Advances & Techniques

11/08/2010

ADVANCES & TECHNIQUES

IN

JOINT REPLACEMENT SURGERY

NINTHWINTER MEETING

January 13 – 15, 2011

Cochin, India

Presented by:

New York

Venue

Le Meridien Kochi

Maradu

Cochin, Kerala 682304

For hotel accommodation please contact:

Le Meridien, Cochin

Tel: / (91)(484)2705777
Fax: / (91)(484) 2705750
E-mail: /

Course Registration Dates and Time:

Thursday January 13, 2011 7am – 9am

Ranawat Orthopaedic Research Foundation Fellows

Wednesday January 12, 2011, 4pm – 6:30pm

Cocktail Reception & Dinner for All Attendees
Friday January 14, 2011 7:30pm Onward

A Message from the Chairman
ADVOCACY
QUALITY
ACCOUNTABILITY /

Supporting or recommending a certain cause or policy is known as advocacy. To fulfill your obligation as a patient advocate, you must provide the patient with the best possible care from all professionals, including yourself. To achieve the best possible outcome, you must evaluate the patient’s orthopaedic condition, general health including comorbidity and the various available clinical treatment options. To properly weigh the various clinical treatment options you must be familiar with Level I & II medical evidence from peer-reviewed published literature, as well as other scientific information on a given topic. Although knowledge alone does not guarantee a good outcome, it allows the surgeon to focus on the safety and efficacy of a given treatment option. Providinghigh quality care leads to high patient satisfaction.

Accountabilityis the fact or condition of being responsible. Surgeon accountability in providing quality care is extremely difficult to assess.

The concernspertaining to qualityare:

What specific methodology and mechanism(s) should be used to assess the quality of care?
Who should determine the criteria for acceptable quality ofcare?
A committee of physicians and non-physiciansknowledgeable in the fieldcould establish the methodology and mechanism(s) for acceptable standards of patient care.
Every quality measure ought to be risk adjusted based on pre-operative comorbidities, includingmethods and mechanism(s) which are necessary to report deviations.
The committee should identify quality deviation(s), take corrective action whenever necessary, including the educational process required to improve the deviation.

In recent years, issues of ethical behavior,conflict of interest and deceptive marketing in the medical profession have entered the public forum because of widespread use of the following:

Metal on metal hip replacement
Ceramic on ceramic hip replacement
MIS surgical techniques
Navigation for use on all patients

In the end, the primary objective of achieving a good outcome and a high level of patient satisfaction is to provide the best and most compassionate care under the given circumstances. No surgeon should be penalized or held accountable for quality of care under difficult circumstances beyond the surgeon’scontrol. However, the old saying, “know thyself,” is particularly applicable here. As a surgeon, you must know and respect the parameters of your God-given abilities, medical training, and knowledge of the literature. Remember that you are the only one responsible for your conduct, clinical choices, and results.

Quality care and patient satisfaction matters!

Sincerely,

Chitranjan S. Ranawat, M.D.

ADVANCES & TECHNIQUES

JOINT REPLACEMENT SURGERY

January 13 – 15, 2011 Cochin, India

Course Chairman: Chitranjan S. Ranawat, M.D.

Hospital for Special Surgery

New York, New York

Foreign Faculty / Local Faculty
ROBERT B. BOURNE, MD
London Health Sciences Centre
Ontario, Canada / HARISH S. BHENDE, MS
L.T.D.MedicalCollege
Mumbai / S. K. S. MARYA, MS
Max Healthcare Institute
New Delhi
THORSTEN GEHRKE, MD
Endoclinic
Hamburg, Germany / PRADEEP B. BHOSALE, MS
K.E.M.Hospital
Mumbai / ARUN MULLAJI, MS
BreechCandyHospital
Mumbai
MICHAEL M. MORLOCK, PhD
TechnicalUniversity
Hamburg, Germany / VIJAY C. BOSE, MS
ApolloHospital
Chennai / ASHOK RAJGOPAL, MS
Medicity Medanta Hospital
New Delhi
AMAR S. RANAWAT, MD
Hospital for Special Surgery
New York, New York / ADITYA R. DAFTARY, MBBS
Innovision Imaghing
Mumbai / K. H. SANCHETI, MS
Sancheti Institute of Orthopaedics
Pune
ANIL S. RANAWAT, MD
Hospital for Special Surgery
New York, New York / SANJEEV JAIN, MS
Hira Nandani Hospital
Mumbai / PARAG K. SANCHETI, MS
Sancheti Institute of Orthopaedics
Pune
WILLIAM L. WALTER, MD
Mater Clinic
Sydney, Australia / NANDKISHORE LAUD, MS
Laud Clinic &
ShushrushaHospital
Mumbai / PICHAI SURYANARAYAN, M.S.
ApolloHospital
Chennai
RUSSELL E. WINDSOR, MD
Hospital for Special Surgery
New York, New York / RAJESH MANIAR, MS
LilawatiHospital
Mumbai / JACOB VARGHESE, MS
LakeshoreHospital
Cochin

