New Orleans, LA

101 Pages·2014·3.49 MB·English

THE HIP SOCIETY

The Forty-Second Open (Winter) Meeting of
The Hip Society



The Twentieth Combined Open Meeting of
The Hip Society and the
American Association of Hip and Knee Surgeons
(AAHKS)

Final Scientific Program

Saturday, March 15, 2014
Ernest N. Morial Convention Center, Theater A
New Orleans, Louisiana

© 2014 The Hip Society
ANOUNCEMENTS

FUTURE MEETINGS AND CALLS FOR ABSTRACTS

AAOS Annual Meetings

March 24-28, 2015 Las Vegas, Nevada
March 1-5, 2016 Orlando, Florida
March 14-18, 2017 San Diego, California

AAHKS 24th Annual Meeting

November 7-9, 2014
Sheraton Dallas Hotel, Dallas, TX

Call for Symposia Proposals Covering All Aspects of
Arthroplasty and Health Policy
Symposia submissions are due by May 1, 2014

Abstracts for the 2014 AAHKS Annual Meeting may be submitted
on the AAHKS’ website (www.aahks.org)
Abstracts are due by June 2, 2014

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© 2014 The Hip Society
W T C O M
ELCOME TO THE WENTIETH OMBINED PEN EETING OF
T H S A A H
HE IP OCIETY AND THE MERICAN SSOCIATION OF IP
K S (AAHKS)
AND NEE URGEONS
2014 AAOS S D
AT THE PECIALTY AY

GENERAL INFORMATION

The Mission of The Hip Society:

The Mission of The Hip Society is to advance knowledge of hip disorders, promote evidence-based
treatment, and refine surgery of the hip in order to improve the lives of patients.

Meeting Objectives:

The objectives of the Open Meeting of The Hip Society and AAHKS are to provide up-to-date information on
the treatment of hip conditions, including non-arthroplasty options, and the latest surgical techniques as
well as the current thinking on bearing surfaces. Other objectives address the difficult primary THA and
complication management and include an update on revision THA.

CME Accreditation:

This activity has been planned and implemented in accordance with the Essential Areas and Policies of
the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of
the American Academy of Orthopaedic Surgeons (AAOS) and The Hip Society. The AAOS is accredited
by the ACCME to sponsor continuing medical education for physicians.

The American Academy of Orthopaedic Surgeons designates this live activity for a maximum of 7.75
AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent
of their participation in the activity.

IMPORTANT

 Please participate when audience response system (ARS) is used.

 Please do not remove ARS keypads from the session room.

 Please complete evaluation online at: https://www.surveymonkey.com/s/2014WM_HIP

 Please silence all electronic devices while inside the session room.

 Please refrain from unauthorized photography and video recording of presentations.

 Your registration for, and attendance of, this session gives The Hip Society permission to capture images of
session attendees and to use these images for internal and marketing purposes.

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© 2014 The Hip Society
ACKNOWLEDGEMENTS

PAST PRESIDENTS OF THE HIP SOCIETY PAST PRESIDENTS OF AAHKS

1968-1969 William H. Harris, MD., D Sc. 1991 J. Phillip Nelson, MD

1969-1970 Frank E. Stinchfield, MD (Deceased) 1992-1993 Chitranjan S. Ranawat, MD

1970-1971 Walter P. Blount, MD (Deceased) 1994 Richard C. Johnston, MD, MS

1971-1972 Albert B. Ferguson, Jr., MD 1995 Lawrence D. Dorr, MD

1972-1973 J. Vernon Luck, Sr., MD (Deceased) 1996 Hugh S. Tullos, MD (Deceased)

1973-1974 Mark B. Coventry, MD (Deceased) 1997 Merrill A. Ritter, MD

1974-1975 Emmett M. Lunceford, Jr., MD (Deceased) 1998 Richard H. Rothman, MD, PhD

