11^th - 13^th of March 2009 at Manchester

11th March

1. Impaction Cancellous Bone Grafting. - Chairman Graham Gie & Tim Board

This symposium is designed to concentrate on the practical aspects of impaction grafting in revision hip arthroplasty. Delegates will hear top tips from the experts followed by a “hands on” session using
real femoral head bone graft.

This is the only course that gives you hands on experience with real bone.

2.30 Introduction to the NHS Blood and Transplant Tissue Services Bone Bank Prof John Kearney
2.35 Evidenced based Orthopaedics - support for impaction grafting from the literature Mr Tim Board
2.45 Impaction grafting the Acetabulum - How I do it Prof Peter Kay
2.55 Impaction grafting the Femur - How I do it Mr Graham Gie

3.05 - 4.30 Practical Workshop

Hands on demonstrations of bone preparation, acetabular and femoral impaction grafting using real fresh frozen femoral heads. All participants will get the chance to do some real impaction grafting including cementing prosthesis and analysis of the resulting interfaces.

2. Femoro-acetabular Impingement. Chairman Johan Witt

Meeting held at Manchester University

This course is aimed at Consultants and Trainees who are interested in developing a greater understanding of the diagnosis and surgical management of FAI. The aim will be to have considerable audience interaction and to bring cases of interest for discussion.

Getting the diagnosis right - Johan Witt (London)
Patient selection – what we have learned - Darren Fern/Mark Norton (Truro)
My indications for PAO to address acetabular retroversion - Gavin Hussell (Portsmouth)
Small incision surgery to address FAI lesions - Aresh Hashemi-Nejad (Stanmore)
Update on outcomes after FAI surgery - Marcus Bankes (London)

Cadaveric session to look at the anatomy of surgical dislocation and limited approaches to the hip.

12th March - Manchester Conference Centre

9:00 - 11:00 Emerging Hip Surgeons Session. Organisers Tim Board and Mukesh Hemmady (Wrightington) - details

11:00 -11:15 Tea

MAIN MEETING OF THE BRITISH HIP SOCIETY
Manchester Conference Centre, main hall
National Joint Registry Session

11.15 Welcome to Manchester. Peter Kay.

11.17 UK National Joint Registry update – since last BHS meeting. Peter Howard
• The Editorial Board Martyn Porter
• Clinician Feedback Mike Swanson
• Management of Outliers Martyn Porter
• HQIP, money for spending & PROMS Robin Burgess Chief Exec HQIP
• Studies using NJR data Keith Tucker
• National thromboprophylaxis study David Marsh

11.45 National Joint Registries International Perspective – Henrik Malchau

12.05 Panel discussion. Chair + Keith Tucker, Henrik Malchau, Robin Burgess, Martyn Porter,
Richard Armstrong, David Marsh, Paul Gregg and Clare Darrah.

Questions from the floor – please submit to pwhoward7@hotmail.com in advance if you have
any questions you would like to raise.

12:30 pm Buffet lunch. Poster viewing.

1:30 pm Joint ACPA/BHS Symposium, Morag Trayner, President ACPA/Peter Kay

1.30 Introduction: Morag Trayner, President ACPA

1.35 Workforce Planning – Department of Health Perspective
Maxine Foster
Workforce Director 18 Weeks Department of Health

1.40 ACPA Workforce Survey Results
Judith Learmont, ACPA

1.45 Experiences of Developing and Progressing Arthroplasty Roles - Discussion panel lead by
Clare Darrah ACPA, Peter Kay BHS

2.40 A Proposed Model of Arthroplasty Follow up in Primary Care by a Surgical Team
Jill Pope, ACPA

2.45 Paper: Redesign of an arthroplasty service for orthopaedic nurse practitioners using a US
surgeon's assistant model: does it work in the UK?
J McRoberts , MJLP Porteous
West Suffolk Hospital

