Issues in Joint Arthroplasty: Review and Update 2020

Issues in Joint Arthroplasty: Review and Update 2020

This program is intended to provide a practical review of key areas of clinical and surgical management of orthopaedic surgery patients – specifically, those with hip, knee, or shoulder osteoarthritis; a rotator cuff tear; or a fracture around the shoulder. All presentations are grounded in evidence from the literature and the considerable experience of the faculty. Topics covered in this program include:

Techniques and technologies for performing hip, knee, and shoulder arthroplasty

Prevention, diagnosis, and management of complications such as infection, instability, and periprosthetic fracture

Indications for surgical and non-surgical management of patients with rotator cuff tears or shoulder fractures

Guidance on the economic issues that can affect the surgeon’s bottom line, including bundled payments, post-discharge care, and implant costs

Target Audience

This CME activity has been designed to educate orthopaedic surgeons, fellows, residents, and other orthopaedic healthcare professionals who are engaged in the management of patients with hip, knee, and shoulder pathology.

Accreditation

Physicians: Educational Symposia is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Educational Symposia designates this enduring material for a maximum of 29.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.All activity participants are required to take a written or online test in order to be awarded credit. All course participants will also have the opportunity to critically evaluate the program as it relates to practice relevance and educational objectives. AMA PRA Category 1 Credit(s)TM for these programs may be claimed until April 14, 2023.

This CME activity was planned and produced by Educational Symposia, the leader in diagnostic imaging education since 1975.

This CME activity was planned and produced in accordance with the ACCME Essential Areas and Elements.

Topics/Speakers

Session 1: THE ECONOMICS OF TOTAL JOINT ARTHROPLASTY

Managing the Episode of Care

Walter B. Beaver Jr., MD

Value Based Implants and Hospital Vendor Alignment Advantages

William J. Long, MD, FRCSC

Health Policy Update: Navigating the IPO RUC Update

Gregory G. Polkowski II, MD, MSc

Is TJA Cost-Effective in the Obese and Morbidly Obese Patient?

Jeremy M. Gililland, MD

Minimizing Post Acute Discharge Costs

William J. Hozack, MD

Building Blocks to Create a Research Enterprise

Javad Parvizi, MD, FRCS

Bundles: Dissecting and Understanding

Walter B. Beaver Jr., MD

Session 2: The ECONOMICS OF TOTAL JOINT ARTHROPLAST

Private Payor Bundles and Risk Stratification in TJA

Bryan D. Springer, MD

Same-Day Discharge

Thomas L. Bradbury, MD

Minimizing the Cost of the Episode

C. Lowry Barnes, MD

Value-Based Implants

Frank R. Kolisek, MD

Orthopaedic Innovations; Opportunities, Challenges and Responsibilities

Thomas K. Fehring, MD

Bundle Busters in TJA

R. Michael Meneghini, MD

Outcomes for Outpatient Total Joints: My 10 Year Experience

Richard A. Berger, MD

Session 3: PREOPERATIVE PATIENT MANAGEMENT ENHANCED RECOVERY

Pre-operative Medical Evaluation for Outpatient Total Joints

David Kuppersmith, MD

Outpatient Total Joints: It’s an Evolution

Ashley Dentler, PT

Selecting Patients for Outpatient Surgery: A Novel Scoring System

R. Michael Meneghini, MD

Outpatient Total Joints: A Big Mistake!

Gwo-Chin Lee, MD

TKA is No Longer on the Medicare IPO List: Who Qualifies as an Inpatient?

James A. Browne, MD

Session 4: ENHANCED RECOVERY

Patient Selection for Outpatient TJA

R. Michael Meneghini, MD

Fast-Track Anesthesia & Pain Management Protocols in TJA

Thomas L. Bradbury, MD

Physical Therapy after TJA: Benefit or Unnecessary Expense?

William J. Long, MD, FRCSC

The Risks & Challenges of Early Discharge after TJA

Frank R. Kolisek, MD

AAOS Guidelines on PJI: An Update

Gregory G. Polkowski II, MD, MSc

Session 5: INFECTION IN TOTAL JOINT ARTHROPLASTY

International Consensus Meeting: A Synopsis of What Happened

Bryan D. Springer, MD

DAIR: Where Do We Stand with This Issue in 2020?

Gwo-Chin Lee, MD

Prevention of PJI: What Strategies Are Proven to Work?

Ran Schwarzkopf, MD, MSc

Developments in PJI: Microbiome, Genome and Beyond

Javad Parvizi, MD, FRCS

DVT, PE, and Tranexamic Acid in 2019

Ran Schwarzkopf, MD, MSc

Session 6: MEDICAL ISSUES IN TOTAL JOINT REPLACEMENT

Patient Optimization – What Matters?

