Balgrist UniversityHospital

An International Balgrist Shoulder Course:Bases, Cases, Discussions, Live Surgeries

March 28th - 30th, 2019Balgrist University Hospital, Zurich

Rotator Cuff Disorders

Course program

Rotator Cuff DisordersAn International Balgrist Shoulder Course:Basics, Cases, Discussions, Live Surgeries

Dear colleagues and friends

The Balgrist Shoulder Unit is proud to announce and is honored to welcome you to the International Balgrist Shoulder Course 2019.

This three-day course will cover the entire spectrum of rotator cuff tears, from etiology to arthroscopic RC repair techniques, from basic science aspects to tendon transfers and from augmented repairs to the latest developments in reverse shoulder arthroplasty.

The program includes lectures, case discussions and live surgeries performed by leading international shoulder surgeons.

The congress venue, the Balgrist University Hospital is located in the heart of Zurich, the business and cultural center of Switzerland, repetitively selected as „city with the world‘s best quality of life“ and will take place from 28 to 30 March 2019. You will not only enjoy an outstanding educational experience but also the warm Swiss hospitality with a combination of traditional and modern side events.

We are looking forward to welcome you to the Balgrist Shoulder Course 2019!

Karl Wieser Dominik Meyer Christian Gerber

Under the patronage of: Certified by:

Course Chairmen• Karl Wieser, Head of Shoulder and Elbow Surgery, Balgrist University Hospital Zurich• Dominik Meyer, Senior Consultant Shoulder and Elbow Surgery, Balgrist University

Hospital ZurichHonorary Chairman• Christian Gerber, Professor and Chairman emeritus, Department of Orthopaedics, Uni-

versity of Zurich, Balgrist University Hospital ZurichFaculty• Jens D. Agneskirchner, Consultant, Partner and Chief of Service of GelenkchirurgieOr-

thopädie Hannover • Samy Bouaicha, Senior Consultant Shoulder and Elbow Surgery, Balgrist University

Hospital Zurich• Andrew Carr, Head Nuffield Department of Orthopaedics Rheumatology and Musculos-

keletal Sciences & Director Botnar Research Centre, University of Oxford• Eugene Ek, Consultant Shoulder Surgeon, Melbourne Orthopaedic Group, Associate

Professor, Monash University, Melbourne• Bassem T. Elhassan, Orthopedic Surgeon Children‘s Center, Pediatric and Adolescent Me-

dicine, Orthopaedic Surgery, Mayo Clinic Rochester, Minnesota• Laurence Higgins - Chief of Sports Medicine and Shoulder Service, Department of Or-

thopedic Surgery, Brigham & Women’s Hospital Boston• Bernhard Jost, Chief of Department, Head of Shoulder and Elbow Surgery, Orthopaedics

and Traumatology, Kantonsspital St. Gallen• Alexandre Lädermann, Medical Specialist, Orthopaedic Surgery and Traumatology, Cent-

re de l‘épaule Genève• Laurent Lafosse, Shoulder and Upper Limb Extremity Surgery, Clinique Generale Annecy• Georg Lajtai, Medical Director, Privatklinik Maria Hilf Klagenfurt• Jan Leuzinger, Orthopaedic Surgeon, Etzelclinic, Pfäffikon• Teruhisa Mihata, Director Shoulder and Elbow Surgery and Sports Medicine, Depart-

ment of Orthopedic Surgery, Osaka Medical College• Andreas M. Müller, Department Head of Shoulder and Elbow Surgery, University Hospi-

tal Basel• Christian Pfirrmann, Chief of Radiology, Deputy Medical Director, Balgrist University

Hospital Zurich• Jess Snedeker, Head of Biomechanics, Balgrist Campus, Zurich• Markus Scheibel, Department Head, Shoulder and Elbow Surgery, Schulthess Klinik

Zurich• Hiroyuki Sugaya, Chairman Sports Medicine & Joint Center, Funabashi Orthopaedic

Hospital• Olivier Verborgt, Consultant Orthopaedic Surgeon, AZ Monica & Antwerp University

Hospital• Jon J.P. Warner, Chief, MGH Shoulder Service, Chair Quality and Safety Committee for

Orthopedics, Professor of Orthopaedic Surgery, Harvard Medical School, Co-Director, Boston Shoulder Institute

• Matthias Zumstein, Teamhead & Deputy Director Dept. of Orthopaedics and Traumato-logy, University of Bern, Inselspital Bern

www.arthrex.com© Arthrex GmbH, 2019. All rights reserved.

