We welcomed 500 healthcare professionals from 48 countries to our recent ‘3rd Insights’ global professional education meeting in London, UK. An expert international faculty presented and discussed the latest scientific and technological developments in orthopaedic reconstruction. Video footage of the event will be available in due course. Their shared evidence is now available

  • JOURNEY™ II BCS Retrospective Study Preliminary Results

    Prof Hilde Vandenneucker (BE).

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    This short lecture by Prof Hilde Vandenneucker (BE) discusses the design rationale and performance of the JOURNEY™ II BCS bi-cruciate system in total knee arthroplasty, and how the design impacts normal kinematic patterns, flexion and patient satisfaction. Prof Vandenneucker then presents a study of over 2,000 TKAs using the JOURNEY II BCS, including rates and causes of revision compared to national joint registries.

    Recorded at:
    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Preserving Both Cruciates in Knee Arthroplasty

    Prof Alfred Tria (US).

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    Prof Alfred Tria (US) lectures on the rationale and importance of bi-cruciate retaining total knee arthroplasty, including factors such as kinematics, range of motion and implant survivorship. He highlights evidence on the progression on BCR knees and reasons for failure, before presenting a new, anatomically-tested design with 2-year performance data.

    Recorded at:

    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Replacing Both Cruciates in Knee Arthroplasty

    Dr Fred Cushner (US).

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    Dr Fred Cushner (US) presents evidence and design rationale on the JOURNEY II BCS knee system for when both cruciate ligaments are either damaged or missing. Initially covering key milestones in the design rationale, he uses on-screen prompts to demonstrate how the various features and physiological matching aim to overcome existing TKA limitations. In conclusion, Dr Cushner outlines considerations for tibial loosening and patella revisions, before sharing his own experience and performance data.

    Recorded at:

    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Taking out the cruciates: Kinematics consequences

    Prof Fabio Catani (IT).

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    Prof Fabio Catani (IT) presents evidence and data on how the stability of kinematics is affected by articular and soft-tissue geometry in total knee revision. Outlining key considerations such as surgical technique, joint laxity and the tibial/femoral contact point, Prof Catani proceeds to discuss the use of fluoroscopy. In conclusion, he discusses the design rationale of JOURNEY II BCS and normal knee kinematics.

    Recorded at:

    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Joint Line: Solving the Paradox?

    Prof Jan Victor (BE).

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    On the subject of joint line level and orientation in total knee arthroplasty, Prof Jan Victor (BE) discusses kinematic conflicts, mid-flexion instability and coronal plane alignment before outlining how the joint line can be changed during surgery. Using on-screen prompts, he offers guidance for achieving physiologic joint line orientation and explains misalignment phenomena. In conclusion, he presents considerations for flexion stability and summarises the importance of joint line orientation.

    Recorded at:
    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Coronal Alignment using Robotic-assisted Technology

    Dr Ashok Rajgopal (IN).

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    Dr Ashok Rajgopal (IN) offers his experience and expertise of coronal alignment using NAVIO Robotics Assistance. Initially outlining the current state of total knee arthroplasty, he discusses the role of robotics assistance for precision and flexibility in assessing laxity, stresses and tensions. Dr Rajgopal then provides an on-screen demonstration of features, usage and preferences for evaluating, mapping and guiding accurate implant placement and gap planning.

    Recorded at:

    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • PFJ: Are Enabling Technologies Supporting Improved Outcomes?

    Dr James Chow (US).

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    On the subject of Patellofemoral Joint Replacement (PFJ) Dr Jimmy Chow (US) outlines when the procedure is relevant, including considerations of trochlear displacement, biomechanics and meniscal integrity. Dr Chow discusses what he uses for PFJ, including historical outcomes, to achieve an ideal reconstruction for stability and rotation that is not limited to resurfacing. He concludes with the role of robotics for visualising and mapping to optimise the trochlear groove, with on-screen examples.

    Recorded at:

    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Registry Data: Are Partial Knees Misunderstood?

    Dr Michael McAuliffe (AU).

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    Dr Michael McAuliffe (AU) seeks to address misunderstandings in partial knee replacement. After presenting a comparative meta-analysis between high-tibial osteotomy (HTO) and Total Knee Arthroplasty (TKA), Dr McAuliffe discusses the merits of Unicompartmental Knee Arthroscopy (UKA), including potential selection bias and cost- effectiveness. In conclusion, he offers insight on the use of registries and possible solutions to high rates of loosening, including robotics assistance.

    Recorded at:

    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Surgical Technique for the Lateral UNI

    Prof Sébastien Lustig (FR).

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    Professor Sébastien Lustig presents the optimal technique and approach for lateral unicompartment knee arthroplasty, outlining key anatomical and biomechanical considerations. Prof Lustig discusses tibial resection and compensating for the screw home mechanism for stability and rotation. In conclusion, he highlights the potential pitfalls, including the tibial slope and sagittal positioning, and the role of robotics assistance.

    Recorded at:
    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Cruciate Retaining: Is it all or nothing?

    Mr Tim Wilton (UK).

