AORecon Course Principles of Complex Total Hip and Knee Arthroplasty

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1 Course program AORecon Course Principles of Complex Total Hip and Knee May 04-05, 2017 Marseille, France Chaired by Jean-Noël Argenson and Fares Haddad

2 AORecon AORecon fosters a global network of orthopedic surgeons providing education to improve patient care in joint preservation and replacement 7 Principles of Education Based on needs Relevant Interactive Leads to verifiable outcomes Motivates to learn Promotes reflection Provides feedback

AORecon Course Principles of Complex Total Hip and Knee Dear participant, The first AO Course was held in Davos in 1960 these early courses pioneered psychomotor techniques by teaching practical

With great pleasure, we are welcoming you to this First AORecon Advanced course.

3 AORecon Course Principles of Complex Total Hip and Knee Dear participant, The first AO Course was held in Davos in 1960 these early courses pioneered psychomotor techniques by teaching practical skills of AO Techniques. Since those early days over 250,000 surgeons and 135,000 ORP staff from over 110 countries have attended AO Courses. With great pleasure, we are welcoming you to this First AORecon Advanced course. AORecon was mandated by the AO Foundation to improve patient care in joint preservation and replacement by way of education and the exchange within a global community. We are looking to expand the existing AO network and to complement it with arthroplasty expertise in order to allow for a holistic fulfillment of our vision towards excellence in the surgical management of trauma and disorders of the musculoskeletal system. We hope that you will enjoy this course, be able to take home many learnings that you can use in your daily practice and that you will continue to be part of this exciting new endeavor called AORecon. As we are interested in your experience with us, we are grateful for any feedback and comments sent to info@aorecon.org. Yours sincerely, Content 2 AORecon 2 The 7 principles of education 3 Dear participant 4 Goal of the course 4 Target participants 4 Learning objectives 4 Course description 5 Chairpersons 5 Faculty 6 Thursday, May 4, 2017, morning 7 Thursday, May 4, 2017, afternoon 8 Friday, May 5, 2017, morning 9 Friday, May 5, 2017, afternoon 10 Course organization 10 Course logistics 10 Course information 11 Principles for AO Educational Events 12 Upcoming AORecon events Norbert P. Haas AORecon Steering Board Nikolaus Renner AO Foundation President

4 4 AORecon Course Principles of Complex Total Hip and Knee Goal of the course The AORecon Advanced Course Principles of Complex Total Hip and Knee teaches fundamental principles and current concepts in the treatment of patients with a need for complex primary or revision arthroplasty in the hip and knee. This course is the following the initial step set up in AO course giving the basic principles of total hip and knee arthroplasty and stand along the path of lifelong learning in the area of difficult joint replacement and revision arthroplasty. Based on a patient-centered approach this course focuses on the key principles of complex primary and revision arthroplasty. Course description The course is modular in structure and highly interactive. Short, evidence-based lectures will cover the key information required. In practical exercises participants will be trained in the planning of different techniques and approaches. Moderated case discussions in small groups will deepen each topic and help participants to acquire decision making and management skills. Participants will have the opportunity to share their experience with peers and high-profile international faculty throughout the whole course. All factors related to achieving the best possible outcome in complex primary and revision arthroplasty will be covered in the course and participants will learn about using self-assessment for continuing performance improvement. Target participants This event is targeted at advanced surgical trainees and certified orthopedic surgeons on the threshold of becoming independent surgeons and taking over decision-making responsibility. The participants have already acquired the basic principles for total hip and knee arthroplasty and will attend the course in order to be prepared to face complex primary and revision hip and knee arthroplasty. Learning objectives At the end of this event, participants will be able to: Describe a systematic assessment including clinical evaluation Identify patient's reconstructive surgery needs Adopt a patient-centered approach Anticipate, recognize, and stratify potential complications Describe and discuss safe and effective procedures Recognize, stratify, and describe the management of early and late problems or complications Communicate and facilitate a multidisciplinary teambased approach Apply best practice to optimize and document patient outcomes

Parratte Sebastien Marseille, France Perka Carsten Berlin, Germany Van Hellemondt Gijs Nijmegen, The Netherlands