1976-1978 Augusto Sarmiento, MD 1999 James A. Rand, MD

1978-1979 Marshall R. Urist, MD (Deceased) 2000 Richard B. Welch, MD

1979-1980 Harlan C. Amstutz, MD 2001 John J. Callaghan, MD

1980-1981 Philip D. Wilson, Jr., MD 2002 Douglas A. Dennis, MD

1981-1982 Richard C. Johnston, MD, MS 2003 Clifford W. Colwell, Jr., MD

1982-1983 Clement B. Sledge, MD 2004 Richard F. Santore, MD

1983-1984 Floyd H. Jergesen, MD (Deceased) 2005 Joseph C. McCarthy, MD

1984-1985 C. McCollister Evarts, MD 2006 William J. Hozack, MD

1985-1986 Jorge O. Galante, MD, DMSc. 2007 Daniel J. Berry, MD

1986-1987 Lee H. Riley, Jr., MD (Deceased) 2008 David G. Lewallen, MD

1987-1988 William R. Murray, MD (Deceased) 2009 William J. Robb, III, MD

1988-1989 Joseph E. Miller, MD (Deceased) 2010 Mary I. O’Connor, MD

1989-1990 Donald E. McCollum, MD (Deceased) 2011 Carlos J. Lavernia, MD

1990-1991 J. Phillip Nelson, MD 2012 Thomas P. Vail, MD

1991-1992 Nas S. Eftekhar, MD

1992-1993 William N. Capello, MD

1993-1994 Robert H. Fitzgerald, Jr., MD

1994-1995 Mark G. Lazansky, MD

1995-1996 Richard B. Welch, MD

1996-1997 Dennis K. Collis, MD

1997-1998 Eduardo A. Salvati, MD

1998-1999 Robert B. Bourne, MD, FRCSC

1999-2000 Richard D. Coutts, MD

2000-2001 Leo A. Whiteside, MD

2001-2002 Benjamin E. Bierbaum, MD

2002-2003 Miguel E. Cabanela, MD

2003-2004 Charles A. Engh, Sr., MD

2004-2005 Richard E. White, MD

2005-2006 James A. D'Antonio, MD

2006-2007 John J. Callaghan, MD

2007-2008 Lawrence D. Dorr, MD

2008-2009 Wayne G. Paprosky, MD

2009-2010 William J. Maloney, III, MD

2010-2011 Chitranjan S. Ranawat, MD

2011-2012 Adolph V. Lombardi, Jr., MD, FACS

2012-2013 David G. Lewallen, MD
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© 2014 The Hip Society
THE HIP SOCIETY EXECUTIVE BOARD 2013-2014 AAHKS BOARD OF DIRECTORS 2013-2014

Vincent D. Pellegrini, Jr., MD - President Thomas K. Fehring, MD - President

Paul F. Lachiewicz, MD - 1st Vice President Brian S. Parsley, MD - 1st Vice President

Daniel J. Berry, MD - 2nd Vice President Jay Lieberman, MD - 2nd Vice President

Douglas E. Padgett, MD - Secretary William A. Jiranek, MD - 3rd Vice President

Harry E. Rubash, MD - Treasurer William J. Maloney, III, MD - Secretary

David G. Lewallen, MD - Immediate Past President Robert T. Trousdale, MD - Treasurer

Kevin L. Garvin, MD - Chair, Education Committee Thomas P. Vail, MD - Immediate Past President

Thomas P. Vail, MD - Chair, Membership Committee Carlos J. Lavernia, MD - Past President

Jay R. Lieberman, MD - Member-At-Large Members-At-Large:

Adolph V. Lombardi, Jr., MD – Ex-Officio Michael E. Berend, MD; Christopher L. Peters, MD

Stefano A. Bini, MD and Rafael J. Sierra, MD

THE HIP SOCIETY EDUCATION COMMITTEE 2013-2014 THE 2013 PROGRAM CO-CHAIRS

Kevin L. Garvin, MD – Chair The Hip Society

Vincent D. Pellegrini, Jr., MD Kevin L. Garvin, MD

Steven J. MacDonald, MD, FRCSC
A. Seth Greenwald, D.Phil. (Oxon) AAHKS

Robert T. Trousdale, MD - Past Chair Bryan D. Springer, MD

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© 2014 The Hip Society
SCIENTIFIC PROGRAM

