Your Specialty. Your Day - Venetian Convention & Expo Center Tuesday, March 7, 2023
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Your Specialty. Your Day.
Venetian Convention & Expo Center
Tuesday, March 7, 2023
Hip/AAHKS: Palazzo Ballroom L
Knee/AAHKS: Palazzo Ballroom J
The Hip Society/The Knee Society/AAHKS
Specialty Day at AAOS 2023 Annual Meeting
General Information
The Mission of The Hip Society is to advance the knowledge and treatment of hip disorders to improve the lives of our
patients. More: www.hipsoc.org
The Mission of The Knee Society is to advance the care of patients with knee disorders through leadership in education
and research. More: www.kneesociety.org
The Mission of the American Association of Hip and Knee Surgeons (AAHKS) is to advance hip and knee patient care
through education, advocacy and research. More: www.aahks.org
Meeting Objectives
The objectives of The Hip Society and AAHKS Specialty Day Program are to provide up-to-date information on the
treatment of hip conditions, including non-arthroplasty options, and the latest surgical techniques, as well as the current
thinking on bearing surfaces. Other objectives address the difficult primary THA and complication management and
include an update on revision THA.
The objectives of the The Knee Society and AAHKS Specialty Day Program are to update clinical skills and basic
knowledge through research findings, to discuss the various surgical and non-surgical treatments and management of
conditions related to the knee joint, to determine indications and complications in total knee arthroplasty, to critique
presentations of surgical techniques and demonstrations of treatment options, and to evaluate the efficacy of new
treatment options through evidence-based data.
CME Accreditation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the
Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Academy
of Orthopaedic Surgeons and The Hip Society and The Knee Society Combined Specialty Society. The American Academy
of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians. The
American Academy of Orthopaedic Surgeons designates The Hip Society and The Knee Society Combined Specialty
Society Session at the AAOS 2023 Annual Meeting on Tuesday, March 7th in Las Vegas, Nevada has been designated for a
maximum of 6.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of
their participation in the activity.
Photography
Please refrain from unauthorized photography and video recording of presentations. Your registration for, and attendance
of, this session gives The Hip Society and The Knee Society permission to capture images of session attendees and to use
these images for internal and marketing purposes.
Evaluations Handouts
Handouts for both programs are available online
Your opinion matters! Please complete your evaluation
online at: https://www.surveymonkey.com/r/SD23 or use
the QR code to access
01
The Hip Society/The Knee Society/AAHKS
Specialty Day at AAOS 2023 Annual Meeting
Acknowledgements
The Hip Society Board of Directors
Jay R. Lieberman, MD (Los Angeles, CA)– President
William A. Jiranek, MD (Durham, NC) – First Vice President
Don S. Garbuz, MD (Vancouver, BC, Canada) – Second Vice President
Steven J. MacDonald, MD (London, ON, Canada) – Third Vice President
C. Anderson Engh, Jr., MD (Alexandria, VA) – Immediate Past President
John C. Clohisy, MD (St. Louis, MO) – Secretary
Mathias P.G. Bostrom, MD (New York, NY) – Treasurer
