European Instructional Lectures Volume 10, 2010; 11th EFORT Congress

This tenth volume in the EUROPEAN INSTRUCTIONAL LECTURES series continues the format of educational chapters from across Orthopaedics and Traumatology contributed by notable surgeons in Europe. It provides up-to-date material and major advances covering a

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European Instructional Lectures Volume 10, 2010

European Federation of National Associations of Orthopaedics and Traumatology Committees and Task Forces EFORT Executive Committee Executive Board Prof. Dr. Miklós Szendrői, President Prof. Dr. Pierre Hoffmeyer, Vice President Dr. Manuel Cassiano Neves, Secretary General Prof. Dr. Karl-Göran Thorngren, Immediate Past President Mr. Stephen R. Cannon, Treasurer Prof. Dr. Enrique Caceres Palou, Member at Large Prof. Dr. Maurilio Marcacci, Member at Large Prof. Dr. Philippe Neyret, Member at Large Co-Opted Members Mr. John Albert Prof. Dr. Thierry Bégué Prof. Dr. George Bentley, Past President Prof. Dr. Nikolaus Böhler, Past President Prof. Dr. Karsten Dreinhöfer Prof. Dr. Klaus-Peter Günther Prof. Dr. Norbert Haas Ass. Prof. Dr. Per Kjaersgaard-Andersen Prof. Dr. Karl Knahr Prof. Dr. Wolfhart Puhl, Past President Prof. Dr. Nejat Hakki Sur Prof. Dr. Dieter C. Wirtz

Scientific Coordination 11th EFORT Congress, Madrid 2010 Chairman Prof. Dr. Pierre Hoffmeyer Members Prof. Dr. Enric Caceres Palou Dr. Manuel Cassiano Neves Dr. José Cordero Dr. Francisco Forriol Dr. Enrique Gil Garay Dr. José Antonio Hernández Hermoso Prof. Dr. Pierre Hoffmeyer Ass. Prof. Dr. Per Kjaersgaard-Andersen Prof. Dr. Philippe Kopylov

Prof. Dr. Maurilio Marcacci Prof. Dr. Philippe Neyret Mr. Dishan Singh Prof. Dr. Miklós Szendrői Prof. Dr. Wolfahrt Puhl

Standing Committees EAR Committee Prof. Dr. Nikolaus Böhler, Dr. Gerold Labek Education Committee Prof. Dr. Maurilio Marcacci EA & L Committee Prof. Dr. Wolfhart Puhl Finance Committee Mr. Stephen R. Cannon Health Service Research Committee Prof. Dr. Karsten Dreinhöfer Portal Steering Committee Prof. Dr. Klaus-Peter Günther Publishing Committee Prof. Dr. George Bentley (Books), Prof. Dr. Klaus-Peter Günther (Portal), Prof. Dr. Wolfhart Puhl (Journal) Scientific Committee Prof. Dr. Enrique Caceres Palou

Task Forces and Ad Hoc Committees Awards & Prizes Committee Prof. Dr. George Bentley Fora Prof. Dr. Thierry Bégué Speciality Societies Committee Dr. George Macheras, Prof. Dr. Pierre Hoffmeyer Travelling & Visiting Fellowships Prof. Dr. Philippe Neyret Musculoskeletal Trauma Task Force Prof. Dr. Norbert Haas

European Federation of National Associations of Orthopaedics and Traumatology

European Instructional Lectures Volume 10, 2010 11th EFORT Congress, Madrid, Spain

Edited by

George Bentley

Prof. Dr. George Bentley Royal National Orthopaedic Hospital Trust Stanmore, Middlesex HA 7 4LP, UK [email protected] EFORT Central Office Technoparkstrasse 1 8005 Zürich, Switzerland www.efort.org

ISBN: 978-3-642-11831-9     e-ISBN: 978-3-642-11832-6 DOI: 10.1007/978-3-642-11832-6 Springer Dordrecht Heidelberg London New York Library of Congress Control Number: 2010925107 © EFORT 2010 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is ­concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way,