Welcome to join a unique week at Karolinska University Hospital focussed on the current scene and the future of arthroscopic surgery. The week involves three integrated parts (all included for course participants); I.
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2015 NOF Instructional Course and International Forum on Current concepts and Controversies in Arthroscopic Surgery for orthopaedic surgeons, June 1-‐3, application for attendance required before April 30, 2015 2015 Evidence based Arthroscopy Course for young orthopaedic surgeons and trainees June 1-‐5, application required before April 30, 2015 2015 Consensus Symposium, June 4, aimed to create a Quantitative and Qualitative Profile for a new multidisciplinary day case surgery centre at Karolinska University Hospital (K59), an open forum, application for attendance required before April 30, 2015 Venue; Department of Orthopaedics, Karolinska University Hospital, and CLINTEC, Karolinska Institutet, Stockholm, Sweden Participants and Speakers; Program Director; Professor Christer Rolf, Department of Orthopedics, Karolinska University Hospital and Division of Orthopedics and Biotechnology, CLINTEC, Karolinska Institutet Professor KM Chan, Department of Orthopedics, Prince of Wales Hospital, Chinese University of Hong Kong Dr PC Ho, Department of Orthopedics, Prince of Wales Hospital, Chinese University of Hong Kong Dr Patrick Yung, Department of Orthopedics, Prince of Wales Hospital, Chinese University of Hong Kong Dr Clara Wong, Department of Orthopedics, Prince of Wales Hospital, Chinese University of Hong Kong Professor Daniel Saris, Department of Orthopaedics, UMC, Utrecht, Netherlands Professor Ville Mattila, Department of Orthopaedics Tampere University, Finland Med Dr Hanna Björnsson, Department of Orthopedics, Linköping University Hospital Professor emeritus Torsten Wredmark, Department of Orthopedics, Karolinska University Hospital and Division of Orthopedics and Biotechnology, CLINTEC, Karolinska Institutet Professor Li Felländer-‐Tsai, Department of Orthopedics, Karolinska University Hospital and Division of Orthopedics and Biotechnology, CLINTEC, Karolinska Institutet Med Dr Richard Nordenvall, Division of Orthopedics and Biotechnology, CLINTEC, Karolinska Institutet Dr Richard Bessblad, Department of Orthopaedics, Karolinska University Hospital Professor Ketil Holen, Department of Orthopaedic Surgery, St. Olavs Hospital, Norway 1 Professor Lars Adolfsson, Department of Orthopedic Surgery, Linköping University Hospital Prof Toomas Tein, Department of Orthopedic Surgery, Kliinikum, Tartu University, Estonia Ass professor Karl Eriksson, Department of Orthopedics, Södersjukhuset, Stockholm Ass professor Björn Engström, Capio Artro Clinic, Stockholm Course secretary and administration; Susanne Olsson, Department of Orthopaedics, Karolinska University Hospital, tbc 2 I.