HIP Hip KNEE Knee
(Theater A) Page (Theater B) Page
7:55 am – 8:00 am WELCOME 7:55 am – 8:00 am WELCOME
Vincent D. Pellegrini, Jr, MD (Charleston, SC) Steven J. MacDonald, MD, FRCSC (London, ON
President, The Hip Society Canada)
President, The Knee Society

8:00 am – 8:40 am Symposium I: Surgical Approach for Primary Total 8:01 am – 8:40 am Symposium I: Non-Operative and Non-Arthroplasty
Hip Arthroplasty Options for Management of Knee OA
Moderator: Daniel J. Berry, MD (Rochester, MN) Moderator:
William L. Griffin, MD (Charlotte, NC)

8:00 am – 8:06 am Direct Anterior Approach: Safe and Effective 18 8:02 am – 8:07 am Oral Agents: What’s the Evidence 16
Joel M. Matta, MD (Santa Monica, CA) Jay R. Lieberman, MD (Los Angeles, CA)

8:06 am – 8:12 am Direct Anterior Approach-A Senior Surgeon's 21 8:08 am – 8:13 am Injectables: Now and In the Future 18
Experience: It's Not Too Late but is it Better? William J. Maloney, III, MD (Redwood City, CA)
Bernard N. Stulberg, MD (Cleveland, OH)

8:12 am – 8:18 am Anterolateral Approach 23 8:14 am – 8:19 am Bracing and Shoe Wear: What’s The Evidence it Helps 20
Adolph V. Lombardi, Jr, MD, FACS (New Albany, Richard Iorio, MD (New York, NY)
OH)

8:18 am – 8:24 am Posterior Approach: Is it the Gold Standard? 24 8:20 am – 8:25 am Osteotomy: Current Role in our Armenetarium 23
Mark W. Pagnano, MD (Rochester, MN) Stephen J. Incavo, MD (Houston, TX)

8:24 am – 8:40 am Case-Based Discussion and Audience Response 8:26 am – 8:31 am Arthroscopic Debridement: Can it Delay the Inevitable 25
Panel: W. Norman Scott, MD (New York, NY)
Joel M. Matta, MD
Bernard N. Stulberg, MD
Adolph V. Lombardi, Jr, MD, FACS
Mark W. Pagnano, MD

8:40 am – 9:30 am Symposium II: Components for Primary Total Hip 8:32 am – 8:40 am Discussion
Arthroplasty: Are They all Equivalent?
Moderator: Douglas A. Dennis, MD (Denver, CO)

8:40 am – 8:46 am Short Stems Do Work 25 8:41 am – 9:43 am Symposium II: Unicompartmental Knee Replacement
Roger H. Emerson, MD (Plano, TX) Moderator: David G. Lewallen, MD (Rochester, MN)

8:46 am – 8:52 am 20 Years of Experience: Tapered Stems 26 8:42 am – 8:48 am Patient Selection: Past and Present 27
John B. Meding, MD (Mooresville, IN) Richard D. Scott, MD (Boston, MA)

8:52 am – 8:58 am Extensively Coated Stems 28 8:49 am – 8:55 am Why Unicompartmental Knee Replacement Fails? 28
C. Anderson Engh, MD (Alexandria, VA) Michael E. Berend, MD (Mooresville, IN)

8:58 am – 9:04 am 35 Years of Experience with Cemented Stems 29 8:56 am – 9:11 am Debate I: Mobile Bearing vs. Fixed Bearing: It Makes a
John J. Callaghan, MD (Iowa City, IA) Difference

9:04 am – 9:10 am Uncemented Acetabular Components 32 8:56 am – 9:04 am Affirm 29
Aaron G. Rosenberg, MD (Deerfield, IL) David W. Murray, MD, FRCS (Oxford, United Kingdom)

