AAOS/AAHKS/The Hip Society Meeting the Challenges of Total Hip Arthroplasty: Approaches, Complications and Contemporary Issues FINAL PROGRAM SCHEDULE 16.5 CME Credits July 20 22, 2017 OLC Education & Conference Center, Rosemont, IL Scott M. Sporer, MD, John M. Keggi, MD, Hany S. Bedair, MD Course Directors
Meeting the Challenges of Total Hip Arthroplasty: Approaches, Complications and Contemporary Issues July 20-22, 2017; Rosemont, IL The American Academy of Orthopaedic Surgeons (AAOS), American Association of Hip and Knee Surgeons (AAHKS), and The Hip Society extends sincere appreciation to the below companies for their support of this educational program. Grants DJO Global (Silver Level) DePuy Synthes (Silver Level) Zimmer Biomet (Silver Level) In-Kind Support ConMed DePuy Synthes DJO Global Exactech Innomed Kinamed Miszhuo OSI Orthosonics Smith & Nephew Orthopaedics Stryker Ziehm Imaging Zimmer Biomet Industry and Spotlight Sessions Stryker
Meeting the Challenges of Total Hip Arthroplasty: Approaches, Complications and Contemporary Issues #3083 July 20-22, 2017, OLC Education and Conference Center, Rosemont, IL Scott M. Sporer, MD, Hany Bedair, MD and John Keggi, MD, Course Directors SCHEDULE THURSDAY, JULY 20 CMEs: 16.5 as of July 17, 2017 Faculty and content subject to change 4:00 pm Registration (OLC Registration Desk) 4:30 Welcome and Course Overview Scott M. Sporer, MD, Hany S. Bedair, MD, John M. Keggi, MD PREOPERATIVE PLANNING THA (Templating, Stem Choice, Deformity, Scoliosis) Moderator: Matthew D. Beal, MD 4:40 Templating Standard THA Including Leg Length Assessment Basics of templating Importance of templating Leg length and offset evaluation When to lengthen What do you use for landmarks Dysplasia Templating Deformity Templating Michael J. Taunton, MD 4:50 Stem Choices in THA When do you use a specific stem type Avoiding diaphyseal/metaphyseal mismatch Use of modularity Use of proximal vs. distal fixation Tapered vs. cylindrical Include offset and version concerns Cemented stems and current data Jose A. Rodriguez, MD 5:00 Small Group Case Discussion: Standard Hip with Severe Offset, Femoral Deformity and Type II Dysplasia, Lumbar Fusion Discussion Leaders: Drs. Beal, Bedair, Browne, Donaldson, Huddleston, Illgen, Keggi, Kennon, Levine, Manning, Moskal, Rees, Rodriguez, Sporer, Taunton
6:00 Dinner PERIOPERATIVE EVALUATION/MANAGEMENT Moderator: John M. Keggi, MD 6:15 Pre-Operative Assessment: Weight, Smoking, Diabetes, Nutrition, Lab Tests, Urinalysis, Nasal Screening for Staph Colonization Preoperative evaluation What Should Surgeons Be Looking for Before Surgery Are There Reasons to Cancel the Case; Should There Be Cutoffs for BMI, A1C How Can Outcomes Be Optimized; Weight Loss Surgery, Smoking Cessation, etc. Matthew D. Beal, MD 6:30 Intra-Operative Assessment: Blood Management, Hip Precautions, Anesthesia, Pain, Medications, Post-Operative Assessment: DVT Prophylaxis, Therapy TXA, EPO, Drains What Do You Do Intraoperatively and Post-operatively Current Literature Surrounding These Topics Multimodal Pain Management, Injection Cocktails, Anesthesia and Blood Management Protocols Brett R. Levine, MD BEARING OPTIONS: CURRENT STATE Moderator: John M. Keggi, MD 6:40 Long Term Data/Indications Cross-linked Polyethylene Current Literature re: Results of Cross-linked Poly Current Indications Potential Concerns in the Future Is There a Need for Vitamin E Should Choice Change Depending on Patient s Age/activity Hany S. Bedair, MD Long Term Data/Indication Ceramic or MOM Bearings Current Literature of Results Current Indications Potential Concerns How to Make the Bearing Decision Harold W. Rees, MD 7:05 Course Adjourns
