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120 Pages·2016·6.19 MB·English

AAHKS
1ST ANNUAL
SPRING MEETING
| |
March 31 – April 2, 2016 Grand Hyatt Washington Washington, DC
Thank you to the AAHKS
Spring Meeting Program Committee
Craig J. Della Valle, MD
Bryan D. Springer, MD
Thank you to the AAHKS
Spring Meeting Faculty
Matthew P. Abdel, MD William L. Griffin, MD
William P. Barrett, MD William A. Jiranek, MD
Daniel J. Berry, MD Jay R. Lieberman, MD
Michael P. Bolognesi, MD Adolph V. Lombardi Jr, MD, FACS
Kevin J. Bozic, MD, MBA Steven J. MacDonald, MD
John J. Callaghan, MD R. Michael Meneghini, MD
John C. Clohisy, MD Mark W. Pagnano, MD
David F. Dalury, MD Brian S. Parsley, MD
Craig J. Della Valle, MD Javad Parvizi, MD, FRCS
Stephen T. Duncan, MD Gregory G. Polkowski II, MD, MSc
Thomas K. Fehring, MD Bryan D. Springer, MD
Mark I. Froimson, MD, MBA
We Need Your Help!
Would you like to volunteer for the 26th AAHKS Annual Meeting?
We are seeking abstract, poster and surgical technique video reviewers. If you are interested,
please contact Sigita Wolfe, AAHKS Director of Education, at [email protected].
Course Description
The First Annual AAHKS Spring Meeting is intended to equip practicing orthopaedic surgeons with state-of-the art information
and cutting-edge strategies aimed at enhancing the care of patients with arthritis and degenerative disease. It combines general
and break-out sessions, emphasizing case-based learning in small group setting for most effective results.
Objectives
• Analyze total hip and knee arthroplasty cases
• Investigate the patterns contributing to effective total hip and knee arthroplasty and revision
• Determine the strategies contributing to optimal perioperative and post-operative care, including complication management
• Consider effective practice management tips and related healthcare policy
• Report the highlights of the 2015 Annual Meeting
CME Accreditation and Credit Designation
The American Association of Hip and Knee Surgeons (AAHKS) is accredited by the Accreditation Council for Continuing Medical
Education (ACCME) to provide continuing medical education for physicians.
The American Association of Hip and Knee Surgeons (AAHKS) designates this live activity for a maximum of 15.5 AMA PRA
Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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Spring Meeting Program Schedule
Times and topics are subject to change.
Thursday, March 31, 2016
Time Session Room Faculty
7:00 – 9:00 p.m. Registration Declaration Level
7:00 – 9:00 p.m. Opening Reception Cabinet Meeting Room
Friday, April 1, 2016
Time Session Room Faculty
7:00 – 7:50 a.m. Breakfast and Case Constitution Foyer and
Discussions with Faculty Constitution A / B
7:50 – 8:00 a.m. Welcome and Introduction Constitution A / B Jay R. Lieberman, MD
8:00 – 8:30 a.m. Highlights of the 25th AAHKS Constitution A / B Moderator: Gregory G. Polkowski II, MD, MSc
Annual Meeting Panelists: Brian S. Parsley, MD,
William L. Griffin, MD, Stephen Duncan, MD,
William P. Barrett, MD
8:30 – 9:50 a.m. Breakout 1: Primary Total Hip Constitution C / D / E,
Arthroplasty (THA), Simple John Cabin / Arlington or
to Complex Wilson / Roosevelt
9:50 – 10:00 a.m. Break
10:00 – 11:00 a.m. Symposium I – Perioperative Constitution A / B Moderator: William A. Jiranek, MD
