1. HARVARD MEDICAL SCHOOL
DEPARTMENT OF CONTINUING EDUCATION
40th Annual Course
ADVANCES IN ARTHROPLASTY
Burning Issues
and
The Young Adult With Hip Disease
From Early Detection to Arthroplasty
September 28 - October 1, 2010
Under the Direction of
HARRY E. RUBASH, MD, DIRECTOR
ANDREW A. FREIBERG, MD, CO-DIRECTOR
HANY S. BEDAIR, MD • DENNIS W. BURKE, MD • YOUNG-MIN KWON, MD, PhD
HENRIK MALCHAU, MD, PhD • JOSEPH C. MCCARTHY, MD
ORHUN K. MURATOGLU, PhD • STEVEN F SCHUTZER, MD
.
RICHARD D. SCOTT, MD • THOMAS S. THORNHILL, MD
WILLIAM H. HARRIS, MD, DSc, DIRECTOR EMERITUS
Offered by
at the
Hyatt Regency Hotel
Cambridge, MA

2. COURSE DESCRIPTION & OBJECTIVES
This year’s Annual Advances in Arthroplasty Course marks the 40th presentation of the
course, making it the longest Continuing Education Course at Harvard Medical School.
In order to celebrate this significant milestone, the format of this year’s program will be
new and innovative, highlighting today’s important challenges in the field of total joint
arthroplasty surgery, while offering state-of-the-art education in the areas of both hip and
knee arthroplasty as well as hip arthroscopy and the treatment of hip disease in the young
adult. The focus of this year’s course will be problem-based in order to address the
“Burning Issues”. These issues are clinical challenges relevant to everyday practice that
are not fully resolved. They include dislocation, adverse reactions to alternate bearings in
contemporary use, sepsis, the optimization of DVT prophylaxis, the use of navigation and
emerging implant designs. Outstanding local, national and international faculty in the
field will present the latest findings and newest techniques in the newly developed format.
The program includes the 9th Annual Harris Oration by Clive Duncan, MD, FRCS(C);
keynote addresses; symposia; and the very popular video vignettes and “live surgeries”. In
addition, this year’s program will include emerging technological advances in total hip
and knee arthroplasty, including man-
agement of early osteoarthritis of the At the conclusion of this course,
hip, and early intervention to reduce the participants should:
the progression of osteoarthritis. As
always, there will be ample time during • be contemporary in the understandings
the Meet the Faculty Sessions for you to of the various bearing surfaces that are
discuss your challenging cases and for currently available;
the discussion of the issues. Finally, the • have knowledge of relative effectiveness and
venue for this year’s 40th course, the potential and actual disadvantages of each
approach to prevent and treat dislocation;
Hyatt Regency Hotel, Cambridge, MA,
• be fully cognizant of the exciting new
has just undergone extensive renova- avenues available for primary hip and knee
tions!!! arthroplasty;
• have an understanding of the theories of
osteoarthritis of the hip; and early interven-
tion options including hip arthroscopy,
ACCREDITATION surgical dislocation and osteotomy;
Harvard Medical School is accredited by • have a comprehensive understanding of the
the Accreditation Council for Continuing issues surrounding primary and revision
Medical Education (ACCME) to provide total hip and knee arthroplasty;
continuing medical education for physi-
cians. Harvard Medical School designates • have an understanding of the various
this educational activity for a maximum of options available for Computer Assisted
the following AMA PRA Category 1 Orthopedic Surgery (CAOS) and navigation
Credit(s)TM: devices;
• Full Course - 33.75
• have up-to-date knowledge of the most
• Day One - 7.5 current recommendations as well as under-
Physicians should only claim credit com- standing of new information on prophylaxis
mensurate with the extent of their partic- for deep vein thrombosis (DVT) and treat-
ipation in the activity. ment.

