AO Trauma Advanced Principles of Fracture Management for ORP (Operating Room Personnel)

Operating room personnel (ORP) support the team of surgeons in the operating room and deliver an important contribution to the successful outcome of surgeries. This course teaches advanced principles and current concepts in the treatment of injuries, incorporating the latest techniques in operative fracture management. During the entire course, pre, per and post-operative nursing and planning remains central and fundamental.

Why you should choose this course

Top national and regional faculty

1.5-2 days in duration

For circulating nurse, scrub nurse and technicians who support the surgical team to deliver best patient care

Network with colleagues from all over the world

CME credits

Course content

  • Course modules
    • Module 1—General principles
    • Module 2—The polytrauma patient
    • Module 3—Distal femur
    • Module 4—Geriatric patients
    • Module 5—Pediatric patients
    • Module 6—Malleolar fractures
    • Module 7—Forearm fractures
    • Module 8—Wrist
    • Module 9— Osteosynthesis involving a joint
    • Module 10—Complications
    • Module 11—Others: Patient safety, leadership
  • Practical exercises
    • Stabilization of the pelvic ring using a large external fixator
    • Application of the large distractor
    • Intramedullary nailing of a femoral shaft with reaming
    • Internal fixation of proximal humeral fracture
    • Internal fixation of a femoral shaft fracture in a child
    • Internal fixation of a malleolar fracture
    • Internal fixation of a forearm shaft fracture
    • Internal fixation of a distal intraarticular fracture of the radius
    • Internal fixation of an olecranon with cerclage wiring
  • Small Group discussions
    • The polytrauma patient─Setting priorities
    • Patient with a femoral fracture
    • Osteosynthesis in geriatric patients
    • Osteosynthesis in pediatric patients
    • Perioperative preparation for an osteosynthesis of a malleolar fracture
    • Perioperative preparation for an osteosynthesis of a forearm shaft fracture
    • Challenges in the OR
    • Draping
    • Patient safety
    • Leadership and communication
  • AO Skills Lab
    • Soft-tissue penetration during drilling
    • Techniques of reduction
    • Damaged implant removal

Course details may be subject to change. Please check your chosen date and location for the detailed program.

Target audience

  • All paramedical staff working in the operating room, such as the circulating nurse, scrub nurse and the surgical technician.

Course impressions


The AO Trauma curriculum for ORP is based upon 9 competencies:

  • Ensure that the patient is adequately prepared for the procedure.
  • Carefully prepare all equipment, instruments and implants required for safe surgery.
  • Demonstrate and ensure optimal communication and successful teamwork skills.
  • Position the patient to allow best surgical access whilst maintaining the patient’s safety.
  • Define the basic principles of fracture fixation to ensure effective nursing management of the procedure.
  • Demonstrate correct use of instruments and support the optimal surgical application.
  • Implement and respect standards of best practice for infection control.
  • Implement and respect standards of best practice to ensure occupational health and safety.
  • Implement and respect standards of best practice in patient documentation, confidentiality and data protection.

Operating room personnel education taskforce

The operating room personnel education taskforce is a group of experts who build and continuously improve our educational program. It consists of four international program editors (IPEs).

Srisuk Wacharin (TH)

Term: 2021–2026

Jeannine Schnider-Kuhn (CH)

Term: 2022–2027

Ali Alyami (SA)

Term: 2022–2027

Muhammad Ramzan (PK)

Term: 2024–2026

See a full list of all regional program contributors and past international program editors.

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Find our list of all curricula courses here