■ Tensionable technology using knotless Corkscrew® on the superior glenoid

■ Knotless SwiveLock® anchors and FiberTape® provide our strongest and lowest profile constructs

Superior Capsular ReconstructionFor Massive Irreparable Rotator Cuff Tears

SwiveLock®

Restoration of anatomy and glenohumeral biomechanics

3.9 mm Knotless Corkscrew®, PEEK

AD2-00033-EN-H_SCR_148x210mm.indd 1 08.03.19 14:12

Thursday, March 28th, 2019Topic: Rotator Cuff (RC) repair techniques

08.00 Registration

08.30 Welcome K. Wieser & C. Gerber

08.40 RC anatomy and tear pattern G. Lajtai

08.50 Prevalence and risk factors for RC tears A. Müller

09.00 Osseous anatomy and its influence on RC tear S. Bouaicha

09.10 My preferred clinical and imaging algorithms for C. Gerber identifying and quantifying RC pathologies

09.20 Partial tears: Indications for operative repair and techniques M. Zumstein

09.30 Live surgery: Arthroscopic PASTA repair H. Sugaya

10.00 Case discussion: Partial tears K. Wieser Panel: J. Agneskirchner, J. Leuzinger, L. Lafosse, M. Zumstein

10.20 - 10.40 Coffee break @ industry exhibition

10.40 Midesize tears: What are the indications for operative repair? B. Jost Why and when do I do a single row? C. Gerber Why and when do I do a double row? L. Higgins

11.10 Case discussion: Midesize tear (single vs. double row) S. Bouaicha Panel: C. Gerber, L. Higgins, B. Jost, H. Sugaya

11.30 Live surgery: L. Lafosse Arthroscopic Double Layer Lasso Loop RC repair

12.00 - 13.00 Lunch @ industry exhibition

Accuracy is predictable

© 2018 Medacta International SA. All rights reserved. rev. 032019

S H O U L D E R . M E D A C TA . C O M

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99_99SH_ADV_rev_032019.indd 1 11.03.2019 11:20:21

Thursday, March 28th, 2019Topic: Rotator Cuff (RC) repair techniques

13.00 The massive posterosuperior tear: when and how to repair J. Agneskirchner

13.10 Live surgery: Arthroscopic RC repair - massive tear J.P. Warner

14.00 Case discussion: Acromioplasty – anterior, lateral, not at all? E. Ek Panel: B. T. Elhassan, C. Gerber, L. Lafosse, T. Mihata

14.20 Indications for suprascapular nerve release in RC repair? A. Müller

14.30 Is pseudo-paralysis a contraindication for RC repair? B. Jost

14.40 Subscapularis tears (diagnosis and reapir) L. Lafosse

14.50 Live surgery: Arthroscopic subscapularis repair C. Gerber

15.30 - 16.00 Coffee break @ industry exhibition

16.00 Biologically enhanced RC healing M. Zumstein

16.10 Do we have to protect our repair? (postoperative rehabilitation) A. Lädermann

16.20 Subacromial balloon spacer to protect my RC repair J. Agneskirchner

16.30 What do we do with the biceps tendon? E. Ek

16.40 Natural history of RC tears K. Wieser

16.50 Long term results of RC repairs E. Ek

17.00 Socio-economic aspects of RC disease and A. Carr its treatment in Europe

17.10 Socio-economic aspects of RC disease and L. Higgins its treatment in the US

17.20 Case discussion: RC repair K. Wieser Panel: A. Carr, M. Scheibel, H. Sugaya, JP Warner

18.00 Tour of Balgrist Campus and cocktail reception

* In vivo animal testing has demonstrated that the composite material is bioabsorbable and is replaced by bone. Results of in vivo simulation have not been shown to quantitatively predict clinical performance.

Smith & Nephew Schweiz AG, Oberneuhofstrasse 10d, CH-6340 Baar, www.smith-nephew.com, Swiss Customer Service: +41 41 766 22 66 ™Trademark of Smith & Nephew. ©2018 Smith & Nephew. All rights reserved. Printed in Switzerland. 14290 V1 07/18

Supporting healthcare professionals

HEALICOIL™ REGENESORBSuture Anchor

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REGENESORB Material Replaced by bone within 24 months,1 with early healing aided by calcium sulfate.2

Calcium Sulfate works in early healing stages at 4-12 weeks2-3

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Supporting healthcare professionals

Rotator Cuff Repair Solutions

ABSORBED AND REPLACED BY BONE

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An advanced biocompositeREGENESORB material has been shown in pre-clinical studies to be absorbed and replaced by bone within 24 months.1 And the HEALICOIL Suture Anchor’s open architecture allows access of bone marrow from surrounding cancellous bone, which may contribute to the healing process.4 Learn more at smith-nephew.com.

