AORecon Course Principles of Total Hip and Knee Arthroplasty

Transcription

1 ourse program AORecon ourse Principles of Total Hip and Knee Arthroplasty December 5 6, 2016 Davos, Switzerland haired by Matthew Abdel and Luigi Zagra Lecture hall: Studio

2 AORecon ourse Principles of 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 el Ku r pa rk nbb Le v 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 Principles of 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 AORecon 4 The 7 principles of education 5 Dear participant 6 Goal of the course 6 ourse description 6 Target participants 6 ourse objectives 7 hairpersons 7 Faculty 7 ourse organization 8 Sunday, December 4, Monday, December 5, 2016 morning 10 Monday, December 5, 2016 afternoon 11 Monday, December 5, 2016 evening 12 Tuesday, December 6, 2016 morning 13 Tuesday, December 6, 2016 afternoon 14 ourse information 15 ourse venue 15 Exhibitions 15 Business center 15 ireless network 16 AO Foundation Principles of AO Educational Events 17 AO Research Institute Davos (ARI) 18 Sponsors 18 Upcoming AO ourses Davos 2017

4 4 AORecon ourse Principles of 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 Principles of Total Hip and Knee Arthroplasty 5 Dear participant ith great pleasure, we are welcoming you to this AORecon Principles curriculum 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. Having started at the beginning of 2014, 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. e 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, Norbert P. Haas AORecon Steering Board Nikolaus Renner AO Foundation President

6 6 AORecon ourse Principles of Total Hip and Knee Arthroplasty Goal of the course The AORecon ourse Principles of Total Hip and Knee Arthroplasty teaches fundamental principles and current concepts in the treatment of patients with a need for primary or revision arthroplasty in the hip and knee. This course is the initial step along the path of lifelong learning in the area of joint replacement and revision arthroplasty. Based on a patient-centered approach this course focuses on the key principles of primary and revision arthroplasty. ourse 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 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. ourse objectives At the end of the course, the 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 ommunicate and facilitate a multidisciplinary teambased approach Apply best practice to optimize and document patient outcomes

7 AORecon ourse Principles of Total Hip and Knee Arthroplasty 7 hairpersons Matthew Abdel Rochester, MN, USA Luigi Zagra Milan, Italy Faculty Allende Bartolomé órdoba, Argentina Argenson Jean-Noël Marseille, France Dalury David Baltimore, MD, USA Dodd hristopher Oxford, UK Gorab Robert Los Angeles, A, USA Hube Robert Munich, Germany Marqués Fernando Barcelona, Spain Müller Michael Berlin, Germany ourse organization AORecon Bas ijburg lavadelerstrasse Davos, Switzerland Tel info@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.

8 8 AORecon ourse Principles of Total Hip and Knee Arthroplasty Sunday, December 4, 2016 TIME AGENDA ITEM HERE 15:00 Opening of the ongress enter Hall 16:00 17:00 Registration of participants Room Dischma 17:00 18:00 Opening ceremony Davos and Foyer A1 18:00 19:00 FOUNDERS REEPTION Davos and Foyer A1

9 AORecon ourse Principles of Total Hip and Knee Arthroplasty 9 Monday, December 5, 2016, Morning TIME AGENDA ITEM HO 08: 00 08:05 elcome and introduction to the course (case presentation) M Abdel, L Zagra Module 1 Perioperative Management of Total Hip and Knee Arthroplasty At the end of this module, participants will be able to: Describe all aspects of a systematic assessment including clinical evaluation Identify patient's reconstructive surgery needs Adopt a patient-centered approach Anticipate, recognize, and stratify potential complications Moderator: L Zagra 08:05 08:13 Optimizing the patient journey preoperatively R Hube 08:13 08:21 Optimizing the patient journey intraoperatively D Dalury 08:21 08:29 Pain management and rehabilitation Dodd 08:29 08:40 Questions & answers 08:40 09:20 ase discussions in small groups: Assessment and decision making 09:20 09:25 losing of module 1 take home messages L Zagra L Zagra, Dodd, R Hube, M Müller, M Abdel Module 2 Performing Primary Total Hip Arthroplasty Moderator: M Abdel At the end of this module, participants will be able to: Describe and prepare safe and effective procedures Recognize, stratify, and manage early and late problems or complications Facilitate a multidisciplinary team-based approach Discuss best practice to optimize patient outcomes 09:25 09:33 Restoration of hip biomechanics and planning of a THA M Abdel 09:33 09:41 Surgical approaches for THA: anterior, anterolateral, lateral, posterior, transtrochanteric R Gorab 09:41 09:50 Questions & answers 09:50 10:10 OFFEE BREAK 10:10 10:18 emented fixation M Müller 10:18 10:26 ementless fixation of the cup L Zagra 10:26 10:34 ementless fixation of the stem M Müller 10:34 10:45 Questions & answers 10:45 10:53 Stabilizing the hip F Marqués 10:53 11: 01 Bearing choice B Allende 11:01 11:10 Questions & answers 11:10 11:50 ase discussions in small groups: Total hip arthroplasty surgical approaches, stabilizing the hip, and fixation R Hube, L Zagra, B Allende, F Marqués, M Abdel 11:50 12:50 LUNH BREAK