5 AORecon Course Principles of Complex Total Hip and Knee Chairpersons Jean-Noël Argenson Marseille, France Fares Haddad London, UK Faculty Benazzo Francesco Milan, Italy Dalury David Baltimore, MD, USA Flecher Xavier Marseille, France Parratte Sebastien Marseille, France Perka Carsten Berlin, Germany Van Hellemondt Gijs Nijmegen, The Netherlands Course venue Novotel Marseille Centre Prado Hotel 103 Avenue du Prado Marseille France Tel: (+33)4/

6 6 AORecon Course Principles of Complex Total Hip and Knee Thursday, May 04, 2017, Morning LOCATION Novotel Marseille Centre Prado Hotel TIME AGENDA ITEM WHO 08:00 08:05 Welcome and introduction to the course JN Argenson, F Haddad Module 1 PERIOPERATIVE MANAGEMENT OF COMPLEX TOTAL HIP AND KNEE ARTHROPLASTY Perform a systematic assessment including clinical evaluation Identify patient's reconstructive surgery needs Adopt a patient-centered approach Anticipate, recognize, and stratify potential complications 08:05 08:15 Patient evaluation and diagnostics: Evaluate the problem, evaluate the patient 08:15 08:25 Decision making and managing expectations in complex primary and revision hip/knee arthroplasty 08:25 08:35 Optimizing the patient journey perioperatively: Blood and pain management 08:35 08:45 Optimizing the patient journey intraoperatively : Avoiding complications 08:45 09:15 Questions & answers 09:15 09:45 Case discussions in small groups: Assessment and decision making C Perka JN Argenson G Van Hellemondt S Parratte F Haddad All faculty 09:45 09:50 Closing of module 1 take home messages C Perka Module 2 THE DIFFICULT PRIMARY HIP Describe and prepare safe and effective procedures Recognize, stratify, and manage early and late problems or complications Facilitate a multidisciplinary team-based approach Apply best practice to optimize patient outcomes 10:20 10:30 Restoration of hip biomechanics and planning of a THA in difficult primary cases F Haddad S Parratte 10:30 10:40 Choosing the approach in complex primary THA G Van Hellemondt 10:40 10:50 Dealing with modified frontal and sagittal offset X Flecher 10:50 11:00 The dysplastic hip F Benazzo 11: :10 The post-traumatic hip C Perka 11:10 11: 4 0 Questions and answers 11: : 25 Case discussions in small groups: Difficult primary total hip arthroplasty All faculty 12:25 12:30 Closing of module 2 - take home messages F. Haddad 12:30 14:00 LUNCH BREAK

7 AORecon Course Principles of Complex Total Hip and Knee Thursday, May 04, 2017, Afternoon TIME Module 3 AGENDA ITEM THE DIFFICULT PRIMARY KNEE Describe and prepare safe and effective procedures Recognize, stratify, and manage early and late problems or complications Facilitate a multidisciplinary team-based approach Apply best practice to optimize patient outcomes F Benazzo 14:00 14:10 Choosing the approach in complex primary knee arthroplasty X Flecher 14:10 14:20 The stiff knee: approach and technique G Van Hellemondt 14:20 14:30 Varus deformity greater than 10 D Dalury 14:30 14:40 Valgus deformity greater than 10 JN Argenson 14:40 14:50 Fixed flexion contracture C Perka 14:50 15:20 Questions and answers 15:20 15:55 Case discussions in small groups: Difficult primary total knee arthroplasty All faculty 15:55 16:00 Closing of module 3 - take home messages F Benazzo 16:00 16:30 COFFEE BREAK Module 4 REVISION HIP ARTHROPLASTY Describe and prepare safe and effective procedures Recognize, stratify, and discuss management of early and late problems or complications Facilitate a multidisciplinary team-based approach Discuss best practice to optimize patient outcomes G Van Hellemondt 16:30 16:40 The unstable hip arthroplasty: Indications and technique for revision F Benazzo 16:40 16:50 Implant removal F Haddad 16:50 17:00 Acetabular bone loss in revision hip arthroplasty JN Argenson 17:00 17:10 Femoral bone loss in revision hip arthroplasty D Dalury 17:10 17:20 Revision for leg length discrepancy: when and how X Flecher 17:20 17:50 Questions and answers 17:50 18:25 Case discussions in small groups: Revision Total hip arthroplasty All faculty 18:25 18:30 Closing of module 4 - take home messages G Van Hellemondt 18:30 END OF COURSE DAY 1 TIME AGENDA ITEM WHERE 19:30 COURSE DINNER Restaurant La villa

