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30 April 2 May 2009 The Royal College of Surgeons of England, Lincolns Inn Fields, London
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Speakers include: Dr Douglas Dennis, USA Prof Peter Walker, USA Prof John Fisher, UK Mr David Murray, UK Dr Seth Greenwald, USA Prof Justin Cobb, UK Prof Fabio Catani, Italy Dr Paul Rullkoetter, USA Mr Neil Thomas, UK Dr Scott Banks, USA Prof David Barrett, UK
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Knee Replacement (TKR) vs unicompartmental knee replacement Traditional surgery vs computer-assisted surgery Early vs late intervention This event will bring together surgeons, academics and engineers to share knowledge and to benefit from each others experiences, successes and frustrations. There will be 63 presentations, and frequent question-and-answer sessions. The conference also features a drinks reception and a banquet. For details, please see the programme.
Knee 2009 will update you on: This event will attract: Technical advantages:
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Advances in early intervention strategies The future of computerassisted surgery Innovations in materials and implant design Challenges of the patellofemoral joint Advances in pre-clinical and clinical assessment techniques
Surgeons, engineers, consultants, doctors, medical academics, industry professionals, hospital managers, research students, postgraduates
in engineering-based discussions with surgeons, engineers and academics the latest thinking in navigation, surgical robotics and minimally invasive techniques areas for development and potential pitfalls problems to be solved product design your knowledge base
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KNEE ARTHROPLASTY 2009: FROM EARLY INTERVENTION TO REVISION 30 April 2 May 2009 The Royal College of Surgeons of England, London
INVITED SPEAKERS ARE IN RED, SELECTED SPEAKERS ARE IN BLACK. PRESENTING AUTHORS AND THEIR AFFILIATIONS SHOW* Thursday 30 April
09:45 REGISTRATION AND REFRESHMENTS 10:45 CONFERENCE START 11:00 SESSION 1 KINEMATICS TKA KINEMATICS: WHAT IVE LEARNED IN 15 YEARS D Dennis* *Colorado Joint Replacement, USA COMPARATIVE KINEMATICS BETWEEN THE TRIATHLON (STRYKER) AND THE JOURNEY (SMITH & NEPHEW) TKR N Thomas* *North Hampshire Hospital, UK THREE-DIMENSIONAL KNEE KINEMATICS AND KINETICS OF A MOBILE BEARING TOTAL KNEE PROSTHESIS DURING WEIGHTBEARING ACTIVITIES USING FLUOROSCOPY, A FORCE PLATE, EMG AND EXTERNAL MOTION REGISTRATION N Wolterbeek*, EH Garling, ER Valstar, RGHH Nelissen *Leiden University Medical Center, The Netherlands QUANTIFYING BEARING MOTION IN MOBILE BEARING TKR: DOES AXIAL ALIGNMENT AFFECT IN VIVO FUNCTIONAL PERFORMANCE? MK Harman*, SA Banks, S Kirschner, J Ltzner *Istituti Ortopedici Rizzoli, Bologna University, Italy FLEXION KINEMATICS IN PATIENTS WITH A MEDIAL SPHERE-INSPHERE KNEE ARTHROPLASTY P Moonot*, GT Railton, S Mu, SA Banks, RE Field *South West London Elective Orthopaedic Centre, UK AXIS OF ROTATION OF A POSTERIOR CRUCIATE RETAINING TOTAL KNEE ARTHROPLASTY DURING STAIR DESCENT M