10 10 AORecon ourse Principles of Total Hip and Knee Arthroplasty Monday, December 5, 2016, Afternoon TIME AGENDA ITEM HO 12:50 12:55 Step by step guide: How to template the hip M Abdel 12:55 13:25 Templating exercise: Regular primary hip arthroplasty Large femoral offset Hip dysplasia Posttraumatic deformity M Abdel, R Gorab, M Müller, B Allende, M Marqués 13:25 13:33 Intraoperative challenges and complications R Gorab 13:33 14:15 ase discussions in small groups: Total hip arthroplasty intraoperative challenges and complications 14:15 14:20 losing of module 2 take home messages M Abdel 14:20 14:40 OFFEE BREAK R Gorab, L Zagra, B Allende, M Abdel, F Marqués Module 3 Performing Primary Total Knee Arthroplasty Moderator: D Dalury At the end of this module, participants will be able to: Describe and prepare safe and effective procedures Recognize, stratify, and manage early and late problems or complications Facilitate a multidisciplinary team-based approach Discuss best practice to optimize patient outcomes 14:40 14:48 Surgical approaches for TKA: medial parapatellar, subvastus, midvastus, lateral R Gorab 14:48 14:56 Limb alignment and kinematics D Dalury 14:56 15:05 Questions & answers 15:05 15:13 Bone cuts in TKA JN Argenson 15:13 15:21 Balancing the varus knee and fixed flexion contracture Dodd 15:21 15:29 Balancing the valgus knee D Dalury 15:29 15:40 Questions & answers 15:40 16:00 OFFEE BREAK

11 AORecon ourse Principles of Total Hip and Knee Arthroplasty 11 Monday, December 5, 2016, Afternoon TIME AGENDA ITEM HO 16:00 16:08 Extra-articular deformity JN Argenson 16:08 16:16 The previously operated knee M Abdel 16:16 16:25 Questions & answers 16:25 17:05 ase discussions in small groups: Total knee arthroplasty surgical approaches, limb alignment, varus/valgus, challenges 17:05 17:13 Patellofemoral tracking R Hube 17:13 17:21 onstraint R Hube 17:21 17:30 Questions & answers D Dalury, Dodd, R Hube, JN Argenson, L Zagra 17:30 17:35 Step by step guide: How to template the knee JN Argenson 17:35 18:05 Templating exercise: Varus Valgus 18:05 18:10 losing of module 3 take home messages D Dalury 18:10 END OF OURSE DAY 1 D Dalury, Dodd, R Gorab, R Hube, JN Argenson Monday, December 5, 2016, Evening TIME AGENDA ITEM HERE 19:00 22:00 ourse Dinner Hotel Europe, Pianobar

12 12 AORecon ourse Principles of Total Hip and Knee Arthroplasty Tuesday, December 6, 2016, Morning TIME AGENDA ITEM HO Module 4 Revision Arthroplasty of the Hip Moderator: L Zagra 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 08:30 08:38 Mechanism of failure and indications for revision L Zagra 08:38 08:46 Investigation and classification M Müller 08:46 08:54 Extended surgical approaches and planning M Müller 08:54 09:05 Questions & answers 09:05 09:45 ase discussions in small groups: Revision hip arthroplasty Indications, investigation and preparation 09:45 09:53 Implant removal B Allende M Abdel, L Zagra, R Hube, F Marqués, B Allende 09:53 10:01 Acetabular bone loss F Marqués 10:01 10:09 Femoral bone loss L Zagra 10:09 10:20 Questions & answers 10:20 10:40 OFFEE BREAK 10:40 11:40 ase discussions in small groups L Zagra, M Marqués, M Abdel, B Allende, R Hube 11:40 11:50 Discussion and closing of module 4 take home messages L Zagra 11:50 12:50 LUNH BREAK

