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No. 96 December 2005 Newsletter Newsletter SICOT 75th Anniversary Book SICOT SOCIÉTÉ INTERNATIONALE de CHIRURGIE ORTHOPÉDIQUE et deTRAUMATOLOGIE THE INTERNATIONAL SOCIETY OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY LE 10 O C T O B R E 1 9 2 9 F O N D É E À P A RI S SICOT Société Internationale de Chirurgie Orthopédique et de Traumatologie International Society of Orthopaedic Surgery and Traumatology www.sicot.org In this issue Evidence based 2 orthopaedics Editorial by 3 Prof Hinsenkamp Country to country: 5 WHO emergency procedures in district hospitals On the web: 6 SICOT 75th Anniversary Book Committee life: 8 Education Committee Young surgeons: 9 Winners of the Australian SICOT Award Worldwide news: 11 An interview with Prof Dr Kotz

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Page 1: SICOT 88 August2004 · tension, sepsis, abortion and obs-tructed labour.Often these condi-tions require life-saving,basic sur-gical and anaesthetic care that cannot be postponed until

No. 96 December 2005

NewsletterNewsletterSICOT 75th Anniversary Book

SICOTSOCIÉTÉ INTERNATIONALE de CHIRURGIE ORTHOPÉDIQUE et de TRAUMATOLOGIETHE INTERNATIONAL SOCIETY OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY

LE 10 OCTOBRE 1

929

FO

NDÉE À PARIS

SICOTSociété Internationale de Chirurgie Orthopédique et de Traumatologie

International Society of Orthopaedic Surgery and Traumatology w w w. s i c o t . o r g

In this issueEvidence based 2orthopaedics

Editorial by 3Prof Hinsenkamp

Country to country: 5WHO emergency proceduresin district hospitals

On the web: 6SICOT 75th Anniversary Book

Committee life: 8Education Committee

Young surgeons: 9Winners of the AustralianSICOT Award

Worldwide news: 11An interview with Prof Dr Kotz

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Antibiotic prophylaxis for surgery for proximal femoral and other closed long bone fractures

page 2

Background: :Wound infection and other hospi-tal-acquired infections cause significant morbidityafter internal fixation of fractures (osteosynthesis).The administration of antimicrobial agents (antibio-tics) may reduce the frequency of infections.

Objectives: To determine whether the prophylac-tic administration of antibiotics in patients under-going surgical management of hip or other long bonefractures reduces the incidence of wound and otherhospital acquired infections.

Search strategy: We searched The CochraneLibrary, Issue 3, 2000; MEDLINE, EMBASE, LILACS,Current Contents,Dissertation Abstracts, and Indexto UK Theses to August 2000.Bibliographies of iden-tified articles were screened for further relevanttrials. No language restriction was applied.

Selection criteria: Randomised or quasi-rando-mised controlled trials involving participants: any pa-tients with a hip or other closed long bone fractureundergoing surgery for internal fixation or replace-ment arthroplasty interventions; any regimen of sys-temic antibiotic prophylaxis administered at the timeof surgery. Outcome measures: wound infection(deep and superficial), urinary tract infection, respi-ratory tract infection, adverse effects of prophylaxis,economic evaluations.

Data collection and analysis: Two reviewers in-dependently screened papers for inclusion, asses-sed trial quality using an eight item scale, and ex-tracted data. Additional information was sought fromtwo trialists. Pooled data are presented graphically.

Main results: Data from 8,307 participants in 22studies were analysed. In patients undergoing surge-

ry for closed fracture fixation, single dose antibioticprophylaxis significantly reduced deep wound infec-tion (relative risk 0.40, 95%CI 0.24, 0.67) superficialwound infections, urinary infections, and respirato-ry tract infections. Multiple dose prophylaxis had aneffect of similar size on deep wound infection (rela-tive risk 0.40, 95%CI 0.24, 0.67), but significant ef-fects on urinary and respiratory infections were notconfirmed. Economic modelling using data from onelarge trial indicates that single dose prophylaxis withceftriaxone is a cost-effective intervention.Thereare limited data for the incidence of adverse effects,but as expected they appear to be more commonin those receiving antibiotics, compared with place-bo or no prophylaxis.