ASHOK JOHARI, MS – President, Indian Orthopaedic Association

PROGRAM
THURSDAY Jan 13, 2011
09:00am - 09:06am / Welcome and Chairman's Comments / C. Ranawat
09:06am - 09:12am / Lighting Ceremony - Mahurat Ceremony
Always Respect the Tradition - / N. Laud
K. Sancheti
09:12am - 09:17am / President of IOA Address / A. Johari
09:17am - 09:24am / Lifetime Achievement Award
Nandkishore Shamrao Laud / K. Sancheti
KNEE TOPICS
SESSION I – IMAGING Moderator: / T. Gehrke
09:24am - 09:30am / Radiographic Criteria for Optimum TKA / S. Marya
09:30am - 09:36am / Preoperative Templating with Stand. & Computer Based Radiographs / R. Windsor
09:36am - 09:42am / Role of MRI in IdentifyingPathology in TKA / A. Daftary
09:42am - 09:52am / Discussion
MASTER VIDEO: CURRENT TECHNIQUES Moderator: / R. Bourne
09:52am - 10:00am / Correction of Varus Deformity – Classic Approach / R. Windsor
10:00am - 10:08am / Correction of Varus Deformity – New Trends / C. Ranawat
10:08am - 10:16am
10:16am - 10:24am
10:24am - 10:32am / Correction of Valgus Deformity
Correction of Flexion Contracture
Correction of Extra Articular Deformity / P.Suryanarayan
P. Sancheti
A. Mullaji
10:32am - 10:47am / Discussion
10:47am - 11:05am / COFFEE BREAK
SPECIAL FOCUS – INFECTION IN TKA: CURRENT TRENDS Moderator: / P.Suryanarayan
11:05am - 11:11am / Prevention of Infection / P. Bhosale
11:11am - 11:17am / Treatment & Results – One Stage / T. Gehrke
11:17am - 11:23am
11:23am - 11:29am / Treatment & Results – Two Stage
Treatment of Recalcitrant Infection / S.. Marya
R. Bourne
11:29am - 11:35am
11:35am - 11:50am / New Trends in Antibiotic Therapy
Discussion / A. Rajgopal
PROGRAM
THURSDAY Jan 13, 2011
KNEE TOPICS – Continued
SESSION II – EVIDENCE BASED RESULTS: PRIMARY TKA Moderator: / C. Ranawat
11:50am - 11:58pm / Cruciate Retaining – Fixed Bearing
Why is it Better? / A. Rajgopal
11:58pm - 12:06pm / Cruciate Substituting – Fixed Bearing
Why is it Better? / S. Jain
12:06pm - 12:14pm / Cruciate Substituting – Rotating Platform
Why is it Necessary? / R. Maniar
12:14pm - 12:22pm
12:22pm - 12:30pm / Gender Knee
Is it Real?
Patella Femoral Replacement
Current Status / R. Windsor
H. Bhende
12:30pm - 12:50pm / Discussion
12:50pm - 01:40pm / LUNCH
SESSION III – NAVIGATION Moderator: / P. Bhosale
01:40pm - 01:48pm / Navigation: Current & Future / A. Mullaji
01:48pm - 01:56pm / Future Direction of Robotic Surgery / An. Ranawat
01:56pm - 02:04pm / Custom Instruments: Can They Make A Difference? / Am. Ranawat
02:04pm - 02:20pm / Discussion
SESSION IV – COMPLICATIONS IN TKA Moderator:
What do we know? / R. Windsor
02:20pm - 02:26pm / Common Mistakes Leading to Early Failure / R. Bourne
02:26pm - 02:32pm / How to Avoid the Unstable Knee / H. Bhende
02:32pm - 02:38pm / Anterior Knee Pain & Crepitation / C. Ranawat
02:38pm - 02:44pm
02:44pm - 02:50pm / Osteolysis & Loosening
How can we eliminate?
Periprosthetic Fracture
Here to Stay / W. Walter
P.Suryanarayan
02:50pm - 03:10pm / Discussion
SESSION V – PRESIDENTIAL LECTURES Moderator: / N. Laud
03:10pm - 03:16pm
03:16pm - 03:22pm / Uni-Compartmental: Fixed Bearing
Uni-Compartmental: Mobile Bearing / An. Ranawat
R. Bourne
03:22pm – 03:28pm
03:28pm – 03:34pm / TKA: Fixed Bearing
Knee For All Surgeons
TKA:Mobile Bearing
Current Trends / P. Sancheti
A. Mullaji
03:34pm - 03:45pm
03:45pm - 04:00pm / Discussion
COFFEE BREAK
PROGRAM
THURSDAY Jan 13, 2011
KNEE TOPICS - Continued
SESSION VI – CASE PRESENTATIONS Moderator: / C. Ranawat
04:00pm - 05:00pm / Questions To Be Answered: Panel Members:

