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RECUPERACIÓN DE LA PRÓTESIS TOTAL DE LA RODILLA

" Para saber todo sobre el reemplazo de rodilla en 3 días "
A tus diarios

Jueves 20 de septiembre 2018

tarde

 
 
Roger BADET Chirurgien Orthopédique
Michel BONNIN Chirurgien Orthopédique
 

 

Moderators:
Roger BADET / Michel BONNIN

2pm - INTRODUCTION: WELCOME TO THE CONGRESS [R. Badet, S. lustig] 

2.10pm - CAUSES OF FAILED TOTAL KNEE ARTHROPLASTIES

  • The Lyon experience [A. Schmidt] 
  • Revision TKA epidemiology from an Australian perspective [D. Parker] 

PAINFUL KNEE ARTHROPLASTY
2.30pm - HOW AND WHY SHOULD WE INVESTIGATE? [M. Bonnin] 

2.40pm - WHAT TO EXPECT FROM ADDITIONAL EXAMINATIONS

  • CT-scan [T. Tavernier] the organizing committee of the LSKS apologizes to Dr Tavernier for not allowing him to present his communication as planned.
  • Bone scan and SPECT-CT [M. Hirschmann] 
  • Ultrasound [H. Guerini] 
  • Biology [T. Ferry] 
  • MRI [S. Chomel] 

3.15pm - « HIDDEN » PAINS
(INTERACTIVE CASE DISCUSSION)

M. Bonnin, R. Badet 
[D Parker, M Hirschmann, J. Victor, P. Mertl, E. Thienpont, D. Saragaglia, S. Boisgard, A. Mullaji] 

  • Allergy
  • Soft tissue impingement
  • Neuropatic pains
  • The « tight » knee
  • Hidden laxities
  • Malrotation
  • Oversizing

4pm – 4.30pm COFFEE BREAK

4.30pm - ALLERGIES

  • Do they exist? Epidemiology Lyon School experience [C. Debette] 
  • Why? Materials and immunology basics [L. Buisson] 
  • Diagnostic (biology, radiology and imaging) [F. Farizon, B. Semay] 
  • Treatment – Anti- allergy prostheses [P. Mertl] 

5.10pm - SYNTHESIS:
ALGORITHMIC ASSESSMENT FOR A PAINFUL TKA [R. Badet] 

5.20pm - FAILURE PREVENTION:
OPTIMISE THE PRIMARY TKA IN 10 STEPS [F. Dubrana, J. Victor, GC. Lee, D. Parker]

 

6pm COCKTAIL

 

Viernes 21 de septiembre 2018

mañana

 
 
Alban PINAROLI Chirurgien Orthopédique
Elvire SERVIEN Chirurgien Orthopédique
 

 

Moderators:
Alban PINAROLI / Elvire SERVIEN

8.00am - INTRODUCTION

8.05am - SURGICAL SEQUENCE

  • From a surgical perspective: strategy and cutaneous risk [A. Mojallal] 
  • Exposure of the knee and the extensor mechanism [A. Pinaroli] 
  • Level of the joint line [P. Neyret, P. Kouyoumdjian]   
  • Removal of implants / cement [R. Gaillard, S. Lustig] 
  • How to restore femoral and tibial rotation [M. Hirschmann] 
  • Balancing in flexion and extension [P. Verdonk] 
  • Which constraint to choose? [D. Saragaglia] 
  • Rationale for use of mobile bearing in revision TKA [A. Mullaji] 
  • Discussion - Clinical cases [P. Kouyoumdjian,M. Hirschmann, R. Becker, P. Verdonk, D. Saragaglia, A. Mullaji]

9.20am – 9.50am – COFFEE BREAK

9.50am - SURGICAL SEQUENCE (CONTINUATION)

  • Zonal fixation in revision TKA  [S. Oussedik] 
  • Stems: which one? [L. Jacquot] 
  • TKA revision: with or without cement [P. Mertl, JL. Prudhon]   
  • Experience with metaphyseal sleeves in TKA revision [D. Passeron] 
  • Navigation, PSI, robotics, customized? New technologies used in TKA revision [JY. Jenny] 
  • Discussion - Clinical cases [S. Oussedik, P. Mertl, JY. Jenny, P. Verdonk, D. Parker]

11.15am - INDUSTRY SYMPOSIA

12.15pm LUNCH

1.30pm - INDUSTRY WORKSHOPS

 

Viernes 21 de septiembre 2018

tarde

 
 
Caroline DEBETTE Chirurgien Orthopédique
Sébastien LUSTIG Chirurgien Orthopédique
 

 

Moderators:
Caroline DEBETTE / Sébastien LUSTIG

2.00pm - REVISION FOR PERIPROSTHETIC FRACTURES

  • When and how to perform internal fixation? [M. Ehlinger] 
  • When and how to revise a prosthesis? [S. Boisgard] 
  • Specific management of periprosthetic tibial fractures [N. Budhiparama] 