Authors' conclusions: Antibiotic prophylaxisshould be offered to those undergoing surgery forclosed fracture fixation. On ethical grounds, furtherplacebo controlled randomised trials of the effecti-veness of antibiotic prophylaxis in closed fracturesurgery are unlikely to be justified.Trials addressingthe cost-effectiveness of different effective antibio-tic regimens would need to be very large. ■

Citation: Gillespie WJ,Walenkamp G.Antibiotic prophylaxis for surgery for proximal femoral and

other closed long bone fractures.The Cochrane Database of Systematic Reviews 2001,

Issue 1.Art. No.: CD000244

Evidencebased

orthopaedics

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SICOT 75th Anniversary Editorial

page 3

T he celebration of the 75th Anniversary of SICOT in Istanbulwill remain an event to remember. Participants from 82 coun-tries attended the meeting. In total 719 oral presentations took

place during SICOT sessions and 405 posters were displayed.Therewere six plenary speakers and 92 invited speakers. SIROT also held itsscientific meetings, and speciality day sessions were held by IFPOS,WOC, IAMPAHRD, ISMISS and the Club Foot Society. In addi-tion,WHO held a session presenting its e-learning tool.

Six of the 10 candidates who took the SICOT Diploma Examinationsucceeded. For the first time, thanks to the contribution of our Germansection represented by its National Delegate, Jochen Eulert, the twosuccessful candidates with the highest marks received the German SICOT Fellowship Award. In addition to the scientific programme,Prof Ridvan Ege, Congress President, organised wonderful social events.

The Istanbul meeting included SICOT administrative sessions. Duringthe period of Prof John Leong’s Presidency, the Society has evolved intoa very modern organisation.As Secretary General, I was very proud topresent him with a sculpture by François Kovacs, who found his inspira-tion in the microstructure of bone.

After six years as our Treasurer, Dr Thami Benzakour left the ExecutiveComittee but he will be President of the Fifth Annual InternationalConference to be held in Marrakech in 2007. For the next triennium,Dr Chad Smith succeeds Prof Leong as SICOT President and Prof Dr Patricia Fucs, from Brazil, becomes our Treasurer.

One month after our return from Istanbul, we heard directly from ourPakistan National Delegate, Prof Syed Awais, about the disastrousearthquake in his country. As he was in charge of coordinating the trau-ma care, we have a unique chance through him to direct the help of SICOT to the right place by offering individual help of volunteer ortho-paedic surgeons, funding, equipment, etc. If you can help, please see thesection Country to country series on page 4, where you will find moreinformation.

Maurice HinsenkampSecretary General

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page 4

The travel was well organised andcoordinated by Prof Galal Zaki Said,in charge of the Assiut UniversitySICOT Training Fellowship.The airticket was sent to me in advanceand I was received personally atthe airport on arrival.

Regarding the training itself, wewere taken round the hospital andintroduced to the staff members bythe chairman of the department.The hospital is big and the unit iswell organised. Good facilities areavailable and advanced equipmentis always in good working order.Allsubspecialities are well developedand active.

The availability of senior staffmembers is admirable and theirwillingness to teach was remarka-ble. On Wednesdays a departmen-tal clinical meeting took place toreview all difficult cases, both thosewhich had already undergone anoperation and those waiting forcare.This was a very good learningperiod.Among the many conferen-ces we attended were the follo-wing: microsurgery and recons-truction, spine, hip, arthroscopy

and unicompartmental knee ar-throplasty.

Coming to the staff itself it mustbe said that all members were co-operative and took care of my inte-rests and went out of their way toteach me and make me feel at home.

The efficiency of handling skele-tal trauma is what I am trying toimplement at my hospital.The ex-perience I obtained in all subspe-cialities is very useful to me and tothe institution in which I am wor-king.

The accommodation was ade-quate, except that air conditioningof the rooms would have made themmore comfortable if I may say. Butthe university organised two tours

for us. One to the North of thecountry and the other to the South.These were very exciting and I sawand learned a good deal about thecountry and its people.

Finally I would like to address mythanks to Prof Galal Zaki Said forthe offer and facilitation as well ashis wisdom in starting this very use-ful programme.Also for taking somuch trouble to communicate withme and for being a good host andteacher as well as for his words ofencouragement and wise counsel.

