Ligament Balancing. Instructional Course. Preliminary programme. Invited Chairman: Professor Henrik Schroeder-Boersch (DE)

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1 Ligament Balancing Instructional Course Preliminary programme Invited Chairman: Professor Henrik Schroeder-Boersch (DE) Expert Connect Centre (ECC), Croxley Green, United Kingdom May 2017 Supporting healthcare professionals for over 150 years

2 Page 2 Description Achieving the appropriate soft-tissue tension is a critical success factor for clinical outcomes in total knee replacement surgery (TKA). During this course, Healthcare Professionals (HCPs) will be instructed on the essentials of balancing the knee ligaments in TKA. Clinical outcome of TKA is very much related to achieving alignment and stability. A group of experienced international orthopedic faculty specialized in total knee arthroplasty will present and debate different approaches and related surgical techniques on how to balance the ligaments in total knee arthroplasty. During the anatomical workshop, HCPs will have the opportunity to perform the presented techniques. Sharing our experiences with you and giving you the opportunity to have in-depth discussion with surgical colleagues are our main goals. We are looking forward to welcoming you to this educational advanced instructional course. Invited Chairman Professor Henrik Schroeder-Boersch Orthopaedic Surgeon and Sports Medicine Specialist Aukamm-Klinik, Wiesbaden, Germany

3 Page 3 Ligament Balancing IC May 2017 Preliminary programme Learning objectives Enable delegates to gain an in-depth understanding of the soft-tissue structures of the knee Identify the key challenges in balancing the ligaments of the reconstructed knee and discuss appropriate techniques Provide practical instruction in appropriate surgical technique for JOURNEY II and LEGION Primary knee systems Provide delegates with hands-on surgical experience through cadaveric workshops Participant profile HCPs with an interest in learning advanced ligament balancing techniques HCPs wishing to share knowledge and debate clinical opinion with an expert faculty and professional peers from across Europe HCPs with typically a minimum of 2-3 years experience in knee replacement surgery The course will be held in English, requiring a good level of competency in this language Products JOURNEY II LEGION Primary

4 Page 4 Thursday, 18 May Morning Individual arrival 12:00 Lunch 12:45 Course registration in front of meeting Session I Classic ligament balancing 13:00 13:10 Welcome words 13:10 13:25 Anatomy of the ligaments 13:25 13:50 How to balance varus deformities 13:50 14:10 How to balance valgus deformities Session II Hands-on balancing 14:10 14:45 Faculty panel with participants: Discussion of 4-5 typical situations what would you do? 14:45 15:45 Parallel session with hands-on ligament balancing models Group 1: Group 2: Group 3: Group 4: 15:45 16:15 Coffee break Session III The next level it s getting tougher 16:15-16:30 Ligament balancing from pre-op planning to surgical practice 16:30 16:45 Tight in flexion? Balancing the PCL 16:45 17:00 The perfect extensor mechanism: Balancing the patella 17:00 17:20 Ligament balancing and proprioception 17:20-17:30 Discussion Session IV When things go wrong 17:30 17:40 Pitfalls of ligament balancing 17:40-17:55 Is there proven evidence for balancing? 17:55 18:15 How much constraint after balancing? 18:15 18:25 Ligament handling in extreme situations 18:25-18:40 Discussion 19:15 Transfer to course dinner 19:30 Course dinner

5 Page 5 Ligament Balancing IC May 2017 Friday, 19 May Preliminary programme 08:00 Check out at the hotel, transfer to ECC Session V The correct bone cuts 08:30 08:45 Setting the scene - myths and facts 08:45 09:05 The right cuts are half the job - do them correctly! 09:05 09:20 Flexion-extension gap mismatch and joint line 09:20-09:30 Gap technique - keep an eye on femoral rotation! 09:30 09:45 Discussion Session VI Instrumentation philosophies - how do I do it? 09:45 09:55 Extension gap first with Spacers 09:55-10:05 Cuts independent in extension, but dependent in flexion: The soft tissue envelope 10:05 10:15 Extension gap first with tibia first instruments 10:15 10:30 Patient-specific instruments (VISIONAIRE ) 10:30 10:45 Discussion 10:45 11:00 Coffee break Ligament balancing demonstration surgery 11:00 12:00 JOURNEY II demonstration surgery 12:00-13:00 Lunch Anatomical workshop 13:00 14:00 1st wet-lab session Group I: Anatomical workshop Group II: Envelope of motion demonstration 14:15 15:15 2nd wet-lab session Group II: Anatomical workshop Group I: Envelope of motion demonstration 15:15 15:45 Step by step dissection of the ligaments: hands-on follow-up at all tables 15:45 16:00 Closing remarks and questions 16:00 Individual departures

6 Page 6 Course venue Expert Connect Centre (ECC) Croxley Green United Kingdom Dinner Transfers Transfers from the airport to the hotel and back will be organised. Organisation Monique Wehmeijer Content Delivery Manager Professional Education, Europe/Canada Mobile monique.wehmeijer@smith-nephew.com

7 Page 7 Ligament Balancing IC May 2017 Preliminary programme Disclaimer The opinions expressed in the presentations and on the supporting slides are solely those of the presenters and not necessarily those of Smith & Nephew. Smith & Nephew does not guarantee the accuracy or reliability of the information provided herein. Intellectual Property Lectures and case studies are property of the faculty. All rights are reserved. Recording, photographing or copying of lectures is absolutely forbidden. Code of Ethics All healthcare professionals must comply with their local guidelines and regulations regarding the costs associated with any meeting. Smith & Nephew, Inc. is committed to following the relevant code of ethics and limits attendance at company sponsored events to healthcare professionals with a bona fide professional interest. Photography and Video During this course/event, photographs may be taken and audio/visual video footage may be recorded. We may use such photos/footage on the Smith & Nephew website and in communication and promotional material outlining our educational events and services. By attending our course/event you are consenting to use of images of you as described above. If you do not want us to use imagery or recordings in which you feature, please inform us in writing before or during the course/event. If you have any questions about our use of images please contact us at education@smith-nephew.com.

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