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Contents introduCtion Colour guideper topiC 1. introduCtion 3. wednesday4June2014 Welcome from the President of EFORT 2 Programme of the day 36 general orthopaediCs Welcome from the President of BOA 3 Welcome from then Chairman of the 4. thursday 5June2014 upper limb Local Organising Committee and the Programme of the day 78 lower limb Chairman of the Scientific Committee 4 About EFORT and BOA 5 5. friday6June2014 spine EFORT Committees 6 Programme of the day 120 National Member Societies 8 trauma/polytrauma Speciality Societies and other paediatriCs collaborating organisations 9 7. posters Wednesday 4June 2014 159 general eduCation 2. session overview & Thursday 5June 2014 185 abstraCt information Friday 6June 2014 214 Advanced Course in THR &TKR 12 BOA Plenary Lectures 12 8. indeX of authors Clinical Cases -Oral Session 12 Index of Authors 241 Collaborating Society Session 13 Complex Case Discussion 14 9. industry&eXhibition Comprehensive Review Course 14 Industry partners of the Debate Forum 14 15th EFORT Congress 298 EFORT Honorary Lectures 15 Industry Symposia Session Overview 299 EFORT Opening Session 15 Industry Symposia Evidence Based Medicine 15 Wednesday 4June 2014 300 Free Paper session 16 Thursday 5June 2014 303 Great Debate 20 Friday 6June 2014 307 Instructional Lecture 20 Exhibitors list 308 Interactive Expert Exchange 22 Exhibition floor plan 309 Nurse Day 23 RSA Special Session 23 10.general Congress Speciality Society Session 23 information Symposium 24 General Information 312 The full attendance of the congress entitles Video Viewing 28 About London 317 to 18 European CME credits (ECMEC’s). Travel Information 318 The certificate will be available for download Abstracts information 30 Maps &Floorplans on EFORTnet after the congress. Youwill be notified by Email. If you have not yet registered your correct personal Email with us, please contact the registration desks. Published by medieninformatik.ch 1 Welcome Address Manuel Cassiano Neves, MD, MSc EFORTDr President.Manuel Cassiano Neves, MD, MSc EFORT President 2013 -2014 Dear colleagues and participants, Iextend awarm welcome to you for the 15th EFORT Congress held in combination with the British Orthopaedic Association (BOA) at the ExCeL Centre in the exciting city of London. The EFORT Annual Congress has gained increasingly widespread recognition over the last few years as ameeting of high-level scientific value. It provides an opportunity for surgeons from Europe and all around the world to share the latest and best practice in the field of orthopaedics and trauma and to establish bridges that are so helpful in the development of our speciality. This year we are enjoying the opportunity to combine the meeting with BOA, aprestigious association founded in 1918 –one of the oldest in the world, with astrong history in education and research. At the same time we will have the American Academy of Orthopedic Surgeons as our Guest Association. This means that we will have in London two of the most prestigious societies in our field with along history in education, which will be aprivilege. As usual, participants will have access to adiverse programme, including 48 symposia and 22 instructional lectures. Several sessions, like the complex case discussions, interactive expert exchanges, debate forums and clinical case discussions will be organised to promote interaction and discussion between participants and experts in their own fields. Finally,the free paper sessions will further enlighten the orthopaedic community. The highlight of our event is the symposium on Patient Safety,which is the theme for the Congress this year,and will be the focus of every session. Pietro Ruggeri, atumour surgeon from the Rizzoli Institute in Bologna, Italy will be our guest for the Erwin Moscher Lecture, and Stuart Weinstein, adistinguished paediatric colleague from Iowa, USA will present the Michael Freeman Lecture. Iam certain both of their lectures will be unforgettable. On behalf of the Executive Committee (and personally) Iwould like to express my gratitude to all members of the national associations and Speciality societies that contribute behind the scenes to this Annual Congress, and particularly to the local organisers, Professors Tim Briggs and Steve Cannon for their enthusiastic support. Our thanks also go to the staff responsible for the organisation of the Congress from our Head Office and the Congress organisers MCI for their dedication and hard ,awwork. Finally ord of thanks to our partners from the industry,without whom it would have been impossible to achieve our role in education. We welcome you to London for what is expected to be avery exciting 15th EFORT Congress. Dr.Manuel Cassiano Neves, MD, MSc EFORT President 2013 -2014 2 Welcome Address introduCtion Prof. Tim Briggs President BOA 2013/14 Dear participants, The British Orthopaedic Association in partnership with EFORT is delighted to welcome you to the 15th EFORT Congress in the vibrant city of London. The Congress provides the ideal forum for trauma and orthopaedic surgeons, residents and trainees to meet, network and exchange knowledge and ideas. The scientific programme has been especially designed to provide acomprehensive spectrum of scientific and plenary sessions, instructional lectures and symposia with Patient Safety as the theme. The programme also combines anumber of exciting BOA sessions, which have been developed in collaboration with our specialist societies including aday long Trauma ‘Boot Camp’ that should be of interest to all with apractice in this area. Other combined highlights include an important international session to explore potential solutions to the impending worldwide avalanche of orthopaedics and the BOA’s traditional eponymous lectures: the King James IV Professorship Lecture (sponsored by the Royal College of Surgeons of Edinburgh), the Robert Jones Lecture (sponsored by the Royal College of Surgeons of England) and the BOA Presidential Guest lecture (which will set the scene for the international session). We are proud to co-host the Congress at the International Exhibition and Convention Centre in ExCel, London. As the natural meeting point for the world’s business networks and acentre of scientific excellence and innovation, the city is also steeped in history and culture with stunning architecture -both old and new -and lavish urban parks. We hope that all Congress delegates will have the opportunity during your stay to enjoy some of the many sights and savour the intensity of street life our capital has to offer. We wish you our warmest welcome and hope to make the 15th EFORT Congress in London amemorable experience for you. Prof. Tim Briggs President BOA 2013/14 3 Welcome Address Mr.Stephen R. Cannon Chairman Local Organising Committee Prof. Dr.Enric Cáceres-Palou Chairman EFORT Scientific Committee Dear participants, Welcome to the 15th EFORT Congress held at the Excel Centre in London. On behalf of the EFORT Scientific Committee and the Local Organising Committee we welcome you to what we hope will be both an enjoyable and enriching educational experience. The environment is unique in creating interaction amongst colleagues from all the European countries, together with our overseas guests, particularly the American Academy of Orthopaedic Surgeons and the Australian Orthopaedic Association. The theme of the Congress is Patient Safety.Weare sure that in today’s environment this remains our most important consideration and on this occasion we are particularly honoured to be joined by the British Orthopaedic Association to produce an extremely strong programme. As always we also welcome our partners from the orthopaedic industries who have supported the scientific programme and in many cases will organise their own educational sessions. The BOA has also introduced an exciting section on the “Orthopaedic Time-Bomb” which hopes to find some solutions to the ever increasing need for orthopaedic.T surgery he EFORT Scientific Committee in conjunction with the Specialist Societies has created an educational programme within the Congress based on well-established methods of delivery. These include multiple symposia, complex case discussions, sessions on evidence-based medicine, together with interactive expert exchanges. The Congress also includes the comprehensive review course aimed at orthopaedic trainees and the special one-day symposium for orthopaedic nurses. The Irwin Morscher lecture will be given this year by Pietro Ruggeri, adistinguished oncological surgeon from Italy,whilst the Michael Freeman lecture will be given by Stuart Weinstein, adistinguished paediatric colleague from Iowa in the United States. Iamsure both lectures will have great interest for the orthopaedic fraternity. This year we are also honoured to have the plenary lectures of the BOA, the James IV lecture on behalf of the Royal College of Surgeons of Edinburgh, to be given by Professor Hamish Simpson and+ the prestigious Robert Jones lecture on behalf of the Royal College of Surgeons of England will be given by Mr David Stanley.These lectures as well as being educational will also add alittle bit of colour to the occasion and we hope you enjoy them! Our guest nation this year is the American Academy of Orthopaedic Surgeons, led by their President, Dr.Frederik Azar,who Iamsure will give us awonderful insight into the developments not only of orthopaedics but their approach to patient safety in the USA. We hope that you enjoy the academic component of the Congress and hope that you will join us