I would like to thank the chair-man and staff of the departmentfor their good company and tea-ching.The Assiut University admi-nistration has also to be thankedfor being a good and generous hostand for providing such a good lear-ning environment. Finally, I wouldlike to thank the governments andcitizens of Egypt and Kenya for crea-ting a peaceful environment in thetwo countries. ■

Report on the Assiut University SICOT Training Fellowship

Dr P. Kavoo KilonzoMachakos General Hospital

P.O. Box 19

Machakos, Kenya

[email protected]

Earthquake in PakistanPakistan has been hit by an earthquake. Prof Awais has been asked to coor-dinate the trauma care services. If you would like to help him please get intouch with him: Prof Awais, King Edward Medical College, University of thePunjab, 8 – Golf Lane GOR-1, Lahore, Pakistan, tel. +92 42 9200913,fax +92 42 7212227, mobile +92 333 4348716. He would also be happy toreceive funding (account holder: SICOT Pakistan, account number IBAN:BE36 001469752181 with Fortis Bank, Montagne du Parc, 3, 1000 Brussels,Belgium, BIC/SWIFT: GEBABEBB).

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Country to

countryseries

page 5

Emergency and essential surgical care at the first referral healthcare facility

effective measures can drasticallyreduce the incidence of deathand disability due to injuries fromroad traffic accidents, violenceand from complications of pre-gnancy.The first measure is to in-crease the availability of trainedpersonnel.The second is to en-sure that certain inexpensive yetessential equipment is availableat the first referral healthcare fa-cility.

The Unit named “Clinical Pro-cedures” (CPR) in the WHO De-partment of Essential Health Tech-nologies (EHT) assists countriesto achieve a safe and reliable levelof health services in a variety ofhealth technologies through itsBasic Operational Frameworks.CPR is focusing on activities thatwill have a sustainable impact onthe safety and quality of emergen-cy and essential surgical servicesat the first referral level, throughtraining to deal safely and promp-tly with emergency and essentialsurgical procedures.

Each year one million people losetheir lives because of road trafficaccidents and more than half amillion women die from pregnan-cy-related complications. In thesesituations the ability to apply thecorrect emergency clinical proce-dures at the first referral levelhealthcare facilities is vital. Forwomen in low- and middle-inco-me countries, the leading causesof death are haemorrhage, hyper-tension, sepsis, abortion and obs-tructed labour.Often these condi-tions require life-saving, basic sur-gical and anaesthetic care thatcannot be postponed until the pa-tient can be transferred to a hi-gher level of health facility.

Many first referral level healthfacilities in developing countrieshave no specialist surgical teams.The quality of emergency and es-sential surgical care is often cons-trained by inadequate basic equip-ment such as oxygen and intrave-nous fluids, or inadequate trainingto perform simple but vital inter-ventions.

The fact that the majority ofthe world’s poor live in ruralareas with limited access to the-se facilities is a serious challengeto public health. Furthermorethe economic costs and conse-quences of traffic injuries areenormous.Two simple and cost-

Furthermore,WHO develo-ped an e-Learning tool kit on In-tegrated Management on Emer-gency and Essential Surgical Care(IMEESC),based on the WHO ma-nual “Surgical Care at the DistrictHospital” (http://www.who.int/surgery).This tool targets policy-makers and health-care providersand provides guidance on WHOrecommendations for minimumstandards on emergency and es-sential surgical care in trauma,obstetrics and anaesthesia at first-referral level healthcare facilities.

The WHO IMEESC tool isbeing introduced in countriesthrough WHO training works-hops, in collaboration with Minis-tries of Health, for use in the de-velopment of policy, training cur-riculum, emergency equipmentlists for resuscitation, needs as-sessment, and as teaching tools(video, self learning), best practiceprotocols on clinical proceduressafety (in disasters, HIV infectionprevention, resuscitation, trauma,anaesthesia, obstetrics). ■

For contact: Dr Meena NathanCherian,WHO, Me-dical Officer, ClinicalProcedures, EssentialHealth Technologies,[email protected].

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Celebrating SICOT 75th Anniversary Book

Prof Char les Sorbie | SICOT Past President

page 6

respond to change and spread thenew knowledge as it becomesknown, it is sensible for us to ce-lebrate our past.

The 75th Anniversary Book tellsthe story of SICOT as far as itsrecords show. Past and presentstaff have done a good job in pre-serving our archives which arehoused in the basement of RueWashington, 40 in Brussels. It wasfrom these archives of print andphoto that the book was compi-led.

