Totally Hip 2017 Preservation to Revision Gothenburg, Sweden 29 March - 1 April 2017 WEDNESDAY 29 MARCH Arrivals THURSDAY 30 MARCH 08:00 08:30 Welcome from the Chairmen, Co Chairmen and technical intro SESSION I: TITLE: OSTEOARTHRITIS: The problem 08:30 08:38 Osteoarthritis: Epidemiology and the economic burden 08:38 08:46 Aetiology of Arthritis: Current thoughts and new directions 08:46 08:54 Imaging: Current algorithm 08:54 09:02 Imaging: Future developments 09:02 09:10 How should we manage early arthritis? 09:10 09:18 Advances in surgical management of early arthritis 09:18 09:30 Discussion 15/12/2016 09:22 Page 1 Agenda Gothenburg 2017 - Dec1 v19 NN
SESSION II: TITLE: NON ARTHROPLASTY HIP SURGERY 09:30 09:38 DDH: Non arthroplasty management 09:38 09:46 FAI: Etiology & diagnosis 09:46 09:54 FAI: Management options & outcomes 09:54 10:02 Discussion 10:02 10:30 Debate: Hip arthroscopy: (When) Does it work 10:02-10:09 Propose 10:09-10:16 Oppose 10:16-10:23 Propose seconder 10:23-10:30 Oppose seconder 10:30 10:50 Discussion 10:50 11:20 Coffee break & visit to the technology suite Primary Hip Sessions SESSION III: TITLE: THE PATIENT JOURNEY: Expectations and outcomes Moderator: Audience Questions Moderator 11:20 11:28 Hip arthroplasty: Who, when, and why? 11:28 11:36 Patient: Great expectations 11:36 11:44 Surgeon: Can I deliver: Can technology help? 11:44 11:52 How should we assess outcomes? 11:52 12:00 Do PROMS and registries measure success in THA? 12:00 12:20 Discussion 15/12/2016 09:22 Page 2 Agenda Gothenburg 2017 - Dec1 v19 NN
12:20 13:20 Lunch & visit to the technology suite Session IV: TITLE: SURGICAL APPROACH: What would make you change? 13:20 13:28 Minimising my posterior approach 13:28 13:36 My patients love the anterolateral approach 13:36 13:44 Direct anterior - No longer a challenge 13:44 13:52 A superior approach: The conservative alternative 13:52 13:58 What made me change my approach? 13:58 14:20 Discussion Session V: TITLE: CONSISTENT PERFECTION IN PRIMARY THA 14:20 14:28 Is there a truly perfect orientation? 14:28 14:36 How I plan my primary Hip surgery 14:36 14:44 Intra operative validation is all you need 14:44 14:52 Do we need assistance? 14:52 15:00 Novel approaches to planning? 15:00 15:20 Discussion 15:20 15:45 Coffee break & visit to the technology suite 15/12/2016 09:22 Page 3 Agenda Gothenburg 2017 - Dec1 v19 NN
Session VI: TITLE: GETTING IT RIGHT EVERY TIME 15:45 15:53 The perfect set-up: It s your responsibility 15:53 16:01 How to prevent dislocation 16:01 16:09 Avoiding leg-length discrepancy 16:09 16:17 Avoiding DVT an update 16:17 16:25 Rehabilitation & hip precautions 16:25 16:40 Discussion Session VII: TITLE: PATIENTS, OPTIONS & INDICATIONS CASES 16:40 17:15 Panel discussion 15/12/2016 09:22 Page 4 Agenda Gothenburg 2017 - Dec1 v19 NN
Breakout Sessions: INTO DETAIL: DAY ONE 17:30 19:00 Into Detail Session One: ASI A new trend in THR? 17:30-17:38 A review of minimally invasive approaches 17:38-17:46 Why I started with ASI? 17:46-17:54 ASI: The surgery and technical considerations 17:54-18:02 Busting the myths that surround Direct anterior 18:02-18:10 Can PROMS and registry data support ASI 18:10-18:35 Discussion 18:35-18:45 Can rapid recovery lead to outpatient THR? 18:45-19:00 Discussion 17:30 19:00 Into Detail Session Two: The health economic challenge: Managing the Demand 17:30-17:38 Hip arthritis: Changes in incidence, indications and risk 17:38-17:46 Implant selection. Surgeon or management choice? 