The Total Joint program at Orthopedics Today Hawaii 2013 continues to feature education and fast-paced debates in an entertaining format.
The Tuesday morning session starts with tips and techniques to save time and money in the operating room and showcases talks by Adolph V. Lombardi, MD, FACS; Ormonde M. Mahoney, MD; Douglas A. Dennis, MD; William J. Maloney, MD; Giles R. Scuderi, MD; and Michael D. Ries, MD. Mahoney will lead a rapid-fire case presentation on total vs. partial knees, which will be followed by debates in knee technology on patellar resurfacing, all-polyethylene tibias, crosslinked polyethylene, oxinium and mobile bearings. We will tally votes with the audience response system to determine the winner of each debate. Other knee topics that will be covered include alignment with conventional instruments, computer-assisted (navigation) procedures and patient-specific cutting guides.
The evaluation and management of hip pain will be covered by talks on hip arthroscopy by Dean K. Matsuda, MD, joint preservation by Robert T. Trousdale, MD, and soft tissue issues by Dennis. The faculty will then tackle several hot topics including trunionosis, metallosis, the painful total hip and the direct anterior approach. The group will also debate the role of hip resurfacing, short stems and the optimal hip bearing diameter. We close out the morning with several “how to” presentations on preoperative planning, a posterior approach that promises no dislocation, acetabular component positioning and intraoperative limb-length assessment.
We have expanded the total hip and knee offering to an additional track on the second half of Wednesday’s program with more advanced topics including, the new Knee Society Scoring system, case-based diagnosis and treatment of malrotation, poor range of motion, and instability. We then address more tips and techniques on tubercle osteotomy, how to remove well-fixed implants and extensor mechanism disruptions. Faculty for the next session will cover classification of bone defects around the knee and reconstruction of bone defects highlighting conventional augments, grafts and cement, cone augments and segmental replacements.
During the advanced track, Maloney and Trousdale will address the symptomatic total hip. Ries will cover the ever-popular topic of recurrent dislocation, and I will outline special considerations with metal-on-metal bearing hips. The afternoon concludes with hip revision topics such as classification of bone defects, extended trochanteric osteotomy/stem removal, high-function two-stage, monoblock femoral revision, modular femoral revision and reconstruction of acetabular defects.
The educational content of this program is world-class. The fast-paced format and faculty interaction offer a highly entertaining and educational experience you don’t want to miss.
— Thomas P. Schmalzried, MD
Orthopedics Today Section Editor, Joint Reconstruction
Program Committee member
Orthopedics Today Hawaii 2013