R. Michael Meneghini, MD (Fishers, IN) – Chair, Program Committee
Rafael J. Sierra, MD (Rochester, MN) – Chair, Membership Committee
Michael A. Mont, MD (New York, NY) – Chair, Research Committee
Adolph V. Lombardi, Jr., MD (New Albany, OH) – Fellowship & Mentorship Committee Chair
George J. Haidukewych, MD (Orlando, FL) – Member-at-Large
The Knee Society Executive Board
Christopher L. Peters, MD (Salt Lake City, UT) – President
William J. Maloney, III, MD (Redwood City, CA) – First Vice President
Henry D. Clarke, MD (Scottsdale, AZ) – Second Vice President
Steven B. Haas, MD (New York, NY) – Third Vice President
Robert T. Trousdale, MD (Rochester, MN) – Immediate Past President
R. Michael Meneghini, MD (Fishers, IN) – Secretary
Michael A. Mont, MD (Baltimore, MD) – Treasurer
Nicholas J. Giori, MD (Redwood City, CA) – Chair, Membership Committee
Scott M. Sporer, MD (Chicago, IL) – Chair, Program Committee
Craig J. Della Valle, MD (Chicago, IL) – Chair, Research Committee
James I. Huddleston, MD (Redwood City, CA) – Member-at-Large
William G. Hamilton, MD (Alexandria, VA) - Member-at-Large
AAHKS Board of Directors
Bryan D. Springer, MD - President
Javad Parvizi, MD, FRCS - First Vice President
James I. Huddleston III, MD - Second Vice President
R. Michael Meneghini, MD - Third Vice President
Richard Iorio, MD - Immediate Past President
C. Lowry Barnes, MD - Past President
Rafael J. Sierra, MD - Secretary
Ryan M. Nunley, MD - Treasurer
Ronald E. Delanois, MD, Lt. Col., USAF, MC (RET) - Member-At-Large
David W. Manning, MD - Member-At-Large
William M. Mihalko, MD, PhD - Member-At-Large
Kimberly K. Tucker, MD - Member-At-Large
02
The Hip Society/The Knee Society/AAHKS
Specialty Day at AAOS 2023 Annual Meeting
The Hip Society / AAHKS The Knee Society / AAHKS
Palazzo Ballroom L Palazzo Ballroom J
8:00-8:02 am - Opening Remarks 8:00-8:02 am - Opening Remarks
Jay R. Lieberman, MD Christopher L. Peters, MD
President of The Hip Society President of The Knee Society
SESSION I: Hot Topics in Total Hip Arthroplasty SESSION I: Primary TKA: The Time Has Come to
Moderator: R. Michael Meneghini, MD Replace My Knee: What Do I Want?
Moderators: William J. Maloney, III, MD and
8:02-8:08 am - Femoral Stem Selection: Anatomy, Bone Christopher L. Peters, MD
Quality, and Biomechanics
Adolph V. Lombardi, Jr., MD 8:02-8:08 am - Current Indications / Contraindications
for Unicompartmental TKA: How to Make It Successful
8:08-8:14 am - Back to the Future: When and How to in Your Place
Use a Cemented Femoral Stem Jess H. Lonner, MD
Fares S. Haddad, MD
8:08-8:14 am - Cementless Total Knee Replacement is
8:14-8:20 am - The Degenerative Spine and THA: Let's the Way to Go: Indications and How I Do It
Keep It Simple Robert L. Barrack, MD
Jonathan M. Vigdorchik, MD
8:14-8:20 am - Should I Leave My Patella Intact? What
8:20-8:26 am - Dual Mobility: Do You Really Need It? Does the Data Say? How Do I Do It?
James I. Huddleston, III, MD Jeremy M. Gilliland, MD
8:26-8:35 am - Panel Discussion DEBATE: What Does the Data Say?
8:20-8:26 am - Pro: Mechanical
SESSION II: Common Sense Approach to Troublesome Steven J. MacDonald, MD
Problems 8:26-8:32 am - Pro: Kinematic
Moderator: Jay R. Lieberman, MD Keith R. Berend, MD
8:32-8:38 am - Pro: Gap Balancing
8:35-8:41 am - Wound Management in the Obese Douglas A. Dennis, MD
Patient
Carlos A. Higuera-Rueda, MD 8:38-8:44 am - Discussion
8:41-8:47 am - I Cracked the Proximal Femur: What Do I SESSION II: Choice of Articular Bearing: Is There a
Do Now? Difference?
