AORecon Course Complex Total Hip and Knee Arthroplasty

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1 Event program AORecon ourse omplex Total Hip and Knee Arthroplasty December 4 5, 2017 Lecture hall: Studio Davos, Switzerland

2 AORecon ourse omplex Total Hip and Knee Arthroplasty Floor plan Pr om en ad e Office 32 Le ve l Landwasser Breakout sessions Group discussions Groups 1 to 25 Foyer 2 Office 31 Aspen 1 Aspen 2 Parsenn Foyer B3 hamonix KNG KNG M Gr ia le ts ez ch za nin e flo or KNG Pischa Schacht Aussenluft Strela Rinerhorn Foyer B2 Jakobshorn 27 Davos II lk ur pa rk nbb Le ve Forum Foyer 1 Faculty Lounge 3 20 Faculty and Information desk The orld of AO elcome desk loakroom Dischma Flüela Sertig Schwarzhorn Sanada 1 Seehorn isshorn Sanada 2 Faculty Support enter Information desk Passage Ducan Main Entrance Altein Lecture hall 5 Foyer B1 4 cm 38 Gitterrost Fortluft ca / Zivilschutz x nport Medie REI60 TA R6 LUFTRAUM ODER SHAHT? ANGABEN EIHEN IN GRUNDLAGEN VONEINANDER AB! KNG KNG e Industry exhibition 50 Ta ls tra ss offee break Studio 0 REI6 Le v el Davos KNG KNG Satelitt 30 REI60 UK REI60 se tras Tals ce tran n en Mai Passage REI 2

3 AORecon ourse omplex Total Hip and Knee Arthroplasty 3 The first AO ourse was held in Davos in 1960 these early courses pioneered psychomotor techniques by teaching practical skills of AO Techniques. Since those early days over 455,000 surgeons and 155,000 ORP from over 110 countries have attended AO ourses. ontent 2 Floor plan 4 Value statement 4 The AO principles of Education 5 elcome 6 Goal of the course 6 Target participants 6 Learning objectives 6 ourse description 7 hairpersons 7 Faculty 8 Sunday, December 3, Monday, December 4, Tuesday, December 5, Event organization 14 Event information 15 Event venue 15 Business center 15 Exhibitions 15 ireless network 16 AO Foundation Principles of AO Educational Events 17 AO Research Institute Davos (ARI) 18 Sponsors 18 Upcoming AO ourses Davos 2018

4 4 AORecon ourse omplex Total Hip and Knee Arthroplasty 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

5 AORecon ourse omplex Total Hip and Knee Arthroplasty 5 Dear participant It is with great pleasure that we welcome you to our newly developed, advanced level course. After a primary focus on teaching principles over the past years, we are pleased to now offer experienced surgeons complex total hip and knee arthroplasty training. This new course premieres at the AO Foundation Davos ourses 2017, and will be rolled out globally in Advanced Level ourse on omplex and Revision Total Joint Arthroplasty Over the program s two days, global leaders in the field of primary and revision arthroplasty will lead relevant group discussions and inspiring lectures, and deliver technical know-how to deepen your expert knowledge. Your current level of knowledge, attitudes, and skills will be challenged throughout the course. The best-in-class curriculum and faculty will provide you a memorable learning experience that will remain with you for a lifetime. e hope that you will immediately transfer these learnings into your daily practice, to reach our shared goal: to improve patient care through surgical excellence. Yours sincerely, Norbert P. Haas AORecon Steering Board arsten Perka AORecon Education Forum

6 6 AORecon ourse omplex Total Hip and Knee Arthroplasty Goal of the course The AORecon ourse omplex Total Hip and Knee Arthroplasty teaches current concepts in the treatment of patients with a need for revision or complex primary arthroplasty in the hip and knee. Target participants This course is targeted at certified, experienced orthopedic surgeons who wish to enhance their knowledge and skills in complex arthroplasty. Learning objectives At the end of the event, the participants will be able to: Describe a systematic clinical, laboratory, and radiographic evaluation in revision and complex primary arthroplasty Optimize preoperative planning Adopt a patient-centered approach Optimize patients preoperatively to reduce complications Describe and discuss safe and effective procedures for revision and complex primary arthroplasty Discuss the management of early and late problems or complications ommunicate and facilitate a multidisciplinary teambased approach Apply best practice to optimize and document patient outcomes ourse description This course is modular in structure and highly interactive. Short, evidence-based lectures cover the key information required. Moderated case discussions in small groups will expand on each topic and help participants to develop decision-making and surgical management skills. Participants will have the opportunity to share their experience with peers and international faculty. All factors related to achieving the best possible outcomes in complex and revision arthroplasty will be covered.