2.55 Discussion panel ‘Experiences of Developing and Progressing Arthroplasty Roles’ –
Clare Darrah & Peter Kay to lead.

• How can ACPA and BHS work to define the skills we need?
• Interactive voting on how we want to see the future develop

3:10 Tea/Coffee and Posters

3:30 Podium Presentations of Scientific Papers.- Miscellaneous
Chairs: Colin Howie & Adam Hoad-Reddick

The effect of implementation of European working time directive on the current orthopaedic training by multicentric hip fracture re-audit in 14 NHS trusts in north west of England
A Sahu, N Jain, S Dalal, BD Todd
Stepping Hill Hospital, Stockport, UK

3.40 Patient-reported outcome following metal-on-metal resurfacing of the hip and total hip replacement.
D. P. Hall, D. Srikantharajah, R.E. Anakwe, P. Gaston, C.R. Howie
Department of Orthopaedic Surgery, Royal Infirmary of Edinburgh, Scotland.

3.50 Three-dimensional CT analysis to determine acetabular retroversion
W Dandachli, S Ulislam, M Liu, R Richards, JD Witt
University College London Hospitals

4.00 Localised cartilage assessment with delayed gadolinium enhanced magnetic resonance imaging of cartilage in subjects with normal and cam-type abnormal hip joint morphology. An assay of early disease.
TCB Pollard1, EG McNally1, DC Wilson2, B Maedler2, DR Wilson2, M Watson1, AJ Carr1
1Nuffield Department of Orthopaedic Surgery, University of Oxford, Oxford,
2Department of Orthopaedics, University of British Columbia, Vancouver

4.10 Genetic influences in the aetiology of femoroacetabular impingement: a sibling study
TCB Pollard1, RN Villar2, M Willams3, MR Norton3, ED Fern3, DW Murray1, AJ Carr1.
1Nuffield department of Orthopaedic Surgery, University of Oxford
2Wellington Hospital, London
3Royal Cornwall Hospitals NHS Trust

4.20 Management of fracture neck of femur in medically unfit ASA 4 patients using direct infiltration local anesthesia rather than regional blockade
T.Kamal1 S.Garg1, Z.Win2
1) Orthopaedic department, Darent Valley Hospital, Dartford, Kent.
2) Anaesthetic department, Darent Valley Hospital, Dartford, Kent

4.30 Relative femoral neck lengthening procedure: a biomechanic balancing procedure for future THR
SS Madan, M Leunig, R Ganz
Sheffield Children’s Hospital, Doncaster Royal Infirmary, UK and Inselspital, Berne, Switzerland.

4.40 Arthroscopy of the hip for the symptomatic resurfacing arthroplasty
V Khanduja, K Sisak, RN Villar
The Villar Practice, Wellington Hospital, London, Addenbrookes Hospital, Cambridge

5.00 Horizon Scanning in Hip Surgery Technology Challenge
Your chance to vote and guide future direction of hip surgery in the UK -
with the Department of Health

5:30 Bar Opens

5:45 Annual General Meeting of the British Hip Society
See agenda in appendices

8.30pm Annual Dinner, Days Hotel, Manchester Conference Centre - Lounge Suits

Friday 13th March 2009

Manchester Conference Centre

8.00am Registration and coffee

8.30 Podium Presentations of Scientific Papers – Primary Arthroplasty
Chairs Dominic Meek & Ian Stockley

10 year results of custom stems in total hip arthroplasty in the under 50’s
X. Flecher, O. Pearce, S.Parratte, D. Grisoli, M. Helix, JM. Aubaniac, JN. Argenson
Aix-Marseille University, Centre for Arthritis Surgery, Department of Orthopaedic Surgery, Sainte-Marguerite Hospital, Marseille, France.

