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FOCUS MEETING ON

PCL, MCL, PLC AND PF JOINT

TH TH ST19 , 20 & 21 APRIL, 2018

VENUE: HOTEL J. W. MARRIOTT, PUNE

2 18COURSEPUNE KNEE 8

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COMBINEDTH4 ISAKOS KNEE COURSE &

www.punekneecourse.com

In association with: Supported by:

4MMC Points

Dear Friends,

thFollowing the resounding success of the 7 Pune Knee Course, 2017 which was a focus meeting on th thACL and Meniscus Injuries, we are pleased to announce the 4 ISAKOS Knee Course & 8 Pune Knee

Course, 2018. This next edition has been planned as a theme meeting on Posterior Cruciate

Ligament, Medial Collateral Ligament and Posteromedial Corner, Posterolateral

Corner and Patellofemoral Joint.

We believe that a focused meeting on these extremely crucial topics is needed to understand their

evolving science of biomechanics, surgery and rehabilitation. We wholeheartedly invite you to this th th sthot meeting in warm Pune, India on the 19 , 20 and 21 April, 2018.

WELCOME MESSAGE

Dr. Parag Sancheti

Chairman

Dr. Charles Brown

Scientific Chairman

Dr. Sachin Tapasvi

Chairman


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Dr. Nilesh Kamat

Chairman

OVERSEAS FACULTY

Luke O’Brien

USA

Charles Brown

UAE

Julian Feller

Australia

Elizabeth Arendt

USA

Martin Lind

Denmark

Alan Getgood

Canada

Amit Joshi

Nepal

Bancha Chernchujit

Thailand2Hayden Morris

Australia

James Robinson

UK

Ronald Van

Heerwaarden

Holland

Rik Kundra

UK

Neil Jain

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MASTER CLASS7.30 am - 8.30 am - Concurrent on Friday & Saturday (April 20 & 21, 2018)

Master Class can be opted ONLY by delegates registering for the main conference. You cannot register for Master Class alone.

The same session will be run on both Friday & Saturday.

Breakfast will be served at 0630 am and the Master Class will start at 0730 am SHARP.


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F1 / S1:

All you need to know about the Posterolateral Corner Injuries of the Knee

Chairpersons: Dinshaw Pardiwala / Bancha Chernchujit

Time Topic

07:30 - 07:35 Introduction

07:35 - 07:45 Anatomy and biomechanics of the PLC: Himanshu Gupta

07:45 - 07:55 Clinical evaluation and Imaging for PLC injuries:

Raghuveer Reddy

07:55 - 08:05 Exposure, identifying landmarks and creating windows:

Dinshaw Pardiwala

08:05 - 08:15 My preferred technique - Modified Larsen’s + Popliteus

Reconstruction: Bancha Chernchujit

08:15 - 08:25 My preferred technique - LaPrade Anatomic Reconstruction:

Dinshaw Pardiwala

08:20 - 08:30 Questions and Discussion

F2 / S2: How to perform MPFL Reconstruction

Chairpersons: Julian Feller / Rik Kundra / Nilesh Shah

Time Topic


07:35 - 07:45 Indications for isolated MPFL reconstruction: Julian Feller

07:45 - 07:55 Review of pertinent Anatomy, with attention to pitfalls in

surgical fixation of both femur and patella: Rik Kundra

07:55 - 08:05 My preferred technique (free graft, fix first on Femur): Julian

Feller

08:05 - 08:10 My preferred technique - Quad tendon: Nilesh Shah

08:10 - 08:15 First time dislocator & Osteochondral lesions: Julian Feller


F3 / S3: How to perform PCL Reconstruction

Chairpersons: Charles Brown / Hayden Morris / Arumugam S.

Time Topic


07:35 - 07:45 Position and portal placement: Charles Brown

07:45 - 07:55 Identifying the femoral and tibial footprints: Arumugam S.

MASTER CLASS7.30 am - 8.30 am - Concurrent on Friday & Saturday (April 20 & 21, 2018)


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07:55 - 08:05 Femoral and tibial tunnel placement - Where and How?:

Charles Brown

08:05 - 08:15 Graft choice and fixation methods: Hayden Morris

08:15 - 08:25 Avoiding complications - Pearls and pitfalls: Charles Brown


F4 / S4 : Management of Medial Knee Instability

Chairpersons: Martin Lind / James Robinson / Raju Easwaran

Time Topic


07:35 - 07:45 Relevant anatomy and biomechanics: James Robinson

07:45 - 07:55 Clinical evaluation and Imaging for injuries: James Robinson

07:55 - 08:05 Primary repair and augmentation: Raju Easwaran

08:05 - 08:15 Surgical exposure, identifying landmarks and technique:

