The International Orthopaedic Trauma Association (IOTA; http://internationalota.org) was founded inOctober, 2017 to promote trauma care around the world, and encourage collaboration,communication and integration. It is an association of associations, with the national and regionalorthopaedic trauma organizations creating an alliance to share ideas and practices through scholarlycollaborations. From its initial membership of 12 founding societies representing 13 countries, IOTAcurrently has 17 society members, representing 18 countries. The future of global orthopaedictrauma care continues to evolve, and IOTA fosters the sharing of ideas and practices, supportscollaboration to avoid countries having to work in silos, and creates new opportunities to move thefield forward. The IOTA, with support through the Orthopaedic Trauma Association (OTA), sponsorsan expanding set of programs, ranging from exchange fellowships and meeting symposia topublications, and welcomes new society members to and ideas from our developing community.IOTA’s first triennial meeting will be held in December, 2020, in Amsterdam, where it will partner withthe Dutch Association for Trauma Surgery on a three day program.

It is my great pleasure to introduce the first newsletter of the IOTA, which will provide updates onIOTA activities and offer a platform for communication amongst the members of IOTA societymembers. Its new editor, Tim Chesser, from the British Orthopaedic Trauma Society has organizedthe inaugural edition to introduce each IOTA member society. As the Chair of the IOTA SteeringCommittee, I look forward to future editions highlighting the growing number of IOTA activities.

Theodore Miclau, MD

IOTA Mission

Promote international orthopaedic and musculoskeletal trauma care, including patient care,education, and research.

Goals

Allocate venues for and monitor progress of a triennial International Orthopaedic Trauma AssociationAnnual (IOTA) Meeting.

Organize a face-to-face meeting at each triennial meeting and each Orthopaedic Trauma Association(OTA) Annual Meeting.

Provide a means for Member organizations to enhance international collaboration in research,education, teaching, and program development.

Support the development of Orthopaedic Trauma organizations globally.

IOTA History

The IOTA charter was signed October 11, 2017 at the 33rd OTA Annual Meeting,

to unite 15 societies and counting.

Accomplishments To Date:

-Approved charter and outlined financial support and governance

-Established regular meeting schedule

-Created logo and website

-Selected venues for future triennial meetings: Netherlands (2020) and Mexico (2023)

-Developed observership program for Fellows

-Supported a Global Trauma Systems survey

-Published an OTA International supplement on trauma systems worldwide

-Presented symposia at the OTA Annual Meeting, including the topics of pelvic fractures andproximal femur fractures

-Started IOTA Annual Meeting exchanges between IOTA member societies, with 9 differentorganized exchanges to date

The full IOTA Member List can be viewed on the OTA website.

IOTA News

Mark Your Calendars

The 1st Triennial IOTA Meeting will be held, onDecember 2, 2020, immediately followed by theDutch Association for Trauma Surgery(Nederlandse Vereniging voor Traumachirurgie(NVT)) Annual Conference on December 3 – 4,2020. The meeting will be held at the RAICongress Centre, in Amsterdam.

Affiliated Meeting Reports

Congratulations to the Mexican Federation ofOrthopaedic and Traumatology Surgeons(FEMECOT) on a successful society meeting. Atthis meeting, FEMECOT promoted three differentIOTA branded symposia on polytrauma, pelvicfractures, and osteomyelitis and bone defecttreatment.

We look forward to another IOTA symposium atthe 2019 meeting. October 30th - November 1st.

Click image to view more photos.

The 12th Annual Congress of the Chinese Association of Orthopaedic Surgeons (CAOS2019) washeld May 23rd through May 25th, in Beijing, China. The IOTA Global Trauma Forum was onSaturday, May 25th. They were glad to welcome IOTA to CAOS 2019.

In April 2019, the annual international traumaupdate course was held in Cartagena,Colombia, with the support and participationof IOTA. The main theme was minimallyinvasive MIO surgery and the meeting washighly successful.

There international speakers thatrepresented the four IOTA different societieswere: Dr. Theodore Miclau (OrthopaedicTrauma Association – United States andCanada), Dr. Victor De Ridder (DutchAssociation for Trauma Surgery –Netherlands), Dr. Paulo Barboza (BrazilianSociety of Orthopaedic Trauma – Brazil), andDr. Fernando Bidolegui (ArgentianAssociation of Orthopaedic Trauma –Argentina). One hundred and eightyorthopaedists attended the meeting, whichreceived excellent ratings and a 96.5%satisfaction. For the SCCOT, connecting withthe IOTA was critically important, and welook forward to working with the other IOTAsocieties to move the field forward. Nextyear, for the 2020 National Colombian

Orthopaedics Congress, the largest SCCOTannual event, we are again planning aSCCOT-IOTA collaboration.