FRIDAY, JULY 21 6:55 am Lab Orientation Ro Simon, Senior Coordinator, Surgical Skills SURGICAL APPROACH Moderator: Hany S. Bedair, MD 7:05 PRE-RECORDED VIDEO DEMONSTRATION Posterior Approach including Pearls James A. Browne, MD 7:20 PRE-RECORDED VIDEO DEMONSTRATION Direct Lateral Approach including Pearls Thomas K. Donaldson, MD 7:35 PRE-RECORDED VIDEO DEMONSTRATION Anterior Approach Table including Pearls David M. Manning, MD 7:50 PRE-RECORDED VIDEO DEMONSTRATION Cementing a Hip Stem Joseph T. Moskal, MD 8:05 LIVE FACULTY SURGICAL DEMONSTRATION Anterior Approach No Table: Techniques and Pearls John M. Keggi, MD 8:25 LIVE FACULTY SURGICAL DEMONSTRATION Extensile Approach with Direct Anterior What to do with Calcar Fracture Pearls for Exposure in Simple Revision How to do an ETO Robert E. Kennon, MD 8:45 Questions/Answers 9:05 Refreshment Break
9:20 HANDS-ON SURGICAL SKILLS LAB (LAB B) Surgical Approaches for Primary THR: Anterior and Posterior Insert Cemented Primary Stem, Acetabular Component Position Lab Leader: Scott M. Sporer, MD, Hany S. Bedair, MD, John M. Keggi, MD Faculty: Drs. Bedair, Browne, Daonaldson, Huddleston, Illgen, Keggi, Kennon, Levine, Manning, Moskal, Rees, Rodriguez, Sporer, Taunton *During this lab time, two cadaveric specimens will be available for participants to observe faculty experts demonstrating anterior with table and anterior without table 11:30 Working Lunch JOINT ARTHROPLASTY 2017: WHAT S NEW? Moderator: Joseph T. Moskal, MD 11:45 Same Day Surgery What is required for a successful outcome Patient selection criteria What needs to be done preop, intraop and postop for a successful result Pain Protocol David W. Manning, MD 12:00 pm What Surgical Approach Should I Use? Separating the Evidence from the Hype Literature-based Review Absolute indications/contra-indications for each approach How do I Incorporate a New Approach into My Practice? James I. Huddleston, III, MD COMPLICATIONS: PRIMARY THR Moderator: Brett R. Levine, MD 12:15 Intraoperative Complication: Fracture, Nerve Injury, Vascular Injury, Difficulty Gaining Fixation, Intraoperative Instability How to Deal with Intraoperative Complications What is the Incidence of These Complications Real World Scenarios Regarding Challenges in the OR James A. Browne, MD 12:30 Postoperative Complications: Early Stem Subsidence, Acetabular Fracture, Femoral Fracture, Hip Dislocation How to Deal with Postoperative Complications What is the Incidence of These Complications Real World Scenarios Regarding Challenges in the OR Jose A. Rodriguez, MD
REVISION TOTAL HIP Moderator: John M. Keggi, MD 12:45 Principles of Managing Femoral Bone Loss Including Implants Approaches: Anterior, Lateral vs. Posterior: Which is Appropriate? Stem Choices Current Literature How or If Your Implant Choice has Evolved What Specifically Do You Do Preoperatively and Postoperatively for a Femoral Revision? Richard L. Illgen, II, MD 1:00 pm Principles of Managing Acetabular Bone Loss Including Implants Approaches: Anterior, Lateral vs. Posterior: Which is Appropriate? Current Literature How or If You Implant Choice has Evolved What Specifically Do You Do Preoperatively and Postoperatively When Approached with an Acetabular Revision? Preoperative and Intraoperative Imaging Harold W. Rees, MD 1:15 PRE-RECORDED VIDEO DEMONSTRATION Insertion of Modular Tapered Stem: Techniques and Pearls Jose A. Rodriguez, MD 1:25 PRE-RECORDED VIDEO DEMONSTRATION Insertion of Hemispherical Component and Acetabular Component Joseph T. Moskal, MD 1:35 PRE-RECORDED VIDEO DEMONSTRATON Extended Trochanteric Osteotomy Scott M. Sporer, MD 1:45 Questions/Answers 2:00 Refreshment Break