To the Book, context of eventsand photos of people who madethe news, have been added.Thefirst letter that promotes the ideaof an international society waswritten by Dr Robert Lovett ofBoston to Dr Vittorio Putti of Bo-logna and Dr Hans Spitzy of Vien-na. It is clear from its content thatthese three had had prior discus-sions on the formation of a socie-ty. Lovett's letter was sent in 1913and is among Putti's papers in Bo-logna at the Instituto Rizzoli.

The Great War ended further de-velopment of the Society until theFounders, encouraged by a fewfar sighted individuals to make theSociety a reality, met in Paris on10 October 1929.There were, of

SICOT is a“Society”, anassociationof individualswith a com-mon profes-sional inte-rest, inten-

ded to promote learning. Perhapsthe earliest version of a “Society”was created in Alexandria by Pto-lemy I in 300 BC.The Middle Agessaw a flourishing of societies,espe-cially in Italy. In more recent ti-mes, highly regarded, prestigioussocieties, such as the Royal Socie-ty, were formed.With good lea-dership and the passage of time asociety can earn a position ofrespect and become a model foracademic and scientific excellen-ce. SICOT is one such society.

Although still relatively young at75, it seems appropriate to markSICOT's 75 years of existencewith a book that tells the interes-ting story of its birth and deve-lopment. Notable societies keeppace with modern thinking, tech-nology and contemporary trends.Their members are leaders ofthought and anticipate the future.Ours is a society of professionalswith an interest in subjects thatare driven by advances in techno-logy. While well positioned to

course, many bumps on the roadto creating the Constitution, butthese are common to any inter-national undertaking.Very few ofthe Founders spoke French orEnglish. Laborious translationswere required but problems weresolved with good will.The Foun-ders overcame all difficulties inless than two days.

The Anniversary Book relives the-se early times with warmth anddescribes the remarkable deve-lopments since then that have ledto SICOT becoming the “Global”Society for Orthopaedic Surgeryand Traumatology that it is today.It is now supported by membersfrom 105 countries.The Book des-cribes the origins of our Journal,“International Orthopaedics”,SIROT, the Newsletter, the Tele-diagnostic System, the SICOT Di-ploma Examination, the Centrefor Education among other ad-vances and provides a record ofall its world Congresses.

Although not Harry Potter or theDa Vinci Code, it is well worth aread on a cold winter's night oreven on a hot summer day! ■

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On the web

page 7

I wish to order ........ copies of the SICOT 75th Anniversary Book at EUR 40 each (Belgian V.A.T. and postage included)

Total Amount: ............................ EUR (EUR currency only)

Please indicate preferred type of payment:

■■ credit card charge authorisation (only VISA or MASTER CARD)Cardholder: ................................................................................Credit card No.: ■■■■■■■■ ■■■■■■■■ ■■■■■■■■ ■■■■■■■■

Expiration date (month/year): ...................... / ......................Card verification code (cvc): ..................................................Date: .............. / .......... / ..........

Signature:

■■ international bank transferPayable to: SICOT aisblIBAN: BE33 2100 2424 9446BIC/Swift code: GEBABEBBFortis Bank, Montagne du Parc, 3, 1000 Brussels, BelgiumKindly instruct your bank that all charges are at your expenseand indicate your name and address on your payment orderform to ensure that your account is debited accordingly.

Please print name and address for delivery:

Name: ............................................................................................

Address: ........................................................................................

........................................................................................................

........................................................................................................

........................................................................................................

Please send your order to:

SICOT aisblRue Washington, 40 – b.91050 Brussels - Belgium

Or fax it to: +32 2 649 86 01

You can also download the order form from SICOTwebsite: http://www.sicot.org/?page=books#bk10

75TH

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Report of the SICOT EducationCommittee

Prof Charles Sorbie | Education Committee, Chairman

page 8

The Education Committee met onFriday 2 September 2005 in Istanbuland discussed the following items.

Education CentresThe Chairman reviewed the protocol

for the location and costs of an Education Centre. ProfAwais described the success of the Education Centrein Lahore, Pakistan. It was opened in January 2004 andhas been very active since then. While SICOT provided the motive, the protocol, a Teledia-gnostic Centre and textbooks, it was the drive of ProfSyed Awais that made it possible.This Centre has thefundamental requirements to be successful: a library,new computers, access to the Internet, a TelediagnosticCentre, a Skills Lab, a reading lounge, a seminar roomand a lecture theatre. Prof Awais informed the Com-mittee that 74 events have already taken place at theCentre.There have been four small courses given forfamily physicians on musculoskeletal disorders. It has aregular Journal Club, trauma meetings and providesfive paramedic courses each month.

