Regenerative and Sports Medicine
David Dycus DVM, MS, CCRP, Diplomate ACVS-SA
Orthopedic Staff Surgeon
Veterinary Orthopedic and Sports Medicine Group (VOSM)
It’s a Cruciate and Surgery Isn’t an Option: Now What?
This presentation will briefly cover a review of the anatomy, physiology, and pathophysiology as it relates to cranial cruciate ligament rupture. Emphasis will be placed on various factors that lead to CCL rupture along with meniscal involvement. Typical diagnostic modalities such as palpation (cranial drawer, tibial thrust) along with radiographic changes will be discussed. Treatment and management options will focus on stifle orthotics (braces) to address CCL instability. Current evidence base, classification, along with the pro’s and con’s of this new emerging treatment modality will be covered. The goals are for the attendee to leave with continued knowledge in diagnosing CCL rupture, and have a firm understanding of what evidence base exists for the usage of stifle orthotics as well as being able to decide on appropriate candidates.
A Practitioner’s Guide to Fracture Management: Classification, Diagnosis, and Choice of Fixation
This presentation will cover the basic way to diagnose and describe fractures. To classify fractures correctly the anatomical location, severity, configuration, displacement, contamination, and growth plate fractures will be addressed. Once an understanding of fracture diagnosis and classification is covered, the factors affecting choice of fixation and a decision on internal versus external fixation will be covered. Factors to consider when choosing a type of fixation that will be covered are patient factors, client factors, fracture factors, and veterinarian factors. A very brief overall of different fixation types will be discussed such as external coaptation, IM pin/cerclage wire, ESF, ILN, and bone plates. The goal is for the attendee to leave with confidence in how to correctly identify and describe fractures along with being able to determine the best fixation type for that particular fracture.
Hip Dysplasia: Treatment from the Young to the Old
This presentation focuses on a very common disease process noted in both younger and older dogs. The underlying pathogenesis, clinical signs, and diagnostic methods will be covered. Furthermore, information will be provided on certification and prevention strategies along with various treatment options both surgical and non-surgical for young and older dogs. The goal is for the veterinarian to be able to diagnosis hip dysplasia in both young and older dogs as well as provide owners with various updated treatment options.
A Surgeon’s Perspective on the Current Trends for the Management of Osteoarthritis
This presentation will cover a review of the definition of osteoarthritis, along with the anatomy, and physiology of normal articular cartilage. The pathophysiology of osteoarthritis will be covered in-depth. Following an understanding of osteoarthritis the attendee will then be exposed to current multimodal treatment strategies for specific presentations of osteoarthritis. Finally the attendee will be exposed to new and emerging treatment modalities such as regenerative medicine, and intra-articular injections. The goal is for the attendee to leave with a refresher on osteoarthritis and new management strategies that can be incorporated into daily practice.
Common Orthopedic Soft Tissue Injuries of the Front Limb
Tired of recurring forelimb lameness that never fully responds to medical management and rest? This presentation is intended to move away from the diagnosis of “a soft tissue injury” and focuses on the common soft tissue injuries from an orthopedic perspective: supraspinatus tendinopathy, biceps tendinopathy, and medial shoulder syndrome. Pathophysiology, orthopedic exam findings, diagnostic modalities, and treatment (including surgical and regenerative medicine) will be covered. The goal is for the veterinarian to be able to diagnose common forelimb orthopedic injuries more specifically as well as know different ways to manage them.
Regenerative Medicine in Orthopedics: A New Approach to an Old Problem
This presentation provides an in-depth review of stem cell therapy and platelet rich plasma; what it is, what it does, and how it works. Specific injuries both soft tissue and osteoarthritis along with how regenerative medicine plays a potential role will be included. Also, how to incorporate regenerative medicine into practice will be discussed along with expected response and duration to treatment. The goal is for the veterinarian to be able to have a firm understanding of what regenerative medicine is and how it can be used. Furthermore, the veterinarian will have the knowledge base to decide if incorporating regenerative medicine into their practice is a good fit for them.
Dr. Dycus attended Mississippi State University’s College of Veterinary Medicine for his veterinary degree, Auburn University for a small animal rotating internship, and Mississippi State for a combined surgical residency and Masters degree.
His research was focused on developing a model to evaluate oxidative stress on the pathophysiology of osteoarthritis. He also completed a biomechanical study looking at different knotting techniques to for cruciate rupture. To remain on the cutting edge of research, Dr. Dycus holds an appointment on the research committee of the American College of Veterinary Surgeons. Along with being a scientific reviewer for multiple journals, he serves on the editorial review board for Veterinary Surgery and numerous other veterinary and human orthopedic journals.
Dr. Dycus has a strong passion for orthopedics and sports medicine. He is particularly interested in helping patients with arthritis along with fracture mechanics and joint problems. He is trained in the use of arthroscopy, minimally invasive fracture repair, regenerative medicine, as well as a number of orthopedic procedures for the treatment of ruptured cruciate ligaments. Dr. Dycus received his stem cell certification in 2010, and he became a certified canine rehabilitation practitioner through the University of Tennessee in 2015.