8.40 Single surgeon series’ experience with the Reef™ implant in femoral reconstruction and revision hip arthroplasty
M Rookmoneea, M Maru, IW Wallace
James Cook University Hospital

8.50 The outcome of Charnley elite plus modular hip replacement.
Desai AS, Board TN, Karva A, Derbyshire B, Porter ML
Centre for Hip Surgery, Wrightington Hospital, U.K. WN6 9EP

9.00 C-stem versus Charnley. Results from a randomized trial after two years with radiostereometry (rsa)
J Dahl1, 2, J Rydinge1, SM Rohrl2, F Snorrason2, L Nordsletten2
1 Orthopaedic Department, Ringerike Hospital, Hønefoss, Norway
2 Orthopaedic Centre, Ullevål University Hospital, Oslo, Norway

9.10 Functional outcome of alumina ceramic total hip replacement-a mid-term follow-up
A S Rajeev, D K Mishra, RG Kakwani, Shankar N Kashyap
Queen Elizabeth Hospital, Gateshead, UK

9.20 Comparison between metal-on-polyethylene and metal-on-metal articulation in total hip arthroplasty – a randomized controlled trial
A S Rajeev,D K Mishra, RG Kakwani, C Wainwright, Shankar N Kashyap
Queen Elizabeth Hospital, Gateshead and Sunderland Royal Hospital, Sunderland,UK

9.30 Single dose antibiotic prophylaxis for primary lower limb arthroplasty
I Gill, M Reed.
Wansbeck General Hopital, Ashington, UK.

9.40 Infection in arthroplasty. Changing trends and outcomes in the obese population.
A Augustine, D Macdonald, H M Murray, A Mohammed, RMD Meek, S Patil
Southern General Hospital, Glasgow

9.50 The effect of drains on transfusion requirements in primary total hip replacement: a prospective randomised trial.
G Cheung, JE Oakley, AJF Bing, MR Carmont, N Graham, RJ Alcock
Robert Jones Agnes Hunt Orthopaedic Hospital, Gobowen, Oswestry

10.00 Coffee, biscuits and Poster viewing

10.30 Podium Presentations of Scientific Papers – Revision Arthroplasty
Chair: Andrew Hamer

Paprosky type ii and iii femoral defects treated with radial impaction allografting and collared long stem prosthesis
A S Rajeev,D K Mishra, RG Kakwani, Shankar N Kashyap
Queen Elizabeth Hospital, Gateshead, UK

10.40 Mid to long term results of irradiated allograft in acetabular reconstruction
NW Emms, SC Buckley, I Stockley, AJ Hamer, RM Kerry
Northern General Hospital, Sheffield

10.50 Revision hip surgery- how much is it costing your hospital?
RW Westerman, R Slack
Queen Elizabeth the Queen Mother Hospital, Margate, Kent

11.00 Effects of tranexamic acid in total hip arthroplasty.
J Singh, A Malhotra, P Mitchell, P.G Denn
Macclesfield District General Hospital, Macclesfield, Cheshire, UK.

11.10 The relationship between abduction contracture and leg length discrepancy following total hip replacement
H. Wynn Jones, T. Harrison, R. Clifton, B. Akinola, K.Tucker
The Norfolk and Norwich University Hospital NHS Trust

11.20 Leg lengthening after total hip arthroplasty. Identification of patients at risk.
BM Wroblewski, PD Siney, PA Fleming
The John Charnley Research Institute, Wrightington Hospital, UK

11.30 Symposium: Leg Length Inequality and Templating in THR.
Chair: Graham Gie

1. Medico-legal issues - Peter Kay
2. Soft Tissue Issues - Keith Tucker
3. Getting it Right: Cementless Components - Steve Young
Cemented Components - John Timperley

12.15 Presidential Guest Lecture
Henrich Malchau:
Highly cross linked polyethylene

13.00 Buffet Lunch. Poster viewing.

14.00 Podium Presentations of Scientific Papers - Metal on metal and resurfacing.
Chairs: Peter Howard & David Murray

Introduction & overview of all submitted abstracts.
Peter Howard

14.10 Birmingham hip resurfacing: an independent single surgeon’s experience at seven-year
follow-up.
T Madhu, M Akula, R Raman, H Sharma, GV Johnson
Department of Trauma & Orthopaedics, Hull Royal Infirmary, Anlaby Road, Hull, UK.