9:10 am – 9:16 am Achieving Bone Ingrowth and Cup Stability 33 9:05 am – 9:11 am Oppose 30
J. Dennis Bobyn, PhD (Montreal, QC Canada) Craig J. Della Valle, MD (Chicago, IL)

9:16 am– 9:30 am Case-Based Discussion and Audience Response 9:12 am – 9:32 am Newer Technologies
Panel:
Roger H. Emerson, MD
John B. Meding, MD
C. Anderson Engh, MD
John J. Callaghan, MD
Aaron G. Rosenberg, MD
J. Dennis Bobyn, PhD

9:30 am – 9:40 am Break 9:12 am – 9:18 am Video: Custom Implants 31
Thomas S. Thornhill, MD (Boston, MA)

9:40 am – 10:20 am Symposium III: Preventing Hospital Readmissions 9:19 am – 9:25 am Video: Patient Specific Instrumentation 32
and Managing Complications Keith R. Berend, MD (New Albany, OH)
Moderator: Vincent D. Pellegrini, Jr, MD
(Charleston, SC )

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© 2014 The Hip Society
HIP Hip KNEE Knee
(Theater A) Page (Theater B) Page
9:40 am – 9:45 am Preventing Readmission: Defining the 34 9:26 am – 9:32 am Video: Robotic Assisted Implantation 33
Complications in Total Hip Arthroplasty Andrew D. Pearle, MD (New York, NY)
William L. Healy, MD (Newton, MA)

9:45 am – 9:50 am What is the Data on Hospital Readmission for THA 35 9:33 am – 9:43 am Audience Response and Discussion
in the US?
Vincent D. Pellegrini, Jr, MD (Charleston, SC)

9:50 am – 9:55 am Preventing Readmission: Management of the 37 9:44 am – 9:59 am Symposium III: Perioperative Management of the TKA
Surgical Wound Patient
Kevin L. Garvin, MD (Omaha, NE) Moderator: Daniel J. Berry, MD (Rochester, MN)

9:55 am – 10:00 am Preventing Readmission: Management of 39 Panel Discussion and Audience Response:
Thromboembolic Disease William L. Healy, MD (Newton, MA)
Paul F. Lachiewicz, MD (Chapel Hill, NC) Steven J. MacDonald, MD, FRCSC (London, ON
Canada)
Kevin J. Bozic, MD, MBA (San Francisco, CA)
Thomas P. Sculco, MD (New York, NY)
C. Lowry Barnes, MD (Little Rock, AR)

10:00 am – 10:05 am Preventing Readmission: The Role of Your 40 10:00 am – 10:15 am Break
Internist
Richard Iorio, MD (New York, NY)

10:05 am – 10:20 am Case-Based Discussion and Audience Response 10:15 am – 11:39 am Symposium IV: The Primary TKA-Optimizing Outcome
Panel: Moderator: Steven J. MacDonald, MD, FRCSC
William L. Healy, MD (London, ON Canada)
Vincent D. Pellegrini, Jr, MD
Kevin L. Garvin, MD
Paul F. Lachiewicz, MD
Richard Iorio, MD

10:20 am – 10:48 am Symposium IV: Hip Preservation 10:15 am – 10:20 am Patient Satisfaction After TKA: There’s Room for 34
Moderator: Robert T. Trousdale, MD (Rochester, Improvement
MN) Michael J. Dunbar, MD, FRCSC, PhD (Halifax, NS
Canada)

10:20 am – 10:25 am Optimal Placement of the Acetabulum for 43 10:21 am – 10:26 am Risks Factors for a Poor Outcome 35
Dysplasia Patients Thomas P. Vail, MD (San Francisco, CA)
John C. Clohisy, MD (Saint Louis, MO)

10:25 am – 10:30 am Predictors of Success in PAO Surgery 44 10:27 am – 10:32 am Why Total Knees Fail 36
Paul E. Beaulé, MD, FRCSC (Ottawa, ON Canada) Kevin J. Bozic, MD, MBA (San Francisco, CA)

