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Scientific Programme
6 February (Thursday)
09:00 - 12:00
Optional Aspetar Aspire Visit – Live from Surgery
09:00 - 19:00
Registration & Badge Pick Up
13:30 - 14:45
Session 1: Basic Science - Pathophysiology
15 min
1.1 Introduction & Course Overview
15 min
1.2 Cartilage Anatomy and Physiology - What Happens with Injury
15 min
1.3 The Physiology of Repair or Regeneration
15 min
1.4 Orthobiologics to Change the Environment. Or Maybe the Disease?
15 min
1.5 Q&A / Discussion
14:45 - 16:00
Session 2: Diagnosis and Treatment Planning
15 min
2.1 Diagnosis - High Index of Suspicion
15 min
2.2 Diagnostic Imaging Tools (Knee and Ankle)
15 min
2.3 Algorithm for Knee Lesions - Evidence (and Consensus) that Supports Treatment
15 min
2.4 Algorithm for Ankle Lesions - Evidence (and Consensus) that Supports Treatment
15 min
2.5 Q&A / Discussion
16:00 - 16:45
Coffee Break | Exhibition
16:45 - 18:15
Session 3: How to Judge the Outcome
15 min
3.1 Do we Need PROMs Specific for Cartilage?
15 min
3.2 Imaging of the Repaired Tissue
15 min
3.3 Is Second Look Necessary?
15 min
3.4 Biopsy – Intraarticular Markers
15 min
3.5 Planning Research for Cartilage
15 min
3.6 Q&A / Discussion
18:15 - 19:00
Session 4: Pearls from Experience
15 min
4.1 Who Not to Operate (and why)
15 min
4.2 What it Takes to be a Cartilage Surgeon
15 min
4.3 Q&A / Discussion
19:00 - 20:30
Welcome Reception Aspetar Rehabilitation Training Ground
7 February (Friday)
08:30 - 09:30
Session 5: All for Meniscus
15 min
5.1 Knee Preservation Means Meniscal Repair?
15 min
5.2 Special Lesions with Special Treatment – RAMP and Root Tears
15 min
5.3 Implants, Transplantation
15 min
5.4 Q&A / Discussion
09:30 - 10:15
Coffee Break | Exhibition & Preparation for the Wet Lab
10:15 - 11:30
Session 6: Hands-On Wet Lab 1 "Meniscal Resection, Repair, Substitution"
Repair Techniques
Synthetic Substitution
Meniscal Allograft
11:30 - 12:45
Session 7: Beyond the Knee or Surgery, in Aspetar
15 min
7.1 Hand and Wrist
15 min
7.2 Elbow and Shoulder
15 min
7.3 Ankle and Foot
15 min
7.4 Medicinal Signaling Cells for IA and IO applications
15 min
7.5 Q&A / Discussion
12:45 - 13:30
Lunch Break | Exhibition
13:30 - 14:30
Session 8: Cartilage Restoration Techniques, Part 1 (No Chondrocytes)
15 min
8.1 The Role of Debridement (or do less!!)
15 min
8.2 Bone Marrow Stimulation (with or without Augmentation) Techniques
15 min
8.3 Do we Need MSCs? Which and How?
15 min
8.4 Q&A / Discussion
14:30 - 15:15
Coffee Break | Exhibition & Preparation for the Wet Lab
15:15 - 16:45
Session 9: Hands-On Wet Lab 2 "Knee Cartilage Restoration – The Basics"
“Create” the Defect
Debridement
Microfractures – Nanofractures – Drilling
AMIC
One Stage with no Chondrocytes (ie Surface scaffolds, MSCs)
16:45 - 17:45
Session 10: Cartilage Restoration Techniques, Part 2 (with Chondrocytes)
15 min
10.1 Autologous Chondrocyte Implantation – Is it Still the Golden Standard?
15 min
10.2 Towards One Stage Using Chondrocytes – Can Replace 2 Stage?
15 min
10.3 Minced Cartilage is Enough?
15 min
10.4 Q&A / Discussion
19:00 - 23:00
Faculty & Course Dinner
8 February (Saturday)
08:30 - 10:00
Session 11: Hands-On Wet Lab 3 "Knee Cartilage Restoration – Advanced"
ACI (ie CoDon, Vericel, Aesculap-BBrown)
One stage with Chondrocytes (ie CartiONE, Minced Cartilage, GraftNet)
10:00 - 10:30
Coffee Break | Exhibition
10:30 - 12:30
Session 12: The Role of Stability - Connection with Cartilage Pathology
15 min
12.1 Effect of ACL Injury and Treatment on Cartilage Health – “THE ACL HIT”
15 min
12.2 Extraarticular Augmentation – Indications and Results of LET – ALL
15 min
12.3 Addressing Patella Instability
60 min
12.4 Live Demonstration
ACL + ALL (Olory Bruno)
ACL + LET (Getgood Alan)
MPFL (Verdonk Peter)
Ankle (Olory Bruno)
15 min
12.5 Q&A / Discussion
12:30 - 13:15
Lunch Break | Exhibition
13:15 - 14:30
Session 13: The Role of Bone and Alignment
15 min
13.1 Cartilage or Osteochondral Unit Pathology?
15 min
13.2 Osteochondral Autografts and Allografts – Are they Salvage Procedures?
15 min
13.3 Varus or Valgus Knee – Correction Needed
15 min
13.4 Patellofemoral Altered Anatomy and/or Biomechanics – How to Address the Issue
15 min
13.5 Q&A / Discussion
14:30 - 15:00
Coffee Break | Exhibition & Preparation for the Wet-Lab
15:00 - 17:00
Session 14: Hands-On Wet Lab 4 "Osteochondral Techniques – High Tibial, Femoral and Tibial Tubercle Transfer Osteotomies"
OATS – MosaicPlasty – Synthetic scaffolds
OCA
HTO
Femoral osteotomies
TTT
17:00 - 18:00
Session 15: Take Home Messages
15 min
15.1 What to do as a Next Step when Previous Fails
15 min
15.2 Wrap-up the Indications and the Algorithm
30 min
15.3 Q&A / Discussion
9 February (Sunday)
08:30 - 12:30
Session 16: Rehabilitation Session
08:30
- 09:00
16.1 Clinical Reasoning Aspects Related to the Rehabilitation of Cartilage Injuries in the Knee
09:00
- 10:00
16.2 Early Phase Rehab: How to Regain Motor Control after Cartilage Repair Surgery in the Knee
10:00
- 10:30
Coffee Break
10:30
- 11:00
16.3 Components of Strength Training: How to Progress and Regress your Exercises During Rehab
1 hour theory and practical
11:30
- 12:30
16.4 Late Phase Rehab: Restoring Reactive and Explosive Strength in Athletes
1 hour theory and practical