30 Euston Square  |  London |  04 October 2019



Conference Aims

Introduction to the conference and future plans
Prof Justin Cobb

SESSION 1  H-A.C Heritage – Chair: Prof Justin Cobb
The first implantation of the Furlong H-A.C was in London, 1985. 34 years later, how has it performed and evolved?

Ronnie Furlong and H-A.C
A brief look back in history; Mr Ronald Furlong and the creation of the first biologically coated hip system.
Mr Brian Jones

30 year results of Furlong HAC
A look into the 30 year results
Mr Nirav Shah

The evolution of the Evolution
How the design team developed the Furlong Evolution stem from the original Furlong H-A.C.
Prof Justin Cobb

SESSION 2  Device Design – Chair: Prof Derek McMinn
Implant design for the THA has evolved, been refined, and continues to be investigated to improve functional and economical outcomes.

Polished dual taper long stems: have they finished evolving?
The polished dual taper stem design has had significant impact in improving total hip replacements over the last 30 years. Can this design be rivalled or improved upon?
Prof Ian Stockley

Clinical experience of HA coated stems: have they finished evolving?
The success of hydroxy-apatite ceramic coated implants continues. Which design elements are critical to their success? Is it the biological coating, geometry or patient selection?
Prof Xisheng Weng

Acetabular cup design – for bone and bearing interfaces
The trend in hybridising for total hip replacement continues to gain popularity. Which acetabular cup designs are most successful?
Dr Marius Valera

Migration pattern with a short stem using RSA and DXA
Short stems have obvious benefits but what long term outcomes can we predict? Will they be as successful as longer stems have proven to be?
Mr Gunnar Flivik

11:20 DISCUSSION – Delegates to pose questions via app

11:35  COFFEE

SESSION 3  Assisted technology is associated with improved accuracy – Chair: Prof Justin Cobb
Robotic-assisted THA, modern navigation tools and 3D pre-operative planning are associated with improved accuracy. Do they enhance implant survivorship and long-term outcomes?

Conventional planned THA is safe and effective
Can the tried and tested methods and tools for hip replacement be improved?
Mr Omar Sabri

Computer assisted surgery for hip surgery
Periprosthetic imaging with metal artifact reduction tomosynthesis.
Prof Yixin Zhou

3D Planning improves surgical outcomes
Can developments in pre-operative planning technology help improve implant longevity and success rates?
Mr Doug Dunlop

Robots and hip replacement - do they have a role?
Will the increased use of robotic assisted surgery improve outcomes and reduce length of patient stay? Is it economical? Should we be concerned about de-skilling?
Prof Ferdinando Rodriguez

12:40 DISCUSSION – Delegates to pose questions via app

13:00  LUNCH

SESSION 4  Bearing Couples  – Chair: Mr Kerry Acton
Current registry data shows resurfacing continues to decline and ceramic on polyethylene is set to lead the popularity poll. Will these trends change?

Are polyethylene liners now perfect?
Are polyethylene bearing surfaces now perfect? What has contributed to improving these materials and is it possible to reduce their wear further?
Prof Wei Huang

Large diameter ceramic on ceramic: my bearing choice
Ceramic on ceramic – Is it the gold standard and does it suit all patient types?
Mr Johan Witt

Modern indications for dual mobility
Dual mobility for everyone? - Dual mobility provides reduced dislocation and stability in revision hip replacement. However, other situations should also be considered.
Mr Doug Dunlop

The return of hip resurfacing
Are we seeing the return of hip resurfacing? Is it the best procedure for young, active, male patients only? Is hip resurfacing a viable option for female patients too?
Prof Derek McMinn

14:40 DISCUSSION – Delegates to pose questions via app

SESSION 5  Surgical Approaches – Chair: Prof Ian Stockley
THA has been one of the most successful orthopaedic procedures over the past 40 years, though the techniques of exposure have changed. Which approach has withstood the test of time and what is the future?

Posterior approach - the gold standard
The posterior approach is considered safe, easy and delivers impressive results. However, what about those patients who want a minimally invasive approach for quicker recovery?
Mr Kerry Acton

Direct anterior approach enables rapid recovery
Are there benefits and does this approach suit all patient types. What do we need to be aware of?
Mr Johan Witt

The biomechanical impact of surgical approach
Are there enhanced biomechanical outcomes with different surgical approaches?
Dr Geoffrey Ng

Training for a surgical approach (VR)
Capitalising on the digital era; can we use emerging technologies to help improve patient outcomes and surgeon training?
Mr Kartik Logishetty

15:40 DISCUSSION – Delegates to pose questions via app

16:00  TEA

SESSION 6  Revision Strategy – Chair: Mr Gunnar Flivik
Maintaining an equilibrium between primary / secondary fixation and biomechanical restoration is crucial for the success of revision THA. Which strategies are the best?

Periprosthetic joint infection - has anything changed?
The devastation of revision surgery – How do we approach PJI?
Prof Ian Stockley

Design of modular and monoblock stems
Can both philosophies be used for all revision classifications? Does a revision system require both options?
Prof Michael Wagner

Dual mobility for recurrent dislocation in revision?
Is dual mobility the cure all for instability in revision?
Dr Jesus Moreta

Major acetabular bone loss - predictable reconstruction with 3D cups/augment
Are custom cups the only option for major acetabular bone loss? Do custom prosthesis solutions offer better outcomes?
Prof Hua Tian

17:10  DISCUSSION – Delegates to pose questions via app

Followed by an evening drinks reception from 18.00 and 3 course meal at 19.30 at 30 Euston Square.

Please note that the schedule is subject to change, if you have any questions, please email us at: info@pathways-conference.org