Osteochondral lesions in the Lower Limb:
Achieving superior functional outcomes with a novel cell-free scaffold in the knee, foot and ankle.
Tuesday 7 September 2021 60 mins
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 and ankle joints, with case presentations and tips and tricks on surgical technique, patient selection and setting up a specialist referral network.
View individual presentations below:
Presentation 1: Management options for OCL in the Knee - Oliver Templeton-Ward https://vimeo.com/610744791
Presentation 2: Novel Biomimetics 3D Scaffold in the Knee - Mr Andrew Edwards https://vimeo.com/610751831
Presentation 3: Management of Early Arthritis of the Ankle - Mr Jason R. Eyre https://vimeo.com/610757002
Presentation 4: Setting up Regional Networks - Mr Jason R. Eyre https://vimeo.com/610847066
Webinar in full: https://vimeo.com/609704915
19:05 Treatment options for OCL in the knee - Oliver Templeton-Ward
19:12 Novel biomimetic 3D scaffold in the knee - Andrew Edwards
19:22 OCL treatment options in the ankle – Jason Eyre
19:40 Setting up networks – Jason Eyre
19:50 Discussion and Q&A – All
20:00 Final polling & Close-
Review the treatment options for varying grades of osteochondral defects, and when to intervene.
Understand the limited surgical options for defects in the foot and ankle.
Understand appropriate patient selection for treatment with a cell-free osteochondral scaffold.
Identify the key surgical factors for achieving superior functional outcomes with MaioRegen in the ankle.
List the recommendations for developing a specialist treatment referral network.
Management options for OCL in the Knee - Oliver Templeton-Ward
Novel Biomimetic 3D Scaffold in the Knee - Mr Andrew Edwards.
Management of Early Arthritis of the Ankle - Mr Jason R. Eyre.
Setting up Regional Networks - Mr Jason R. Eyre
Osteochondral Lesions in the Lower Limb - Webinar in full
Evolution Interactions
User Group Webinar
'THE EVOLUTION OF BEST PRACTICE' 30 mins
This is an opportunity to review the latest data, hear insights from the developers, and share best practices to achieve superior patient outcomes with the 7A* ODEP Furlong Evolution.
- In this first event, discover how Mr Kerry Acton achieves superior outcomes with an exceptionally low revision rate of less than 0.3% in over 1000 cases.
- Learn technique tips and tricks for optimal implant positioning and sizing.
- Share your own cases to get expert faculty feedback on proposed clinical options, or review cases already completed.
To register to attend and submit a case for discussion if desired, please reply to medicaleducation@jri-ltd.co.uk for a link to join.
19:00 - 19:30 BST
- In this first event, discover how Mr Kerry Acton achieves superior outcomes with an exceptionally low revision rate of less than 0.3% in over 1000 cases.
- Learn technique tips and tricks for optimal implant positioning and sizing.
- Share your own cases to get expert faculty feedback on proposed clinical options, or review cases already completed.

Can Short Hip Stems improve THA Outcomes? 60 mins
1000+ cases, minimally invasive surgery and continued success.
The focus of our latest webinar was again the highly successful and versatile Furlong Evolution® Hip. Professor Justin Cobb joined Mr Kerry Acton and Mr Johan Witt to deliver detailed presentations on the benefits of short stems, practical advice on direct-anterior and mini-posterior approaches. Mr Acton spoke insightfully on his experience of implanting over 1019 Furlong Evolution® Hip stems and having a remarkably low revision rate of 0.3%.
Following on-line questions, the panel then presented complex cases covering dysplasia, peri-prosthetic fracture and infection all treated with the bone conserving Furlong Evolution®.
It was a privilege to hear, watch and share the experiences of such well respected and knowledgeable arthroplasty surgeons present on the subject of short stems – thank you.
The key purpose of these webinars is to provide education to a global audience, we measure this by polling questions pre and post webinar to ensure that the topics engage and educate our audience. We are tremendously proud to note that for this important topic 86% of our attendees wanted to discover more about the use of short stems.
We have further webinars planned and look forward to continuing to provide a valuable educational resource.
19:00 Welcome. Kate Stoddard.
19:05 What are the benefits of short stems? Professor Justin Cobb.
19:15 Getting it right - Long term experience of 1,000 cases. Mr Kerry Acton.
19:25 Anterior Approach - Is it worth it?. Mr Johan Witt.
19:35 Applying the principles - Case Studies. 1 case each faculty.
19:55 Summary
20:00 Close
By the end of this educational webinar delegates should be able to:
- Understand the rationale for a shorter stem femoral prosthesis and the critical design criteria of a successful short uncemented femoral stem.
- Identify the key steps in the surgical technique for optimal primary mechanical and secondary biological fixation with a shorter stem implant.
- List the recommendations for achieving successful total hip replacement with a short stem implant.
- Identify patients that may be suitable for a short uncemented femoral stem design.
- Understand the rationale for minimally invasive techniques for THA.
- 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.
Innovative Hip Navigation Technology - Improving THA Accuracy 60 mins
This one-hour webinar attracted an International live audience of surgeons wishing to learn why and how navigation is improving the accuracy of hip replacement.
Watch the recording to discover why ‘safe zones’ for implant positioning have poor predictive value for dislocation and why surgeons are looking to integrate new technology to help hit alignment targets.
Learn how novel navigation systems, such as the Naviswiss handheld device is enabling a greater degree of accuracy without adding time, requiring extra incisions or changing surgical workflow.
With thanks to our faculty speakers Dr David Liu, Prof Sion Glyn-Jones, Dr Andreas Ottersbach and Mr Giles Stafford for sharing their valuable knowledge and expertise.
The webinar will review the needs and benefits of hip navigation, help surgeons understand achievable alignment objectives and share tips and tricks for optimal accuracy with smart assistive technology.
• 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
Osteochondral regeneration: clinical results of a novel 3D matrix 60 mins
Date: Wednesday 11th November
Time: 18.30 – 19.30
Duration: 60 minutes
Target Audience: Knee, foot and ankle surgeons, Physios, GPs, Patients
Format: Live webinar with interactive Q&A
Experts: Mr Andrew Edwards; Prof. Matej Drobnic; Giulia Scarpato, Finceramica
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
SHORTER STEM HIP ARTHROPLASTY: AN EVIDENCE-BASED DISCUSSION
www.pathways-conference.org
Interactive educational webinar on the critical design elements of a successful uncemented femoral implant and how it has evolved to suit contemporary MIS techniques.
Date: Wednesday 16th September
Time: 18:00
Duration: 70 minutes
Experts:
Prof. Justin Cobb, Dr Daniel Donaire, Prof. Gunnar Flivik, Mr Johan Witt
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.
RAPID RECOVERY AFTER HIP AND KNEE REPLACEMENT
Lessons on reducing length of stay and getting started with day case hip arthroplasty
Date: Thursday 13th August
Time: 18.00
Duration: 40 minutes
Experts:
Mr. Simon Newman, Consultant Orthopaedic Hip and Knee SurgeonNuffield Orthopaedic Centre, Oxford
Mr. Rohit Rambani, Hip and Knee Reconstructive Surgeon, United Lincolnshire Hospitals NHS Trust
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.