Martin Lind

08:15 - 08:20 Conservative management of MCL injuries: Luke O’Brien


F5 / S5: How to Perform Trochleoplasty and Tibial Tubercle Osteotomy

Chairpersons: Elizabeth Arendt / Alan Getgood

Time Topic


07:35 - 07:45 When to perform a TTO, current indication for TTO - When

to distalize / When to medialize: Elizabeth Arendt

07:45 - 07:55 Distal TTO - My technique and avoiding pitfalls:

Alan Getgood

07:55 - 08:05 TTO complications and solutions: Elizabeth Arendt

08:05 - 08:10 My indications for trochleoplasty: Alan Getgood

08:10 - 08:15 Trochleoplasty technique: Elizabeth Arendt


THTHURSDAY, 19 APRIL, 2018Sessions start at 2.00 pm on Thursday, April 19, 2018. Do plan your arrivals accordingly.


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14:00 - 14:05 Welcome Address

Charles Brown, Sachin Tapasvi, Parag Sancheti

SESSION 1: POSTERIOR CRUCIATE LIGAMENT

Conveners: Charles Brown, Parag Sancheti

14:05 - 15:00 Live Surgery 1: SB PCL Reconstruction

Moderators: Rik Kundra & Raju Easwaran

Dinshaw Pardiwala & James Robinson Surgeons:

15:00 - 15:08 PCL Anatomy: Charles Brown

15:08 - 15:16 Clinically relevant biomechanics of the PCL: Alan Getgood

15:16 - 15:24 PCL stress X-rays - How to perform and how they can help

us: Martin Lind

15:24 - 15:32 Non operative management of PCL instability: Hayden

Morris

15:32 - 15:42 Management of PCL avulsions - Arthroscopy or Open:

Bancha Chernchujit

15:42 - 15:50 Graft selection for PCL surgery: Julian Feller

15:50 - 15:58 ‘Biologic’ PCL Reconstruction: Why & How I do it:

Anant Joshi

15:58 - 16:06 Single-bundle PCL reconstruction: Why and how I do it:

Hayden Morris

16:06 - 16:14 Double-bundle PCL reconstruction: Why and how I do it:

Charles Brown

16:14 - 16:22 Rehabilitation after PCL reconstruction: Luke O’Brien

16:22 - 16:30 PCL injuries in the adolescent: Dinshaw Pardiwala

16:30 - 17:30 Live Surgery 2: All Inside PCL Reconstruction

Moderators: Bancha Chernchujit & Dinshaw Pardiwala

Surgeons: Rik Kundra, Bhushan Sabnis


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SMITH & NEPHEW R OOM 1

Topic: Hidden Lesions of the Meniscus - Root and Ramp

Tears Coblation and cartilage: Experience from my first 500 cases

Faculty: James Robinson, Dinshaw Pardiwala, Sanjay Trivedi

Program:

• Meniscus Repair - All Inside: Dinshaw Pardiwala

• Meniscus Repair – Outside In & Inside Out: Sanjay Trivedi

• Medial Root Tears – Importance and How to fix: James Robinson

• Lateral Root Tears – Importance and How to fix: Dinshaw Pardiwala

• Ramp lesions - How to fix: Dinshaw Pardiwala

• Coblation – Flow 50 / Werewolf – My experience of 500 cases:

James Robinson

ARTHREX ROOM 2

Topic: Arthrex Post Graduate Workshop Live Patient Examination

Faculty: Rik Kundra, Parag Sancheti, Nagraj Shetty

• Patient examination for ACL injuries: Parag Sancheti

• Patient examination for PCL injuries: Nagraj Shetty

• Patient examination for Meniscal injuries: Rik Kundra

SMITH & NEPHEW R OOM 3

Topic: Robotics, Navigation and Plasty by Smith & Nephew

SANOFI ROOM 4

Topic: Painful arthritic Knee Condition (PaKC) in Young patientChairperson: Abhay Narvekar

• Welcome: Sanofi

• Anterior Knee pain and role of Viscosupplementation -

• Review of Literature: Raju Easwaran

• Case 1: PFOA: Raju Easwaran

• Case 2: Chronic PCL injury: Nilesh Shah

• Case 3: Patellofemoral malalignment and chondral damage:

Nilesh Shah

• Panel Discussion: Are all Viscosupplements the same?