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References 1. Data on file at Smith & Nephew, report 15000897, 2012. 2. Costantino PD, Friedman CD. Synthetic bone graft substitutes. Otolaryngol Clin North Am. 1994 27(5):1037-74. 3. Walsh WR, Morberg P, Yu Y, Yang JL, Haggard W, Sheath PC, Svehla M, Bruce WJ. Clin. Orthop. Rel. Res. 2003 Jan;(406):228-36. Daniel C Allison, Antoinette W Lindberg, Babak Samimi, Raffy Mirzayan, Lawrence R Menendez. (2011) US Oncology and Hematology 2011;7(1):38-49. 4. Clark TR, Guerrero EM, Song A, O’Brien MJ, Savoie FH (2016) Do Vented Suture Anchors Make a Difference in Rotator Cuff Healing. Ann Sports Med Res 3(3):1068.

Friday, March 29th, 2019Topic: Rotator Cuff (RC) augmentation & tendon transfers

08.30 The properties of RC tendons J. Snedeker

08.40 Pre- and postoperative evaluation of RC tendons: C. Pfirrmann The radiologists perspective

08.50 Pre- and postoperative evaluation of RC integrity: H. Sugaya The surgeons perspective

09.00 Why do RC repairs fail? A. Lädermann

09.10 RC (re-)repair with patch augmentation: J. Leuzinger My indications, surgical technique and clinical experience

09.20 Should we use patches for RC repair? A. Carr What is the evidence and what do I expect in the future

09.30 The story behind the latissimus dorsi transfer C. Gerber

09.45 Lower trapezius tendon transfer: Biomechanics, B.T. Elhassan indications and technique

10.00 - 10.20 Coffee break @ industry exhibition

10.20 Live surgery: K. Wieser Artroscopic-assisted latissimus dorsi tendon transfer

11.30 Superior capsular reconstruction (rational and biomechanics) T. Mihata

11.45 Superior capsular reconstruction: Does it heal? M. Scheibel

11.55 Outcome after latissimus dorsi transfer, lower trapezius J.P. Warner transfer and superior capsular reconstruction

12.05 - 13.30 Lunch @ industry exhibition

ICONIX Speed

Self-punching anchors formedial and lateral row repairs

Solutions for your Rotator Cuff Repairs

• 2.3mm all-suture anchor• No instrumentation required • Suture and tape options available

ReelX STT• 4.5mm or 5.5mm PEEK knotless anchor

• Incremental tensioning system

• PEEK anchor body expands

• Proximal PEEK eyelet designed to protect

against tuborosity damange

A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient.Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. The informationpresented is intended to demonstrate the breadth of Stryker product offerings. A surgeon must always refer to the package insert, product label and/orinstructions for use before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/ormedical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area.

Friday, March 29th, 2019Topic: Rotator Cuff (RC) augmentation & tendon transfers

13.30 Live surgery: L. Higgins Arthroscopic superior capsular reconstruction

14.40 Partial repair or subacromial balloon for the irreparable tear L. Lafosse

14.50 Case discussion: Irreparable posterior-superior RC tear S. Bouaicha in the young Panel: B.T. Elhassan, B. Jost, T. Mihata, E. Ek

15.10 - 15.30 Coffee break @ industry exhibition

15.30 Pectoralis major tendon transfer for irreparable B. Jost subscapularis tears

15.40 Anterior latissimus dorsi transfer for irreparable D. Meyer subscapularis tears

15.50 Anterior latissimus dorsi transfer: My surgical technique B.T. Elhassan

16.00 Case discussion: Irreparable subscapularis tear K. Wieser Panel: A. Carr, A. Lädermann, L. Lafosse, J. Leuzinger

16.20 What is the value of RC repair and how should we measure it? J.P. Warner

16.30 The borderline between RC reconstruction and RTSA: C. Gerber Factors which lead me to decide for one or the other

16.40 Case discussion: The advanced RC tear: borderline cases K. Wieser Panel: C. Gerber, H. Sugaya, J.P. Warner, M. Zumstein

18.30 Course dinner at the Restaurant „Zunfthaus zur Zimmerleuten“

KARL STORZ SE & Co. KG, Dr.-Karl-Storz-Straße 34, 78532 Tuttlingen/Germanywww.karlstorz.com

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Evening program Friday, March 29th, 2019

We cordially invite you to the reception and dinner at the historical “Zunfthaus zur Zimmerleuten”.After experiencing a fire in 2007, this medieval guild house with a rich history was completely renovated. Whether in the rustic “Küfer” room or the magnificent guild hall, you can once again enjoy outstanding, tra-ditional cuisine here featuring many Zürich and Swiss specialties. The historic guild house lies in the center of Zürich right on the River Limmat and offers a lovely view of the Old Town.

