NEWSLETTER | DECEMBER 2020

INSIDE 35. ESSKA Webinars scheduled for 2021-2022 3. ESSKA President Jacques Menetrey’s 52. Latest news from the Paediatric Editorial: News from the Society ACL Monitoring Initiative (PAMI) 10. Tips and Tricks for Young Reviewers 53. Editorial about Women in ESSKA 14. Pillar of ESSKA: Romain Seil in the December issue of the KSSTA journal 18. ESSKA Sections looking forward to 2021 56. ESSKA Accredited Teachers and Teaching Centres 4. 19th ESSKA Congress GOES VIRTUAL! 11-15 May 2021 .....and much more! ESSKA NEWSLETTER | 12 . 20 ESSKA NEWSLETTER | 12 . 20

Special thanks President’s Editorial

We would like to thank the Corporate Partners of ESSKA for their continuous support of our educational and scientific activities.

We would also like to acknowledge ESSKA supporters. JACQUES MENETREY ESSKA President

Editorial: News from the Society We really hope to resume them in a traditional format in the

All these organisations generously support our ultimate goal of increasing the quality of life of patients. second half of 2021. We are also planning a new format of Want to become an ESSKA Corporate Partner? Please contact ESSKA’s Corporate Relations Manager Rik Bollaert [email protected] “Christmas, New Year, the holiday season is the time of well surgical skills training, so please check our website regularly wishes!” for updates.

C In this very special time, you deserve to not only receive wishes, Our Sections and Committees are also working hard on but also some news from your society. You should also put their respective research projects. Consensus projects are the things in perspective, because as you read this editorial, moving on well and smoothly under the supervision of EDITORS THE ESSKA NEWSLETTER things continue to change. It remains challenging to project Philippe Beaufils, our Consensus Projects Advisor. You’ll JOAN C. MONLLAU (Spain) – 2nd Vice-President is a quarterly publication of the European Society ourselves in a close future. However, your society is standing also find some news about our revamped Academy and BARIS KOCAOGLU (Turkey) – Under 45 (U45) Committee Chairman of Sports Traumatology, Knee Surgery and Arthroscopy. firm and its powerhouse is working hard in all aspects. I encourage you to spend some time on it and navigate amongst its constantly updated content. ESSKA welcomes members to submit suggestions ESSKA BOARD and contribute articles for our Newsletter. Starting with your board and your office, whose members JACQUES MENETREY (Switzerland) – President have conducted numerous working digital reunions about At least this period has shown us how important it is to ROLAND BECKER (Germany) – 1st Vice-President education, publishing strategy, communication with affiliated have direct interaction between humans. When we discuss JOAN C. MONLLAU (Spain) – 2nd Vice-President and partner society, development of our ESSKA European online, everybody is mentioning how much he/she misses DAVID DEJOUR (France) – Past President Specialists Core Curriculum, re-organisation and further the direct human contact and the socialization that goes MICHAEL HANTES (Greece) – General Secretary KARL ERIKSSON (Sweden) – Vice General Secretary development of our “All About Surgical Skills Courses”. with a scientific meeting, or course. It makes us confident MARTIN LIND (Denmark) – Educational Secretary that when the time comes, most of us will enjoy gathering MUSTAFA KARAHAN (Turkey) – ESSKA Academy Editor Regarding 2021 Meetings, ESSKA Executive Director together in a nice place to educate ourselves, share HÉLDER PEREIRA (Portugal) – Treasurer Zhanna Kovalchuk and ESSKA Meetings Manager Jenny experiences, cases, little stories, shake hands, have a drink, DANIËL HAVERKAMP (The Netherlands) – ESSKA-AFAS Chairman Ennis, together with our PCO KIT, scientific team and office, do some gossiping… MICHAEL HIRSCHMANN (Switzerland) – ESSKA-EKA Chairman LADISLAV KOVAČIČ (Slovenia) – ESSKA-ESA Chairman are working hard to deliver a great ESSKA virtual Congress GIAN LUIGI CANATA (Italy) – ESSKA-ESMA Chairman in May. You will see bold and innovative ideas in action, so Dear ESSKA members and friends, Christmas, New Year, the do not miss the opportunity to connect! holiday season is the time of making wishes, so I:

ESSKA COMMITTEES www.esska.org Our Specialty Days meeting in Warsaw is planned to be held as Wish you and yours to be well and healthy! VINCENZO CONDELLO (Italy) – Arthroscopy CAROLINE MOUTON (Luxembourg) – Basic Science ESSKA scheduled, introducing digital elements, as our time requires. MARTIN LIND (Denmark) – Education EXECUTIVE OFFICE LUXEMBOURG Wish us to definitively be rid of this virus in 2021 and resume RAUL BARCO (Spain) – Elbow & Forearm What about Education? Well, we are so happy to have now a good life! VIKAS KHANDUJA (United Kingdom) – Hip Arthroscopy Centre Médical launched our webinars run in the format of “Highlights - hot DAVID DEJOUR (France) – Nominating 76, rue d’Eich topics” and “Core Curriculum subjects”. The first sessions Wish you all the best Holiday Season. JOAN C. MONLLAU (Spain) – Nominating L – 1460 Luxembourg MATT DAWSON (United Kingdom) – Osteotomy Phone +352 4411 7026 have been of very high quality and very well received by FLORIAN DIRISAMER (Austria) – Patellofemoral Instability Fax +352 4411 7678 you. Thank you for your constant feedback. Let’s keep BARIS KOCAOGLU (Turkey) – Under 45 (U45) e-mail: [email protected] going! What about our “All about Surgical Skills Courses”? Stay healthy, and think ESSKA!

2 3 Fashion Meets Science

ESSKA@Home – Virtual Congress Enjoy the ESSKA@Home virtual Congress from the comfort of your own home from 12-15 May 2021. A top-class Scientific Programme spread over 4 days with the added bonus of the Resident’s Programme REGISTRATION OPENS on 11 May. ON 1ST FEBRUARY Save time and create your user profile now! * Registration Fees

ESSKA Member Non-Member Resident / Physio / Resident / Physio / 11-15 May 2021 Senior MD Senior MD Scientist / Nurse / Scientist / Nurse / Allied Allied Health Health Professional GOING VIRTUAL! Professional Member Non-Member 109.00 € 159.00 € 49.00 € 74.00 €

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Packed full of the most cutting • Instructional Course Lectures (ICLs) ESSKA members receive fantastic discounts on registration fees and many other benefits! edge insights into research and • Scientific Symposia If you are not a member, join ESSKA today! clinical practice in our field • Battle and debates www.esska.org/page/Membership delivered through: • Case studies • Interactive Q&A sessions • Free papers • Posters • Highlight and Keynote Lectures • And much more! Follow us! www.esska-congress.org ESSKA NEWSLETTER | 12 . 20 ESSKA NEWSLETTER | 12 . 20

Reprint of an eLetter published in the British Journal of Sports Medicine as a reaction to the article: in a study involving sham-surgery cannot possibly claim REFERENCES to represent the general populations of other countries. [1] Pujol N, Beaufils P. Save the meniscus again! Knee Surg Sports Traumatol “When taking a step back is a veritable leap forward. Reversing decades of arthroscopy for managing joint Arhrosc. 2019;27(2):341-342. [2] Seil R, Becker R. Time for a paradigm pain: five reasons that could explain declining rates of common arthroscopic surgeries.” This raises the question of the external validity of change in meniscal repair: save the meniscus! Knee Surg Sports Traumatol Ardern CL, Paatela T, Mattila V, et al. Br J Sports Med 2020;54:1311-1313. this type of study. This problem goes far beyond our Arthrosc. 2016;24(5):1421-3. [3] Beaufils P, Becker R, Kopf S, Englund discipline, and affects all medical specialties, urging M, Verdonk R, Ollivier M, Seil R Surgical management of degenerative meniscus lesions: the 2016 ESSKA meniscus consensus. Knee Surg Sports some authors to a return to so-called “real-life” studies Traumatol Arthrosc. 2017;25(2):335-346. [4] Lohmander LS, Thorlund JB, [13]. Our ESSKA Meniscus Consensus was a valuable Roos EM. Routine knee arthroscopic surgery for the painful knee in middle- contribution, in this regard, because it allowed for the aged and old patients--time to abandon ship. Acta Orthop. 2016 ;87(1):2-4. The orthopedic community does not oppose non-operative [5] Thorlund JB, Juhl CB, Roos EM, Lohmander LS Arthroscopic surgery real diversity of cultures and approaches but managed for degenerative knee: systematic review and meta-analysis of benefits treatment of degenerative meniscal lesions. to find a common path. and harms. BMJ. 2015 16;350:h2747 [6] Lubowitz JH, et al. Could the New England Journal of Medicine be biased against arthroscopic knee surgery? Part 2. Arthroscopy. 2014. 30(6):654-5 [7] Bollen SR Is arthroscopy of the • As we have already said, surgeons work within a knee completely useless? Meta-analysis--a reviewer's nightmare. Bone paradigm, unless or until that paradigm is proven Joint J. 2015 Dec;97-B(12):1591-2. [8] Beaufils P, Hulet C, Dhénain M, Nizard incompetent (at which point they will adapt and change). R, Nourissat G, Pujol N. Clinical practice guidelines for the management of meniscal lesions and isolated lesions of the anterior cruciate ligament And, as surgeons, they are trained to consider surgery of the knee in adults. Orthop Traumatol Surg Res. 2009 ;95(6):437-42 first [14]. This cannot be otherwise, and therefore every [9] Siemieniuk RAC, Harris IA, Agoritsas T, et al. Arthroscopic surgery for surgical study should be scrutinized for confirmation degenerative knee arthritis and meniscal tears: a clinical practice guideline. Br J SportsMed 2018;52:313. [10] Jacquet C, Pujol N, Pauly V, Beaufils bias or prejudice [15, 16]. Anathemas do not help, but P, Ollivier M. Analysis of the trends in arthroscopic meniscectomy and educational programmes do, if they are properly meniscus repair procedures in France from 2005 to 2017.Orthop Traumatol 1 2 supported. This is where universities and scientific Surg Res. 2019;105(4):677-682 [11] Benjamin R Parker , Shepard Hurwitz , Jeffrey Spang 3, Robert Creighton 3, Ganesh Kamath 3 Surgical Trends in societies are important, because they can reform an the Treatment of Meniscal Tears: Analysis of Data From the American inefficient paradigm. Board of Orthopaedic Surgery Certification Examination Database. Am J Sp Med. 2016;44(7):1717-23. [12] Reeves M. EPI-546 : Fundamentals of Epidemiology and Biostatistics. Course Notes – Lecture 7 The RCT.https:// • Patient expectations are also important because they learn.chm.msu.edu/epi/Coursepack/EPI546_Lecture_7_course_notes.pdf also reflect a paradigm, and one which may be out-of- [13] Saturni S, Bellini F, Braido F, Paggiaro P, Sanduzzi A, Scichilone N, Santus ROMAIN SEIL PHILIPPE BEAUFILS ROLAND BECKER JACQUES MENETREY date. What patients demand from their surgeons differs PA, Morandi L, Papi A. Randomized Controlled Trials and real life studies. ESSKA Past President ESSKA Consensus Advisor ESSKA Vice President ESSKA President Approaches and methodologies: a clinical point of view. Pulm Pharmacol from country to country. In many countries, patients with Ther. 2014;27(2):129-38. [14] Becker R, Kopf S, Seil R, Hirschmann MT, months of pain may despair of non-operative treatment, Beaufils P, Karlsson J. From meniscal resection to meniscal repair: a journey and urge a surgeon for something more active. This is a of the last decade. Knee Surg Sports Traumatol Arthrosc. 2020;28(11):3401- 3404. [15] Elston DM. Confirmation bias in medical decision-making. J Am Corresponding author: Romain Seil [8] and was followed by new UK guidelines [9]. As a result, mistake on their part, of course, but it is one which RCTs Acad Dermatol. 2020;82(3):572 [16] Reider B Editorial : To Cut … or Not? there have been changes to British regulations (which ignore. Here again, consensus and “real life” studies are Am J Sports Med 2015;43(10):2365-7. [17] Beaufils P, Becker R, Verdonk valuable, because they alone can correct such mistakes. R, Aagaard H, Karlsson J. Focusing on results after meniscus surgery. We have read your editorial with curiosity. Meniscal proves just how useful a scientific society can be, as a Knee Surg Sports Traumatol Arthrosc. 2015;23(1):3-7. [18] Seil R, Karlsson preservation is a major challenge for modern orthopaedics driver of efficient clinical best-practice). By contrast, your J, Beaufils P, Becker R, Kopf S, Ollivier M, Denti M The difficult balance [1, 2]. And when middle-aged patients have knee pain from editorial was limited to a few countries, and a small number • Then there is the diversity amongst healthcare systems between scientific evidence and clinical practice: the 2016 ESSKA meniscus which makes any global approach very difficult. The consensus on the surgical management of degenerative meniscus lesions. degenerative meniscus lesions or incipient osteoarthritis, of references. Knee Surg Sports Traumatol Arthrosc. 2017;25(2):333-334 their first treatment should be non-surgical. We are all type of healthcare-professionals, their availability, agreed about that. It was a clear conclusion from ESSKA’s It is clear that Arthroscopic Partial Meniscectomies (APM) and their pay, these all vary from country to country. (European Society of Sports Traumatology, Knee Surgery have been declining, and in many countries [10, 11], but not Coercion may not be the best way to limit the number and Arthroscopy) recent consensus project based on strict as fast as we might have expected. And we can usefully of APMs. We would prefer consultation, on the basis of and transparent methodology [3]. ask why this is — why there is an apparent lag between the proper and agreed data. scientific data and the everyday-practice (that is, between Unfortunately, your editorial overlooked our exhaustive what actually does happen, and what we think should be • Finally, it all takes time. The history of Meniscus Repair analysis and was, at times, more assertive than empirical. happening)? [17, 18], shows that it takes many years to develop medical It seemed to assume that orthopaedic surgeons and their and surgical practice. And there is a good reason for this. societies will oppose non-operative treatments, simply The answer is that we all work within a Scientific Paradigm. Paradigms are not fashions, that come and go with the because they are surgeons. This animus is unhelpful: it We are scientists, but also practical men/women. We are seasons. They are much more important. So we need to stigmatises our community; it creates mistrust amongst our trained in a paradigm, because it seems to offer the best and get them right. patients, and it risks more and disruptive regulations. And most efficient way. And we continue within that paradigm, we have already been here, with combative publications until the results prove it wrong (or less efficient). So, In conclusion: meniscus preservation is a major issue. For [4, 5] inviting combative replies [6, 7]. It was to avoid these although we broadly agree with the various pressure groups Degenerative Meniscus Lesions, the first-line treatment must immature polemics that ESSKA intervened. developed in your editorial, such as surgeons, patients, and be non-operative. But this does not exclude APM for selected regulatory systems — we fundamentally disagree with your cases, in accord with international recommendations. The We would note that ESSKA’s investigation — and the proposed solution. Our reasons are as follows: surgical community is not opposed to reducing APM in this subsequent Consensus Statement —involved 21 countries context. It is only through education and consultation, and [3] and has been disseminated, in their mother tongues, • The acceptability of RCTs may be questioned. Any accepting the cultural differences between countries, that to orthopaedic surgeons across Europe (English, Italian, RCT has weaknesses and limitations which should be such a common goal can be achieved. French, Spanish, German, and more). It began with recognised, particularly in the field of functional surgery recommendations of the French orthopaedic community [12]. Selection bias is one of the main arguments. Patients Needless confrontation, does not help.

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KSSTA Journal Update

Please look for the detailed information about web-based course (with detailed programme, top-level teachers) on the ESSKA and KSSTA websites shortly.

Finally, we would like to mention that we now have CME Credits in place. Currently we grade all reviews and credits are based on the quality of the individual reviews. We have already informed reviewers and distributed the diplomas and we have received many positive responses.