3. Course Directors REGISTRATION INFORMATION
Harry E. Rubash, MD, Director Early Registration Fee:
Andrew A. Freiberg, MD, Co-Director Postmarked by July 28, 2010 - $1,350 (USD)
Hany S. Bedair, MD • Dennis W. Burke, MD Day One Only (Focus on Hip Disease in the
Young-Min Kwon, MD, PhD Young Adult) - $450 (USD)
Henrik Malchau, MD, PhD Late Registration Fee:
Joseph C. McCarthy, MD Postmarked after July 28, 2010 - $1,500 (USD)
Orhun K. Muratoglu, PhD Day One Only (Focus on Hip Disease in the
Steven F Schutzer, MD • Richard D. Scott, MD
.
Thomas S.Thornhill, MD Young Adult) - $550 (USD)
William H. Harris, MD, DSc, Director Emeritus Reduced Fee for Residents*/Fellows in Training*
and Allied Health Professionals - $390 (USD)
*with a letter of verification from Department Chair
Invited Boston Faculty All foreign payments must be made by a draft on a
Peter Asnis, MD Joseph McCarthy, MD United States Bank or by Visa or MasterCard. If paying
Hany Bedair, MD Michael Millis, MD by check, please make payable to Harvard Medical
Charles Bragdon, PhD Thomas Minas, MD School and mail with completed registration form to:
Dennis W. Burke, MD Orhun Muratoglu, PhD
Harvard Medical School - Department of Continuing
Brian Busconi, MD Sandra Nelson, MD
Wolfgang Fitz, MD Harry E. Rubash, MD
Education, P Box 825, Boston, MA 02117-0825. If
.O.
Andrew Freiberg, MD Richard Scott, MD paying by credit card, please register online at
William H. Harris, MD, DSc John Siliski, MD www.cme.hms.harvard.edu/courses/arthroplasty.
William Healey, MD Thomas Thornhill, MD Telephone, fax or mail-in registration is not
Young Min Kwon, MD, PhD William Tomford, MD accepted. Inquiries should be directed to the above
Guoan Li, PhD Geoffrey Van Flandern, MD address, made by phone: 617-384-8600, Monday-
Henrik Malchau, MD, PhD Mark Vrahas, MD Friday, 10 AM to 4 PM (EST), or by e-mail:
hms-cme@hms.harvard.edu. Upon receipt of your
“The Annual Harris Oration” registration form an email confirmation from the HMS-
The 9th Harris Orator: DCE office will be sent to you. Therefore, be sure to
include an email address that you check daily/
Clive Duncan, MD, FRCS(C) frequently. Your email address is used for critical
information about the course including: registration
Invited Distinguished confirmation, course evaluation and certificate.
International Faculty REFUND POLICY
Clive Duncan, MD, FRCS(C) Sergio Romagnoli, MD A handling fee of $60 is deducted for cancellation.
Göran Garellick, MD, PhD John Skinner, MBBS, Refund requests must be received by mail or fax one
Don Howie, MD, FRCS FRCS(Orth) week prior to the course. No refunds will be made
Victor Illizaliturri, MD Richard Villar, MD thereafter.
Johan Kärrholm, MD, PhD William Walter, MD, FRACS COURSE LOCATION
Cecilia Rogmark, MD All sessions will be held at the
Hyatt Regency Hotel
575 Memorial Drive, Cambridge, MA 02139
Invited Distinguished Telephone: 617-492-1234 or 1-800-233-1234
National Faculty Web:www.cambridge.hyatt.com
Harlan Amstutz, MD Victor Krebs, MD (Conference Code: JMDH)
Matthew Beal, MD Louis Kwong, MD ACCOMMODATIONS
Richard Berger, MD David Lewellan, MD Hotel rooms in Boston and Cambridge are limited.
Daniel Berry, MD Jay Lieberman, MD You are urged to make your reservations early. A
Kim Bertin, MD Adolph Lombardi, MD
Robert Booth, MD Jess Lonner, MD
limited number of rooms have been reserved on a first-
Kevin Bozic, MD Ormand Mahoney, MD
come, first-served basis at the Hyatt Regency Hotel,
J. W. Thomas Byrd, MD William Maloney, MD Cambridge until September 5, 2010. Please specify
David Caborn, MD Anthony Marchie, MD that you are enrolled in this course to receive the
John Callaghan, MD Michael Mont, MD reduced room rate of $255 Single/Double. To ensure
William Capello, MD Philip Noble, MD that you get the group rate, it is recommended that
John Clohisy, MD Hari Parvanteni, MD you make your reservations as soon as you receive
John Collier, MD Jarad Parvizi, MD confirmation of enrollment, since the discounted
Craig Della Valle, MD Jennifer Peter, MD rooms often sell out before the date noted above. A
Doug Dennis, MD Hollis Potter, MD map of Boston and Cambridge listing local hotels will
Lawrence Dorr, MD Wayne Proposky, MD be sent with your confirmation of enrollment.