Moderator: Abhay Narvekar

Panelists: Nilesh Shah, Raju Easwaran, Abhay Narvekar

• Summary

DEPUY SYNTHES ROOM 5

Topic: Stumbled in Advanced Knee Procedures

Convener: Neeraj Adkar

• Difficult cases from audience

• Challenging PCL cases: Sameer Shaikh

• Technomics of meniscal repair: Umesh Jadhav

• Act smart- Carry only one!: Faiyaz Memon

THFIRESIDE CHAT - THURSDAY, 19 APRIL, 2018 (18:00 - 19:00)

SESSION 2: POSTEROLATERAL CORNER INJURIES

Conveners: Martin Lind, Nilesh Kamat

09:00 - 09:45 Live Surgery 3: PLC Reconstruction (Modified Larson) with

Revision ACL Reconstruction

Hayden Morris & Nilesh KamatModerators:

Surgeons: Deepak Chaudhary & Deepak Joshi

09:45 - 09:53 Anatomy of the lateral side: Charles Brown

09:53 - 10:01 Clinically relevant biomechanics of the posterolateral

structures: Alan Getgood

10:01 - 10:09 Acute PLC repair: Roshan Wade

10:09 - 10:17 Management of nerve deficit associated with PLC injury:

Dinshaw Pardiwala

10:17 - 10:37 PLC reconstruction – Who gets what and why

• MacIntosh Reconstruction: Anant Joshi

• Modified Larson Reconstruction: Hayden Morris

• Anatomic LaPrade Reconstruction: Charles Brown

10:37 - 10:45 Rehabilitation after PLC surgery: Luke O’Brien

10:45 - 10:50 Popliteus - The forgotten brother in PLC injuries:

Bancha Chernchujit

10:50 - 11:40 Live Surgery 4: Arthroscopic Popliteus reconstruction with

PCL Reconstruction

James Robinson & Roshan Wade Moderators:

Surgeon: Bancha Chernchujit

11:40 - 13:00 Live Surgery 5 - Double Bundle PCL Reconstruction with

Anatomic LaPrade PLC Reconstruction

Julian Feller & Raghuveer ReddyModerators:

Charles Brown & Alan GetgoodSurgeons:

13:00 - 13:45 LUNCH

SESSION 3: THE MEDIAL SIDE

Conveners: Hayden Morris & Himanshu Gupta

13:45 - 14:15 Live Surgery 6: Danish MCL reconstruction with PCL

Reconstruction

Charles Brown, James RobinsonModerators:

Martin Lind & Sachin TapasviSurgeons:

14:15 - 14:23 Anatomy of the medial side: Charles Brown

14:23 - 14:31 Clinically relevant biomechanics of the medial structures:

James Robinson

14:31 - 14:39 Non-operative treatment of MCL injuries: Luke O’Brien

14:39 - 14:47 Acute MCL repair - When and how?: Rik Kundra

14:47 - 14:55 Anatomic medial reconstruction: Charles Brown

14:55 - 15:07 Treatment algorithm for medial sided injuries: Martin Lind

SESSION 4: MULTIPLE-LIGAMENT INJURIES

Conveners: Alan Getgood & Dinshaw Pardiwala

15:10 - 15:18 Assessment and primary management of the multiple-

ligament injured (dislocated) knee: Arumugam S.

THFRIDAY, 20 APRIL, 2018


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15:18 - 15:26 Primary repair of MLKI - Is there a role?: Alan Getgood

15:26 - 15:34 Graft options in multiple-ligament reconstructions: Neil Jain

15:34 - 15:42 How to avoid tunnel convergence in multiple-ligament

reconstructions: James Robinson

15:42 - 15:50 Tensioning sequence in multiple-ligament reconstructions:

Charles Brown

15:50 - 15:58 The neglected dislocated knee: Bancha Chernchujit

15:58 - 16:15 The role of osteotomy in the management of chronic

multiple-ligament injuries: Ronald van Heerwarden

16:15 - 16:45 Live clinical examination of MLKI

Case 1 - Post KD V residual instability with shortening:

Bhushan Sabnis

Case 2 - Post KD V-C residual subluxation with varus

deformity: Ronald van Heerwaarden

Julian Feller, Alan Getgood, Martin Lind, Expert Panel:

Arumugam S., Ronald van Heerwaarden, Bhushan Sabnis

16:45 - 17:30 Staying out of trouble while performing multiligament

reconstruction

Raju Easwaran1. Acute ACL-MCL-PCL tear:

2. ORIF proximal tibia with malunion with residual laxity:

Ramachandran Ramakanth

3. 3 ligament tear: Mukesh Laddha

4. 3 ligament tear with foot drop: Prashant Parate

Raju Easwaran, Martin Lind, Julian Feller, Expert Panel:

Hayden Morris, Bancha Chernchujit, Neil Jain

THFRIDAY, 20 APRIL, 2018

19:30 to 20:30

MEET THE MAN MEET THE MAN WHO SWUNG IT FOR WHO SWUNG IT FOR

INDIA IN THE INDIA IN THE NINETIES!!NINETIES!!

MEET THE MAN WHO SWUNG IT FOR

INDIA IN THE NINETIES!!

MEET THE MAN MEET THE MAN WHO SWUNG IT FOR WHO SWUNG IT FOR

INDIA IN THE INDIA IN THE NINETIES!!NINETIES!!