Foresti*, H Gerber, E Stuessi *Institute for Biomechanics, ETH Zurich, Switzerland DETECTING FEMUR-INSERT COLLISIONS TO IMPROVE PRECISION FOR FLUOROSCOPIC KNEE-ANALYSIS AH Prins*, BL Kaptein, BC Stoel, JHC Reiber, ER Valstar *Leiden University Medical Center, The Netherlands A STUDY OF THE ERRORS ASSOCIATED WITH MEASURING KNEE KINEMATICS USING MARKER-BASED MOTION CAPTURE AND IMAGING GM Whatling*, H Ozturk, F Pierron, M Larcher, P Young, J Evans, D Jones, SA Banks, BJ Fregly, CA Holt *Cardiff School of Engineering, Cardiff University, UK 12:25 Q&A SESSION 12:45 LUNCH 13:55 SESSION 2 DESIGNS AND FIXATION IT ONLY TAKES A DECADE: FROM CONCEPT TO IN VIVO DATA WITH A NEW TKA DESIGN S Banks* *University of Florida, USA NEW CONCEPTS IN TKR DESIGN P Walker* *NYU-Hospital for Joint Diseases, USA A REVIEW OF MOBILE BEARING KNEES P Ellison*, A Reeves, SN Collins *Corin, UK THE ACL-STABILISING FUNCTION OF THE GUIDED MOTION BICRUCIATE STABILISED KNEE REPLACEMENT JE Arbuthnot*, RB Brink *Geelong Private Hospital, Australia and Nuffield Orthopaedic Centre, UK (Picture courtesy of the University of Southampton & Finsbury Orthopaedics) EFFECTS OF SURGICAL TECHNIQUE ON CEMENT PRESSURISATION IN THE TIBIA IN TOTAL KNEE REPLACEMENT AMR New*, DS Barrett *University of Southampton, UK 15:00 Q&A SESSION 15:15 REFRESHMENTS 15:45 SESSION 3 TKR FUNCTION/SURVIVORSHIP PERFORMANCE CHARACTERISTICS OF HIGH FLEXION DESIGNS S Greenwald* *Lutheran Hospital, USA THE EFFECTS OF TIBIAL TRAY ROTATION AND POSTERIOR SLOPE ON KNEE KINEMATICS FOLLOWING TOTAL KNEE REPLACEMENT A Karim*, AMJ Bull, NP Thomas, AA Amis *North Hampshire Hospital and Imperial College London, UK REDUCED LENGTH OF STAY WITH MINI-INCISION KNEE REPLACEMENT. A PROSPECTIVE RANDOMISED CONTROLLED TRIAL MA Farndon*, S Sidhom, M Al-Lami, A Anderson, SW Sturdee, N Muthukumar, V Hughes, C Bennett, A Grainger, NJ London *Harrogate and District Foundation Hospital Trust, UK THE TEN-YEAR SURVIVORSHIP OF THE MEDIAL ROTATION KNEE REPLACEMENT. A CLINICAL AND RADIOLOGICAL OUTCOME REPORT AT A MEAN FOLLOW-UP OF SIX YEARS K Mannan*, G Scott *Royal London Hospital, UK VARUS AND VALGUS STRESS OF THE KNEE JOINT: DOES A RELIABLE END-POINT EXIST? JV Clarke*, AH Deakin, AC Nicol, F Picard *Golden Jubilee National Hospital and University of Strathclyde, UK TOWARDS PHASE III, MULTI-CENTRED RCTS OF FUNCTIONAL OUTCOME OF TKA USING FLEXIBLE ELECTRO-GONIOMETRY: THE CHALLENGE FOR THE NEXT DECADE PJ Rowe* *HealthQWest, University of Strathclyde, UK REMOTE ACTIVITY MONITORING IN JOINT REPLACEMENT DO WE REALLY KNOW HOW ACTIVE OUR PATIENTS ARE? JL Conroy*, M Roy, S Sidhom, I Revie, M Slomczykowski *Harrogate District Hospital and Activ4life, UK ARTHROSCOPIC CAPSULECTOMY AND ANTERIOR RELEASE FOR THE TREATMENT OF STIFFNESS FOLLOWING TOTAL KNEE REPLACEMENT MJ Risebury*, M Price, E Shaffudin, NP Thomas *Basingstoke and North Hampshire NHS Foundation Hospital, UK 17:15 Q&A SESSION 17:40 CLOSE OF DAY ONE 17:50 DRINKS RECEPTION The drinks reception is your ideal opportunity to meet the speakers and further discuss the days controversies. Drinks will be served in the Edward Lumley Hall.