Discussion took place on setting standards for trai-ning and Prof Awais felt that it would be helpful if twointernational faculty professors could visit Lahore eachyear on accreditation surveys.A suggestion was madefor SICOT to develop a “Quality Assurance Cell”, agroup that would provide helpful criticism through vi-sits to such centres.

Prof Sorbie reminded the Committee of the Cana-dian SICOT Scholarship, which permits travel costs fora visiting professor each year to view the function ofan orthopaedic unit and prepare a critical report withrecommendations for improvements.

Educational Objectives ManualThe SICOT Educational Objectives Manual for ortho-paedic training has been approved by 14 universities in

Pakistan as a guide for orthopaedic training. It requiresupdating, however, and a number of individuals withspecialist knowledge will be invited to review the Ma-nual in order to publish a new one.

The National Delegate of Kenya, Dr Prakash Heda,described the situation in Nairobi and asked that ProfAwais and others from SICOT help to set up a trainingprogramme in Nairobi.

International Federation of Paediatric Ortho-paedic Societies (IFPOS)Prof Morris Duhaime, the Canadian National Delega-te, asked support for a member of IFPOS to be ap-pointed to the Congress Scientific Advisory Commit-tee (CSAC).The Education Committee gave his sug-gestion its full support.

The SICOT Diploma ExaminationProf Keith Luk wondered if it would be possible tohold the SICOT Diploma Examination each year some-where in Asia.The SICOT Diploma Examination is set-ting important standards of knowledge. It is based onmultiple-choice questions (MCQ) derived from theHYPERGUIDE, an Internet based orthopaedic educa-tion system.All candidates are given passwords to theHYPERGUIDE in the six months prior to the Exami-nation.The MCQ in the Exam are chosen from over3,000 questions in the HYPERGUIDE MCQ bank.Theoral part of the Examination is conducted by 16 to 20examiners, lasts for two hours and standardised casesare presented with the help of computer monitors.

Dr Eduardo Zamudio,National Delegate of Chile, iscurrently studying the possibility of using the SICOTDiploma Examination as a standard setting Examina-tion throughout Chile.

The next SICOT Diploma Examination will takeplace in Buenos Aires at the SICOT/SIROT Fourth An-nual International Conference. ■

Comitteelife

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Comments of the three AustralianSICOT Awardees

page 9

Youngsurgeons

I am one of the three recipients of the Australian SICOT award handed out in Istanbul, at the SICOT/SIROT 2005 Triennial World Congress.I am a re-sident orthopaedic surgeon in Romania, at the Emer-gency Hospital for Children “Grigore Alexandrescu”,Bucharest. Late in 2004 I joined SICOT.This was awise decision that I made during my one-year re-search fellowship in Vienna, at the General Hospital.And at the end of my research, I submitted an abstract

to the SICOT/SIROT 2005 Triennial World Congress.After the acceptance of my abstract I started to lookfor funding for my trip in Istanbul. Searching the SI-COT website, I discovered the Australian SICOTaward, for which I could qualify, as I was less than 40years old, still a trainee, and a fresh SICOT member.

I applied and it was the happy answer: I was one ofthe winners. My resume contributed very much inbeing granted this prize. I went to Istanbul, made myfirst oral presentation at such an important congress,and at the end of the congress I received my diplomadirectly from the President of SICOT, Prof John C.Y.Leong.This award gave me the opportunity to listen toa large number of great presentations, to meet inter-esting people and to visit a beautiful city. ■

I was happy to receive the Australian SICOT Awardfor 2005, which aims at visiting a developing countryor promote young surgeons’ activities. I had the op-portunity to visit Vietnam to conduct the “First Ho ChiMinh Arthroplasty Course” from 17 to 19 August 2005at Ho Chi Minh City.This was the first Total Joint Re-placement course of its kind held in a developingcountry. I saw a lot of post war victims suffering fromsecondary arthritis with instability in the knee due tomalunited fractures.Vietnamese surgeons were very

keen to learn more about knee biomechanics and re-placement surgery.A workshop on bone models andsurgical demonstrations made the course very livelyas well.

