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SCIENTIFIC PROGRAM
V A L D ’ I S è R E 2 0 0 9
Pascal BOILEAU (France)
Andrew J. CARR (U.K.)
Alessandro CASTAGNA (Italy)
Joe DE BEER (South Africa)
Gert DECLERCQ (Belgium)
Evan L. FLATOW (U.S.A.)
Christian GERBER (Switzerland)
Peter HABERMEYER (Germany)
Philippe HARDY (France)
Ralph HERTEL (Switzerland)
Jean-François KEMPF (France)
Seung-Ho KIM (Republic of Korea)
Laurent LAFOSSE (France)
Daniel MOLÉ (France)
Matt PROVENCHER (U.S.A.)
Anthony A. ROMEO (U.S.A.)
Felix H. SAVOIE (USA)
Gilles WALCH (France)
Jon JP WARNER (USA)
Jaap WILLEMS (Netherlands)
Course Chairman: Daniel MOLÉ
FACULTY
WELCOME ADDRESSD. Molé-The Organizing Committee F. Cretin (Headmanager of the Congress Center)
Set Up and portals – A standard arthroscopyJ. Willems (Discussion 5’)
Variants of anatomy – What’s normal, What’s not?A. Castagna (Discussion 5’)
Debate: Clinical relevance of findings Chairman: C. GerberP. Habermeyer, A. Castagna, E. Flatow, P. Boileau
Fluid management, bleeding: When everything goes wrong?R. Hertel (Discussion 5’)
Anchors: How to choose, how to implant? P. Hardy (Discussion 5’)
Sutures: Absorbable or non absorbable Advantages and disadvantages J. Willems (Discussion 5’)
How to pass sutures trough tendons and ligamentsJ.F. Kempf (Discussion 5’)
Post arthroscopic pain: evaluation and controlD. Molé (Discussion 5’)
KNOT TYING SESSION (with knot tying board)J.F. Kempf, J. De Beer, J. Willems
4.30PM
4.45PM
5.00PM
5.15PM
5.45PM
6.00PM
6.15PM
6.30PM
6.45PM
7.00PM
BACK TO BASICS
18th – 4.30PM to 7.30PM
(30’)
Chairman: D. Molé SundAy
1 2
19th – 8.00AM to 10.50AM
How I examine the “Cuff Shoulder” - Clinical, imaging, arthroscopyC. Gerber (Discussion 10’)
Early lessons from a randomised controlled trial of effectiveness of openVersus arthroscopic cuff repair A. Carr (Discussion 5’)
Natural history of cuff tears. Surgical indicationsG. Walch (Discussion 5’)
Partial tears of the supraspinatusIntratendinous partial tears: does it exist? How to manage?J.F. Kempf
Partial bursal side tears: How to diagnose and classify A. Castagna How to decide and treat E. Flatow
Partial articular side tears:(after 40 years old)
(Discussion 10’)
Re-Live Surgery “How I do a partial articular side tear repair”G. DeclercqChairman: G. Walch
Debate: Partial rotator cuff tears:Nothing? Debridment? Decompression? Repair? Excision and repair? Chairman: L. LafosseE. Flatow, P. Habermeyer, P. Hardy, R. Hertel
Chairman: G. Walch MOndAy
8.00AM
8.30AM
8.45AM
9.00AM
10.00AM
10.20AM
ROTATOR CUFF pAThOLOgY (I)
(20’)
(30’)
How to diagnose and classifyP. Habermeyer
How to decide and treatS.H. Kim
19th – 5.00PM to 7.30PM Chairman: C. gerberMOndAy
Scientific basis of tendon healing: intrinsic and extrinsic factorsA. Carr (Discussion 5’)
Re-Live Surgery “How I do an arthroscopic supraspinatus tendon repair”A.CastagnaChairman: C. Gerber
Isolated full thickness supraspinatus tears: Single Row and tension band – Technique and resultsP. Hardy
Isolated full thickness supraspinatus tears: Double Row -Technique & ResultsJ. De Beer (Discussion 10’)
Biceps tendon lesions and rotator cuff pathologyA. Carr
How to address biceps lesionsG. Declercq (Discussion 10’)
Re-Live Surgery “How I do a biceps tenodesis-Different arthroscopic techniques”P. BoileauChairman: J.F. Kempf
Debate: What about the biceps in the management of Rotator cuff tearsChairman : D. MoléG. Walch, P. Boileau, P. Habermeyer, F. Savoie
4.30PM
4.55PM
5.00PM
5.15PM
5.35PM
5.45PM
6.05PM
6.15PM
6.35PM
7.00PM
ROTATOR CUFF pAThOLOgY (II) AND BICEpS
Industry Session – ARTHREX“2009 View on shoulder arthroscopy “A. ROMEO
-
(20’)
(25’)
(30’)
3 4
W O R K S H O P
1 1 . 0 0 A M - 4 . 3 0 p M
L I N V A T E C
20th – 8.00AM to 10.40AM Chairman: JP WarnerTuESdAy
Debate: Age and clinical presentation as decision making factors in the treatment of rotator cuff tearsChairman: R. HertelJP Warner, S.H. Kim, G. Walch, P. Habermeyer