7 AORecon ourse omplex Total Hip and Knee Arthroplasty 7 hairpersons Michael Huo UT Southwestern Medical enter Dallas, USA Bas Masri The University of British olumbia Vancouver, anada Faculty Matthew Abdel Mayo linic, Rochester, USA Mohamad Allami Khoula Hospital, Muscat, Oman Robert Gorab Orthopaedic Specialty Institute Orange ounty, Los Angeles, USA Robert Hube Orthopädische hirurgie München, Munich, Germany Sébastien Lustig entre Albert Trillat, Lyon, France SKS Marya Orthopaedics & Institute of Joint Replacement Surgery, New Delhi, India Sam Oussedik University ollege Hospital, London, UK arsten Perka harité, Berlin, Germany Nicolás Restrepo línica de Los Andes, Pasto, olombia Philipp von Roth harité, Berlin, Germany

8 8 AORecon ourse omplex Total Hip and Knee Arthroplasty Sunday, December 3, 2017 TIME AGENDA ITEM 15:00 Opening of the ongress enter 15:00 17:00 Registration of participants 17:00 18:00 Opening ceremony 18:00 19:00 FOUNDERS REEPTION Monday, December 4, 2017 TIME AGENDA ITEM HO 08:00 08:15 elcome and introduction to the course M Huo, B Masri Module 1 Indications for revision hip arthroplasty and patient optimization At the end of this module, participants will be able to: Identify the indications for revision hip arthroplasty Optimize the medical management of patients undergoing revision hip arthroplasty Perform preoperative planning for revision hip arthroplasty Moderator: Perka 08:15 08:25 Overview of failure mechanisms and indications for revision hip arthroplasty N Restrepo 08:25 08:35 Preoperative investigation and optimization R Hube 08:35 08:45 Preoperative planning for revision hip arthroplasty SKS Marya 08:45 09:00 Discussion (questions and answers) Perka Module 2 Revision arthroplasty of the hip B Masri At the end of this module, participants will be able to: 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 09:00 09:10 Extended surgical approaches M Allami 09:10 09:20 ell-fixed implant removal R Gorab 09:20 09:30 Assessment of acetabular bone loss P von Roth 09:30 09:45 Questions & answers B Masri 09:45 10:05 OFFEE BREAK

9 AORecon ourse omplex Total Hip and Knee Arthroplasty 9 Monday, December 4, 2017 TIME AGENDA ITEM HO 10:05 11:05 Treatment options for acetabular bone loss ase-based lectures/discussions 1. Jumbo cup 2. Augments 3. From cages to triflange cups 4. Pelvic discontinuity: ORIF, cup-cage; distraction Moderator: B Masri N Restrepo B Masri B Masri M Abdel 11: 05 11:15 Femoral bone loss Lecture M Huo 11:15 12:00 Treatment options for femoral bone loss ase-based lectures/discussions 1. Extensively porous coated stem 2. Fluted titanium, tapered stem 3. emented fixation with and without impaction grafting: tumor prostheses: cement within cement Moderator: M Huo R Gorab M Allami Perka 12:00 13:15 LUNH BREAK 13:15 14:15 Small group case-based discussion All faculty Module 3 Indications for revision knee arthroplasty and patient optimization At the end of this module, participants will be able to: Identify the indications for revision knee arthroplasty Optimize the medical management of patients undergoing revision knee arthroplasty Perform preoperative planning for revision knee arthroplasty N Restrepo 14:15 14:25 Overview of failure mechanisms and indications for revision knee arthroplasty S Lustig 14:25 14:35 Preoperative planning for revision knee arthroplasty S Oussedik 14:35 14:50 Discussion (questions and answers) Module 4 Revision arthroplasty of the knee SKS Marya At the end of this module, participants will be able to: Describe and prepare safe and effective procedures Recognize, stratify, and discuss management of early and late problems or complications Discuss best practice to optimize patient outcomes 14:50 15:00 Extended surgical approaches S Lustig

