14 April 2017
Little Davos in Italy
During two days (April 07-08), AORecon led three half-day sessions. Each was dedicated to an anatomical region—hip, knee, and shoulder—and included a full hour of case discussions.
Hip, knee, and shoulder specialists
The international faculty consisted of chairperson Fares Haddad (UK), along with Hans Rudolf Bloch (CH), Norbert Haas (DE), and Carsten Perka (DE).
Filippo Randelli and Marco Berlusconi served as local chairpersons, and were supported by a local faculty board of 23 surgeons from all over Italy. All of the surgeons involved contributed to making the seminar an educational event beyond comparison.
Seminar participants benefitted from a unique blend of expertise and experience at the event and expressed their strong interest for more AORecon educational events.
Seminar on the principles of joint arthroplasty
After the chairpersons welcomed the participants, Haas provided a short introduction to AORecon, emphasizing the urgent need for the AO to move further into the field of joint replacement.
Introduced by moderators Filippo Randelli, Nicola Santori, and Araldo Causero, this session first discussed surgical approaches to the hip while advocating for a posterolateral versus anterior approach. Luigi Zagra continued with the planning of total hip arthroplasty (THA). Afterwards, Haddad presented on the choice of implant. Mario Manca explained how to stabilize the hip, and Luigi Turchetto brought attention to intraoperative challenges and complications. The session ended with a presentation on periprosthetic fractures by Marco Berlusconi.
After the coffee break, the corresponding case discussion started, which was presented by Biagio Moretti, Alberto Belluati, and Filippo Randelli. This was moderated by Haddad and Roberto Vasalona. Starting with a controversial debate, Randelli and Haddad managed to actively engage the entire audience right from the beginning, which made the discussions very lively.
The afternoon’s knee session was moderated by Claudio Castelli, and commenced with a talk about alignment, where Vincenzo Salini brought up the pros and cons of kinematic versus mechanical alignment. Perka contributed by providing information on implant selection and stability, whereupon Fabio Catani and Pietro Randelli addressed the surgical workflow itself. After discussing measured resection versus gap balancing, they proposed a blended approach. The next presentation dealt with patellofemoral tracking, and was given by Franco Benazzo. The cementing technique, was introduced by Paolo Adravanti.
All of the knee talks were well-presented and made extensive use of videos to illustrate the topics well. During the discussion session, which was moderated by Castelli and Perka, the faculty members Roberto Rossi, Roberto Viganò, and Giacomo Stefani presented interesting, advanced cases to the audience.
The next day's program was dedicated to shoulder arthroplasty and was moderated by Erika Viola. Leonardo Maradei paved the way with a talk on surgical approaches to the shoulder joint. Federico Grassi presented on hemiarthroplasty, and was followed by a contribution on reverse shoulder arthroplasty by Nicola Ivaldo, and a talk on stem free hemiarthroplasty and arthroplasty by Andrea Grasso. Luigi Sammarchi then gave a lecture on conventional x-ray for planning, postop, and follow-up. Bloch concluded the lecture part with complications.
After the break, Bloch, Ivaldo, and Francesco Raffelini raised several shoulder cases to be put up for discussion by the moderators. Finally, Haas wrapped up with concise take-home messages.