8 8 AORecon Course Principles of Complex Total Hip and Knee Friday, May 05, 2017, Morning TIME Module 5 AGENDA ITEM REVISION KNEE ARTHROPLASTY Describe and prepare safe and effective procedures Recognize, stratify, and discuss management of early and late problems or complications Facilitate a multidisciplinary team-based approach Discuss best practice to optimize patient outcomes D Dalury 08:00 08:10 The indications for revision JN Argenson 08:10 08:20 Extra-articular deformity G Van Hellemondt 08:20 08:30 Bony reconstitution S Parratte 08:30 08:40 Choice of constraint C Perka 08:40 09:10 Questions and answers 09:10 09:40 Case discussions in small groups: Revision knee arthroplasty All faculty 09:40 09:45 Closing of module 5 - take home messages D Dalury 09:45 10:15 COFFEE BREAK Module 6 COMPLEX HIP AND KNEE ARTHROPLASTY: MISCELLANEOUS Identify the indications, comlex principles of revision knee and hip arthroplasty Appropriately investigate and identify the issues Manage complications and rehab patient X Flecher 10:15 10:25 Peri-prosthetic hip fracture F Haddad 10:25 10:35 Peri-prosthetic knee fracture F Benazzo 10:35 10:45 The post-osteotomy TKA C Perka 10:45 10:55 Revising unicompartmental knee arthroplasty D Dalury 10:55 11: 05 The place for new technology S Parratte 11: 05 11:35 Questions and answers 11:35 12:25 Case discussions in small groups: Revision knee arthroplasty indications, investigation and preparation All faculty 12:25 12:30 Closing of module 6 - take home messages X Flecher 12:30 14:00 LUNCH BREAK

9 AORecon Course Principles of Complex Total Hip and Knee Friday, May 05, 2017, Afternoon TIME AGENDA ITEM Module 7 THE INFECTED HIP AND KNEE ARTHROPLASTY Identify the indications, comlex principles of revision knee and hip arthroplasty Appropriately investigate and identify the issues Manage complications and rehab patient S Parratte 14:00 14:10 Preventing infection G Van Hellemondt 14:10 14:20 Making the diagnosis D Dalury 14:20 14:30 Choices for treating the infected hip arthroplasty C Perka 14:30 14:40 Choices for treating the infected knee arthroplasty F Benazzo 14:40 14:50 The outcomes: infection, function, survival F Haddad 14:50 15:20 Questions and answers 15:20 15:55 Case discussions in small groups: Infection in hip and knee arthroplasty All faculty 15:55 16:00 Close of module 7 - take home messages S Parratte 16:00 16:05 Course wrap-up JN Argenson, F Haddad 16:05 END OF COURSE

10 10 AORecon Course Principles of Complex Total Hip and Knee Course organization AORecon Bas Wijburg Clavadelerstrasse Davos Platz Phone: bas.wijburg@aorecon.org AO funding sources Unrestricted educational grants from different sources are collected and pooled together centrally by the AO Foundation. All events are planned and scheduled by local and regional AO surgeon groups based on local needs assessments. We rely on industrial/commercial partners for in-kind support to run simulations/skills training if educationally needed. Course logistics AO Courses France Lianne Castellan castellan.lianne@ao-courses.com Course organization compliance In certain countries where AO has no office but offers educational events, the AO cooperates with third party companies to conduct local organization and logistics, as well as to communicate with participants in the local language. In these cases the AO has put rules and guidelines in place (Letter of Secondment, AO Foundation Principles of AO Educational Events) to ensure that this cooperation has no impact on the curricula, scientific program, or faculty selection. Course information Registration Course fee The course fee is EUR 350 and includes admission to the course as well as documentation, coffee breaks, lunches and course certificate. The AO Foundation reserves the right to film, photograph, and audio record during their events. Participants must understand that in this context they may appear in these recorded materials. The AO Foundation assumes participants agree that these recorded materials may be used for AO marketing and other purposes, and made available to the public. Course certificate Course certificates will be available at the end of the course, presumed that the participant has attended the whole course. Evaluation guidelines All AORecon courses apply the same evaluation process, either the audience response system (ARS), paper and pencil questionnaires, or online survey. This will help AORecon to ensure that we continue to meet your training needs. Security Security checks may be conducted at the entrance of the building. Wearing of a name tag is compulsory during lectures, workshops, and group discussions. Intellectual property Course materials, presentations, and case studies are the intellectual property of the course faculty. All rights are reserved. Check hazards and legal restrictions on No insurance The course organization does not take out insurance to cover any individual against accidents, thefts or other risks. Use of mobile phones Use of mobile phones is not allowed in the lecture halls and in other rooms during educational activities. Please be considerate of others by turning off your mobile phone. Dresscode Casual Disclosure Disclosure information from the AORecon faculty can be found on Recording, photographing, or copying of lectures, practical exercises, case discussions, or any course materials is strictly forbidden. Participants violating intellectual property will be dismissed.