Brett A. Levine, MD Moderator: William D. Bugbee, MD
8:47-8:53 am - Post-Operative Day 4, and the Wound Is 8:44-8:50 am - Cruciate Retaining: Why I Use This
Draining Craig J. Della Valle, MD
Antonia F. Chen, MD
8:50-8:56 am - Posterior Stabilized: Why I Use This
8:53-8:59 am - The Hip Keeps Dislocating: Evaluation Giles R. Scuderi, MD
and Management
William A. Jiranek, MD 8:56-9:02 am - Medial Pivot: Why I Use This
C. Lowry Barnes, MD
8:59-9:08 am - Panel Discussion
03
The Hip Society/The Knee Society/AAHKS
Specialty Day at AAOS 2023 Annual Meeting
The Hip Society / AAHKS The Knee Society / AAHKS
Palazzo Ballroom L Palazzo Ballroom J
SESSION III: Optimizing Your Surgical Approach -
SESSION II - Continued
Video-Based Tips and Tricks
Moderator: Douglas E. Padgett, MD
9:02-9:08 am - Ultracongruent / Dual Pivot: Why I Use
This
9:08-9:14 am - Direct Anterior Approach
Adolph V. Lombardi, Jr., MD
William G. Hamilton, MD
9:08 - 9:14 am - Discussion
9:14-9:20 am - Posterior Approach
David J. Mayman, MD
DEBATE: Robotics
9:20-9:26 am - Panel Discussion
9:14-9:20 am - Robotics Provide No Patient Benefits At
This Time
SESSION IV: Challenging Primary THA Cases
Thomas K. Fehring, MD
Moderator: Steven J. MacDonald, MD
9:20-9:26 am - Robotics is the New Gold Standard
Simon W. Young, MD
9:26-9:45 am - Panel: John C. Clohisy, MD, C. Anderson
Engh, MD, Thomas P. Vail, MD, Michael A. Mont, MD,
9:26-9:32 am - Discussion
Edwin P. Su, MD
9:32-9:48 am - Case-Based Panel: Difficult Primary
9:45-10:00 am - BREAK
Knee (Deformity, Retained Hardware, Prior ACL, Prior
Incision)
SESSION V: Peri-Prosthetic Infection - What's New in
Moderator: Rafael J. Sierra, MD
2023
Panelists: Ran Schwarzkopf, MD, Douglas E. Padgett,
Moderator: Javad Parvizi, MD
MD, Michael J. Taunton, MD
10:00-10:06 am - Latest in Diagnosis of PJI - Best
9:48-10:03 am - BREAK
Practices
Craig J. Della Valle, MD
SESSION III: The Knee Society Scientific Awards
Moderator: Christopher L. Peters, MD
10:06-10:12 am - DAIR: Indications and Techniques
Michael P. Bolognesi, MD
10:03-10:09 am - The Chitranjan S. Ranawat Award
"Tourniquet Use Does Not Impact Trajectory of Total
10:12-10:18 am - Single-Stage: Indications and Keys to
Knee Arthroplasty Early Recovery: A Prospective,
Success
Randomized Controlled Trial"
Bryan D. Springer, MD
Charles M. Lawrie, MD, MSc
10:18-10:24 am - Two-Stage Exchange for Chronic PJI:
10:09-10:15 am - The John N. Insall Award
Still the Gold Standard
"Randomized Clinical Trial of Cementless vs.
Charles L. Nelson, MD
Cemented Tibial Components: Durable and Reliable at
10 Years"
10:24-10:30 am - Panel Discussion
Emmanuel Gibon, MD, PhD
10:15-10:21 am - The Mark B. Coventry Award "Human
Knee Has a Distinct Microbiome: Implication for
Perioprosthetic Joint Infection"
Diana Fernández-Rodríguez, MD
04
The Hip Society/The Knee Society/AAHKS
Specialty Day at AAOS 2023 Annual Meeting
The Hip Society / AAHKS The Knee Society / AAHKS
Palazzo Ballroom L Palazzo Ballroom J
SESSION VI: Presidential Keynote Speaker SESSION IV: Complications After Primary TKA: Now
Introduction: Jay R. Lieberman, MD What Do I Do?
Moderator: Fred D. Cushner, MD
10:30-10:50 am - Revision THA: The Adventure From
Predictably Bad to Predictably Good Results: Lessons 10:21-10:27 am - Red Knee in the First 6 Weeks: How
We Can Apply to Today's Unsolved Orthopaedic Do I Approach This? When to Get Worried?
