7-8 October 2010
Convenors: Philip Mitchell and Simon Bridle, St George’s Hospital London.
Sponsors: Stryker Orthopaedics.
The Hilton Hotel Paddington provided an ideal venue for the 2 day conference. The convenors provided a thoughtful and challenging programme with the accent on complexities surrounding revision hip surgery. The course dinner was held at Rhodes W1 in Marble Arch’s Cumberland Hotel.
I was one of the 9 faculty members invited to this Forum.
A warm welcome was extended by Simon Bridle to the delegates and faculty.
I gave a key note address on Modes of Failure in Total Hip Replacement and discussed hip registry data from numerous countries, iatrogenic causes of failure, design and material failure, wear debris and associated adverse soft tissue reaction, as well as impingement and dislocation.
I also chaired the first session of the meeting: The Complex Primary and the Case Studies.
John Timperley gave a key note address on Total Hip Replacement, Where are We Heading? He concentrated on the new designs of implants and materials, and commented on long term outcome of total hip replacements. He supported his argument on health care economics pertaining to joint replacements from the McKinsey Global Institute.
Both key note addresses were well received.
Jonathan Howell presented an excellent overview on Anatomical Restoration in Primary THR. A session on Infection: Exploring the Issues gave the delegates current views on how they may best approach this most serious complication in joint surgery. Diagnosis and Pathogenesis, the use of antibiotic agents and the eradication of the bio-film were discussed by Dr Bridget Atkins from the Nuffield Orthopaedic Centre, Oxford provided the microbiological expertise while Duncan Whitwell and John Timperley covered the surgical techniques and strategies when dealing with hip joint infection.
The session: Periprosthetic Fracture was ushered in by Simon Bridle setting the scene prior to contributions from Adrian Taylor, Jonathan Howell and Adrian Day. Philip Mitchell gave his presentation on pelvic discontinuity and discussed techniques in utilising internal fixation, acetabular cages, trabecular metal shells and augments when the patient suffers from a ‘floating pelvis’.
The Ask The Experts session was chaired by Philip Mitchell and myself and tested the panel on issues surrounding greater trochanter fractures, infection, metal on metal issues and difficult decision making in surgery.
The final session: Massive Bone Loss and pseudotumours rounded off a superb meeting.
The delegates and faculty thoroughly enjoyed the St George’s Revision Hip Forum.