Strategies for the Management of Periarticular Bone Loss in Acute Fracture Care

Accreditation Statement: The Orthopaedic Trauma Association (OTA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation:  OTA designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Orthopaedic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABOS credit.

MOC Claim Credit Deadline: 9/30/2029

Learning Objectives:

After completing this activity, learners will be able to:

1. Implement strategies for the management of bone loss in complex periarticular fractures of the upper and lower extremity. 

2. Understand when and how to utilize osteoarticular allograft for reconstruction of large defects.

3. Recognize when arthroplasty options may offer a better outcome.

Faculty:

• Moderator: Taylor Yong, MD
• Andrew Choo, MD
• Timothy Achor, MD
• Michael Githens, MD

Original release date: 9/30/2026

Expiration date: 9/30/2029

Estimated time to complete activity: 1 hour

Statement of Need/Description/or Summary of Gap Analysis

Managing periarticular bone loss during acute trauma presents significant clinical challenges. Surgeons often lack adequate training in advanced techniques needed to effectively address periarticular bone loss when treating complex fractures. This activity seeks to enhance surgeon understanding of available management strategies for periarticular bone loss in acute fracture cases, ultimately leading to better patient outcomes through improved surgical decision-making and technique implementation.

There is limited evidence in the orthopaedic trauma literature on strategies to manage periarticular bone loss. Much of the existing evidence can be found in the musculoskeletal oncology literature. In my early career, I have sought the advice of these experts in the management of periarticular bone loss cases. Other surgeons will benefit from the strategies and techniques outlined in this educational activity.

Method of Participation: There are no fees for members to participate in this activity. Non-members must pay $40. To participate in the activity, physicians will be required to take the following steps:

• Read the learning objectives and faculty disclosures.
• Participate in the activity.
• Complete the activity evaluation.
• Participants who successfully complete the evaluation will receive AMA PRA Category 1 Credits™.

Disclosures:

The Orthopaedic Trauma Association has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education (ACCME) Standards for Integrity and Independence in Accredited Continuing Education requiring mitigation of all conflicts of interest. Faculty declaring a relevant commercial interest must be identified in the activity syllabus and/or program.

In accordance with disclosure policies of OTA and the ACCME, every effort has been made to ensure all CME activities are balanced, independent, objective, and scientifically rigorous. These policies include complying with ACCME’s Standards for Integrity and Independence in Accredited Continuing Education and mitigating all relevant conflicts of interest for all individuals in control of content.  

All of the relevant financial relationships listed for these individuals have been mitigated

Disclosures are available on the "Disclosure" tab.

Disclaimer: 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 authors/faculty. They do not represent an endorsement by the OTA.  In no event will the OTA be liable for any decision made or action taken in reliance upon the information provided through this CME activity.

Commercial Support: There is no commercial support for this activity