11/08/2010

ADVANCES & TECHNIQUESIN

JOINT REPLACEMENT SURGERY

NINTH WINTER MEETING

January 13 – 15, 2011Cochin, India

Presented by:

New York

Sponsored by:

Course ChairmanChitranjan S. Ranawat, M.D.

www.ranawatorthopaedics.com

Venue Le Meridien Kochi

Maradu Cochin, Kerala 682304

For hotel accommodation please contact:

Le Meridien, Cochin

Tel: (91)(484) 2705777Fax: (91)(484) 2705750

E-mail: reservations.cochin@lemeridien.com

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

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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. Providing high quality care leads to high patient satisfaction.

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

The concerns pertaining to quality are:

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1. What specific methodology and mechanism(s) should be used to assess the quality of care?

2. Who should determine the criteria for acceptable quality of care?

3. A committee of physicians and non-physicians knowledgeable in the field could establish the methodology and mechanism(s) for acceptable standards of patient care.

4. Every quality measure ought to be risk adjusted based on pre-operative comorbidities, including methods and mechanism(s) which are necessary to report deviations.

5. 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:

1. Metal on metal hip replacement2. Ceramic on ceramic hip replacement3. MIS surgical techniques4. 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

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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’s control. 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 & TECHNIQUESIN

JOINT REPLACEMENT SURGERY

January 13 – 15, 2011 Cochin, India

Course Chairman: Chitranjan S. Ranawat, M.D. Hospital for Special Surgery New York, New York

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Foreign Faculty Local Faculty

ROBERT B. BOURNE, MD London Health Sciences CentreOntario, Canada

HARISH S. BHENDE, MSL.T.D. Medical CollegeMumbai

S. K. S. MARYA, MSMax Healthcare InstituteNew Delhi

THORSTEN GEHRKE, MDEndoclinicHamburg, Germany

PRADEEP B. BHOSALE, MSK.E.M. HospitalMumbai

ARUN MULLAJI, MSBreech Candy HospitalMumbai

MICHAEL M. MORLOCK, PhDTechnical UniversityHamburg, Germany

VIJAY C. BOSE, MSApollo HospitalChennai

ASHOK RAJGOPAL, MSMedicity Medanta HospitalNew Delhi

AMAR S. RANAWAT, MDHospital for Special SurgeryNew York, New York

ADITYA R. DAFTARY, MBBSInnovision ImaghingMumbai

K. H. SANCHETI, MSSancheti Institute of OrthopaedicsPune

ANIL S. RANAWAT, MDHospital for Special SurgeryNew York, New York

SANJEEV JAIN, MSHira Nandani HospitalMumbai

PARAG K. SANCHETI, MSSancheti Institute of OrthopaedicsPune

WILLIAM L. WALTER, MDMater ClinicSydney, Australia

NANDKISHORE LAUD, MS Laud Clinic & Shushrusha HospitalMumbai

PICHAI SURYANARAYAN, M.S.Apollo HospitalChennai

RUSSELL E. WINDSOR, MDHospital for Special SurgeryNew York, New York

RAJESH MANIAR, MSLilawati HospitalMumbai

JACOB VARGHESE, MSLakeshore HospitalCochin

ASHOK JOHARI, MS – President, Indian Orthopaedic Association

PROGRAMTHURSDAY 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

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09:12am - 09:17am President of IOA Address A. Johari

09:17am - 09:24am Lifetime Achievement Award Nandkishore Shamrao Laud

K. Sancheti

KNEE TOPICSSESSION 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 Identifying Pathology 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

PROGRAMTHURSDAY Jan 13, 2011

KNEE TOPICS – ContinuedSESSION II – EVIDENCE BASED RESULTS: PRIMARY TKA Moderator: C. Ranawat11:50am - 11:58pm Cruciate Retaining – Fixed Bearing

Why is it Better?A. Rajgopal

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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, 2011KNEE TOPICS - Continued

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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. BourneT. GehrkeR. WindsorS. MaryaA. MullajiA. Rajgopal

SESSION VII – DELEGATE DISCUSSION Moderator: C. Ranawat

05:00pm - 05:30pm Questions From The Floor Panel Members:

R. BourneAm. RanawatW. WalterR. WindsorR. ManiarP. Sancheti

05:30pm - 05:35pm Chairman’s Review and Comments

06:00pm - 07:00pm CeramTec Sponsored Session Moderator: Am. RanawatW. Walter

PROGRAMFRIDAY Jan 14, 2011

KNEE TOPICS - Continued

09:00am – 09:05am Chairman’s Review and Comments C. Ranawat

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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

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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

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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. BourneT. GehrkeW. WalterV. BosePSuryanarayanJ. Varghese

SESSION VI – DELEGATE DISCUSSION Moderator: C. Ranawat

04:35pm - 05:10pm Questions from the Floor Panel Members:

R. BourneAm. RanawatM. MorlockN. LaudS. MaryaP. Bhosale

05:10pm - 05:20pm Chairman’s Review & Comments

05:45pm - 06:45pm Depuy Sponsored Session

07:15pm onwards Gala Dinner

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List of Ranawat Orthopaedic Research Foundation Fellows

Dr. Anand DevnaniKelanton, Malaysia

Dr. Shantaram Shettey, Mangalore, India

Dr. Som Pratap GuptaJaipur, India

Dr. Vinod NaneriaIndore, India

Dr. Jayant NadkarniOrmskirk, U.K.

Dr. P.B. BhosaleMumbai, India

Dr. P. SuryanarayanChennai, India

Dr. Sameer GuptaJabalpur, India

Dr. Bharat KelkarNashik, India

Dr. Mukut SharmaJaipur, India

Dr. S.P. MohantyManipal, India

Dr. S.V. VaidyaMumbai, India

Dr. M.S. DhillonChandigarh, India

Dr. Varun ChandraJamshedpur, India

Dr. Sanjeev JainMumbai, India

Dr. Mangal PariharMumbai, India

Dr. Arun MullajiMumbai, India

Dr. Joy PatankarMumbai, India

Dr. Aseem ParekhMumbai, India

Dr. Rajesh ManiarMumbai, India

Dr. Shrinivas S. ShintrePune, India

Dr. P. Sripathi RaoManipal, India

Dr. P.K. AgarwalBangalore, India

Dr. Paresh PandyaRajkot, India

Dr. Farhad TaraporwalaMumbai, India

Dr. Milind KulkarniMiraj, India

Dr. Ravindra GangwalUjjain, India

Dr. Sunil ShahaneMumbai, India

Dr. Nasir Ahmed MirSrinagar, India

Dr. Buddha Deb ChatterjeeJamshedpur, India

Dr. Sushrut BabhulkarNagpur, India

Dr. Dayanidhi DesaiSurat, India

Dr. Shubhranshu MohantyMumbai, India

Dr. Vivek MittalNew Delhi, India

Dr. Prem KotianManglore, India

Dr. Nirbhay ShahRajkot, India

Dr. Vinay GoyalJaipur, India

Dr. Manuj WadhwaChandigarh, India

Dr. Kishore KumarMumbai, India

Dr. Vikas KulshreshthaAssam, India

Dr. Parag K. SanchetiPune, India

Dr. Dhiraj MarothiBikaner, India

Dr. Rajesh MalhotraNew Delhi, India

Dr. Laghvendu ShekharJaipur, India

Dr. Sandeep GuptaNew Delhi, India

Dr. Jawed BhatJammu Kashmir, India

Dr. Anoop JhuraniJaipur, India

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