JÓN KARLSSON Read more: KSSTA Editor-in-Chief https://www.thelancet.com/series/research

During the last 12 months or so, we have seen a vast increase avoid such problems and errors in relation to methods and in submissions of Systematic Reviews (SR). They are gained study inclusion. We must make sure that the quality of the popularity and are more and more used in the scientific systematic reviews is high, as high as possible. Of course, world. They are also useful, and are much cited in scientific we cannot change the quality of the included studies. literature. They differ from the traditional narrative reviews Incorrect data, incorrect (or incorrectly used) methods will (or scoping reviews) in their scientific content and impact. reduce the value of any systematic review. Systematic reviews can be of different evidence levels, but the strongest ones are the level I evidence. On top of that, Today, we can find very well-established (and well-known) meta-analysis can often be added, if the included studies guidelines related to performing a systematic review, are relatively homogeneous. In fact, heterogeneity is the and how to write up the manuscript, making it useful and most common reason for not being able to perform a relevant. We can mention the Cochrane Handbook of meta-analysis. The good thing with meta-analysis is that Systematic Reviews, the Joanna Briggs Institute Manual we have bigger numbers and the statistics will be stronger. for Evidence Synthesis, and Manuals from the Guidelines One of the strongest issues about systematic reviews is that International Network and the Campbell Collaboration. Did you Know? bias is (can be) minimised. This may, however, not always be We need to strictly adhere to the guidelines, one such is the case. The final quality (and usefulness) of a systematic PRISMA (much used). We also need to critically appraise the review depends heavily on the input. With good studies risk of bias and eliminate bias as much as possible. Doing included, the outcome will be strong. With low-quality so, systematic reviews are an important part of Evidence- ESSKA FULL MEMBERS CAN OPT TO SAVE THE PLANET studies on the other hand, the outcome may be misleading. Based Medicine and Evidence-Based Research. AND ONLY ACCESS THE KSSTA JOURNAL ONLINE. In other words … “Garbage in, garbage out”. We need to NO MORE PAPER! avoid this by all means. As we receive several systematic reviews (with or without meta-analysis), we are forced to reject many already at an Systematic reviews can in many ways be useful to assess early stage due to incorrect methods (and we very well the effectiveness of treatment and to compare treatments. understand that authors in most cases have put a lot of work Sign-in & Save the Planet They may be very useful to improve patient care. They have, in conducting and writing their studies). We are planning a therefore, become more and more important for clinical web-based education under the patronage of ESSKA and decision-making of treatment and to help create clinical KSSTA to help authors write useful systematic reviews. guidelines with evidence. We plan to give the course at the beginning of 2021, as a Update the field “KSSTA delivery preference” one-day course. We are currently planning the course and to “Save the planet – online access sufficient” But, there is a downside too. We have repeatedly seen the following will be included; Evidence-based Medicine, great variability in the methods used and even if there are systematic review of evidence, different types of reviews or send an email to [email protected] strict rules (methods) to adhere to, all too few authors do (e.g. narrative, scoping, etc), inclusion criteria development, with your name and the text so. Because of this, all Systematic Reviews are scrutinised PICO, literature search, databases, protocol development, “I wish to save the planet – online access sufficient” for methods, included studies etc (by one method’s expert critical appraisal, bias detection, extracting outcome data, reviewer) before one of the editors makes the decision if the study selection, forest plots (and how to interpret, use and we will update your preference. manuscript should be sent out for peer-review (two content and understand), GRADE approach and assess quality of reviewers). We have seen that these manuscripts are of evidence and software advice. greatly varying quality. We would like to help authors to

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Tips and Tricks for Young Reviewers decimals are not relevant or useful. As a good rule, one • Be clear and concise. Write simple sentences and try decimal is enough). P-values should be checked and to be understandable. A good review does not need to Riccardo Compagnoni*, Daniel Perez Prieto*, Baris Kocaoglu*, Jón Karlsson** they should be no more than two decimals (e.g. p<0.05, be long. * ESSKA Under 45 Committee not P=0.00089). Non-significant p-values can be given • Be structured. Follow the same order and make ** KSSTA journal Editor-in-Chief as (n.s.). The reason for this is that p-values are not a comments for each section. Do not jump from one part scale, either the p-value is statistically significant or not. to the other. One important point is that if the results are too good • Take a look at the references. Although nobody (“if something is too good to be true, it is most probably expects you to know all the referred works, you can not true either”). randomly select and read some of them to check if they 6. Discussion: First paragraph of the discussion section are properly referenced (this is often a problem). should highlight the most important findings of the • And always remember to be empathetic, constructive study (this may be the only part some readers read). and polite. The next day, it is your own paper that will Discussion should not be too long; not more than be reviewed. three or four (max) pages. It should not be like a review of literature, (authors don’t have to tell the readers You should not do the following: everything they know and they should not repeat information in the Introduction). Hypothesis should • Do not make wrong considerations and for wrong RICCARDO COMPAGNONI JÓN KARLSSON be confirmed or discarded. Discussion should contain reasons. The manuscript files are often long, with tables a paragraph of limitation and clinical relevance of the and pictures at the end of files. Do not recommend to study, close to the end. insert a table that already exists. 7. Conclusion: It should contain the new information that • Do not be biased. Don’t accept to review a manuscript was found, nothing else. It should not be … ”based on written by your friend (accept with minor revision) or by There are several reasons to review a new study. When 2. Abstract: It should be of proper length (many journals these findings, we believe”…. This section should be your worst enemy (reject with shame!), don’t do this, as reading a manuscript, you, the reviewer, have the privilege restrict the length to 250-300 words), should contain short and concise; one to two sentences is enough. it is very unethical. of being the first to know and understand the latest results administrative parts, like the most important methods 8. References: References should be relevant and up- • Do not be an opportunist. The reviewer could suggest of the investigations and also keep yourself up-to-date and results and also level of evidence. Purpose and to-date. Classic papers may be needed, but should be inserting references to his own studies. Doing this (not only because of the manuscript review, but also its hypothesis should also be given here. At the end of the limited. without any good rationale should be avoided. references), [1,2]. It is also a public service and although abstract, conclusion and clinical relevance should be 9. Figures: Those should be of good quality and limited in • “Salt in the wound”. Rejections are always bad news usually unpaid, it has other advantages (fee reduction to provided. number. You, as a reviewer should check for repetitions for the authors, but do not reinforce the bad message open-access journals, CME credits with CV improvement, 3. Introduction: Keep it short, one page only is a good (check results and tables). Sadly enough, authors often by depriving them of the hope of future publication in society recognition), [2,3] . rule, or even shorter. You should avoid writing the submit figures of low quality, such as low-tesla MRI and other journals is inappropriate. “good, old things”, like … hip fractures are very common drawings done by amateurs. You should always check • Do not follow incorrect guidelines. Reviewers often To be a good reviewer, you must first know the anatomy of in elderly women… everybody knows this and journals the legends to a figure; is it meaningful and does it perform reviews for several different journals (they the study. For this purpose, the hierarchy of the evidence is are not asking for old news, quite the contrary. It should describe what was found? Same with tables. all have different formats), so to make consideration important; raise the question “What is new and most important 10. Tables: Tables are always good, but they should not following the instruction of another journal is Level 1: Randomised trial finding, and how is this study useful in clinical practice?”. merely repeat the results; they should be a compliment embarrassing. Level 2: Prospective cohort study, or a randomised trial with A clear hypothesis should be given in the last paragraph. and can be used to give the details of a study. • Do not miss the deadline. Reviewing is a time- limited cohort and less than 80% follow-up Multiple hypotheses bring problems with understanding Abbreviations should be explained in detail. consuming activity, but respecting deadlines is crucial Level 3: Case control study and complex statistics, so try to avoid multiple aims and for maintaining the quality of the journal. Level 4: Retrospective case series (the most common multiple hypotheses. This will almost invariably lead to As an overall review, please check overall scientific quality - orthopaedic study) trouble. is there anything new and exciting? Does the study fill a gap We hope that by following these simple rules, all young Level 5: Opinion (most Case Reports are Level 5). 4. Material and methods: First, start with the IRB approval. in literature? Also check its clinical relevance and usefulness. researchers will have the opportunity to become the And, you should end with the statistics, where you Check its scientific writing and language. Your task as a guardian angels of their editors, improving their scientific We must also keep in mind that the bias of any study describe all the statistical methods that were used. This reviewer is not to correct spelling errors, but you should knowledge and helping authors to publish high-level increases from Level 1 to 5 [4] . After bias check, the reviewer must include the sample size calculation, which is very point out for instance that … English needs improvement… studies. should specifically look for the scientific contribution (the important. Enough subjects (patients or what is needed) news value), length (manuscript should not be too long should be included and not too many. If fact it is unethical Here we propose some more tips for you as a good reviewer; REFERENCES and verbose), the flow of the text, language, and limitations to have too few patients (type-II statistical error) or too it is up to you to decide! [1] Hoppin FG (2002) How I Review an Original Scientific Article. Am J Respir (all studies have limitations, so any writer should always be many patients (type-I statistical error). Always bear Crit Care Med 166:1019–1023. [2] Kelly J, Sadeghieh T, Adeli K (2014) Peer Review in Scientific Publications: Benefits, Critiques, & A Survival Guide. honest about the limitations and give honest information. in mind that a statistical correction (Bonferroni) for • Taking time is crucial to understand what the authors EJIFCC 25:227–2432. [3] Jefferson T, Alderson P, Wager E, Davidoff F (2002) In fact, limitations can be good too, they may lead to new multiple testing may be needed (in between IRB approval mean. Generally, it is recommended to read the Effects of editorial peer review: a systematic review. JAMA 287:2784–2786. studies, without or with less limitations). and statistics, you should check the methods, and all manuscript quickly first, then rest on it and thereafter [4] Musahl V, Karlsson J, Hirschmann M, Ayeni O, Marx R, Koh J, Nakamura N. (2019). Basic Methods Handbook for Clinical Orthopaedic Research. A methods should be described in such a way that the read it in further detail in a few days. Then you should Practical Guide and Case Based Research Approach. Springer; 1st ed. 2019 Next step is to review of the manuscript in detail: study can be repeated by another researcher.) Finally, go deep [1]. Edition. 1. Title: The title should be not be too long, and it should check the accuracy of the measurement methods. • Always be honest. Do not accept to review manuscripts say something. It should not be a technical description. 5. Results: An important question is: do the results if they do not belong to your field, or at least inform the It should contain the results and conclusion of the study match the methods? When reporting results, accuracy editor that your contribution will be related to the form in 1-2 lines (not more). Never use a question in the title. is important, check for decimals (usually multiple and the structure rather than the content.

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JEO sees tremendous progress in 2020

STEFANO ZAFFAGNINI JEO Editor-in-Chief

My first year as Editor-in-Chief of JEO has just ended. It was, interesting interview on methodology in orthopaedic undoubtedly, a difficult year but the satisfactions that this research. Once again, I invite you all to read that interview new experience gave us were priceless. I would therefore and keep in mind the suggestions gathered there. I like to share with you the success we achieved and also would like to thank Jón Karlsson also for the wonderful make you aware of upcoming events. collaboration KSSTA is providing. The best manuscripts rejected by KSSTA editors, not for methodological The most important news is that the number of papers shortcomings but for misunderstandings in aims and submitted to JEO in 2020 (around 150) has more than scope, are now recommended to JEO, and I can personally doubled compared to the previous year. A partially contact the authors and encourage them to transfer their unexpected growth, which shows that authors started to be papers to JEO. This "cascade from KSSTA" has increased aware of the scientific value of our journal, and appreciate along the year, and one of my goals for 2021 is to be able the advantages that we offer to researchers who wish to to reward the best of these manuscripts with a special offer. publish with us. To date, we can tell that the timeframe from Please, follow us for more information on this early 2021. submission to first decision is less than 30 days, and only a few days between the submission of the last revision to In the last months JEO has also made big and quick steps acceptance. At the same time, we have managed to maintain on the web and social media. The journal has now a new a high scientific quality of the papers, and JEO is likely to website, where authors and reviewers can find dedicated receive its impact factor soon. This will more prominently pages. Please check what we do on Facebook, Twitter and place our journal at the level of other appreciated journals Instagram where we also promote our best papers. in the field of orthopaedic research. If I look to the future, my main wish is to increase the All along this year, ESSKA has been offering various number of faithful and willing reviewers, as our plan is to waivers, vouchers and discounts with the aim of supporting shorten the publication timeline even more. "We want you!" researchers who wanted to publish in JEO. We would like Uncle Sam would say. Thanks to ESSKA, we can now offer to thank our partner - ON Foundation – for supporting the CME credits to reviewers for their valuable work, so please publications dealing with Covid-19 effects on orthopaedics, consider. My second goal is to reward reviewers with special and papers on cartilage. invitations to lectures or training courses. I believe that being a reviewer for JEO could be an excellent opportunity International expert researchers and professors have been for our young colleagues to enter the world of research and invited to write articles on specific hot topics; some of develop critical thinking towards evidence-based medicine, these articles have been collected in the 2020 Special Issue, that is a fundamental skill not only in research but also in while others have been published individually. I would everyday clinical practice. like to sincerely thank the authors of these manuscripts, in particular, my three fellow editors Jón Karlsson, Bruce Register here and be part of our journal, you will be Reider and Edward Wojtys, with whom we compiled an welcomed!

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Pillars of ESSKA What was the reason you joined ESSKA? that time (including also Daniel Fritschy and Neil Thomas) chose me as the General Secretary and João Espregueira- ESSKA likes to honour individuals who have been the “pillars” of our society. Pure coincidence! My mentor Stefan Rupp was not able Mendes as Treasurer to help restructuring the society. In the current issue, we will focus on Professor Romain Seil. to travel to the ESSKA Congress in Nice in 1998, so he sent Interview with Romain Seil by Juan Carlos Monllau. me there to give his free paper presentation which dealt How was the society at that time? with the mechanical performance of human BPTB-grafts during the avascular period early after implantation. So, Much smaller and very different than it is today. Although the fact that he could not travel made me discover ESSKA the flagship activities like the biennial Congress, the ESSKA and immediately feel attracted by the society and the journal and the ESSKA-AOSSM travelling fellowship already professional values it represented. After the Nice Congress, existed at that time, many of the activities existing today had I applied immediately to become an ESSKA member. This not been developed and the leadership had no or only very was confirmed two years later in London where I presented little professional support. We had no staff, no promotional several studies both from my work in Homburg and in material, no decent homepage. We did not even have a Pittsburgh. This set the basis for my later selection as correct mailing list of our members. ESSKA-AOSSM travelling fellow in 2001 with Patrick Djian from France, Gianluca Camillieri from Italy and Pierre How has ESSKA changed since you first joined the Chambat as godfather. society?

ROMAIN SEIL ESSKA President 2016-2018 When did you get involved in the Board of ESSKA? Dramatically! In the good sense, of course. From 2002 to 2004 we worked very hard to reshape ESSKA’s economy At the ESSKA Congress in Rome, Pierre Chambat and the in order to establish financial security for the years to come. incoming President Karl Peter Benedetto wanted to include This worked through a mid-term congress commitment young colleagues in the Board. That’s why the leadership at with Intercongress, our former PCO. That basis allowed us What was the reason for you to get interested in I was lucky to have several professional mentors at each sports medicine? stage of my professional development. I remember one of my 1 2 early teachers in Belgium giving me a bunch of Arthroscopy My motivation to study medicine was closely related to Journals in the early 1990’s that I discovered with great the wish to become an orthopaedic surgeon and, moreover, interest to a point that I read Steven Burkhart’s famous article a sports surgeon from the very beginning. This was related to describing the suspension bridge model of the rotator cuff my love of sports through my activities as a handball player on the beach during my honeymoon. Later, at Saarland and my early frustrations related to sports injuries many of University Hospital in Homburg/Germany, our colleague my teammates and I had to suffer from. The importance of Prof. Stefan Rupp, an excellent surgeon scientist, taught me sports was anchored in my genes, with my father being very a lot about surgical research and publishing. He helped me active in sports and sports organisations. He had to give up to design my first studies and without him I would not have sports very early in life and later became a sports journalist been able to publish my first articles in KSSTA, the American covering Olympic games and FIFA world cups in the 1970’s Journal of Sports Medicine and the Journal of Arthroscopy. and 80’s. With a medical and paramedical background In 1996, Prof. Dieter Kohn became chairman of the Depart- coming from my mother’s side, the mix is easy to understand. ment of my University. Dieter was a great clinician and teacher, an excellent surgeon-scientist, and an internationally well- Interestingly, sports seem to be the common known pioneer in arthroscopic surgery. He took me and sev- denominator in many members of our organisations with a eral other young colleagues like Michael Dienst, Dietrich Pape 3 4 5 background of sports medicine. In a strategic meeting that or Henning Madry (who are now well-known for their pioneer- we held with the leadership of the German speaking sports ing work in hip arthroscopy, knee osteotomies and cartilage trauma association (GOTS) in 2018, we noticed that all of us research respectively) under his wing and formatted us from a - without a single exception - had a strong personal relation clinical and scientific perspective through his leadership, rigor with sports in the early stages of our lives. and discipline. It was Dieter who also provided us with possibil- ities to attend international congresses like ESSKA or ISAKOS, Who were your mentors? and to participate in exchange programmes like travelling fel- lowships. Under his guidance, I was lucky to be selected for A quote by Benjamin Franklin says, “Tell me and I forget, two travelling fellowship programmes. The first programme teach me and I may remember, involve me and I learn”. was the first ever exchange between AGA and SFA in 1996 that That’s probably what summarizes a good mentor and, in Dieter had initiated himself; the second was the extraordinary retrospect, I can identify several of them throughout every successful AGA-Pittsburgh fellowship exchange programme stage in life. From a private perspective, it starts with my initiated by our ESSKA Past President Prof. Karl Peter Bene- parents, some teachers and coaches and later my wife detto and Prof. Freddie Fu. The time spent in Pittsburgh was 1. With Katy and Julie in Paris at an ESSKA Board Meeting with whom I share a mutual mentorship relation for several awesome. Not only because I went there with my young family 2. Prof. Dieter Kohn's retirement ceremony in Homburg/Saar in September 2018 (my former mentor) decades now. A highlight is when your kids start mentoring (our youngest was two months old), but also because of the From left to right: Prof. KP Benedetto (former ESSKA president), Prof. CJ Wirth (former ESSKA president), Prof. Dieter Kohn and me you, for example, when it comes to social evolutions you’re outstanding facilities at UPMC in research and medicine as 3. Romain’s wife Katy, and daughters Lena and Julie 4. At the APKASS meeting in Seoul, 2017 not really into, like social media etc. well as Prof. Fu’s extraordinary leadership and generosity. 5. A young Romain Seil