How to get the tibial cut right
How to size the knee correctly

How to judge rotational alignment of the femoral component in flexion/extension
Criteria of a well balanced knee in flexion and extension
Technique for replacing the patella
Over-stuffing of the patella in TKA

/ R. Bourne
T. Gehrke
R. Windsor
S. Marya
A. Mullaji
A. Rajgopal
SESSION VII – DELEGATE DISCUSSION Moderator: / C. Ranawat
05:00pm - 05:30pm / Questions From The Floor Panel Members: / R. Bourne
Am. Ranawat
W. Walter
R. Windsor
R. Maniar
P. Sancheti
05:30pm - 05:35pm / Chairman’s Review and Comments
06:00pm - 07:00pm / CeramTec Sponsored Session Moderator: / Am. Ranawat
W. Walter
PROGRAM
FRIDAY Jan 14, 2011
KNEE TOPICS - Continued
09:00am – 09:05am / Chairman’s Review and Comments / C. Ranawat
PAPER PRESENTATIONS – Dholakia Award Moderator: / C. Ranawat
09:05am - 09:10am / Presentation <40
09:10am - 09:15pm
09:15pm - 09:23am / Presentation >40
Discussion
SESSION I – PRESIDENTIAL LECTURE Moderator: / T. Gehrke
09:23am - 09:29am
09:29am - 09:35am / Techniques & Results - HTO
Closed Wedge Osteotomy
Opening Wedge Osteotemy / H. Bhende
An. Ranawat
09:35am - 09:50am / Discussion
SESSION II – PRINCIPLES AND TECHNIQUES IN REVISION TKA Moderator: / R. Windsor
09:50am - 09:56am / Revision of Patella / Am. Ranawat
09:56am - 10:02am
10:02am - 10:08am
10:08am - 10:14am
10:14am - 10:20am / Management of Bone Defects
Role of Non-Cemented Fixation
Restoration of Extensor Mechanism
Role of Constraint Implants – TC3 & Hinges / R. Maniar
R. Bourne
W. Walter
T. Gehrke
10:20am - 10:40am / Discussion
10:40am - 11:00am / COFFEE BREAK
HIP TOPICS
SESSION I – FEMORAL NECK FRACTURES: Moderator:
Treatment & Results / Am. Ranawat
11:00am - 11:06am
11:06am – 11:12am
11:12am – 11:18am
11:18am – 11:24am / Internal Fixation
Hemi Arthroplasty – Unipolar
Hemi Arthroplasty – Metal Bipolar
Hemi Arthroplasty – Ceramic Bipolar / An. Ranawat
N.Laud
J. Varghese
M. Morlock
11:24am - 11:30am
11:30am - 11:45am / Fracture Hip: A Place for THR
Discussion
PROGRAM
FRIDAY Jan 14, 2010
HIP TOPICS – Continued / R. Bourne
SESSION II – BASIC SURGICAL TECHNIQUES Moderator: / W. Walter
11:45am - 11:53am
11:53am - 12:01pm
12:01pm - 12:09pm
12:09pm - 12:17pm
12:17pm - 12:35pm
12:35pm - 01:20pm / Posterolateral
Anterior
Anteriolateral
Resurfacing
Discussion
LUNCH / C. Ranawat
R. Maniar
S. Jain
V. Bose
SPECIAL FOCUS: ALTERNATIVE BEARINGS Moderator: / C. Ranawat
01:20pm - 01:26pm / Metal on Highly Cross Link Polyethylene / P. Bhosale
01:26pm - 01:32pm / Metal on Metal / R. Bourne
01:32pm - 01:38pm / Ceramic on Ceramic / W. Walter
01:38pm - 01:44pm / Ceramic on Highly Cross Link Polyethylene / Am. Ranawat
01:44pm - 02:00pm / Discussion
MASTER VIDEO LECTURE SERIES: PRIMARY THA Moderator: / K. Sancheti
02:00pm - 02:08pm / Cemented Cup & Stem / C. Ranawat
02:08pm - 02:16pm / Cementless Cup & Stem / W. Walter
02:16pm - 02:24pm / Modular Femoral Stems for Complex THA / Am. Ranawat
02:24pm - 02:39pm / Discussion
SESSION III – COMPLICATIONS IN THA Moderator: / C. Ranawat
02:39pm - 02:45pm / Infection / T. Gehrke
02:45pm - 02:51pm / Dislocation / J. Varghese
02:51pm - 02:57pm / Leg Length Inequality / V. Bose
02:57pm - 03:03pm / Avoiding Intraoperative Fracture &
Treatment of Perioperative Fracture / W. Walter
03:03pm - 03:18pm
03:18pm - 03:40pm / Discussion
COFFEE
PROGRAM
FRIDAY Jan 14, 2010
HIP TOPICS – Continued
PRESIDENTAL LECTURES Moderator: / V. Bose
03:40pm - 03:46pm / Future of Robotic Surgery / Am. Ranawat
03:46pm - 03:52pm / Hip Resurfacing – Failure Mechanisms / M. Morlock
03:52pm - 04:05pm / Discussion
SESSION V – CASE PRESENTATIONS Moderator: / C. Ranawat
04:05pm - 04:40pm / Questions To Be Answered: Panel Members:

