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Programme: The Great Debate, 2010
The Great Debate: Early Intervention in the Hip and Knee
Friday 22 January 2010
IMAX Theatre, Science Museum

Welcome and interactive keypad instruction from Professor Justin Cobb and Dr Andrew Shimmin
08.00 Welcome and interactive keypad instruction Justin Cobb/Andrew Shimmin
     
Hip session     
     
Keynote Hip procedures: What are we trying to achieve? Philip Noble
     
Are very early interventions clinically/cost effective? Chair  Andrew Shimmin
  Impingement causes OA Michael Leunig 
  Arthroscopy can prevent OA David Young
  Osteotomy can prevent OA John O'Hara
Debate Challenger  Dermot Collopy
     
Is conservative hip arthroplasty effective? Chair  Justin Cobb
  Resurfacing is conservative and effective Koen De Smet
  Mid-head devices are safer and more effective Marci Maheson
  Mid-neck devices are safer Richard Field
Debate Challenger  John O'Hara 
     
     
Are traditional stems sufficiently clinically effective? Chair  Andrew Shimmin
  Cementless stems work  Johan Witt
  Cementless stems don't always work Dermot Collopy
  Cemented stems work as well Graham Gie 
  Modular necks give an extra dimension Aldo Toni
Debate Challenger  Henrik Malchau
     
Are any cups really clinically effective? Chair  Justin Cobb
  Cementless cups are the new gold standard Jean-Alain Epinette 
  Cemented cups are cheap and effective Graham Gie
  Edge loading: Device or surgeon or both? Alister Hart
  Impingement: A problem of device or surgeon or both Bill Walter
  Benefits of modularity Andrew Manktelow
Debate Challenger  Gordon Bannister
     
     
Bearings: Spoilt for choice or not yet good enough? Chair  Andrew Shimmin
  Polyethylene re-invented Henrik Malchau
  Ceramic-on-ceramic is durable and reliable Bill Walter
  Metal-on-metal is still OK Koen De Smet
  Ceramic-in-metal: The new couple on the block Anton Schepers
  Compliant bearings show promise Antonio Moroni
Debate Challenger  Martyn Porter
     
Surgical techniques: Are they/we good enough? Chair  Justin Cobb
  The essential ingredients of expert level arthroplasty Sarah Muirhead-Allwood
  Big balls are what you need... Rob Middleton
  Image free navigation helps me Marci Maheson
  CT based navigation works for me Marcus Bankes
  Just do it properly Gordon Bannister
Debate Challenger  Koen De Smet
     
     
Hip outcomes measures: Are they right, and effective? Chair Andrew Shimmin
  How I use clinical scores Jean-Alain Epinette 
  Gait evaluation is more objective Nicola Maffiuletti
  Registries tell the truth Henrik Malchau
Debate Challenger  Philip Noble
     
Who wants to pay and who makes the decisions? Chair Justin Cobb
  What is best for the patient Rob Middleton
  What is affordable on tariff Tim Briggs
  Is this practical on the NHS? Brian Wells 
  Is this practical for insurers? Michael Armitage 
  Quality and quantity: The political challenge Lord Ara Darzi  
Debate Challenger  Lord Ian McColl
     
  Hip session round-up Justin Cobb/Andrew Shimmin
     
18.15 Meeting adjourn  
     
     
19.30 Champagne reception   
     
20.00 Dinner   
 
The Great Debate: Early Intervention in the Hip and Knee
Saturday 23 January 2010
IMAX Theatre, Science Museum

Welcome and interactive keypad instruction from Professor Justin Cobb and Dr Andrew Shimmin
08.30 Welcome and interactive keypad instruction Justin Cobb/Andrew Shimmin
     
Knee session     
     
Keynote  Knee procedures: What are we trying to achieve? Andrew Price
     
Are very early interventions clinically/cost effective? Chair Andrew Shimmin
  Osteotomy Julian Feller
  Does recon alter outcome of the ACL injured knee? Fares Haddad
  Cartilage replacement - MACI Tim Briggs
  Prosthetic material works better Harish Parmar
Debate Challenger  Gareth Scott
     
Are partial replacements clinically/cost effective? Chair Justin Cobb
  Fixed unis are safe and effective David Young
  Mobile bearing unis work/lateral? Andrew Price
  PFJs can work well Christopher Ackroyd
  Uni- or Bi- is better than a TKA Philippe Cartier
Debate Challenger  Dermot Collopy
     
Coffee    
     
Different TKRs: Which type works best? Chair Andrew Shimmin
  Retain the PCL Robin Strachan
  Posterior stabilised bend more Paul Allen
  Medial rotation works better Kirti Moholkar
  Active posterior stabilised makes sense Julian feller
Debate Challenger  Philip Noble
     
Knee outcome measures: What is important and can it be measured? Chair Justin Cobb
  Clinical scores should work Philip Noble
  Gait evaluation is more objective Julian Feller
  Registries tell the truth John Skinner
Debate Challenger  Christopher Ackroyd
     
  Knee session round-up and meeting summary Justin Cobb/Andrew Shimmin
     
13.30 End of meeting