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starts to work increasingly well. This is the first European and orthopaedic sports medicine. Although the knee is 6 7 registry in orthopaedics, and I am proud to have brought still the strongest joint represented in ESSKA, other joints this under the umbrella of ESSKA. But we need to work have become increasingly represented. Historically, this hard to improve it on a daily basis. Fortunately, we have was due to the transversal approach which was brought found a great team to take care of it with Caroline Mouton through the ‘A’ that stands for arthroscopy in the name, a from Luxembourg, our Basic Science Committee Chair, technique that started in the knee and then subsequently and Havard Moksnes from Oslo in the lead. Besides this, I conquered one joint after the other. This transversality fits was planning to organise the conference ‘The Meniscus’ well with orthopaedic sports medicine, which is transversal in Luxembourg in 2021, which we decided to postpone to by nature. A good guide for ESSKA’s future development 2022. Likewise, I am currently the President of GOTS where is therefore the recently established Core Curriculum that we just edited the first German-speaking book on sports defines the 285 ‘ESSKA competencies’. injury prevention, and I am heavily engaged in Reform, the French-speaking network of the IOC research centres for What advice would you give to the young generation? the prevention of athletes’ health. In Luxembourg, I am also contributing to LIHPS, our newly created Institute for High To stay curious, open-minded and critical in whatever

8 9 performance in Sports, I am the President of LIROMS, a new they do. But also, to remember where we come from. My ESSKA’s affiliated society, and recently became director of generation grew up in the cold war and was still heavily the division of musculoskeletal diseases and neurosciences affected by what happened to the generation of our parents in my hospital. This keeps me busy. and grandparents. Then came the end of communism and Europe suddenly got the opportunity to grow together. How do you see the future of ESSKA? Unfortunately, and for many reasons, this was not managed in the best way by our political leaders. This job is not ESSKA has equipped itself with the necessary tools to finished and that’s where our young generation can make remain successful in the future. As long as it has committed a difference on many different levels. ESSKA is the perfect and hard-working scientific and administrative leadership playing field for such an endeavour. which believes in collective intelligence and which can think at a supranational level, I am not worried for the What is your passion outside of medicine? future of ESSKA. It is a strong brand with an increasingly global footprint producing high-level orthopaedic science I was too busy over the last three decades to cultivate a in a spirit of friendship and collaboration. Over the last two real passion outside of medicine. But I love doing a minimum to hire Mrs. Sandy Kirsch, our first professional staff member much more developed at various levels of our civil societies. decades, we worked hard to get there and I hope that it will of sports (jogging, hiking and alpine skiing), travelling with in my hospital in Luxembourg. That was in 2005. She got a It was also Niek who brought our Executive Director remain that way. As for now, with the current leadership, my family and visiting museums, historic places and cultural tiny office where she worked on a half-time basis. After six Zhanna Kovalchuk to our headquarters in Luxembourg and this is guaranteed for many years to come. exhibits. I hope that I will find more time in the future to months, we hired her full time and half a year later we hired it was through her leadership that ESSKA became what it read and maybe also for my early passion of photography. another staff member, Mrs. Brigitte Dolenc. Both have since is today: a global leader in joint surgery and orthopaedic In what direction should the society move / What left, but they did a great job in establishing the administrative sports medicine. She succeeded in developing a fantastic steps do you believe we, as a society, should undertake? I assume you are pretty busy. How do you manage for basis of a scientific society. After that, the number of ESSKA team with broad and high-profile competences in not-for- reconciling work and family life? activities skyrocketed, with lots of fellowship opportunities profit association management. Today ESSKA has so many I do not think that ESSKA should make significant among others with our sister societies SLARD and APKASS. successful programmes and initiatives that it has become a changes to its direction. Over the years, the profile of I guess the secret is that I was lucky to find the right In 2008, we transferred the headquarters officially to real institution in our field of medicine. ESSKA has slowly evolved into a society for joint surgery partner in life. Katy and I met when we were medical Luxembourg, where ESSKA’s professionalization process students, and we have kind of grown up together, as a team. was to be continued. This would not have been possible With regards to the profession, what is currently your 10 As a psychiatrist for children with a systemic orientation, without the support of the successive ESSKA Presidents main area of interest? she got used to managing all kinds of family problems. Daniel Fritschy, Neil Thomas and Lars Engebretsen and my She brought these skills into our relationship to guide us hospital, the Centre Hospitalier Luxembourg. A cornerstone Well, there are several areas of interest I am currently through various phases in life. In addition, it was mainly she in ESSKA’s activities was the year 2010, when Niek van developing. From a surgical point of view, knee soft tissue who took care of our two daughters and who managed our Dijk introduced the first strategic meeting in Amsterdam. injuries are my main area of interest. Although a big part of home. So, she worked at least as hard as I did, and we were This was a very new approach and to many of us a totally my practice goes into the degenerative knee, understanding lucky to never lose each other. You understand that I owe new paradigm in society leadership – away from the and improving the treatment of meniscus and ligament her a lot and that she owns a big part of my professional paternalistic towards a shared leadership approach. Niek injuries is my main focus. Having initiated our institutional success. put an enormous amount of energy into this project which ligament registry around 10 years ago provides us now with totally changed our way of functioning. It was so successful a large amount of research opportunities which I share that it has been repeated in various formats every two years with my team and an increasing number of international Thank you Romain, it has been a pleasure ever since. In retrospect, by analysing how successful this fellows. Likewise, the paediatric ACL monitoring initiative speaking to you! was for ESSKA, I think that this type of initiative should be (PAMI) which I setup together with Lars Engebretsen

6. 7. With Katy at the 2019 ISAKOS Congress in Cancun 8. Awarded Honorary member at SIGASCOT 2018 9. With colleagues Stefan Rupp (left) and Dietrich Pape (right) at Dieter Kohn's retirement ceremony 10. With Katy on a boat trip in Arcachon, France

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ESSKA-AFAS looking forward to 2021 ESSKA-ESMA: staying healthy and safe in 2021

DANIËL HAVERKAMP GIAN LUIGI CANATA ESSKA-AFAS Chairman ESSKA-ESMA Chairman

This year was not as we expected that it would be, and now We also look forward to welcome all AFAS members at We are facing now hard times and fighting an invisible enemy study specific topics: Achilles tendon injuries, ACL lesions that the second wave is hitting Europe it is not sure how ESSKA’s virtual Congress in May 2021. that is menacing our health and challenging our social in the growing athlete, Ethics in Sports, Return to Sports soon things will become normal again. For us as ESSKA- life. Humanity has survived in the past similar pandemics after Ankle Ligament Injuries, Return to Sports after ACL AFAS Board, this is an exceptional challenge. Instead of We are now working hard on the next events in the coming and this time we should be confident that there will be a reconstructions, Return to Sports after Stress Fractures meeting old friends, seeing our new board members we are period. First of all, the ESSKA webinars have been launched. positive end to a real nightmare. The way out is through Groin Pain, Management of Hamstring Injuries, Personalized now staring at out computer screens from our safe offices Short concise webinars filled with specialized information. the respect of the rules we have learned to stay safe. But Prevention of Injuries Depending on Sports Practice. You are and communication became virtual. We all do miss the For the coming autumn and winter, I can imagine us sitting we are also living beings who need physical activity to stay free to select the topic you find the most interesting. Join us! meetings, since these meetings are extremely important for behind the fireplace with a good glass of wine watching and grow healthy. This is why sports exist and are practiced us as a group. Share knowledge and ideas is best done in live these. In my opinion that should beat Netflix! But the worldwide. We all have observed the detrimental effects ESMA will also organise three webinars in 2021 on Patellar settings and the atmosphere of being with ESSKA friends smaller ESSKA’s ‘All about...’ courses can probably also start of the lockdowns on the population and are, therefore, tendinopathies (21 April 2021), Achilles tendinopathies somewhere in Europe is part of the ESSKA foundation. But again in 2021, we have planned two sessions so far. aware that there is now an even higher need to promote a (14 July 2021) and Paediatric ACL (27 October 2021). More times will change again and regular meetings will be the healthy physical activity. Our mission is to make safer sports information is available here. new normal again, and we do hope to see you in person at Beyond that the preparations for the biennial Congress in practice, working on proper prevention and management ESSKA Speciality Days in September 2021. Paris in 2022 have also started. Any input from our members of sports injuries. We are thus inviting all those working Warsaw will host the next ESSKA Speciality Days, 3-4 regarding topics are more than welcome. Remember every in the field of sports to follow more closely ESSKA-ESMA: September 2021. The ESMA sessions will focus on Sports As ESSKA-AFAS, we organised highly specialized sessions cloud has a silver lining and at a certain point corona will we are favouring more connections between the different Injuries in Children and Adolescents: the best international on injuries of the athlete’s foot and ankle. Session on be nothing but history and ESSKA life will return to normal. categories of professionals working in the same field. experts will discuss in six sessions on Prevention of Injuries, peroneal tendon injury, lis franc injuries, instability and So, sports medicine doctors, orthopaedic surgeons, Overuse Injuries, Knee Injuries, Muscle and Tendon Injuries cartilage damage. We also re-introduce the old-fashioned trainers, physiotherapists and sport scientists – you are and Return to Sports. case discussion, in which participants can bring their own invited to join us to improve our common knowledge and Participants will experience a full immersion in a wide range of cases. By then we really want to interact again with fellow help athletes to stay healthy and safe. topics breathing the most updated knowledge in the field. Free ESSKA members. ESSKA-ESMA is active scientifically in different ways: papers are very welcome. Eighteen of them will be included in publishing books, booklets, papers on new studies, the different sessions and discussed together with the main organising focus groups, webinars, surveys, consensus presentations: you all are invited to participate actively. meetings and courses for team doctors and other Young athletes play adult sports inside growing bodies professionals involved in sports activities. without the experience of adults and are exposed to specific even serious injuries that could be better prevented Next year we will present two booklets: one on Art and than managed. This is a clear example of the importance of Sports focused on Dance, Martial Arts and Bull Fighting. the interaction between all those around the young athlete The editors are Henrique Jones and Angelina Lukaszenko. like sports medicine physicians, orthopaedic surgeons , The other on Epidemiology of Injuries in Different Sports, sports scientists, physiotherapists and trainers that will get with Gian Luigi Canata and Henrique Jones as editors: 100 better results in their respective roles establishing a more authors experts in their specific field covering 24 different common language and improving cooperation. sports. Other ESMA articles, starting with muscle and tendon The ESSKA mobile app is an easy and interactive way to access and subscribe to ESSKA's offerings. injuries topics, will be published in the ESSKA newsletters. These ongoing ESMA activities are open to all of you interested Go to Google Play and download it today! in the field of Sports Medicine - exchanging knowledge is the ESMA members will be also invited to join Focus Groups to best way to improve! Come, join ESSKA-ESMA!

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A few words from the ESSKA-EKA Past Chairman The unique European Knee Associates and European Hip Society collaboration

NANNE KORT ESSKA-EKA Past Chairman

Proud, grateful, honoured and optimistic. Those are the I plea for looking forward instead of through the rear mirror, "When one door closes, another opens; but we often look We believe that in the forthcoming period EKA and EHS words that come first in mind as leaving Chairman. We are and approach the potential of Data Driven Healthcare so long and so regretfully upon the closed door that we do will reinforce each other even more due to the unanimity living in challenging times, we have multiple crises in the in different ways than we are used to in traditional not see the one which has opened for us." A famous quote that comes from dealing with a crisis, but also from seeing world, of which COVID-19 is the one currently impacting all orthopaedics. We are adding software to our traditional by Alexander Graham Bell. If we look at the COVID-19 opportunities. our lives and my thoughts go out to all direct and indirect hardware. I believe in a care system where the Patient pandemic, I have the feeling that EKA and EHS did not look REFERENCES personal suffering because of it. COVID-19 also united us in is really in the centre, while we are at the forefront of long at just one door. Together we immediately opened [1] Resuming elective hip and knee arthroplasty after the first phase of several ways. United, EKA published insights on the impact innovation. Then, all our patients receive tailor-made care, a few others and started working on multiple projects the SARS-CoV-2 pandemic: the European Hip Society and European Knee together with EHS and AAHKS. All good things evolve and we, as care providers, learn continuously and directly to help to deal with the COVID-19 crisis. Together we Associates recommendations. Kort NP, Barrena EG, Bédard M, Donell S, Epinette JA, Gomberg B, Hirschmann MT, Indelli P, Khosravi I, Karachalios from collaboration. That is why I am proud, grateful and from all decisions that we make. We have technologies at started working on recommendations and getting data T, Liebensteiner MC, Stuyts B, Tandogan R, Violante B, Zagra L, Thaler honoured to see this work at the end of my term. our proposal that facilitate the maximum synergy between on the impact around the globe from an orthopaedic M. Knee Surg Sports Traumatol Arthrosc. 2020 Sep;28(9):2730-2746. [2] doctor and technology. perspective. The excellent proof of this collaboration is Recommendations for resuming elective hip and knee arthroplasty in the setting of the SARS-CoV-2 pandemic: the European Hip Society and But I also see a lot of exciting things happening in the world. In my practice working with Robotic-arm Assisted Surgery a series of publications on the effect, the preparation for European Knee Associates Survey of Members. Kort NP, Barrena EG, Bédard Things that were already happening before COVID-19 hit and a data platform, I have insight on how I am doing in most resuming surgeries, preparation for the next wave, ethical M, Donell S, Epinette JA, Gomberg B, Hirschmann MT, Indelli P, Khosravi I, us. This is another reason why I start this letter with: Proud. of the process steps in all my arthroplasty surgeries. This implications and so on. [1, 6] Karachalios T, Liebensteiner MC, Stuyts B, Tandogan R, Violante B, Zagra L, Thaler M. Knee Surg Sports Traumatol Arthrosc. 2020 Sep;28(9):2723- My chairman period was during the first years of the fourth digitisation gives me the possibility to look for possibilities 2729. Epub 2020 Aug 18. [3] Preparation for the next COVID-19 wave: The phase of the industrial revolution, which I find exciting. After to improve and to compare my outcome to my average or These publications tightened the already existing EKA-EHS European Hip Society and European Knee Associates recommendations. around 250 years we closed the third phase (Introduction a benchmark. collaboration and will bring us more supporting output Donell ST, Thaler M, Budhiparama NC, Buttaro MA, Chen AF, Diaz-Ledezma C, Gomberg B, Hirschmann MT, Karachalios T, Karpukhin A, Sandiford of the Computer) and entered the fourth. A new period that soon. To be more precise, EKA started a project on fast- NA, Shao H, Tandogan R, Violante B, Zagra L, Kort NP. Knee Surg Sports is characterised by the fusion of the digital, biological, and With Robotic-arm assisted surgery, we now mostly talk track surgery to improve the patient experience of care Traumatol Arthrosc. 2020 Sep;28(9):2747-2755. Epub 2020 Aug 17. [4] physical worlds, as well as the growing utilisation of new about: Semi-active systems. These utilise handheld or (including quality and satisfaction), leading to reducing the Home-based management of knee osteoarthritis during COVID-19 pandemic: literature review and evidence-based recommendations. technologies. A period that will also signal a new era in surgery. controlled, forced robotic assisted devices, e.g., MAKO or per capita cost of health care and meanwhile improving Karasavvidis T, Hirschmann MT, Kort NP, Terzidis I, Totlis T. J Exp Orthop. Rosa. Or we use navigation during surgery with techniques health care workers satisfaction, this was an EKA, EHS and 2020 Jul 19;7(1):52. [5] Resuming hip and knee arthroplasty after COVID-19: During my early years as an orthopaedic surgeon, I worked like Navio. But from a DATA point of view we might need to AAHKS collaboration. We also started the next round on ethical implications for wellbeing, safety and the economy. Kort NP, Zagra L, Barrena EG, Tandogan RN, Thaler M, Berstock JR, Karachalios T. on maturing care pathways. By using Business process look to the more significant offering of Computer Assisted supporting the orthopaedic community in dealing with Hip Int. 2020 Sep;30(5):492-499. Epub 2020 Jul 7. [6] Disruption of joint redesigning, Medical process redesigning, Lean, Six sigma and Surgery and see the DATA possibilities also in the smaller COVID-19 since the second wave is currently happening arthroplasty services in Europe during the COVID-19 pandemic: an online all other methodologies, we were able to optimise hip and knee solutions like Patient Specific Instrumentation. in multiple countries. Since we are in a situation of lifelong survey within the European Hip Society (EHS) and the European Knee Associates (EKA). Thaler M, Khosravi I, Hirschmann MT, Kort NP, Zagra L, arthroplasty significantly. This work reduced the long length learning, it is of great importance to keep on sharing Epinette JA, Liebensteiner MC. Knee Surg Sports Traumatol Arthrosc. 2020 of stays in arthroplasty to overnight or even day-care surgery. Yes, I also keep working on improving ‘regular’ aspects in experience and knowledge during this COVID-19 pandemic. Jun;28(6):1712-1719. Epub 2020 May 2. And now we are at the forefront of the next step: Data-driven Fast track surgery or a surgical approach. But I also want to Healthcare. We can make the healthcare more transparent and use the opportunities that we have in this new era we live in. use technology to evaluate, simulate and stimulate. Robotic I hope you all join me in shaping orthopaedic surgery into Assisted Surgery and Patient engagement platforms combined this new and exciting era. with wearables will give a tsunami of data. If we canalise this data in the right way, we have so many opportunities to have I want to finish with a big thanks to all the excellent multiple closed feedback loops and use the PDCA cycles in colleagues I worked with over the last years, and believe optima forma. This is why I am so grateful and optimistic about that together we will keep on working within EKA in this the years ahead. Let’s enter this new era in surgery. passionate way!