Bryan D. Springer, MD

Pain Management for TKA & THA

Michael Cross, MD

Outpatient TJA: Indications, Concerns and Outcomes

Gregory G. Polkowski II, MD, MSc

Irrigations (What Do I Use?), Skin Preps, Antibiotic Cement

Michael J. Taunton, MD

Tourniquetless Surgery in TJA

Raymond H. Kim, MD

Wound Closure Techniques and Dressings in TJA

Gwo-Chin Lee, MD

Understanding the Lumbar Pelvic Relationship

Jonathan M. Vigdorchik, MD

Session 7: THE HIP COMPLEX ISSUES IN PRIMARY AND REVISION TOTAL HIP ARTHROPLASTY

The Painful MoM THA: When to Pull the Trigger

Gwo-Chin Lee, MD

Role of Dual Mobility in 2020

Matthew P. Abdel, MD

How I Do an Extended Trochanteric Osteotomy: Video Vignette

Richard A. Berger, MD

THA Revision Through the DAA: Is It Possible?

Michael J. Taunton, MD

Complex Pelvic Reconstruction for Tumors

Matthew P. Abdel, MD

Review: Causes of Failure in Modern-Day THA

Greg G. Polkowski II, MD, MSc

Session 8: THE HIP: TECHNOLOGY IN TOTAL HIP ARTHROPLASTY

Fluroscopy Distortion Correction using Fluoroscopic Grid Technology in THA

Jeffrey T. Hodrick, MD

Digital Guidance Technology in THA

Preetesh D. Patel, MD

Active Robotics in THA

Cory L. Calendine, MD

Custom Triflange Cup in THA: Results and Lessons Learned at 20 Years

Michael J. Christie, MD

Technological Advances in Revision Total Hip Arthroplasty

Preetesh D. Patel, MD

Evaluation of the Painful Total Hip Arthroplasty (THA)

Tad M. Mabry, MD

Session 9: THE HIP: FUNDAMENTALS OF REVISION TOTAL HIP ARTHROPLASTY

Current Algorithm for Evaluation of MoM Bearings & Taper Corrosion

R. Michael Meneghini, MD

Preoperative Planning: Implant Removal, Bone Loss, Abductor Deficiency, Templating

Rafael J. Sierra, MD

Video: Extensile Exposure via Posterior Approach – ETO

Matthew P. Abdel, MD

Video: Extensile Exposure via Direct Lateral Approach – Wagner Transfemoral Osteotomy

Michael J. Taunton, MD

Video: Acetabular Component Removal Techniques

David G. Lewallen, MD

Video: Femoral Component Removal Techniques

Robert T. Trousdale, MD

Evaluation & Management of Femoral Bone Loss, Stem Selection – An Overview

Jeremy M. Gililland, MD

Session 10: THE HIP: TECHNIQUES IN REVISION TOTAL HIP ARTHROPLASTY

Femoral Component Revision with Modular Tapered Stems: Video Technique, Pitfalls & Tips

Richard W. McCalden, MD, FRCSC

Extensively Porous Coated & Cemented Stems – Rare but Indicated for Some

Wayne G. Paprosky, MD

Massive Segmental Bone Loss – Heavy Metal Replacement

Thomas L. Bernasek, MD

Evaluation of Bone Loss & Reconstruction Strategy Overview

James A. Browne, MD

Bone Defect Management: Highly Porous Augments (Video)

Gwo-Chin Lee, MD

Bone Defect Management: Highly Porous Metal Cup-Cage (Video)

David G. Lewallen, MD

Bone Defect Management: Custom Tri-Flange (Video)

Keith A. Fehring, MD

The Spinopelvic Relationship in THA: Knowing Where to Put the Cup

William J. Long, MD, FRCSC

Session 11: THE HIP: ISSUES IN PRIMARY TOTAL HIP ARTHROPLASTY

Dual Mobility Components in THA: Indications

Bryan D. Springer, MD

Uncemented Femoral THA Component: Bigger is Better

Walter B. Beaver Jr., MD

Uncemented Femoral THA Component: Short & Sweet

C. Lowry Barnes, MD

Cemented Stems in THA: The Gold Standard

James A. Browne, MD

Trochanteric Pain Syndrome after THA

Thomas L. Bradbury, MD

Limb Length Discrepancy after THA

Bryan D. Springer, MD

Groin Pain & Psoas Tendinitis after THA

Michael J. Taunton, MD

Instability after THA

Raymond H. Kim, MD

Session 12: “THE HIP: THE ACETABULUM IN DAA TOTAL HIP ARTHROPLASTY”

