PETER BREHM REVISION SYMPOSIUM
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PETER BREHM REVISION SYMPOSIUM
6TH INTERNATIONAL CONFERENCE, BONN
“ADVANCED REVISION ARTHROPLASTY:
IN SEARCH OF EXCELLENCE“
14-15 NOVEMBER 2019
ART AND EXHIBITION HALL OF THE
FEDERAL REPUBLIC OF GERMANY
BPK-S INTEGRATION
A SINGLE SYSTEM FOR
EVERY INDICATION
Maximum flexibility – for solutions that fit, ”just in time!“
BPK-S INTEGRATION
ROTATING & TOTAL HINGE BPK-S INTEGRATION
SEMI-CONSTRAINT
BPK-S INTEGRATION
CR/CS PRIMARY CERAMIC
BPK-S INTEGRATION
CR/CS PRIMARY
| Metal-free, hypoallergenic solution
| Maximum flexibility and effectiveness
| Uncompromising stability
| Efficient and precise surgical technique
Literature
PETER BREHM GmbH | Am Mühlberg 30 | D-91085 Weisendorf | Tel. +49 9135 7103-0 | Facsimile +49 9135 7103-16
PREFACE Dear colleagues, dear customers and friends of PETER BREHM GmbH, After the overwhelming success of our events in past years, each with nearly 500 participants from all over the world, we would like to cordially invite you once again to Bonn on 14 and 15 November 2019 for the “PETER BREHM REVISION SYMPOSIUM – 6th International Conference” in the Art and Exhibition Hall! In 2019 as well, the complex challenges of revision arthroplasty with all their facets remain the same. Remembering Kant‘s classic questions “What can I know?”, “What should I do?”, “What may I believe?” our aim is to focus knowledge and present genuine treatment alterna- tives. For this reason we have titled our conference “ADVANCED REVISION ARTHROPLASTY: IN SEARCH OF EXCELLENCE.“ We will critically examine special surgical considerations and adequate solutions in acetabular revision surgery. In addition to the question of which factors determine the long-term out- come, biologic reconstruction, the choice of suitable augments, and salvage procedures play a significant role. Current challenges and multiple options in femoral revision will also be examined. In addition to medical and technical influencing factors, the relevance of the use of cement in revision cases and the tumor prosthesis as “ultima ratio” will be discussed. Traumatologic problems are increasingly encountered in clinical practice. Therefore, in addition to the periprosthetic fracture and infection, a key topic will be the challenge of the interprosthetic fracture. The conference will also provide answers to important questions of knee revision: Why do knee prostheses fail? Which degree of constraint is required for which indication? Which implant should be chosen? And when is arthrodesis indicated? The periprosthetic infection will be another main topic. In pro and contra presentations, acknowledged infection specialists will closely examine and discuss concepts that you rarely find in a textbook. It is our pleasure to be able to present to you an internationally renowned speaker at the end of each block. Experts from Europe, Asia, and South America will present their specific national solutions for the most common problems in revision arthroplasty in their respective countries. We have expanded the program to include intensive panel discussions. Take advantage of this opportunity for interactive discussion, networking, and sharing experience with international colleagues. We look forward to your participation, exciting presentations, and interesting discussions. Cordially, D. C. Wirtz, MD, Prof. K. Trieb, MD, Prof. M. D. Michel, MBA University Hospital Bonn Wels (Austria) PETER BREHM GmbH
PROGRAM – Thursday, 14 November 2019
8:00 – 10:00 a.m. Registration
10:00 – 10:15 a.m. Welcome and kickoff – M. D. Michel, D. C. Wirtz
BLOCK 1: 10:15 a.m. – 12:15 p.m.
REVISION ACETABULUM – CURRENT CHALLENGES AND ADEQUATE SOLUTIONS
Chair: Trieb, Rath
10:15 – 10:30 a.m. Keynote: Long-term results with revision cups: Schreurs
Which factors determine the outcome?
10:30 – 10:45 a.m. Biologic bone augmentation – It works! Niemeier
10:45 – 11:00 a.m. Acetabular augments of trabecular Wirtz
titanium – When are they indicated?