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ESSKA-ESA looks forward to 2021 In this regard, to stay connected and active we organised a level. Along with the ESSKA virtual Congress, this will be our Closed Meeting for ESA members in November. I hope you main event next year and I am inviting you already to join enjoyed this event and the opportunity to see each other. us! We expect that the agenda next year will be full for all In fact, this has been the only possibility since March to be of us, so it is now the time to save the date. ESA topic will together, even though virtually. be, as you already know, Anterior Shoulder Instability. The Scientific team wants to show that this is actually one term Education is one of the most important drivers of our which hides a broad spectrum of pathology. We expect society and also one of the most important benefits that that the programme will give us up-to-date information could be offered to the members and larger audience. about scientific evidence and how it correlates with expert Internet based education was not the lead priority of our opinion. The mainstay will be again practical tips about activities until now. The situation, when many meetings key points of different surgical procedures and case-based were cancelled or postponed, made us to accept the next discussions. Our main goal is to keep the interactivity and challenge of web based educational events. As you know, friendly atmosphere of the meeting. ESSKA has successfully begun a series of webinars and ESA’s one - “First shoulder dislocation” - will be discussed How to stay connected, and not just in contact?! It is actually from many aspects and I believe that this will be a great the main challenge for us all... We remain open to your educational experience for all of us. This is just the first in ideas and are thankful for your initiatives and cooperation. line of our shoulder topic webinars, and there are more to We strive for our activities to be an answer to the challenges LADISLAV KOVAČIČ ESSKA-ESA Chairman come next year. of your professional life.

The next task for ESA will be the organisation of our meeting I hope that expiring year was successful for you, at least in within the ESSKA Speciality Days in Warsaw, Poland, on 3-4 some areas of your life. Think about the moments which We are at the end of this strange year which brought to In the last few months we faced the challenge of how to September 2021. Many of us who attended this brand-new enriched you and keep them in your memory. I wish you us new experience of living. Facing the feeling of being stay connected in the current situation. We accepted the format of scientific event in Madrid 2019 felt the success very nice festive month of December and hope you enjoy powerless and having many restrictions in our life, we are benefit offered by digital and virtual technology. The digital in terms of scientific value and social networking. ESA is the holidays. at the same time trying to respond to the challenges and meetings become nearly everyday practise. We realised preparing the meeting which will be at least on the same maintain our activities, interests and relationships. All this is that in this way we can stay in contact, but it is difficult to true for our private life and for the activities of ESSKA, and be connected, quoting ESSKA President Jacques Menetrey ESA Section as well. from the presidential editorial of the September ESSKA newsletter. ESSKA book included in Doody’s Database

The ESSKA book "Massive and Irreparable The inclusion in Doody's Database will Rotator Cuff Tears: From Basic Science to offer even greater visibility to the book and Advanced Treatments" has been included represents a further acknowledgment of in Doody's Book Reviews Database, and its high scientific value. it has been classified as a 2 stars title (64/100) based on the review made by Congratulations to Editors: Benjamin Goldberg, M.D. (University of Nuno Sampaio Gomes, Illinois at Chicago College of Medicine). Ladislav Kovačič, Frank Martetschläger, Doody's Review Service, to which Springer Giuseppe Milano, submits all its publications in medicine Check it out! and biomedicine, features the Web's most and the many ESA authors that ESA made a video about what their section means to them, and invite others to join: comprehensive database of both print and collaborated with their quality content. electronic titles in the health sciences. And then a clickable graphic of the FB video (https://fb.watch/1Sdyhy5eeK/)

Check it out! ESA made a video about what their section means to them, and invite others to join:

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The use of social media for a scientific organisation. interact. Even governments use social media to interact As far as the content is concerned, the posts with presidential with citizens, to foster citizen participation, to further open presence, accompanied by photo or video from the section’s Beyond “likes” and “shares” government, and to analyse or monitor public opinion and Chairman, had attracted 2-3.5 times more followers than activities [3]. the average posts. The content posted during events (congresses and courses) had 2-4 times more engagement Concerns than the average. Also, these posts had the most comments Establishing a strong digital presence and online reputation and shares. As far as the announcements are concerned, can be a strong source of new members and should become abstract deadlines, fellowships, and events information even more important in the future. However, ethical and had the most reactions. The events announcement and privacy issues have been raised as far as the use of social the meetings summaries had greater correspondence media for marketing of scientific health organisations when photos of Board or simple members were included is concerned. These concerns frequently focus on the in. Information for book publications had considerable potential for negative repercussions resulting from the involvement; however, it may be due to the participation of breach of patient confidentiality. many members (and page followers) between the authors. Protecting a patient’s identity is often more difficult than Promotional videos (non-scientific) with the participation might be expected. A study of medical blogs written by of members had 2-3 times more reactions than the average health care professionals found that individual patients post. Finally, the results of “difficult” cases’ management EMMANOUIL BRILAKIS MARISTELLA FRANCESCA ANDREAS VOSS were described in 42% of the 271 samples studied. Of these (scientific) and of the questionnaires sent (both scientific SACCOMANNO samples, 17% were found to include enough information for and not) where mixed; half of them attracted 2-fold the patients to identify themselves or their providers, and three average reaction, and the other half attracted less than the 2018-2020 ESA Section Facebook page co-ordinators had recognisable photographs of the patients [2]. This could half of the posting average, without could be categorized be a drawback, especially, for a scientific organisation with more specifically. However, really rare and challenging specific specialization, because the “interesting” difficult cases had more engagement, likes, shares, answers, and Introduction The power of social media is the ability to connect and share cases probably can be recognised by the patients. This is clicks. The analysis of the followers’ reactions showed Since the beginning of 2019, the ESA communication information with anyone, anywhere, or with many people perhaps similar to publishing such a case to a scientific that only if they enjoy the context, they react, making it taskforce has incorporated the use of social media. simultaneously. User-generated content such as text posts, journal. However, considering the broader spectrum of successful. Every surgeon experiences much pressure in European Shoulder Associates, as well as the other ESSKA comments, photos, videos, and every other possible data social media followers, this makes the need for collecting his everyday schedule, and he/she uses social media in a Sections, used their Facebook pages to communicate with and the online interactions to it, is the lifeblood of social the patient’s consent a critical issue to consider when way that is enjoyable to him. The rate between social and members and interested persons. It has been a phenomenal media. publishing in social media. scientific posts should be retained in such a balance that start having the support of everyone from the team. This The users that engage with social media platforms create Nevertheless, the main criticism of health information makes the context more attractive. was highlighted by the “Best Section Award” during the 2019 highly interactive communities through which individuals found on social media, as well as other online sources is the ESSKA Speciality Days in Madrid. Therefore, the following or organisations can create, share, discuss, and modify lack of data quality and reliability. The medical information Challenges article aims to summarize our experience with social user-generated content posted online. Networks formed may be unreferenced, incomplete, or informal and surely Starting from 31 August 2020, the ESA communication media and the possibilities these platforms can offer to the through social media change the way that people or groups is not peer-reviewed. Mostly, they are depended on the committee raised the number of posts, setting more members of a scientific health organisation, not only for a interact and communicate with each other. They introduce goodwill and the trustworthiness of the person responsible specific assignment to its members. Even if it is too early to scientific purpose but also to keep our network and many substantial and pervasive changes to communication for the post and the page administrators that can check, draw any conclusion, statistics showed positive trends by friendships alive. However, this use should be controlled, between organisations, communities, and individuals [4]. correct, or discard a post. Social media followers may also increased popularity and interactions. follow specific goals and guidelines, and monitored to be vulnerable to hidden conflicts of interest that they have The challenges for the next period (2020-2022) are to avoid some traps. Differences from traditional media not referred to anywhere. keep pushing the stats up in terms of new interactions Social media differ from paper-based media and traditional To solve the problems mentioned above, the ESA Board, with registered members and to build more interactions What is Social Media? electronic media such as TV and radio broadcasting in many assigned this task to a communication task-force composed with other health professionals and other scientific Social media are interactive computer-based technologies ways, including quality, reach, frequency, interactivity, of three administrators and eight members. These members organisations with similar involvement. One step ahead that accommodate the sharing of ideas, thoughts, usability, immediacy, and performance [1]. Social media are young and enthusiast members with adequate scientific could be interacting with patients. However, this policy information, and other forms of expression via the operate in a dialogic transmission system (many sources to and research work with little or more familiarity with social could be protected with regulations, and discussion should connection of virtual networks and communities [5]. By many receivers) [6]. In opposite traditional media operate media. be done to define the scope and weight the pros and cons design, social media are internet-based and offer to the under a mono-logic transmission model (one source to before launching. users quick-expression, communication, and popularity many receivers). Some of the most popular social media, Comments and recommendations from our experience The setting of realistic goals (not having expectations for of the content shared. Content includes personal or such as Facebook, Twitter, YouTube, and Instagram, help From February 2018, ESSKA launched Facebook pages an immediate influx of new members), and the use of social institutional information, announcements, documents, the interaction of over 300 million registered users [7]. for every Section. ESA was proved the most active media platforms to promote other common characteristics videos, and photos. Users engage with social media via Section in Social Media, winning the respective award between members (apart from the common professional a personal computer, laptop, tablet, or smartphone via Influence of Social Media during the last ESSKA meeting in Madrid. The members and scientific interest), building a more “friendly spirit” may web-based applications or software, often utilizing it for According to Statista, a German company specializing in of the Communication taskforce posted on a regularly be the main scope. This strategy could be surprisingly more messaging. market and consumer data, in 2020, it is estimated that scheduled basis. The total of followers at the end of July effective than offensive marketing strategies. around 3.6 billion people are using social media around 2020 was 836, consisting of ESA members, non-members, Understanding Social Media the globe. This number was 3.4 billion in 2019, and it is physiotherapists, other physicians, and non-physicians. Conclusion Social media originated as a way for someone to interact expected to increase to 4.41 billion in 2025. [8]. These Reaction with other societies and scientific organisations Social media provides a platform for direct communication with family and friends, but later they were adopted by numbers make social media a perfect marketing tool for also existed. The vast majority of the followers were men between your members. Often, the number of likes businesses that wanted to take advantage of this new personal, institutional, or business use because they are (84%) between 25 and 54 years old (89%). or followers used to measure social media success. popular communication method to reach out to customers. fast, inexpensive, and address a broad audience, which can

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But this narrow focus misses the opportunity arisen of REFERENCES communication, relationship development, content [1] Agichtein E, Castillo C, Donato D, Gionis A, Mishne G (2008) Finding high- quality content in social media. In: Proceedings of the 2008 International distribution, and brand visibility. It is undoubtful that social Conference on Web Search and Data Mining - WSDM ’08, ACM Press, New media falls under the umbrella of marketing. However, our York, NY, pp. 183–194 [2] Chretien KC, Kind T (2013) Social media and travel in the land of social media showed that it is more clinical care: ethical, professional, and social implications. Circulation 127(13):1413–1421 [3] Khan GF (2017). Social Media for Government: A 3–4 SEPTEMBER about member connection, especially in helping already Practical Guide to Understanding, Implementing, and Managing Social built relationships. Under this perspective, this way is ideal Media Tools in the Public Sphere. Springer, Singapore [4] Kietzmann J, WARSAW, POLAND for sharing knowledge. Hermkens K, McCarthy I, Silvestre B (2011) Social media? Get serious! Understanding the functional building blocks of social media. Business Social media users love visual content. Viewers are much Horizons; 54 (3): 241–251 [5] Obar JA, Wildman S (2015) Social media more times as likely to remember a message if it is paired definition and the governance challenge: An introduction to the special with a relevant visual than the text alone. issue. Telecommunications Policy; 39 (9): 745–750 [6] Pavlik J, MacIntoch S (2015) Converging Media, 4th Edition. Oxford University Press, New York, The “social media age” is here and will not be going pp. 189 [7] Most popular social networks worldwide as of July 2020, ranked away. Scientific organisations should engage, maximize by number of active users (in millions). Statista. Accessed 4 Oct 2020 [8] opportunities for their development, to improve the Number of global social network users 2017-2025 (in billions). Statista. Accessed 4 Oct 2020 communication with their members and between their members. Its power to communicate openly, with wide- reaching access worldwide and at a rate faster than ever before, makes it a formidable force. When used wisely and SPORTS RELATED INTRA- AND ANTERIOR SHOULDER ADOLESCENT AND prudently, social media platforms offer the potential to INJURIES IN FOOT PERIOPERATIVE INSTABILITY PEDIATRIC SPORTS promote the organisations’ development and advancement. AND ANKLE – COMPLICATIONS IN – DIAGNOSIS INJURIES. WHAT Specific guidelines, discussion, scope definition, and OPTIMISING DEGENERATIVE KNEE AND TREATMENT IS CHANGING? committees that care for monitoring the quality, reliability, MANAGEMENT OF SURGERY BEST TREATMENT confidentiality, and the appropriate use are necessary. TENDON, CARTILAGE AND PREVENTION AND LIGAMENT OPTIONS! INJURIES ESMA AFAS EKA ESA EUROPEAN ANKLE EUROPEAN EUROPEAN SPORTS & FOOT KNEE SHOULDER MEDICINE ASSOCIATES ASSOCIATES ASSOCIATES ASSOCIATES

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26 27 3–4 SEPTEMBER WARSAW, POLAND esska-specialitydays.org — [email protected] Follow us: ABSTRACT SUBMISSION & REGISTRATION

Important Dates for Abstract Submission Be part of the Speciality Days Register for one Programme Scientific Programme! Submit 2 March 2021 . . . Abstract submission closes 14 April 2021 . . . . Notifications sent and Enjoy Access to All four! your scientific research for one of our FOUR exciting Abstract Submission programmes is now open!

REGISTRATION FEES Registration is now open! WHY SUMBIT YOUR ABSTRACT? TOPICS FOR ABSTRACT SUBMISSION

SPORTS RELATED INJURIES INTRA- AND PERIOPERATIVE Early Bird Registration Standard Registration IN FOOT AND ANKLE – COMPLICATIONS IN Share your research with your OPTIMISING MANAGEMENT DEGENERATIVE KNEE Until 18 May 2021 19 May – 3 August 2021 OF TENDON, CARTILAGE AND SURGERY peers and leaders in the field LIGAMENT INJURIES Section ESSKA Non- Section ESSKA Non- AFAS EKA Member* Member* Member Member* Member* Member Opportunity to be selected Peroneal Tendon HTO Senior MD 295 € 350 € 495 € 355 € 410 € 555 € for Free Paper sessions Achiles Tendon UKA Allied Health Professionals** 185 € 240 € 385 € 220 € 275 € 420 € Lis Franc Injury TKA (Residents, Fellows, Physiotherapists, All accepted abstracts Instability and Cartilage Revision TKA Coaches, Non-Physicians, Scientists) displayed as e-posters during Students** 50 € 50 € 50 € 50 € 50 € 50 €

the meeting ANTERIOR SHOULDER ADOLESCENT AND PEDIATRIC INSTABILITY – DIAGNOSIS SPORTS INJURIES. WHAT IS AND TREATMENT CHANGING? BEST TREATMENT All accepted abstracts AND PREVENTION OPTIONS! uploaded onto the prestigious ESMA ESA Children and adolescents: Late Registration Onsite Registration ESSKA Academy injuries management 4 August - 2 September 2021 3 September - 4 September 2021 Basic Science and rehabilitation Injuries Prevention Best abstract Diagnostic Methods Section ESSKA Non- Section ESSKA Non- Radialogical Overuse Injuries Member* Member* Member Member* Member* Member and best poster awards! Investigations ACL Injuries Senior MD 395 € 450 € 595 € 475 € 530 € 675 € Non Surgical Treatment Chondral and Osteochondral Injuries Allied Health Professionals** 245 € 300 € 445 € 295 € 350 € 495 € ESSKA SPECIALITY DAYS AWARDS Surgical Treatment (Residents, Fellows, Physiotherapists, Meniscal Injuries Coaches, Non-Physicians, Scientists) Don’t miss this great opportunity to get your Clinical Case Patellar Instability research recognised! Students** 50 € 50 € 50 € 50 € 50 € 50 € Anterior Knee Pain Muscle and Tendon Top Scored Most Viewed Injuries Return to Sports after Abstract E-poster * Registration subject to proof of membership. ** Proof will be requested during the registration process. Polish VAT at 23% is included Injuries (per section) (per section) 3–4 SEPTEMBER WARSAW, POLAND esska-specialitydays.org — [email protected] Follow us: PROGRAMME HIGHLIGHTS

SPORTS RELATED INJURIES IN FOOT AND ANKLE – OPTIMISING ANTERIOR SHOULDER INSTABILITY MANAGEMENT OF TENDON, CARTILAGE AND LIGAMENT INJURIES - DIAGNOSIS AND TREATMENT AFAS — Ankle & Foot Associates ESA — European Shoulder Associates