MEET THE MAN WHO SWUNG IT FOR

INDIA IN THE NINETIES!!

Venkatesh Prasad

2030 onwards

Live Music by

BAND LAMBADA with Cocktails &

Dinner


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SMITH & NEPHEW ROOM 1

Topic: New biological materials and fixation devices in Ligament

Reconstruction, my PCL and MCL techniques

Faculty: Alan Getgood, Nagraj Shetty, Anant Joshi, Nikhil Iyer,

Sheetal K. Gupta

• New biological repair & fixation devices in Ligament Reconstruction, my

PCL & MCL techniques: Alan Getgood

• Tips & tricks of Adjustable Loop- Ultrabutton: Nagraj Shetty

• Ultra Button – My experiences: Anant Joshi

• Benefit of open architect design in Arthroscopy: Nikhil Iyer

• Future of interference screw in Ligament Reconstruction:

Sheetal K. Gupta

DEPUY SYNTHES ROOM 2

Topic: Tomofix Workshop

Faculty: Ronald Van Heerwaarden, Rahul Damle

• Introduction to faculty: Rahul Damle

• Tomofix Osteotomy system - Overview: Rahul Damle

• Saw bone workshop - Medial High Tibial Osteotomy:

Ronald Van Heerwaarden

CONMED ROOM 4

Sequent Workshop

By: Sanjay Trivedi (Ahmedabad) & Umesh Jadhav (Pune)

ARTHREX ROOM 5

Arthrex Kneevolution - Preserve the Knee

• OATS - Indications & techniques: Dinshaw Pardiwala

• All inside ACL - My experience so far: Ragahv Bharve

• Internal bracing - A newer concept in Knee Preservation; Facts:

Rik Kundra

• HTO - Indications & outcomes: Dinshaw Pardiwala

THFIRESIDE CHAT - FRIDAY, 20 APRIL, 2018 (18:00 - 19:00)

STSATURDAY, 21 APRIL, 2018


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09:00 - 10:00 Live Surgery 7: Osteotomy for chronic PCL deficient knee

James Robinson & Alan GetgoodModerators:

Ronald van HeerwaardenSurgeon:

SESSION 5: PATELLOFEMORAL JOINT

Conveners: Elizabeth Arendt, Julian Feller

10:00 - 10:08 Anatomy and biomechanics of the patellofemoral joint:

Alan Getgood

10:08 - 10:16 Imaging of the patellofemoral joint: Anupama Patil

10:16 - 10:22 Anterior knee pain - Diagnosis and management:

Hayden Morris

10:22 - 10:32 Anterior knee pain - Physical Therapist perspective:

Luke O’Brien

10:32 - 11:00 PKC Oration: A la carte management of patellofemoral

instability – Evolution of my philosophy: Elizabeth Arendt

Parag Sancheti, Sachin TapasviModerators:

11:00 - 11:45 Live Surgery 8: MPFL Reconstruction with quadriceps

tendon

Martin Lind & Prashant ParateSurgeons:

Hayden Morris & Raju EaswaranModerators:

11:45 - 11:53 Role of tibial tubercle osteotomy in the management of

Patellofemoral instability: Julian Feller

11:53 - 12:01 MPTL- Is it important and should I reconstruct it?:

Elizabeth Arendt

12:01 - 12:09 Is there still a role for lateral retinacular release?:

Raju Easwaran

12:09 - 12:17 Current recommendations for treatment of Osteochondral

lesions in PF instability: Nilesh Shah

12:17 - 12:25 How to manage trochlear dysplasia: Martin Lind

12:25 - 12:33 Rehabilitation after Patellofemoral Surgery: Luke O’Brien

12:35 - 13:20 Live Surgery 9: Tibial tubercle distalization and MPFL

reconstruction with hamstring tendon graft

Elizabeth ArendtModerator:

Julian Feller, Alan Getgood & Bhushan Patil Surgeons:

13:20 - 13:50 LIVE clinical examination of Patellofemoral Instability

Nilesh KamatCase 1 - PF Instability with Patella Alta:

Case 2 - Recurrent PF Instability post surgery: Martin Lind

Elizabeth Arendt, Rik Kundra, Luke O’Brien, Expert Panel:

Raghuveer Reddy, Martin Lind, Nilesh Kamat

13:50 - 14:30 Staying out of trouble while performing Patellofemoral

Surgery

Amit Joshi1. PF Instability with large Osteochondral lesion:

Miten Sheth2. Valgus knee with PF instability:

3. Instability with PF arthritis: Anshu Shekhar

Expert Panel: Elizabeth Arendt, Julian Feller, Alan

Getgood, Martin Lind, Rik Kundra

14:30 onwards LUNCH


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