

  • Private Equity/Venture Capitalist in Orthopedics

  • The Power of Large Single Specialty Groups

  • Out of Network Billing

  • DISCUSSION

BUSINESS OF MEDICINE II - MODERATOR: Daniel “Chris” Allison

  • Medicare (Dis) Advantage: Will They Pay?

  • The Importance (and Value) of Operating Room Efficiencies.

  • Building A Specialized DisasterPlasty Operating Suite within Your Hospital

  • DISCUSSION

  • Break

SCATTER SHOTING IV

  • Business Panel

  • What does the Political Landscape look like in 2028?

    • What will be the Orthopedic Practice Opportunities in 2028?

    • How will Technology and AI impact our business options?

    • Business Skill Set Needed for the future?

  • Adjourn from Lectures

  • DisasterBowl Competition - Young Surgeons versus the Old Usual Suspects

  • Dinner / Dueling Pianos Theme Night

Day 4: SATURDAY, October 3, 2026
7:45am – 12:30pm

OPENING REMARKS

SCATTER SHOOTING V

  • My worst case and what I learned (Faculty Presentations)

  • How can I stay out of a lawsuit – Insights from a malpractice lawyer

  • Rapid Fire Consensus Topics (Voting)

  • Roundtable Faculty (really a table full of squares) OPEN TOPICS WITH AUDIENCE

  • BREAK

  • Questions to the Faculty (from audience)

  • High risk cases and complex reconstructions – sustainable or will it break you?

  • Roundtable - Young surgeons’ dilemmas (what to expect in your first practice)!

CLOSING REMARKS

DisasterPlasty Conference 2026 – ADJOURNED