Evidence Collection: 3rd Insights-Hip

Dr Arnaud Fiquet (FR) presents the design evolution and rationale for cementless stems in total hip arthroplasty. After a brief history of various cementless stems, he discusses the triple taper design of POLARSTEM™ alongside relevant clinical evidence and on-screen patient examples. In conclusion, Dr Fiquet summarises the advantages and disadvantages of cementless hips and key factors that influence choice.

Recorded at:
3rd Insights
Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)

On the debate of short stems in total hip arthroplasty, Prof Francesco Falez (IT) presents evidence and experience on their role in providing a reliable, potentially less invasive option in the event of failure. Covering key considerations such as bone preservation, revision rates and stability, Prof Falez offers his own 15-year experience in terms of technique and implant survivorship.

Recorded at:
3rd Insights

Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)

Prof Edward Davis (UK) discusses how VERILAST technology, through its construction with OXINIUM, is different to other cross-linked polyethylene (XLPE) bearings. Providing a detailed comparison with metal and ceramic using joint registries, Prof Davis outlines the durability of VERILAST over other bearing choices. He demonstrates the influence of stem choice and presents cumulative revision rates, concluding on a summary of the key benefits VERILAST offers.

Recorded at:

3rd Insights
Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)

On the subject of distal femur reconstruction in revision arthroplasty, Mr Sujith Konan (UK) initially discusses the current techniques and their shortfalls before outlining factors to bypass defects for stable distal fixation. He presents evidence of non-modular tapered stems and their performance in stability, bone on-growth, corrosion and fracture. In conclusion, Mr Konan offers tips and surgical techniques from his own experience in total hip arthroplasty.

Recorded at:

3rd Insights
Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)

This brief lecture, conducted by Mr Stephen Jones (UK), outlines the use of an algorithm to achieve a reproducible acetabular reconstruction technique. Introducing the four key considerations based on the Paprosky classification, he demonstrates techniques and choices for different classifications of defected or lost bone in the acetabulum. In conclusion, Mr Jones discusses how buttress, cup cage and patient-matched augments have provided options for fixation and stability.

Recorded at:
3rd Insights
Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)

This brief lecture by Dr Ran Schwarzkopf (US) discusses the use of an algorithm for femoral reconstruction. After initially outlining the different classifications of defect, he presents a step-by-step guide of basic preparation, challenges, treatments and techniques according to the Paprosky classification. Dr Schwarzkopf highlights the various dangers when conducting femoral reconstruction before presenting a number of patient case studies- some of which include the REDAPT™ hip revision system.

Recorded at:
3rd Insights
Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)

Dr Richard McCalden (CA) discusses the different defects, techniques and implant choices according to the Gross classification algorithm for acetabular reconstruction. He outlines why the defect dictates implant choice and the advantage of porous metal technologies in total hip revision. Dr McCalden then presents evidence and case studies, including when augments and cages are appropriate, before concluding with a brief surgical demonstration and a summary of key considerations.

Recorded at:
3rd Insights
Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)

Dr Michael Leunig (CH) lectures on the importance of balancing risks and benefits of osteotomy approaches in total hip arthroplasty, including the factors that dictate when osteotomy is suitable. Sharing his expertise on anatomical locations and osteotomy variations, with on-screen examples, Dr Leunig outlines the impact on reorientation, femoral head reduction and stability, concluding with age-related survival rate data.

Recorded at:
3rd Insights
Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)

Dr Edwin Su (US) offers his expertise on the benefits of hip resurfacing, focusing on the physiologic loading of bone and restoration of normal hip mechanics. Outlining the challenges in THR, Dr Su demonstrates comparative data between hip resurfacing and cementless total hip arthroplasty, concluding with a discussion on patient reported outcomes and a successful return to activity.

Recorded at:

3rd Insights
Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)

In this short video, Prof Carsten Perka (DE) offers his own experience on why he considers antero-lateral hip arthroplasty to be the optimal approach. Providing rationale with on-screen prompts, Prof Perka outlines the advantages for planning, positioning, osteotomy and capsular release.

Recorded at:
3rd Insights
Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)

On the subject of bearing choice in total hip arthroplasty, Mr Sujith Konan (UK) discusses the role of cross-linked polyethylene (XLPE). Presenting registry and performance data, and drawing comparisons with metal and ceramic, Mr Konan demonstrates the factors and trends that influence bearing choice, including the impact on revision rates.

Recorded at:

3rd Insights
Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)

Professor Thomas Heyse (DE) discusses the evolution of cemented total hip arthroplasty, including the importance of bone bed preparation, vacuum mixing and pressurisation. He shares expertise on how lower revision rates can be achieved, with fewer infections and better clinical survival. Trends towards cementless THA are discussed, including correlations with certain patient groups, followed by Prof Heyse’s experience with POLARSTEM™. He concludes by discussing factors and techniques that can contribute to better implant survival.

Recorded at:
3rd Insights
Evidence and Outcomes in Hip and Knee Arthroplasty
London, United Kingdom
21-23 June, 2018

Chairmen:
Prof Fares Haddad (UK)
Prof Jan Victor (BE)