Optimization Panelists: Michael P. Bolognesi, MD,
Steven J. MacDonald, MD,
R. Michael Meneghini, MD
11:00 a.m. – 12:20 p.m. Breakout 2: Primary Total Constitution C / D / E,
Knee Arthroplasty (TKA), John Cabin / Arlington or
Simple to Complex Wilson / Roosevelt
12:20 – 1:00 p.m. Lunch and Advocacy Update Constitution Foyer and Speaker: Lynn Shapiro Snyder, JD
Constitution A / B
1:00 – 2:00 p.m. Symposium II – Periprosthetic Constitution A / B Moderator: Bryan D. Springer, MD
Joint Infection Panelists: Matthew P. Abdel, MD,
Javad Parvizi, MD, FRCS,
Gregory G. Polkowski II, MD, MSc
2:00 – 2:20 p.m. Break
2:20 – 3:40 p.m. Breakout 3: Non-arthroplasty Constitution C / D / E, John
Hip or UKA Cabin / Arlington (Knee) or
Wilson / Roosevelt (Hip)
3:50 – 4:50 p.m. Symposium III – Preparing for Constitution A / B Moderator: Kevin J. Bozic, MD, MBA
the Transition to Value Based Panelist: Mark I. Froimson, MD, MBA
Healthcare
4:50 – 5:00 p.m. Closing Remarks Constitution A / B Brian D. Springer, MD
5:00 – 6:30 p.m. Reception Constitution Foyer
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Saturday, April 2, 2016
Time Session Room Faculty
7:00 – 7:50 a.m. Breakfast and Case Discussions Constitution Foyer and
with Faculty Constitution A / B
7:50 – 8:00 a.m. Welcome and Introduction Constitution A / B Jay R. Lieberman, MD
8:00 – 8:30 a.m. Highlights of the AAOS, The Hip Constitution A / B Moderator: Mark W. Pagnano, MD
Society and The Knee Society Panelists: Thomas K. Fehring, MD,
Closed Meetings Daniel J. Berry, MD,
Adolph V. Lombardi Jr., MD, FACS,
John C. Clohisy, MD
8:30 – 9:50 a.m. Breakout 4: Revision Total Constitution C / D / E,
Hip Arthroplasty (THA), John Cabin / Arlington or
Simple to Complex Wilson / Roosevelt
9:50 – 10:00 a.m. Break
10:00 – 11:00 a.m. Symposium IV – The Business Constitution A / B Moderator: Mark I. Froimson, MD, MBA
of Orthopaedics Panelists: Kevin J. Bozic, MD, MBA,
William A. Jiranek, MD,
Jay R. Lieberman, MD
11:00 a.m. – 12:20 p.m. Breakout 5: Revision Total Constitution C / D / E,
Knee Arthroplasty (TKA), Simple John Cabin / Arlington or
to Complex Wilson / Roosevelt
12:20 – 1:00 p.m. Lunch Constitution Foyer
1:00 – 2:00 p.m. Symposium V – Perioperative Constitution A / B Moderator: Jay R. Lieberman, MD
Care Panelists: David F. Dalury, MD,
Mark W. Pagnano, MD
2:00 – 2:20 p.m. Break
2:20 – 3:40 p.m. Breakout 6: Managing Constitution C / D / E,
Complications in Hip and Knee John Cabin / Arlington or
Arthroplasty Wilson / Roosevelt
3:50 – 4:50 p.m. Symposium VI – Step by Step: Constitution A / B Moderator: Daniel J. Berry, MD
Key Choices and Techniques Panelists: John J. Callaghan, MD,
in the Tough Revision Total Hip Craig J. Della Valle, MD
Arthroplasty (THA) and Revision
Total Knee Arthroplasty (TKA)
4:50 – 5:00 p.m. Closing Remarks Constitution A / B Craig J. Della Valle, MD
You can visit our sponsors in the exhibit area: DePuy Synthes, DJO Global, Medtronic, Pacira Pharmaceuticals, Inc.,
Smith & Nephew, Stryker and Zimmer Biomet
First Annual AAHKS Spring Meeting | 3
First Annual AAHKS Spring Meeting | 4
Session Materials
First Annual AAHKS Spring Meeting | 5
3/16/2016
Highlights of the 25th AAHKS Annual Meeting
3/16/2016
3/16/2016
“Best of the AAHKS 2015 Annual Meeting”
“Best oAf tAhHeK ASA 2H0K1S6  2S0p1ri5n gA nMneueatli nMge eting”
