Learning Objectives

Over two days of engaging presentation, discussion, debate and discovery, participants will:

• Discuss the current selection criteria for patients with knee arthritis that are likely to benefit from Total or unicompartmental knee arthroplasty.
• Incorporate the new protocols for joint arthroplasty in your practice using strategies for patient selection, peri-operative optimization and post-operative management.
• Discuss appropriate surgical technique, the concepts of alignment and balancing for performing unicompartmental knee arthroplasty, and primary and revision total knee arthroplasty.
• Diagnose and treat acute and chronic periprosthetic knee complications.
• Interpret the latest data and recommendations regarding evolving concepts in knee arthroplasty including outpatient surgery, robotic-assisted surgery, and new technologies.

Preliminary Meeting-at-a-Glance

Agenda

Program information, agendas and faculty details are subject to change. Please check back for the most up-to-date information.

07:45 - 08:00	Welcome to Day One: Primary Total Knee Replacement and Partial Knee Replacement Mizuho-no-ma North
07:45 - 08:00		Introduction		Translation
		Director: Sebastien Lustig, MD, PhD, Prof. FRANCE
		Director: Shuichi Matsuda, MD, PhD JAPAN

08:00 - 09:30	Session 1: Alignment Moderator: Sebastien Lustig, MD, PhD, Prof. FRANCE Moderator: Tomoyuki Matsumoto, MD, PhD JAPAN Moderator: Justin P. Roe, MB BS BSc(Med) Hons, A/Prof. AUSTRALIA Mizuho-no-ma North
08:00 - 09:30		Alignment		Translation
		Learning Objectives: At the end of this session, all participants should have a clear understanding of: The meaning and goal of each described alignment strategy Evidence for the different alignment strategies How to implement individual alignment strategies When to use certain alignment strategies (and when not to) Techniques to restore the joint line
08:00		Introduction
		Justin P. Roe, MB BS BSc(Med) Hons, A/Prof. AUSTRALIA
08:05		Why I Prefer Mechanical
		Daniel C. Wascher, MD UNITED STATES
08:10		Why I Prefer Kinematic
		Tomoyuki Matsumoto, MD, PhD JAPAN
08:15		Why I Prefer Functional
		Mark G. Clatworthy, FRACS NEW ZEALAND
08:20		Panel Discussion with Q&A
		Sebastien Lustig, MD, PhD, Prof. FRANCE
		Justin P. Roe, MB BS BSc(Med) Hons, A/Prof. AUSTRALIA
08:45		Video Presentations: How I Plan and Execute My TKR with a Focus on Alignment
		Mark G. Clatworthy, FRACS NEW ZEALAND
		Tomoyuki Matsumoto, MD, PhD JAPAN
		Peter James McEwen, MBBS FRACS(Orth) FAOrthA DIpModLang AUSTRALIA
		Daniel C. Wascher, MD UNITED STATES
09:05		Panel Discussion with Q&A
		Sebastien Lustig, MD, PhD, Prof. FRANCE
09:25		Final Summary with Critical Take Home Messages
		Sebastien Lustig, MD, PhD, Prof. FRANCE

09:30 - 10:30	Session 2: Implant Choices in 2024 Moderator: Shuichi Matsuda, MD, PhD JAPAN Moderator: Norimasa Nakamura, MD, PhD JAPAN Mizuho-no-ma North
09:30 - 10:30		Implant Choices in 2024		Translation
		Learning Objectives: At the end of this session, all participants should have a clear understanding of: The advantages and disadvantages of the different options for implants for a Total Knee Replacement in 2024. The current evidence that surgeons need to compare the lifetime cost effectiveness of different knee replacement constructs. How to choose the best implant for your patient. Effect of implant design on knee kinematics.
09:30		Debate: Why I Prefer Cemented
		Yukihide Minoda, MD JAPAN
09:35		Debate: Why I Prefer Cementless
		Myles R. J. Coolican, FRACS AUSTRALIA
09:40		Debate Discussion
		Shuichi Matsuda, MD, PhD JAPAN
09:50		Implant Choice - Cruciate Retaining and Kinematics
		Shuichi Matsuda, MD, PhD JAPAN
09:55		Implant Choice - Posterior Stabilized and Kinematics
		Myung Chul Lee, MD, PhD, Prof. KOREA, REPUBLIC OF
10:00		Implant Choice - Medial Pivot (or BCS) and Kinematics
		Ken Okazaki, MD, PhD JAPAN
10:05		Implant Choice - Bicruciate Retaining and Kinematics
		Hiroshi Inui, PhD JAPAN
10:10		Panel Discussion: What's the Best Implant?
		Shuichi Matsuda, MD, PhD JAPAN