Problems Carlos J. Lavernia, MD
Daniel J. Berry, MD
10:27-10:33 am - Stiff Knee - Lack of Flexion and
SESSION VII: Periprosthetic Femur Fractures: Tips Extension: What Do I Do and When Do I Do It?
and Tricks Thomas P. Sculco, MD
Moderator: Mathias P.G. Bostrom, MD
10:33-10:39 am - Painful Knee at 3 Months: Next
10:50-10:56 am - Management of Trochanteric Steps?
Fractures Elizabeth B. Gausden, MD
Rafael J. Sierra, MD
10:39-10:45 am - Is the Implant Loose? When and How
10:56-11:02 am - Fracture Around a Loose Stem Do I Decide to Revise? Is It Different for Cemented vs
(B2/B3) Cementless?
Matthew P. Abdel, MD John B. Meding, MD
11:02-11:08 am - Fracture Around a Well-Fixed Stem 10:45-10:51 am - Is There Too Much Laxity in the Knee?
(B1) How Do I Determine "Laxity" and When Do I Decide to
George J. Haidukewych, MD Revise?
William Macaulay, MD
11:08-11:16 am - Panel Discussion
10:51-11:01 am - Discussion
SESSION VIII: The Hip Society Scientific Awards
Moderator: Jay R. Lieberman, MD 11:01-11:17 am - Case-Based Panel: Intraoperative
Complications (MCL Injury, Flexion/Extension
11:16-11:22 am - The Otto Aufranc Award Mismatch, Intraoperative Fracture)
"Intraosseous Vancomycin in Total Hip Arthroplasty - Panelists: William A. Jiranek, MD, Jason Jennings,
Superior Tissue Concentrations and Improved MD, Stephen J. Incavo, MD, John B. Meding, MD
Efficiency"
Katharine D. Harper, MD SESSION V: Revision Total Knee Arthroplasty
Moderators: Robert T. Trousdale, MD and Kelly G.
11:22-11:28 am - The John Charnley Award " A Vince, MD
Quantitative Fluoroscopic Tool Improves Acetabular
Fragment Positioning in Periacetabular Osteotomy" Exposure (video-based)
Christopher L. Peters, MD
11:17-11:23 am - What I Do to Safely Get Exposure: 5
11:28-11:34 am - The Frank Stinchfield Award Tips and Tricks
"Creation of a Patient-Specific Total Hip Arthroplasty R. Michael Meneghini, MD
Periprosthetic Fracture Risk Calculator"
Cody C. Wyles, MD 11:23-11:29 am - How I Safely Remove Components
(including Cones/Stems): 5 Tips and Tricks
Ronald E. Delanois, MD 05
The Hip Society/The Knee Society/AAHKS
Specialty Day at AAOS 2023 Annual Meeting
The Hip Society / AAHKS The Knee Society / AAHKS
Palazzo Ballroom L Palazzo Ballroom J
SESSION IX: Revision Acetabulum - Surgical Tips and
Tricks SESSION V - Continued
Moderator: James A. Browne, MD
Revision Implant Selection (video-based)
11:35-11:41 am - Traditional Hemispherical Cup - Video
Technique 11:29-11:35 am - Cones vs Sleeves: Are They the
Ran Schwarzkopf, MD Same? How Do I Choose?
Michael P. Bolognesi, MD
11:41-11:47 am - Custom Triflange for Massive Loss /
Pelvic Discontinuity 11:35-11:41 am - Cemented vs Cementless Stems?
Michael J. Taunton, MD How Do I Choose? What Does the Data Show?
Jeffrey B. Stambough, MD
11:47-11:53 am - Cup-Cage - Do Not Have Time to Wait
for Custom Fabrication 11:41-11:47 am - Level of Constraint: Should I Use
David G. Lewallen, MD More or Try to Use Less? What Does the Data Show?
