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AN OVERVIEW

It is our privilege to invite you to the “ Update on MIS & Conservative Joint Replacement Surgery” to be held at Indraprastha Apollo Hospital, New Delhi on October 2-3, 2004.

Lately, joint replacement surgery in India has ushered into a new era. The major debate in the world of arthroplasty today is on three subjects, the Resurfacing Arthroplasty which is suitable for younger patients, Minimally Invasive Surgery and Computer Assisted Surgery.

As the average age of patients undergoing joint replacements is falling with every passing year the world over, the importance of conserving bone is becoming a core issue in the surgical strategy of managing advanced arthritis. Combined with this are the consistently increasing expectations of patients, compelling surgeons to explore minimally invasive options. This has brought us to 'the era of Conservative Joint Replacement surgery'. Conservative to bone - surface replacement of hip, shoulder & elbow. The knee is already a surface replacement! Conservative to soft tissues--- minimally invasive surgical techniques [MIS].Hence we have chosen the topics-Birmingham Hip Resurfacing (BHR), Minimally Invasive Hip & Knee Surgery (MIS), Uni Compartmental Knee Replacement (MIS) and Upper limb joint replacement surgery (Souter and Copeland).

In this symposium our effort will be focussed on “PRACTICE of ARTHROPLASTY”. The theme is "Conservative Joint Replacement Surgery." The goal will be achieved by LIVE SURGICAL DEMONSTRATIONS and case sessions apart from the intensely focussed talks from the experts in the field, discussing the topics thread bare.

Dr S Venkat
Consultant Orthopaedic Surgeon & Royal Orthopaedic Hospital Birmingham, UK

Dr Rajeev K Sharma
Sr. Consultant Orthopaedics &Joint Replacement Surgeon Indraprastha Apollo Hospital

Dr. Rajeev K. Sharma
.........................................................................................................

PROGRAMME
Saturday, 6th December 2003
9:00 a.m. - 6:00 p.m.
Registration 8:00 a.m. - 9:00 a.m.

Don't abuse the OA knee with Arthroscopy !!! (Including indications of Arthroscopy in OA knee)
HTO Indications: Technique & Complications.

The Primary Total Knee:
Education & technique

Different concepts of designs and techniques
What is a Mobile bearing knee?
The LCS design & experience
The PS Knee: concept and result.

Understanding the deformity in TKA
Intra vs Extra articular deformity.
Technique of X-ray evaluation.

Understanding soft tissues in TKA
Soft tissues stabilizers (Primary & secondary) Assessment of release in genu varum & Flexion deformity.
Video and precise description of release of a genu varum+flexion deformity.

Understanding EA deformity, correction inside the joint & consequences
TKA after malunions & Post HTO TKA: the problems
TKA in Genu Valgum
Anatomy of lateral aspect of knee.
Lateral approach: Technique (approach & release) and Complications. Classification, technique and indications.

Debatable Issues
Mobile bearing vs fixed bearing
TKA Unicompartmental knee arthroplasty.
When to perform a lateral retinacular release??
Replace or not to replace the Patella???
PCL Retaining vs Post. Stabilized knee.

Difficult knees
TKA in stiff & ankylosed knee.
TKA in severe flexion deformity.
TKA in unstable knee.
TKA in genu recurvatum.
Post patellectomy TKA.
Patellar tendon avulsion, partellar, Fracture, patella dislocation. What to do??
TKA in permanent dislocated patella

Case Session
Post-operative Course & Early Complications
Post op Pain control
Post op Physiotherapy:
poor ROM why & what to do?
Painful TKA Wound complications after TKA

Infection
Understanding infection, prevention, treatment & results
TKA after Septic Arthritis

Wear & Instability
Understanding the unstable TKA

Method of revision
Which prosthesis to use? Which level of constraint?
The bone stock evolution & Treatment
The ligament quality, evaluation the balance & the solutions (substitutions)
Result

Conclusions and Future
Survivorship after TKA & how to enhance it
Navigation : Principles, where are we today?

Special emphasis on PRACTICE (VIDEO++++), MB understanding of soft tissues & extra-articular deformity