Zunfthaus zur Zimmerleuten, Limmatquai 40, 8001 Zürich

18.30 Reception19.00 Dinner

DirectionsFrom Balgrist: Tram No. 11 (Direction Auzelg) to Stadelhofen, change to Tram No. 15 (Direction Bucheggplatz) to HelmhausFrom Zürich Mainstation: Tram No. 4 (Direction Tiefenbrunnen) to Helmhaus

Parking available within walking distance at Urania or Hohe Promenade car park.

Complete Shoulder Solutions

This comprehensive product offering brings control, efficiency, and strength to soft tissue repairs in the shoulder.

Quattro® Link Knotless Anchors, 4.5 & 5.5 mm

• Suture eyelet design allows for controlled tensioning

• Indicated to accept up to 8 suture limbs

Quattro X/X3 Suture Anchors, 5.5 & 6.6 mm

• Drop-in anchor tip promotes effortless insertion

• 5.5 mm available with 2

or 3 pre-loaded sutures

Quattro Suture Passers• Reliable pass & retrieve feature

(non-retrieving options available)

• Intuitive hand piece design offers smooth, consistent passing

Rotator Cuff Repair

Quattro GL/GL2 Suture Anchors, 2.9 mm

• PEEK-OPTIMA® material

• Single and double loaded suture options

Quattro Link Knotless Anchor, 2.9 mm

• Individual tensioning provides exact approximation of labral bumper

• Secure suture cleat eyelet design

Labral Repair

PEEK-OPTIMA® is a registered trademark of Invibio, Ltd. All content herein is protected by copyright, trademarks and other intellectual property rights, as applicable, owned by or licensed to Zimmer Biomet or its affiliates unless otherwise indicated, and must not be redistributed, duplicated or disclosed, in whole or in part, without the express written consent of Zimmer Biomet. This material is intended for health care professionals. Distribution to any other recipient is prohibited. For product information, including indications, contraindications, warnings, precautions, potential adverse effects and patient counseling information, see the package insert and www.zimmerbiomet.com. Check for country product clearances and reference product specific instructions for use.

© 2019 Zimmer Biomet

Sports Med Shoulder Solutions-MeetingBook-Feb2019-A5.indd 1 05/03/2019 15:45

Saturday, March 30th, 2019Topic: Reverse Total Shoulder Arthroplasty (RTSA)

08.30 Biomechanics of RTSA: Best position and implant design M. Zumstein

08.45 Augmented baseplates in RTSA M. Scheibel

08.55 The value and validity of preoperative planning of RTSA J.P. Warner

09.05 (When) do we need patient specific instrumentation in RTSA? O. Verborgt

09.15 Case discussion: RTSA design and planning S. Bouaicha Panel: C. Gerber, A. Lädermann, O. Verborgt, M. Zumstein

09.35 Live Surgery: RTSA using patient specific instrumentation B. Jost

10.40 – 11.00 Coffee Break @ industry exhibition

11.00 Combined superior capsular reconstruction and anatomical T. Mihata shoulder arthroplasty as alternative to RTSA

11.10 Indication for tendon transfer in RTSA E. Ek

11.20 L’episcopo or latissimus dorsi (double incision) transfer? J.P. Warner

11.30 Case discussion: RTSA and tendon transfer K. Wieser Panel: E. Ek, B.T. Elhassan, B. Jost, J.P. Warner

11.50 RTSA with pedicled pectoralis transfer in patients B.T. Elhassan with deltoid paralysis

12.00 Live Surgery: RTSA and latissimus dorsi transfer C. Gerber

13.00 Closing remarks K. Wieser

GLOBAL ICON™

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ONE SHOULDERCOMPANY

Information

Credits Swiss Society of Orthopaedic Surgery and Traumatology: 16 Credits

LocationBalgrist University HospitalAuditorium Christian GerberForchstrasse 3408008 Zürich - Switzerland

DirectionsBalgrist University Hospital has excellent links to public transport and can be reached quickly and easily.From Zurich main station take the number 11 tram in the direction of Rehalp and alight at the «Balgrist» tram stop (journey time approx. 20 minutes).From Stadelhofen station take the Forch light railway S18 in the direction of Esslingen or tram number 11 towards Rehalp and alight at the «Balgrist» tram stop (journey time approx. 10 minutes).From Zurich airport, take the train (SBB) to Zurich main station or Stadelhofen station and change to either the tram or the light rail connection mentioned previously and alight at the «Balgrist» stop (journey time approx. 40 minutes).

Download of presentations and videos after the coursewww.balgrist.ch/kongressarchiv

InformationStefanie Pfister, Coordinator Congresses & Events+41 44 386 38 33, kongresse@balgrist.ch

Partners and exhibitors:Main industry partners and exhibitors:

ALLENSPACHmedical

Universitätsklinik Balgrist

Forchstrasse 340CH - 8008 ZürichT +41 44 386 38 33F +41 44 386 30 09kongresse@balgrist.chwww.balgrist.ch