Moreover, the award enabled me to attend the SICOT/SIROT 2005 Triennial World Congress in Istan-bul. I could attend the plenary lectures,which enlighte-ned me about the recent advances in different subspe-cialities in Orthopaedics.The guest lecture and sym-posia were of high standard. I presented a paper andposter in SIROT and a paper in SICOT. It gave me anopportunity to present my work on the internationalpodium. I enjoyed visiting Istanbul, the city with a greathistory and scenic beauty. ■

There is a need for new investigation techniques suchas microCT for research, to understand better howthe internal mechanisms of the bone are working.Atthe Congress in Istanbul, this year, we have seen someinteresting papers originating in the micro universe ofthe body. ■

Dr Shubhranshu MohantyKing Edward VII Memorial Hospital

Parel, Bombay, India

Dr Tudor NedelcuUniversity Emergency Hospital for Children“Grigore Alexandrescu”

Bucharest, Romania

[email protected]

Dr Cezar Costin Ciohodaru“Colentina” Hospital

Bucharest, Romania

[email protected]

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IFPOS at the SICOT/SIROT 2005 Triennial World Congress

Dr Seok Hyun Lee | IFPOS President

ther with Prof H. Ömeroglu, President of Turkish Pae-diatric Society, set up the four Symposia which fulfilledthe Paediatric Speciality Day. Out of the four Sympo-sia, two were devoted to Traumas in Children and thetwo others to Orthopaedics.The topics were Fractu-res of the Distal End of Humerus, Fractu-res of the Shaft of Femur, Legg-Calve-Perthes Disease and Angular and Rota-tional Deformities of the Lower Limb.

page 10

The International Federation of Paediatric Orthopae-dic Societies (IFPOS) has been an active participant inSICOT activities in the past few years.This year, wi-thout exception, IFPOS organised two programmes atSICOT/SIROT 2005 Triennial World Congress whichtook place from 5 to 9 September in Istanbul,Turkey.

1.The Fourth International Clubfoot Congress:three previous congresses were held in 1990, 1996,2002 and all coincided with SICOT Triennial WorldCongresses.This year’s Congress was scheduled on 5and 6 September, a programme of one and a half day.There were 61 abstracts which were accommodatedin 15 sessions, and more than 150 participants camefrom all continents. One of the important aspects wediscussed was a global view of how to solve the pro-blems of clubfoot in underdeveloped countries, espe-cially Africa, including early non-operative treatmentand bracing.

2. Paediatric speciality day: IFPOS was asked by SICOT organisers to take charge of the PaediatricSpeciality Day on 7 September. Prof H. Bensahel, toge-

Surfaces in Joint Arthroplasty and Dr Joseph Schatz-ker presenting insights to Biomechanics of Plate Os-teosynthesis.

Beyond that, Buenos Aires is one of the most exci-ting cities in all of America and we assure you that thesocial programme will not disappoint you.

Abstracts should be submitted via the SICOTwebsite (http://www.sicot.org/?page=buenosaires),and the deadline is 15 February 2006. ■

For contact: [email protected]

The Young Surgeons Committee (YSC)is pleased to host the 2006 Trainees’Meeting in Buenos Aires on 23 Augustas a forerunner to the SICOT/SIROTFourth Annual International Conferen-ce.

SICOT Trainees’ Meeting will be co-organised by the YSC.Two key topics have been cho-sen: Open fractures and Degenerative hip disease.Our guest speakers include Dr Clive Duncan fromCanada, discussing Peri-prosthetic Fractures, ProfLaurent Sedel from France looking at Articulating

IFPOS Board meeting during SICOT/SIROT 2005 Triennial WorldCongress in Istanbul

SICOT 2006 Trainees’ Meeting in ArgentinaDr Bartolome Allende Jr. | Trainees’ Meeting President

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Worldwidenews

page 11

An interview with SICOT Past President, Prof Dr Kotz

You were Presi-dent of SICOTfrom 1999 to2002. Why didyou want to be-come President ?It was not my idea

to become SICOT President, Iwas proposed by Prof Zamudiobecause I did not want to acceptthe post of Treasurer. Furthermo-re the National Delegates wan-ted me to play a role in the So-ciety and therefore, they votedfor me.

Is there anything you did notachieve as President? No, I think I achieved a lot. I esta-blished the annual conferences,which was one of my primarygoals. It is not really as big as thetriennial congresses but it is gro-wing. Then, together with theBone and Joint Decade, I establis-hed the SICOT World portal,which represented a very impor-tant step forward for SICOT.Andthen the most important thingwas to keep SICOT as the onlyworld organisation for orthopae-dics.We had a breakfast of inter-national presidents at one mee-ting of the AAOS and Dr D’Am-brosia proposed to convert itinto a world Society of Interna-tional Presidents of OrthopaedicSocieties.After several meetings I

managed to halt this and SICOTcould stay as the only world or-ganisation for Orthopaedics.