Report from the AFAS-Ankle Instability Group Consensus Scientific How to approach Anterior Shoulder Instability – one diagnosis Meeting on Medial Instability hiding a broad spectrum of pathologies Scientific Programme Programme Chairs Focus on Achilles tendon rupture and reconstruction Up-to-date information on current scientific evidence and expert Chairs Daniël Haverkamp opinions Ladislav Kovačič Update on peroneal tendon pathology The Netherlands Clinically relevant insights into management – from first-time Slovenia Update on cartilage repair of the talus. Where are we today? Chris Pearce dislocations to complex and revision problems Nuno Gomes Singapore A dedicated session on Lisfranc injuries, with Chris Digiovanni. Relive surgeries – key practical points for procedures Portugal Pietro Spennacchio Dedicated sessions on specific foot and ankle injuries in sports Interactive case-based discussions Geoffroy Nourissat Luxembourg France International experts ensuring lively debates Piotr Badylak REGISTER NOW Roman Brzoska Poland Poland REGISTER NOW

INTRA- AND PERIOPERATIVE COMPLICATIONS ADOLESCENT AND PEDIATRIC SPORTS INJURIES. WHAT IS CHANGING? IN DEGENERATIVE KNEE SURGERY BEST TREATMENT AND PREVENTION OPTIONS! EKA — European Knee Associates ESMA — European Sports Medicine Associates

How to avoid intra- and perioperative complications State-of-the-art of prevention and management Scientific Scientific in HTO, UKA and TKA? of ACL injuries in adolescents Programme Programme How to solve problems in osteotomy surgery? Chairs Update on return to sport after ACL injuries in children Chairs Michael T. Hirschmann and adolescents Gian Luigi Canata Robotic TKA. Hype or future gold standard? Switzerland Presentation of the ESSKA Pediatric ACL Registry Italy Tips and tricks in revision total knee arthroplasty Reha Tandogan Henrique Jones Insight into the best management of chondral and Interactive discussions of demanding and challenging cases Turkey meniscal injuries in adolescents including return to sport Portugal Pawel Skowronek Thomas Patt Prevention and management of overuse injuries REGISTER NOW Poland in children and adolescents The Netherlands

Matt Dawson Dedicated sessions on specific knee injuries in children Marcin Domzalski United Kingdom and adolescents with insight into return to sport Poland

REGISTER NOW 3–4 SEPTEMBER WARSAW, POLAND esska-specialitydays.org — [email protected] Follow us: PRELIMINARY PROGRAMME OVERVIEW

Sports related injuries in Intra- and perioperative Anterior shoulder Adolescent and pediatric Sports related injuries in Intra- and perioperative Anterior shoulder Adolescent and pediatric Friday foot and ankle – optimising complications in instability - diagnosis sports injuries. What is Saturday foot and ankle – optimising complications in instability - diagnosis sports injuries. What is management of tendon, degenerative knee and treatment changing? Best treatment and management of tendon, degenerative knee and treatment changing? Best treatment and 3 September cartilage and ligament injuries surgery prevention options! 4 September cartilage and ligament injuries surgery prevention options! 2021 2021 AFAS EKA ESA ESMA AFAS EKA ESA ESMA

08:00 Opening by ESSKA President and Scientific Programme Chairs 08:30 08:15 08:45 Session 5 Session 5 Session 5 Session 5 08:30 Session 1 Session 1 Session 1 Session 1 09:00 Symposia/Free Symposia/Free Symposia/Free Symposia/Free 08:45 Symposia/Free Symposia/Free Symposia/Free Symposia/Free 09:15 Papers Papers Papers Papers 09:00 Papers Papers Papers Papers 09:30 1h30 1h30 1h30 1h30 09:15 1h30 1h30 1h30 1h30 09:45 09:30 10:00 09:45 10:15 Coffee break - Hot Topic Debates 10:00 Coffee break - Hot Topic Debates 10:30 10:15 10:45 10:30 11:00

10:45 E-Posters Session 6 Session 6 Session 6 Session 6 11:15 11:00 Session 2 Session 2 Symposia/Free Symposia/Free Symposia/Free Symposia/Free 11:30 Papers Papers Papers Papers 11:15 Session 2 Symposia/Free Session 2 Symposia/Free

Exhibition 1h30 1h30 1h30 1h30 11:30 Symposia/Free Papers Symposia/Free Papers 11:45 11:45 Papers 1h30 Papers 1h30 12:00 12:00 2h 2h 12:15 Sharing the "Take Home Messages" of Each Section 12:15 12:30 12:30 12:45 Closing Ceremony by ESSKA President and Scientific Programme Chairs Lunch break - Lunch break - 12:45 Hot Topic Hot Topic 13:00 13:00 Lunch break - Debates Lunch break - Debates 13:15 Hot Topic Hot Topic E-Posters 13:30 Exhibition Debates Debates 13:45 Scientific Programme Chairs -AFAS Scientific Programme Chairs - EKA 14:00 14:15 Session 3 Session 3 Session 3 14:30 Session 3 Symposia/Free Symposia/Free Symposia/Free Papers 14:45 Symposia/Free Papers Papers 2h 15:00 Papers 2h 1h30 15:15 1h30 Daniël Chris Pietro Piotr Michael T. Reha Pawel Matt Haverkamp Pearce Spennacchio Badylak Hirschmann Tandogan Skowronek Dawson 15:30 The Netherlands Singapore Luxembourg Poland Switzerland Turkey Poland United Kingdom 15:45 16:00 Coffee break - Hot Topic Debates 16:15 Scientific Programme Chairs - ESA Scientific Programme Chairs - ESMA 16:30 16:45 17:00 Session 4 Session 4 Session 4 Session 4 17:15 Symposia/Free Symposia/Free Symposia/Free Symposia/Free 17:30 Papers Papers Papers Papers 17:45 1h30 1h30 1h30 1h30 Ladislav Nuno Geoffroy Roman Gian Luigi Henrique Thomas Marcin 18:00 Kovačič Gomes Nourissat Brzoska Canata Jones Patt Domzalski Slovenia Portugal France Poland Italy Portugal The Netherlands Poland 18:15 18:30 Networking Reception 18:45 19:00 ESSKA NEWSLETTER | 12 . 20 ESSKA NEWSLETTER | 12 . 20

In October 2020, ESSKA launched its online education 2021 Calendar 2022 Calendar Webinar Webinar Date Topic Date Topic through a highly successful series of webinars Type Type

Demystifying The Acetabular Labrum: Core 13 January Highlight 12 January Hip Arthroscopy topic From Anatomy to Reconstruction Curriculum

27 January Highlight Achilles Tendon Repair 26 January Highlight Shoulder topic

Core Periprosthetic Infection in TKA: What Patellar instability in children and 10 February 09 February Highlight Curriculum is new? adolescents

Core PCL reconstruction - What I need to Core 24 February 23 February Knee topic Curriculum know Curriculum

Core Treatment Options in Patello-Femoral 10 March 09 March Highlight Knee topic Curriculum Arthritis

Multi-ligament knee injuries: from 23 March Highlight Ankle & Foot topic 24 March Highlight emergency department to final treatment 06 April Highlight Sports Medicine topic 07 April Highlight Shoulder topic 20 April Highlight Hip Arthroscopy topic Core 21 April Patellar Tendinopathy Curriculum Core Core 11 May Knee topic 05 May Partial Arthroplasty Curriculum Curriculum Core 25 May Shoulder topic 19 May Highlight Osteotomy topic Curriculum

Highlight webinars include hot topics from the field and Core 8 June Highlight Knee - Patellofemoral Joint topic 09 June Partial Rotator Cuff Tears Curriculum Core 29 Jun. Foot & Ankle topic 30 June Highlight Foot and Ankle topic Curriculum

Core Core 14 July Sports Medicine Topic 13 July Hip Arthroscopy topic Curriculum Curriculum Core 28 July Irreparable Rotator Cuff Tears Adipose derived stem cells: regulatory Curriculum 27 July Highlight point of view in Europe for the use of Mesenchymal stem cells Revision TKA: Pearls to Ensure 25 August Highlight a Successful Outcome 14 September Highlight Strategic Decisions in Revision TKA

15 September Highlight Ankle & Foot topic Core 28 September Patello-Femoral Issues in Revision TKA Curriculum 29 September Highlight Degenerative Knee topic 12 October Highlight Sports Medicine topic 13 October Highlight Shoulder topic 26 October Highlight Complex ACL Reconstruction 27 October Highlight Sports Medicine topic Core Core 09 November Shoulder topic 10 November Knee - Osteotomy topic Curriculum Curriculum 23 November Highlight Pediatric MPFL reconstruction 24 November Highlight Unicompartmental Knee Arthritis

Core Curriculum webinars include topics from Core Core 08 December Ligament balancing in TKA 07 December Hip Arthroscopy topic ESSKA's European Specialists Core Curriculum. Curriculum Curriculum Core 22 December Ankle & Foot topic 21 December Highlight Painful TKA Curriculum

Click here to REGISTER for ESSKA’s webinars

We have prepared an extensive educational programme for you for 2021-2022, so mark your calendar!

We look forward to meeting you online!

34 35 ESSKA NEWSLETTER | 12 . 20 ESSKA NEWSLETTER | 12 . 20

Thank you to our supporters!

ESSKA would like to thank its corporate partners and sponsors for supporting these 2020 educational programmes:

ESSKA ARTHREX Sports Medicine Fellowship

ESSKA DePuy Shoulder Arthroscopy Fellowship

ESSKA DePuy Knee Arthroscopy Fellowship

ESSKA-AGA Joint Preservation Fellowship

ESSKA Travelling Fellows Alumni Group

The ESSKA Travelling Fellows Alumni group has been launched!

This group comprises all former travelling fellows from our various programmes in cooperation with AOSSM, APKASS and SLARD, as well as ESSKA Sections’ Travelling fellows. This is the network of former fellows and future leaders of orthopaedics and sports medicine!

Have you been an ESSKA Travelling Fellow? Connect with us on

36 37 ESSKA NEWSLETTER | 12 . 20 ESSKA NEWSLETTER | 12 . 20

ESSKA Fellowship Programmes

Applications for 2021 fellowships are now open! Deadline is 2 June 2021. APPLY NOW!

ESSKA Courses

ARE YOU A COMPANY REPRESENTATIVE? Would you like to support ESSKA’s Educational activities while at the same time obtaining visibility with a Community of 10,000 professionals? Join the ESSKA Continuous Professional Education Partners! Alternatively, we also have bespoke offers!

Want to apply for ESSKA's Surgical-skills Courses? Applications are now open for the 2021 courses. INTERESTED? Contact Rik Bollaert on APPLY NOW! [email protected]

38 39 ESSKA NEWSLETTER | 12 . 20 ESSKA NEWSLETTER | 12 . 20

ESSKA Accredited Teachers and Teaching Centres GREECE LUXEMBOURG Emmanouil ANTONOGIANNAKIS Pietro SPENNACCHIO The following ESSKA Teachers and Teaching Centres have fulfilled the criteria for ESSKA accreditation. Hygeia Hospital Centre Hospitalier de Luxembourg For Information on becoming an ESSKA Teacher or Teaching Centre, see www.esska.org/Education Emmanouil BRILAKIS Romain SEIL Private Clinic / Hygeia hospital - 3rd Orthopaedic Centre Hospitalier de Luxembourg - Clinique d'Eich Department Michael HANTES THE NETHERLANDS ESSKA Accredited Teachers FRANCE University Hospital of Larisa Daniel HAVERKAMP Nicolas PUJOL Nikolaos KOUKOULIAS Xpert Orthopedie Amsterdam ARGENTINA Hospital of Versailles Orthopedic Department, LE CHESNAY Agios Loukas & Aristotle University of Thessaloniki Rob JANSSEN Jorge BATISTA David DEJOUR Andreas PANAGOPOULOS Ma¡xima Medical Center Centro artroscopico Jorge Batista Lyon-Ortho-Clinic University Hospital of Patras/Orthiopaedic Clinic Edwoud van ARKEL Stephane GUILLO Dimitrios TSOUKAS FocusKliniek Orthopaedie HMC AUSTRIA Bordeaux Sports Clinic MIOSMED Center Duncan MEUFFELS Philipp HEUBERER Etienne CAVAIGNAC Christos YIANNAKOPOULOS Erasmus MC Vienna shoulder & sports clinic Hopital Pierre Paul Riquet. Dpt de chirurgie orthopaedique Metropolitan General Hospital Orthopaedic Nanne KORT Michael LIEBENSTEINER Nicolas BONIN Michael IOSIFIDIS CortoClinics Medical University Innsbruck Lyon-Ortho-Clinic OrthoBiology Surgery Centre Rolf Michael KRIFTER Jean Marc GLASSON Andreas PANAGAPOULOS NORWAY Orthomedicum Graz - Joint Centre Clinique du Parc Impérial University Hospital of Patras/Orthopaedic Clinic Thomas HARLEM Thomas MUELLNER Philippe NEYRET Nikolaos ROIDIS Haraldsplass Deaconal Hospital Evangelisches Krankenhaus Wien Infirmerie Protestante Metropolitan General Hospital Orthopaedic Berte BOE Christian FINK Guillaume DEMEY Konstantinos KATEROS Oslo University Hospital Gelenkpunkt - Sports and Joint Surgery Innsbruck Lyon-Ortho-Clinic General Hospital Gennimatas Tom LUDVIGSEN Christian HOSER Oslo University Hospital Gelenkpunkt - Sports and Joint Surgery Innsbruck GERMANY HUNGARY Lars ENGEBRETSEN Sepp BRAUN Maurice BALKE Gergely PANICS Oslo University Hospital Gelenkpunkt - Sports and Joint Surgery Innsbruck Sportsclinic Cologne, Department of Sportstraumatology, Semmelweis University, Dept. of Traumatology / Uzsoki Sijbjørn DIMMEN Cologne Merheim Medical Center Hospital, Dept. of Orthopedics &Traumatology Lovisenberg Diaconal Hospital BELGIUM Roland BECKER Laszlo HANGODY Steven CLAES Center of Orthopaedics & Traumatology - Medical School Semmelweis University, Dept. of Traumatology POLAND Department of Orthopaedic Surgery & Traumatology, Hospital Brandenburg Roman BRZOSKA AZ Herentals Mike H. BAUMS INDIA INDYWIDUALNA PRAKTYKA LEKARSKA Dr. N. MED. St. Elizabeth-Hospital Dorsten Deepak GOYAL ROMAN BRZOSKA CZECH REPUBLIC Carl HAASPER Saumya Arthroscopy and Sports Knee Clinic Lukasz PACZESNY Vojtech HAVLAS AMEOS Klinikum Seepark Geestland Sachin TAPASVI Citomed Healthcare Centre Department of Orthopaedics and Traumatology, Andreas IMHOFF The Orthopaedic Speciality Clinic 2nd Faculty of Medicine, Charles University in Prague Department of Orthopaedic Sports Medicine, Tech. PORTUGAL University of Munich, Munich IRELAND Nuno CORTE-REAL DENMARK Sebastian KOPF Mihai VIOREANU Hospital de Cascais Michael Rindom KROGSGAARD Center of Orthopaedics & Traumatology - Medical School Sports Surgery Clinic Dublin Helder PEREIRA Section for Sportstraumatology M51, Bispebjerg Hospital Hospital Brandenburg Hospital da Luz Povoa de Varzim/ Hospital da Luz Lisboa Martin LIND Hermann Otto MAYR ITALY Nuno SAMPAIO GOMES Aarhus University Hospital, Div. Sportstraumatology Department of Knee, Hip and Shoulder Surgery Schoen Simone CERCIELLO Hospital da Luz Arrábida - Ortopedia Martin RATHCKE Clinic Munich Harlaching Casa di Cura Villa Betania Manuel Resende SOUSA Bispebjerg Hospital Department of Orthopaedics Section Wolfgang NEBELUNG Edoardo MONACO Hospital da Luz Lisboa of Sportstraumatology Marienkrankenhaus Dussseldorf - Kaiserswerth Univesity of Rome Sapienza José Ricardo Confraria VARATOJO Sven SCHEFFLER Pietro RANDELLI Hospital CufDescobertas EGYPT Sporthopaedicum Berlin Università degli Studi di Milano, Istituto Ortopedico Joao ESPREGUEIRA-MENDES Nasef ABDELLATIF Steffen SCHRÖTER Gaetano Pini Clinica do Dragao - Espregueira-Mendes Sports Centre - University Cairo, Egypt BG Trauma Center Tubingen, Eberhard Karls University Giovanni DI GIACOMO FIFA Medical Centre Frank MARTETSCHLAGER Concordia Hospital Henrique JONES FINLAND Deutsches Schulterzentrum Giuseppe MILANO Clinica Ortopédica do Montijo and Hospital da Luz Setubal Timo JÄRVELÄ Michael KLARIUS Villa Valeria Clinic Antonio CARTUCHO PEREIRA Hospital Mehiläinen Vulpius Klinik Bad Rappenau GmbH Corrado BAIT Hospital Cuf Descobertas Mikko OVASKA Thomas TISCHER Instituto Clinico Villa Aprica Alcindo SILVA Pihlajalinna Dextra Sports Clinic Department of Orthopaedic Surgery - University of Giacomo ZANON Hospital Luz Arrabida Rostock Policlinico San Matteo