11:00 – 11:15 a.m. Tripolar acetabular cup or constrained inlay in Reichel
the presence of multidirectional instability?
11:15 – 11:30 a.m. The large acetabular defect: When is an Gravius
individual prosthesis implant indicated?
11:30 – 11:45 a.m. Acetabular reconstruction in difficult Tikhilov
revision cases – the Russian way
11:45 a.m. – 12:15 p.m. How to treat? How to handle? Wirtz
Case presentations and discussion (Moderation)
12:15 – 1:30 p.m. Lunch break
PROGRAM – Thursday, 14 November 2019
BLOCK 2: 1:30 – 3:30 p.m.
REVISION FEMUR – A POTPOURRI OF POSSIBILITIES
Chair: von Eisenhart-Rothe, Rudert
1:30 – 1:45 p.m. Keynote: Long-term results with revision Wagner
stems: Which factors determine the outcome?
1:45 – 2:00 p.m. Modular revision prostheses: Are they Saxler
absolutely necessary from a medical
standpoint or actually dispensable?
2:00 – 2:15 p.m. Is there any case in which the use of cement Gotterbarm
is still indicated when replacing a stem?
2:15 – 2:30 p.m. The challenge of postoperative gluteal Rudert
insufficiency – How to treat it?
2:30 – 2:45 p.m. The tumor prosthesis as ”ultima ratio“– von Eisenhart-Rothe
What, when, how, and in whom?
2:45 – 3:00 p.m. Femoral revision with modular implants – Sugano
The Japanese experience
3:00 – 3:30 p.m. How to treat? How to handle? von Eisenhart-Rothe
Case presentations and discussion (Moderation)
3:30 – 4:15 p.m. Coffee break
MRS-TITAN COMFORT
MANY REQUIREMENTS –
ONE CEMENTLESS SOLUTION
Augment options
Superior defect Posterior defect Posterosuperior defect
Tongue options
No tongue 45 mm tongue 60 mm tongue
| Effective management of almost all acetabular defects (Paprosky type I-IIIb)
with modular augments in 3 versions
| Significant improvement of functional clinical results and patient-reported
results (PROMs) in geriatric acetabular fractures
| Stable bridging of a variety of defects with different tongue options
| Patented mechanism allows freely selectable inclination and anteversion
Literature
PETER BREHM GmbH | Am Mühlberg 30 | D-91085 Weisendorf | Tel. +49 9135 7103-0 | Facsimile +49 9135 7103-16
PROGRAM – Thursday, 14 November 2019
BLOCK 3: 4:15 – 6:00 p.m.
PERIPROSTHETIC FRACTURES: AN INCREASINGLY SIGNIFICANT ENTITY
Chair: Raschke, Schildhauer
4:15 – 4:30 p.m. Periprosthetic femoral fractures – Internal Grützner
fixation or (modular) implant replacement?
4:30 – 4:45 p.m. Periprosthetic acetabular fractures – Kammerlander
What‘s new? What‘s true?
4:45 – 5:00 p.m. Periprosthetic knee fracture – Trieb
When is a plate indicated?
When is implant replacement indicated?
5:00 – 5:15 p.m. Periprosthetic infections in periprosthetic Militz
fractures
5:15 – 5:30 p.m. The ”nightmare” of an interprosthetic fracture – Schildhauer
Plate fixation or total femoral replacement?
5:30 – 6:00 p.m. How to treat? How to handle? Schildhauer
Case presentations and discussion (Moderation)
6:00 – 6:15 p.m. Celebratory address: 25 years of the MRP-TITAN Forst
modular revision prosthesis – a success story! (Moderation: Wirtz)
6:15 p.m. End of the first day
7:00 p.m. Dinner together in Kunstmuseum with the
opportunity to share experience
PROGRAM – FRIDAY, 15 November 2019
7:00 – 8:00 a.m. Registration
8:00 – 8:20 a.m. Keynote: When and why do hip and knee Heller
prostheses fail? A peek at the register!
BLOCK 4: 8:20 – 10:20 a.m.