10:30 am – 10:35 am The Role of Arthroscopy in Hip Preservation 47 10:33 am – 10:38 am Alignment: What’s the Target 37
Joseph C. McCarthy, MD (Boston, MA) Johan Bellemans, MD, PhD (Pellenberg, Belgium)

10:35 am – 10:48 am Case-Based Discussion and Audience Response 10:39 am – 10:44 am Impact of Alignment on Outcome 39
Panel: Ormande M. Mahoney, MD (Athens, GA)
John C. Clohisy, MD
Paul E. Beaulé, MD, FRCSC
Joseph C. McCarthy, MD

10:48 am – 11:30 am Presidential Guest Speaker 10:45 am – 10:53 am Discussion
Introduction and Moderator: Vincent D. Pellegrini,
Jr, MD (Charleston, SC)

10:50 am – 11:20 am National Joint Registry 10 Years On: What Has 48 10:54 am – 11:30 am Alignment: How Do We Get it Right
Been Achieved and Lessons Learned
Paul J. Gregg, MBBS, MD, FRCS (Eng), FRCS (Ed)
(Middlesbrough, United Kingdom)

11:20 am – 11:25 am US Registries 49 10:54 am – 11:00 am Conventional Instruments: The Gold Standard 40
David G. Lewallen, MD (Rochester, MN) Kevin L. Garvin, MD (Omaha, NE)

11:25 am – 11:30 am Discussion 11:01 am – 11:12 am Debate II: Computer Assisted Surgery: Finally Ready
for Prime Time

11:30 am – 11:54 am The Hip Society Scientific Awards 11:01 am – 11:06 am Affirm 42
Moderator: Kevin L. Garvin, MD (Omaha, NE) R. Michael Meneghini, MD (Fishers, IN)

11:30 am – 11:38 am The John Charnley Award 50 11:07 am – 11:12 am Oppose 43
Long Term Wear of HXLPE in THA Henry D. Clarke, MD (Phoenix, AZ)
Geraint E. R. Thomas MA, MBBS, MRCS (Oxford,
United Kingdom)

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© 2014 The Hip Society
HIP Hip KNEE Knee
(Theater A) Page (Theater B) Page
11:38 am – 11:46 am The Frank Stinchfield Award 51 11:13 am – 11:24 am Debate III: Patient Specific Instrumentation: The Way
Optimized Orientation in Total Hips of the Future
Jacob M. Elkins, MD, PhD (Iowa City, IA)

11:46 am – 11:54 am The Otto Aufranc Award 52 11:13 am – 11:18 am Affirm 44
Preventable Factors for Infection following Hip Adolph V. Lombardi, Jr, MD, FACS (New Albany, OH)
Arthroplasty
Richard Iorio, MD (New York, NY)

11:54 am – 12:00 pm The Hip Society 2014 Lifetime Achievement 11:19 am – 11:24 am Oppose 45
Award Robert L. Barrack, MD (Saint Louis, MO)
Introduction: Joseph C. McCarthy, MD (Boston,
MA)
Recipient: Chitranjan S. Ranawat, MD (New York,
NY)

12:00 pm – 12:05 pm Introduction of the 2014 Hip Society Rothman- 11:25 am – 11:30 am Robotic TKA: A Future Reality 47
Ranawat Traveling Fellowship Harry E. Rubash, MD (Boston, MA)
Adolph V. Lombardi, Jr, MD, FACS (New Albany,
OH)

Recap of the 2013 Hip Society Rothman-Ranawat 11:31 am – 11:39 am Discussion
Traveling Fellowship
Gregory K. Deirmengian, MD (Philadelphia, PA)
Sumon Nandi, MD (Boston, MA)

12:05 pm – 1:00 pm Lunch 11:52 am – 11:53 am Audience Response and Discussion

1:00 pm – 1:10 pm Highlights of the 2013 AAHKS Meeting 11:40 am – 12:06 pm Symposium V: The Knee Society Awards
Thomas K. Fehring, MD (Charlotte, NC) Moderator: William L. Healy, MD (Newton, MA)

