• EHS: Professor Luigi Zagra, who are you, and how can you introduce yourself as an Orthopaedic Surgeon?
LZ: I am an Italian orthopaedic surgeon, and the Head of Department at IRCCS Istituto Ortopedico Galeazzi in Milan, Italy. I am not exclusively dedicated to hip surgery, but I am mainly focused on it as chairman of the Hip Department of my Institution, active both in clinical and research work. As a referential and high-volume centre, we treat a great number of complex primary total hip arthroplasties and revisions.
We take care of many patients with DDH and post-osteotomy or post-traumatic hips including major deformities and leg length discrepancy. We have experience and currently use different types of both cementless and cemented implants, according to the age of patients, the bone shape and the bone quality. We also use different types of surface bearings, ceramics and cross-linked polyethene, according again to the age, the level of activity and risk factors for complications of the patients, including modern dual mobility cups for many years. We use implants from different manufacturers and have quite a good experience with short stems, bone grafting in revision, highly porous materials for osseointegration, modularity of implants in complex cases, management of infected joints, treatment of failures related to articulation materials (metal-on-metal issues, ceramic on ceramic failure, polyethylene wear, trunionosis) and instability.
• EHS: Do you also get involved in scientific matters and clinical research in Orthopaedics?
LZ: We also carry out clinical research in my Institution, in collaboration with national and international companies on new devices and materials, implant position evaluation and prosthesis survival. I daily collaborate with our research laboratories in basic research on infection diagnosis, cartilage reaction to degenerative processes and arthritis development in the hip and knee, bone marrow cells and new scaffolds. This research has been published in international journals and I am also active as Editorial Board Member of Hip international and Associate Editor for hip topics of EFORT Open Review. I am involved in joints registries in my country, as I was Director of our regional registry in Lombardia (ROLP) and am currently a member of the Scientific Committee of the Italian National Arthroplasty Registry (RIAP). At a public health European level, I was a member of the SCENIHR (the Scientific Committee on Emerging and Newly Identified Health Risks) of the European Commission and Coauthor of the delivered document on “The safety of Metal-on-Metal joint replacements with a particular focus on hip implants”.
In the last decade during and after my Presidency (2010-2012) of the European Hip Society, I got the opportunity to set up a network with many colleagues all over the world, sharing knowledge and improving my skills. I am a member of the International Hip Society and of the International Committee of AAHKS (American Association of Hip and Knee Surgeons), and also had the honour to be nominated Honorary Member of AE (German Arthroplasty Society), of Egyptian Pelvis and Hip Society and of Serbian Orthopaedic Trauma Association. I present our research studies as a guest speaker in many international congresses around the world, meeting colleagues and looking at different experiences in Europe, Asia, America, and the Mediterranean area. I am also part of the AO Periprosthetic Fractures Curriculum Group, as we developed the curriculum of periprosthetic fractures treatment for AO.
As a matter of fact, a part of my activity is dedicated to education as Adjunct Professor at the University of Milan and as Vice Chairman of the Educational Committee of EFORT (European Federation of National Orthopaedics and Traumatology Societies) leading the Orthopaedic Educational Group of the Committee. Thanks to this activity I am also a member of the Executive Committee of EFORT. I was also a member of the Ethical Committee of the Federation and Coauthor of the text of the Ethical Code. In my country, I served as President of the Italian Hip Society (SIdA) and I am now Chairman of the Scientific Committee of SIdA of EFORT.
• EHS: What about your involvement in the European Hip Society, and the next International Congress in 2020 taking place in Lille, France?
LZ: I have been active in EHS for many years as I started early while following my mentor Prof Roberto Giacometti Ceroni, who was an active member of the society since the very beginning. During my EHS Presidency (2010-2012), I was in charge of organizing the International EHS Congress in Milan in 2012. As a matter of fact, I have a good experience in setting up meetings as I organized the EFORT Instructional Courses in my hospital, as well as the Combined Meeting of the Italian and British Hip Society together with Fares Haddad, and supported on behalf of EHS the hip program of the 2nd World Arthroplasty Congress in Rome, while chairing several AO Recon Courses around the world.
EHS appointed me as Chairman of its Scientific Committee (SciCom). In this position, I have got involved in developing the programs of our congresses, since the successful last event chaired by the Past-President Wim Schreurs in The Hague. According to my role and in relation with him, my friend and estimated colleague Dr Jean Alain Epinette, who is in charge of the next congress in Lille as the current President of EHS, deeply involved me in the development of the scientific program of the meeting since the beginning. In a friendly and collaborative atmosphere, we started to work together with the SciCom on the program several months ago in Milan. Also, EHS National Representatives were asked for suggestions and a draft of the program was developed. Members were invited to give their contribution as well in an open way. We thus identified the hottest topics of actual hip surgery and then we selected the main ones, including many “hot” topics, current trends and innovations.
In addition to our own EHS programme, we will be happy to welcome another famous French hip congress, the “Hip Toulouse Meeting”, which will run its own sessions inside the official programme of EHS Lille. We also will be proud to welcome Canadian colleagues, as Canada will be our official guest nation in Lille 2020.
This EHS website will give everyone the opportunity to get updated on our next great event: 2020 EHS Congress in Lille. In such a way, the EHS congress website page devoted to “call for abstract” will be soon displayed: thanks in advance to all surgeons interested in hip matters, be they already members or future members of our European Society, for actively participating in the scientific contents of this congress, and thus contributing to its success. Europe is proud of its tradition in hip disease care and needs to share its knowledge in this field with colleagues from all over the world.