KNEE REVISION – AVOIDING PITFALLS
Chair: Wirtz, Winkler
8:20 – 8:35 a.m. Why do knee prostheses fail? Winkler
The surgeon‘s perspective
8:35 – 8:50 a.m. Why do knee prostheses fail? Morlock
The engineer‘s perspective
8:50 – 9:05 a.m. Reconstruction of the joint line when replacing Pagenstert
an implant – How to achieve the optimum?
9:05 – 9:20 a.m. Determining the degree of constraint: How Seltenheim
much stability do I need when and in whom?
9:20 – 9:35 a.m. Arthrodesis or amputation as a salvage Kutscha-Lissberg
procedure? Choosing between the devil and
the deep blue sea?
9:35 – 9:50 a.m. Revision knee arthroplasty – Mello
What‘s state of the art in South America?
9:50 – 10:20 a.m. How to treat? How to handle? Heller
Case presentations and discussion (Moderation)
10:20 – 11:30 a.m. BrunchPROGRAM – FRIDAY, 15 November 2019
BLOCK 5: 11:30 a.m. – 2:00 p.m.
INFECTION – WHAT TO DO IN “HOPELESS CASES“?
Chair: Pagenstert, Ascherl
11:30 – 11:45 a.m. Keynote: New and proven strategies for diagnosing Lohmann
and treating the periprosthetic infection
11:45 – 12:00 a.m. The most frequent errors in septic implant Ascherl
replacement – The surgeon‘s perspective
12:00 – 12:15 p.m. The most frequent errors in septic implant Trampuz
replacement – The infection specialist‘s perspective
12:15 – 12:30 p.m. Yes or no: Long-term antibiotic therapy in septic Decking
implant replacement
12:30 – 12:45 p.m. Yes or no: Septic implant replacement requires a Rath
rotating hinge knee system!
12:45 – 1:00 p.m. Yes or no: Does cerclage wiring left in situ represent Randau
an infection hazard in a two-stage implant
replacement procedure?
1:00 – 1:15 p.m. Periprosthetic infection management – Ribas
The Spanish experience
1:15 – 1:45 p.m. How to treat? How to handle? Ascherl
Case presentations and discussion (Moderation)
1:45 – 2:00 p.m. Summary – Trieb/Wirtz
What have we learned yesterday and today?
2:00 p.m. Conclusion/End of the eventMADE IN GERMANY
REVISION?
PETER BREHM!
Literature
PETER BREHM GmbH | Am Mühlberg 30 | D-91085 Weisendorf | Tel. +49 9135 7103-0 | Facsimile +49 9135 7103-16International Faculty
SPEAKERS
Professor Dr. med. Rudolf Ascherl Professor Dr. med. Karl-Dieter Heller
Chefarzt Chefarzt der Orthopädischen Klinik
MVZ Tirschenreuth Leiter des EndoProthetikZentrums
St.-Peter-Straße 31 A der Maximalversorgung
95643 Tirschenreuth Kliniken Herzogin Elisabeth Hospital
Leipziger Straße 24
Privatdozent Dr. med. Ralf Decking 38124 Braunschweig
Chefarzt
Klinik für Orthopädie und Unfallchirurgie Professor Dr. med. Christian Kammerlander
St. Remigius Krankenhaus Opladen Stellvertretender Direktor der Klinik und
An St. Remigius 26 Leitender Oberarzt
51379 Leverkusen Klinik für Allgemeine, Unfall- und
Wiederherstellungschirurgie
Univ.-Professor Dr. med. Raimund Forst Klinikum der Universität München
Direktor der Orthopädischen Universitätsklinik Campus Großhadern
der Friedrich-Alexander-Universität Marchioninistraße 15
Erlangen-Nürnberg 81377 München
im Malteser Waldkrankenhaus St. Marien gGmbH
Rathsberger Straße 57 Dr. med. Thomas Randau
91054 Erlangen Oberarzt im Schwerpunkt Gelenk- und
Rheumaorthopädie
Prim. Univ.-Professor Klinik und Poliklinik für Orthopädie
Dr. med. Tobias Gotterbarm und Unfallchirurgie
Vorstand Universitätsklinikum Bonn
Universitätsklinik für Orthopädie und Sigmund-Freud-Straße 25
Traumatologie 53127 Bonn
Leitung Endoprothetik Zentrum
Kepler Universitätsklinikum GmbH Privatdozent
Med Campus III. Dr. med. Friedrich Kutscha-Lissberg
Krankenhausstraße 9 Chefarzt
4021 Linz, Österreich Klinik für Orthopädie und Unfallchirurgie
Bergmannsheil und Kinderklinik Buer GmbH
Univ.-Professor Schernerweg 4
Dr. med. Sascha Gravius, MHBA 45894 Gelsenkirchen
Klinikdirektor
Orthopädisch-Unfallchirurgisches Zentrum Univ.-Professor Dr. med. Christoph H. Lohmann
UMM Universitätsmedizin Mannheim Direktor
Medizinische Fakultät Mannheim der Orthopädische Universitätsklinik
Universität Heidelberg Universitätsklinikum Magdeburg A. ö. R.