IOTA Society Reports

AATO (Asociación Argentina del Trauma Ortopédico)

The Argentine Orthopedic Trauma Association (AATO), is anassociation that represents Orthopedic Trauma in Argentina and itsparent association is the Argentine of Orthopedics and TraumatologyAssociation (AAOT). AATO has approximately 470 active membersand was founded on March 21, 1994. Its major activities include anAnnual International Meeting, an annual Orthopedic Trauma Course,and scientific meetings within Argentina to disseminate and promotetrauma orthopaedic within the country.

AOA (Australian Orthopaedic Association)

The Australian Orthopaedic Association (AOA) was established in1936 and currently has 1,796 members. The Australia OrthopaedicTrauma Society (AOTS) has 179 active members and formed as aspecialist society within the AOA in 1990. The AOTS organizestrauma sessions at the AOA annual scientific meetings held everyOctober. In 2015, AOTS began a trauma specialist scientific meetingthat is held in June. The AOTS overseas the AOA trauma curriculum,has an multicentre clinical trial group and provides orthopaedic

trauma experts for the Australasian Trauma Verification Program'strauma center site visits.

BOTA (Belgian Orthopaedic Trauma Association)

The Belgian Orthopaedic Trauma Association (BOTA) is the nationallead partner for medical doctors with a special interest in themusculoskeletal trauma-care in Belgium. It was founded in thesummer of 1990 by orthopaedic surgeons René Verdonk (Gent),Peter Reynders (Leuven) and Jan Vanmelkebeek (Antwerpen) whoenvisioned the need for a separate scientific organization dealingwith musculoskeletal trauma, joining the Dutch- and French-speakingorthopaedic colleagues in our country with English as the workinglanguage.

From its inception, the BOTA’s purpose has been to promoteevidenced based treatments for orthopaedic trauma. This mission issupported through the organization’s annual one-day congress thattakes place in September and directed meetings held throughout thecountry where colleagues and residents can present their ‘case-reports’ with peer review. Our website http://www.botatrauma.be/ andbi-annual newsletter report extensively on these events.

Additional important initiatives include the BOTA’s institutionalmembership in the European Society of Trauma and Emergency(ESTES) and active participation in the creation of a national traumaregistry in collaboration with different surgical and emergencyphysician scientific organizations.

The recent emergence of supra-regional trauma centers in Belgiumand the growing body of evidence that trauma systems are aprerequisite for high quality care of the severely injured strengthenshas helped us strengthen our mission. The BOTA hopes to continuethe legacy of its visionary predecessors Albin Lambotte and RobertDanis, the founders of Osteosynthesis. We are convinced thatmembership of IOTA can only reinforce this process.

SBOT (Brazilian Society of Orthopedic Trauma)

The Brazilian Society of Orthopedic Trauma (Sociedade do TraumaOrtopédico – TRAUMA,) originated as a division 25 years ago fromour major Orthopedic Society, the SBOT (Sociedade Brasileira deOrtopedia e Traumatologia – SBOT), to which it is still linked as acommittee. Currently, we have over a thousand active associatedmembers of the approximately 15,000 SBOT members and promotea main annual event dedicated to Orthopedic Trauma (BrazilianCongress of Orthopedic Trauma) that is traditionally held in May.There is also a mini Trauma Congress within the annual Meeting ofthe SBOT, and currently we are developing a new web platform tooffer internet based learning to our associates.

CAOS (Chinese Association of Orthopedic Surgeons)

The Chinese Association of Orthopaedic Surgeons (CAOS) servesover 150,000 orthopedic surgeons in China and is authorized byChinese Government and National Health and Family PlanningCommission of the People’s Republic of China. CAOS has 26Orthopaedic sub-societies covering various orthopaedic areas andhas become one of the largest and most influential medicalassociations in China.

CAOS not only focuses on providing Clinical Practice regulation,physician advocacy, examinations and certification, but also oncontinuing education of orthopaedic surgeons, especially onresidency/specialist training. The variety of domestic andinternational education programs are held and fellowshipopportunities are provided through CAOS. CAOS is committed tobeing the most practical continuing education platform andprofessional orthopaedic society in China.