Charles Engh, MD Chitranjan Ranawat, MD TRAVEL
Philip Glassner, MD Marc Safran, MD
Please do not make non-refundable airline reserva-
Alan Gross, MD Thomas Sampson, MD
Carlos Guarche, MD Thomas Schmalzried, MD
tions until you have been confirmed into your course.
Stephen Haas, MD Steven Schutzer, MD You can make your airline reservation by calling the
Mark Hartzband, MD Giles Scuderi, MD HMS Travel Desk toll free 1(877)4-HARVMD
Aaron Hoffman, MD Raj Sinha, MD (1-877-442-7863) Monday - Friday 9 AM - 8 PM (EST).
Richard Illgen, MD James Slover, MD From outside the U.S., Canada and Virgin Islands,
Bryan Jarrett, MS Alfred Tria, MD please call (617) 559-3764.
Bryan Kelly, MD James Wood, MD Register Early - space is limited.

4. Advances in
Video Vignettes
Normal Exam
Tuesday, September 28, 2010
7:00 AM Registration Labral Tear: Resection, Repair, Chondral
8:00 AM Welcome and Introduction Lesion, Cam Lesion, Pincer Lesion
8:10 AM Hip Disease in the Young Adult Young Patient with Labral Tear and DJD:
Who is Candidate: Clinical Pearls Surgical Options
Differential Diagnosis and Sports Hernia Arthroscopy
Advances in Radiological Imaging Osteotomy
MRI: Magnet Strength, Coils, Gadolinium Hip Resurfacing
Advances in Cartilage Imaging: D-Gemric THR
Principles of Safe Hip Distraction Fusion
Why I Use the Supine Position: 5:30 PM Adjourn for Day
Advantages/Limitations
Why I Use the Lateral Position:
Wednesday, September 29, 2010
Advantages/Limitations 6:00 AM Registration
Labrum: Arthroscopic Anatomy 7:00 AM Welcome and Introduction
Portal Relationship to Neurovascular 7:10 AM Do Big Heads (Greater Than 32 mm)
Structures Substantially Reduce Dislocation Rate?
Avoiding the Labrum and Cartilage Prospective Data From Ceramic on Ceramic
10:00 AM Break Comparative Data From Metal on Metal
10:20 AM What Can Be Treated: Techniques and Results Surface Replacement Data on Dislocation
Labral and Chondral Lessions Prospective Multicenter Data on Metal on
Labral Repair Highly Crosslinked Polyethylene
Synovial Chondromatosis, Loose Bodies Reduction of Dislocation Rate in Revision
Traumatic Injury Surgery
Post THR What Prices are Paid to Achieve These
Extra Articular Conditions Reductions?
Abductor Tears Keynote Address: Adverse Experiences With
Limits of Arthroscopy Surface Replacements: The Pseudotumor
Live Surgery Phenomena
1:00 PM Lunch Quantification of Incidence, Duration and
2:00 PM Femoral Acetabular Impingement (FAI) Activities Involved in Edge Loading in Selected
Femuroplasty - Cam Lesions Population of Surface Replacement Patients
Arthroscopic Treatment Pseudotumor Formation Among Stemmed,
Limited Open Treatment Large Head Metal on Metal THR
Acetabuloplasty - Pincer Lesions Keynote Address Rebuttal: Surface
How I Manage Them Arthroscopically Replacement Without Pseudotumor Formation
Navigation for FAI and 3D Computer Alternate Explanations for Adverse Reactions
Simulation to Surface Replacements
Myths About FAI 9:30 AM Break
3:35 PM Break 9:50 AM What are the Downside Risks with Large Head
4:00 PM Keynote I: FAI: A Balanced Perspective Ceramic on Ceramic THR?
