This session will focus on the role of bone cement in knee arthroplasty as well as the emerging evidence for the use of cementless implants. It will cover basic science as well as clinical evidence. There will also be an overview of the challenges posed by the recent bone cement supply issue, its impact, and the steps taken to address this issue.
Chair: Abtin Alvand
08:30 - 08:35 Abtin Alvand, Consultant Orthopaedic Surgeon, Nuffield Orthopaedic Centre (NOC)
Introduction
08:35 - 08:55 Alasdair Santini, Consultant Orthopaedic Surgeon, Liverpool University Hospitals NHS Trust
Why We Should Still Use Cement in Knee Arthroplasty Despite the 2026 Cement Debacle
08:55 - 09:05 Discussion
09:05 - 09:25 Alex Liddle, Consultant Surgeon/Clinical Senior Lecturer, Imperial College Healthcare NHS Trust/MSK Lab, Imperial College London
Cementless Knee Arthroplasty Is the Future
09:25 - 09:40 Discussion
09:40 - 09:50 Professor Andrew Toms
Revision Knee Replacement – Stuff Wot We Know
09:50 - 09:55 Discussion
09:55 - 10:00 Alasdair Santini, Consultant Orthopaedic Surgeon, Liverpool University Hospitals NHS Trust
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Abtin Alvand
Consultant Orthopaedic Surgeon, Nuffield Orthopaedic Centre (NOC)
Abtin is a Consultant Orthopaedic Knee Surgeon at the Nuffield Orthopaedic Centre and Honorary Senior Clinical Lecturer in Orthopaedic Surgery at the University of Oxford (NDORMS). He graduated from University of London (Guy’s, King’s and St Thomas’ School of Medicine). After completing basic surgical training on the prestigious Hammersmith surgical rotation, he began higher surgical training in Trauma and Orthopaedics on the Oxford programme in 2008. He took three years out of programme to undertake a PhD (DPhil) as the NIHR Biomedical Research Unit Fellow at the University of Oxford. His DPhil was titled “Improving Surgical Learning and Performance at Unicompartmental Knee Arthroplasty”. Abtin was appointed as NIHR Academic Clinical Lecturer at the University of Oxford in 2015, and Honorary Senior Clinical Lecturer in 2017. He undertook two post-CCT sub-specialist clinical fellowships focusing on complex hip and knee surgery in Oxford and Stanmore (Royal National Orthopaedic Hospital). He was then appointed in Oxford as a Consultant Orthopaedic Knee Surgeon. Clinically, he has a specialist interest in unicompartmental knee arthroplasty, revision knee arthroplasty, and peri-prosthetic joint infection.
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Alasdair Santini
Consultant Orthopaedic Surgeon, Liverpool University Hospitals NHS Trust
Alasdair Santini is a Consultant Orthopaedic Surgeon at Liverpool University Hospitals NHS Foundation Trust, specialising in knee and hip surgery, with particular expertise in primary and revision knee arthroplasty, knee arthroscopy and hip replacement surgery. He trained at the University of Sheffield before completing higher orthopaedic training on the Mersey Orthopaedic Rotation, including a Royal College of Physicians and Surgeons of Glasgow Travelling Fellowship in St Louis, USA.
Appointed as a consultant in Liverpool in 2005, Mr Santini has extensive experience in lower limb arthroplasty and has held several clinical leadership roles. He is an Honorary Clinical Lecturer at the University of Liverpool and has published and presented research nationally and internationally, with particular interests in knee surgery, surgical education and quality improvement.
Mr Santini is President of the British Association for Surgery of the Knee (BASK), reflecting his longstanding commitment to advancing knee surgery, research and education across the UK. He has been President of the Grosvenor Orthopaedic Club and as Managing Partner of the Bone and Joint Centre in Liverpool. Through his clinical practice, research and national leadership roles, he has made a significant contribution to the development of modern knee and hip surgery.
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Alex Liddle
Consultant Surgeon/Clinical Senior Lecturer, Imperial College Healthcare NHS Trust/MSK Lab, Imperial College London
Alex is a consultant hip and knee surgeon at Imperial College Healthcare NHS Trust and Clinical Associate Professor at Imperial College. His clinical practice revolves around partial, total and revision knee replacement, hip resurfacing, primary and revision hip replacement. His research focusses on improving outcomes and preventing complications of joint replacement, including work on optimising fixation in cementless implants, interventions to prevent and treat prosthetic joint infection, and use of routinely collected data to improve patient selection and surgical practice. He is Surgical Speciality Lead for elective orthopaedics at the Royal College of Surgeons of England, sits on the research committee of the British Orthopaedic Association, and is Chief Medical Officer of Osstec, an Imperial spinout company developing implants based on novel cementless lattice technologies.