AAHKS 2016 Spring Meeting 
“Best of the AAHKS 2015 Annual Meeting”
Gregory G Polkowski, MD, MSc
Assistant Professor of Orthopaedic Surgery
AAHVKanSd e2rb0il1t O6r tShoppraeindicg I nMstiteuteeting 
2015 AGArHeKgSo rAyn Gn uPaoll kMoewestkini, gM PDro, gMraSmc Chair
Assistant Professor of Orthopaedic Surgery
Vanderbilt Orthopaedic Institute
2015 AGArHeKgSo rAyn Gn uPaoll kMoewestkini, gM PDro, gMraSmc Chair
Assistant Professor of Orthopaedic Surgery
Vanderbilt Orthopaedic Institute
2015 AAHKS Annual Meeting Program Chair
Disclosures
Disclosures
Disclosures
Something
Something
Something
VANDERBILT Orthopaedic Institute
VANDERBILT Orthopaedic Institute
VANDERBILT Orthopaedic Institute
“Best of Symposium”
“Best of Symposium”
Gregory G Polkowski, MD, MSc
Moderator
“Best of Symposium”
GregorByr Gia nP oPlakroswlesyk, iM, MDD, MSc
WilliamM oGderraitfofrin, MD
GregoWrByri lGilai anPm oPl akBroaswrlerseyk,t i,M,  MMDDD, MSc
SWtepillhiaemnM  DoGdeurraintfofrciann, ,M MDD
WBrililaianm P aBrasrlerey,t ,M MDD
SWtepillhiaemn  DGurinffciann, ,M MDD
VANDERBILT OrtWhopilaleidaimc In Bstaitrurteet, MD
Stephen Duncan, MD
VANDERBILT Orthopaedic Institute
VANDERBILT Orthopaedic Institute
First Annual AAHKS Spring Meeting | 6 1
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3/16/2016
Highlights of the 25th AAHKS Annual Meeting
3/16/2016
3/16/2016
2015 AAHKS Annual Meeting
• Yea2r f0or1 t5he  ArecAorHd KboSo kAs nnual Meeting
• 25thAnniversary
• Most abstracts submitted
• Yea2r f0or1 t5he  ArecAorHd KboSo kAs nnual Meeting
–~1300
• 25thAnniversary
–59 papers (4.5% 
•• YMeoaasrc tfc oaerpb tstahtnreac ecr etrsac toseur)db mboitoteksd
• 2––5t~2h10A30n0 pn0oisvteerrssa (r1y5%)
• R–ec5o9r pda aptetresn (4d.a5n%c e
• Moasctc aepbtsatnracec trsa tseu)bmitted
–~2400 total
––~210300 p0osters (15%)
• 1600 clinical
• R–ec5o9•r pd40a a0p tmetreosrn e(4d t.ha5an%nc  2e014
acceptance rate)
–~2400 total
–200 posters (15%)
VANDER•B1I60L0T clOinrictahlopaedic Institute
• Reco•rd40 a0 tmteorned thaannc 2e014
–~2400 total
VANDER•B1I60L0T clOinrictahlopaedic Institute
• 400 more than 2014
VANDERBILT Orthopaedic Institute
Pre‐Meeting Courses
• 7thAnnuaPl Rreesi‐dMentse Ceotuirsneg Courses
–Keith Berend and Matt Austin
• 5thAnnual Team Member 
• C7tohuArnsenuaPl Rreesi‐dMentse Ceotuirsneg Courses
––KDeaivtihd  BDearleunrdy aanndd  CMhartist  PAeutsetrins
•• 51tshtAAnnnnuuaall  “TTehaem B Museimnebsesr o f 
• TC7otohtuaArlns Jenouinatl  RReepsildaecenmts eCnotu, rse
S––urKDveaivivtiihnd  BgD eaarlneundrdy T aahnnrddiv  CMinhargtis”t  PAeutsetrins
•• 51–tshtLAAannwnnruyu aaBlla  “TrnTeehasem a B nMuds eimnebsesr o f 
TCootuaMrls aJeorki nFtr oRimepsolancement, 
• SIn–udrDuvaisvvtiirndy g DS aaylnmudrpy Toahsnridaiv Cinhrgis” Peters
• 1––stL1Aa5nw Tnrouyt aaBlla “rnTehse a Bnuds iness of 
TotaMl aJorki nFtr oRimepsolancement, 
• SInudruvisvtirnyg S aynmdp Tohsriaiving”
VANDERBILT Orthopaedic Institute
––L1a5w Troyt aBlarnes and 
Mark Froimson
• Industry Symposia
VANDERBILT Orthopaedic Institute
–15 Total
VANDERBILT Orthopaedic Institute
Recognition
• Guest NationsRecognition
–Chilean Hip Society
• G–uJeaspta nNeastei oSnocsiRetey cfoor gnition
Replacement Arthroplasty
–Chilean Hip Society
• AAHKS Humanitarian Award 
• GR–euJceaispptai enNneatstei oSnocsiety for 
Replacement Arthroplasty
––CDhr.i lAedaonl pHhip L Soomcbieatrydi