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Aim of the NOF Instructional Course and open International Forum; This forum is designed to highlight the current controversies in specific arthroscopic areas. Each session starts with a concise keynote lecture, summarizing a systemic review and personal perspective in the subject. This is followed by case presentations led by a local Expert Moderator and then concluded with a panel discussion where faculties and participants will engage in a stimulating and interactive discussion. Aim of the Evidence based Arthroscopy Course; To provide an international and national evidence base for indications, risks, techniques, and highlight current consensus and controversies in arthroscopic surgery. Each participant is required to bring minimum two own cases in any arthroscopic area presentable on power point 10 minutes each for open discussion. These should be sent to the course administrator at latest May 1, 2015. Aim of the Consensus Symposium; To introduce a consensus approach and novel way of evaluating production and quality of arthroscopic day case surgery in a new multidisciplinary centre, creating a model of day case surgery arthroscopic services in the university hospital sector. June 1, 2015 (Mon) 0915-‐0920 Welcome Session I Current Concepts and Controversies in Wrist 0920-‐1050 Arthroscopy (90 min) [Topics to be covered): -‐ Wrist arthroscopy under portal site local anaesthesia without tourniquet and sedation -‐ Ligament injury, distal radius fracture and scaphoid fracture -‐ arthroscopic synovectomy in inflammatory arthritis -‐ Arthroscopic ganglionectomy: dorsal and volar -‐ TFCC repair for DRUJ instability: open vs arthroscopic -‐ Arthroscopic bone grafting for scaphoid nonunion -‐ Arthroscopic partial wrist fusion -‐ Arthroscopic anatomic TFCC reconstruction with tendon graft for chronic DRUJ instability -‐ Arthroscopic assisted back and front scapholunate ligament reconstruction with tendon graft for SL dissociation -‐ Arthroscopic ostrochondral transplant for chondral lesion Keynote Lecture (45 min) Case presentation 1 (10 min) Case presentation 2 (10 min) Panel discussion and debate (25 min) Session II 1050-‐1220 Professor Torsten Wredmark Speaker: Dr PC Ho Moderator: Professor Lars Adolfsson Dr PC HO PC Ho Lars Adolfsson Panelists: PC Ho, Clara Wong, Lars Adolfsson, Current Concepts and Controversies in ACL surgery ( 90 Speaker mins) 3 [Topics to be covered)  Is double bundle ACL reconstruction an out-‐
dated fashion?  When do we need remnant preservation?  How to choose the different grafts (Hamstring, BTB, Quadriceps, Allographs)  How to enhance soft tissue grafts in ligamentization and bone-‐tunnel healing  Why is the return to sports after ACL reconstruction so unpredictable?  How to document dynamic function of the knee? 
How to handle revision cases?? 
What is the true gain by an ACL reconstruction? How do we evaluate successful surgery? Keynote lecture (15 min:) Prof KM Chan Moderator: Ass professor Karl Eriksson Case presentation 1 (10 min @) KM Chan Case presentation 2 Kalle Eriksson Case presentation 3 Patrick Yung Case presentation 4 Christer Rolf Panel discussion and debate (35 min) Panelists: Prof KM Chan, Ass prof Karl Eriksson, Dr Patrick Yung, Prof Daniel Saris, Prof Ketil Holen, Prof Christer Rolf 1220-‐1330 Lunch 1330-‐1345 Ultrasonography as diagnostic and treatment tool in Professor Ketil Holen sport injuries. Clinical cases and evidence base Session III Current Concepts and Controversies in Ankle Speaker Professor Toomas 1345-‐1445 Arthroscopy (60 min) Tein [Suggested Topics to be covered: Moderator; Dr Richard Indications and risks Bessblad Choice of portals, risks of posterior approach. Chondral injuries of Talus-‐microfracture or not Indications for acute ankle arthroscopy Arthroscopic arthrodesis LA or GA? Traction or not? Keynote Lecture (15 min) Case presentation 1 (10mins @) Case presentation 2 Prof Toomas Tein Tomaas Tein Richard Bessblad 4 Panel discussion and debate (25 min) Session IV 1445-‐1615 Panelists: Tomaas Richard Bessblad, tbc Current Concepts and Controversies in Elbow Speaker Dr Clara Wong Arthroscopy (90 min) Moderator Professor Lars [Topics