14.20 ASR hip resurfacing: an independent, single-surgeon prospective study of the first 214 hips
SS Jameson, DJ Langton, AVF Nargol
University Hospital of North Tees

14.30 Is the outcome of Birmingham hip resurfacing influenced by gender?
CW McBryde, K Theivendran, RBC Treacy, PB Pynsent
The Royal Orthopaedic Hospital, Birmingham, United Kingdom

14.40 Early clinical failure of the Birmingham metal-on-metal hip resurfacing is associated with metalosis and soft tissue necrosis
B. J Ollivere(1), C. Darrah(2), T. Barker(2), J. Nolan(2), M. Porteous(1)
1. West Suffolk Hospital, Bury St Edmunds
2. Norfolk & Norwich University Hospital NHS

14.50 Early to mid-term outcome of failed hip resurfacing revised to THR depends on revision indication
G Grammatopoulos, H Pandit, Y Kwon, PJ Singh, R Gundle, P.McLardy-Smith, DJ Beard, HS Gill, DW Murray
Nuffield Orthopaedic Centre

15.00 Birmingham hip resurfacing: function following femoral failure
R Gilbert, G Cheung, A Carrothers, J Richardson
Robert Jones and Agnes Hunt Orthopaedic Hospital

15.10 Blood metal ion concentrations post hip resurfacing arthroplasty: a comparison study of the articular surface replacement and Birmingham hip resurfacing devices
Langton DJ, Sprowson AP, Jameson S, Joyce TJ, Reed M, Partington P, Carluke I, Nargol AVF
University Hospital of North Tees

15.20 Tea and biscuits, poster viewing

15.50 Podium Presentations of Scientific Papers – Mom/Resurfacing
Chairs: Graham Gie & Stephen Eastaugh-Waring

Asymptomatic pseudotumours in patients with metal-on-metal hip resurfacing: prevalence and metal ion study
YM Kwon, S Ostlere, P Mclardy-Smith, R Gundle, D Whitwell, CLM Gibbons, A Taylor, H Pandit, S Glyn-Jones, N Athanasou, D Beard, HS Gill, DW Murray
Nuffield Department of Orthopaedic Surgery, University of Oxford, United Kingdom

16.00 Adverse reactions to metal debris following large bearing metal on metal arthoplasty
Langton DJ, Jameson SS, Joyce TJ, Natu S, Logishetty R, Tulloch C, Nargol AVFN
University Hospital of North Tees

16.10 Metal-on-metal hip resurfacing in femoral head avascular necrosis: four to 14-year follow-up.
J Daniel, H Ziaee, C Pradhan, DJW McMinn
The McMinn Centre, Birmingham

16.20 Placental regulation of metal transfer in patients with metal-metal surface replacement hip
arthroplasty
H Ziaee, C Pradhan, J Daniel, DJW McMinn
The McMinn Centre, Birmingham

16.30 Metal on metal hip resurfacing compared to uncemented custom total hip replacement - short- term results
N.A. Sandiford1; S.K. Muirhead-Allwood1,2; J. Skinner 2 ; C. Kabir 1 ; J. Hua2
1The London Hip Unit, 30 Devonshire Street, London, W1G 6PU.
2 Royal National Orthopaedic Hospital Trust, Brockley Hill, Stanmore, Middlesex HA7 4LP.

16.40 Minimum 10-year follow-up results of modern hip resurfacing: hip function, clinico-radiological and CT scan assessment
J Daniel, H Ziaee, C Pradhan, DJW McMinn
The McMinn Centre, Birmingham

16.50 Metal on metal study group, update.
John Skinner

17.00 Discussion

17:10 Report By McMinn Scholar – Alistair Hart

17.20 Award of Prizes.
Handing over of Presidency to Ian Stockley

17.30 End of Meeting