Carl T. Brighton Workshop on Hip Preservation Surgery

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Led by co-chairs Christopher L. Peters, MD, and Klaus A. Siebenrock, MD, the renowned international faculty of the ABJS Carl T. Brighton Workshop on Hip Preservation Surgery explored the current state and future of hip preservation surgery in 11 key areas, focusing on femoroacetabular impingement, hip dysplasia, and pediatric hip diseases. Video presentations from the workshop, held November 16-19 in Tampa, Florida, are available on OrthopaedicsOne.

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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 Abstract

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  • Morphologic Considerations in Dysplasia and Acetabular Retroversion, Moritz Tannast, MD Abstract

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  • Morphology and Pathogenesis of Coxa Profunda and Coxa Protrusio, Martin Beck, MD Abstract

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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 Abstract

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  • MRI of Hip Cartilage - Joint Morphology, Structure, and Composition, Hollis Potter, MD Abstract

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  • New Imaging Technology May Predict Outcome, Young-Jo Kim, MD, PhD Abstract

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  • Specialized Imaging Centers to Avoid Duplication and Poor Imaging, William Jiranek, MD Abstract

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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 Abstract

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  • Patient Selection Criteria for PAO or RAO, Yuji Yasunaga, MD Abstract

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  • Role of Arthroscopy in Dysplasia, Damian Griffin, MA(Cantab), MPhil (Oxon), FRCS (Tr&Orth) Abstract

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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 Japanese Experience with RAO, Yuji Yasunaga, MD Abstract

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FAI General Concepts

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

  • Femoroacetabular Impingement - Cam Alpha Angle and Cartilage DelaminationPaul Beaulé, MD, FRCSC Abstract

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  • Does Mixed-Type Impingement Exist?Damian Griffin, MA(Cantab), MPhil (Oxon), FRCS (Tr&Orth) Abstract

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  • Pincer Issues - Does Coverage Matter?Rafael Sierra, MD Abstract

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  • Objective Parameters for Measuring Coverage, Klaus A. Siebenrock, MD Abstract

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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.

  • Athletes Are at High Risk for Femoroacetabular Impingement, Christopher L. Peters, MD Abstract

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  • Estimates in an Active Male Population, Michael Leunig, MD Abstract

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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 Abstract

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  • The Biomechanical Case for Labral Debridement, Ira Zaltz, MD Abstract

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  • Labral Reconstruction: Is It Necessary?, Rafael Sierra, MD Abstract

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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 Abstract

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  • The Role of Microfracture, Bryan Kelly, MD Abstract

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  • Cartilage Repair Improves Results, Michael Leunig, MD Abstract

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Childhood Hip Disease - SCFE

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

  • SCFE - Prevalence, Pathogenesis, Natural History, Michael Millis, MD Abstract

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  • SCFE - In Situ Pinning Offers the Best Risk and Reward, Young-Jo Kim, MD, PhD Abstract

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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 Abstract

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  • When to Correct Associated Acetabular Dysplasia, John Clohisy, MD Abstract

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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 Abstract

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  • Specialized Training in Open and Arthroscopic Techniques Is Essential, Ernest Sink, MD / Bryan Kelly, MD Abstract

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  • Strategies for Optimizing Outcome with a Single-Surgeon Approach, Ira Zaltz, MD Abstract

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  • Multicenter Collaboration to Improve Hip Preservation Outcome-Based Research, John Clohisy, MD Abstract

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