10 10 AORecon ourse omplex Total Hip and Knee Arthroplasty Monday, December 4, 2017 TIME AGENDA ITEM HO 15:00 15:10 Implant removal S Oussedik 15:10 15:20 Assessment of bone loss R Hube 15:20 15:35 Questions and answers SKS Marya 15:35 15:55 OFFEE BREAK 15:55 16:05 Surgical technique P von Roth 16:05 16:15 Implant selection SKS Marya 16:15 16:25 Restoration of bone stock M Huo 16:25 16:35 Extensor mechanism failure and patellofemoral complications M Abdel 16:35 17:35 ase discussions in small groups Revision knee arthroplasty Indications, investigation, and preparation ase 1: Loosening with malalignment ase 2: Severe bone loss requiring bone or metal substitution ase 3: Severe instability requiring a hinge ase 4: Salvage with an amputation or arthrodesis All faculty (in pairs) 17:35 17:50 rap-up and take-home messages M Huo/B Masri 17:50 End of course day 1 20:00 ourse dinner

11 AORecon ourse omplex Total Hip and Knee Arthroplasty 11 Tuesday, December 5, 2017 TIME AGENDA ITEM HO Module 5 omplex primary total hip arthroplasty (THA) R Hube At the end of this module, participants will be able to: lassify and manage hip dysplasia requiring THA Plan and perform a THA after femoral and acetabular fractures and femoral osteotomies Plan and perform a THA in ankylosed hip 08:30 08:45 Dysplasia and DDH and AVN M Allami 08:45 09:00 onversion after previous femoral fractures and osteotomies Perka 09:00 09:10 onversion after previous acetabular fractures M Huo 09:10 09:20 THA in ankylosed hip/spine SKS Marya 09:20 09:30 Questions and answers R Hube 09:30 10:30 Small group discussions ase 1: Dysplasia (ROE 3/4) ase 2: onversion THA for posttraumatic acetabular fracture ase 3: onversion THA for posttraumatic femoral fracture All faculty (in pairs) 10:30 10:50 OFFEE BREAK Module 6 omplex primary total knee arthroplasty (TKA) P von Roth At the end of this module, participants will be able to: Recognize and manage the challenges in the knee with deformity, poor motion, and retained hardware 10:50 11: 00 Severe valgus knee S Oussedik 11: 00 11:10 The very stiff knee S Lustig 11:10 11:20 TKA after distal femoral or proximal tibial fractures R Gorab 11:20 11:30 Extraarticular deformity M Abdel

12 12 AORecon ourse omplex Total Hip and Knee Arthroplasty Tuesday, December 5, 2017 TIME AGENDA ITEM HO 11:30 11:50 Questions and answers P von Roth 11:50 12:50 Small group discussions ase 1: Valgus knee (that requires a hinge) ase 2: TKA posttraumatic with hardware ase 3: TKA for extraarticular deformity All faculty (in pairs) 12:50 14:05 LUNH BREAK Module 7 omplications B Masri Identify and manage the common complications after THA and TKA: Infection Periprosthetic fractures Dislocation and instability Adverse local tissue reactions 14:05 14:45 ase-based discussion: Infection Moderator: Perka R Hube, SKS Marya 14:45 15:25 ase-based discussion: Periprosthetic fractures Moderator: Perka N Restrepo, S Oussedik 15:25 15:45 OFFEE BREAK 15:45 16:25 ase-based discussion: Dislocation Moderator: M Huo P von Roth, M Abdel, B Masri 16:25 16:40 Mechanically assisted tribo-corrosion B Masri 16:40 17:00 Q&A Audience encouraged to ask questions about topics not covered All Faculty 17:00 17:15 rap-up and take-home messages M Huo, B Masri 17:15 End of course

13 AORecon ourse omplex Total Hip and Knee Arthroplasty 13 Event organization AORecon Bas ijburg lavadelerstrasse Davos, Switzerland Tel 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. e rely on industrial/commercial partners for in kind support to run simulations/skills training if educationally needed.

