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- Talk
- 21/09/2021
- UK
Evaluating the Role of Novel Technologies in Optimising Arthroscopic Management of Femoroacetabular Impingement
Description
The presentation delivered by Vikas Khanduja focuses on the arthroscopic management of femoroacetabular impingement (FAI), detailing his decade-long journey in evaluating and optimizing surgical techniques for hip arthroscopy. Beginning with an engaging introduction, he highlights the significance of Oxford's dominance in hip surgery and expresses gratitude towards Ananda for the introduction. Throughout the presentation, Khanduja explores the historical background of FAI, discussing how the understanding of its impacts has evolved, specifically referencing Ganz's influential paper that posited FAI as a leading cause of early osteoarthritis in the hip.
He explains the mechanical, genetic, and chemical theories behind hip osteoarthritis, while outlining types of impingements - cam and pincer - and describes their respective causes and mechanisms. Utilizing clear visuals, he breaks down the anatomy and biomechanics involved, demonstrating how impingement can lead to labrum tears and arthritis over time. The discourse transitions into surgical interventions, comparing traditional open surgeries with modern hip arthroscopy, which allow for more precise and less invasive procedures.
As Khanduja delves deeper, he emphasizes the need for improved surgical accuracy, introducing novel technologies like navigation and discrete element analysis to enhance surgical outcomes. He outlines a randomized controlled trial comparing navigated versus conventional hip arthroscopy, shedding light on the outcomes and potential for enhanced surgical precision. Khanduja also touches on the importance of virtual reality in training future orthopedic surgeons, discussing how simulation can facilitate skill acquisition.
Concluding his presentation, he encourages ongoing collaboration in research and technology, acknowledging the need for better understanding of hip anatomy, dynamics, and individual patient cases to further improve outcomes. The session ends with a warm invitation to the audience to network, signifying the ongoing journey in the field of hip surgery.