SCCOT (Colombian Society of Orthopaedic Surgery and Traumatology)

The Colombian Orthopedic Society or Orthopaedic Surgery andTraumatology (SCCOT) is the main academic orthopaedic traumaorganization and is headquartered in Bogota. The SCCOT groupsmore than 700 associates, with a structure divided into chapters thatinclude trauma, spine, hand, hip and knee, and foot and anklesurgery. SCCOT hosts multiple academic activities with the purposeof updating of orthopedics and traumatology in Colombia. Its AnnualCongress includes top international guests with topics directed togeneral orthopedists and sub-specialty practice.

SCCOT utilizes CLEMI, a cadaveric-based skills laboratory, to holdcourses for surgeon throughout Central and South America.

DGU (German Trauma Society)

The German Society for Orthopaedics and Trauma (DGOU) is amedical professional society with approximately 10,500 members. Itwas founded in 2008 as a non-profit organization and isheadquartered in Berlin. As an Association Group, the DGOUcombines the objectives and tasks of its two supporting associations,the German Society for Orthopaedics and Trauma (DGOOC) and theGerman Trauma Society (DGU), and of their members. As such, theDGOU represents the overarching and common interests of the fieldof orthopaedics and trauma surgery in the areas of research,teaching, and advanced education and training. The DGOUrepresents the interests of its members in the areas of science,healthcare and vocational and public policy. In close collaborationwith its various groups and committees, the organization workseffectively for its members in its capacity as a professional society.

TSI (Trauma Society of India)

The Trauma Society of India (TSI) was founded 20 years ago by Prof.Dr. Sudhir Babhulkar and Prof. Dr. D. D. Tanna who were joined laterby Prof. Dr. G. S. Kulkarni and Prof. Dr. S. C. Goel. The TSIrepresents the largest orthopaedic trauma organization in India, withover 1,200 current orthopaedic surgeon members. This societyfacilitates international scientific promotion, learning opportunitiesand clinical and basic research on musculoskeletal trauma.

The TSI holds a flagship meeting of every mid-August in Mumbai thatcaters to participants from India and neighboring countries, benefitingmore than 2,000 attendees. In addition, TSI holds a midterm meetingcalled Current Concepts in Trauma (CCT), which rotates around thecountry to promote trauma knowledge uniformly. In addition to thesetwo important meetings, the TSI sponsors a special symposiumduring the Indian Orthopedic Association’s Annual Meeting. TSI’sofficial publication journal is "Injury" and the organization has alsopublished through Thieme on its own guidelines concerning specificfractures management, such as the tibial plateau, femoral neck, anddistal femur. TSI seeks to begin additional scientific programming incollaboration with the IOTA, with India being a gateway for Far EastAsia and providing an important pathway towards Asia-Pacific region.

IOA (Israeli Orthopaedic Trauma Society)

The Israeli Orthopaedic Association (IOA) is the official associationfor orthopaedic surgeons across Israel. There are approximately1000 licensed orthopaedic surgeons in the country, of which 600 areactive members of the IOA. The Israeli Orthopaedic Trauma Society(IOTS) is the official organization representing orthopaedic surgeonswho are committed to trauma surgery. There are nearly 60 surgeonswho dedicate their professional careers to orthopaedic trauma care,approximately half of whom have orthopaedic trauma fellowshiptraining from leading centers abroad. The IOTS holds annualmeetings and teaching symposia, and joined the IOTA as a formalsociety member in 2018.

OTODI (Ortho. and Trauma Specialists Hospital of Italy)

OTODI (Ortopedici Traumatologi Ospedalieri Italia) is an associationconsisting of over 3,000 orthopaedic surgeons and traumatologistswho work in public and/or private health sectors. The OTODI is anon-profit association is that is divided into 20 regional societies, andits main purpose is to promote scientific, cultural and teachingactivities.

OTODI’s goals include:

a) To support of professional and cultural-level studies, research andmutual exchanges by gathering, organizing and disseminatinginformation and experimental findings;

b) To facilitate the exchange of ideas and experience among Italianand non-Italian specialists in the field;

c) To continuing medical education for its members through anannual continuing medical education (CME) training program; and

d) To develop study trials, master courses, and guidelines incollaboration with the Ministry for Health, Regional Authorities, andlocal healthcare organizations.

