Dear Members,

You will all be aware of the recent ICM on VTE Prevention. Our International Member, Prof Javad Parvizi (Philadelphia, USA) and EHS President Elect, Prof Eleftherios Tsiridis (Thessaloniki, Greece), have summarised the issue for our members below.  Thanks to them.

Meanwhile, we would like to remind you of your invitation to attend the EHS General Assembly during the EFORT congress on Wednesday 22nd June @ 18:30-19:30 CET and we hope to see as many of our members in person as possible. Huge thanks to EFORT for hosting EHS once again as a Speciality Society. Our Booth is 1.14 and we look forward to welcoming you there. To remind you of two of the Scientific EHS events in Portugal:-

EHS Speciality Session: Friday 24th June @ 8-9 CET

Issues in Total Hip Revision
Moderators: Prof Klaus Siebenrock & Prof Stanislav Bondarenko
  • Femoral revision with modular or non-modular stems Prof Klaus Günther
  • Extended trochanteric osteotomy for femoral revision Prof Theofilos Karachalios
  • When to use which augments in acetabular revision? Prof Maziar Mohaddes
  • Today’s role of impaction grafting in the acetabulum and femur Prof Wim Schreurs
  • Discussion

EHS Symposium: Friday 24th June @ 11-12 CET

Patient Expectations Following Primary THA – Cultural, Gender And Age Differences
Moderator: Prof Nicolas Reina
  • Do I Change My Management Before And After Surgery According To My Patient’s Views? TBC
  • All Across Europe, Patients Cultural Impacts On THA Prof Eleftherios Tsiridis
  • Age And THA, Implants Matter? Mobility, Longevity And Stability Dr Jenaro Ángel Fernández-Valencia
  • From Patients’ Expectations To Personalized Care. Are Technical Aspects Relevant? Dr Charles Rivière
  • What We Learn About Our Patients With Data And PROMs Prof Nicolas Reina
  • Discussion

And of course our committee members feature throughout the EFORT programme. Click for the advanced scientific programme HERE.

The two courses EHS collaborated in during May – Bulgarian Orthopaedic & Trauma Assoc meeting in Varna and EHS & Cleveland Clinic London Global Experts Hip Symposium (virtual event) were both a great success. Read the reports next month. And lastly, don’t forget:-

  • 2-3 June 2022 @ 18:00 CET Digital Event: “Direct Anterior Approach for Total Hip Arthroplasty” Online medical education course, 2nd edition. All benefits directly for humanitarian support in Ukraine 
  • German-language hip course on 16-17th June 2022 in Dresden, organised by Profs Günther, Siebenrock & Chiar, including hands on workshops. Click for the programme HERE.

At Last A Global Guideline for Prevention of Venous Thromboembolism after Orthopaedic Procedures

This matter is so important that numerous guidelines have been published around the globe related to this issue. Though very useful, the guidelines have been criticized on many fronts. Majority of the guidelines have a narrow focus, covering knee and hip arthroplasty mostly. Others may have focused on level 1 studies only, which are mostly conducted by pharmaceutical companies as part of obtaining approval for the drug, thus introducing a bias. Majority of the guidelines do not take into account the importance of race, geography, and other factors that may influence the choice of a VTE prophylactic agent. An important criticism of the current guidelines is that they overlook the importance of complications, such as bleeding and wound related complications, that can arise as a result of administration of VTE prophylaxis agents.

ICM has produced previous guidelines related to orthopedic infections and even management of orthopedic patients during the COVID pandemic. Recognizing the need for a global guidelines, taking into account all the current issues, the ICM gathered almost 600 experts from 68 countries to create a document related to VTE prevention following orthopedic procedures. The delegates, representing 135 orthopedic, hematology, cardiology, anesthesia, internal medicine, vascular medicine, and other specialties worked tirelessly over a 12 month period to produce a monumental document that stands to improve the care of our patients. The document is created using the strict Delphi process and after the review of ALL relevant literature. The “guidelines” created covers ALL subspecialties in orthopedics including foot and ankle, hand, hip and knee, oncology, pediatrics, shoulder and elbow, spine, sports, and trauma.

The immense effort and energy that was invested to create this comprehensive document should serve the orthopaedic patients in the years to come. We are grateful to the shrewd and insightful engagement of colleagues from anesthesia, cardiology, hematology, vascular medicine, and other fields. Their selfless contributions will never be forgotten.

The entire document can be accessed on

Or by downloading the App (ICM Philly) from