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    Mr Tim Wilton (UK) discusses how decisions are informed for retaining, balancing, substituting or excising the PCL, and how knee selection can affect that choice. Comparing the advantages of both cruciate-retaining and posterior stabilised implants, including revision rates and kinematics, Mr Wilton presents studies on function scores, mid-flexion laxity and stability. In conclusion, he outlines relevant considerations during surgery and the PCL’s effect on TKA load balance.

  • Keep them in Varus!

    Prof Johan Bellemans (BE).

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    On the subject of restoring constitutional alignment, Prof Johan Bellemans (BE) outlines the importance of, and approaches to achieve, the constitutional varus angle in TKA. Presenting side-by-side patient comparisons, Prof Bellemans discusses the options of cutting bone and implant adjustment. Offering his expertise on the three key mistakes when restoring neutral mechanical alignment, Prof Bellemans concludes by demonstrating the effect of alignment and BMI on total knee replacement.

    Recorded at:

    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • NAVIO surgical system - Knees with handheld

    Mr Riddhit Mitra (S&N).

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    This video, presented by Mr Riddhit Mitra, discusses the value proposition, design rationale and features of NAVIO robotics assistance in total knee arthroplasty. In outlining the capabilities of this technology, Mr Mitra narrates an on-screen demonstration NAVIO’s workflow. After a surgical demonstration of the distal femur burr technique, he presents the outcome of a cadaveric study on the accuracy of final implant placement and an operative time assessment.

    Recorded at:

    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Do we Need Customised Implants?

    Dr David Mayman (US).

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    Dr David Mayman (US) discusses the merits of customised implants for total knee arthroplasty. Covering the current challenges and objectives for sizing, overhang and coverage, he uses the JOURNEY™ II implant as an example of current options for recreating the natural joint line and flexion gap for normal kinematics. Dr Mayman then presents the role of NAVIO™ robotics assistance in providing accuracy, before concluding with his own deliberation on whether customised implants are necessary.

    Recorded at:
    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Role of Pressure Sensitive Devices in Joint Arthroplasty

    Dr Martin Roche (US).

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    Dr Martin Roche (US) offers his experience and expertise of using intra-operative pressure sensors in total knee arthroplasty. He outlines the importance of customising soft tissue and the importance of meeting patient expectations, before providing on-screen demonstrations of using sensors in achieving the appropriate rotational stability, balancing and flexion. Dr Roche concludes with considerations for a cementing technique and the importance of a balanced approach.

    Recorded at:
    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • The Role of Robotics in Joint Arthroplasty: Today and Tomorrow

    Prof Sébastien Lustig (FR).

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    Prof Sébastien Lustig (FR) briefly lectures on the role of robotics assistance in total knee arthroplasty. He initially outlines what would constitute ‘perfect’ surgery, focusing on aspects such as rotation, positioning and alignment. He then demonstrates the features of NAVIO™ Robotics Assistance- both during surgery and for pre-operative planning. After briefly presenting evidence on the performance of NAVIO for unicompartment knee arthroplasty, Prof Lustig concludes with a short summary and future trends towards robotics in TKA. 

    Recorded at:
    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Patient Satisfaction in Joint Arthroplasty

    Dr David Mayman (US).

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    Dr David Mayman (US) discusses his own experience and approach in managing patient expectations and satisfaction. He explains how the two often correlate for aspects such as pain, function and recovery time. Dr Mayman then outlines his approach for educating and preparing the patient for what is likely to happen, both before and after surgery, including factors such as pain management, complications and mental health. The lecture includes a brief overview outlining the role of implant choice.  

    Recorded at:
    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Innovation: Who, When & Where?

    Prof Fares Haddad (UK).

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    Prof Fares Haddad (UK) discusses the importance, rationale and landscape of innovation in total joint arthroplasty. He briefly covers the appetite for innovation and its impact on patient satisfaction, before citing various risks, recent problems and the importance of knowing when innovation is required. Prof Haddad shares this thoughts on the potential direction for future developments, before concluding with a personal opinion on the areas in need of innovation.

    Recorded at:
    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • My Experience in a Changing Healthcare Environment

    Dr David Mayman (US).

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    Dr David Mayman (US) shares personal experience from his own practice on how total knee arthroplasty has evolved, including aspects such as anaesthesia, multi-modal post-operative pain management and advancements in wound dressings. He continues by discussing the evolving surgical techniques and the advent of both computer and robotics assistance. In conclusion, Dr Mayman highlights improvements in implant technology and how the future of TKA may be in augmented reality.

    Recorded at:
    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)

  • Patient-centered Follow Up: The PROMIS App

    Prof Edward Davis (UK).

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    This brief video, delivered by Prof Edward Davis (UK), discusses the PROMIS app-based digital platform for collecting PROMs data from total knee arthroplasty patients. Designed to address the current challenges in collecting data, he highlights the dynamic tools for measuring health outcomes and creating a comprehensive picture in a time efficient manner. Prof Davis concludes with a summary of its value to surgeons and patients. 

    Recorded at:
    3rd Insights
    Evidence and Outcomes in Hip and Knee Arthroplasty
    London, United Kingdom
    21-23 June, 2018

    Chairmen:
    Prof Fares Haddad (UK)
    Prof Jan Victor (BE)