JSFR (Japanese Society for Fracture Repair)

The Japanese Society of Fracture Repair (JSFR) was founded inApril 1978 and currently has 4,680 members. Its current president isProfessor Toru Sato from Okayama Medical Center. The current

JSFR activities include holding academic conferences and trainingsessions, publishing its journal quarterly, updating its website,investigating and reporting on implant failures, and participating inacademic conferences with the Korean and Taiwanese FractureSocieties. The JSFR also participates in the Orthopaedic TraumaAssociation (OTA) and collaborates with the many member societiesof the IOTA.

The upcoming Annual Meetings are as follows:

45th Annual Meeting, June 28-29, 2019

Fukuoka Convention Center

Congress President: Massahiro Shirahama, MD

President, Department of Orthopaedic Surgery, Kurume University,School of Medicine

URL: http://www.congre.co.jp/jsfr2019/abstract/index.html

46th Annual Meeting, July 3-4, 2020

Kitakyusyu Convention & Visitor Association

Congress President: Seiya Jingushi, MD, PhD

Vice Director, Director of Adult Reconstruction Center

Kyushu Rosai Hospital, Japan Organization of Occupational Healthand Safety

FEMECOT

(Federación Mexicana de Colegios de Ortopedia y Traumatología)

The Mexican Federation of Orthopaedic and Traumatology Surgeons(FEMECOT) is an organization, founded 51 years ago, representsOrthopaedics and Traumatology in Mexico. In the country there are64 colleges of Orthopaedic and Traumatology, 63 colleges areaffiliated to FEMECOT, which has 3,102 active members, making itthe second largest orthopaedic and trauma organization in Latin

America, after Brazil. FEMECOT hosts an annual internationalcongress, five regional meetings and an indexed magazine.

NVT (Nederlandse Vereniging voor Traumachirurgie)

Dutch Assoc. for Trauma Surgery

The Dutch Trauma Society (Nederlandse Vereniging voorTraumachirurgie, NVT), was founded in 1982 as a sub-specialty andscientific society within the Dutch Society for Surgery (NVVH). NVThas about 520 active members. Dutch Trauma surgeons take care ofabout 80% of acute skeletal trauma and are responsible for traumacare in roughly 75 hospitals in the Netherlands. Trauma care for the17 million inhabitants of the Netherlands is organized in 11 Traumanetworks around 11 Level I Trauma centers. NVT introduced ATLS tothe Netherlands in 2004, and since that time, ATLS based initialtrauma care has been definitively established in all hospitals .

The Dutch Trauma Society organizes its annual internationalcongress in Amsterdam, with the Dutch Society for OrthopaedicTrauma (NVOT) and the Dutch Society of OR-nurses (LVO).Additionally, there is a long tradition of organizing the biennialmultidisciplinary Postolympic Sports Congress at the National SportsInstitute at Papendal, advanced trauma courses, AO courses, andcourses for residents in (trauma) surgery. The NVT is the secondlargest sub-specialty of the Dutch Surgical Society, and activelyparticipating in the society’s work, including through the annualmeeting, a scientific peer-reviewed magazine (Injury), a yearlymagazine aimed at the para-medical and non-medical members ofsociety (‘ De Traumachirurg’), and a very active website(www.trauma.nl).

For 2020 the NVT has been given the honor of organizing the firstIOTA Triennial meeting, which will be held in combination with itsannual congress meeting at the RAI congress center in Amsterdam(Dec 2-4, 2019).

SAOTA (South African Orthopaedic Trauma Society)

The South African Orthopaedic Trauma Society (SAOTS) is asubspecialty interest group of the South African OrthopaedicAssociation. The SAOTS was founded in 2012 and has just over 100members. The society aim is to improve orthopaedic trauma careacross the country through education, as well as promoting researchin the field of orthopaedic trauma.

The society hosts a subspecialty meeting during the annualCombined South African Orthopaedic Association Congress, and abiannual trauma meeting combined with the Surgical Trauma society.

SOTA-SECOT(Spanish Orthopaedic Trauma Association)

The Spanish Society of Orthopedic Surgery and Traumatology(SECOT) and IOTA facilitated the development of SOTA-SECOT(Spanish Association of Orthopedic Trauma - Spanish Society ofOrthopedic Surgery and Traumatology), which is dedicated totraining, research and the development of specialist partners with aspecial interest in the field of orthopaedic traumatology. SOTA-SECOT currently has 400 affiliated orthopedic surgeons. Theassociation promotes science, learning opportunities, and clinical andbasic research on musculoskeletal trauma in Spain and supportsthese efforts internationally.

As an academic opportunity, the next SECOT annual meeting will beheld in Zaragoza, where a two-hour SOTA session will be held andwill include faculty internationally recognized for their expertise inorthopaedic trauma and address key topics in orthopaedic trauma.