How to maximize exposure
Proper acetabular positioning using anatomic landmarks
How to avoid dislocation
How to avoid intraoperative femoral fracture
Combine antiversion & coplanar test

/ R. Bourne
T. Gehrke
W. Walter
V. Bose
PSuryanarayan
J. Varghese
SESSION VI – DELEGATE DISCUSSION Moderator: / C. Ranawat
04:35pm - 05:10pm / Questions from the Floor Panel Members: / R. Bourne
Am. Ranawat
M. Morlock
N. Laud
S. Marya
P. Bhosale
05:10pm - 05:20pm / Chairman’s Review & Comments
05:45pm - 06:45pm / Depuy Sponsored Session
07:15pm onwards / Gala Dinner

List of Ranawat Orthopaedic Research Foundation Fellows

Dr. Anand Devnani
Kelanton, Malaysia / Dr. Shantaram Shettey, Mangalore, India / Dr. Som Pratap Gupta
Jaipur, India
Dr. Vinod Naneria
Indore, India / Dr. Jayant Nadkarni
Ormskirk, U.K. / Dr. P.B. Bhosale
Mumbai, India
Dr. P. Suryanarayan
Chennai, India / Dr. Sameer Gupta
Jabalpur, India / Dr. Bharat Kelkar
Nashik, India
Dr. Mukut Sharma
Jaipur, India / Dr. S.P. Mohanty
Manipal, India / Dr. S.V. Vaidya
Mumbai, India
Dr. M.S. Dhillon
Chandigarh, India / Dr. Varun Chandra
Jamshedpur, India / Dr. Sanjeev Jain
Mumbai, India
Dr. Mangal Parihar
Mumbai, India / Dr. Arun Mullaji
Mumbai, India / Dr. Joy Patankar
Mumbai, India
Dr. Aseem Parekh
Mumbai, India / Dr. Rajesh Maniar
Mumbai, India / Dr. Shrinivas S. Shintre
Pune, India
Dr. P. Sripathi Rao
Manipal, India / Dr. P.K. Agarwal
Bangalore, India / Dr. Paresh Pandya
Rajkot, India
Dr. Farhad Taraporwala
Mumbai, India / Dr. Milind Kulkarni
Miraj, India / Dr. Ravindra Gangwal
Ujjain, India
Dr. Sunil Shahane
Mumbai, India / Dr. Nasir Ahmed Mir
Srinagar, India / Dr. Buddha Deb Chatterjee
Jamshedpur, India
Dr. Sushrut Babhulkar
Nagpur, India / Dr. Dayanidhi Desai
Surat, India / Dr. Shubhranshu Mohanty
Mumbai, India
Dr. Vivek Mittal
New Delhi, India / Dr. Prem Kotian
Manglore, India / Dr. Nirbhay Shah
Rajkot, India
Dr. Vinay Goyal
Jaipur, India / Dr. Manuj Wadhwa
Chandigarh, India / Dr. Kishore Kumar
Mumbai, India
Dr. Vikas Kulshreshtha
Assam, India / Dr. Parag K. Sancheti
Pune, India / Dr. Dhiraj Marothi
Bikaner, India
Dr. Rajesh Malhotra
New Delhi, India / Dr. Laghvendu Shekhar
Jaipur, India / Dr. Sandeep Gupta
New Delhi, India
Dr. Jawed Bhat
Jammu Kashmir, India / Dr. Anoop Jhurani
Jaipur, India