Dear Members,

Many of us are in the summer mood, but orthopaedics doesn’t stop! Read our report here on the FORTE Summer School that just finished in Athens and was a great success once again.

We wish a very warm welcome to our new members joining EHS this month:-

  • Young Member Dr Steliyan Lungarov from Bulgaria
  • Full Member Dr Pavel Tsochev from Bulgaria
  • Full Member Mr Vipin Asopa from UK
  • Full Member Dr Jenz Goronzy from Germany
  • Full Member Assoc Prof Theodoros Tosounidis from Greece
  • and moving up from Young to Full Member Dr Luca Garro from Italy

We look forward to their input to our ever-growing society, where our mission is to “Bring Orthopaedic Surgeons Together!”

Upcoming courses next month include the ICORS 2022 World Orthopaedic Research Congress 7-9th September 2022 (ISFR 6-7 September 2022) in Edinburgh and the NOF (Nordic Orthopaedic Federation) Congress in Vilnius, Lithuania: also 7–9th September 2022. See more courses here.

Meanwhile, the immediate Past President of EHS, Dr Jean-Alain Epinette and the Chairmen of our EHS EduCom and EHS SciCom, Prof Gosta Ullmark from Sweden and Prof Luigi Zagra from Italy, (both Past Presidents of EHS,) are meeting with the EHS ExCom this week to launch the EHS Webinar project that was born during the EFORT Congress in Lisbon and will be presented to you all soon. Watch this space.

Below, the Q&A series introduces Prof Johannes Bastian from Switzerland this month, who joined the EHS EduCom recently. Thanks to him. Please scroll below to read.

Happy Summer Everyone.

Hip Case Q&A

In my opinion there is no «most common» case in our clinic, in Bern hip surgery includes elective and trauma cases and the spectrum is very broad ranging from even pediatric hips, hip preserving surgery, primary (complex) and revision THA (including 3D printed implants), periprosthetic fractures, failed surgeries to pelvic and acetabular fractures. As I focus on revisions and trauma (especially in older patients) I am frequently exposed to acetabular fractures which I manage mostly by the “Pararectus” approach (from anterior) with an osteosynthesis.

There was a polytrauma call with a young patient in extremis suffering from bilateral traumatic hip dislocations (R: posterior, L: pubica) with traumatic amputation of both lower legs. The “Luxatio pubica” was severely displaced with the greater trochanter riding cranially on the symphysis and the neck of femur was entrapped within iliofemoral and pubofemoral ligaments so that even open reduction was a challenge on done together with my vascular surgery colleagues.

Fixation of complex acetabular fractures (ABC) by means of a combination (simultaneous, floppy positioning) of anterior (Pararectus) and posterior (surgical hip dislocation) approaches or to achieve correct leg length and to handle soft-tissues in complex primary THA such as in Crowe 4 DDH or in Perthes or in cerebral palsy patients is challenging and interesting.

Successful Revision THA in PJI in a revision THA complicated with periprosthetic fractures after multiple previous surgeries in a very friendly older lady.

Surgery in non-compliant patients.

There are many challenges in THA currently (e.g. spinopelvic balance and stability of THA) and interesting articles, however the use of  “Artificial intelligence for distinguishment of hammering sound in total hip arthroplasty (Sci Rep. 2022 Jun 14;12(1):9826)” was great fun to read.

To cut the grass at home and gardening.

We will visit Crete for 2nd time this year, cannot wait to enjoy traditional Greek food.