Theodor-Kutzer-Ufer 1-3 Leipziger Straße 44
68167 Mannheim 39120 Magdeburg
Professor Dr. med. Paul Alfred Grützner Dr. Wilson Mello A. Jr.
Ärztlicher Direktor Instituto Wilson Mello
Klinik für Unfallchirurgie und Orthopädie Clinica de Ortopedia
BG Klinik Ludwigshafen Rua José Rocha Bonfim 214
Ludwig-Guttmann-Straße 13 Jardim Santa Genebra
67071 Ludwigshafen Campinas-São Paulo 13080-650, BrasilienSPEAKERS
Dr. med. Matthias Militz Prim. Professor Dr. med. Björn Rath
Leitender Arzt Abteilung für Orthopädie und orthopädische
Abteilung für Septische und Chirurgie
Rekonstruktive Chirurgie Klinikum Wels-Grieskirchen GmbH
BG Klinik Murnau gGmbH Grieskirchner Straße 42
Professor-Küntscher-Straße 8 4600 Wels, Österreich
82418 Murnau
Univ.-Professor
Univ.-Professor Dr. med. Heiko Reichel
Dr. habil. Michael M. Morlock Ph.D. Ärztlicher Direktor
Leiter Orthopädische Universitätsklinik
Institut für Biomechanik RKU – Universitäts- und Rehabilitations-
Technische Universität Hamburg-Harburg kliniken Ulm gGmbH
Denickestraße 15 Oberer Eselsberg 45
21073 Hamburg 89081 Ulm
Professor Dr. Manel Ribas Fernández
Dr. med. Andreas Niemeier ICATME-Institut Català de Traumatologia
Chefarzt Jefe Unidad de Cadera
Klinik für Orthopädie und Unfallchirurgie C./Sabino de Arana 5 – 19
Krankenhaus Reinbek 08028 Barcelona, Spanien
Hamburger Strasse 41
21465 Reinbek Univ.-Professor
Dr. med. Maximilian Rudert
Ass. Professor Ärztlicher Direktor und Ordinarius für Orthopädie
Dr. med. Geert Pagenstert der Universität Würzburg
Spezialarzt Orthopädie und Traumatologie FMH Orthopädische Klinik König-Ludwig-Haus
Sportmedizin SGSM Brettreichstraße 11
CLARAHOF Clinic für Orthopädie 97074 Würzburg
Clarahofweg 19
4058 Basel, Schweiz Professor Dr. med. Guido Saxler
MERIAN-ISELIN-SPITAL Chefarzt Orthopädie
Swiss Olympic Medical Center Kreiskrankenhaus Dormagen
Föhrenstraße 2 Rhein-Kreis Neuss Kliniken GmbH
4054 Basel, Schweiz Dr.-Geldmacher-Straße 20
41540 Dormagen
Univ.-Professor
Dr. med. Michael J. Raschke Univ.-Professor
Direktor Dr. med. Thomas A. Schildhauer
Klinik für Unfall-, Hand- und Ärztlicher Direktor und Direktor
Wiederherstellungschirurgie Chirurgische Klinik und Poliklinik
Universitätsklinikum Münster Berufsgenossenschaftliches Universitätsklinikum
Albert-Schweitzer-Campus 1 Bergmannsheil GmbH
48149 Münster Bürkle-de-la-Camp-Platz 1
44789 Bochum
Photograph (Prof. Perka): Wiebke Peitz I Charité – Universitätsmedizin BerlinSPEAKERS
Professor Dr. B. Wim Schreurs, MD, Ph Professor
Professor on behalf of the Dutch Arthroplasty Registry Dr. Dr. med. Michael Wagner
Orthopaedic Surgeon Leiter
Department of Orthopaedics EndoProthetikZentrum der Maximalversorgung
Radboud Universitair Medisch Centrum Klinik für Orthopädie und Unfallchirurgie
Geert Grooteplein Zuid 10 Klinikum Nürnberg Süd
6525 HB Nijmegen, Niederlande Universitätsklinik der Paracelsus Medizinischen
Privatuniversität
Dr. med. Markus Seltenheim Breslauer Straße 201
Oberarzt Orthopädie 90471 Nürnberg
Landesklinikum Amstetten
