Calling all knee experts to Vail…Robert LaPrade M.D., Ph.D. and Lars Engebretsen M.D., Ph.D. have partnered with Smith & Nephew plc to host the 3rd Annual Vail International Complex Knee Symposium (VICKS) in Vail, Colorado June 9 – 11, 2016. There will be ample opportunities to learn from cadaveric training, case discussions, and more during the three-day course. The sessions will be held at the Vail Marriott Mountain Resort and the Steadman Philippon Research Institute (SPRI).
3rd Annual Vail International Complex Knee Symposium!

According to the June 1, 2016 news release, there will be seven different sessions that focus on anatomic-based knee reconstructions, most of which were developed by Drs. LaPrade and Engebretsen. The sessions will feature lectures and live surgical demonstrations from orthopedic surgeons. The sessions will include:
- What is Anatomic and why is it Important?
- Biomechanically Relevant and Critical Clinical and Radiographic Exams
- The Collaterals; Posterolateral Knee and Posteromedial Knee
- Complex Meniscal Issues and Osteotomies
- Posterior Cruciate Ligament and Multiple Ligament Injury
- Complex Patellofemoral Issues
- Revision ACL and Other Complex Knee Issues
“For the last 22 years, ” says the news release, “Dr. LaPrade of The Steadman Clinic in Vail and Dr. Engebretsen of the Oslo Hospital in Oslo, Norway have collaborated on over 50 studies focused on conditions and treatments of the knee. Many current anatomic-based knee reconstructions and knee arthroscopy techniques used by orthopedic surgeons around the world were designed and validated based upon Dr. LaPrade and Dr. Engebretsen’s research.”
According to Dr. Engebretsen, “The VICKS course—based on anatomy and evidence from biomechanical and clinical studies—is the world’s most comprehensive training for complex knee injuries. Attendees will gain hands-on experience and learn how to manage difficult and complex cases from the most experienced surgeons in the world.”
Asked what he hopes that participants carry away from the event, Dr. LaPrade told OTW, “The VICKS course is unique in that live surgical dissections and demos are presented after every 2-3 lectures by the surgeons who invented or are leaders in these procedures to reinforce the presented information. As such, the participants have a comprehensive overview on an unprecedented level of detail on how to evaluate and treat these injuries.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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