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Agenda

 

Revision Knee Arthroplasty

" All there is to know about revision knee arthroplasty in 3 days "
Get your diaries out!

Thursday 20th September

afternoon

 
 
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

 

Friday 21st September

morning

 
 
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

 

Friday 21st September

afternoon

 
 
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

 

Saturday 22nd September

morning

 
 
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