ESSKA-EKA's 4th Open Meeting: Innovation in Degenerative Knee Surgery
Tuesday 31 October 2017
EKA’s 4th Open Meeting was held in Berlin, close to the Brandenburg Gate, on 13-14 October 2017. A large international faculty from Europe and America met with orthopaedic surgeons from all over Europe, to discuss the latest innovations in degenerative knee surgery.
The treatment of degenerative knee pathologies is one of the most important topics in orthopaedics, as the number of surgical procedures continuously increases worldwide. There are two main reasons behind this.
Demographic studies have shown that life-expectancy is significantly increasing, so the fraction of elderly people is growing. In Germany, for instance, the fraction over 65 was 15% in 1990 but will rise to 26% by 2030. People are getting older, but they like to keep mobile. The effects of osteoarthritis of the knee - that loss of daily activity - is no longer acceptable. Hence, the significant increase in knee surgeries.
Innovations for degenerative knee surgery have been introduced these last two decades, such as computer-assisted surgery, navigation and - most recently - robotic technology.
But it has also been shown that procedures such as osteotomy or joint arthroplasty require a more individual approach. Patient-specific instrumentation (PSI) helps to respect individual anatomy. Numerous studies have shown that the placement of components can be improved by reducing the outlier in lower limb alignment and component placement. PSI has not significantly improved clinical outcome. However, technological innovation in orthopaedic surgery should not be solely judged by improvement in clinical outcome. Increases in efficiency, such as the OR set-up and better patients’ pathways during their treatment, are also worthwhile and also open to innovation.
Digitalisation in orthopaedic surgery seems to be the future. So it was hardly surprising that EKA’s Berlin Open Meeting was devoted to new innovations in degenerative knee surgery, with extensive discussion on using PSI and robotics for osteotomies and knee arthroplasty.
Such new technologies should be constantly reassessed and discussed. Meetings such as EKA’s Open Meeting provide the perfect platform to critically discuss the pros and cons of such innovations with other colleagues around the world.
The meeting started on Friday morning with Roland Becker, Nanne Kort, Michael T. Hirschmann and Ronald van Heerwarden opening the meeting and giving a warm welcome to the participants and the ESSKA President Romain Seil. Then after a brief history of osteotomy and two sessions about osteotomy around the knee where the focus was on novel techniques to aid osteotomy surgery such as PSI. The numerous participants agreed that novel techniques such as navigation or PSI are requisite for precision, while adjusting the lower leg alignment.
Interesting debates about CR and PS design, whether the patella should be resurfaced or not and what alignment should be considered were held in the afternoon between surgeons from Europe and the United States. These discussions clearly showed how much we can still learn from each other. It was clear that the European and US perspective on TKA are often different, but we face the same socioeconomic challenges and problems. Pier Francesco Indelli, Brian Parsley, Antonia Chen and Gregory Golladay member of the AAHKS (the American Association of Hip and Knee Surgeons) participated actively in the EKA Open Meeting. EKA will be the official partner society for the AAHKS meeting 2020.
Another session was organised by the German Knee Society (DKG) and dealt with instability after TKA. The session was organized by Prof. Matziolis from Eisenberg, Germany.
In conclusion, the EKA Open Meeting in Berlin was a great success and a good basis to build on in future. We look forward to seeing you again at our next meetings.
Click here to view the final programme from the meeting.
A collection of pictures from the event are available in the Photo Gallery.
Members of EKA and AAHKS (from left to right): Michael Liebensteiner (Austria), Roland Becker (Germany), Brian Hamlin (Pittsburgh, USA), Gregory Golladay (Richmond, USA), Brian Parsley (Housten USA), Nanne Kort (Maastricht, Netherlands), Pawel Skowronek (Krakow, Poland)
EKA Board Members with the EKA-Osteotomy Focus Group