1:10 pm – 1:46 pm Symposium V: Bearing Choices 11:40 am – 11:41 am The John Insall Award
Moderator: William J. Maloney, III, MD (Redwood Introduction: Michael A. Kelly, MD (Hackensack, NJ)
City, CA)

1:10 pm – 1:16 pm Surface Replacement: What are the Indications? 53 11:42 am – 11:46 am Morbid Obesity and TKA: A Matched-Control Study 48
Thomas P. Schmalzried, MD (Los Angeles, CA) James A. Browne, MD (Charlottesville, VA)

1:16 pm – 1:22 pm Metal on Metal and Large Heads: Worth the Risk? 54 11:47 am – 11:48 am The Chitranjan Ranawat Award
Donald S. Garbuz, MD, MHSc, FRCSC (Vancouver, Introduction: Paul F. Lachiewicz, MD (Chapel Hill, NC)
BC Canada)

1:22 pm – 1:28 pm HXLPE: As Good as Expected 55 11:49 am – 11:53 am Randomized Clinical Trial Comparing Femoral & 50
Richard W. McCalden, MD (London, ON Canada) Sciatic Blocks to Periarticular Injection for Pain
Management after TKA
Mark J. Spangehl, MD (Scottsdale, AZ)

1:28 pm – 1:34 pm Ceramic 56 11:54 am – 11:55 am The Mark Coventry Award
William N. Capello, MD (Indianapolis, IN) Introduction: Robert T. Trousdale, MD (Rochester, MN)

1:34 pm – 1:46 pm Case-Based Discussion and Audience Response 11:56 am – 12:00 pm At 5 Years Highly-Porous-Metal Tibial Components 52
Panel: Were Durable and Reliable in Primary Total Knee
Thomas P. Schmalzried, MD Arthroplasty: A Randomized Clinical Trial
Donald S. Garbuz, MD, MHSc, FRCSC Luis Pulido, MD (Rochester, MN)
Richard W. McCalden, MD
William N. Capello, MD

1:46 pm – 2:25 pm Symposium VI: Modularity in Total Hip 12:01 pm – 12:06 pm Discussion
Arthroplasty: Choices and Compromises
Moderator: William J. Hozack, MD (Philadelphia,
PA)

1:46 pm – 1:52 pm Why I Prefer a Monolithic Acetabular Component 57 12:06 pm – 1:00 pm Lunch
Thomas P. Sculco, MD (New York, NY)

1:52 pm – 1:58 pm Why I Prefer Modularity for the Acetabular 58 1:00 pm – 1:28 pm Symposium VI: My Worst Case Competition
Component Moderator: Leo A. Whiteside, MD (Saint Louis, MO)
Thomas P. Vail, MD (San Francisco, CA)

1:58 pm – 2:04 pm Why I Prefer Less Modularity for Primary and 59 1:01 pm – 1:06 pm Arlen D. Hanssen, MD (Rochester, MN)
Revision Stems
Javad Parvizi, MD, FRCS (Philadelphia, PA)

2:04 pm – 2:10 pm Why I Prefer More Modularity for Primary and 60 1:07 pm – 1:12 pm Robert E. Booth, Jr, MD (Philadelphia, PA)
Revision Stems
Christopher L. Peters, MD (Salt Lake Cty, UT)
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© 2014 The Hip Society
HIP Hip KNEE Knee
(Theater A) Page (Theater B) Page
2:10 pm – 2:25 pm Case-Based Discussion and Audience Response 1:13 pm – 1:18 pm Aaron G. Rosenberg, MD, FACS (Deerfield, IL)
Panel:
Thomas P. Sculco, MD
Thomas P. Vail, MD
Javad Parvizi, MD, FRCS
Christopher L. Peters, MD

2:25 pm – 2:31 pm Symposium VII: Metallosis 1:19 pm – 1:24 pm William J. Hozack, MD (Philadelphia, PA)
Moderator: Steven J. MacDonald, MD, FRCSC
(London, ON Canada)

