British Hip Society 2008 Provisional Programme

BRITISH HIP SOCIETY Annual Scientific Meeting Norwich Final Programme 27th - 29th February 2008

Wednesday 27th February 2007 2.30 pm – 6.00 pm. The Surgical Anatomy of Acetabular Dysplasia. Chairman Johan Witt Local co-ordinator Phil Hopgood The Anatomy Rooms, University of East Anglia, Norwich. Aim: This course is aimed at surgeons with an interest in acetabular osteotomies. The emphasis will be on practical aspects such as anatomy, approaches and practising the cuts on sawbones models. There will be plenty of opportunity to discuss cases and this provides a good forum for those undertaking these procedures to highlight any issues they have.

Programme

Introduction and overview of acetabular osteotomies Johan Witt

Surgical approach – the triple A Hashemi Nejad

Peri-acetabular osteotomy – Ilio-inguinal approach H Apthorp

Peri-acetabular osteotomy – Modified Smith-Petersen approach Johan Witt

Cadaveric dissections – anatomy lab 15.15 – 16.15

Optimising acetabular correction – Tips and tricks Faculty

Dry bones workshop 16.30 – 17.15

Discussion and Case presentations 17.15 – 18.00 Thursday 28th January. St. Andrew’s Hall

Registration from 8-30am with tea/coffee

9.00 – 11.30 Emerging Hip Surgeon’s forum Chairmen: Jim Wimhurst and Nish Chirodian (Norwich)

11.30 Coffee and biscuits. Posters.

12.00 Presentation by FIPO – Managed Care -Chair: Fares Haddad

This is what has happened in the USA. John Callaghan, Iowa

FIPO and Managed Care. Geoffrey Glazer. Consultant General Surgeon, St Mary’s Hospital, London. President of FIPO

The Ophthalmology Experience. Richard Packard. Consultant Ophthalmic Surgeon, Wellington Hospital, London. Board member FIPO. Chairman of the Association of Ophthalmologists

A View from the Private Sector Andrew Unwin Windsor Knee clinic, founder of “One Health Group”

Blackfriar’s Hall

9.30am Registration. Coffee and biscuits.

10.00 – 12.00 Symposium: “Moving the National Joint Registry Forward” Chairman: Peter Kay

Colin Howie. Chairman Scottish Arthroplasty Registry Tim Wilton ex NJR Steering committee member (BASK/BOA) Mike Swanson (Northgate) Paul Gregg Vice Chair NJR

1 pm Buffet Lunch (Blackfriars Hall and cloisters) Poster viewing MAIN MEETING OF THE BRITISH HIP SOCIETY St Andrew’s Hall

2pm Welcome to Norwich: Keith Tucker, President BHS

Symposium “The use of Long Stems in Revision THR” Chair: Sarah Muirhead-Allwood

2.15 Sarah Muirhead-Allwood What I have done and what I do now (Why, the decisions, pitfalls etc)

2.30 Martyn Porter and Tim Broad Why we do what we do in Wrightington and when

2.45 Jim Wimhurst and Alban Bowers The results of the cemented option with the long stem Exeter and the long stem Charnley Elite

2.55 John Callaghan USA experience

3.05 Discussion

3.15 Tea

3.40 – 5.10 Podium Presentations of scientific papers. Chairs: Paul Gaston, Edinburgh & Peter McClardy-Smith, Oxford

3.40 Long hydroxyapatite coated stems in revision hip surgery. J M Buchanan Sunderland Royal Hospital

3.50 Cemented revision total hip replacement - review of 100 cases. S Mohan, JP Hodgkinson, U Box. The Centre for Hip Surgery, Wrightington Hospital, UK

4.00 Does retaining femoral head allograft cartilage affect the outcome of acetabular impaction grafting? Our early results. S Subramanian, DK Jain, R Sreekumar, UBox, MV Hemmady, JP Hodgkinson. The Centre for Hip surgery, Wrightington hospital

4.10 Two-stage exchange arthroplasty for infection - are depot antibiotics sufficient? B J Mockford. I Stockley. Department of Orthopaedic Surgery, Northern General Hospital, Sheffield Teaching Hospitals Trust, Herries Road, Sheffield

The outcome of failed two-stage exchange revision total hip arthroplasty for infection. B J Mockford. I Stockley. Department of Orthopaedic Surgery, Northern General Hospital, Sheffield Teaching Hospitals Trust, Herries Road, Sheffield Revision for deep infection: managing bacterial resistance. LM Fisher, PR Kay, AK Gambhir. The Centre for Hip Surgery, Wrightington Hospital 4.40 Comparison of primary THR infection rate as published in the Scottish Arthroplasty 2006 report with hospital statistics. L Mills, JE Phillips. Borders General Hospital, Melrose, Scotland.

