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 Abstractconfluence.macros.advanced.include.unable-to-render confluence.macros.advanced.include.error.content.not.found
Morphologic Considerations in Dysplasia and Acetabular Retroversion, Moritz Tannast, MD Abstractconfluence.macros.advanced.include.unable-to-render confluence.macros.advanced.include.error.content.not.found
Morphology and Pathogenesis of Coxa Profunda and Coxa Protrusio, Martin Beck, MD Abstractconfluence.macros.advanced.include.unable-to-render confluence.macros.advanced.include.error.content.not.found
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
MRI of Hip Cartilage - Joint Morphology, Structure, and Composition, Hollis Potter, MD Abstract
New Imaging Technology May Predict Outcome, Young-Jo Kim, MD, PhD Abstract
Specialized Imaging Centers to Avoid Duplication and Poor Imaging, William Jiranek, MD Abstract
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
Patient Selection Criteria for PAO or RAO, Yuji Yasunaga, MD Abstract
- Reorientation Is the Preferred Treatment, Klaus A. Siebenrock, MD
Role of Arthroscopy in Dysplasia, Damian Griffin, MA(Cantab), MPhil (Oxon), FRCS (Tr&Orth) Abstract
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 Abstract
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
Does Mixed-Type Impingement Exist?Damian Griffin, MA(Cantab), MPhil (Oxon), FRCS (Tr&Orth) Abstract
Pincer Issues - Does Coverage Matter?Rafael Sierra, MD Abstract
Objective Parameters for Measuring Coverage, Klaus A. Siebenrock, MD Abstract
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 Abstract
Estimates in an Active Male Population, Michael Leunig, MD Abstract
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
The Biomechanical Case for Labral Debridement, Ira Zaltz, MD Abstract
Labral Reconstruction: Is It Necessary?, Rafael Sierra, MD Abstract
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
The Role of Microfracture, Bryan Kelly, MD Abstract
Cartilage Repair Improves Results, Michael Leunig, MD Abstract
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
SCFE - In Situ Pinning Offers the Best Risk and Reward, Young-Jo Kim, MD, PhD Abstract
- 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 Abstract
- Correct the Femoral Pathomorphology, Klaus A. Siebenrock, MD
When to Correct Associated Acetabular Dysplasia, John Clohisy, MD Abstract
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
Specialized Training in Open and Arthroscopic Techniques Is Essential, Ernest Sink, MD / Bryan Kelly, MD Abstract
Strategies for Optimizing Outcome with a Single-Surgeon Approach, Ira Zaltz, MD Abstract
Multicenter Collaboration to Improve Hip Preservation Outcome-Based Research, John Clohisy, MD Abstract
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