10:30 - 11:00	Coffee and Exhibits Break

11:00 - 12:30	Session 3: Ligament Balance in TKA Moderator: Myung Chul Lee, MD, PhD, Prof. KOREA, REPUBLIC OF Moderator: Shuichi Matsuda, MD, PhD JAPAN Mizuho-no-ma North
11:00 - 12:30		Ligament Balance in TKA		Translation
		At the end of this session, participants should have a clear understanding of the effect of ligament balance on clinical results.
11:00		Debate: Is Equal Balance between Medial and Lateral Side Still the Goal in 2024? I Affirm
		Mark G. Clatworthy, FRACS NEW ZEALAND
11:07		Debate: Is Equal Balance between Medial and Lateral Side Still the Goal in 2024? I Oppose
		Tomoyuki Matsumoto, MD, PhD JAPAN
11:14		Debate Discussion
		Myung Chul Lee, MD, PhD, Prof. KOREA, REPUBLIC OF
		Shuichi Matsuda, MD, PhD JAPAN
11:21		Medial Stability is Important
		Eiji Sasaki, MD, PhD JAPAN
11:29		How Far Can We Accept Lateral Laxity?
		Peter James McEwen, MBBS FRACS(Orth) FAOrthA DIpModLang AUSTRALIA
11:37		Alignment and Ligament Balance
		Shuichi Matsuda, MD, PhD JAPAN
11:45		Extension/Flexion Balance: Improving ROM
		Yukihide Minoda, MD JAPAN
11:53		Does the Sensor Give Important Information?
		Myung Chul Lee, MD, PhD, Prof. KOREA, REPUBLIC OF
12:01		Is Personalized Ligament Balancing Possible?
		Justin P. Roe, MB BS BSc(Med) Hons, A/Prof. AUSTRALIA
12:09		Panel Discussion with Q&A
		Shuichi Matsuda, MD, PhD JAPAN

12:45 - 13:30	Industry Lunch Symposium: Surgery Personalized through Implant Design and Enabling Technologies Mizuho-no-ma West
12:45 - 13:30		Lunch Time Session Industry Lunch Symposium: Surgery Personalized through Implant Design and Enabling Technologies Supported by Smith+Nephew		Translation Details
		Hiroshi Inui, PhD JAPAN
		Ken Okazaki, MD, PhD JAPAN
		Moderator: Shuichi Matsuda, MD, PhD JAPAN
12:45		Industry Lunch Symposium: Surgery Personalized through Implant Design and Enabling Technologies
		Shuichi Matsuda, MD, PhD JAPAN
12:50		Restoring Normal Kinematics through Anatomic Design Implant – A Midterm Clinical Review
		Hiroshi Inui, PhD JAPAN
13:05		Personalized Planning and Joint Line Restoration with Handheld Robotics
		Ken Okazaki, MD, PhD JAPAN
13:20		Discussion

14:00 - 15:00	Session 4: Unicompartmental OA Moderator: Myles R. J. Coolican, FRACS AUSTRALIA Moderator: Norimasa Nakamura, MD, PhD JAPAN Moderator: Philippe Noel Neyret, MD, PhD, Prof. FRANCE Mizuho-no-ma North
14:00 - 15:00		Global Case-based Discussion Session Unicompartmental OA		Translation Details
		Learning Objectives: At the end of this session, all participants should have a clear understanding of: How to make the correct decision to proceed to unicompartmental replacement and when to choose alternatives including HTO, DFO and TKA. What are the indications for combined procedure: UKR and ACL. Overcoming the technical challenges of UKR.
14:00		Panel Discussion of Cases
		Claudia Arias, MD PERU
		Norimasa Nakamura, MD, PhD JAPAN
		Ken Okazaki, MD, PhD JAPAN
		David A. Parker, MBBS, BMedSc, FRACS AUSTRALIA
		Andrew James Price, DPhil, FRCS(Orth) UNITED KINGDOM
		Myles R. J. Coolican, FRACS AUSTRALIA
		Philippe Noel Neyret, MD, PhD, Prof. FRANCE
15:00		Final Summary of the Most Important Messages
		Myles R. J. Coolican, FRACS AUSTRALIA