Isolated infraspinatus musculotendinous tear: a novel lesionG. Walch (Discussion 5’)
Anterosuperior internal impingement: Concept, Clinical presentation, Results of arthroscopic treatmentP. Habermeyer (Discussion 5’)
Subscapularis repair: scope or openE. Flatow
Isolated subscapularis tears: strategy, tips and tricksJ. De Beer
Re-Live Surgery“How I do an arthroscopic subscapularis repair”L. LafosseChairman: JP Warner
Subscapularis tears associated with a supraspinatus lesionsA. Castagna (Discussion 5’)
Two tendons tears: supra + infraspinatus Margin convergence sutures, results of arthroscopic repairS.H. Kim (Discussion 5’)
Arthroscopic cuff release in retracted, large and massive cuff tearsA. Romeo (Discussion 5’)
8.00AM
8.30AM
8.45AM
9.00AM
9.10AM
9.20AM
9.55AM
10.10AM
10.25AM
ROTATOR CUFF pAThOLOgY (III)
(30’)
(25’)
(Discussion 10’)
20th – 5.00PM to 7.40PM Chairman: P. BoileauTuESdAy
Re-Live Surgery“How I repair a massive cuff tear”F. SavoieChairman: A. Castagna
Debate: Imaging as a decision making factor in rotator cuff managementChairman: A. CastagnaG. Walch, C. Gerber, L. Lafosse, F. Savoie
A place for augments, substitutes, allografts?F. Savoie (Discussion 5’)
Re-Live Surgery (25’)“How I do (and decide) an allograft augmentation”A. CastagnaChairman: P. Boileau
In case of failure... Arthroscopic revision: technique and resultsA. RomeoOpen revision: technique and resultsC. Gerber (Discussion 10’)
Debate: Rotator cuff tear recurrencesHow to diagnose? How to manage?Chairman: G. WalchR. Hertel, E. Flatow, A. Castagna, A. Romeo
5.00PM
5.20PM
5.50PM
6.05PM
6.30PM
7.00PM
ROTATOR CUFF pAThOLOgY (IV)
(20’)
(30’)
5 6
W O R K S H O P
1 1 . 0 0 A M - 4 . 3 0 p M
L I N V A T E C
21st – 8.00AM to 10.45AM Chairman: J.F. KempfWEdnESdAy
Calcifying tendinitis: Epidemiology, arthroscopic treatment: What’s new?D. Molé, F. Sirveaux, A. Carr (Discussion 5’)
Primary osteoarthritis E. Flatow
Re-Live Surgery“How I resurface the glenoid in arthritic shoulder”J. De BeerChairman: D. Molé
Shoulder prosthesis and arthroscopyR. Hertel (Discussion 5’)
Post arthroscopic painfull and stiff shoulderC. Gerber (Discussion 5’)
Arthroscopic cuff repair as an outpatient procedureJP Warner (Discussion 5’)
Anatomic basis for arthroscopic shoulder release and results of arthrolysisJP Warner Arthroscopic Arthrolysis of the stiff shoulder: Indications and contraindications (idiopathic or secondary stiffness) Techniques - Postoperative course - ResultsR. Hertel (Discussion 10’)
Debate: Results & Limits of Arthroscopic Release for Stiffness (30’)Chairman: C. GerberR. Hertel, JP Warner, A. Carr, G. Declercq
8.00AM
8.15AM
8.25AM
9.00AM
9.15AM
9.30AM
9.45AM
9.55AM
10.15AM
MISCELLANEOUS (I)
ThE STIFF ShOULDER
(25’)
(Discussion 10’)
21st – 5.00PM to 7.25PM Chairman: L. LafosseWEdnESdAy
Posterosuperior internal impingement: Concept, Clinical presentation, Results of arthroscopic treatmentG. Walch (Discussion 5’)
SLAP lesions: Concept, Clinical presentation, Results of arthroscopic treatmentG. Declercq (Discussion 5’)
Re-Live Surgery (25’)“How I manage a SLAP II lesion”P. HardyChairman: J. Willems (Discussion 10’)
Articular side partial tears (isolated or associated) in young patientsE. Flatow (Discussion 5’)
A/C joint pathology: Biomechanics, Managment, Results of Arthroscopic treatmentL. Lafosse
Arthroscopic treatment of AC joint dislocationsF. SavoieP. Boileau (Discussion 10’)
Debate: The Role of Arthroscopy in AC joint dislocations: (30’)acute and chronicChairman: J.F. KempfJ. De Beer, J. Willems, S.H. Kim, L. Lafosse, G. Declercq
5.00PM
5.15PM
5.25PM
6.00PM
6.15PM
6.25PM
6.55PM
ShOULDER AND SpORTS
AC JOINT pAThOLOgY
7 8
W O R K S H O P
1 1 . 0 0 A M - 4 . 3 0 p M
A R T h R E X
22nd – 8.00AM to 10.30AM Chairman: C. gerberTHuRSdAy
How I examine the “Unstable Shoulder” – Clinical examination, imagingG. Walch (Discussion 10’)