to be covered): Adolfsson Indications and techniques Risk assessment and portals Posttraumatic stiff elbows Synovectomy Keynote Lecture (45 min) Case presentation 1 (10 min @) Case presentation 2 Panel discussion and debate (25 min) 1615-‐1630 Session V 1630-‐1800 Dr Clara Wong Clara Wong Lars Adolfsson Panelists: Lars Clara Wong, tbc Adolfsson, Tea Break Current Concepts and Controversies in Rotator cuff Speaker Dr Patrick Yung, surgery & shoulder stabilization surgery (90 min) Moderator Dr Richard [Topics to be covered): Bessblad Indications for acute reconstruction of RC Anterior dislocation + RC rupture Subscapularis ruptures SLAP injuries Best techniques, plan A and plan B Non reparable ruptures? Keynote Lecture (45 min) Case presentation 1 (10 min @) Case presentation 2 Panel discussion and debate (25 min) Dr Patrick Yung Patrick Yung Richard Bessblad Panelists: Dr Patrick Yung, Prof Christer Rolf June 2, 2015 (Tue) 5 Tein, Session VI 0930-‐1030 Current Concepts and Controversies in Meniscal Speaker Professor Daniel preservation and replacement (60 min) Saris, Moderator Ass [Topics to be covered): professor Björn Engström Keynote lecture (TBC) (10 min) Case presentation 1 (10 min @) Case presentation 2 Panel discussion and debate (20 min) 1030-‐1100 Session VII 1100-‐1210 Prof Daniel Saris Daniel Saris Björn Engström Panelists: Daniel Saris, Björn Engström Tea Break Current Concepts and Controversies in Focal cartilage Speaker Professor Daniel Saris repair (70 min) Moderator Ass professor [Topics to be covered): Björn Engström patient profiling -‐-‐-‐ which patient can be repaired and who are beyond treatment selection-‐-‐-‐:what therapy options should be presented to patients and how does the internet interfere biological differences between treatment options innovation and dangers in new technology evidence based treatment algorithm and local availability combined treatment of intra articular pathology ACL and ACI, +/-‐ Osteotomy Keynote lecture (TBC) (30 min) Case presentation 1 (10 min @) Case presentation 2 Panel discussion and debate (20 min) Prof Daniel Saris Daniel Saris Björn Engström Panelists: Daniel Saris, Björn Engström, tbc 1230-‐1330 Lunch, end of International Forum 1330-‐1700 Simulator training and Saw bone training, is that really useful? Seminar in groups at CAMST and stations Moderators; Professor Torsten Wredmark, Dr Lukas Berglund 6 Wednesday June 3 0900-‐0945 Key note lecture; The evidence based fate of the ACL reconstructed patient Dr Richard Nordenvall, CLINTEC, Karolinska Institutet 0945-‐1015 Discussion and coffee 1015-‐1100 Key note lecture; Is there an evidence base for arthroscopic surgery? Professor Ville Mattila, Tampere University, Finland 1100-‐1115 Discussion 1115-‐1200 Key note lecture; Evidence base of Rotator cuff reconstruction Dr Hanna Björnsson, Department of Orthopedics, Linköping University Hospital 1200-‐1215 Discussion 1215-‐1315 Lunch 1315-‐1700 Seminar; Simulator training and saw bone training in groups Moderators; Professor Torsten Wredmark, Dr Lukas Berglund Thursday June 4 0900-‐1700 Multi-‐disciplinary Consensus Symposium on day case arthroscopic surgery; Moderator Professor Christer Rolf Panel participants; Dr Gunilla Tegerstedt, Dr Michael Engman, Åsa Wickström, Stefan Hjulström, Lars Henningsohn, Ingrid Ehren, Christer Jonmarker, Kemal Olin et al Theme I; Quantitative versus Qualitative Evaluation of surgical outcomes. What do we measure and why? Presentation of outcome data from K59. Experiences from collaboration between arthro/laparo/cysto/endoscopic surgeons from Department of Orthopedics, Urology and Gynecology reporting and discussing outcomes of 1000 first day cases at K59 February-‐May 2015 versus international evidence base. Theme II. Effects of high surgical production on quality of educating young doctors and undertaking Research-‐how do ends meet? Presentation of consequences, controversies and future guidelines. Detailed program tbc Friday June 5 0900-‐1000 When things go wrong. Case presentations of serious complications in arthroscopic surgery. Professor Li Felländer-‐Tsai 1000-‐1200 Case discussion and Examination. Moderator Professors Li Felländer-‐Tsai and Christer Rolf 7