3:33 pm – 3:39 pm The Diagnosis of Metallosis-Not Infection: Getting 61 1:25 pm – 1:28 pm Audience Voting and Crowning of the New Champion
it Correct
Craig J. Della Valle, MD (Chicago, IL)

2:31 pm – 2:37 pm Revision for Metallosis: Results of Revision for 62 1:34 pm – 2:25 pm Symposium VII: Performing A Primary TKA
Failed THA Moderator: Robert E. Booth, Jr, MD (Philadelphia, PA)
William L. Griffin, MD (Charlotte, NC)

2:37 pm – 2:43 pm AAOS Update 64 Video: Balancing the Knee: How I Do It – Vignette
Joshua J. Jacobs, MD (Chicago, IL)

2:43 pm – 2:58 pm Case-Based Discussion and Audience Response 1:34 pm – 1:39 pm Douglas A. Dennis, MD (Denver, CO) 53
Panel:
Craig J. Della Valle, MD
William L. Griffin, MD
Joshua J. Jacobs, MD

2:58 pm – 3:15 pm Break 1:40 pm – 1:45 pm Giles R. Scuderi, MD (New York, NY) 55

3:15 pm – 3:45 pm Symposium VIII: My Worst Case Competition 1:46 pm – 1:51 pm Aaron A. Hofmann, MD (Salt Lake City, UT) 56
Reigning Champion and Moderator: Allan E.
Gross, MD, FRCSC, O Ont (Toronto, ON Canada)

2014 Contestants: 1:52 pm – 1:57 pm Considerations in the Varus Knee – Sequential 58
Robert T. Trousdale, MD (Rochester, MN) Releases: Surgical Technique
Thomas K. Fehring, MD (Charlotte, NC) Leo A. Whiteside, MD (Saint Louis, MO)
Carlos J. Lavernia, MD (Miami, FL)
Robert L. Barack, MD (St. Louis, MO)

Panel Discussion 1:58 pm – 2:03 pm Implant Constraint: Indications and Outcome with 60
more Constrained Designs
Paul F. Lachiewicz, MD (Chapel Hill, NC)

3:45 pm – 5:00 pm Symposium IX: Revision Total Hip Arthroplasty 2:04 pm – 2:09 pm Balancing the Valgus Knee: Surgical Technique Video 61
(including video and surgical technique) Daniel J. Berry, MD (Rochester, MN)
Moderator: Jay R. Lieberman, MD (Los Angeles,
CA)

3:45 pm – 3:51 pm Transfemoral Approach 74 2:10 pm – 2:15 pm The Ankle in TKR 62
Arlen D. Hanssen, MD (Rochester, MN) John J. Callaghan, MD (Iowa City, IA)

3:51 pm – 3:57 pm Posterior Approach Extended Trochanteric 75 2:16 pm – 2:25 pm Discussion
Osteotomy
William A. Jiranek, MD (Richmond, VA)

3:57 pm – 4:03 pm Acetabular Revision: Recommendations for 80 2:26 pm – 2:40 pm Break
Surgical Success
Scott M. Sporer, MD, MS (Winfield, IL)

4:03 pm – 4:09 pm Femoral Revision: Lessons Learned 87 2:40 pm – 3:23 pm Symposium VIII: The Patella and Extensor Mechanism
Wayne G. Paprosky, MD, FACS (Winfield, IL) Moderator: Mark W. Pagnano, MD (Rochester, MN)

4:09 pm – 4:15 pm Revision for Periprosthetic Fracture 88 2:40 pm – 2:46 pm The Patella: To Replace or Not to Replace – What do 63
Daniel J. Berry, MD (Rochester, MN) the Registries Tell Us
Terence J. Gioe, MD (Apple Valley, MN)

4:15 pm – 4:21 pm Diagnosing the Cause of Dislocation and Surgical 89 2:47 pm – 2:53 pm Patello-Femoral Arthroplasty: Indications and 65
Treatment for Recurrent Dislocation Outcomes
Douglas E. Padgett, MD (New York, NY) Jean Noël Argenson, MD, FRCS (Marseille, France)