4.50 Differences in immune responses between subjects with previous aseptic loosening versus surviving THA. A Gordon, E Kiss-Toth, E Greenfield, R. Eastell, JM Wilkinson. University of Sheffield, UK and Case Western Reserve University, USA

5.00 Reduced duration of cephalosporin prophylaxis for femoral neck fracture surgery is associated with a lower rate of clostridium difficile associated disease. I Starks, G Ayub, G Whalley, J Orendi, PJ Roberts, N Maffulli. University Hospital North Staffordshire, Stoke on Trent

5.10 Anterior approaches to the hip for the treatment of femoro-acetabular impingement. A cadaveric study. AK Malik, JD Witt. University College London Hospital

Early experience and results for 148 surgical hip dislocations performed for impingement. CJ Edwards, R Reddy , A Bidaye, ED Fern, MR Norton. Royal Cornwall Hospital.

5.30 Session ends (Bar Opens)

6pm Annual General Meeting of the BHS

7.00 Bar open.

7.30 Annual Dinner in Blackfriar’s Hall (Lounge Suits)

Please note there will be no official reception, dinner will be served promptly to allow members time to meet at the end of the meal. Friday 29th February St Andrew’s Hall

8.30 - 8.45 Registration and coffee

Podium Presentations: Primary Hip Replacement and MIS Chairs: Matthew Porteous, Bury St. Edmunds & John Albert, Norwich

8.45 Exeter-Ogee total hip Replacement using the Hardinge approach; The ten to twelve year results. D Morgan, G Myers, K O’Dwyer. Worcester Royal Hospital

Minimum 10-Year Follow-Up of the Exeter Universal Stem in a District General Hospital. L Young, S Duckett, A Dunn. West Suffolk Hospital, Bury St Edmunds 9.05 Charnley low-frictional torque arthroplasty. Survivorship patterns: follow-up to 38 years. BM Wroblewski, PD Siney, PA Fleming, B Purbach The John Charnley Research Institute, Wrightington Hospital, UK

Triple tapered cemented C-stem. A minimum 10 year follow up. B Purbach, BM Wroblewski, PD Siney, PA Fleming, PR Kay The John Charnley Research Institute, Wrightington Hospital, UK

9.25 12-16 Year Follow-up of the Harris-Galante I acetabular component in patients less than 50 years of age. M Utting, M Raghuvanshi, R Amirfeyz, AW Blom, ID Learmonth, GC Bannister. Avon Orthopaedic Centre, Southmead Hospital, Bristol

Medium to long term survivorship of the Plasmacup. N W Emms, J M Wilkinson, I Stockley & A J Hamer. Northern General Hospital, Sheffield

9.45 Minimally Invasive Hip Replacement – A Randomised Controlled Trial. RJK Khan, S Haebich, D Maor . Sir Charles Gairdner Hospital, Perth, Western Australia

Single incision posterior approach minimally invasive total hip arthroplasty is a safe, effective and reproducible technique in a district general hospital. A randomised controlled trial. DJ Farr, KS Conn, JM Britton, JDF Calder, GJ Stranks The Basingstoke and North Hampshire Hospital, Basingstoke

Mid-term results on Microhip: an extension table free anterior procedure without restrictions. MC Michel, P Witschger. Münsingen Orthopaedic Centre, Münsingen – Switzerland 10.15 A randomised prospective double-blind trial comparing x-linked with conventional polyethylene in THA. 2-4 year results. P A Devane, J. G Horne. New Zealand

10.25 Short-term results of total hip replacement performed by visiting surgeons at a treatment centre. SP White, SA Jones, AW John. Department of Orthopaedics, University Hospital of Wales, Cardiff

10.35 A patient centred pathway decreases length of stay and improves patient satisfaction after total hip replacement. C Olyslaegers, T W Wainwright, R G Middleton, The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust

10.45 Coffee, biscuits and Poster viewing

11.10 - 11.30 Symposium: Improved Efficiency Chair: Colin Howie Delivering Quality & Value in Hip and knee Replacement. Mark Emerton. Leeds Overnight stay THR & how you do it. Hugh Apthorpe, Hastings.

11.30 – 12.00 Metal on Metal Update – Snowflake or snowstorm? Chair: Clare Marx CBE

Notification of problems to MRHA. Andy Crosbie Response. John Skinner (RNOH & Imperial College retrieval study.)

