Abstracts and Videos available on Orthopaedia® at

http://www.orthopaedia.net/display/Main/Carl+T.+Brighton+Workshop+on+Hip+Preservation+Surgery

Hip Development and Morphology

Goal: Better understand the relationships between hip development, abnormal hip morphology, and hip pathomechanics, emphasizing challenging conditions of acetabular retroversion and the deep acetabulum.

  • Hip Ontogenesis - Susceptibility of the Developing Hip, Tom Hogervorst, MD
  • Morphologic Considerations in Dysplasia and Acetabular Retroversion, Moritz Tannast, MD
  • Morphology and Pathogenesis of Coxa Profunda and Coxa Protrusio, Martin Beck, MD

 

Imaging the Hip

Goal: Define optimum imaging protocol of patients with FAI/dysplasia. Outline future directions in imaging technology/protocols for patients with FAI and dysplasia.

  • Plain Radiographic Examination Is Diagnostic for Most Patients, John Clohisy, MD
  • MRI of Hip Cartilage - Joint Morphology, Structure, and Composition, Hollis Potter, MD 
  • New Imaging Technology May Predict Outcome, Young-Jo Kim, MD, PhD 
  • Specialized Imaging Centers to Avoid Duplication and Poor Imaging, William Jiranek, MD 

 

Dysplasia Challenges/Controversies

Goal: Further define patient selection criteria for acetabular redirectional osteotomy and define optimum intraoperative treatment. Define the role of arthroscopy for dysplasia.

  • Defining Hip Dysplasia in 2011, Michael Millis, MD 
  • Patient Selection Criteria for PAO or RAO, Yuji Yasunaga, MD 
  • Reorientation Is the Preferred Treatment, Klaus A. Siebenrock, MD
  • Role of Arthroscopy in Dysplasia, Damian Griffin, MA(Cantab), MPhil (Oxon), FRCS (Tr&Orth) 

 

Dysplasia Outcome

Goal: Further define patient selection criteria for acetabular redirectional osteotomy and define optimum preoperative imaging algorithm. Define best intra-articular treatment methodology and the role of PAO for retroversion.

  • The Bernese Experience, Moritz Tannast, MD
  • The Japanese Experience with RAO, Yuji Yasunaga, MD 

 

FAI General Concepts

Goal: Define the parameters that influence the prognosis of patients with FAI.

  • Femoroacetabular Impingement - Cam Alpha Angle and Cartilage Delamination Paul Beaulé, MD, FRCSC 
  • Does Mixed-Type Impingement Exist? Damian Griffin, MA(Cantab), MPhil (Oxon), FRCS (Tr&Orth) 
  • Pincer Issues - Does Coverage Matter? Rafael Sierra, MD 
  • Objective Parameters for Measuring Coverage, Klaus A. Siebenrock, MD 

 

FAI - Establishing Who Is at Risk

Goal: Better define the patients who are at risk for developing FAI and the relationship between early sporting activity and FAI.

  • Prevalence of Cam Deformity in the Asymptomatic Population, Paul Beaulé, MD, FRCSC
  • Athletes Are at High Risk for Femoroacetabular Impingement, Christopher L. Peters, MD 
  • Estimates in an Active Male Population, Michael Leunig, MD 

 

FAI Treatment - Labral Issues

Goal: Better define the influence of the labrum and identify labral treatment variables that may affect the outcome in FAI.

  • Labral Repair, Refixation Improves Outcome, Martin Beck, MD 
  • The Biomechanical Case for Labral Debridement, Ira Zaltz, MD 
  • Labral Reconstruction: Is It Necessary?, Rafael Sierra, MD 

 

FAI Treatment - Cartilage Lesions - Current Practice and Future Directions

Goal: Define optimum treatment of hyaline cartilage/labral injury associated with FAI. Outline future treatment methods.

  • Chondral Injury in FAI - Where and How Does It Occur? William Jiranek, MD 
  • The Role of Microfracture, Bryan Kelly, MD 
  • Cartilage Repair Improves Results, Michael Leunig, MD 

 

Childhood Hip Disease - SCFE

Goal: Define the natural history and optimum treatment of adolescents with SCFE.

  • SCFE - Prevalence, Pathogenesis, Natural History, Michael Millis, MD 
  • SCFE - In Situ Pinning Offers the Best Risk and Reward, Young-Jo Kim, MD, PhD 
  • SCFE - Anatomic Correction Is Best, Moritz Tannast, MD

 

Childhood Hip Disease - Perthes Sequelae

Goal: Define the pathoanatomy associated with Perthes and optimum treatment of associated femoral and acetabular deformities.

  • Post-Perthes Morphology - Associated FAI and Dysplasia, Ernest Sink, MD 
  • Correct the Femoral Pathomorphology, Klaus A. Siebenrock, MD
  • When to Correct Associated Acetabular Dysplasia, John Clohisy, MD 

 

Is Hip Preservation an Emerging Orthopaedic Subspecialty?

Goal: Establish a strategy for defining the best individual care/provider models for treatment of adult/pediatric hip preservation surgery. Outline current and optimum training.

  • Patient Outcomes Are Improved with a Dedicated Hip Preservation Service, Christopher L. Peters, MD 
  • Specialized Training in Open and Arthroscopic Techniques Is Essential, Ernest Sink, MD / Bryan Kelly, MD 
  • Strategies for Optimizing Outcome with a Single-Surgeon Approach, Ira Zaltz, MD 
  • Multicenter Collaboration to Improve Hip Preservation Outcome-Based Research, John Clohisy, MD

 

Abstracts and Videos available on Orthopaedia® at

http://www.orthopaedia.net/display/Main/Carl+T.+Brighton+Workshop+on+Hip+Preservation+Surgery