4:21 pm – 4:27 pm Methicillin Resistant Staphylococcus Infection 92 2:54 pm – 3:00 pm Patello-Femoral Arthroplasty: How I Do It Video 66
and Other Challenging Pathogens: Overlooked or Jess H. Lonner, MD (Bryn Mawr, PA)
Overstated
Clive P. Duncan, MD (Vancouver, BC Canada)

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© 2014 The Hip Society
HIP Hip KNEE Knee
(Theater A) Page (Theater B) Page

4:27 pm – 4:33 pm Revision THA for Infection 94 3:01 pm – 3:07 pm Quadriceps Mechanism Reconstruction: Technique 67
Bassam A. Masri, MD, FRCSC (Vancouver, BC and Outcomes
Canada) Bryan D. Springer, MD (Charlotte, NC)

4:33 pm – 5:00 pm Case-Based Discussion and Audience Response 3:08 pm – 3:14 pm A New Technique for Extensor Mechanism 69
Panel: Reconstruction
William A. Jiranek, MD Arlen D. Hanssen, MD (Rochester, MN)
Scott M. Sporer, MD, MS
Wayne G. Paprosky, MD, FACS
Daniel J. Berry, MD
Douglas E. Padgett, MD
Clive P. Duncan, MD
Bassam A. Masri, MD, FRCSC

5:00 pm ADJOURN 3:15 pm – 3:23 pm Audience Response and Discussion

3:24 pm – 4:15 pm Symposium IX: When Problems Arise: Infection
Moderator: Stuart B. Goodman, MD, PhD (Redwood
City, CA)

3:24 pm – 3:29 pm How to Minimize Infection 70
Javad Parvizi, MD, FRCS (Philadelphia, PA)

3:30 pm – 3:35 pm When Problems Arise: Infection - Update on Diagnosis 71
Robert E. Booth, Jr, MD (Philadelphia, PA)

3:36 pm – 3:47 pm Debate IV: Debridement and Liner Exchange For Acute
Infection: A Reasonable Option

3:36 pm – 3:41 pm Affirm 72
Carlos J. Lavernia, MD (Miami, FL)

3:42 pm – 3:47 pm Oppose 73
Thomas K. Fehring, MD (Charlotte, NC)

3:48 pm – 3:53 pm Selected Single Stage Revision in Selected Patients 75
Fares S. Haddad, FRCS (London, United Kingdom)

3:54 pm – 4:00 pm Bioresorbable Antibiotic Eluting Beads as an Adjunct 78
to Treatment
Edward J. McPherson, MD (Los Angeles, CA)

4:01 pm – 4:06 pm Two Stage Exchange: Dynamic vs. Static Spacers 77
Arlen D. Hanssen, MD (Rochester, MN)

4:07 pm – 4:15 pm Discussion

4:16 pm – 5:10 pm Symposium X: When Problems Arise: Stiffness and
Instability
Moderator: Thomas P. Schmalzried, MD (Los Angeles,
CA)

The Stiff TKR

4:16 pm – 4:21 pm Evaluation of the Stiff Knee 78
Kelly G. Vince, MD, FRCS(c) (Kamo, New Zealand)

4:22 pm – 4:27 pm Manipulation Under Anesthesia 79
Michael A. Mont, MD (Baltimore, MD)

4:28 pm – 4:33 pm Surgical Exposure of the Stiff Knee in Revision 80
Surgery
Michael D. Ries, MD (San Francisco, CA)

4:34 pm – 4:39 pm Soft Tissue Release vs. Revision Surgery: How to 81
Decide
Robert T. Trousdale, MD (Rochester, MN)
Instability
4:40 pm – 4:45 pm Patellofemoral Instability: Evaluation and Surgical 82
Management
James P. McAuley, MD (London, ON Canada)

4:46 pm – 4:51 pm Tibial Femoral Instability: Evaluation and Surgical 84
Management
Stuart B. Goodman, MD, PhD (Redwood City, CA)

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