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AAHKS 23rd Annual Meeting November 8-10, 2013

Sheraton Dallas Hotel, Dallas, Texas

THURSDAY, NOVEMBER 7, 2013 5:30 PM–8:00 PM Board of Directors Meeting FRIDAY, NOVEMBER 8, 2013 7:00 AM–3:00 PM 5th Annual Resident Course 6:55 AM–3:30 PM Orthopaedic Team Member Course 8:00 AM–11:00 AM AAHKS Research Design Course Seminar Room 10:00 AM–NOON Resident Course Breakout 1 State Room 1 Resident Course Breakout 2 State Room 2 Resident Course Breakout 3 State Room 3 Resident Course Breakout 4 State Room 4 Resident Course Breakout 5 San Antonio A Resident Course Breakout 6 San Antonio B 10:00 AM–8:00 PM Registration 8:00 AM–10:00 AM Improving Patient Outcomes through Advanced Pain Management Techniques *Sponsored by Pacira Pharmaceuticals 11:00 AM–1:00 PM Current Advancements in Total Hip Arthroplasty Bearing Technology *Sponsored by DePuy Orthopaedics 11:00 AM–1:00 PM Surgical Site Infection in Total Hip and Knee Arthroplasty *Sponsored by ConvaTec NOON–1:00 PM Resident’s Lunch NOON–1:00 PM Orthopaedic Team Member Lunch NOON–5:30 PM Speaker Ready Room 1:00 PM–3:00 PM Resident Course Breakout 1 State Room 1 Resident Course Breakout 2 State Room 2 Resident Course Breakout 3 State Room 3 Resident Course Breakout 4 State Room 4 Resident Course Breakout 5 San Antonio A Resident Course Breakout 6 San Antonio B 1:30 PM–3:30 PM Achieving ICD-10 Implementation Success

Presented by Complete Practice Resources Sponsored by AAHKS

1:30 PM–3:30 PM ATTUNE™ Stable Motion Experience *Sponsored by DePuy Synthes Joint Reconstruction 1:30 PM–3:30 PM Rethinking Total Knee Replacement: Is there room for improvement and innovation? *Sponsored by ConforMIS

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*Please note that Friday optional mini-symposia are not part of the official program as planned by the AAHKS Annual Meeting Program Committee

ANNUAL MEETING CONCURRENT SESSIONS ARE OFFERED ON FRIDAY ONLY 4:10 PM Welcome Dallas Ballroom A&B Bryan D. Springer, MD - Program Chair SESSION ONE Primary Total Knee Arthroplasty 4:15–5:23 PM MODERATORS: Brian S. Parsley, MD William L. Griffin, MD 4:15 PM Economic Benefit to the Society at Large of TKA in the Young Patient: A Markov Paper #1 Analysis 4:21 PM Younger Age is Associated with a Higher Risk of Periprosthetic Infection and Paper #2 Aseptic Failure after Total Knee Arthroplasty 4:27 PM Perioperative Morbidity and Mortality of Same Admission Staged Bilateral Total Paper #3 Knee Arthroplasty 4:33 PM Rheumatoid Arthritis does not Increase Perioperative Complications following Same- Paper #4 Day Bilateral Total Knee Arthroplasty 4:39 PM Discussion 4:49 PM Particles from Vitamin-E-Diffused HXL UHMWPE Induce Less Osteolysis Paper #5 Compared to Virgin HXL UHMWPE in a Murine Calvarial Bone Model 4:55 PM Barbed vs Standard Sutures for Closure in Total Knee Arthroplasty: A Multicenter Paper #6 Prospective Randomized Trial 5:01 PM At 5 Years Highly-Porous-Metal Tibial Components Were Durable and Reliable: Paper #7 A Randomized Clinical Trial of 389 Patients 5:07 PM Correlation of Patient Confidence in Attaining Treatment Goals and Outcomes after Paper #8 Knee Arthroplasty 5:13 PM Discussion 5:15–6:23 PM Ask the Experts Primary and Revision THA State Room 1 Primary and Revision TKA State Room 2 Periprosthetic Joint Infection State Room 3 SYMPOSIUM I Public Reporting of Complications in TJR’s; AAHKS Adds Important Clinical 5:23–6:23 PM Factors and Improves CMS Risk Methodology

MODERATOR: Thomas K. Fehring, MD Panelist: Susan Odum, PhD, David C. Ayers, MD Patricia D. Franklin, MD, MPH, MBA