Friday 1 May
08:00 REFRESHMENTS 08:30 SESSION 4 WEAR AND POLYETHYLENE WEAR OF POLYETHYLENE IN TOTAL KNEE REPLACEMENT J Fisher* *University of Leeds, UK BIOTRIBOLOGICAL AND STRUCTURAL CHARACTERISATIONS OF TOTAL KNEE REPLACEMENTS: A PROSIM KNEE SIMULATOR STUDY JJ Wu*, M Stanley, I Khan *Durham University, UK THE INFLUENCE OF KINEMATIC INPUT CONDITIONS ON THE WEAR OF A MOBILE BEARING ROTATING PLATFORM TOTAL KNEE REPLACEMENT LM Jennings*, CL Brockett, AL Galvin, J Fisher *University of Leeds, UK WEAR TESTING OF THE LATERAL OXFORD UNICOMPARTMENTAL REPLACEMENT J OConnor*, D Murray, M Collins, R Lloyd, G Blunn *University of Oxford, UK INVESTIGATION ON WEAR OF UNICOMPARMENTAL KNEE PROSTHESES UNDER FIXED KINEMATIC CONDITIONS S Bignozzi*, N Zarantonello, N Lopomo, M Spinelli, S Affatato, M Marcacci *Istituti Ortopedici Rizzoli, Bologna University, Italy PITCH-BASED CFR-PEEK-OPTIMA ASSESSED AS A BEARING MATERIAL IN A MOBILE BEARING UNICONDYLAR KNEE JOINT SC Scholes*, A Unsworth *Durham University, UK 09:55 Q&A SESSION 10:15 REFRESHMENTS 11:00 SESSION 5 PRE-CLINICAL TESTING AND SIMULATION COMPUTATIONAL TOOLS FOR DESIGN PHASE EVALUATION OF KNEE REPLACEMENT P Rullkoetter* *University of Denver, USA AN ANALYSIS OF IN VIVO KNEE FORCES WHILE RISING FROM A CHAIR AFTER KNEE ARTHROPLASTY DD DLima*, S Patil, N Steklov, CW Colwell *Shiley Center for Orthopaedic Research and Education at Scripps Clinic CA, USA MUSCLE AND CONTACT CONTRIBUTIONS TO INVERSE DYNAMIC KNEE LOADS DURING GAIT BJ Fregly*, Y-C Lin, JP Walter, SA Banks, DD DLima, MG Pandy *University of Florida, USA HOLISTIC APPROACHES TO PRE-CLINICAL TKR ANALYSIS: COMPUTATIONALLY-ENRICHED EXPERIMENTAL TESTING AM Strickland*, MR Dressler, T Render, M Taylor *University of Southampton, UK FE EVALUATION OF THE ARTICULAR CONTACT IN A TKA DURING IN VIVO DYNAMIC WEIGHT-BEARING ACTIVITIES B Innocenti*, C Belvedere, F Catani, L Labey, A Ensini, A Leardini *European Center for Knee Research, Belgium PRE-CLINICAL EVALUATION OF TOTAL KNEE DESIGNS FOR RESTORING NORMAL KNEE MECHANICS PS Walker*, DJ Cleary, Y Heller, G Yildirim *NYU Hospital for Joint Diseases, USA
ASTM FUNCTIONAL ASSESSMENT METHODS FOR TOTAL KNEE REPLACEMENTS CL Halewood*, T Zakaria, AA Amis *Imperial College London, UK ELEVATED PROXIMAL TIBIAL STRAINS FOLLOWING UNICOMPARTMENTAL KNEE REPLACEMENT A POSSIBLE CAUSE OF PAIN DJ Simpson*, HS Gill, DW Murray *Nuffield Department of Orthopaedic Surgery, UK 12:30 Q&A SESSION 12:50 LUNCH
14:00 SESSION 6 REVISION THE ROLE OF IMPLANT DESIGN AND SOFT TISSUE STRUCTURES ON CCK KNEE JOINT STABILITY T Wright*, X Wang, D Padgett *Hospital for Special Surgery New York, USA A COMPUTER-ASSISTED SURGICAL TECHNIQUE FOR TOTAL KNEE ARTHROPLASTY REVISION D Bruni*, F Iacono, L Nofrini, S Bignozzi, A Russo, S Zaffagnini, M Marcacci *Istituti Ortopedici Rizzoli, Bologna University, Italy LINK KNEE PROSTHESIS: A SMALL DISTRICT GENERAL HOSPITAL EXPERIENCE S Singh*, S Johnson, P Cnudde *Prince Philip Hospital, Llanelli and West Wales General Hospital, UK SEVERE TIBIAL BONE