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ROMANIA Hirslanden Private Hospital Group FRANCE POLAND Tiberiu BATAGA Geert PAGENSTERT Hospital of Versailles Orthopedic department, LE CHESNAY St. Luke's Hospital Bielsko, BIELSKO Universitary Emmergency Hospital,Clinic of Orthopedy- Merian-Iselin-Hospital, Department of Orthopaedic and Nicolas PUJOL Roman BRZOSKA Traumatology Trauma Surgery Bordeaux Sport's Clinic, BORDEAUX Patrick VAVKEN Stéphane GUILLO PORTUGAL SERBIA Alphaclinic Zurich LYON-ORTHO-CLINIC, LYON Hospital da Luz, PÓVOA DE VARZIM Vladan STEVANOVIC Panayiotis CHRISTOFILO- POULOUS David DEJOUR Helder PEREIRA Institute for orthopaedic surgery "Banjica" Hopital de La Tour Hospital Cuf Descobertas / Arthroscopy & Sports Trauma GERMANY Units, LISBON SLOVENIA TURKEY Department of Orthopaedic Sports Medicine, Ricardo VARATOJO Ladislav KOVACIC Reha TANDOGAN University of Munich, MUNICH Clinica do Dragao - Espregueira-Mendes Sports Centre - University Medical Centre Ljubljana Ortoklinik Andreas IMHOFF FIFA Medical Centre, PORTO Benjamin MARJANOVIC Alper KAYA Schoen Clinic Munich Harlaching, Joao ESPREGUEIRA-MENDES Orthopaedic Hospital Valdoltra Acibadem University, Altunizade Hospital Department of Knee, Hip and Shoulder Surgery, MUNICH Mustafa KARAHAN Hermann Otto MAYR ROMANIA SPAIN Acibadem University Department of Orthopaedics Center of Orthopaedics & Traumatology - Medical School University of Medicine & Pharmacy Tg-Mures, TIRGU-MURES Rafael ARRIAZA LOUREDA Sukru Sarper GURSU Hospital Brandenburg, BRANDENBURG Tiberiu BATAGA Instituto Médico Arriaza y Asociados Baltalimani Bone and Joint Diseases Education and Sebastian KOPF Knee and Arthroscopy Surgery Teaching Center - University Gonzalo SAMITIER Research Hospital Department of Orthopaedics, Trauma Surgery and sports of Medicine and Pharmacy Timisoara, TIMISOARA Hospital General Villalba Baris KOCAOGLU Traumatology; St. Elisabeth Hospital, DORSTEN Radu PREJBEANU Pedro HINAREJOS Acibadem University Department of Orthopaedics Mike H. BAUMS Hospital del Mar - Parc de Salut Mar SERBIA Antonio MAESTRO UNITED KINGDOM GREECE Institute for orthopedic surgery Banjica, BELGRADE Hospital Begoña - Gijon Tanveer ASHRAF University Hospital of Larisa, LARISSA Vladan STEVANOVIC Juan Carlos MONLLAU The Royal Orthopaedic Hospital Michael HANTES Hospital del Mar and Hospital Universitari Dexeus Martyn SNOW 3rd Orthopaedic Department - Hygeia Hospital, ATHENS SPAIN Jordi VEGA GARCIA The Royal Orthopaedic Hospital Emmanouil ANTONOGIANNAKIS Instituto Médico Arriaza y Asociados, A CORUÑA Hospital Quirón Barcelona and University of Barcelona James CALDER Metropolitan General Hospital, ATHENS Rafael ARRIAZA LOUREDA Albert JIMENEZ OBACH Fortius Clinic & Imperial College London Nikolaos ROIDIS Parc de Salut Mar. Hospital Esperanza. BARCELONA Hospital de Mataro, Clinica Creu Blanca Andrew Michael WILLIAMS Pedro HINAREJOS Silvio VILLASCUSA MARIN Fortius Clinic HUNGARY Instituto Asturiano de Traumatologia, GIJON Hospital Clinico Universitairo Virgen de la Arrixaca Semmelweis University, Dept. of Traumatology Uzsoki Antonio MAESTRO Dragos POPESCU Hospital, Dept. of Orthoapedics & Traumatology, BUDAPEST Hospital Clinic Barcelona ESSKA Accredited Teaching Centres Laszlo HANGODY SWITZERLAND Pablo Eduardo GELBER GHERTNER Clinica Ars Medica, GRAVESANO, LUGANO Hospital de la Santa i Sant Pau AUSTRIA ITALY Matteo DENTI Jorge DE LAS HERAS ROMERO Orthopaedic Department, Evangelisches KH, VIENNA Università di Roma La Sapienza Ospedale Sant'Andrea, ROME Centre de Medecine du Sport - Hirslanden Clinique La Hospital Reina Sofia Thomas MUELLNER Edoardo MONACO Colline, GENEVA Juan Ignacio ERQUICIA Medical University Innsbruck, INNSBRUCK Gaetano Pini Orthopaedic Institute, MILAN Jacques MENETREY Catalan Institute of Trumatology & Sports Medicine, Michael LIEBENSTEINER Pietro RANDELLI Kantonsspital Baselland (BRUDERHOLZ, LIESTAL, LAUFEN) Dexeus University Hospital Vienna Shoulder & Sports Clinic/Health Pi Med. Cent., VIENNA Casa di cura Villa Betania, ROME Michael HIRSCHMANN Fransecs SOLER Philippe HEUBERER Simone CERCIELLO Traumadvance Gelenkpunkt - Sports and Joint Surgery Innsbruck, INNSBRUCK Villa Valeria Clinic, ROME TURKEY Joan LEAL-BLANQUET Christian FINK Giuseppe MILANO Baltalimani Bone and Joint Diseases Education and Parc de Salut Mar Research Hospital, ISTANBUL Eduard ALENTORN-GELI CZECH REPUBLIC LUXEMBOURG Sukru Sarper GURSU Instituto Cugat Department of Orthopaedics and Traumatology, Sports Clinic - Centre Hospitalier de Luxembourg Acibadem Altunizade Hospital, ISTANBUL Alejandro ESPEJO-REINA 2nd Faculty of Medicine, Charles University, PRAGUE Clinique d'Eich, LUXEMBOURG Baris KOCAOGLU Clínica Espejo - Hospital Vithas Málaga Vojteck HAVLAS Romain SEIL UNITED KINGDOM SWITZERLAND DENMARK THE NETHERLANDS Fortius Clinic, London, UNITED KINGDOM Matteo DENTI Department of Orthopaedics, Section of Arthroscopy Xpert Orthopedie Amsterdam, AMSTERDAM James CALDER Clinica Ars Medica and Sportstraumatology, Bispebjerg-Frederiksberg Daniel HAVERKAMP Michael HIRSCHMANN Hospital, COPENHAGEN Kantonsspital Baselland (Bruderholz, Liestal, Laufen) Martin RATHCKE NORWAY Claudio ROSSO Aarhus University Hospital, Div. Sportstraumatology, AARHUS Oslo University Hospital, Orthopaedic Clinic, OSLO ARTHRO Medics and University of Basel Martin LIND Lars ENGEBRETSEN Jacques MENETREY

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The UK Non Arthroplasty Hip Registry: An Overview patient satisfaction score if desired. Moreover, reoperation and complications such as venous thrombosis and infection can also be entered by clinicians. The surgical information includes, in addition to intra- articular cartilage and soft tissue damage, more specific data such as number and type of labral anchors used, type and length of graft when performed labral reconstruction, and femoral osteotomy fixation method. This data is analysed annually, and the annual report is published and distributed to the members of the society by the User Group. An update on the Registry is also presented

at the BHS Annual General Meeting. The 2020 annual report Figure 3: All acetabular procedures is available for downloading from www.nahr.co.uk.

Synopsis of the 5th Annual Report The number of pathways entered in the NAHR has steadily increased year on year and 2019 again saw an increase in the number entered compared (Figure 1). A total of 12,992 pathways have been entered in the registry between January 2012 and December 2019 and over 100 surgeons had contributed to the registry.

VIKAS KHANDUJA Hip Arthroscopy Committee Chairman Figure 4: All femoral procedures

Introduction them compare their outcomes against the national average Over the last two decades, there has been a significant which can be used for the appraisal process. It also helps increase in the number of hip-preservation procedures being define which specific groups of patients will benefit from performed [1-3]. Despite the rise in hip preservation surgery, surgery and what details of the operative procedure will in contrast to joint replacement surgery [4], there has been a lead to a good result. Finally, there is a significant benefit lack of outcome data outside of small scale published series of the Registry to the healthcare commissioners because Figure 1: Pathways uploaded per year from high volume centers. Secondly the effectiveness of it provides data on efficacy of each of the procedures in these procedures i.e. hip arthroscopy for femoroacetabular a large population and allows commissioners to decide The analysis of patient shows a skewed distribution towards Impingement or peri-acetabular osteotomy for dysplasia whether these interventions are cost-effective. a younger age for both open and arthroscopic procedures, are not well studied and reported. The UK Non Arthroplasty with patients undergoing open surgery slightly younger Hip Registry (NAHR) was set up by the British Hip Society Data collection and reporting than arthroscopic (Figure 2). Figure 5: All additional surgical procedures (BHS) to monitor the outcome of patients undergoing any The data for the NAHR can be collected in both paper and non-arthroplasty surgery of the hip. electronic forms. A standardized Minimum Dataset (MDS) Outcomes of surgery for femoroacetabular impingement The NAHR [5] was initiated by Prof. John Timperley, was defined to simplify the forms in 2014 and MDS version (FAI) reveal that there was significant improvement in the Consultant orthopaedic surgeon at Princess Elizabeth 2.0 is currently in use. The MDS 2.0 includes information pre-operative iHOT-12 score at six months (mean iHOT-12 Orthopaedic Centre in Exeter and former President of sheets, consent forms, patient characteristics, diagnosis, change 32.5 to 58.9, p<0.0001) and 12 months (meant iHOT- the BHS. The NAHR was unanimously supported by BHS mandatory scoring sheets and forms for surgical details and 12 change 32.7 to 58.2, p<0.0001) post-operatively (Figure 6). members at the annual meeting in Torquay (March 2011) findings [6]. and then commenced formally at the 2012 annual meeting. Patient characteristics include age, gender, BMI and surgical This article provides a brief synopsis of the NAHR. side, whether or not they undergo surgery (e.g. arthroscopy, peri-acetabular osteotomy, and femoral osteotomy), and Aims of the NAHR whether the surgery is primary or revision. The NAHR, which is open to members and non-members The mandatory outcome scores include iHOT-12 (International of the BHS, aims to benefit both patients and surgeons by hip outcome tool-12 question version) [7] and the EQ-5D-5L Figure 2: Patients age distribution by approach collecting longitudinal outcome data on patients with hip (five dimensional measure of health-related quality of life, pathology, whether or not they undergo non-arthroplasty five level questionnaire developed by the EuroQol Group) [8]. The different types of surgical procedures recorded in the surgery. From this registry, the patients can know the These scores are recorded pre-operatively then routinely, via NAHR including core acetabular and femoral procedures, outcomes of operations on the hip and identify whether email or in person, at six months, one and two years post- additional surgical procedures and the different they would benefit from a specific surgical technique since operatively. Surgeons can select to use the other additional combinations of femoral and acetabular osteotomies are results are available in the public domain. Furthermore, patient reported outcome measure (PROMS) scores such as shown in Figures 3 to 5. Figure 6: iHOT-12 scores for patients undergoing surgery for FAI orthopaedic surgeons are provided feedback which helps the Harris Hip Score (HHS) [9], Non-arthritic Hip Score [10] and

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For patients undergoing Periacetabular Osteotomy (PAO) I believe that the NAHR has come a long way in the last with no concurrent femoral osteotomy there was significant few years, and commitment and teamwork have been the improvement in pre-operative iHOT-12 score at six months secret of its success. The incredible team which has worked (mean iHOT-12 change 29.2 to 57.0, p<0.0001) and 12 extremely hard behind the scenes to ensure the Registry FOLLOW ESSKA months (mean iHOT-12 change 30.0 to 64.5, p<0.0001) prospers included Marcus Bankes, Ajay Malviya, Tim Board, post-operatively (Figure 7). Tony Andrade, Matt Wilson, Callum McBryde, Jon Conroy & Richard Holleyman; a team I feel honoured to be a part of. As I reflect on my term as Chair of the Registry, a role that went much beyond my personal professional life as a surgeon, I can only hope that I have contributed in some part to the vision of “improving the product” and helping to uphold its position as an example of a world-class registry for non-arthroplasty hip surgery. I cannot feel anything but confident that the NAHR will continue to thrive and move from strength to strength under the able leadership of my successor Mr. Ajay Malviya.

Figure 7: iHOT-12 scores for patients undergoing a PAO REFERENCES: [1] Pascual-Garrido C, Harris MD, Clohisy JC (2017) Innovations in Joint We sincerely hope that the NAHR will improve patient Preservation Procedures for the Dysplastic Hip “The Periacetabular Osteotomy”. The Journal of arthroplasty 32 (9):S32-S37. [2] Palmer awareness of outcomes of non-arthroplasty hip surgery, help A, Malak T, Broomfield J, Holton J, Majkowski L, Thomas G, Taylor A, them compare outcomes of different surgical options, identify Andrade A, Collins G, Watson K (2016) Past and projected temporal trends whether they would benefit from one procedure/surgical in arthroscopic hip surgery in England between 2002 and 2013. BMJ open sport & exercise medicine 2 (1):e000082. [3] Magrill AC, Nakano N, technique or another and whether surgery is likely to improve Khanduja V (2017) Historical review of arthroscopic surgery of the hip. a particular diagnosis at all. For surgeons and hospitals, we International orthopaedics 41 (10):1983-1994. [4] Ayers DC, Franklin PD hope the positive impact of the registry will be long term; (2014) Joint replacement registries in the United States: a new paradigm. The Journal of bone and joint surgery American volume 96 (18):1567. [5] providing feedback to surgeons regarding which patients will . [6] . [7] Griffin DR, Parsons most benefit from which surgical procedures (if at all). N, Mohtadi NG, Safran MR, Network MAotHOR (2012) A short version of Education and research remain at the top of our list of the International Hip Outcome Tool (iHOT-12) for use in routine clinical practice. Arthroscopy: The Journal of Arthroscopic & Related Surgery 28 priorities, and we have delivered high quality symposia at both (5):611-618. [8] Herdman M, Gudex C, Lloyd A, Janssen M, Kind P, Parkin D, our annual national conferences for the last three years, and Bonsel G, Badia X (2011) Development and preliminary testing of the new FOLLOW ESSKA FOLLOW ESSKA @ESSKA_society SUBSCRIBE FOLLOW JEO data requests to the registry have so far resulted in poster and five-level version of EQ-5D (EQ-5D-5L). Quality of life research 20 (10):1727- 1736. [9] Harris WH (1969) Traumatic arthritis of the hip after dislocation podium presentations by researchers at the meetings of the and acetabular fractures: treatment by mold arthroplasty: an end-result International Society of Hip Arthroscopy and Hip Preservation, study using a new method of result evaluation. JBJS 51 (4):737-755. [10] FOLLOW AFAS FOLLOW AFAS @KSSTA FOLLOW KSSTA the International Society of Orthopaedic Surgery and Christensen CP, Althausen PL, Mittleman MA, Lee J-a, McCarthy JC (2003) The nonarthritic hip score: reliable and validated. Clinical Orthopaedics Traumatology, the BOA and the BHS, and the first manuscripts and Related Research® 406 (1):75-83 [11] Holleyman R, Sohatee MA, Witt FOLLOW EKA @JEO_journal evaluating outcomes following PAO have published in JBJS J, Bankes MJK, Andrade TJ, Board T, Lee Conroy J, Wilson M, McBryde C, Khanduja V, Malviya A. Periacetabular Osteotomy for Developmental (Am) [11]. Improvements in patient compliance and surgeon Dysplasia of the Hip and Femoroacetabular Impingement: A Study Using engagement continue to be explored and implemented with the U.K. Non-Arthroplasty Hip Registry (NAHR) Data Set. J Bone Joint Surg FOLLOW ESA @ESSKA_AFAS enthusiasm and resolve by the User Group. Am. 2020 Aug 5;102(15):1312-1320. FOLLOW ESMA @EkaEsska

Surveys from ESSKA Members FOLLOW KSSTA FOLLOW JEO Keep up to date on what is going on at ESSKA by following us on Facebook, LinkedIn and Twitter, and subscribe to our YouTube channel to see the latest videos Are you an ESSKA member and carrying out a survey? If yes, then ESSKA offers you the opportunity to post a Request for Survey Participation on our website. Details and guidelines are available on the ESSKA website.

