IMUKA 2019 Program

The program for IMUKA 2019

The goal is a two-day programme of presentations, panel discussions and interactive dialogue at the conference. We will present the key themes, ideas, and considerations for the current practice along with indications of some future trends.

Bringing together a curated audience of critical stakeholders in smart health and orthopaedic surgeons will lead the way in the Outpatient Arthroplasty revolution: Evidence-based pathways save healthcare.

The ultimate goal is the ongoing, evidence-based improvement of personalised care of the orthopaedic consumers leading to increased consumer safety, increased efficiency, and higher satisfaction rate.

Preliminary program: 

Thursday 13 June 2019             15:30 - 19:00

Pre-conference workshop 1 - 2

Friday 14 June 2019                 10:00 - 18:00

Conference Session 1 - 4

Saturday 15 June 2019             08:00 - 14:00

Conference Session 5 - 7

Thursday 13 June 2019            15:30 - 19:00

Pre-conference workshop 1 - 2

Leadership for improvement of the practice (3 hours)

Pre-conference workshop by an innovation coaching and consulting firm; Ir.ing Arnout Orelio MBM, The Improvement Practice

Despite the proliferation of digital roles and responsibilities, most executives and healthcare providers recognize that their companies are not adequately preparing for the industry disruptions they expect to emerge from the new trends.

Preparing for a bright, healthy future is no easy task.

To help companies and health care providers better prepare for their health care future, we will provide the leadership thinking and behaviours, required to support the change in health care and innovation and ensure a prosperous future.

It is not just about the product innovation. Innovative products need to be embedded in the care process. How can successful care pathways be more successful and how can we broaden the scope? The aim is to show examples, give tips and tricks and hand you the change management tools and techniques for going through the whole process of turning an idea into a successful project. Because, in the end, it is all about people!

Friday 14 June 2019          10:00 - 16:00

Conference Session 1 - 4

Session 1 (1,5 hour)


Arthroplasty Pathway Worldwide

Over the last decades, the number of hip and knee arthroplasty as a result of osteoarthritis has increased considerably and is still growing. Due to scientific advancement and innovation, clinical pathways (CPs) in hip and knee arthroplasty are constantly changing. The aim of CPs is the optimization of standardized protocols and multidisciplinary procedures to improve the quality of treatment, to hasten recovery, minimize variation in care and to reduce costs. 

Session 2 (1,5 hour)

Optimizing the treatment to Fast-track

First better, than faster

Session 3 (1,5 hour)

Patient selection and expectations

Length of Stay can be influenced by preoperative patient selection and preoperative patient education and patient expectations

Session 4 (1,5 hours)

Pre-clinical phase


Saturday 15 June 2019 08:00 - 14:00

Conference Session 1 - 4

Session 5 (1,5 hours)

Peri-operative phase


Session 6 (1,5 hours)

Post-operative and post-clinical phase


Session 7 (1,5 hours)

Challenges and opportunities

As with most techniques in modern medicine, more patients experience the benefits of optimized CPs. To improve CPs, investment in training, knowledge and adjustments to daily practice for the surgeon, nurse and physiotherapist are needed. A good cooperation between these professionals and the patient is important. All disciplines should be informed about, included and actively involved in the whole process. Healthcare organizations and hospital management need to be convinced as these optimizations are associated with initial costs. On the other hand, CPs will reduce costs in the long term. Long waiting lists and the increasing economic burden on public healthcare providers should also be taken into account. 


With the focus on preoperative education and training of patients, a multimodal pain protocol, nausea prevention and early mobilization, practical applicability of simplified protocols and new techniques are progressive. Patients with a shorter stay had a substantial reduction in costs associated with the optimized CP procedure. The number of operations increased, resulting in shorter waiting lists. Not all the included studies reported costs, though they support the studies reporting that a reduced LoS implicates savings. Hospital costs reduced significantly in the optimized CPs as a result of a reduction in room costs, fewer laboratory tests, used medications, physical therapy and reduced complications.

The available literature of optimized CPs for hip and knee arthroplasty, including pathways with discharge on the day of surgery shows;  When improving multidisciplinary procedures and protocols with up-to-date literature, an optimized CP can be favourable for hip and knee arthroplasty, they are at least as good as, if not better than standard CPs.