During the
fourth quarter of 2009, Magnifi Group will launch the Interactive Educational
Program (IEP) for Total Joint. Following the model pioneered
by IEP for Spine, IEP for Total Joint delivers the most
comprehensive internet-based knowledge source for Total Joint Professionals.
The content of the IEP includes the following
sections:
1.
Anatomy
2.
Basic Science
3.
Hip Degenerative Conditions
4.
Knee Degenerative Conditions
5.
Trauma
6.
Tumors
7.
Infection
8.
Inflammatory Conditions
9.
Inherited Disorders
10.
Miscellaneous Conditions
Each condition
will include the associated history, diagnosis, work-up, treatment
(non-operative and operative) and complications. The Treatments sections will
feature industry- specific techniques and
products.
Program Sections
The
Program will have learning objectives, standardized presentation formats and
reliable evaluation methods based on adult learning and education principles.
The following is the draft overview of the Hip Degenerative Conditions section.
HIP DEGENERATIVE
CONDITIONS
1.
Natural History – etiology
1.1.
Familial
1.2.
Developmental Dysplasia
1.3.
Perthes
1.4.
SCFE
1.5.
Femoroacetabular impingement
2.
Osteonecrosis
2.1.
Post-traumatic
2.2.
Atraumatic
2.2.1.
Introduction-incidence, epidemiology,
demographics
2.2.2.
Pathophsiology
2.2.3.
Pathology
2.2.4.
Diagnosis
2.2.4.1.
Clinical Evaluation
2.2.4.2.
Radiographic Evaluation
2.2.4.3.
Other tests?
2.2.5.
Staging and Classification
2.2.6.
Treatment Options
3.
Conservative Management
3.1.
Oral Medications
3.2.
Tylenol vs. ASA
3.3.
OTC Antinflammatories vs. Prescripton, COX-2 Inhibitors
3.4.
Chondroprotective Agents-Chondroitins
3.5.
Analgesics- Narcotics and Others
3.6.
Activity Modification
3.7.
Bracing/ Orthotics
3.8.
Cane—How it reduces forces
3.9.
Hip Muscle Strengthening
3.10.
Injections—Corticosteroids
3.11.
Viscosupplementation
4.
Surgical management
4.1.
Hip Arthroscopy
4.2.
Head Impingement (open vs.
arthroscopy), debulking, etc.
4.3.
Femoral Osteotomy
4.4.
Pelvic Osteotomy
4.5.
Resection Arthroplasty
4.6.
Femoral Head replacement
4.7.
Femoral Head resurfacing
4.8.
Bipolar replacement
4.9.
Total hip replacement
4.9.1.
Indications
4.9.2.
Pre-operative planning / templating
4.9.3.
Fixation
4.9.4.
Cemented
4.9.5.
Cementless
4.9.6.
Comparison of Results of Cemented/Cementless Epidemiology
4.9.7.
Types of Components (Design Issues)
4.9.7.1.
Large head vs. standard
4.9.7.2.
Interfaces: MOM, MOP, COM, MOC, COC
4.9.7.3.
Proximally Coated vs. Fully Coated Cementless
4.9.7.4.
Modular vs. Non-Modular Femoral
Components
4.9.7.5.
Offset Issues
4.9.7.6.
Small Stems
4.9.7.7.
Monoblock Acetabum vs. Modular
4.9.7.8.
Acetabular Fixation-screw, spikes, pressfit, hemispherical
4.10.
Instrumentation
4.10.1.
General retractors, etc.
4.10.2.
Special instrumentation—light head
sets, curved inserters
5.
Techniques
5.1.
MIS issues
5.2.
Lateral – traditional
5.3.
Lateral – Direct
5.4.
MIS Direct Lateral
5.5.
Posterior – traditional
5.6.
Posterior – MIS
5.7.
Anterior
5.8.
Trochanteric slide
5.9.
Trans –trochanteric
5.10.
Trans-femoral
5.11.
Component positioning
5.11.1.
Executing the pre-op. plan
5.11.2.
Femoral goals, landmarks and intraoperative assessment
5.11.3.