Mark W. Pagnano, MD
11:53-11:59 am - Pelvic Distraction for Chronic Pelvic
Discontinuity 11:47-11:57 am - Discussion
Wayne G. Paprosky, MD
SESSION VI: Managing a Disaster
11:59 am-12:10 pm - Panel Discussion Moderator: Javad Parvizi, MD
SESSION X: Revision Femur - Video Techniques 11:57 am-12:03 pm - DAIR: Current Indications and
Moderator: Don S. Garbuz, MD How I Do It
Mark J. Spangehl, MD
12:10-12:16 pm - Femoral Component Removal Without
ETO 12:03-12:09 pm - Single-Stage Revision: Current
Gwo-Chin Lee, MD Indications and How I Do It
Fares S. Haddad, MD
12:16-12:22 pm - Removal of Femoral Component With
ETO 12:09-12:15 pm - Two-Stage Revision: Current
Scott M. Sporer, MD Indications and How I Do It
Kevin L. Garvin, MD
12:22-12:28 pm - Monoblock Tapered Titanium Fluted
Stems 12:15-12:21 pm - Chronic Antibiotic Supression: What
Richard W. McCalden, MD is the Role?
Jesse E. Otero, MD
12:28-12:34 pm - Modular Tapered Titanium Fluted
Stems 12:21-12:27 pm - Discussion
Jeremy M. Gililland, MD
Chronic extensor Mechanism Disruption (video-based)
12:34-12:45 pm - Panel Discussion
12:27-12:33 pm - Extensor Mechanism Allograft
Brett A. Levine, MD
06
The Hip Society/The Knee Society/AAHKS
Specialty Day at AAOS 2023 Annual Meeting
The Hip Society / AAHKS The Knee Society / AAHKS
Palazzo Ballroom L Palazzo Ballroom J
SESSION VI - Continued
SESSION XI: Revision Total Hip Arthroplasty
Cases
12:33-12:39 pm - Synthetic Mesh Repair
Moderator: Christopher L. Peters, MD
Matthew P. Abdel, MD
12:45-1:00 pm - Panelists: Thomas K. Fehring,
12:39-12:44 pm - Discussion
MD, Kevin L. Garvin, MD, James I. Huddleston,
MD, James D. Slover, MD
12:44-1:00 pm - Case-Based Panel: Revision Knee
(Instability, Bone Loss, Periprosthetic Fractures,
Arthrofibrosis, Long Femoral Stem Above a Revision
Knee)
Panelists: Elizabeth Lieberman, MD, Peter K. Sculco,
MD, Arthur L. Malkani, MD
1:00-2:30 pm - LUNCH
Please return on time. The program will continue in the Hip room (Ballroom L) with
The Hip Society/The Knee Society/AAHKS combined sessions.
07
The Hip Society/The Knee Society/AAHKS
Specialty Day at AAOS 2023 Annual Meeting
The Hip Society / The Knee Society / AAHKS
Palazzo Ballroom L
COMBINED SESSION A: Partner Organizations Highlights and Updates
Moderator: Thomas P. Vail, MD
2:30-2:35 pm - AJRR Data: What Is It and What Are We Learning? - David G. Lewallen, MD
2:35-2:40 pm - Highlights of AAHKS 2022 Annual Meeting: Award Papers and Members Reponses - Jeremy M.
Gililland, MD
2:40-2:45 pm - Highlights of CCJR 2022 and Future CCJR Meetings - Daniel J. Berry, MD
2:45-2:50 pm - You Can Find It On the SHAK: HS and KS New Online Education Platform - William G.
Hamilton, MD
COMBINED SESSION B: Outpatient Joint Replacement
Moderator: Bryan D. Springer, MD
2:50-2:56 pm - How Do I Get Started? What Is the Minimum to Get Started (Staffing, Location)? - R. Michael
Meneghini, MD
2:56-3:02 pm - Patient Indications: Appropriate Person to Bring to Center. Do I Need a Specific Screening Tool?
Hard Stops? - Michael P. Ast, MD
3:02-3:08 pm - Intra-Op: Anesthesia Protocols - Do I Need to Do Anything Differently? - Michael J. Archibeck, MD
3:08-3:14 pm - Post-Op: Minimizing the Common Immediate Post-Op Complications (Failure to Launch) - Craig J.
