By: 1 August 2010

Looking at materials used, biomechanics and design issues, ranging from minimally invasive surgery starting with HTO and moving onto revision knee surgery, were the main subjects for this inaugural annual International Advances in Knee Arthroplasty meeting. Organised by Mr V Khanduja consultant Orthopaedic Surgeon at Addenbrookes Hospital, Cambridge and Professor N Maffulli at Queen Mary University of London. Held on 12th and 13th May in association with Exactech UK Ltd at Chandos House in London. The meeting attracted just over 100 participants represented from eight Countries, with 21 high profile faculty, including Dr A Burstein design engineer for the IBI and IBII and now the Optetrak Knee System.

As well as providing an educational platform the meeting encouraged discussion and challenges surgeons are faced with in one room. The first day covered areas in Materials used for Knee Arthroplasty. Biomechanics in the Normal and Replaced Knee, role of Osteotomy in Early Knee Arthroplasty and the Unicompartmental Knee. The meeting was opened by Mr V Khanduja and he was joined by Dr G Miller Ph.D Executive Vice President, Research and Development, Dr A Burstein Ph.D where they discussed Oxinium, TKA Wear with Current Materials and UHMWPE respectively.

The biomechanical session which followed included the aforementioned presenters and DR I Gradisar MD Consultant Orthopaedic Surgeon from Ohio University. The next session Role of Osteotomy in Early Knee OA was chaired by Prof N Maffulli and involved two well respected Italian surgeons, Prof G Puddu from Rome and Prof F Catani from Bologna and they were joined by Mr M El-Shazly Consultant Orthopaedic Surgeon from the Droitwich Knee Clinic. This session involved discussions on Osteotomy for the Varus and Valgus Knee and included the role of navigation in this treatment. The final session of the first day Unicompartmental Knee Arthroplasty included Prof Catani, Mr V Khanduja and they were joined by Prof M Marcacci also from Bologna. To accompany the presentations on the Unicompartmental Knee, presentations were given on Patellofemoral Arthroplasty and the Role of Navigation.

Day two started with Design Issues in Total Knee Arthroplasty chaired by Mr G Scott, Consultant Orthopaedic Surgeon at Royal London University Hospital and he was joined by Dr A Burstein Ph.D who discussed The Total Condylar Evolution, Mr G Scott shared his own experiences on the Medial Pivot Knee, Mr T Wilton Consultant Orthopaedic Surgeon Derbyshire Royal Infirmary presented on The Bicruciate substituting Knee and finally in this session Dr G Miller Ph.D discussed the Gender Knee - is there a need? The second session chaired by Mr V Khanduja was on Primary Total Knee Arthroplasty, joining Mr Khanduja were Mrs G Maffulli sharing her research evidence on the Best Approach for Total Knee Arthroplasty, Mr J Mahaluxmivala Consultant Orthopaedic Surgeon at Princess Alexandra Hospital in Harlow and Dr I Gradisar looked at the Role of the Ligament Balancing System. Mr M El-Zebdeh Consultant Orthopaedic Surgeon from Newham University Hospital presented on Correction of Deformity for the Varus Knee, followed by Mr GSE Dowd, Consultant Orthopaedic Surgeon from The Royal Free Hospital, London who presented on Correction of Deformity for the Valgus Knee. Mr M El-Shazly presented on the Difficult Primary and included the Non-Modular Constrained Knee and finally Mr J Chitnavis Consultant Orthopaedic surgeon at Addenbrookes, Cambridge HA in Total Knee Replacement Surgery,

The final session The Problem Total Knee Arthroplasty included several presentations Mr D Edwards Consultant Orthopaedic Surgeon at Addenbrookes Hospital, Cambridge started with An Assessment and Evaluation of the Problem Total Knee Replacement, Mr G Scott looked at The Principles, Dr I Gradisar presented on Keys to Successful Revision Knee Surgery, followed by Mr P Angus Consultant Orthopaedic Surgeon at Spire Elland in Leeds, who presented on the Management of Bone Defects in Revision Knee Surgery and Management of the Infected Knee. Mr M Sood Consultant Orthopaedic Surgeon at Bedford General Hospital looked at The Management of the Unstable and Malrotated Knee, Mr D Nicoll Clinical Fellow from Dundee University presented his results in Malrotation of the Tibial Component.

This very successful meeting was then closed by Prof N Maffulli who commented “This has been a superb opportunity to share the experiences of world leaders in the field involving eight countries. An experience to be repeated