17:46-17:54 Addressing demand: How can we pay for it? 17:54-18:10 Discussion 18:10-18:18 Future innovations: Who will pay for it all? 18:18-18:26 Managing demand: What can we learn from changes in the US 18:26-18:34 Managing demand: A political and industry view 18:34-19:00 Discussion 17:30 19:00 Into Detail Session Three: Hip preservation 17:30-17:38 Patient selection 17:38-17:46 Hip arthroscopy Set-up and access 17:46-17:54 Surgical technique: FAI 17:54-18:02 Surgical technique: Labrum repair 18:02-18:10 Surgical technique: Chondral defects 18:10-18:18 Management of extra articular pathology 18:18-18:26 Rehabilitation: Pre and post op 18:26-19:00 Discussion 15/12/2016 09:22 Page 5 Agenda Gothenburg 2017 - Dec1 v19 NN
17:30 19:00 Into Detail Session Four: Arthroplasty registries 17:30-17:50 Pro con registries, The necessity of registers. Pro and cons 17:50-18:00 Discussion 18:00-18:15 ISAR, NARA, ICHOM, why and future perspective 18:15-18:30 PROMS in arthroplasty registers - beyond the whys and ifs 18:30-18:45 What registries can t do 18:45-19:00 Discussion 19:00 19:45 Reception 15/12/2016 09:22 Page 6 Agenda Gothenburg 2017 - Dec1 v19 NN
FRIDAY 31 MARCH 08:00 08:05 Welcome from the Chairmen Session VIII: TITLE: A BAD DAY AT THE OFFICE 08:05 08:30 Panel discussion D. Lewallen / S. Jones Session IX: TITLE: CHOOSE YOUR STEM 08:30 08:38 The metaphysis is all you need 08:38 08:46 Let s go distal? 08:46 08:54 Why not both? 08:54 09:02 Cement: The answer for all 09:02 09:10 What does the evidence tell us? 09:10 09:30 Discussion Session X: TITLE: CHOOSE YOUR BEARING 09:30 09:38 Cemented sockets: a thing of the past? 09:38 09:46 Polyethylenes: Now the finished article? 09:46 09:54 Ceramic on Ceramic: The obvious answer 09:54 10:02 Ceramic vs cobalt chrome: A question of balls? 10:02 10:10 The role of dual mobility in primary and complex hip surgery 10:10 10:18 Registries and evidence 10:18 10:30 Discussion 10:30 11:00 Coffee break & visit to the technology suite 15/12/2016 09:22 Page 7 Agenda Gothenburg 2017 - Dec1 v19 NN
Session XI: TITLE: ENHANCING RECOVERY 11:00 11:08 What, when and how to set it up? 11:08 11:16 A team approach - preoperative patient education 11:16 11:24 Anaesthesia & pain management 11:24 11:32 What are the challenges? 11:32 11:40 What is the evidence? 11:40 12:00 Discussion Session XII: TITLE: 12:00 12:30 Key Note Lecture: Role of an elective surgeon in emergency orthopaedics in the adverse and challenging environment. 12:30 13:30 Lunch SESSION XIII: TITLE: CHALLENGE THE EXPERT 13:30 14:20 Panel discussion 15/12/2016 09:22 Page 8 Agenda Gothenburg 2017 - Dec1 v19 NN
Session XIV: TITLE: INFECTION DIAGNOSIS AND TREATMENT 14:20 14:28 Prevention is better than cure 14:28 14:36 New developments in diagnostics 14:36 14:44 My friend the microbiologist 14:44 14:52 How to make DAIR work 14:52 15:10 Discussion 15:10 15:40 Coffee break & visit to the technology suite 15:40 15:48 When can a single stage work? 15:48 15:56 Management of the interval in a 2-stage approach 15:56 16:04 Will surface coatings change it all? 16:04 16:14 Infection: The changing algorithm PROMS 16:14 16:30 Discussion 15/12/2016 09:22 Page 9 Agenda Gothenburg 2017 - Dec1 v19 NN