Arthroscopic findings in chronic anterior shoulder instability J.F. Kempf (Discussion 5’)
Decision making and issues of bone lossM. Provencher (Discussion 5’)
Hyperlaxity – Multidirectional instabilitySignificance, natural history and place in the decision making process The shoulder instability indexP. Boileau (Discussion 5’)
Debate: The Role of Clinical Examination and Imaging studies in the decision process of anterior instability treatment (30’)Chairman: JP WarnerJ.F. Kempf, C. Gerber, P. Hardy, A. Carr, M. Provencher
Re-Live Surgery (20’)“How I do an arthroscopic Bankart repair for a chronic unstable shoulder”P. BoileauChairman: C. Gerber
Acute dislocation: patho anatomic lesions R. Hertel
Acute dislocation: the place of arthroscopic treatment after the first episodeJP Warner (Discussion 10’)
8.00AM
8.25AM
8.40AM
8.55AM
9.10AM
9.40AM
10.00AM
10.10AM
ANTERIOR INSTABILITY (I)
22nd – 5.00PM to 7.50PM Chairman: JP WarnerTHuRSdAy
Anterior instability With Multidirectional HyperlaxityArthroscopic technique – Postoperative course – ResultsM. Provencher (Discussion 5’)
The open rotator intervalDoes it exist? – How to diagnose? – How to treat?G. Declercq (Discussion 5’)
Re-Live Surgery (20’)“How I do an arthroscopic Bankart repair with multidirectional hyperlaxity” C. GerberChairman: JP Warner
HAGL lesions: How to reach and fix?F. Savoie (Discussion 5’)
How to deal with combined Bankart and capsular lesionsS.H. Kim (Discussion 5’)
Arthroscopic management of open stabilization failuresP. Boileau (Discussion 5’)
Debate: What are today the Contra-indications (30’)to Arthroscopic Bankart Repair? Chairman: E. FlatowG. Walch, M. Provencher, J. De Beer, C. Gerber
My experience with the arthroscopic Latarjet procedureP. Boileau
Re-Live Surgery (20’)“How I do an arthroscopic Laterjet procedure” L. LafosseChairman: P. Boileau (Discussion 10’)
5.00PM
5.15PM
5.30PM
5.50PM
6.05PM
6.20PM
6.35PM
7.05PM
7.20PM
ANTERIOR INSTABILITY (II)
9 10
W O R K S H O P
1 1 . 0 0 A M - 4 . 3 0 p M
S T R Y K E R
23rd – 8.00AM to 10.45AM Chairman: P. BoileauFRIdAy
In case of failure after arthroscopic treatment...Modes of failure (stiffness, recurrence...): frequency – How to address?S.H. Kim
Arthroscopic revision: technique and resultsM. Provencher
Open revision: technique and results D. Molé (Discussion 10’)
Debate: How to deal with recurrent anterior dislocation associated with full thickness tear Chairman: G. WalchJ.F. Kempf, P. Boileau, F. Savoie, E. Flatow
Posterior instability: clinical presentation, arthroscopic findings A. Castagna
Recurrent posterior instability: Arthroscopic treatment, postoperative course, resultsL. Lafosse
Re-Live Surgery (25’)“How I do an arthroscopic repair for posterior instability”S.H. KimChairman: L. Lafosse (Discussion 10’)
Debate: Indications and contraindications for recurrent posterior instability (voluntary and involuntary, posterior glenoid rim fracture, subluxations or dislocations, hyperlaxity...) Chairman: R. HertelS.H. Kim, L. Lafosse, C. Gerber, JP Warner
8.00AM
8.40AM
9.10AM
9.20AM
9.30AM
10.05AM
ANTERIOR INSTABILITY (III)
pOSTERIOR INSTABILITY
(30’)
(30’)
(30’)
23rd – 5.00PM to 7.20PM Chairman: D. MoléFRIdAy
Arthroscopic latissimus dorsi transferL. Lafosse (Discussion 5’)
Scapulothoracic arthroscopyJP Warner (Discussion 5’)
Symposium: Arthroscopic treatment of fracturesJ. WillemsP. HardyM. Provencher (Discussion 5’)
Symposium: Nerve pathology and arthroscopy Anatomy and pathologic situations JP Warner
Re-Live Surgery (25’)“How (and when) I do a suprascapular nerve release”L. LafosseChairman: D. Molé
Glenoid cysts and nerve compressionJ. De Beer (Discussion 10)
The future of arthroscopyC. Gerber
5.00PM
5.15PM
5.30PM
6.10PM
7.05PM
MISCELLANEOUS (II)
11 12
W O R K S H O P
1 1 . 0 0 A M - 4 . 3 0 p M
M I T E K
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SCIENTIFIC PROGRAM
VAL D’ISèREFRANCE