Acetabular Exposure in Direct Anterior Hip Replacement – How I Do It

Theodore T. Manson, MD

Cup Positioning in Direct Anterior Hip Replacement – Imageless

Kristoff Corten, MD, PhD

Cup Positioning in Direct Anterior Hip Replacement – Image Assist

Trevor M. Owen, MD

Cup Positioning – Navigation and Robotics

Timothy P. Lovell, MD

Ramifications of Socket Position and Sizing in DAA: Impingement and Instability

Joel M. Matta, MD

Managing the Protrusio Acetabulum in Direct Anterior Hip Replacement

Lee E. Rubin, MD

Cup Positioning – Patient Specific System

Stefan W. Kreuzer, MD

Cup Positioning after Lumbar/Pelvic Fusion

J. Bohannon Mason, MD

Session 13: THE HIP: THE FEMUR IN DAA TOTAL HIP ARTHROPLASTY

Why I Went from Posterior to Anterior, and Why I Went from With a Special Table to Without a Special Table

Trevor M. Owen, MD

Why I Went from Posterior to Anterior, and Why I Went from With a Special Table to Without a Special Table

Trevor M. Owen, MD

My 10 Reasons Why I Use a Special Table

John L. Masonis, MD

My 10 Reasons Why I Do Not Use a Special Table

John M. Keggi, MD

Femoral Preparation and Releases in Direct Anterior THA: A European Experience

Michael Nogler, MD, MA, MSc

Avoiding Releases in Direct Anterior THA

John L. Masonis, MD

How Stem Design Can Help in the Direct Anterior Approach

Timothy P. Lovell, MD

Total Hip Arthroplasty: Osteoporosis and Elderly Patients

Anthony S. Unger, MD

Direct Anterior Approach for Hip Hemiarthroplasty in 2019: Technique and Outcomes

Lee E. Rubin, MD

Session 14: THE HIP: AVOIDING AND TREATING COMPLICATIONS OF DAA TOTAL HIP ARTHROPLASTY

Incision and Wound Complications

Hari P. Bezwada, MD

Lateral Femoral Cutaneous Nerve (LFCN) Injury and Neuropraxia

Lee E. Rubin, MD

Femoral Component Removal and Modular Revision through the Direct Anterior Approach

Michael Nogler, MD, MA, MSc

Periprosthetic Fracture in THA – Acetabulum

Theodore T. Manson, MD

Instability – Management and Prevention of Dislocations in DAA THA

Timothy P. Lovell, MD

Leg Length – Offset Inequality in Total Hip Arthroplasty

Raymond H. Kim, MD

Psoas Tendon Pain Following DAA Total Hip Arthroplasty

Anthony S. Unger, MD

Managing Infection with the Anterior Approach

Michael Nogler, MD, MA, MSc

Session 15: THE HIP: SOLVING CHALLENGING CASES WITH DAA TOTAL HIP ARTHROPLASTY

Complex Primary THA and Conversions

Juan C. Suarez, MD

Managing Femoral Deformities During DAA Total Hip Arthroplasty

J. Bohannon Mason, MD

Extending the DAA Distally for Revision and Periprosthetic Fractures

Michael Nogler, MD, MA, MSc

Video Vignette: Isolated Cup Revision Using the Direct Anterior Approach

Joseph T. Moskal, MD, FACS

DAA Results of Severe Acetabular Revisions

Joseph T. Moskal, MD, FACS

Revision Total Hip Arthroplasty Case Presentation

Joseph T. Moskal, MD, FACS

Session 16: THE HIP: COMPLEX PRIMARY HIP REPLACEMENT

Pre-Op Prep: Optimizing Biomechanics & Templating

Michael P. Bolognesi, MD

Surgical Approach: Does it Matter?

Scott M. Sporer, MD, MS

The Dysplastic Hip

Ran Schwarzkopf, MD

Conversion of Prior Acetabular Fracture

Frank A. Liporace, MD

Conversion of Failed Femoral Fixation

George J. Haidukewych, MD

The Patient with a Spine Fusion: What Do I Do Different During THA?

Jonathan M. Vigdorchik, MD

Session 17: THE SHOULDER: MASSIVE ROTATOR CUFF TEARS

Superior Capsular Reconstruction – Why It Works

Augustus D. Mazzocca, MS, MD

Superior Capsular Reconstruction: Learning Curve

Jon J.P. Warner, MD

Let Me Show You What’s Worked: Partial Repair and Biceps Tenodesis

Larry D. Field, MD

Atrophy of the Rotator Cuff, What I Do

Kevin D. Plancher, MD

Balloon Arthroplasty for Irreparable Rotator Cuff Tear – New Kid on the Block

Joseph A. Abboud, MD

Tendon Transfers: What’s the Role in 2019?