12.00 Report by the BHS travelling Fellows 2007

12.15 Presidential Guest Lecture: John Callaghan (Iowa) “Why did we leave the Charnley Hip Replacement?”

13.00 Buffet Lunch, Blackfriar’s Hall. Poster viewing.

Podium Presentations of scientific papers. Hip Resurfacing. Chairs: Graham Gie, Exeter, & John O’Hara, Birmingham

13.45 Pseudo-tumours after hip resurfacing. H Pandit, S Glyn-Jones, R Gundle, D Whitwell, CLM Gibbons, S Ostlere, N Athanasou, HS Gill, P McLardy-Smith, DW Murray. Nuffield Orthopaedic Centre, Oxford

Revision of failed hip resurfacing due to metal hypersensitivity (ALVAL). AR Karva, TN Board, Mohan S, ML Porter. The Centre for Hip Surgery, Wrightington Hospital

The painful metal on metal hip replacement: early experience from a UK retrieval service. A Hart, P Maggiore, A Sandison, B Sampson, S Muirhead-Allwood, P Cann, J Skinner. Imperial College Healthcare NHS Trust and the Royal National Orthopaedic Hospital NHS Trust, London.

Pain in females after metal-on-metal hip resurfacing: are we under-diagnosing metal ion hypersensitivity? SS Jameson, DJ Langton, AVF Nargol University Hospital of North Tees, Stockton-on-Tees, United Kingdom 14.25 Heat generated during femoral head preparation in resurfacing hip arthroplasty. R P Baker, M Kilshaw, M Pabbruwe, A Blom, G C Bannister. Avon Orthopaedic Centre, Bristol, UK

14.35 Functional outcome following Birmingham Hip Resurfacing Arthroplasty – Wrightington Experience. S Mohan, TN Board, J Fishwick, V Jeffs, ML Porter The Centre for Hip Surgery, Wrightington Hospital, UK

14.45 Femoral neck thinning is a rare complication of resurfacing using an uncemented Cormet 2000 hip resurfacing implant through a Ganz approach. Fern ED, Williams D, Reddy R, Norton MR. Cornwall Hip Unit, Truro, Cornwall

14.55 Birmingham hip resurfacing arthroplasty: a series of 117 consecutive hips with a minimum 5 year follow up. GNA Heilpern, NN Shah, MJF Fordyce Kent and Sussex Hospital, Royal Tunbridge Wells, Kent, England

The Birmingham hip resurfacing. 5 year clinical and radiographic results from a District General Hospital. B. Ollivere, S. Duckett, A. August, M. Porteous Department of Trauma and Orthopaedics, West Suffolk Hospital.

Prospective consecutive multicentre study of 983 DePuy ASRtm hip resurfacings. Analysis of all failures and clinical follow-up of 293 cases at 2 to 4 years. Cobb AG*, Oakeshott RD** and O’Sullivan T*** . Epsom General Hospital, Surrey, UK **Sportsmed SA, Adelaide, Australia. ***Whitfield Clinic, Waterford, Ireland

15.25 Tea and biscuits, poster viewing

15.40 – 16.40 Symposium: The use of blood in THR. Chair: Keith Tucker

The National Audit. Hari Boralessa, National blood transfusion service

Ways of reducing blood loss. Andy Hamer, Sheffield.

How far can we take anaemia? What are the dangers and how can we offset them? Daffyd Thomas, Consultant Anaesthetist & Intensivist, Swansea

16.40 – 17.10 Podium Presentations of Scientific Papers. Chair: Derek Pegg

16.40 Maximum surgical blood ordering schedule for revision hip and knee arthroplasty. C P Challand, D Mahadevan, A Clarke, J Keenan. Department of Trauma & Orthopaedics, Plymouth Hospitals NHS Trust, Derriford Hospital, Plymouth

Analysis of predictors of transfusion in hip arthroplasty. CR Lawrence, D Raj, GS Keene Addenbrooke’s Hospital, Cambridge.

17.00 Early aggressive management of slipped upper femoral epiphysis following the Bernese philosophy. Fern ED, Easwaran P, Norton MR. Cornwall Hip Unit, Truro, Cornwall 17.10 Report by Callum McBryde, McMinn Scholar 2006-7

17.25 Award of Prizes from 2008 BHS – Keith Tucker

Handing over of Presidency to Peter Kay, President 2008/09

17.30 End of Meeting

Next meeting Manchester March 2009

Ladies’ Programme

Thursday 28th

12.30 pm Buffet Lunch at the Maids Head Hotel

2.00pm Conducted Tour of Norwich

4.00pm Tea at the Maids Head Hotel

Friday 29th

10.30 Visit to the Sainsbury Centre

12.30 Lunch at the Maids Head Hotel

2.00pm Visit to Blickling Hall and the National Trust Tapestry restoring facility.