LOSS IN REVISION TOTAL KNEE REPLACEMENT MANAGED WITH STRUCTURAL FEMORAL HEAD ALLOGRAFT: A PROSPECTIVE CASE SERIES FROM THE ROYAL LONDON HOSPITAL HS Lyall*, A Sanghrajka, G Scott *Holly House Hospital, UK OUTCOME OF SUTURE REPAIR OF TIBIAL TUBERCLE OSTEOTOMY FOR ACCESS IN REVISION KNEE ARTHROPLASTY NA Ferran*, CR Deane, A Ghandour, RL Morgan-Jones *Department of Trauma and Orthopaedics, University Hospital of Wales, UK PATELLA RECONSTRUCTION USING AUTOGRAFT IN PATELLECTOMISED PATIENTS UNDERGOING TOTAL KNEE ARTHROPLASTY RS Kotwal*, C Wilson *University Llandough Hospital, UK 15:00 Q&A SESSION 15:15 REFRESHMENTS 16:00 SESSION 7 UNICOMPARTMENTAL/ MULTICOMPARTMENTAL/EARLY TREATMENT UNICOMPARTMENTAL KNEE REPLACEMENT AND LIGAMENT RECONSTRUCTION D Murray* *Nuffield Orthopaedics Centre, UK PERSONAL RESULTS OF MULTICOMPARTMENTAL ARTHROPLASTY J-L Briard*, P Witoolkolachit *Clinique du Cedre, Bois-Guillaume, France COULD UNICOMPARTMENTAL KNEE REPLACEMENTS BE USED MORE FREQUENTLY? S Arno*, D Maffei, P Walker, R Schwarzkopf, P Desai, G Steiner, J Zuckerman *Department of Orthopaedics, NYU-Hospital for Joint Diseases, USA THE INFLUENCE OF MALALIGNMENT ON CLINICAL AND RADIOLOGICAL OUTCOMES OF UNICOMPARTMENTAL KNEE REPLACEMENT A Gulati*, R Chau, HG Pandit, DJ Simpson, CAF Dodd, HS Gill, DW Murray *Nuffield Orthopaedic Centre, UK DOES CONVERSION OF A UKA TO A TKA REQUIRE MEDIAL AUGMENTATION? S Kreuzer*, MD Driscoll, MA Conditt *Foundation Surgical Hospital, Houston, USA MEDIAL UNICOMPARTMENTAL FOCAL RESURFACING OF KNEE FOR EARLY OSTEOARTHRITIS AND OSTEONECROSIS IMPLANT, TECHNIQUE AND SHORT-TERM RESULTS D Bruni*, S Zaffagnini, A Russo, M Lo Presti, A Di Martino, F Iacono, M Marcacci *Istituti Ortopedici Rizzoli, Bologna University, Italy THE CURRENT STATE OF CHONDROCYTE TRANSPLANTATION G Bentley*, S Macmull, TWR Briggs *Royal National Orthopaedic Hospital NHS Trust, UK
17:30 Q&A SESSION 17:45 CLOSE OF DAY 2 18:00 CONFERENCE BANQUET The conference banquet will start with a drinks reception in the Royal College of Surgeons Hunterian Museum and Library. The museum and library is of national importance in documenting the achievements of British surgery, and features 3,500 specimens and preparations from John Hunters original collection, including those showing his successful ligation of the femoral artery for popliteal aneurysm and his experiments on collateral circulation. They also house an art gallery and an extensive collection of surgical implements and medical devices, as well as an outstanding collection of surgical literature dating from the 15th century onwards. After drinks, we will move downstairs for a three-course dinner served in the Edward Lumley Hall. This room houses some of the colleges most important paintings, including the portrait of John Hunter by Sir Joshua Reynolds and the large cartoon by Hans Holbein of Henry VIII presenting the Charter to the Barber Surgeons in 1540. Please register for this event when booking (15 + VAT for conference delegates and 60 + VAT for non-delegates).
