This podcast features global experts and key opinion leaders discussing innovation, progress and current practice within their subspecialties.
All views expressed in this podcast are of the speakers themselves and not of the RSM.
Produced by Mr Akib Khan (Orthopaedic Registrar) on behalf of the Orthopaedics Section Council at the RSM.
Join in the conversation #RSMOrtho
Ep 33: Professor Justin Cobb: How to introduce new skills into the arthroplasty workforce
We invite Professor Cobb back to discuss the latest in surgical education with particular focus on arthroplasty surgery. Questions include:
- How has hip arthroplasty practice changed globally in the last 20 years?
- How this compares to UK practice and explanations behind the difference?
- Which practice is more effective and which is more cost-effective?
- Is there a large learning curve to direct anterior approach and if so how can it be mitigated?
- How does cognitive task analysis, virtual reality and team simulation address this?
Ep 32: Professor Justin Cobb: Outcome of Arthroplasty
Professor Justin Cobb (Imperial College London) speaks with us about approaches to the hip joint, patient reported outcome measures and the outcome of arthroplasty surgery. Specific points we cover are:
- When trying to determine the outcome is between different hip approaches, can we rely on patient reported outcome measures?
- What is the ceiling affect of patient reported outcome measures?
- Are walking speed and gate potentially outcome measures?
- Does the approach to the hip matter?
- Does implant choice matter and why?
- Who stands to potentially benefit the most from the direct anterior approach?
Ep 31: Professor Sébastien Lustig: Dual Mobility Hip Replacements
We speak with Professor Sébastien Lustig (Lyon, France) about the latest evidence surrounding dual mobility hip replacements. This high yield 20 minute episode covers a range of questions including:
How do dual mobility hips differ from convention?
Are there still concerns about loosening with dual mobility because of forces at bone-implant interface?
What was the evolution of implant design in dual mobility hip replacements and what was the rationale for changes?
Is the clinical range of movement less?
What are your indications for use in a primary THA?
Do dual mobility implants help in the revision setting?
Is the placement of the cup less critical in dual mobility THAs?
There has been an evolution in design over the years, what is next for dual mobility?
Ep 30: Mr Aresh Hashemi-Nejad: Young Adult Hip Pathology
Mr Aresh Hashemi-Nejad (Royal National Orthopaedic Hospital) joins us to discuss the common pathologies affecting the young adult hip. We cover:
- What are the sites of hip pain in the adolescent hip & do they differ from adult arthritis?
- What clinical features are indicative of underlying hip deformity?
- What makes a good X-Ray of the Hip?
- What are your tips for a good arthrogram?
- What are the different surgical options for achieving hip congruency?
- What are the long-term outcomes of Adolescent hip reconstruction?
- Should one be mindful of the future need for a THR?
- What is the role of non-arthroplasty intervention in the young adult hip?
Ep 29: Mr. Matthew Wilson: Spinopelvic Mobility and Hip Replacements - What do we need to know?
Mr. Matthew Wilson (Exeter Hip Unit) speaks with us about the important relationship between the spine and the pelvis when performing total hip arthroplasty. In this engaging talk he breaks down the complexities of this subject into very easy to digest core knowledge which we hope will be beneficials for all of our listeners. This is a great episode and we're really excited to bring it to you.
Ep 28: Dr Louis Koizia: Peri-operative Care of Neck of Femur Fracture Patients
Dr Louis Koizia (Imperial College London) is a consultant physician and geriatrician with a specialist interest in the medical management of older surgical patients. In this episode he discusses the pre, peri and post operative care for these patients - and what evidence supports these strategies.