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2020 update of Medial meniscus ramp lesions; Moreover, a complete understanding of the lesion and them during ACL reconstruction surgery. It seems therefore its precise classification is not possible without direct vital to attempt to repair these lesions once they have been difficult to diagnose but vital to repair inspection; this may be an additional bias when choosing identified during ACL reconstruction surgery. treatment options and analyzing results. Balazs GC et al. (3) based their definition of ramp lesions on the classification REFERENCES: by Thaunat et al. (13) Especially the types 2-5 may lead to [1] Balazs GC, Greditzer HG 4th, Wang D, et al. (2020) Non-treatment of stable ramp lesions does not degrade clinical outcomes in the setting of a misinterpretation of the ramp lesions and the outcomes primary ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 10.1007/ of their treatment. Indeed, these patterns do represent s00167-020-06017-1. doi:10.1007/s00167-020-06017-1 [2] Bumberger both an injury of the meniscosynovial junction and of A, Koller U, Hofbauer M, et.al. (2020) Ramp lesions are frequently missed in ACL-deficient knees and should be repaired in case of instability. Knee the meniscal body. The differentiation between these 2 Surg Sports Traumatol Arthrosc. Mar;28(3):840-854. [3] Bollen SR. (2010) entities was nicely highlighted in the recent anatomical Posteromedial meniscocapsular injury associated with rupture of the anterior work by DePhilipo et al. (6). If the authors considered cruciate ligament: a previously unrecognised association. J Bone Joint Surg Br. 92:222-223. [4] Cerciello S, Ollivier M, Pujol N, Kocaoglu B, Beaufils P, ramp lesions being of the Thaunat types 2-5, the meniscal Seil R. (2020) Letter to the editor: comment on the article “Non-treatment repair procedure implicated the meniscus itself and not of stable ramp lesions does not degrade clinical outcomes in the setting of its peripheral attachment, corresponding to the zones primary ACL reconstruction” by Balazs GC et al. Knee Surg Sports Traumatol Arthrosc Aug 25. Doi: 10.1007/s00167-020-06235-7. [5] DePhillipo NN, 1-4 of the Warren classification and not the zone 0 which Engebretsen L, LaPrade RF. (2019) Current trends among US Surgeons in the is the meniscosynovial junction or in other words the identification, treatment and time of repair for medial meniscal ramp lesions meniscotibial attachment by DePhilipo et al. (6), (Figure 2). at the time of surgery. Orthop J Sports Med. 22;7(2):2325967119827267. [6] DePhillipo NN, Dornan GJ, Dekker TJ. et.al. (2020) Clinical Characteristics SIMONE CERCIELLO BARIS KOCAOGLU MATTHIEU OLLIVIER ROMAIN SEIL and Outcomes After Primary ACL Reconstruction and Meniscus Ramp U45 Committee Member U45 Committee Chairman U45 Committee Member ESSKA President 2016-2018 As a conclusion of recent studies, it seems to be crucial to give Repair. Orthop J Sports Med. Apr 24;8(4):2325967120912427. [7] Gülenç B, the importance of precise diagnosis of ramp lesions which Kemah B, Yalçın S, Sayar Ş, Korkmaz O, Erdil M. (2020) Surgical Treatment of Meniscal RAMP Lesion. J Knee Surg. 33(3):255-259. [8] Okazaki Y, Furumatsu should not be mainly based on MRI findings (4). Intraoperative T, Okamoto S, et.al. (2020) Diagnostic performance of open MRI in the direct inspection should be performed routinely to confirm the flexed knee position for the detection of medial meniscus ramp lesions. diagnosis and classify the different tear patterns. Ramp lesions Skeletal Radiol. Nov;49(11):1781-1788. [9] Kim SH, Seo HJ, Seo DW, Kim KI, Ramp lesions are quickly gaining in popularity, with an at the moment of the study, which closes the posterior Lee SH. (2020) Analysis of Risk Factors for Ramp Lesions Associated With have a important impact on knee biomechanics and the risk Anterior Cruciate Ligament Injury. Am J Sports Med. Jun;48(7):1673-1681. increasing number of articles having been published in meniscocapsular recess. According to these data, it of further ACL re-rupture. A recent study which was presented [10] Mouton C, Magosch A, Pape D, Hoffmann A, Nührenbörger C, Seil R. the last years and 2020 has been particularly rich with seems crucial that an accurate and direct intraoperative by Mouton et.al concluded that patients with an isolated ramp (2020) Ramp lesions of the medial meniscus are associated with a higher 24 publications. Impact factor of the involved journals investigation of this specific anatomic area should routinely grade of dynamic rotatory laxity in ACL-injured patients in comparison lesion of the medial meniscus in association with an ACL to patients with an isolated injury. Knee Surg Sports Traumatol Arthrosc. vary from 0.5 and 6. 23 out of 24 conclude that meniscal be performed to confirm MRI findings and potentially injury displayed a higher amount of dynamic rotational laxity Apr;28(4):1023-1028. [11] Seil R, Hoffmann A, Scheffler S, Theisen D, ramp lesions are commonly associated with ACL ruptures enhance surgeons’ ability to diagnose ramp lesions. as expressed by the pivot shift test in comparison to patients Mouton C, Pape D. (2017) Rampenläsionen – Tipps und Tricks in Diagnostik but commonly missed. Meniscus ramp repair significantly They cannot be identified and fully evaluated through an und Therapie. Orthopäde. 46(10): 846-854 [12] Sonnery-Cottet (Sonnery- with isolated ACL injury without ramp lesion (10). Cottet B, Conteduca J, Thaunat M, Gunepin FX, Seil R. (2014) Hidden lesions increases postoperative knee function scores and patient isolated anterior arthroscopic visualization of the posterior of the posterior horn of the medial meniscus: a systematic arthroscopic satisfaction following ACL reconstruction (10). horn of the medial meniscus. This is the reason why they The association between ramp lesions of the medial exploration of the concealed portion of the knee. Am J Sports Med. were recently called hidden lesions (3). Although some Apr;42(4):921-6. [13] Thaunat M, Fayard JM, Guimaraes TM, et al. (2016) meniscus, a higher trauma energy and increased pivot shift Classification and Surgical Repair of Ramp Lesions of the Medial Meniscus. There is only one study that is against the importance of ramp lesions may be anticipated by antero-lateral portal grading suggest that it is important to diagnose and repair Arthrosc Tech. 5(4):e871-e875. ramp lesions on knee stability. The study by Balazs GC et al. visualization, they must be analyzed by direct inspection is based on 162 patients having been operated for primary of the postero-medial area (7,9). Careful evaluation of ramp ACL reconstructions (1). The presence of ramp lesions was lesions includes both a direct visualization with a trans- recorded, and classified into stable and unstable lesions, notch view, through an accessory posteromedial portal or according to MRI and arthroscopic criteria. At follow-up, even a transseptal portal (2) and probing either with a needle patients with untreated stable ramp lesions showed similar or a probe through a posteromedial approach (Figure 1). clinical outcomes when compared to patients without a ramp lesion. Therefore, the authors conclude that treatment According to De Phillipo, this strategy combining of stable ramp lesions at the time of ACL reconstruction arthroscopic trans notch portal visualization and postero- does not have any clinical benefit. The conclusions will medial probing is rarely used among US expert surgeons certainly raise several doubts on the ideal approach to (5). It allows to identify the size and dynamic behavior of these lesions in the setting of ACL reconstruction. Main flaw the ramp lesion with the knee in flexion and extension (11). of the study is that intraoperative evaluation of ramp lesions Indeed, analyzing the behavior of the ramp tissue during was relying on anterior inspection only, since an additional flexion-extension movements will allow to dedifferentiate postero-medial approach was not used. stable from unstable ramp lesions (6). For the latter, an abnormal mobility of the ramp tissue with a dehiscence Diagnosis of ramp lesions may be challenging and difficult or appearance of a cleft between ramp and the posterior to validate by MRI alone (8). An early prospective case wall of the meniscus may be observed in many cases. series by Bollen et al. (3) reported that none of the 11 This shows that the definition of stable vs. unstable ramp arthroscopically confirmed ramp lesions could be detected lesions may need to be refined. In particular, the stability on MRI. The author theorized that MRI identification of of the ramp must not be confounded with the stability of ramp lesions was limited due to the knee being in extension the meniscus. Figure 1 – Arthroscopic image of medial meniscus ramp lesion. Figure 2 – Arthroscopic image of medial meniscus ramp repair.

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3D Navigation Model for Diagnosis and Treatment an arthroscopic intervention can be planed. The amount of usually lead to a treatment failure and a devastating effect coronoid and olecranon process’ resection is determined on a professional athlete’s career. Thus, a 3D navigation of the Elbow Bony Impingement with the use of impingement arcs described by the same model is a priceless asset in preoperative evaluation and group [6]. A full ROM is then retested to determine to planning. As it can be used as a real-time intraoperative 3D amount of fossa hollowing still needed. navigation model it presents an indispensable companion The prepared 3D model can be used as a real-time during surgery. intraoperative navigational guide (Figure 3), helping to determine the exact osteophyte resection and the amount of fossa hollowing, avoiding under- or over-resection. REFERENCES: During the procedure three sensors are inserted, one in [1] Koh JL, Zwahlen BA, et al. Arthroscopic treatment successfully treats ulna, one in humerus and one on the motorized shaver. A posterior elbow impingement in an athletic population. Knee Surg Sports Traumatol Arthrosc 2018;26(1):306-311. [2] Adams JE, Wolff LH, et al. special mapping procedure is made prior the resecting to Osteoarthritis of the elbow: results of arthroscopic osteophyte resection map the joint and merge it with a 3D model on the navigation and capsulectomy. J Shoulder Elbow Surg 2008;1:126-131. [3] Wilson V. system. Navigation system is then used as a visual control Upper extremity injuries in the throwing athlete. Mo Med 2011;108(3):170- 172. [4] Cohen SB, Valko C, Zoga A, et al. Posteromedial elbow impingement: for resection needed to be done. While removing the bone, magnetic resonance imaging findings in overhead throwing athletes and the red spots on 3D model gradually disappear according results of arthroscopic treatment. Arthroscopy 2011;27(10):1364-1370. to where the bone has already been resected (Figure 4). [5] Adla DN, Stanley D. Primary elbow osteoarthritis: an updated review. Shoulder and elbow 2011;3:41-48. [6] Meglič U, Zupanc O. Significance UROŠ MEGLIČ of radiographic parameters in the diagnosis and treatment of a bony Department of Orthopaedic Surgery, Conclusion impingement of the elbow. Materials and technology 2019;53(5):747-750. University Medical Centre Ljubljana, Slovenia Arthroscopic debridement of EBI can be a routine procedure [7] Garcia GH, Gowd AK, et al. Magnetic Resonance Imaging Findings of the Asymptomatic Elbow Predict Injuries and Surgery in Major League Baseball in hands of experience surgeon. Although, considering Pitchers. Orthop J Sports Med 2019;7(1): 2325967118818413. [8] Carlier Y, professional athletes and manual laborers as a more Lenoir H, Rouleau DM, et al. Arthroscopic debridement for osteoarthritis of demanding group of patients, the decision on the amount the elbow: Results and analysis of predictive factors. Orthop Traumatol Surg Introduction of professional athletes as it offers additional information, Res 2019;105(8S):S221-S227. [9] Valkering KP, van der Hoeven H, Pijnenburg of the debridement can be tricky. Under or over-resection BC. Posterolateral elbow impingement in professional boxers. Am J Sports Elbow bony impingement (EBI) is an early sign of primary helping to visualize the osteophytes and their relationship can cause the biodynamic changes of the elbow joint, which Med 2008;36(2):328-332. osteoarthritis and the second most frequent cause of to the rest of the joint surfaces [7]. elbow stiffness, after trauma sequalae. Although being rare Arthroscopic debridement of EBI is the most commonly in general population, it is an important disability factor used procedure. It provides a satisfactory pain relief, in patients who overuse their elbow, such as professional improvement of ROM, good functional outcome with lower athletes and manual laborers [1]. iatrogenesis, more rapid rehabilitation and the conservation As a result of excessive and repetitive motions, osteophyte of future surgical options compared to open procedures. formation occurs between coronoid process, tip of the Osteophyte resection on coronoid and olecranon process, olecranon and their fossas. Formatted osteophytes in anterior and posterior capsule release and removal of anterior and posterior compartment of the elbow change its foreign bodies are routinely performed [8]. geometry and cause early flexion and/or extension deficit [2]. Considering arthroscopic debridement, although being For a professional athlete an even smaller loss of range of a routine procedure in hands of experience surgeon, motion (ROM) of the elbow can be devastating and has an conflicting results can be found in the literature regarding impact on its function. Even among recreational athletes, the amount of osteophyte resection required. Over- EBI can cause limitations of athlete’s enjoyment and daily resection would alter the biodynamic behavior of the elbow living activities [3]. joint, leading to a decrease in the bony stability, resulting In many cases of EBI conservative treatment fails. Because in increased ulnar collateral ligament strain and injuries. Figure 1 – (a) Clinical and (b) radiographic presentation of EBI. (arrows) Figure 2 – “Bone-kissing” lesion locations (red) in posterior (left) and anterior having a devastating impact on professional athletes and Under-resection would lead to suboptimal outcome, which Coronoid and olecranon osteophytes on pre-operative plain radiograph. (right) compartment of the elbow joint. Radial head has been digitally removed manual laborers if it progresses, it has to be treated surgically in case of professional athlete can be considered as a for viewing purposes. early in its process [4]. treatment failure [9].

Patients Method The usual mode of presentation is pain and pinching during Our team has developed and tested a new 3D navigation final flexion and/or extension of the elbow, with flexion model as an assistance for diagnosing, preoperative and/or extension deficit in ROM. Although in more severe preparations and intraoperative navigational guide. cases it can present as dull aching pain in the elbow during The elbow model is based on a CT images taken prior the whole motion, depending on the extension of osteoarthritic surgery. A 3D model is then prepared using a specially changes of the joint [5]. developed software. On this model a full ROM is tested

Correlation of clinical history and physical examination and the surface collision areas (“bone-kissing” lesions) are Figure 3 – Intraoperative real-time navigation system presentation. (left) Figure 4 - Intraoperative real-time navigation system presentation. (left) with a standard plain radiograph of the elbow is usually determined. Such 3D model gives an additional information View on the arthroscope monitor of anterior compartment of the elbow, View on the arthroscope monitor of anterior compartment of the elbow after debridement of coronoid osteophyte using motorized shaver. (right) Photo of debridement of coronoid osteophyte. (right) Photo of a real-time navigation sufficient to diagnose most cases of EBI (Figure 1) [6]. on the extent and exact locations of the osteophytes and a real-time navigation system used during arthroscopy. system with no more red spots on coronoid process, displaying sufficient Although, a CT or MRI imaging is usually needed in cases the obliteration of the fossa (Figure 2). Based on this image debridement on coronoid, hollowing of the fossa is still needed.

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Latest news from the Paediatric ACL Monitoring Initiative Editorial about Women in ESSKA (PAMI) in the December issue of the KSSTA journal

HÅVARD MOKSNES CAROLINE MOUTON LARS ENGEBRETSEN ROMAIN SEIL KATJA TECKLENBURG Women in ESSKA Founding Member The PAMI Steering Committee

ESSKA organised on October 2nd 2020 the first annual data in order to ensure the quality of data and to officially Visibility and a network for female orthopaedic surgeons least partly due to the formation of networks such as the workshop for the Paediatric Anterior Cruciate Ligament publish the first results of the PAMI. within ESSKA have been missing in the past. For several Ruth Jackson Orthopaedic Society [1] and other initiatives Monitoring Initiative (PAMI). The aim of the workshop was years now, the ESSKA Board and its presidents Romain Seil, to increase diversity within the AAOS. to gather PAMI partners as well as interested institutions Next years will be critical for the PAMI. A request to extend David Dejour and Jacques Menetrey have begun to work to discuss the organisational aspects and the future the ethical approval of the project as well as financial on creating a more diverse environment with more women Women in ESSKA will have its first editorial article in ESSKA’s perspectives of the initiative. support is foreseen, which also gives the opportunity to participating in ESSKA’s committees and sections. In the journal Knee Surgery Sports Traumatology Arthroscopy evaluate and strengthen the current initiative. During the last four years, the number of women in ESSKA committees (KSSTA) in the December issue. I had the honour to write The PAMI aims to collect and analyse data from orthopaedic workshop, inclusion/exclusion criteria were discussed and work groups has increased from 6% in 2016 to 9% in an editorial note about my experience as a woman in the surgeons who are treating children and adolescents with again as well as the possibility to extend the content of data 2020. As of now, 8.5% of all ESSKA section board members field of orthopaedics and tried to work out a few of the facts anterior cruciate ligament (ACL) injury using an international gathered within the project. are women. However, this means that more than 90% of and recent literature on the topic. This newsletter article data collection system. Through this initiative, the goal is to all leadership positions within ESSKA and ESSKA’s section presents a summary of the manuscript. improve diagnosis, treatment options, surgical techniques Please be aware that we are still looking for interested partner boards are covered by men. and rehabilitation of paediatric ACL injuries. Presented institutions to join us. If you are an orthopaedic surgeon or ESSKA wants to promote educational and research activities during the ESSKA Congress in 2018, the ESSKA leadership a medical doctor treating children and adolescents with Traditionally, the field of orthopaedic surgery has been of aspiring female orthopaedic surgeons and residents. We has placed PAMI under the lead of its Basic Science ACL injury and are interesting in the PAMI, please contact male dominated. Literature supports that females care want to look into a future in which ESSKA not only stands Committee chaired by Caroline Mouton since May 2020. us at [email protected]. We will keep you aware of our next better for their patients and have a stronger standing in for cultural diversity throughout Europe but also for gender workshop and symposium that we hope to be able to their profession when orthopaedic surgeons resemble equality in our profession, with a strong network of women Currently, six partner institutions from Austria, Italy, organise during the next ESSKA congress. their patients in gender and ethnicity. When looking at the in orthopaedics who will serve as role models for young Luxembourg, The Netherlands, Norway, and Spain are statistics, the situation is the same worldwide. female medical students and residents. actively enrolling patients. Since the first inclusion in October Detailed information on how to become a PAMI partner is 2018, 68 children have been recruited with a continuous available online on the ESSKA website. New data shows that although men continue to hold The complete text can be read here. increase of inclusion within the last months. The first data a higher proportion of more respected roles within shows that the chronological age at injury for this population ESSKA thanks the following partners: orthopaedic academia, there was a statistically significant REFERENCES: was in average 12 years of age (from 6 to 17 years of age). increase in the proportion of women presenting at annual [1] Ruth Jackson Orthopaedic Society. RJOS Guide for women in orthopaedic surgery. Available at http://rjos.org/. [2] Tougas C, Valtananen Most injuries occurred while playing football (38%). At the meetings of ten different North American orthopaedic R, Bajwa A, Beck JJ (2019) Gender of presenters at orthopaedic meetings time of the analysis, 69% were indicated for surgery. societies between 2008 and 2017 [2]. This increase is at reflects gender diversity of society membership. J Orthop 19:212-217

While several developments were made in the last months to enhance data quality and user’s experience with the PAMI web portal, the preliminary analyses allowed the PAMI steering committee to highlight some technical issues in data consistency, accuracy and completeness. These issues will be specifically targeted within the next months to consolidate the database and provides efficient guidelines to PAMI partners. In 2021, the PAMI managers will also start to provide yearly feedbacks to partner institutions on their

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Affiliated Societies Over the last year, ESSKA welcomed several new national organisations as Affiliated Societies, the most recent being the first from Belgium. There is now a total of 45.