Organising Committee:
Prof Mark Taylor (Conference Chair) University of Southampton Prof David Barrett Southampton General Hospital Dr Anthony Bull Imperial College London Prof Justin Cobb Imperial College London Prof Brian Davies Imperial College London Dr Peter Lawes Medical Technology Consultant Mr Neil Thomas North Hampshire Hospital Prof Anthony Unsworth Durham University
Saturday 2 May
08:00 REFRESHMENTS 08:30 SESSION 8 PATELLO-FEMORAL PATELLO-FEMORAL KINEMATICS AND PATELLO RESURFACING TECHNIQUE USING COMPUTER-AIDED SURGERY F Catani* *Istituti Ortopedici Rizzoli, Bologna University, Italy PATELLO-FEMORAL KINEMATICS D Barrett* Southampton General Hospital, UK EXTENSOR MALALIGNMENT ARISING FROM FEMORAL COMPONENT MALROTATION: EFFECT OF ROTATING BEARING DD DLima*, PC Chen, CW Colwell *Shiley Center for Orthopaedic Research and Education at Scripps Clinic CA, USA WHICH KNEE DO PATIENTS PREFER? A MEDIUM-TERM FOLLOWUP OF BILATERAL TOTAL KNEE ARTHROPLASTY WITH PATELLAR RESURFACING ON ONE SIDE ONLY MTR Parratt*, TS Waters, RWJ Carrington, JAM Skinner, G Bentley *The Institute of Orthopaedics, Royal National Orthopaedic Hospital, UK EFFECTS OF FEMORAL COMPONENT DESIGN ON UNRESURFACED PATELLO-FEMORAL MECHANICS C Fitzpatrick*, P Rullkoetter, M Baldwin, D Fitzpatrick, P Laz *University College Dublin, Ireland HOW ACCURATE IS PATELLAR HEIGHT MEASUREMENT USING DIGITAL IMAGING? BA Rogers*, NJ Little *St Peters Hospital, Surrey, UK RESTORATION OF FEMORAL ANATOMY AND PATELLAR TRACKING IN TKA WITH UNISEX AND GENDER PROSTHESES HD Clarke*, J Kim, J Hentz, B Noble *Mayo Clinic, USA 09:50 Q&A SESSION 10:10 REFRESHMENTS 10:45 SESSION 9 NAVIGATION AND ROBOTIC SURGERY ACCURACY IMPROVES OUTCOME IN KNEE ARTHROPLASTY: FIVE-YEAR RESULTS OF A PROSPECTIVE RANDOMISED CONTROLLED TRIAL OF ROBOTIC UNICOMPARTMENTAL KNEE REPLACEMENT J Cobb* *Imperial College London, UK DECISION SUPPORT SOFTWARE FOR ORTHOPAEDIC SURGERY M Taylor* *University of Southampton, UK
THE LEARNING CURVE FOR NAVIGATED TOTAL KNEE ARTHROPLASTY ANALYSED AS A MANUFACTURING PROCESS SAC Sampath*, SH Voon, H Davies *The Bluespot Knee Clinic, UK KINEMATIC BEHAVIOUR OF TOTAL AND UNICOMPARTMENTAL KNEE ARTHOPLASTY: A COMPARISON USING A SURGICAL NAVIGATION SYSTEM N Lopomo*, D Casino, S Martelli, S Bignozzi, S Zaffagnini, F Iacono, M Marcacci, D Bruni *Istituti Ortopedici Rizzoli, Bologna University, Italy EARLY EXPERIENCES, SUCCESSES AND PITFALLS WITH A NEW GUIDED KNEE MOTION ARTHROPLASTY INTENDED TO IMPROVE FUNCTION AND FLEXION A REVIEW OF THE FIRST 100 CASES BY A NON-INVENTOR SURGEON JE Arbuthnot*, RB Brink *Geelong Private Hospital, Australia and Nuffield Orthopaedic Centre, UK CAN MINI-ROBOTS SAVE TIME AND IMPROVE PRECISION IN COMPUTER-ASSISTED TKA? A CADAVER STUDY D Koulalis*, PF OLoughlin, D Kendoff, C Plaskos, AD Pearle *Hospital for Special Surgery New York, USA ROBOTICALLY ASSISTED UKA IS MORE ACCURATE THAN MANUALLY INSTRUMENTED UKA TM Coon*, MD Driscoll, MA Conditt *St Elizabeth Community Hospital CA, USA KNEE FLEXION AND KNEE MOMENTS DURING DAILY FUNCTIONAL ACTIVITIES IN PEOPLE WHO HAVE UNDERGONE TOTAL KNEE REPLACEMENT JA McClelland*, KE Webster, JA Feller, HB Menz *La Trobe University Melbourne, Australia 12:15 Q&A SESSION 12:30 CLOSE OF CONFERENCE
Poster sessions During days 1 and 2 there will also be poster presentations in the refreshments hall. These sessions will detail further research and studies on all areas of Knee Arthroplasty.
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