Krankenhausstraße 21 Univ.-Professor
3300 Amstetten, Österreich Dr. med. Dieter C. Wirtz
Direktor
Professor Klinik und Poliklinik für Orthopädie
Dr. Nobuhiko Sugano, MD, PhD und Unfallchirurgie
Department of Orthopaedic Medical Engineering Universitätsklinikum Bonn
Osaka University Graduate School of Medicine Sigmund-Freud-Straße 25
2-2 Yamadaoka 53127 Bonn
Suita 565-0871, Japan
Priv. Doz. Dr. med. Tobias Winkler
Professor Dr. Rashid M. Tikhilov Oberarzt
Director Russian Scientific Research Institute for Leiter Advanced Therapies
Traumatology and Orthopaedics Koordinator HIPGEN EU Horizon 2020
Academician Baykova House 8 Facharzt für Orthopädie und Unfallchirurgie
195427 St. Petersburg, Russland Spezielle Orthopädische Chirurgie & Spezielle
Unfallchirurgie
Centrum für Muskuloskeletale Chirurgie
Privatdozent
BIH Center for Regenerative Therapies & Julius
Dr. med. Andrej Trampuz
Wolff Institut
Facharzt für Infektiologie und Innere Medizin
Charité – Universitätsmedizin Berlin
Oberarzt der interdisziplinären Septischen Chirurgie
Augustenburger Platz 1
Centrum für Muskuloskeletale Chirurgie
13353 Berlin
Charité – Universitätsmedizin Berlin
Augustenburger Platz 1
13353 Berlin
Univ.-Professor Dr. med. Klemens Trieb
Wels, Österreich
Univ.-Professor
Dr. med. Rüdiger von Eisenhart-Rothe,
Dipl.-Kfm.
Direktor der Klinik und Poliklinik für
Orthopädie und Sportorthopädie
Klinikum rechts der Isar
Technische Universität München
Ismaninger Straße 22
81675 MünchenIBS-TITAN
ONE SYSTEM – 3 APPROACH
TECHNIQUES
IBS-TITAN TLIF II
(VARIABLE IMPLANTATION ANGLE)
IBS-TITAN OBLIQUE IBS-TITAN PLIF II
| Optimised cage geometries and footprints improve stability1
| Tooth geometry facilitates implantation and ensures stable positioning
| Ingenious instrument system ensures reproducible results2
| Smart distractor simplifies cage placement
References
PETER BREHM GmbH | Am Mühlberg 30 | D-91085 Weisendorf | Tel. +49 9135 7103-0 | Facsimile +49 9135 7103-16INNOVATIVE EVENT SITES
DIALOGUE OF MEDICINE AND ART
ART AND EXHIBITION HALL OF THE KUNSTMUSEUM BONN
FEDERAL REPUBLIC OF GERMANY Evening program
Daily program
The Bonn Art Museum, an architectural master-
The Art and Exhibition Hall of the Federal piece of Axel Schultes, attracts visitors from all
Republic of Germany is a unique site of art, over the world and houses an impressive collec-
culture, and science. tion of key works by August Macke and other
Rhenish expressionists. With one of the interna-
Its core program encompasses the art of every tionally most important collections of German
epoch, including contemporary art as well art – based on the seminal inventory of works by
as themes from cultural history and arche- August Macke –, the Kunstmuseum disposes over
ology. Yet other realms of knowledge such a collection profile that is unparalleled throughout
as technology and ecology are presented as the country. The collection focuses on the Rhenish
well. The exhibition does not focus solely on Expressionists, German art after 1945.
