OE OrthoPod

Sir John Charnley said “joint sepsis will be the major hurdle in our way in the future”. His words are still valid. Periprosthetic joint infection is one of the most catastrophic complications in orthopedic surgery. Prevention is crucial. Join us for an interactive, lively and informative discussion regarding 2 of the most controversial intraoperative procedures to prevent PJI. Thinking BIG, two Bigs RCT of these issues will start in the future.

Insights:

• Intraoperative Irrigation solutions
• Antibiotic loaded cement

Guests:
Joan Minguell Monyart
Head of Orthopedic Surgery and Traumatology Service (COT) since 2016
University Hospital 
Vall d’Hebron
Barcelona, Spain

Ernesto Guerra, MD
Consultant Trauma and Orthopaedic Surgery
University Hospital Vall d’Hebron
Barcelona, Spain

Dr. Carlos Leal speaks on how shockwave therapy provides an effective non-invasive treatment option in orthopaedics for a variety of indications. While there is much promise for using this therapy option, there is need for further research to improve our understanding of how it can be useful in diverse therapeutic areas. 

Guest:
Carlos Leal, MD
Orthopedic Surgeon from Bosque University in Bogotá, Colombia
Postdoctoral Fellow in Biomechanics and Research at Harvard University
Fellow in Knee Surgery from NYU’s Hospital for Joint Diseases in
New York and the Aspen Valley Clinic in Colorado
International Leader In Regenerative Orthopedics, Stem Cells And Shockwave Medicine

Insights:

• Identifying and Choosing A Niche
• Pearls About Mentorship
• Optimizing Performance and Receiving Feedback

Keynote
O.R. (Femi) Ayeni MD, PhD FRCSC, Dip Sport Med.

Professor & Division Head: Orthopaedic Surgery
McMaster University

Themes: Holistic assessment, scoring system, proactive treatment 

Guest:
Peter Giannoudis BSC, MD, FACS, FRCS (Glasg), FRCS (Eng)
Professor & Chairman
Trauma & Orthopaedic Surgery
School of Medicine
University of Leeds, UK

Themes: Value Based Healthcare, patient centered care, evidence based medicine, research, outcomes, innovation, growth mindset.

Guest:
Prof. Rudolf W. Poolman, MD PhD
Professor of Orthopedic Surgery and Health Care Evaluation
OLVG / LUMC

Episode themes: Global health, volunteering, low resource settings, capacity building, trainee education 

Keynote:
Paul J. Moroz, MD, MSc, FRCSC, FAAOS
Pediatric Orthopaedic and Spine Surgeon
Shriners Hospitals for Children – Honolulu
Associate Clinical Professor, Department of Surgery,
John A. Burns School of Medicine, University of Hawaii.

It is becoming clear that gender bias and gender-based data gaps are everywhere, even in orthopaedics. But, isn’t an arthritic knee an arthritic knee? Perhaps not. Gender bias is evident in how surgical procedures are offered and large data gaps exist in assessing clinical outcomes after surgery. This discussion will review how gender bias manifests for our orthopaedic surgery patients with regards to diagnosis, treatment and how we assess clinical outcomes. For us to better understand these factors, more women need to be enrolled in clinical trials. Also, in order to provide optimal care for our patients, gender-specific analysis of outcome data with consideration of confounding variables, will be of paramount importance

Insights:

• There are differences in how and when men and women are offered orthopaedic surgical procedures
• There are gender differences in how clinicians perceive disability and pain in patients
• Women are not represented equally in orthopaedic clinical trials
• Research data is often not presented with gender specific contexts
• There are confounding variables with regard to gender that may bias clinical results

Keynote
Laurie A Hiemstra, MD, PhD, FRCS(C)
Orthopaedic Surgeon/Director of Research at Banff Sport Medicine Foundation
Associate Professor at University of Calgary

Patients commonly present with acute pain secondary to an acute injury, and there are dozens of potential options for addressing their pain. Most trials explore the effectiveness of a treatment option versus placebo or sham therapy, which complicates assessment of comparative effectiveness among competing therapies. We will discuss the role of network meta-analyses to inform comparative effectiveness, despite limited evidence from head-to-head trials.

Insights:

• An evolving approach for informing comparative effectiveness of competing interventions
• Optimizing interpretation of effect estimates
• Consideration of net benefit (benefits and harms)
• Advantages of a partially contextualized approach to interpreting network estimates vs. surface under the cumulative ranking curve (SUCRA)

Keynote
Jason Busse DC, PhD
Associate Professor
Associate Director, Michael G. DeGroote Centre for Medicinal Cannabis Research
Anesthesia & Health Research Methods, Evidence, and Impact

Insights:

• Hard work is essential for success and realisation of one’s ambition but however it should not be in excess and at the sacrifice of the family friends and physical and mental health.
• Young surgeons must learn to differentiate very quickly between hard work from stress. While hard work has not killed anybody, there are many people who have died of stress. Stress usually comes out of poor performance.
• “Work Life Balance” is essentially “Work Wife Balance” and once the family is in alignment with the ambitions and aspirations of a person, most problems are solved.
• The power for hard work is given by “Vitamin P” (Passion) and not by the drive for “Vitamin M” (Money)

Parag Sancheti FRCS (Ed), MS (ORTH), DNB (ORTH), MCh (UK),Ph.D (Dundee, UK)
Professor & Chairman
Sancheti Institute for Orthopaedics & Rehabilitation
Secretary General – BJD (Bone and Joint Decade) – WHO
Academic Council Member- Symbiosis International University
Academic Council Member- Bharati Vidyapeeth University