4:10 PM Welcome Dallas Ballroom CD

Craig J. Della Valle, MD – Education Chair

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SYMPOSIUM II Strategies to Promote Efficiency, Cost-Containment and Outcomes in the Modern Era 4:15–5:15 PM Revision TKA MODERATOR: R. Michael Meneghini, MD Panelist: Giles R. Scuderi, MD, Douglas A. Dennis, MD, Michael J. Taunton, MD, Ryan M. Nunley, MD SESSION TWO Health Policy/Non-Arthroplasty 5:15–6:23 PM MODERATORS: Mark I. Froimson, MD Christoper L. Peters, MD 5:15 PM Variations in Hospital Billing for Total Joint Arthroplasty Paper #9 5:21 PM Patients’ Willingness to Contribute to Cost of Novel Implants in Total Joint Paper #10 Arthroplasty 5:27 PM Can the Average Total Joint Orthopaedic Surgeon Maintain an Average Income at Paper #11 Medicare Reimbursement Rates? 5:33 PM Discussion 5:43 PM Prevalence of Radiographic Abnormalities in Senior Athletes with Paper #12 Well-Functioning Hips 5:49 PM Periacetabular Osteotomy for Acetabular Dysplasia: Are Male Patients at Higher Risk Paper #13 for Secondary Femoroacetabular Impingement? 5:55 PM Genome-Wide Linkage Analysis and Whole Exome Sequencing in a Large Multi- Paper #14 Generation Family Reveal Deleterious Mutations in Severely Affected Individuals with

Developmental Dysplasia of the Hip 6:01 PM Periacetabular Osteotomy after Failed Treatment with Hip Arthroscopy Paper #15 6:07 PM Discussion 6:23–8:23 PM Welcome Reception (All Attendees Invited) 6:23–8:23 PM Posters/Exhibits Open 7:15–7:55 PM Senator John Cornyn Political Fundraiser 8:00 PM Past President’s Dinner SATURDAY, NOVEMBER 9, 2013 6:00 AM–6:00 PM Registration 6:00 AM–6:00 PM Speaker Ready Room 6:00–7:00 AM Breakfast Buffet in Exhibit Hall 9:30 AM–7:30 PM Posters/Exhibits Open 6:50–6:55 AM Program Chair Welcome Lone Star Ballroom

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SESSION THREE Perioperative Factors and Arthroplasty Outcomes 6:55–7:51 AM MODERATORS: Brian J. McGrory, MD William A. Jiranek, MD 6:55 AM Weighted versus Uniform Dose of Tranexamic Acid in Patients Undergoing Primary, Paper #16 Elective Knee Arthroplasty: A Prospective Randomized Controlled Trial 7:01 AM Prospective Randomized Trial Comparing Peripheral Nerve Blocks and Periarticular Paper #17 Injection for Pain Management after Total Knee Replacement 7:07AM A Comparison of Continuous Femoral Nerve Catheter versus Adductor Canal Block Paper #18 for Postoperative Pain Management Following Total Knee Arthroplasty 7:13 AM Discussion 7:23 AM Transfer of Hip Arthroplasty Patients Leads to Increased Cost and Resource Paper #19 Utilization in the Receiving Hospital 7:29 AM Are Patient Reported Allergies a Risk Factor for Poor Outcomes in Total Hip and Paper #20 Knee Arthroplasty? 7:35 AM Predictors and Complications of Blood Transfusion in Total Hip and Knee Paper #21 Arthroplasty 7:41 AM Discussion SYMPOSIUM III Management Strategies for THA Failure Secondary to Taper Corrosion, Modular 7:51–8:41 AM Junctions and Metal-on-Metal Bearings

MODERATOR: Adolph V. Lombardi, Jr. MD, FACS Panelist: William Griffin, MD, Young-Min Kwon, MD, PhD Joshua J. Jacobs, MD, Daniel J. Berry, MD, Michael A. Mont, MD

SESSION FOUR Primary TKA 8:41–9:37 AM MODERATORS: Robert T. Trousdale, MD Michael P. Bolognesi, MD 8:41 AM Posterior Stabilized versus Cruciate-Substituting Total Knee Arthroplasty: Midterm Paper #22 Results 8:47 AM Radiographic and Technical Factors Associated with Patellar Clunk Syndrome Paper #23 following Posterior Stabilized Total Knee Arthroplasty 8:53 AM Current Data does not Support Routine use of Patient-Specific Instrumentation in Paper #24 Total Knee Arthroplasty 8:59 AM Discussion 9:09 AM Oxford Phase III Medial Unicompartmental Knee Arthroplasty (UKA): Results of Paper #25 467 Knees with a Mean 5-year Follow-Up and Analysis of Predictors of Failure 9:15 AM Differences in Short Term Complications between Unicompartmental and Total Knee Paper #26 Arthroplasty: A Propensity Score Matched Analysis 9:21 AM Revising an HTO or UKA to TKA: Is it More Like a Primary TKA or a Revision Paper #27 TKA? 9:27 AM Discussion

