• Review the needs and benefits of hip navigation
• Summarise the alignment objectives needed for total hip replacement
• Understand the tips and tricks for achieving good alignment with navigation
• Assess the alignment accuracy achievable with navigation

Cartilage defects and osteoarthritis are acknowledged as a disease of the entire osteocartilaginous unit, rather than a disorder limited to the surface cartilage alone.  Whilst marrow stimulating procedures are generally considered as a first line of treatment for full-thickness osteochondral lesions, there are concerns over the durability of the repair tissue and clinical outcome, especially in larger defects.  In this live webinar our panel of experts will present their experiences with a novel nanostructured biomimetic scaffold for treatment of OCL and OCD in the knee joint, including case presentations, patient selection, clinical evidence and surgical technique.

By the end of this educational webinar delegates should be able to:

• Understand the current treatment options for the varying grades of osteochondral defects and when to intervene
• Identify patients that may be suitable for treatment with an off the shelf osteochondral regenerative graft patch
• Identify key surgical factors that support successful osteocartilaginous regeneration with a tri-layer 3D matrix
• List the recommendations for achieving successful patient outcomes with a cell-free osteochondral scaffold

Learn why you would choose a short uncemented stem for hip arthroplasty patients and how an anterior approach can reduce recovery time and minimise scarring. Interact with Professor Justin Cobb, Dr Daniel Donaire, Mr Gunnar Flivik and Mr Johan Witt as they share their philosophies and technique for bikini incision anterior hip replacement.

Detail

Interest in short uncemented femoral stem designs for hip arthroplasty is driven by the promise of the preservation of proximal bone stock and easier insertion, with the option to adopt contemporary minimally invasive surgical techniques. However, due to the heterogeneity of the group of implants referred to as ‘short stems’ and some unconvincing survivorship results amongst this diverse group, some surgeons reserve these stem designs for specific patient types, such as those with type Dorr A and young adults. This webinar will present and discuss the results of a bone conserving shorter stem design based on a well-proven precursor and debate its use in a wider range of indications.

By the end of this educational presentation delegates should be able to:

• Understand the critical design criteria of a successful short uncemented femoral stem.
• Identify patients that may be suitable for a short uncemented femoral stem design.
• List the recommendations for achieving successful total hip replacement with a short stem implant.
• Identify key surgical factors that support faster recovery times with an anterior approach.
• Recognise and plan for the potential learning curve associated with an anterior approach.

Outline: COVID-19 has stretched hospital budgets, increased surgical waiting time and reduced patient willingness to attend and stay in hospital. With the growing evidence in support of enhanced recovery programmes getting patients back to health more quickly, whilst receiving the best possible care, there has never been a more appropriate time to roll out rapid recovery pathways and even day case surgery for hip replacement.

This webinar presents two approaches to reducing length of stay in two different NHS settings. We will learn how Mr Simon Newman and team have recently made day case surgery in Oxford a reality with their patient selective strategy in an elective setting under new COVID restrictions, and how Mr Rohit Rambani and team have dramatically reduced length of stay in two non-specialist settings in Lincolnshire, with a non-selective but strict protocol.

By the end of this educational presentation delegates should be able to:

• Identify patients that may be suitable for day case/rapid recovery hip surgery.
• Identify key anaesthetic and surgical factors to achieve day case/rapid recovery hip replacement.
• List the recommendations for implementing a successful enhanced recovery programme for hip replacement.
• Understand the importance of a focused multi-disciplinary team in reducing length of patient stay.
• Recognise the potential pitfalls and complications of setting up a day case/rapid recovery hip replacement service.