13 AORecon ourse Principles of Total Hip and Knee Arthroplasty 13 Tuesday, December 6, 2016, Afternoon TIME AGENDA ITEM HO Module 5 Revision Arthroplasty of the Knee Moderator: M Abdel At the end of this module, participants will be able to: Identify the indications, principles of revision knee arthroplasty Appropriately investigate and identify the issues Manage complications and rehab patient 12:50 12:58 Mechanism of failure and indications for revision R Hube 12:58 13:06 Investigation and classification M Abdel 13:06 13: 14 Extended surgical approaches and planning R Hube 13:14 13:25 Questions & answers 13:25 14:05 ase discussions in small groups: Revision knee arthroplasty Indications, investigation and preparation 14:05 14:13 Implant removal M Abdel D Dalury, Dodd, R Gorab, M Abdel, R Hube 14:13 14:21 Bone defect reconstruction B Allende 14:21 14:30 Questions & answers 14:30 14:50 OFFEE BREAK 14:50 14:58 Soft-tissue: Deficiencies of lateral and medial collateral ligament D Dalury 14:58 15:06 Soft-tissue: Extensor mechanism failure Dodd 15:06 15:10 Questions & answers 15:10 16:10 ase discussions in small groups M Abdel, D Dalury, Dodd, R Gorab, R Hube 16:10 16:15 Discussion and closing of module 5 take home messages M Abdel Module 6 Governance and Outcomes Moderator: R Hube At the end of this module, participants will be able to: ommunicate and facilitate a multidisciplinary team-based approach Apply best practice to optimize and document patient outcomes 16:15 16:23 Optimizing patient recovery and satisfaction L Zagra 16:23 16:31 Evaluation and interpretation of outcomes R Hube 16:31 16:39 Decision-making in your practice Dodd 16:39 16:50 Questions & answers 16:50 16:55 Discussion and closing of module 6 take home messages R Hube 16:55 17:00 ourse wrap-up M Abdel, L Zagra 17:00 END OF OURSE

14 14 AORecon ourse Principles of Total Hip and Knee Arthroplasty ourse information ourse fee The course fee is HF Included is a conference bag with documentation, coffee breaks, lunches, course dinner and AO orld Night. European ME accreditation For this event the UEMS-EAME in Brussels have granted 12 European ME credits (EME). For this event the following societies have granted ME credit points: Die Schweizer hirurginnen und hirurgen (SG/SS): 15 credit points. Schweizerische Gesellschaft für Orthopädie und Traumatologie (swiss orthopaedics): 16 credit points ourse certificate ourse certificates will be distributed at the end of the course to the participants who have 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. Intellectual property ourse 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 course 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 may 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 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. Picture Gallery heck out aodavoscourses.org for a daily selection of pictures from the Davos ourses 2016, the best from last year's courses, and a selection of photographs from the first ever AO Davos ourses. Dress code Davos: warm clothes and suitable shoes are advisable. Disclosure Disclosure information from the AORecon faculty can be found on

15 AORecon ourse Principles of Total Hip and Knee Arthroplasty 15 ourse 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 17:00 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, arl Zeiss AG, Invibio, Hectec GmbH, Oped, Victorinox, IU, 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 Principles of 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 highquality 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 ase 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: www. aofoundation.org). 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 (advamed.org) Mecomed Guidelines on Interactions with Healthcare Professionals (

17 AORecon ourse Principles of 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 Bisphosphonate-Related Osteonecrosis of the Jaw Spine Degeneration and regeneration of the intervertebral disc Fracture fixation in osteoporotic bone Trauma Bone infection, including the development and testing of active anti-infective interventions Fracture fixation in osteoporotic bone including intra-operative 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 Veterinary Medicine Improving osteosynthesis for small 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 Standardization, optimization and improvement of preclinical methods and models For the 2015 AO Research Institute Davos activity report and recent publications go to:

18 18 AORecon ourse Principles of 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 for providing an unrestricted educational grant for this event. e also extend our thanks to the following co-sponsors: redit Suisse Synbone Ethicon Upcoming AO ourses Davos 2017 AO ourses December 3 8, 2017 AOTrauma ourse Basic Principles of Fracture Management AOTrauma ourse Advanced Principles of Fracture Management AOTrauma ourse Advanced Principles of Fracture Management for Swiss Residents AOTrauma Masters ourse urrent oncepts AOTrauma ourse Management of Fractures of the Hand and rist AOTrauma ourse Pelvic and Acetabular Fractures Management AOTrauma Masters Kurs AORecon ourse Principles of Total Hip and Knee Arthroplasty AO ourses December 10 14, 2017 AOTrauma ourse Basic Principles of Fracture Management for Swiss Surgeons AOSpine ourses AOMF ourses AONeuro ourse AOVET ourses List subject to changes. The final Davos courses list as well as worldwide courses lists will be available on in January 2017.

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