2:15 HANDS-ON SKILLS LAB (LAB B) Removal of Cemented Stem, Modular Tapered Stem, Extended Trochanteric Osteotomy, Hemispherical Acetabular Component and Augment Lab Leader: Scott M. Sporer, MD, Hany S. Bedair, MD, John M. Keggi, MD Faculty: Drs. Bedair, Browne, Donaldson, Huddleston, Illgen, Keggi, Kennon, Levine, Manning, Moskal, Rees, Rodriguez, Sporer, Taunton *During this lab time, a cadaveric specimen will be available for participants to observe faculty experts demonstrating acetabular augment and extended trochanteric osteotomy 4:15 Free Dissection Time 5:00 Course Adjourns 5:15 6:15 Mako Total Hip: Live Robotic-Arm Assisted Demonstration* Richard L. Illgen, II, MD * The Industry Spotlight Session is Non-CME. Views and Products Are Not Endorsed by AAOS, AAHKS, or The Hip Society
SATURDAY, JULY 22 EVALUATION AND MANAGEMENT OF POSTOPERATIVE COMPLICATIONS Moderator: James I. Huddleston, III, MD 8:00 am Welcome Webcast Participants 8:05 am Evaluation of the Painful THA How Do You Evaluate a Patient with Pain? Physical Exam Lab Exam Radiologic Exam Algorithm to Follow for the Patient in Pain Thomas K. Donaldson, MD 8:20 Diagnosis of Infection Lab Tests Radiologic Tests What to do with Biomarkers AAOS, CPG and MSIS Statements Hany S. Bedair, MD 8:35 Treatment Principles of PJI (Early and Late, CPG) Current Approach to Infection in Acute, Chronic and Postop Infections I&D vs. Two-stage: Is There a Role for One-stage? Algorithm to Follow When a Patient is Infected James A. Browne, MD 8:50 Hip Instability Radiographic Evaluation of Components: Principle of Combined Version Lumbar Spine When to Use Constraint When to Use Dual Mobility Evaluation of Patient Factors (co-morbidities, spine pathology) Robert E. Kennon, MD 9:05 Metal-Metal Bearing and Trunion Issues How to Evaluate (lab tests, MRI, U/S) When to Operate Choice of Implants Brett R. Levine, MD
9:20 Periprosthetic Femur Fracture Classification Treatment Options How to Manage Interprosthetic Fractures John M. Keggi, MD 9:35 Complex Case Discussions Participants are encouraged to bring their cases for discussion. Moderator will bring complex cases to discuss. Moderator: James I. Huddleston, III, MD Panel: Drs. Browne, Donaldson, Levine 10:15 Refreshment Break 10:30 Small Group Discussion: 3 Cases of Femoral and Acetabular Bone Loss: Management or Retroverted Socket Treatment Options Surgical Approach Implants Postoperative Care Discussion Leaders: Drs. Beal, Bedair, Browne, Donaldson, Huddleston, Illgen, Keggi, Kennon, Levine, Manning, Moskal, Rees, Rodriguez, Sporer, Taunton 11:50 Working Lunch HOT TOPICS Moderator: Scott M. Sporer, MD 12:00 pm Computer Navigation and Robotic Assisted Surgery: What is the Current Role? Richard L. Illgen, II, MD 12:15 Pressure to Discharge to Home without Postoperative Therapy Harold W. Rees, MD 12:30 Patient Satisfaction: What to do to Look the Best Joseph T. Moskal, MD 12:45 Patient Reported Outcomes: What Should I Collect and When? Michael J. Taunton, MD 1:00 Questions and Answers 1:30 Course Adjourns
COURSE DIRECTORS Scott M. Sporer, MD Rush University Medical Center Medical Director - Joint Replacement Institute Cadence Health - Central DuPage Hospital Chicago, IL Hany S. Bedair, MD Massachusetts General Hospital Boston, MA John M. Keggi, MD Orthopaedics New England, P.C Middlebury, CT FACULTY Matthew D. Beal, MD Northwestern Memorial Hospital Chicago, IL Thomas K. Donaldson, MD Empire Specialty Orthopedic Center Colton, CA James A. Browne, MD University of Virginia Charlottesville, VA James I. Huddleston, III, MD Stanford Medicine Outpatient Center Redwood, CA
Richard L. Illgen, II MD University of Wisconsin School of Medicine & Public Health Madison, WI Joseph T. Moskal, MD Institute for Orthopaedics and Neurosciences Roanoke, VA Robert E. Kennon, MD St. Francis Hospital and Medical Center Middlebury, CT Harold W. Rees, MD Loyola University Maywood, IL Brett R. Levine, MD Rush University Medical Center Chicago, IL Jose A. Rodriguez, MD Hospital for Special Surgery New York, NY David W. Manning, MD Northwestern University Chicago, IL Michael J. Taunton, MD Mayo Grad School of Medicine Rochester, MN