Keynote II: What Can be Learned From the Stripe Wear, Squeaking, Fractures
Laboratory Edge Loading in Ceramic on Ceramic Cases
Keynote III: Labral Lesions: A Multifaceted Design Features in the Incidence of
Etiology Squeaking
Keynote IV: Dysplasia and FAI: Pearls and Rebuttal: Ceramic on Ceramic Heads With
Pit-Falls When Hips Have Both Minimal Complications
Keynote V: Outcomes: Minimum 10 Years

5. Arthroplasty — A Comprehensive Four-D
What are the Downside Risks With Large
Heads in Metal on Highly Crosslinked
Thursday, September 30, 2010
Polyethylene 7:00 AM Welcome
Increased Volumentric Wear 7:05 AM Now Let’s Consider Some Things That are
Rebuttal: Challenges to the Data Reporting Working Well
Increased Volumentric Wear With Large Cementless Acetabular Fixation at 20 Years in
Heads Against Highly Crosslinked Primary THA
Polyethylene Improved Locking Mechanism at 10 Years
Keynote Address: Do the RSA Data Indicate an Cementless Tapered Femoral Components in
Increased Penetration in Highly Crosslinked Revision Settings
Polyethylene After Five Years? Acetabular Hemispheric Shells at 20 Years
12:15 PM Lunch Keynote Address: Trabecular Metal Hemispheric
1:15 PM The Future of Alternate Bearings Shells in Severe Acetabular Revisions
New Metal on Metal Prospects Another Thing That is Working: Registries
Improved Ceramics Progress With the USA Registry
Keynote Address: Improved Polyethylene Registries: Data That You Can Use
Vitamin E RSA Data What do the Large Numbers Clarify?
Thin Polyethylene Formulations for Surface The Curious Issue of Something That Works
Replacement Well But is Not Being Used! THA for Femoral
Yet Another Thing That is not Working, Neck Fractures
Acetabular Positioning, Even in Primary THR Keynote Address I: European Data From
Acetabular Component Positioning in Primary Prospective Randomized Studies
THR at a Teaching Hospital Keynote Address II: Current Practice in the USA
For Metal on Polyethylene, Does Cup Position Getting the Message to the Trauma Surgeons
Appear to Matter? Dealing with the Osteoporotic Femur
Is Navigation the Solution? 10:30 AM Break
How I Orient the Acetabulum 10:50 AM What is Working and not Working in Sepsis of
Offset Liners Have Risks THA
What About the Femoral Side Risks? The Harris Oration: Just a Thought But See It
Femoral Version is Easily Misunderstood and Through
Anteversion is Additive Can Selected Septic Case be Done
DDH Represents Special Problems Successfully in One Stage?
Digital Templating Can Improve These Issues Experience at a Teaching Hospital, More
Live Surgery Failures Than Expected
3:05 PM Break Reduction of Risk by Chlorhexidine Scrub
3:25 PM The Continuing Saga of DVT Prophylaxis Reduction of Risk by Screening and Treating
Keynote Address: Survey of Contemporary MRSA and MRSE
Pharmacologic Agents (Including Rivaroxban) Keynote Address: What to do About MRSA and
Rebuttal: Indeed, it is Needed MRSE Cases
Advanced Mechanical Prophylaxis 12:15 PM Lunch
Whose Recommendations to Follow AACP,
AAOS or Others?
5:30 PM Adjourn for Day
Please note: Program changes/substitutions may be
made without notice.