11 AORecon Course Principles of Complex Total Hip and Knee AO Foundation Principles for AO Educational Events 1) Academic independence Development of all curricula, design of scientific event programs, and selection of faculty are the sole responsibilities of volunteer surgeons from the AO network. All education is planned based on needs assessment data, designed and evaluated using concepts and evidence from the most current medical education research, and involving the expertise of the AO Education Institute ( Industry participation is not allowed during the entire curriculum development and planning process to ensure academic independence and to keep content free from bias. 2) Compliance to accreditation and industry codes All planning, organization, and execution of educational activities follow existing codes for accreditation of highquality education: Accreditation Criteria of the Accreditation Council for Continuing Medical Education, USA (www. accme.org) ACCME Standards for Commercial Support: Standards to Ensure Independence in CME Activities ( Criteria for Accreditation of Live Educational Events of the European Accreditation Council for Continuing Medical Education ( 3) Branding and advertising No industry logos or advertising (with the exception of the AO Foundation and AO Clinical Division) are permitted in the area where educational activities take place. Sponsors providing financial or in-kind support are allowed to have a promotional booth or run activities outside the educational area with approval from the event chairperson. 4) Use of technologies and products in simulations Case simulations are chosen as an educational method to educate skills, we only use technology approved by the AOTK System (AOTK) a large independent group of volunteer surgeons developing and peer-reviewing new technology (more information about AOTK, its development and approval process can be found on the AO Foundation website: 5) Personnel Industry staff is not allowed to interfere with the educational content or engage in educational activities during the event. Events that receive direct or indirect unrestricted educational grants or in-kind support from industry also follow the ethical codes of the medical industry, such as: Eucomed Guidelines on Interactions with Healthcare Professionals ( org) AdvaMed Code of Ethics on Interactions with Health Care Professionals (advamed.org) Mecomed Guidelines on Interactions with Healthcare Professionals (

12 Upcoming AORecon events June 01, 2017 AOTrauma/AORecon Symposium at EFORT Vienna, Austria July 01 02, 2017 July 14 15, 2017 AORecon Course - Principles of total Hip and Knee Chongqing, China Sao Paolo, Brazil September, 2017 AORecon Symposium at SECEC Berlin, Germany September 28 29, 2017 AORecon Advanced Symposium Vancouver, Canada October 13 14, 2017 October 17 18, 2017 October 26 27, 2017 October 28 29, 2017 November 01 02, 2017 November 08 09, 2017 Zagreb, Croatia Dubai, UAE Jakarta, Indonesia Bangalore, India Cairo, Egypt Bangkok, Thailand November 10 11, 2017 AORecon Principles Symposium Yangon, Myanmar November 17, 2017 AORecon Symposium at ASIA Tokyo, Japan November 30, 2017 AOTrauma/AORecon Symposium at SICOT Cape Town, South Africa December 04 05, 2017 Davos, Switzerland AO Foundation AORecon Clavadelerstrasse Davos, Switzerland info@aorecon.org

AORecon Course Principles of Total Hip and Knee Arthroplasty

Course program AORecon Course Principles of Total Hip and Knee Arthroplasty October 17-18, 2015 Dubai, UAE Chaired by Jean-Noël Argenson and Carsten Perka AORecon Course Principles of Total Hip and Knee