15:00 - 16:00	Session 5: Surgical Techniques in UKA Moderator: Michael M. Decker, MD, MSc UNITED STATES Moderator: Takafumi Hiranaka, MD, PhD JAPAN Moderator: Andrew James Price, DPhil, FRCS(Orth) UNITED KINGDOM Mizuho-no-ma North
15:00 - 16:00		Video Presentation Surgical Techniques UKA		Translation
		At the conclusion of this session of video demonstrations and discussion, the participant will have an improved knowledge of the surgical options available when performing UKA.
15:00		Importance of Implant Position
		Takafumi Hiranaka, MD, PhD JAPAN
15:08		Ideal Flexion-Extension Balance
		Tomoyuki Matsumoto, MD, PhD JAPAN
15:16		Tips in Cementless UKA
		Andrew James Price, DPhil, FRCS(Orth) UNITED KINGDOM
15:24		Management of Flexion Contracture
		David H. Figueroa, MD CHILE
15:32		Lateral UKA
		Philippe Noel Neyret, MD, PhD, Prof. FRANCE
15:40		Panel Discussion with Q&A
		Michael M. Decker, MD, MSc UNITED STATES
		Andrew James Price, DPhil, FRCS(Orth) UNITED KINGDOM

16:00 - 16:30	Coffee and Exhibits Break

16:30 - 18:00	Session 6: Robotic Technology Moderator: Ken Okazaki, MD, PhD JAPAN Moderator: David A. Parker, MBBS, BMedSc, FRACS AUSTRALIA Mizuho-no-ma North
16:30 - 18:00		Robotic Technology		Translation
		Learning Objectives: At the end of this session, all participants should have a clear understanding of: How to evaluate robotic technology and select most appropriate for their purpose. The collection of data in robotic technology and how it is used. The role of robotics in primary and revision TKR. The role and potential applications of Artificial Intelligence in knee arthroplasty. Potential future technology and its applications.
16:30		Introduction and Audience Poll
		Ken Okazaki, MD, PhD JAPAN
		David A. Parker, MBBS, BMedSc, FRACS AUSTRALIA
16:35		How to Evaluate and Choose the Best Robot for You
		Sebastien Lustig, MD, PhD, Prof. FRANCE
16:43		Battle of the Robots
		Mark G. Clatworthy, FRACS NEW ZEALAND
		Masakazu Ishikawa, MD, PhD JAPAN
		Peter James McEwen, MBBS FRACS(Orth) FAOrthA DIpModLang AUSTRALIA
		Ken Okazaki, MD, PhD JAPAN
17:03		Panel Discussion: We’ve Heard about Your Robot, Now Tell us about the Ideal Robot of the Future
		Gavin William Clark, MBBS, FRACS AUSTRALIA
		Mark G. Clatworthy, FRACS NEW ZEALAND
		Hiroshi Inui, PhD JAPAN
		Masakazu Ishikawa, MD, PhD JAPAN
		Peter James McEwen, MBBS FRACS(Orth) FAOrthA DIpModLang AUSTRALIA
		Ken Okazaki, MD, PhD JAPAN
		Michael Tim Yun Ong, MBChB(UK), BSc(UK), MRCS(Edin), MSc(CUHK), FRCSEd HONG KONG
17:18		Data Collection in Robotics: Who Owns the Data and What Should it be Used for?
		Justin P. Roe, MB BS BSc(Med) Hons, A/Prof. AUSTRALIA
17:26		Robotics in Revision TKR
		David H. Figueroa, MD CHILE
17:34		Panel Discussion: What Does the Future Hold?
17:54		Closing Remarks and Audience Poll
		David A. Parker, MBBS, BMedSc, FRACS AUSTRALIA

18:15 - 19:15	Welcome Reception

08:15 - 08:30	Welcome to Day Two: Partial Knee, Complex Primary and Revision Mizuho-no-ma North
		Director: Sebastien Lustig, MD, PhD, Prof. FRANCE Director: Shuichi Matsuda, MD, PhD JAPAN
08:15 - 08:30		Introduction		Translation
		Director: Sebastien Lustig, MD, PhD, Prof. FRANCE
		Director: Shuichi Matsuda, MD, PhD JAPAN

