European Instructional Lectures: Volume 12, 2012, 13th EFORT Congress, Berlin, Germany

238 Pages·2012·9.219 MB·English

by  Pierre Hoffmeyer M.D., Robin Peter M.D. (auth.), George Bentley (eds.)

European Federation of National Associations
of Orthopaedics and Traumatology
European Instructional
Lectures
Volume 12, 2012
European Federation of National Associations
of Orthopaedics and Traumatology
Committees and Task Forces
EFORT Executive Committee Standing Committees
EAR Committee
Executive Board
Prof. Dr. Nikolaus Böhler
Prof. Dr. Pierre Hoffmeyer, President
Education Committee
Dr. Manuel Cassiano Neves, Vice
President Prof. Dr. Maurilio Marcacci
Ass. Prof. Dr. Per Kjaersgaard-Andersen, EA & L Committee
Secretary General Prof. Dr. Wolfhart Puhl
Prof. Dr. Miklós Szendröi, Immediate
Finance Committee
Past President
Mr. Stephen R. Cannon
Mr. Stephen R. Cannon, Treasurer
Prof. Dr. Enric Cáceres Palou, Member Health Service Research Committee
at Large Prof. Dr. Karsten Dreinhöfer
Dr. George Macheras, Member at Large Portal Steering Committee
Prof. Dr. Philippe Neyret, Member at
Prof. Dr. Klaus-Peter Günther
Large
Publications Committee
Co-Opted Members
Prof. Dr. George Bentley
Mr. John Albert Scientifi c Congress Committee
Prof. Dr. Thierry Bégué
Prof. Dr. Enric Cáceres Palou
Prof. Dr. George Bentley, Past President
Speciality Society Standing Committee
Prof. Dr. Nikolaus Böhler, Past President
Prof. Dr. Karsten Dreinhöfer Dr. George Macheras
Prof. Dr. Klaus-Peter Günther Prof. Dr. Rüdiger Krauspe
Prof. Dr. Norbert Haas Prof. Dr. Pierre Hoffmeyer
Prof. Dr. Karl Knahr
Prof. Dr. Rüdiger Krauspe Task Forces and Ad Hoc Committees
Prof. Dr. Maurilio Marcacci
Prof. Dr. Wolfhart Puhl, Past President Awards & Prizes Committee
Prof. Dr. Nejat Hakki Sur Prof. Dr. George Bentley
Prof. Dr. Karl-Göran Thorngren, Past
Fora
President
Prof. Dr. Thierry Bégué
Prof. Dr. Dieter C. Wirtz
Travelling & Visiting Fellowships
Scientifi c Coordination 13th EFORT Prof. Dr. Philippe Neyret
Congress, Berlin 2012 Musculoskeletal Trauma Task Force
Prof. Dr. Norbert Haas
Chairman EFORT Foundation Committee
Ass. Prof. Dr. Per Kjaersgaard-Andersen Prof. Dr. Karl-Göran Thorngren
European Federation of National Associations
of Orthopaedics and Traumatology
European Instructional
Lectures
Volume 12, 2012
13th EFORT Congress, Berlin, Germany
Edited by
George Bentley
Prof. George Bentley
Royal National Orthopaedic Hospital Trust
Brockley Hill
HA 7 4LP, Stanmore
Middlesex, UK
EFORT Central Office
Technoparkstrasse 1
8005 Zürich, Switzerland
ISBN 978-3-642-27292-9 e-ISBN 978-3-642-27293-6
DOI 10.1007/978-3-642-27293-6
Springer Heidelberg Dordrecht London New York
Library of Congress Control Number: 2012933964
© EFORT 2012
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Foreword
As representatives of the local organizing committee, it is an honour and a
pleasure to present this Instructional Lecture Book for the 13th EFORT
Congress, to be held in Berlin in 2012. In addition to the two main topics of
the Congress – the WHO “Decade of Action for Road Safety” initiative and
the EU’s “Active and Healthy Aging” declaration for the year 2012 – the
instructional lectures build on the thematic highlights of our meeting.
Several experts with great clinical and scientifi c experience present their
philosophies for dealing with different issues and current debates in ortho-
paedics and traumatology. In this sense, the Instructional Lecture Book pro-
vides an excellent overview of current knowledge in musculoskeletal diseases
and trauma care in Europe.
Given that training is one of EFORT’s primary goals, the literature on
the Instructional Lectures series will generally be handed out to all con-
gress participants. It will therefore be possible to read and study all of the
state-of-the-art presentations given during the Congress in detail when you
are back home.
As the local chairmen of the EFORT Congress 2012 in Berlin, we would
like to express our gratitude to all of our lecturers for providing their presen-
tations for publication in this volume. Our sincere thanks also go to Professor
George Bentley, who has organized and edited the Instructional Lecture
Book.
In the awareness of that EFORT and all of its activities offers an unique
platform for training, it is up to us to use it to optimize the treatment of all of
our patients in Europe.
Berlin, Germany Dieter C. Wirtz
Karsten Dreinhöfer
Chairmen LOC, Berlin
v

Preface

This 12th volume of the EFORT European Instructional Lectures is a
collection of all the Lectures to be presented at the 13th Congress in Berlin
from 23rd to 25th of May 2012.
As previously the topics were selected to refl ect some important aspects of
current Orthopaedic and Traumatology philosophy and practice by a group of
specialists who also represent the variety of expertise which is unique to
Europe.
Particular thanks go to the authors, not only for preparing and presenting
their lectures but also for other activities such as paper reviewing and chairing
of Symposia and Specialist sessions, participating in courses and demonstra-
tions etc., which are vital for the rich totality of the Congress programme.
Preparation of the volume has been by Gabriele Schroeder and her col-
leagues in the Internationally-recognised Springer Company to whom we are
very grateful.
My personal thanks go to, particularly, Larissa Welti and the EFORT
Central offi ce staff for their expert and unfailing support, as ever.
This volume is dedicated to all those who have contributed to the ever-
expanding educational and scientifi c development of EFORT, to bring it to be
the greatest Orthopaedic and Traumatology fellowship in Europe.
Stanmore, UK George Bentley
Editor-in-Chief

vii

Contents
Musculo-Skeletal Trauma
The Spectrum of Polytrauma. A Pragmatic
Approach for the Musculo-Skeletal Surgeon. . . . . . . . . . . . . . . . . . 3
Pierre Hoffmeyer and Robin Peter
Proximal Femoral Fractures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Christopher G. Moran and M. Gaden
Acute Infections After Osteosynthesis. . . . . . . . . . . . . . . . . . . . . . . 25
Volkmar Heppert
Musculo-Skeletal Tumours
The Multi-modal Approach to Metastatic Disease. . . . . . . . . . . . . 35
Minna Laitinen, Maire Ratasvuo,
and Toni-Karri Pakarinen
How to Manage Osteolytic Lesions . . . . . . . . . . . . . . . . . . . . . . . . . 45
Jendrik Hardes
Paediatrics
Developmental Hip Dysplasia – A Problem Solved? . . . . . . . . . . . 61
Micheal K.D. Benson
Spine
Infections of the Spine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
José Guimarães Consciência, Rui Pinto,
and T. Saldanha
Multimodal Treatment of Back Pain . . . . . . . . . . . . . . . . . . . . . . . . 87
Hans Raimund Casser
Upper Limb
Proximal Humeral Fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Martin Jaeger and N.P. Südkamp
Pelvis and Hip
Navigation and Hip Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Philippe Merloz
ix