14 14 AORecon ourse omplex Total Hip and Knee Arthroplasty Event information Event fee The event fee is HF 800 and includes admission to the event as well as documentation, coffee breaks, lunches and AO orld Night and course certificate. European ME Accreditation For this event the UEMS-EAME in Brussels have granted 13 European ME credits (EME). Swiss ME Accreditation Additionally an application has been made to the following Swiss societies: Schweizerische Gesellschaft für hirurgie (SG/SS) Schweizerische Gesellschaft für Orthopädie und Traumatologie (SGO/SSO) onflicts of Interest (OI) All disclosure information can be viewed on Evaluation guidelines All AORecon events apply the same evaluation process, both online (pre- and post-event evaluation) and by paper-and-pencil questionnaire (on-site evaluation). This helps AORecon to ensure that we continue to meet your training needs. Intellectual property Event materials, presentations, and case studies are the intellectual property of the course faculty. All rights are reserved. heck hazards and legal restrictions on Recording, photographing, or copying of lectures, practical exercises, case discussions, or any event materials is strictly forbidden. Participants violating intellectual property will be dismissed. 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. Security Security checks will be conducted at the entrance of the building. earing of a name tag is compulsory during lectures, practical exercises, and group discussions. No insurance The event 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. Picture Gallery heck out aodavoscourses.org for a daily selection of pictures from the Davos ourses 2017, the best from last year's courses, and a selection of photographs from the first ever AO Davos ourses. Dress code arm clothes and suitable shoes are advisable.

15 AORecon ourse omplex Total Hip and Knee Arthroplasty 15 Event venue ongress enter Davos Talstrasse 49A 7270 Davos, Switzerland Phone Fax General information Sunday 12:00 19:00 Monday to Thursday 07:30 19:00 Friday 07:30 16:00 AO orld Sunday 15:00 17:00 Monday to Thursday 09:00 17:00 (Thursday 20:30) Friday 09:00 15:30 Industry exhibition Sunday 15:00 19:00 Monday to Friday 09:00 17:00 (Thursday 18:00) Friday 09:00 15:30 Exhibitions AO orld Visit the AO orld in the main foyer, home to the AO linical Divisions, AO Institutes and the AO Foundation Initiatives. Here you can explore membership opportunities, browse our print and electronic publications and learn about groundbreaking activities within the AO. Discover research, development, fellowships, and other opportunities available to you by visiting all the booths in the AO orld. Industry exhibitors Visit the exhibitions of our major industry partners DePuy Synthes and Siemens, who are also contributing in-kind support (material and logistics), and the other exhibitors: SYNBONE, Ethicon, Invibio, Victorinox, IU, Touch Surgery, and Moticon GmbH. Media exhibitors Lehmanns Media can be found at the entrance to the ongress enter. Business center There are business centers facilities in the ongress enter which are accessible to everybody. Services Internet and access Printer access AO ourse website offering course-related information ireless network How to connect to the AO ireless LAN Open the wireless network connection window hoose the AO Business network as shown in the printscreen below and click on the onnect button Opening hours 30 minutes before the first course of the day starts until 30 minutes after the last course ends Disclaimer The use of your own computer in the business center network is inherently not secure. e strongly recommend that you take appropriate actions to protect your computer against unauthorized use or theft (eg. Firewall, VPN-onnection, VirusScanner). AO cannot be held responsible for any data loss or theft. For further information or support please contact: Our AO Business wireless network requires a PA network key: Network key: aowireless AO Foundation Phone it.helpdesk@aofoundation.org Then click on the OK button

16 16 AORecon ourse omplex Total Hip and Knee Arthroplasty AO Foundation Principles of 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) ompliance to accreditation and industry codes All planning, organization, and execution of educational activities follow existing codes for accreditation of high-quality education: Accreditation riteria of the Accreditation ouncil for ontinuing Medical Education, USA ( AME Standards for ommercial Support: Standards to Ensure Independence in ME Activities ( riteria for Accreditation of Live Educational Events of the European Accreditation ouncil for ontinuing Medical Education ( 3) Branding and advertising No industry logos or advertising (with the exception of the AO Foundation and AO linical 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 If 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 ( AdvaMed ode of Ethics on Interactions with Health are Professionals ( Mecomed Guidelines on Interactions with Healthcare Professionals (

