• EHS: Who are you, and how can you introduce yourself as an Orthopaedic Surgeon?
KPG: After an orthopaedic residency in Ulm University (educated by Wolfhart Puhl) and fellowships at Brigham and Women’s (Harvard University Boston), Balgrist Orthopaedic University Hospital (Zürich) and several years of assistant professorship I was appointed Professor and Chairman of the Orthopaedic Department at Dresden University (Germany) in 2002. In 2013, we united the former independent Departments of Orthopaedics and Trauma Surgery to a University Center of Orthopaedics and Traumatology, which I am leading as Co-Director.
Since about 20 years, I have specialized in hip surgery and my main fields of activity are patient care and clinical research in hip joint preserving surgery as well as primary and revision hip arthroplasty. As our University centre is organized in a Departmental structure, I am contributing to the daily work in the hip service, where we are treating patients with complex hip deformities, degenerative as well as traumatic disorders.
Personally, I have developed and published a technique of arthroscopically-assisted mini-open anterior decompression in FAI surgery as well as a less-invasive modification of periacetabular osteotomy. Due to the regional patient load in the southeast of Germany, we are treating many cases of developmental dysplasia, where reconstructive osteotomies and arthroplasty surgeries including femoral osteotomies in dislocated hips with advanced osteoarthritis are routine. We have performed a significant number of hip resurfacings at our Department and coordinated international consensus meetings on the handling of metal-on-metal bearings.
• EHS: Do you also get involved in scientific matters and clinical research in Orthopaedics?
KPG: In 2009, I was appointed President of the German Society of Orthopaedic Surgery (DGOOC) and since that time, I am serving the society as standing Executive Board member. 2011-2012 I had the privilege to become President of the “Arbeitsgemeinschaft Endoprothetik (German Arthroplasty Society)”. Due to my special interest in European Orthopaedics and many collaborations, I was able to work in different EFORT committees since 2004 and after being elected as Member at Large 2014 – 2016 I am currently EFORT Vice President. In addition, I am working as an active member in several National and International Scientific Societies (i.e. European Hip Society and International Hip Society). Currently, I am Executive Committee member of the German Arthroplasty Registry (EPRD) and founding member of the EndoCert©-initiative, which certifies arthroplasty centres in Germany with specialized infrastructure and performance.
Since more than twenty years, I am involved in clinical research around the hip joint. My first large research project was the coordination of the Ulm Osteoarthritis Study, where we performed extensive cross-sectional as well as longitudinal investigations on patients with hip and knee osteoarthritis as well as generalized osteoarthritis undergoing joint replacement. Based on this experience I could further contribute to several national and international projects in the field of osteoarthritis epidemiology as applicant and steering group member (i.e. EUROHIP Multicenter Study). Currently, I am coordinating the musculoskeletal task force within the German National Cohort (NaKo), where extensive clinical and MRI investigations are performed in a population-based survey. As a member of the “Hip and Knee Osteoarthritis Steering Committee“ of the European League against Rheumatism (EULAR) and the OMERACT/OARSI-working group “Outcome measures in osteoarthritis,” I could contribute to the development of international treatment guidelines for hip and knee osteoarthritis. In 2005, we established the local “Dresden Hip Registry” at our University Department, where data on more than 7000 prospectively collected patients with joint preserving as well as arthroplasty procedures could be analysed. Among other topics, we performed detailed investigations about the influence of comorbidity, social and psychological co-factors on the outcome of surgical procedures. Based on our recent work on regional variation in hip and knee arthroplasty numbers in Germany we are currently coordinating a consensus initiative on the indication for total hip replacement with patient and surgeon surveys as well as details systematic reviews on predictors of outcome.
Together with dedicated staff members, co-workers and collaboration partners in several local as well as European centres we could publish over 100 hip-related research articles in the last years.
• EHS: What about your involvement in the European Hip Society, and the next International Congress in 2020 taking place in Lille, France?
KPG: Thanks to the former EHS presidents Luigi Zagra, Gösta Ullmark, Wim Schreurs and the current President Jean-Alain Epinette I am allowed to work for EHS in the Education Committee and the Scientific Committee. In those groups, I have been active for many years and I have involved in the organisation of scientific congress programmes since the EHS-congress in Munich.
Together with several colleagues, we also could develop a European consensus on metal-on-metal hip arthroplasty under the auspices of EHS, which is still serving as a recognized guideline. Coordinating the EFORT Educational Committee as Chairman over several years, I always tried to connect initiatives of EFORT and EHS closely. In this function, I could contribute not only to EHS congresses and courses but also to the development of EHS Specialty Sessions at the annual EFORT Congress throughout the last years and I am looking forward to supporting the society during my upcoming EFORT presidency even more intensively.
During my work for EHS, I have not only found dedicated colleagues and hip specialists in different working groups and activities but also made really good friends with many of them. One of those friends, Jean Alain Epinette, is organizing the 2020 EHS congress in Lille as the current president. He offered me the privilege to support the preparation of a scientific programme and I will do my best to fulfil his expectations. Together with Per Kjaersgaard-Andersen, I have been asked to organize a symposium on “How to improve Primary Hips: Immediate success in our hands!” and several outstanding speakers have already confirmed their contribution. Together with Klaus Siebenrock as the incoming EHS President, who is also a close friend of mine, I am convinced that the high level of hip joint preserving surgery in Europe will also be demonstrated in Lille in a very impressive way.
For me personally the Lille congress in 2020 will be a very special event, as I have been elected EFORT Vice president and will join the EHS congress during my presidency. Being a dedicated hip surgeon and having the opportunity to participate in an exceptional hip congress with excellent contributions from different areas highlights the enormous input, which EHS is giving to European Orthopaedic Surgery. Therefore, I am hoping that many colleagues will take the chance and come to Lille, where a wonderful event will be waiting for all of us.