Della Valle, MD
3:14-3:20 pm - Discussion: Challenges I Faced and Things I Didn't Expect (Facility, Staffing, Implants, Costs,
Contracts)
3:20-3:35 pm - BREAK
COMBINED SESSION C: Perioperative Protocols
Moderators: Henry D. Clarke, MD and Gregory G. Polkowski, MD
3:35-3:41 pm - Pain Management: Minimizing the Use of Narcotic Medication - Charles L. Nelson, MD
3:41-3:47 pm - Wound Closure: Occlusive Dressing Vac - Nicholas A. Bedard, MD
3:47-3:53 pm - Antibiotics: How Many Doses, How Long? - Nathanael D. Heckmann, MD
3:53-3:59 pm - DVT Prophylaxis: What Does the Current Literature Show? - Vincent D. Pellegrini, Jr., MD
3:59-4:15 pm - Discussion
08
The Hip Society/The Knee Society/AAHKS
Specialty Day at AAOS 2023 Annual Meeting
The Hip Society / The Knee Society / AAHKS
Palazzo Ballroom L
COMBINED SESSION D: Post-Operative Protocols
Moderators: Jay R. Lieberman, MD and Christopher L. Peters, MD
4:15-4:21 pm - Physical Therapy: Do We Need It in 2023? - Richard Iorio, MD
4:21-4:27 pm - Activity Monitoring - Fred D. Cushner, MD
4:27-4:33 pm - Patient Engagement: Methods to Decrease the Burden on Your Staff - Christopher L. Pelt,
MD
4:33-4:39 pm - Discussion
4:39-4:40 pm - CLOSING REMARKS AND ADJOURN - Jay R. Lieberman, MD and Christopher L. Peters,
MD
Upcoming Meetings
Round tables. Small groups. Interaction with faculty. Cases. Debates. Discussions. More...
Late March 2024
Park City, Utah
www.hipsoc.org | www.kneesociety.org
Your Mountain Is Waiting! 09AAHKS Spring Meeting: Putting Progress Into Practice
The AAHKS Spring Meeting is intended to equip practicing orthopaedic surgeons with
state-of-the art information and cutting-edge strategies to enhance overall surgeon
competence related to the care of patients with arthritis and degenerative disease. It
combines general and breakout sessions, emphasizing case-based learning in small-
group settings with some of the leading faculty in the field of arthroplasty.
https://www.aahks.org/aahks-spring-meeting/
Radisson Blu Aqua Hotel
May 4–6 // Chicago, Illinois
2023 AAHKS Spring Meeting
Case-based learning • Peer-to-peer education
Small-group setting • Expert faculty
Visit AAHKS.org for details
10Travel. Learn. Repeat.
You are dedicated to your chosen field of orthopaedics. You are committed to advancing
the care of your patients. You are positioned to be the leader in your community and your
profession. You never stop learning, you never tire of setting higher goals, you never give
up on reaching the new frontiers. You also love travel and adventure, seeing new places,
meeting new people, living out of a suitcase, forging life-long friendships, pushing yourself
to do more, to exceed and to excel. If this describes you, then you are our
ideal successful candidate!
The Hip Society's Programs: The Knee Society's Program:
The Insall Traveling Fellowship,
The Rothman-Ranawat Traveling
offered annually.
Fellowship, offered annually.
The Hip Society-British Hip Society
Traveling Fellowship, offered on a
biennial basis.
www.hipsoc.org/traveling-fellowships www.kneesociety.org/insall-fellowship
The question is not whether you should go.
The question is: How far do you want us to take you?
11AAHKS
ANNUAL MEETING
0
3
Gaylord Texan Resort & Convention Center
November 2–5 // Dallas, Texas
SCIENCE
DRIVEN
POWERED BY PEERSEducation doesn't need to
stop when you're on the go.
The Hip Society and The Knee Society present:
More content added regularly!
13Education doesn't need to
stop when you're on the go.
More content added regularly!
14The Hip Society | The Knee Society
1515 East Woodfield Road, Suite 345
Schaumburg, IL 60173
hip@hip-knee.org | knee@hip-knee.org
American Association of
Hip and Knee Surgeons
9400 W. Higgins Road, Suite 230
Rosemont, IL 60018
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