08:30 - 10:00	Session 7: Patellofemoral Arthroplasty Moderator: Myles R. J. Coolican, FRACS AUSTRALIA Moderator: Hiroshi Inui, PhD JAPAN Mizuho-no-ma North
08:30 - 10:00		Patellofemoral Arthroplasty		Translation
		At the end of this session all participants should have a clear understanding of PFA and PFA+UKA.
08:30		Pathophysiology of Isolated Patellofemoral Osteoarthritis: Why Does the Kneecap Wear Out and the Rest of the Knee Remain Unaffected?
		Claudia Arias, MD PERU
08:38		History of Isolated PFR: Old and New Generation Implants
		Tomoki Ohori, MD, PhD JAPAN
08:46		Indications and Contraindications for Isolated Patellofemoral Arthroplasty
		Sebastien Lustig, MD, PhD, Prof. FRANCE
08:54		Why I’d Perform PFA and not TKA
		Hiroshi Inui, PhD JAPAN
09:02		Video Presentation: Surgical Technique of PFA
		Myles R. J. Coolican, FRACS AUSTRALIA
09:14		Outcomes of isolated PFA and Results of Revision Surgery
		Daniel C. Wascher, MD UNITED STATES
09:22		Cases and Panel Discussion with Q&A
		Hiroshi Inui, PhD JAPAN
		Myles R. J. Coolican, FRACS AUSTRALIA
09:52		Final Summary with Critical Take Home Messages
		Myles R. J. Coolican, FRACS AUSTRALIA

10:00 - 10:30	Coffee and Exhibits Break

10:30 - 12:30	Session 8: Meet the Experts: Complex Primary Total Knee Replacement Moderator: Michael M. Decker, MD, MSc UNITED STATES Moderator: Yukihide Minoda, MD JAPAN Moderator: Andrew James Price, DPhil, FRCS(Orth) UNITED KINGDOM Moderator: Daniel C. Wascher, MD UNITED STATES Mizuho-no-ma North
10:30 - 12:30		Meet the Expert Complex Primary Total Knee Replacement		Translation Details
		Moderator: Michael M. Decker, MD, MSc UNITED STATES
		Moderator: Yukihide Minoda, MD JAPAN
		Moderator: Andrew James Price, DPhil, FRCS(Orth) UNITED KINGDOM
		Moderator: Daniel C. Wascher, MD UNITED STATES
		Learning Objectives: At the end of this session, all participants should have a clear understanding of: How to plan TKR in the presence of severe deformity. Implant and technology strategies in complex cases. When to independently address extra-articular deformity. Strategies to optimize results in the presence of significant stiffness. Issues to consider in patients with neurologic conditions such as Parkinson’s disease. How the presence of stiffness and severe deformity may impact outcomes. How co-morbidity such as Parkinson’s disease or other neurological conditions may impact outcomes. Cases for presentation, table discussion and reporting out may include: Severe varus deformity Severe valgus deformity Large flexion contracture Post-traumatic arthritis with retained hardware Chronic knee dislocation Prior infection Bone defect Rheumatoid arthritis Patellar baja/post-patellectomy Neuromuscular disorder with quad weakness Extra-articular deformity Prior high tibial osteotomy Each case will be supplemented by videos, ideally of patient pre and post and operative technique, and finishing with a summary of take home messages.

12:45 - 13:30	Industry Lunch Symposium: How Alignment and Balance in TKA have Changed with Technology Mizuho-no-ma West
12:45 - 13:30		Lunch Time Session Industry Lunch Symposium: How Alignment and Balance in TKA have Changed with Technology Supported by Stryker		Translation Details
		Gavin William Clark, MBBS, FRACS AUSTRALIA
		Moderator: Shuichi Matsuda, MD, PhD JAPAN

13:30 - 14:00	Industry Workshop: AR-KNEE: Introduction and Demonstration Mizuho-no-ma West
		Sachiyuki Tsukada, MD, PhD JAPAN
13:30 - 14:00		Industry Workshop: AR-KNEE: Introduction and Demonstration		Translation
		Sachiyuki Tsukada, MD, PhD JAPAN

