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Welcome Message from the Co-Chairmen

Dear honourable guests, friends and colleagues,

Welcome to the 39 th Annual Congress of Hong Kong Orthopaedic Association!
The main theme of this year Annual Congress is “Rebuild and Rebrighten: Aging Orthopaedics to
the Next Century”. Ten years ago, our 29 th Annual Congress focussed on fragility fracture for the
first time. Since then, there have been a lot of changes in the society and the orthopaedic
community, both locally and globally. The whole world has been facing the impacts brought by the
aging population, particularly in the developed societies. Hong Kong has surpassed Japan to be
the area with longest life expectancy at birth since 2016, both males and females. As a result,
Hong Kong has witnessed constant increase incidence of hip fractures in the past decade, now
roughly around 7000 hip fractures per year. There was also an tremendous increase in
degenerative conditions which need orthopaedic intervention. There are more than 2000 total knee
replacements performed per year, and yet our average waiting time still ranges from 36 to 110
months.
Yet the healthcare professions around the world are fighting hard together against this tsunami of
fragility fracture and degenerative conditions. Newer medications combating osteoporosis are
constantly emerging, with a new form of reversible anti-resorptive agent approved since 2010, and
a new bone-forming agent approved since 2017. Arthroplasty surgeries, despite its long history in
orthopaedic surgery, are constantly evolving, The fast development in navigation and robotic
surgery in arthroplasty in the past decade allows the procedures to be done in high accuracy and
minimize complications. In Hong Kong, due to the constant hard works from the healthcare
professions, public health administrators became aware of the importance of ortho-geriatric
collaboration and fracture liaison services, and finally started to invest resources in these aspects.
Additional funding for osteoporosis medications, fracture fixation implants specialized for
osteoporotic bones, 365-day physiotherapy services, and setting up trauma list allowed better
management of fragility fracture and enable our elderly to continue their lives in the community with
reasonable quality. Similarly the pressing volume of patients with degenerative conditions led to the
setting up of joint replacement centres by Hospital Authority since 2010, with the 6 th centre just
opened in 2018. Other efforts made by the local arthroplasty surgeons, including the increasingly
common unicompartmental knee replacement, simultaneous bilateral total knee replacement, and
fast-track rehabilitation, continued to benefit our increasing elderly population.
The field of geriatric orthopaedics is so vast and rapidly developing that it would be difficult to cover
within a 2-day program, but we try to include every aspect in our 5 plenary lectures, from
degeneration, deformity, trauma to fragility fractures, including the most advanced technology and
up-to-date concepts of management. Renowned international and local faculty are invited to share
their expert opinion in these fields. We have also 7 concurrent sessions and 9 free-paper sessions.
In addition, a special satellite program on “Best Practise in Ortho-geriatrics” would be arranged to
provide a platform for experts in multiple disciplines to share and exchange their ideas and
experiences.
We would like to express our thanks to the hard work from the Organizing Committee of the Annual
Congress, the tremendous support from the Council of the Hong Kong Orthopaedic Association,
and the great contribution from all the international and local speakers. We would also like to thank
the sponsors for their continuous support over years in technical exhibitions, lunch symposia and
advertising in program book. Finally we thank all of you for your active participation particularly in
this year Annual Congress.

Dr Albery Yung-chak HSU, Dr Kam-kwong WONG
Co-Chairmen, Organising Committee