Acetabular goals, landmarks and intraoperative assessment
5.11.4.
Intra-operative imaging (fluoroscopy
/ x-ray)
5.12.
Navigation
5.13.
THR – Special cases
5.13.1.
Girdlestone conversion
5.13.2.
THR after osteotomy
5.13.3.
Fusion takedown - Bilateral vs.
Unilateral
5.13.4.
High DDH
5.13.5.
Post Perthes,
short neck
5.13.6.
Paget’s
5.13.7.
Deformed femur
5.13.8.
After free fibular graft or other
grafting
5.13.9.
After Fracture
5.13.10.
Following sepsis
5.13.11.
Results—Expected in Standard
Populations and in Special Situations
5.13.12.
Elderly
5.13.13.
JRA
5.13.14.
Osteoporosis
6.
Total hip resurfacing arthroplasty
6.1.
Indications (v. THR)
6.2.
Pre-op. planning / templating
6.3.
Getting exposure (v. THR)
6.4.
Acetabular technical considerations
6.5.
Femoral technical considerations
6.6.
Cementing Considerations
6.7.
Navigation
6.8.
Anti-Navigation
6.9.
Special Rehabilitation
6.10.
Failure mechanisms
6.11.
Radiographic Evaluation
6.12.
Conversion to THR
6.13.
Expected Results in Various
Population subgroups
7.
Post-op. Management
7.1.
In-patient rehab.
7.2.
Out-patient rehab.
7.3.
Pilates
7.4.
Follow-up and post-op. evaluations
8.
Treatment of complications
8.1.
Skin Tears
8.2.
Drainage—early, persistent
8.3.
Hematoma
8.4.
Post-operative Fever –early vs.
late—when and what workup needed
8.5.
Limb-length Inequality
8.5.1.
Apparent---how to treat
8.5.2.
True LLI
8.6.
Dislocation
8.6.1.
Understanding impingement mechanisms
8.6.2.
Early
8.6.3.
Late
8.6.4.
Recurrent
8.7.
Nerve / vascular injuries
8.8.
Peri-prosthetic fractures
8.9.
Intra-operative—hoop stress calcar or more severe
8.10.
Post-operative
8.10.1.
Classification
8.10.2.
Treatments
8.10.3.
Femoral
8.10.4.
Acetabular
8.10.5.
Acetabular Fracture after THR
8.11.
Nerve Injury
8.12.
Vascular Injury
9.
Failed total hip replacement
9.1.
Clinical evaluation
9.2.
Laboratory evaluation
9.3.
Wear and osteolysis
9.4.
Loosening
9.5.
stem failure
9.6.
acetabular failure
9.7.
Heterotopic Ossification
9.8.
Recurrent dislocation
9.9.
Pain without apparent cause
9.10.
Epidemiology/Reasons
10.
Revision THR
10.1.
Pre-op. planning / templating
10.2.
What’s in there? X-ray collection of implants for I.D.?
10.3.
Defect classification systems
10.4.
Revision after pelvic
discontinuity
10.5.
Impaction grafting
10.6.
Which exposure?
10.7.
Extended trochanteric osteotomy
10.8.
Implant removal
10.9.
Hand tools
10.10.
High speed / low toque (Midas; Anspach, etc.)
10.11.
Ultrasound (Oscar; Ultra-drive, etc.)
10.12.
Single component revision
10.13.
Liner exchange (+/- bone grafting)
10.14.
Position and modularity acceptable
10.15.
Position or modularity unacceptable =
cement in liner
10.16.
Revision THR – by defect
classification; femoral and acetabular
10.17.
Implants
10.18.
Bone grafts / supplements -- Impaction grafting revision
10.19.
Metal augments (Tantalum and others)
10.20.
Allograft-prosthesis composites
10.21.
Heavy metal – segmental replacements
10.22.
Girdlestone Arthroplasty;
when, why and how
10.23.
Hip disarticulation
10.24.
Cage
10.25.
Cemented femoral revision
10.26.
Impaction grafting
10.27.
Complex “shattered” femurs
10.28.
Acetabular revisions
10.29.
Proximally fixed modular stems
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