6. -Day Update
1:15 PM Continuation of the Topic of Sepsis - Now, for
TKR
Friday, October 1, 2010
Knee Sepsis 7:00 AM Welcome
Evaluation of the Painful TKA Live Surgery
Results of Early Debridement — 2 Stage in Now, the Future: Navigation, Robots,
2010 Custom Implants
Antibiotic Selection and Treatment Keynote: Overview of The Field
What are the Results? Navigation Drives Better Results
DVT and Total Knee Arthroplasty Navigation a Needless Expense
Knee Patients are Not Hip Patients: Robotic Innovation
Prophylaxis for TKA Customs are the Future
Preventing Complications With Effective 10:00 AM Break
Prophylaxis 10:20 AM Meet the Faculty Sessions
Utility of Ultrasound A Major Review of Revision TKA
Pre - Total Knee Preoperative Evaluation of The Painful TKA
Keynote: Biologically Active Allograft Utility Preoperative Aspiration
Partial Knee Replacement Surgery Choice of Constraint in Revision TKA
Medial UKA: Technique and Results Difficult Patella: Deficiency, Subluxation,
Lateral UKA: Technique and Results Fracture
Patello-Femoral Arthroplasty: Indications and Use of Stems and Wedges
Technique What’s New in Allografts
Combined Medial and Patello-Femoral Long Term Success With Contrained Devices
Bicompartmental Knee Arthroplasty Extensor Mechanism Failure and
Focal Arthroplasty Reconstruction
3:05 PM Break Indications and Technique of Knee Fusion
3:25 PM Total Knee Replacement Issues For Primary 12:15 PM Lunch
Surgery 1:15 PM Blood Loss Management in TKA
Common Dilemmas of the Occasional Knee New Data on Autologous Donation
Surgeon: Decreased Blood Loss With Thrombins
Cement vs Cementless Postoperative Collection Systems
CR vs PS – Is it an Issue? Transfusion Indications and Practice
Exposure of Primary TKA Bearing Issues In TKA
Assessment of Implant Position and Patellar Failure Mechanisms
Tracking Results of all Poly Tibias
Knee Balancing Results With Conventional Poly
Balancing a Rotating Platform XLPE in TKA
Algorithm for Ligament Balancing in a PCL Role of Vitamin E Poly
Substituting TKA 3:00 PM Break
How to Balance a PCL Retaining TKA 3:20 PM Surgical Video Vignettes
6:00 PM Adjourn for Day MIS Exposure for Primary TKA
Complex Surgical Exposure
Tips to Get the Tibial cut Correct
Femoral Rotation: Don’t Get Fooled
Balancing the PS TKA
Adding PF Joint to an UKA
5:00 PM Adjourn
For more information, or to register online, visit:
www.cme.hms.harvard.edu/courses/arthroplasty

7. REGISTRATION
ADVANCES IN ARTHROPLASTY
September 28 - October 1, 2010
Print Clearly – All Fields Required
Name __________________________________________________________________________________
First Middle Last
Degree _________________________________________________________________________________
Mailing Address ______________________________________________________________________
Street
_______________________________________________________________________________________
City State Zip Code
Daytime Phone ( )______________________ Fax Number ( )________________________
Please note: Your email address is used for critical information about the course including; registration confirmation,
course evaluation and certificate. Please be sure to include an email address you check daily or frequently.
Email Address __________________________________________________________________________
r Please check if you wish to be excluded from receiving email notices of future HMS-DCE programs.
Professional School Attended ____________________________________________________________
Year of Graduation ________________ Profession ___________________________________________
Principal Specialty (Physicians Only) __________________________ Board Certified: r Yes r No
Organization Affiliation _________________________________________________________________
Form of Payment: Course # 301125
r Day One Only (Focus on The Young Adult with Hip Disease)
Early Registration Fee . . . . postmarked by July 28, 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$450 (USD)
r Day One Only (Focus on The Young Adult with Hip Disease)
Late Registration Fee . . . . postmarked after July 28, 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$550 (USD)
r Early Registration Fee . . . . postmarked by July 28, 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1350 (USD)
r Late Registration Fee . . . . postmarked after July 28, 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1500 (USD)
r Reduced Fee for Residents*/Fellows in Training* and Allied Health Professionals . . . . . . . $390 (USD)
*A letter of verification from Department Chair must accompany the registration form for a reduced fee.
If paying by check, make it payable to Harvard Medical School and mail
with the completed registration form to:
Harvard Medical School - Department of Continuing Education, P Box 825, Boston, MA 02117-0825
.O.
If paying by credit card, telephone, fax or mail-in registrations are not accepted.
Please register online at www.cme.hms.harvard.edu/courses/arthroplasty
£
Online Registrants: Add the first three characters of the source code found here Source Code: A B C D E F X ZZZ