Robert Z. Tashjian, MD

Reverse Total Shoulder Arthroplasty

Mark A. Frankle, MD

Session 18: THE SHOULDER: REPAIRING ROTATOR CUFF TEARS

How to Evolve from Open to Arthroscopic Subscapularis Repair

Charles M. Jobin, MD

Latissumus Transfer for Subscapularis Failure

Robert Z. Tashjian, MD

Biologic Augmentation in Rotator Cuff Repair

Raffy Mirzayan, MD

How We Measure the Value of Rotator Cuff Repair?

Jon J.P. Warner, MD

When Is No Surgery the Best Surgery for Rotator Cuff Tears?

Thomas W. Quin Throckmorton, MD

Lower Trapezius Tendon Transfer: When I Use It and My Results

Jon J.P. Warner, MD

Session 19: THE SHOULDER: MANAGING FRACTURES AROUND THE SHOULDER

Mid-shaft Clavicle Fractures

Paul M. Sethi, MD

Proximal Humerus Fractures

Joseph A. Abboud, MD

Humeral Shaft Fractures

Robert Z. Tashjian, MD

Scapula and Glenoid Fractures

John M. Itamura, MD

Periprosthetic Fractures

Edward G. McFarland, MD

Reverse Shoulder Arthroplasty for Proximal Humerus Fractures (Video Demonstration)

Joseph A. Abboud, MD

Session 20: THE SHOULDER: ISSUES IN ANATOMIC SHOULDER ARTHROPLASTY

Top 10 Pitfalls to Avoid in Shoulder Arthroplasty

Gerald R. Williams, MD

My Evolving Indications for Anatomic vs. Reverse Shoulder Arthroplasty

Sumant G. “Butch” Krishnan, MD

Pegged vs. Keeled vs. Hybrid vs. Cementless Glenoid Components

Evan S. Lederman, MD

Managing the Infected Arthroplasty: Debride, 1- or 2-Stage Exchange

Robert Z. Tashjian, MD

Dealing with Bone Loss in Shoulder Arthroplasty

Evan S. Lederman, MD

How to Minimize Nerve Injury During Arthroplasty

Joseph A. Abboud, MD

Intraoperative Vascular Injury During Shoulder Surgery: What to Do

Mark D. Lazarus, MD

Session 21: THE SHOULDER: ISSUES IN REVERSE SHOULDER ARTHROPLASTY

My Evolving Indications for Anatomic vs. Reverse Shoulder Arthroplasty

Sumant G. “Butch” Krishnan, MD

What Are the Real Differences in Reverse TSA Design?

Lawrence V. Gulotta, MD

Humeral Lateralization in rTSA

Thomas W. Quin Throckmorton, MD

Glenospherere Lateralization in rTSA

Mark A. Frankle, MD

BioRSA and Base Plate Augments

Robert Z. Tashjian, MD

My Algorithm for Correcting Instability after Reverse Shoulder Arthroplasty

Mark D. Lazarus, MD

Top 3 Mistakes Made During Reverse Shoulder Arthroplasty and How to Avoid Them

John M. Itamura, MD

Session 22: THE KNEE: TECHNOLOGY IN TOTAL KNEE ARTHROPLASTY

Failure Mechanisms for Modern-Day Design TKA and Uni-Compartment Arthroplasty

Brian Perkinson, MD

Why Are Patients Unhappy With Their TKA?

Arthur L. Malkani, MD

Kinematic vs Mechanical Alignment

Scott M. Sporer, MD, MS

Sensor-Based Balancing in Total Knee Arthroplasty (TKA)

Martin W. Roche Jr., MD

What I’ve Learned from Robotics in Total Knee Arthroplasty (TKA)

Preetesh D. Patel, MD

Why Should Surgeons Customize TKA Implants?

Vivek S. Neginhal, MD

Can CT-Based Technology in Total Knee Arthroplasty (TKA) Improve Clinical Outcomes

J. Craig Morrison, MD

Imageless Robotics in Total Knee Arthroplasty (TKA)

Vivek S. Neginhal, MD

Session 23: THE KNEE: FUNDAMENTALS OF REVISION TOTAL KNEE ARTHROPLASTY

Essential Surgical Steps for Successful Revision TKA (Video Techniques)

R. Michael Meneghini, MD

Evaluation of the Painful Total Knee Arthoplasty (TKA)

Keith A. Fehring, MD

Preoperative Planning in Revision TKA (Implant Choices, Bone Loss, Stems, etc.)