ARMENIA SFTS - French Society of Sports Traumatology LUXEMBOURG SERBIA AORTA - Association of Orthopaedics, Traumatologists (Société Française de Traumatologie du Sport) LIROMS - Luxembourg Institute of Research ASTAS - Association for Sports Traumatology and and Rehabilitologists of Armenia in Orthopedics, Sports Medicine and Science Arthroscopic surgery of Serbia GEORGIA (Asocijacija za Sportsku Traumatologiju i Artroskopsku BELARUS GASSA - Georgian Arthroscopy and Sports Surgery North Macedonia hirurgiju Srbije) BAKAST - Belarusian Association of Knee Surgery, Association MAOT - Macedonian Association Arthroscopy and Sports Traumatology (saqarTvelos arTroskopistTa da sportuli qirurgTa asociacia) of Orthopaedics and Traumatology SES - Shoulder and Elbow Society of Serbia (Udruženje za rame i lakat Srbije) BELGIUM GERMANY THE NETHERLANDS BKS - Belgian Knee Society DKG - German Knee Society (Deutsche Kniegesellschaft) NVA - Dutch Arthroscopy Society SLOVENIA (Nederlandse Vereniging voor Arthroscopie) SSASST - Slovene Society for Arthroscopic Surgery and BOSNIA & HERZEGOVINA GERMANY, SWITZERLAND, AUSTRIA Sports Traumatology AOTBiH - Association of Orthopedists AGA - Society for Arthoscopy and Joint Surgery NORWAY (SSAST - Slovensko združenje za artroskopsko kirurgijo in nd Traumatologists in Bosnia and Herzegovina (Gesellschaft für Arthroskopie und Gelenkchirurgie) NAA - Norwegian Arthroscopy Association poškodbe pri športu) (UOTBiH - Udruženje Ortopeda i Traumatologa (NAF - Norsk Artroskopiforening) u Bosni i Hercegovini) GOTS - Society for Orthopaedic and Traumatologic SPAIN Sports Medicine POLAND AEA - Spanish Arthroscopy Association BULGARIA (Gesellschaft für Orthopädisch-Traumatologische PTA - Polish Arthroscopic Society (Asociación Española de Artroscopia) BOTA - Bulgarian Orthopaedic and Trauma Association Sportmedizin) (Polskie Towarzystwo Artroskopowe) (Българска Ортопедична и Травматологична Асоциация) SEROD - Sociedad Española de la Rodilla GREECE PORTUGAL CROATIA HAA - Hellenic Association of Arthroscopy, SPAT - Portuguese Society of Arthroscopy SETRADE - Spanish Society for Sports Traumatology CSSTA - Croatian Society for Sports Traumatology and Knee Surgery and Sports Injuries and Sport Traumatology (Sociedad Española de Traumatología del Deporte) Arthroscopy (EAE - Ελληνική Αρθροσκοπική Εταιρεία) (Sociedade Portuguesa de Artroscopia (HDSTA - Hrvatsko društvo za sportsku traumatologiju i e Traumatologia Desportiva) SWEDEN artroskopiju) HUNGARY SFAIM - Swedish Society of Sports Medicine MAT - Hungarian Arthroscopy Association SPOT - Portuguese Orthopaedic and Trauma Society - (Svensk Förening för Fysisk Aktivitet och Idrottsmedicin) CZECH REPUBLIC (Magyar Artroszkópos Társaság) Knee Section CSSTA - Czech Society for Sports (Sociedade Portuguesa de Ortopedia e Traumatologia) TURKEY Traumatology and Arthroscopy IRELAND TUSYAD - Turkish Society of Sports Traumatology, (SSTA - Společnost pro Sportovní IKS – Irish Knee Society ROMANIA Arthroscopy and Knee Surgery Traumatologii a Artroskopii) SRATS - Romanian Society of Arthroscopy (Türkiye Spor Yaralanmaları Artroskopi ve Diz Cerrahisi ISRAEL and Sports Trauma Derneği) DENMARK ISKSA - Israeli Society of Knee Surgery and Arthroscopy (Societatea Română de Artroscopie SAKS - Danish Society for Arthroscopic și Traumatologie Sportivă) UNITED KINGDOM Surgery and Sports Traumatology ITALY BASK - British Association for Surgery of the Knee (Dansk Selskab for Artroskopisk Kirurgi SIAGASCOT - Italian Society of Arthroscopy, Knee, Upper RUSSIA og Sportstraumatologi) Limb, Sport, Cartilage and Orthopaedic Technology ASTAOR - Association of Sports Traumatology, BOSTAA - British Orthopaedic Sports Trauma & (Società Italiana di Artroscopia, Ginocchio, Arto Superiore, Arthroscopists, Orthopaedic Surgeons and Rehabilitation Arthroscopy Association ESTONIA Sport, Cartilagine, Tecnologie Ortopediche) Specialists EASTS - Estonian Arthroscopy and Sports Trauma Society (ACTAOP - Ассоциация Спортивной Tравматологии, UKRAINE (Eesti Artroskoopia ja Sporditraumatoloogia Selts) LATVIA Артроскопии, Ортопедической хирургии и Реабилитации) UASTKA - Ukrainian Association of Sport Traumatology, LAKAS - Latvian Association of Knee Surgery, Arthroscopy Knee Surgery and Arthroscopy FINLAND and Sports Orthopaedics RAS - Russian Arthroscopic Society (YACTKA - Української асоціації спортивної травматології, FAKA - Finnish Arthroscopy and Knee Association (LCASA - Latvijas Ceļa locītavas ķirurģijas, artroskopijas un (РАO - Российское Артроскопическое Общество) хірургії коліна та артроскопії) (SPA - Suomen polvi- ja artroskopiayhdistys) sporta ortopēdijas asociācija) RKA - Russian Association of Knee Joint Surgeons FRANCE LITHUANIA (Русская Ассоциация Коленного Сустава) SFA - French Arthroscopy Society LASTA - Lithuania Arthroscopy and Sports (Société Francophone d’Arthroscopie) Traumatology Association (Lietuvos Artroskopijos Chirurgų Asociacija)

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AGAnywhere – Virtual. Global. Local. GOTS publishes a book

For the first time in 37 years, the AGA – Society for Friday’s focus was Knee & Hip, hosted by Dr Peter Koch The German-speaking Orthopaedic primary prevention of sports injuries Arthroscopy and Joint Surgery – had to cancel the annual (Winterthur). Two sessions dealing with conservative vs and Traumatologic Society of Sports and illnesses. As a result of the meeting, congress due to Corona pandemic. But at the same time surgical treatment options were followed by a session on Medicine (GOTS) organised its 6th GOTS GOTS now is presenting its latest the AGA also decided to go digital and prepare an online stem cells together with the ON Foundation. expert meeting from 19-22 September publication entitled "Primärprävention event - AGAnywhere! 2019, in Canach, Luxembourg. Under von Sportverletzungen", that summarises Saturday’s focus was Foot & Ankle, hosted by Dr Tomas the direction of GOTS President Prof. the current research results and It all started with a pre-day of the AGA Students hosted by Buchhorn (Straubing). The programme included one video Romain Seil and Prof. Thomas Tischer, recommendations on the subject of Professor Andreas Imhoff (Munich) and an online Cycling session on osteoarthritis of the ankle, case presentations on a group of 30 specialists from several prevention. Read more for Joints event led by Dr Martin Volz (Ravensburg). imaging and the international session “AO meets AGA”. countries discussed the status of

The programme delivered 12 live TV sessions with 45 AGA is already looking forward to the next annual congress experts from Germany, Austria, Switzerland and other to take place in Hamburg (Germany), 9-11 September European countries, viewed by more than 1,600 online 2021, as onsite event and accompanied by sessions to be delegates from 27 countries. As the conference is still streamed and available online. Abstract submissions are available online via www.aga.winglet.live, viewers are able welcome! to receive 18 CME credits.

Thursday’s focus was Shoulder & Elbow, hosted by Professor Markus Scheibel (Zurich/Berlin). The programme involved the AGA Committees Rotator Cuff and Elbow/Hand. It was Digital premiere: GOTS online congress held completed by the joint SFA/AGA video session. on 16-18 June 2020 was a great success

Digital premiere: GOTS online congress held on 16-18 June to Sports After Spine Injuries and Diseases, Update: Corona 2020 was a great success and Sports, or the International Highlight Session “All about knee”. Due to COVID-19, this year´s annual GOTS congress in Berlin had to be cancelled at very short notice. Not only the expert lectures were presented online and interactively, but also the prize-giving ceremony during GOTS therefore mounted a very successful online congress which the GOTS “Young Investigator Award (YIA) by that was also a digital premiere. Congress Chair Wolfgang Bauerfeind”, the Sports Physician of the Year Award, the Petersen and his team managed to present the most GOTS research funding and the e-poster prizes were important topics, lectures and meetings as a professional awarded. interactive live TV format. A total of 7500 Live Center Logins was counted. GOTS will further develop its digital communication and presentation channels. The annual congress, the numerous A wide range of topics were covered, such as Update Muscle important workshops and symposia, however, will be held Injury, Sportsmen´s Groin Injury, Arthritis and Sports – live again, as nothing can fully substitute direct personal what´s possible?, Sports-related Upper Ankle Injuries, Back and expert exchange!

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SES’s 10th Symposium was hosted online The ESSKA Newsletter wants your scientific input

ESSKA’s Newsletter regularly includes scientific articles about new techniques, new feelings and original ideas in the orthopaedic field. We encourage all ESSKA residents, fellows, researchers and orthopaedic surgeons to submit their work for publication. The format is less formal than for a peer-reviewed journal and originality is very welcome. WE ARE WAITING FOR YOUR IDEAS AND WORK!

www.shoulderelbowserbia.com ESSKA Newsletter Editors

IMPORTANT DETAILS FOR SUBMISSION: Due to the COVID-19 Pandemic world turnover, the faculty, shoulder posttraumatic stiffness was fully covered Length: +/-1,200 words Shoulder and Elbow Society of Serbia (SES) decided to by Prof. Nuno Gomes, a dear friend and ESSKA-ESA Vice Images/charts/graphs: must be sent as a high resolution attachment and not copy/pasted into a Word document th Review process: All submissions will be reviewed by the Newsletter Editors and selected submissions with be published postpone its annual meeting and hold the 10 Symposium Chairman. Also, Prof. Denise Eygendaal and Prof. Roger Van in a subsequent issue. on 30 October 2020 on a web event platform http:// Riet enlightened us so much on elbow pathology in such a Send articles or questions to: Graham Woolwine, ESSKA Communications ramelakat.webevent.rs/ short time.

This was a unique experience since esteemed lecturers Prerecorded lectures and real time discussion have greatly and ours colleague listeners made a tremendous effort to met our education principles for this time. participate and support this “new normal” in education. New ESSKA Membership benefit Regardless, we are optimistic to meet as normal at a live The symposium was divided in two parts, the first about event in May 2021 with the same Faculty in Belgrade, Serbia. shoulder pathology and the second was dedicated to elbow stiffness and instability. In addition to the local

From 1 January 2021, ESSKA members can enjoy a new benefit: Online subscription to JISAKOS, the journal of our partner-society ISAKOS, at a special price. Each online subscription is valid from the 1 January to the 31 December of a calendar year.

SUBSCRIBE HERE

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Forthcoming Events

ESSKA EVENTS XIVth Conference of BAAST, Xth International Symposium of BOTA ESSKA Congress 27-29 May 2021 – Varna, Bulgaria 11-15 May 2021 – Virtual Event 2nd Child and Adolescent Knee Congress ESSKA Speciality Days 17-18 June 2021 – Sheffield, United Kingdom 3-4 September 2021 – Warsaw, Poland NVA 30th Anniversary Congress - Scope to the Future 17-18 June 2021 – Noordwijk, The Netherlands PATRONAGE EVENTS 35th Annual Congress of GOTS ESSKA OFFERS PATRONAGE FOR COURSES, MEETINGS AND 1-3 July 2021 – Basel, Switzerland EVENTS THAT WOULD BE OF INTEREST TO ITS MEMBERS. EVENTS THROUGH JULY 2021 WHICH HAVE RECEIVED PATRONAGE INCLUDE THE BELOW. OTHER EVENTS - INTERNATIONAL

NOTE: PLEASE CHECK THE EVENTS’ WEBSITES FOR ANY 6th ICRS Summit POSSIBLE CANCELLATIONS OR POSTPONEMENTS DUE TO 3-5 June 2021 – Miami, Florida, USA THE CORONAVIRUS PANDEMIC. : AdobeStock® photo Crédit 22nd EFORT Annual Congress The Meniscus News Webinar 30 June – 2 July 2021 – Vienna, Austria 30 January 2021 – Virtual event AOSSM-AANA Combined 2021 Annual Meeting Das degenerative Kniegelenk – von der Umstellung bis 8-11 July 2021 – Nashville, Tennessee, USA zur Knieprothese 5-6 February 2021 – Innsbruck, Austria 16th ICRS World Congress 23-26 August 2021 – Berlin, Germany SRATS 2020 Congress 25-27 March 2021 – Bucharest, Romania 1st SLARD Latino American Meeting of Arthroscopy, Joint Reconstruction and Sports Traumatology 17th International Course of Arthroscopic Techniques 16-18 September 2021 - Panama City, Panama with Cadaveric Workshop 26-27 March 2021 – Ljubljana, Slovenia APKASS Congress 30 September – 2 October 2021 – Pattaya, Thailand 6th International Knee Update www.congres-srats.ro 15-17 April 2021 – Davos, Switzerland 13th Biennial ISAKOS Congress 27 November – 1 December 2021 – Cape Town, IOC Advanced Physician Course South Africa 19-21 April 2021 – Budapest, Hungary 20 CME CREDITS 8th AEA-SEROD Joint Congress 26-28 May 2021 - Palma de Mallorca, Spain 25 - 27 March SRATS 2021

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www.serod.org 1 – 3 July 2021 www.aeartroscopia.com Basel Congress Center

Congress Language GERMAN

CONGRESO CONJUNTO th GOTS 8 AEA - SEROD 36 Annual Meeting TH Society for Orthopaedic 8 JOINT AEA-SEROD CONGRESS Traumatologic Sports Medicine 26 - 28 DE MAYO 2021 SEDE: PALAU DE CONGRESSOS DE PALMA PALMA DE MALLORCA

www.gots-kongress.org Congress Organiser: Intercongress GmbH 38º 39º 29º CONGRESO DE LA ASOCIACIÓN CONGRESO DE LA SOCIEDAD CURSO DE ENFERMERÍA ESPAÑOLA DE ARTROSCOPIA (AEA) ESPAÑOLA DE LA RODILLA (SEROD) EN ARTROSCOPIA Y RODILLA

GOTS Partners:

30TH ANNIVERSARY

30 th Anniversary meeting "Scope to the future" 17 & 18 June 2021

Noordwijk at Sea, The Netherlands Visit:

Accr.: 12 points ww.scopie.org w

62 63 RENEW NOW

ESSKA Membership: IT’S TIME TO RENEW Deadline: 31 December 2020

www.esska.org

Full Membership benefits* include: • A monthly copy of, and online access to, the KSSTA journal • Reduced registration fees for ESSKA’s Biennial Our membership fees are: Congress and Speciality Days • Access to premium content on our Continuous 1 year 2 years Professional Education platform: ESSKA Academy Full Member 180 € 340 € • Online access to all ESSKA books, a value of more than 2,500 EUR Resident & Physiotherapist 95 € 170 € • 25% reduction on the purchase of hard copies Basic & Sports Scientist 95 € 170 € of ESSKA books • The possibility to promote your survey to the PAY FOR TWO YEARS AND SAVE MONEY! ESSKA community • Access to various ESSKA educational and fellowship programmes • Online ESSKA member directory to search Members of ESSKA’s Affiliated Societies for colleagues can benefit from annual discounts: • ESSKA newsletter subscription • The right to vote at the General Meeting, • 20 € discount on the ESSKA Full membership fee serve on ESSKA committees and apply for • 10 € discount on Resident membership fee section membership. Contact your society today to get your discount code.

 * See the complete list of benefits associated with each membership type on the ESSKA website.

For any questions about your ESSKA membership, please contact the ESSKA office at [email protected] or (+352) 4411-7015