western culture but aims to achieve a global
perspective. Round off the first day of the symposium together
with us in the extraordinary ambiance of the mu-
At the same time the Art and Exhibition Hall seum. Here you will have an opportunity to share
also represents an ideal location for quality experience with collegues and speakers or simply
conferences and exceptional congresses that take in part of the exhibition. What would better
participants will long remember. complement the museum’s visual allures than
appealing to your culinary tastes as well? Enjoy an
exquisite dinner among impressive works of art.MRP-TITAN & MRS-TITAN COMFORT
& INNOVATION
| Proven philosophy
| Exceptionally user-friendly
| Better patient management
Literature
PETER BREHM GmbH | Am Mühlberg 30 | D-91085 Weisendorf | Tel. +49 9135 7103-0 | Facsimile +49 9135 7103-16GENERAL INFORMATION
ORGANISER COURSE FEE
Universitätsklinikum Bonn (including lunch)
PETER BREHM GmbH For registration by 31 July 2019: €190
For registration after 1 August 2019: €220
SPONSORS SITE
Art and Exhibition Hall of the
Federal Republic of Germany
Museum Mile in Bonn
Friedrich-Ebert-Allee 4
53113 Bonn
Telephone: +49 228-9171-0
EVENING PROGRAM
Kunstmuseum Bonn
ORGANISATION Museumsmeile Bonn
Isabelle Renn Friedrich-Ebert-Allee 2
Telephone: +49 9135-7103-62 53113 Bonn
Facsimile: +49 9135-7103-74 Telefon: 0228 77-6208
isabelle.renn@peter-brehm.de
DATES ROOM RESERVATION
From Thursday, 14 November 2019, You may book accommodations online
10:00 a.m. at www.bonn-region.de/events/peter-
(registration begins at 8:00 a.m.) brehm-2019.html.
To Friday, 15 November 2019,
2:00 p.m. The event site is readily accessible by public
transportation from every hotel. You will
automatically receive a bus and train ticket with
every booking confirmation. This ticket also
includes the airport bus.
You may find current information about the symposium at:
http://revisionssymposium.peter-brehm.deDIRECTIONS DIRECTIONS DIRECTIONS ART AND EXHIBITION HALL OF THE KUNSTMUSEUM BONN FEDERAL REPUBLIC OF GERMANY BY CAR The Kunstmuseum Bonn is located next From or via Cologne follow autobahn A555 to Art and Exhibition Hall of the Federal or A565 to the Bonn-Nord interchange. Republic of Germany. Follow signs for Koblenz to the Poppelsdorf/ Bad Godesberg exit. Then follow Directions and Parking see left column. Reuterstraße/Adenauerallee approximately 3 km. Turn right at the traffic light onto Genscherallee and take the first street on the left: Emil-Nolde-Straße. From the south follow A3 (Siebengebirge exit or Bonn-Siegburg exit) and A59. Take the Bonn-Zentrum exit toward the Museum Mile. PARKING Right next to the Art and Exhibition Hall there is an Apcoa Parking Services parking structure that can accommodate 535 cars. Address: Emil-Nolde-Straße 11 RAIL OR UNDERGROUND From Bonn Central Station: Take underground lines 16, 63, or 66 toward Bad Godesberg/ Königswinter for five stops to Heussallee/ Museumsmeile. From Siegburg/Bonn Station: Take underground line 66 toward Königswinter to Heussallee/Museumsmeile. New rail station: UN Campus Lines RE 5, RB 26, RB 48, and RB 30 stop at the station in both directions. BUS You can take bus lines 610, 611, and 630 to the Art and Exhibition Hall. The bus stops are UN Campus Bahnhof and Marie-Kahle-Allee.
25 years of clinical success
Over 40,000 successful implantations
Exceptionally user-friendly
Literature
PETER BREHM GmbH | Am Mühlberg 30 | D-91085 Weisendorf | Tel. +49 9135 7103-0 | Facsimile +49 9135 7103-16You can also read