OTS (Orthopaedic Trauma Society)

The Orthopaedic Trauma Society (OTS) was set up in 2012 inresponse to the increasing specialization of orthopaedic trauma in theUnited Kingdom and the establishment of major trauma networks. Itsmission is to foster education and research, and the organization hasgrown rapidly. The OTS currently has over 200 members, holds anannual meeting and is responsible for the trauma re-validation for thecountry’s orthopaedic trauma surgeons. Using a collaborativeapproach, the OTS has delivered significant research trials that havechanged practice, and continues to engage in important researchquestions.

OTA (Orthopaedic Trauma Association)

The Orthopaedic Trauma Association (OTA) is celebratingits 35th year of promoting excellence in care for the injuredpatient. Main OTA promotes musculoskeletal injury carethrough its Annual Meeting and Courses, Research GrantAward Program, two official journals (JOT and OTAI), andseveral other initiatives. The OTA’s newest member benefit,OTA Online (OTA Online is a premier online educationalportal offering many valuable online resources). The OTAcurrently has just under 2,500 members. Visit the OTAwebsite to learn about the OTA member benefits andresources.

IOTA Activity

IOTA Symposia

Wednesday September 25, 2019

IOTA SYMPOSIUM II

9:00AM - 10:02 AM Tibial Plateau Fractures:Global Perspectives on a Complex Problem

Moderators: Peter V. Giannoudis, MD, FACS,FRCS Achille Contini, MD Rafeal Amadei, MD

9:00 AM Overview

Peter V. Giannoudis, MD, FACS, FRCS

9:02 AM Complex Plateau Fractures: InitialManagement and Timing of DefinitiveTreatment

Kees Jan Ponsen, MD, PhD

9:12 AM Post-Fixation Stability: What is theOptimal Construct for Early Mobility:

Kodi Kojima, MD

9:22 AM The Posteromedial Fragment: Whenand How to Fix

Sushrut Babhulkar, MD

9:32 AM Posterior Plateau Fractures:Approach and Fixation

Francisco Chana, MD

Thursday September 26, 2019

IOTA SYMPOSIUM VII

8:20AM - 9:32 AM: IOTA Fragility FractureCare: Advances in Management

Moderators: Theodore Miclau III, MD YoramWeil, MD Jose Quintero, MD

8:20 AM Overview

Peter V. Giannoudis, MD, FACS, FRCS

8:22 AM Systems Approaches to FragilityFracture Care: How Can They Help?

Timothy Chesser, MB, BS, FRCS

8:32 AM Measuring Success: OutcomesBeyond Mortality?

Zsolt Balogh, MD

8:42 AM Fragility Fractures in a JapanesePopulation: Does the Treatment Differ?

Takashi Miyamoto, MD

8:52 AM Managing Bone Loss in ElderlyPatients: What Are the Options?

Yun Tian, MD

9:42 AM Compartment Syndrome and PlateauFracture: Treatment Approach andRecommendations

Bertil Bouillon, MD

9:52 AM Discussion

9:02 AM Surgical Management of InsufficiencyFractures: When and How?

Guy Putzeys, MD

9:12 AM Complications Post OsteoporoticFracture Fixation: Tips and Tricks

Fernando de le Huerta, MD

9:22 AM Discussion

IOTA Publications

Understanding Global Trauma Systems – OTA International Looks at Current Status, FutureNeeds

March 13, 2019 -

OTA International supplement reflects the growing interest in improving trauma care in order to reducetrauma-related mortality around the world. "This work represents a collaboration of member societiesof the International Orthopaedic Trauma Association (IOTA), which is an international association oforthopaedic societies dedicated to the promotion of musculoskeletal trauma care throughadvancements in treatment, education, and research," writes Guest Editor Theodore Miclau, MD, ofUniversity of California, San Francisco.

While acknowledging the gap in trauma system development between higher- and lower-incomecountries, the supplement papers draw attention to a common goal: documenting improvements insurvival and subsequent outcomes, as a direct result of care provided by national trauma systems."Well-developed trauma systems in higher income countries have been shown to improve patientoutcomes; however the overall adoption of such systems remains low," Dr. Miclau writes. Heconcludes that "The information presented in this supplement will contribute to larger efforts towardunderstanding, improving, and standardizing existing trauma systems worldwide."

Taken from Understanding Global Trauma Systems Wolters Kluwer March 13, 2019 press release.View the entire press release here.

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