Gwo-Chin Lee, MD

Optimizing Perioperative Pain Management During Revision TKA & THA

Mark W. Pagnano, MD

Optimizing Exposure & Component Removal (Video Techniques)

Peter K. Sculco, MD

Discussion: Fundamentals of Revision TKA

Session faculty

Session 24: THE KNEE: COMPLICATIONS OF REVISION TOTAL KNEE ARTHROPLASTY

Diagnosis & Management of Periprosthetic Knee Infection: An Overview

Bryan D. Springer, MD

Component Retention: Indications

Jonathan M. Vigdorchik, MD

Two-stage Reimplantation for Infected TKA (Articulating Spacers: Surgical Technique Video)

Michael J. Taunton, MD

Two-Stage Reimplantation for Infected TKA (Static spacers: Surgical Video Technique)

Tad M. Mabry, MD

Management of Periprosthetic Fractures After TKA

George J. Haidukewych, MD

Management of Patella Fractures After TKA

Michael P. Bolognesi, MD

Session 25: THE KNEE: BONE LOSS IN REVISION TOTAL KNEE ARTHROPLASTY

Diaphyseal Press-Fit Stems: Principles & Surgical Technique

Kevin I. Perry, MD

Cemented/ Hybrid Cemented Stems: Principles & Surgical Technique

Robert T. Trousdale, MD

Management of Bone Loss: Porous Tantalum Cones (video)

Wayne G. Paprosky, MD

Management of Bone Loss: Stepped Modular Sleeves (video)

Mark W. Pagnano, MD

Management of Bone Loss: Lobed Porous Titanium Cones (video)

Bryan D. Springer, MD

Rotating Hinge Revision TKA: Indications & Surgical Principles

Thomas L. Bernasek, MD

Modular Tumor-Type Hinge Prostheses: Principles & Case Examples

Viktor E. Krebs, MD

Session 26: THE KNEE: THE GREAT TOTAL KNEE ARTHROPLASTY DEBATES

A Neutral Axis & Balanced Gaps in TKA

Thomas K. Fehring, MD

Tibia First & Measured Resection in TKA

Frank R. Kolisek, MD

Kinematic Alignment in TKA: A Paradigm Shift

Gwo-Chin Lee, MD

Cruciate Sacrifice: Cam & Post vs. Ultra Congruency in TKA

Thomas L. Bradbury, MD

Retention & Management of the PCL in TKA

Frank R. Kolisek, MD

The Bicruciate Sparing TKA

John L. Masonis, MD

The Advantages of Cementless Fixation in TKA H.

Del Schutte Jr., MD

The Art of Cemented Fixation in TKA

Thomas K. Fehring, MD

Avoiding Tibial Loosening in TKA

Daniel J. Berry, MD

Robotic Technology in TKA: Happy for Haptism

Douglas E. Padgett, MD

Robots Don’t Need Saw Blades

Henry D. Clarke, MD

Robotic Technology: Active Bots – The Next Generation?

William J. Long, MD, FRCSC

Session 27: THE KNEE: ADVERSE OUTCOMES IN TOTAL KNEE ARTHROPLASTY

Intraoperative MCL Injury in TKA

Frank R. Kolisek, MD

Intraoperative Patellar Tendon Disruption in TKA

Henry D. Clarke, MD

Intraoperative Fracture in TKA

William J. Long, MD, FRCSC

Stiffness in TKA

Raymond H. Kim, MD

Flexion Instability in TKA

Arlen D. Hanssen, MD

Prolonged Opioid Usage & Narcotic Dependence after TKA

Gwo-Chin Lee, MD

Intraoperative and Postoperative Infection Prevention in TKA

Bryan D. Springer, MD

Diagnosis of Infection in TKA: Current State of the Art & Future Directions

Arlen D. Hanssen, MD

Session 28: THE KNEE: COMPLEX PRIMARY KNEE REPLACEMENT

Current Indications & Evaluating Patient for UKA

H. John Cooper, MD

Surgical Technique: Principles of UKA

Gregory G. Polkowski, II, MD

Conversion of Failed Uni to TKA

Bryan D. Springer, MD

Post-Traumatic TKA: Managing Hardware, Exposure, etc.

George J. Haidukewych, MD

Severe Valgus & Varus Deformity

Matthew P. Abdel, MD

Managing Flexion Contractures

David G. Nazarian, MD

Role of Robotics & Navigation in Complex TKA

Jonathan M. Vigdorchik, MD

CME Release Date 4/15/2020

CME Expiration Date 4/15/2023