Teaching Residents the Fundamentals of TJA

Societies take a unified approach
This spring, the AAOS, in collaboration with the American Association of Hip and Knee Surgeons (AAHKS), The Hip Society, and The Knee Society, presented surgical skills courses for orthopaedic residents on the fundamentals of hip and knee arthroplasty. Since their inception in 2014, the courses have been presented annually in a regional setting. The 2017 courses were held in three locations across the country under the direction of James I. Huddleston, III, MD, and Erik N. Hansen, MD (Long Beach, Calif.); R. Michael Meneghini, MD, and Brett R. Levine, MD (Rosemont, Ill.); and Ronald Delanois, MD, and Gregory Golladay, MD (Baltimore, Md).


Orthopaedic residents (left) review preoperative total hip arthroplasty planning and templating during a surgical skills course. Residents also received hands-on training (right).
Courtesy of Ben Varnau/AAOS Staff

According to Dr. Meneghini, the collaborative effort was a unique opportunity for the leading hip and knee arthroplasty organizations to support an unparalleled and very special resident education offering. "The courses provided residents with a focused and hands-on approach, where they were able to practice performing total hip and knee replacements and associated techniques on cadavers under the direction of expert faculty," he said. "Participants also gained perspective on how other surgeons and institutions outside their residency programs approach total joint arthroplasty (TJA)."

During the laboratory sessions, residents received firsthand training in surgical approaches in total hip arthroplasty, acetabular preparation, power tools, femoral components, anatomic dissection of the hip, surgical exposures in total knee arthroplasty, primary total knee arthroplasty, advanced and extensile exposures, and complete knee dissection.

Additional highlights of the course included interactive group case discussions and hip and knee templating sessions. During the case discussions, two faculty members presented and discussed various TJA case scenarios with groups of six to eight residents. Each small group then presented their diagnosis and treatment plan to all in attendance for discussion.

Residents also utilized digital templating software to view preloaded radiographs and preoperatively plan bone cuts for total hip and knee arthroplasties. 

At the conclusion of each course, the participants completed a course evaluation. All of the respondents indicated that the course met or exceeded their learning objectives and expectations. "Thank you to the faculty for their time and effort to arrange and execute the resident arthroplasty course held in Rosemont," wrote Tyler Surma, MD, ATC, a PGY-3 orthopaedic surgery resident from the University of Missouri. "It was the best course I've attended in residency and my fellow residents feel the same. We will be recommending it to others."

The combined TJA education course for residents will be offered again in 2018. The dates and locations will be posted to the CME courses calendar on the AAOS website sometime this summer.

Free course registration for residents was made possible by grants from Brainlab, Corin USA, DePuy Synthes, DJO Global, Smith & Nephew, Inc.; Stryker; and Zimmer Biomet. AAOS, AAHKS, The Hip Society, and The Knee Society subsidized remaining expenses not covered by the grants.

Brainlab; ConMed; Corin USA; DePuy Synthes; DJO Global; Exactech; Innomed; Kinamed; Medacta; Smith & Nephew, Inc.; Stryker; and Zimmer Biomet also provided in-kind donations for the equipment and instrumentation used in the hands-on skills laboratory sessions.

Ann O'Neill is the AAOS CME courses manager.