Experts at 18th EFORT Annual Congress to focus on trauma, pediatric orthopaedics

Issue: January 2017

Are you a trauma surgeon looking for an expert update on possible treatments for femoral intracapsular fractures or perhaps a pediatric physician who seeks an in-depth discussion of effective approaches to limb deformities in children? If so, two Interactive Expert Exchange (IEE) sessions at the upcoming EFORT Congress in Vienna will cover these topics.

Thursday 1 June 2017 | 10:15 to 12:30

Fixation and replacement options in femoral intracapsular fracture - What is clear and what is not in 2017

Introduction & Conclusions
Filippo Randelli (Italy)

Questions & Presentations

Arthroplasty vs. fixation, especially in the grey zone (age 60-75) | Marco Berlusconi (Italy)
Cannulated screw fixation vs. dynamic hip screws | Josep María Muñoz Vives (Spain)
Cement or not cement, that is the question | Fares Haddad (United Kingdom)
Total or partial hip arthroplasty? | Marcellino Maheson (United Kingdom)
Double mobility, lights and shadows | Olivier Guyen (France)

Key lecture

What say the national registers, and the common sense, on femoral neck fracture treatment?
Henrik Malchau (United States)

Clinical Cases-Discussion
Provocateurs: Henrik Malchau (United States) & Ugur Isklar (Turkey)

This IEE session will provide an intense 2-hour session on intracapsular femoral neck fractures. This common issue within a trauma practice will be explored by a mixed group of highly experienced reconstruction surgeons. This topic is important because femoral neck fracture fixation has one of the highest failure rates of any medical procedure due to the risks of nonunion and avascular necrosis. Moreover, when these fractures occur, prosthetic replacement may lead to unexpectedly poor results and residual pain, infection, dislocation or periprosthetic fractures. Factors that affect these results can be quite diverse and often are either unfamiliar to the orthopaedist or underestimated. Such factors are patient-related, fracture-related or are linked to the surgical technique.

Experts who attend this session will also learn how and when registry data and results in the literature can alter the decision-making process. An interactive clinical case discussion, which includes two provocateurs, complements the IEE content and reviews tangible examples of each condition discussed. At the end of this IEE, attendees should be able to recognize factors essential for treatment of femoral neck fractures and choose the best and most updated techniques to use for their patients in 2017.

Friday 2 June 2017 | 10:15 to 12:30

Interdisciplinary approach to treat complex congenital limb deformities

Introduction & Conclusions
Ralph Sakkers (The Netherlands)

Questions & Presentations

Maximum leg lengthening possibilities | Dr. Rudolf Ganger (Austria)
Timing of limb lengthening | Prof. Thomas Wirth (Germany)
Better function and quality of life | Dr. Trine Sand Kaastad (Norway)
Future changes in decision making | Prof. Rajiv Hanspal (United Kingdom)

Clinical Cases – Discussion
Provocateurs: Christof Radler (Austria) & Pierre Journeau (France)

Complex limb deformities in childhood, which are either congenital or acquired, are rare and require special treatment. It is important that a long-term plan is made in the first 2 years of life, preferably by a multidisciplinary team. Moreover, in addition to the technical aspects of the different treatment options and expected functional outcomes, the psychosocial aspects of the patient’s family are crucial in the decision-making. Family empowerment is an important part of the preoperative and postoperative considerations. New surgical techniques and products have enhanced the treatment of complex limb deformities associated with significant leg length differences and thus, the indications for reconstruction to achieve equal leg length and good function are being extended. However, the limits of reconstruction in terms of the time invested and the patient’s quality of life remain unclear. In addition, the continuous improvement in technology has changed the functional outcome of patients with prostheses. The Paralympics highlight results that can be obtained with modern prostheses, which are essentially unattainable with reconstructed limbs.

This IEE session will focus on the balance between the limits of what can be achieved in reconstruction vs. early amputation and modern prosthetic fitting in the treatment of complex limb deformities. The highly interactive format of these sessions will combine current knowledge on each topic presented by well-recognized European surgeons in the field with intense discussions with the audience. In this way, all attendees will benefit from the analysis provided of complex situations that are challenging to manage. Diverse approaches, new treatments and special solutions will be highlighted to help specialists and senior practitioners improve their skills.

The IEEs are paid sessions that are limited to 80 participants each. Preregistration for IEEs is mandatory and availability is on a first-come, first-serve basis. Only individuals who are already registered for the congress can attend IEE sessions. The details to sign up for either session can be found at the EFORT registration platform.

For more information:
18th EFORT Congress in Vienna | 31 May-2 June 2017
Book your seat for the Interactive Expert Exchanges session