Issues in Joint Arthroplasty: Review and Update 2020 (Videos)
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Format: MP4 + PDF
published date: 21 May 20
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
- Advances in surgical technique, anesthesia, pain management, and blood management that support enhanced recovery protocols for joint replacement patients
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.
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
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