• AAHKS Humanitarian Award 
–Japanese Society for 
• RAeAcHipKiSe nPtresidential Award
Replacement Arthroplasty
––DDrr..  AFrdaonlkp hV oLsosmbardi
• AAHKS Humanitarian Award 
• RAeAcHipKiSe nPtresidential Award
VAND––EDDRrrB..  AFIrLdaTonlkOp rhVt ohLosopsmaebdaicrd Iinstitute
• AAHKS Presidential Award
VAND–EDRrB. FIrLaTnkO rVtohospsaedic Institute
VANDERBILT Orthopaedic Institute
First Annual AAHKS Spring Meeting | 7 2
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3/16/2016
Highlights of the 25th AAHKS Annual Meeting 3/16/2016
3/16/2016
2015 Fall Meeting Symposia
• Clinical Practice 
2015 Fall Meeting Symposia
Difficult Cases
• Outcome 
• MClienaicsaulr ePsractice 
2015 Fall Meeting Symposia
• MDiefftiacul Rlte Caacsteiosns
•• ROiusktc Sotmraeti fication
•• OMCluientapicsauatlri eePnsrat ctice 
• AMDrietffhtiarcolu Rpltel aCasactstyieosns
••• BROuiusnktdc Soltemrdae tPi faiycamtieonnts
Measures
•• FOAuItpatient 
• AMrtehtarol pRleaasctytions
•• BRuisnkd Sletrda tPifaiycmateionnts
VA••NDFOAEuItRpBatIiLeTntO rthopaedic Institute
Arthroplasty
• Bundled Payments
VA•NDFAEIRBILT Orthopaedic Institute
VANDERBILT Orthopaedic Institute
James A. Rand Award Paper
James A. Rand Award Paper
A Randomized Controlled Trial of 
Oral and IV Tranexamic Acid: 
James A. Rand Award Paper
The Same Efficacy at Lower Cost?
A Randomized Controlled Trial of 
Oral and IV Tranexamic Acid: 
Yale AT.A hF Reila lSinnadgmhoeam mEizf,fe iMdca DCcoyn attr oLollewde Tr rCiaols ot?f 
RushO Urnailv aenrdsi tIVy Tranexamic Acid: 
The Same Efficacy at Lower Cost?
Yale A. Fillingham, MD
Rush University
VANDERBILT Orthopaedic Institute
Yale A. Fillingham, MD
Rush University
VANDERBILT Orthopaedic Institute
VANDERBILT Orthopaedic Institute
A Randomized Controlled Trial of 
Oral and IV Tranexamic Acid: 
TAh Rea Snadmoem Eizfefidca Ccoyn attr oLlolewde Tr rCiaols ot?f 
Yale A FillinghamMD, ErdanKayupov, MS, Darren Plummer, MD, Mario Moric, MS, 
OralT aad Gnerdlin gIeVr, M TDr, Caranig eJ. DxaallamValilec, M ADcid: 
TAh Rea Snadmoem Eizffeidca Ccoyn attr oLollewde Tr rCiaols ot?f 
Double‐blind, placebo‐controlled, powered, RCT
Yale A FillinghOamrMaDl,  EardnandKa yIuVpo vT, MraS, nDaerrexna Plmummicer , AMDc, iMdar:io  Moric, MS, 
1.95 g oTarda Gle rTliXngAer , vMsD ,1 Cgra iigv J . bDoalllauVsa llTe,X MAD in TKA
The Same Efficacy at Lower Cost?
YaleD Ao FPiullribnigmlheaa‐mbrMyli Dno, dEur,dt apcnolaKmacyeuepb:o vor, e‐McdSo,u Dncattrrrieoon nlPlel uidmnm, h peero, mMwDoe, Mgrealordiob ,M iRnoCricT, MS, 
Tad Gerlinger, MRDe, Csruailgt Js. DallaValle, MD
1.95 g oral TXA vs 1g iv bolus TXA in TKA
Equivalent Hbreduction: 3.45 g/dLvs 3.31 g/dL(p<0.001)
EquDiovPuarbliemlnea‐tb rbylil noodou,dt cp loloamscsee:b :1 or2e‐6cd7ou ncmttriLoo vnllse i dn1, 2h p2eo9mw moegLrel (odpb,< iRn0C.0T07)
1.95 g oraClo TsXt:A $ v1Rs4 e1 svgus  il$vts 4b7o—lu1s 0T8X A in TKA
Equivalent Hbreduction: 3.45 g/dLvs 3.31 g/dL(p<0.001)
Primary outcome: reduction in hemoglobin
VANEDqEuiRvBalIeLnTt bOlrothoodp laoesdsi:c  1In2s6t7it umteL vs 1229 mL (p<0.007)
Results
Cost: $14 vs $47—108 
Equivalent Hbreduction: 3.45 g/dLvs 3.31 g/dL(p<0.001)
Equivalent blood loss: 1267 mL vs 1229 mL (p<0.007)
VANDERBILT Orthopaedic Institute
Cost: $14 vs $47—108 
VANDERBILT Orthopaedic Institute
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