2.24pm - REVISION DUE TO STIFFNESS

  • Stiffness analysis (flexion/extension/combined) [C. Debette] 
  • Arthrolysis: open surgery vs arthroscopy [C. Batailler] 
  • When and how to revise a prosthesis:

- Surgical approach and how to manage the patella
- Which implant and which technique to choose? [A. Pinaroli] 

2.46pm - REVISION FOR FEMORO TIBIAL INSTABILITY

  • Diagnosis? Strategy? [GC. Lee] 
  • Role of PE exchange and soft tissue managements [G. Demey] 
  • Role of implants revision (except hinge) [D. Huten] 
  • Balancing the large flexion gaps [A. Mullaji] 
  • The hinge TKA:

    - French view [CH. Flouzat Lachaniette] 
    - Technical aspects [S. Lustig] 
    - International view [A. Bistolfi] 
    - Experience with a hinge revision knee prosthesis [S. Boisgard]

  • Discussion

4.00pm - PHOTO OF THE CONGRESS

4.15pm – 4.45pm - COFFEE BREAK

4.45pm - BONE LOSS MANAGEMENT

  • Bone substitute / allograft [D. Mainard]
  • Wedges [O. Ray]
  • Porous metals: state of the art [G. Pasquier] 
  • Metaphyseal sleeves: technical aspects [S. Marmor] 
  • Cones: technical aspects [M. Abdel]
  • Discussion [S. Marmor, G. Pasquier, A. Mullaji, D. Mainard, S. Boisgard, A. Bistolfi]

5.48pm - SPECIFIC SITUATIONS

  • Diagnosis and management of femur / tibia malrotation [GC. Lee] 
  • Partial revisions [F. Chatain] 
  • Revision TKA: how many references on the shelf? [E Sappey-Marinier] 
  • Unusual cases, complications and solutions after Revision TKR [I. Da Palma] 
  • Discussion – Clinical cases [GC. Lee, S. Marmor, G. Pasquier, A. Mullaji, D. Mainard, N. Budhiparama, M. Ehlinger, I. Da Palma ]

7.00pm - END OF SESSION

 

Sábado, 22 de septiembre 2018

mañana

 
 
David DEJOUR Chirurgien Orthopédique
Guillaume DEMEY Chirurgien Orthopédique
 

 

Moderators:
David DEJOUR / Guillaume DEMEY

8.00am - TKA AND EXTENSOR MECHANISM REVISION

  • The extensor mechanism in the revision setting [J. Victor] 
  • The patella revision [F. Remy] 

8.16am - PATELLAR INSTABILITY

  • Diagnosis? [G. Demey] 
  • When should we revise the implant?[D. Dejour] 
  • MPFL reconstruction: is it enough? [E. Servien] 

8.40am - THE PATELLA INFERA IN TKA

  • Soft tissues or bone surgery [D. Dejour] 

8.48am - CHRONIC DISRUPTION OF THE EXTENSOR MECHANISM

  • The European experience (allograft) [A. Baldini] 
  • The American experience [M. Abdel] 
  • The Lyon experience (allograft) [C. Fiquet] 
  • Discussion – Clinical cases [J. Victor, F. Remy, A. Baldini, M. Abdel, E. Servien]

9.30am – 10.00am - COFFEE BREAK

REVISION DUE TO INFECTION

10.00am - MEDICO-LEGAL ASPECT

  • How to guarantee a good practice [F. Weppe] 
  • CRIOAC / National data / LYSKS experience [S. Lustig, T. Ferry] 

10.16am - Diagnostic: relevance of complementary exams when there is suspicion of an infection

  • Biology: aspiration, CRP, Alpha defensin, blood tests [T. Ferry] 
  • Scintigraphy, pet scan and leuco scan - SPEC CT [M. Hirschmann] 

10.30am - Treatment

  • Early infections: HAS guidelines [T. Bauer] 

10.38am - What decision to make for which infection?

  • DAIR: Debridement antibiotic and implant retention [N. Budhiparama] 
  • Single stage revision [S. Marmor] 
  • Two stage revision [P. Deroche] 
  • With or without spacers? [S. Parratte] 
  • The new trend of locoregional antibiotherapy administration [T. Ferry] 
  • Re-implantation: a whole new program! [E. Thienpont] 
  • Discussion [M. Hirschmann, T. Bauer, N. Budhiparama, S. Marmor, P. Deroche, S. Parratte, E. Thienpont]

11.50am - EXTREME SITUATIONS

  • Mega-prostheses in the infected knee revisions [G. Giordano] 
  • Secondary revisions, tumor prosthesis, arthrodesis-prosthesis [T. Bauer] 

TAKE HOME MESSAGE 

12.30pm - END OF CONGRESS