14:00 - 15:00	Session 9: Revision Case-based Presentations: Infection Moderator: Eiji Sasaki, MD, PhD JAPAN Moderator: Daniel C. Wascher, MD UNITED STATES Mizuho-no-ma North
14:00 - 15:00		Global Case-based Discussion Session Revision Case-based Presentations: Infection		Translation Details
		Nicolaas C. Budhiparama, MD, PhD (LUMC, NL), PhD (UGM, ID), FICS, Prof. INDONESIA
		Michael M. Decker, MD, MSc UNITED STATES
		Magaly Iñiguez, MD CHILE
		Sebastien Lustig, MD, PhD, Prof. FRANCE
		Justin P. Roe, MB BS BSc(Med) Hons, A/Prof. AUSTRALIA
		Moderator: Eiji Sasaki, MD, PhD JAPAN
		Moderator: Daniel C. Wascher, MD UNITED STATES
		Learning Objectives: At the end of this session, all participants should have a clear understanding of: Optimal techniques for infection prevention in arthroplasty. Optimal techniques for investigating possible infection. Decision making process for single versus 2 stage revision for infection. Best surgical technique in single and double stage revision to optimize success. Outcomes of revision TKA for infection.

15:00 - 16:00	Session 10: Revision Case-Based Presentations: Instability Moderator: Nicolaas C. Budhiparama, MD, PhD (LUMC, NL), PhD (UGM, ID), FICS, Prof. INDONESIA Moderator: Sebastien Lustig, MD, PhD, Prof. FRANCE Moderator: Shuichi Matsuda, MD, PhD JAPAN Mizuho-no-ma North
15:00 - 16:00		Global Case-based Discussion Session Revision Case-Based Presentations: Instability		Translation Details
		Michael M. Decker, MD, MSc UNITED STATES
		Takafumi Hiranaka, MD, PhD JAPAN
		Magaly Iñiguez, MD CHILE
		Myung Chul Lee, MD, PhD, Prof. KOREA, REPUBLIC OF
		Yukihide Minoda, MD JAPAN
		Philippe Noel Neyret, MD, PhD, Prof. FRANCE
		Yi Xin Zhou, PhD, MD CHINA
		Moderator: Sebastien Lustig, MD, PhD, Prof. FRANCE
		Learning Objectives: At the end of this session, all participants should have a clear understanding of: The different scenarios that lead to TKR instability and their clinical manifestations. The different form of presentation, coronal, sagittal, multiple, symmetrical or asymmetrical, PF. The treatment of the different pattern of TKR instability (FT or PF or combined).

16:00 - 16:15	Coffee and Exhibits Break

16:15 - 17:15	Session 11: Revision Case-based Presentations: Periprosthetic Fractures Moderator: Magaly Iñiguez, MD CHILE Moderator: Masakazu Ishikawa, MD, PhD JAPAN Mizuho-no-ma North
16:15 - 17:15		Global Case-based Discussion Session Revision Case-based Presentations: Periprosthetic Fractures		Translation Details
		Nicolaas C. Budhiparama, MD, PhD (LUMC, NL), PhD (UGM, ID), FICS, Prof. INDONESIA
		Peter James McEwen, MBBS FRACS(Orth) FAOrthA DIpModLang AUSTRALIA
		Ken Okazaki, MD, PhD JAPAN
		Daniel C. Wascher, MD UNITED STATES
		Zongke Zhou, PhD, MD CHINA
		Moderator: Magaly Iñiguez, MD CHILE
		Moderator: Masakazu Ishikawa, MD, PhD JAPAN
		Learning Objectives: At the end of this session, all participants should have a clear understanding of: The diagnosis of periprosthetic fractures. The treatment of the different pattern of periprosthetic Fractures, from conservative to surgical management and its different alternatives.
16:15		Femur Fractures: Simple Fracture Requiring Fixation, More Complex Requiring Fixation Plus Revision with Stem, and Needing Distal Femoral Replacement
16:45		Tibia: Transverse Fracture Requiring Fixation and More Complex Involving Loosening of Implant
17:00		Patella: Undisplaced Fracture with No Loosening and Displaced Fracture with Loose Button

17:15 - 18:15	Session 12: Triumphs and Disasters Moderator: David A. Parker, MBBS, BMedSc, FRACS AUSTRALIA Mizuho-no-ma North
17:15 - 18:15		Discussion Triumphs and Disasters		Translation Details
		Moderator: David A. Parker, MBBS, BMedSc, FRACS AUSTRALIA
		Forum faculty will present their best case examples of a real "disaster" with a focus on how to make a disastrous situation better. Every surgeon experiences complications even with the routine, but how do you deal with them? Faculty panelists will make judgements and provide commentary about each case, with audience polling as well. There will be a faculty winner at the end for the best escape from disaster – as judged by the audience.