Breakout Sessions: INTO DETAIL: DAY TWO 16:45 18:00 Into Detail Session One: Difficult primary THA 16:45-16:53 Surgery for dysplasia 16:53-17:01 Hip replacement following failed Hip fracture surgery 17:01-17:09 Management of the deformed femur 17:09-17:17 Dealing with morbid obesity and poor bone biology 17:17-17:25 Hip replacement with neuromuscular disorders 17:25-17:33 Surgery in the presence of metastatic disease 17:33-18:00 Discussion 16:45 18:00 Into Detail Session Two: Perfecting the cemented Hip 16:45-16:55 Cemented stem: This is how I do it! 16:55-17:05 Cemented socket: This is how I do it! 17:05-17:15 When cement is a challenge 17:15-17:25 The clinical evidence 17:25-17:35 Why is the world not listening? 17:35-18:00 Discussion 16:45 18:00 Into Detail Session Three: Hip trauma management 16:45-16:53 Sub-capital fracture: Fix or Replace? 16:53-17:01 Hip replacement for fracture 17:09-17:17 Improving clinical outcomes for hip fracture patients 17:17-17:27 Discussion 17:27-17:43 Fixation of PP Fx 17:43-18:00 Discussion 15/12/2016 09:22 Page 10 Agenda Gothenburg 2017 - Dec1 v19 NN
16:45 18:15 Into Detail Session Four: Cementless fixation - Stems for all seasons? 16:45-16:53 Are uncemented stems suitable in elderly patients? 16:53-17:01 Can technology predict long term success 17:01-17:09 Short stems: Optimised design and clinical outcome 17:09-17:17 30 years, why change? Tradition meets innovation 17:17-17:25 Primary stability in short stems : The evidence from RSA 17:25-17:33 Mid-term results of a shorter stem 17:33-17:41 Making cementless fixation work for all cases 17:41-18:00 Discussion 15/12/2016 09:22 Page 11 Agenda Gothenburg 2017 - Dec1 v19 NN
SATURDAY 1 APRIL 08:00 08:05 Welcome from the Chairmen Session XV: TITLE: MY WORST EVER CASE 08:05 08:30 Panel discussion Session XVI: TITLE: REVISION HIP ARTHROPLASTY : Exposure and explanation 08:30 08:38 The revision challenge 08:38 08:46 Exposure The story begins 08:46 08:54 Removal of the well-fixed acetabulum 08:54 09:02 ETO - All you need to know 09:02 09:10 Avoiding ETO All a question of instruments 09:10 09:18 A lifetime of removing implants 09:18 09:30 Discussion Session XVII: TITLE: REVISION HIP ARTHROPLASTY : Femoral reconstruction 09:30 09:38 Conservative femoral revision 09:38 09:46 Modular femoral revision: essential to get it just right 09:46 09:54 Do you need that junction? 09:54 10:02 Segmental reconstruction: When little is left 10:02 10:10 Where next for femoral reconstruction? 10:10 10:18 Managing the trunnion at revision 10:18 10:30 Discussion 15/12/2016 09:22 Page 12 Agenda Gothenburg 2017 - Dec1 v19 NN
10:30 11:00 Coffee break & visit to the technology suite Session XVIII: TITLE: MAKING REVISION SIMPLE, SAFE & RELIABLE 11:00 11:08 Acetabular revision: Managing the majority 11:08 11:16 Making buttresses and augments work 11:16 11:24 Managing discontinuity with distraction 11:24 11:32 Managing discontinuity without distraction 11:32 11:40 Extreme acetabular replacement 11:40 11:52 Discussion 11:52 12:00 Peri prosthetic fractures: An ever increasing challenge 12:00 12:08 The unstable Hip: Assessment and management 12:08 12:20 Discussion Session XIX: TITLE: CHALLENGE THE EXPERT 2 HIP REVISION SURGERY 12:20 12:50 Panel discussion 12:50 13:00 Take home message 13:00 14:00 Lunch & departures 15/12/2016 09:22 Page 13 Agenda Gothenburg 2017 - Dec1 v19 NN