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9:37–10:07 AM BREAK in the Exhibit Hall SESSION FIVE Primary Hip 10:07–11:03 AM MODERATORS: Stefano A. Bini, MD and TBA 10:07 AM Trends in Total Hip Arthroplasty in the United States: Paper #28 The Shift to a Younger Demographic 10:13 AM Pain Patterns in Young, Active Patients following Hip Arthroplasty Paper #29 10:19 AM Assessment of Durability and Function at Minimum 35 Year Follow-Up of THA in Paper #30 Patients 50 and Under 10:25 AM Performance of Highly Cross-Linked Polyethylene in Total Hip Arthroplasty in Paper #31 Young and Active Patients 10:31 AM Discussion 10:41 AM Direct Anterior versus Mini-Posterior Total Hip Arthroplasty with the Same Paper #32 Advanced Pain Management and Rapid Rehabilitation Protocol: Some Surprises in Early

Outcome 10:47 AM Direct Anterior Hip Yields Faster Voluntary Cessation of all Walking Aids in a Paper #33 Randomized Trial 10:53 AM Discussion 11:03–11:10 AM President’s Welcome – Thomas K. Fehring, MD 11:10 AM–12:00 PM KEYNOTE ADDRESS: The Future of American Health Care

Don Berwick, MD 12:00–12:43 PM LUNCH SESSION SIX Revision Total Knee Arthroplasty 12:43–1:39 PM MODERATORS: Rafael J. Sierra, MD David C. Markel, MD 12:43 PM Mechanically Assisted Taper Corrosion in Modular TKA Paper #34 12:49 PM Stepped Porous Titanium Metaphyseal Sleeves for Tibial Defects in Revision Total Paper #35 Knee Arthroplasty 12:55 PM Early Clinical Results of Mobile Bearing Revision TKA: A Multicenter Study Paper #36 1:01 PM Discussion 1:11 PM Decreased Blood Transfusions Following Revision Total Knee Arthroplasty using Paper #37 Tranexamic Acid 1:17 PM Clinical & Radiographic Outcomes of Cemented vs Diaphyseal Engaging Paper #38 Cementless Stems in Aseptic Revision TKA 1:23 PM Medicare Fails to Compensate the Additional Time and Effort Associated with Paper #39 Revision Arthroplasty: Is Patient Access to Care at Risk?

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1:29 PM Discussion SYMPOSIUM IV Audience Response – Practice Norms/Trends 1:29–2:09 PM Jay R. Lieberman, MD 2:09–2:24 Practical Advice from the Legends of AAHKS Lawrence D. Dorr, MD David S. Hungerford, MD James A. Rand, MD Chitranjan S. Ranawat, MD Merrill A. Ritter, MD 2:24–2:54 PM AAHKS Award Papers MODERATORS: 2:24 PM JAMES A. RAND AWARD Presentation of Award: 2:30 PM Discussion 2:34 PM LAWRENCE D. DORR AWARD Presentation of Award: 2:40 PM Discussion 2:44 PM AAHKS CLINICAL AWARD Presentation of Award: 2:50 PM Discussion

3:00 PM–3:25 PM BREAK SYMPOSIUM V Perioperative Arthroplasty Management 2013 3:25–4:15 PM MODERATOR: William G. Hamilton, MD Panelist: Keith R. Berend, MD, Carl A. Deirmengian, MD Rafael J. Sierra, MD, Raymond H. Kim, MD SESSION SEVEN Infection 4:15–5:17 PM MODERATORS: Michael E. Berend, MD Mathais P. G. Bostrom, MD 4:15 PM Positive Culture from the Liquid Medium only after Total Joint Arthroplasty: Paper #40 Is it Reliable? 4:21 PM Diagnosing Periprosthetic Joint Infection: The Era of the Biomarker has Arrived Paper #41 4:27 PM The Host Response: Toll Like Receptor Expression in Periprosthetic Tissues as a Paper #42 Biomarker for Deep Joint Infection 4:33 PM Discussion 4:43 PM Prospective, Randomized, Blinded Study to Evaluate the Efficacy of Two Surgical Paper #43 Skin Preparations in Reducing SSI after TJA 4:49 PM Public Reporting of Prosthetic Joint Infections: Do Claims Based Comorbidities Paper #44 Adequately Capture Case-Mix?