17 AORecon ourse omplex Total Hip and Knee Arthroplasty 17 AO Research Institute Davos (ARI) Mission Excellence in applied Preclinical Research and Development within trauma and disorders of the musculoskeletal system and translation of this knowledge to achieve more effective patient care worldwide. Goals ontribute high quality applied Preclinical Research and Development focused towards clinical applications/solutions. Investigate and improve the performance of surgical procedures, devices and substances. Foster a close relationship with the AO medical community, academic societies, and universities. Provide research environment/support/training for AO clinicians. At the AO orld booths, meet with our team including our ARI Medical Research Fellows, establish contacts, freely discuss your clinical problems, ideas, and learn about the latest results from the AO Research Institute Davos (ARI). Insight into the AO enter will show our infrastructure under one roof and enable you to meet some of our research team. Areas: ollaborative Research Programs Annulus Fibrosus Rupture Acute artilage Injury raniomaxillofacial Imaging and planning of surgery, computer aided preoperative planning Medication-Related Osteonecrosis of the Jaw Bone Regeneration Spine Degeneration and regeneration of the intervertebral disc Fracture fi xation in osteoporotic bone Trauma Bone infection, including the development and testing of active anti-infective interventions Fracture fixation in osteoporotic bone including intraoperative assessment of bone quality, augmentation techniques and prophylaxis Evaluation of the cortical and trabecular bone remodeling (with special regards to the porosity) in the proximal humerus and its impact on the fracture zones Development of smart surgical instruments and implant concepts for optimized bone healing Patient outcomes and biomarkers Veterinary Medicine Improving osteosynthesis for small and large animals Multidisciplinary Analysis of implant-specific functional anchorage with T-technology Ex vivo testing using advanced biomechanical models In vivo studies using established or newly developed preclinical models Gene transfer- non-viral and viral Implant design using the Finite Element Methods Implant positioning assistance, -arm guided implant placement Telemetric monitoring of bone healing In vivo and in vitro quantification of bone turnover and scaffold degradation Longitudinal analysis within in-vivo studies using T-technology Medical image processing and analysis Polymers to deliver cells and biological factors, create potential space for tissue development and guide the process of tissue regeneration Prototype development and production Stem cell therapies for the treatment of bone, intervertebral disc and cartilage defects Bioreactor culture systems and mechanobiology Surface modification of PEEK to improve tissue integration Thermosresponsive gel for delivery of antibiotics, stem cells, growth factors, transfected cells etc. 3R refinement of preclinical studies Development, standardization, optimization and improvement of preclinical models and methods For the 2016 AO Research Institute Davos activity report and recent publications go to:

18 18 AORecon ourse omplex Total Hip and Knee Arthroplasty Sponsors e thank our major industry partners DePuy Synthes and Siemens for contributing in-kind support (material and logistics) without which this event would not be possible. A special thanks to DePuy Synthes and Siemens for providing an unrestricted educational grant for this event. e also extend our thanks to the following co-sponsors (educational grants, in-kind support): redit Suisse Synbone Ethicon Upcoming AO ourses Davos 2018 AO ourses December 2 7, 2018 AOTrauma ourse Basic Principles of Fracture Management AOTrauma ourse Advances Principles of Fracture Management AOTrauma ourse Advanced Principles of Fracture Management for Swiss Residents AOTrauma Masters ourse urrent oncepts AOTrauma ourse Foot and Ankle AOTrauma ourse Pediatrics AOTrauma Masters Kurs AORecon ourse AO ourses December 9 13, 2018 AOTrauma ourse Basic Principles of Fracture Management for Swiss Surgeons AOSpine ourses AOMF ourses AOVET ourses List subject to changes. The final Davos courses list as well as worldwide courses lists will be available on in January 2018.

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20 AO Foundation AORecon lavadelerstrasse Davos, Switzerland info@aorecon.org