What are you most proud of?This is the fact that we stay asthe only world Society.

What advice would you giveto a candidate for the Presi-dency?I would advise him to take enoughtime for the post.A President youcannot reach or who has notenough time to think about theSociety and create new ideas isnot the right one.

You are a specialist in bonetumours.Why did you choo-se this speciality?I think that it is a challenge tocure patients who are sentencedto death.That was a challenge forme to try to give life to these pa-tients.When I started 80% of thepatients died. Now 80% survive.It was also due to a surgical tea-cher of mine, an excellent sur-geon, who left for another place,so my chief said to me: “If youwant to stay at the clinic you haveto treat the tumour cases”. And Idid so.

You are known as the creatorof the “modular prosthesis”.Can you tell us more about it?

Yes. One part of the treatment ofbone tumour patients is to savetheir lives.The other part is tosave their leg. In 1975 I implanteda knee prosthesis. It was the firsttime that this was done.And be-cause it was very difficult at thistime to provide patients with cus-tomised prosthesis, I thought itmight be better to build the pros-thesis while the surgeon himselfwould be in the operating room.And because it is much easier totreat patients when the surgeonhas everything in stock, this sys-tem became very successful andwas always closely linked to myname.

In October 2004 you wereawarded the Lexer Prize bythe German Orthopaedic Association for innovativesurgery and reconstructiveactivities.Yes, it is a very prestigious award.Lexer himself was the first whotransplanted a knee joint in man.It was the first allograft and the-refore this prize was dedicated toinnovative surgery. I think I recei-ved it because the modular re-construction system fulfills theidea of Lexer. ■

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Editorial DepartmentEditorial Secretary: Prof Rocco P. PittoExternal Affairs: Nathalie Pondeville

Rue Washington 40-b.9, 1050 Brussels, BelgiumPhone : + 32 2 648 68 23 - Fax : + 32 2 649 86 01 E-mail : [email protected] - Website : http://www.sicot.org

LE 10 OCTOBRE 1929

FO

NDÉE

À PA R I S

How to join SICOT? Complete the application form:http://www.sicot.org/?page=application

It is with great pleasure that we invite you to theSICOT/SIROT Fourth Annual International Confe-rence which will be held in Buenos Aires on 23-26August 2006. In the past Latin America has hostedseveral SICOT meetings, but this will be the first SICOT AIC in the region and the local organisers,the SICOT Office and Sorelcomm are putting inevery effort to make it the orthopaedic event ofthe year.The Trainees' Meeting with which the AICwill start will give young doctors, residents and re-gistrars a fantastic opportunity to present their work and discuss it withtheir international colleagues and to listen to the most renowned interna-tional speakers.An attractive social programme is being put together whichwill offer you an exciting introduction to Buenos Aires and Argentina.Welook forward to seeing you there!

Bartolome T.Allende, Conference President

Abstract submission on line: http://www.sicot.org/?page=buenosairesNo faxed or e-mail submissions please!

Deadline for abstract submission: 15 February 2006

The Australian SICOT Award The three prizes of AUD 3,000 each are to help deser-ving young surgeons to attend a SICOT meeting. Dead-line for application: 28 February 2006.

The German SICOT Fellowship AwardThis award will be given to the two successful candida-tes with the highest marks following the annual SICOTDiploma Examination.

The Lester Lowe SICOT AwardTrainees under the age of 35 are eligible.The prize moneyis up to USD 1,000.Deadline for application:1 April 2006.

The SICOT Oral Presentation Awards (10)The three best oral presentations are granted EUR 500

each only to abstract submitters. Deadline for applica-tion: 15 February 2006.

The SICOT Poster Awards (10)The three best posters are granted EUR 500 each onlyto abstract submitters. Deadline for application: 15 Fe-bruary 2006.

The SICOT Trainees Best Paper AwardTrainees under the age of 40 are eligible.The prize isfree membership of SICOT for three years. Only forabstract submitters. Deadline for application: 15 Februa-ry 2006.

More details on http://www.sicot.org/?page=schol

Awards granted at the Closing Ceremony

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