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4:55 PM Comparison of a Clinically-Derived Prosthetic Joint Infection (PJI) Risk Model and Paper #45 the NHSN Risk Model 5:01 PM Risk Factors for Infection after Hip Arthroplasty: Paper #46 Preventable vs Non-preventable Infection 5:07 PM Discussion 5:17–6:00 PM AAHKS Membership Business Meeting (AAHKS Members Only) 6:00–8:00 PM Poster Session Reception (All Attendees Invited) SUNDAY, NOVEMBER 10, 2013 6:00–10:00 AM Registration 6:00–10:00 AM Speaker Ready Room 6:00–7:00 AM Continental Breakfast SYMPOSIUM VI Periprosthetic Joint Infection: The Current State of Affairs 7:00–8:00 AM MODERATOR: Javad Parvizi, MD, FRCS Panelist: Bryan D. Springer, MD, Craig J. Della Valle, MD Thorsten Gherke, MD SESSION EIGHT Revision Total Hip Arthroplasty 8:00–8:56 AM MODERATORS: Scott M. Sporer, MD, MS TBA 8:00 AM Reproducible Fixation with a Modular, Fluted, Tapered Titanium Stem in Revision Paper #47 Hip Arthroplasty at 8-13 Years Follow-Up 8:06 AM Outcomes of Revision Total Hip Arthroplasty: Analysis of a US Based Total Joint Paper #48 Replacement Registry 8:12 AM Revision THA in Obese Patients is Associated with High Reoperation Rates at Short Paper #49 Term Follow Up 8:18 AM Discussion 8:28 AM Outcomes after Revision of Metal-on-Metal Hip Resurfacing Arthroplasty Paper #50 8:34 AM Predictive Demographic and Comorbid Factors on Functional Outcomes Following Paper #51 Revision Hip Arthroplasty 8:40 AM Construct Rigidity: Keystone for Reconstructing Pelvic Discontinuity Paper #52 8:46 AM Discussion

SYMPOSIUM VII Shifting from Volume to Value: Preparing Your Practice for Healthcare Reform 8:56–9:56 AM MODERATOR: Kevin J. Bozic, MD, MBA Panelist: John M. Cherf, MD, Arshad Rahim, MD SESSION NINE Revision Total Hip Arthroplasty/Primary Total Hip Arthroplasty 9:56–10:58 AM MODERATORS: David F. Dalury, MD Thomas P. Vail, MD

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9:56 AM Do You Have to Remove a Corroded Femoral Stem? Paper #53 10:02 AM Adverse Clinical Outcomes in a Primary Modular Neck/Stem System Paper #54 10:08 AM Aspirin May be Adequate for Prevention of Thromboembolic Events Following Paper #55 Revision Total Joint Arthroplasty 10:14 AM Discussion 10:24 AM A Randomized Controlled Trial Comparing Wear of Oxinium and Cobalt-Chrome on Paper #56 Standard and Cross-Linked Polyethylene 10:30 AM 3 Year Multicenter RSA Evaluation of Vitamin E Diffused Highly Cross-Linked Paper #57 Polyethylene Liners and Acetabular Cup Stability 10:36 AM Stratification of Total Hip Arthroplasty Survival according to BMI as a Continuous Paper #58 Variable 10:42 AM Percent Body Fat more Associated with Perioperative Outcomes after Total Joint Paper #59 Arthroplasty than BMI 10:48 AM Discussion 10:58 AM Concluding Remarks 11:03 AM ADJOURN Once the award papers are selected the following papers will be entered into the program: How does Acetabular Component Orientation Change from Supine to Standing in Patients with Total Hip Arthroplasty? Stress and Strain in the Trunnion with Big Heads: Tribocorrosion Turbocharged 10 Year Follow-Up of Highly Cross-Liked Polyethylene using Radiostereometric Analysis (RSA) CME Credit This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through joint sponsorship of the American Academy of Orthopaedic Surgeons and American Association of Hip and Knee Surgeons. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians. The American Academy of Orthopaedic Surgeons designates this educational activity for a maximum of 13 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.