Pierattilio Lupi

In September 2025 I was invited to India as international faculty at the Punjab Knee & Hip Course, 2nd Edition, in Amritsar — the only Italian speaker at the meeting. Alongside the scientific sessions I performed a live revision knee replacement, broadcast to the delegates: the first time that revision technique with metaphyseal fixation had been carried out in India.

The course was held at the Taj Swarna on 20–21 September 2025, organised by the Amritsar Orthopaedics Forum together with Amandeep Hospital, and brought together orthopaedic surgeons from across India. My lecture covered revision knee arthroplasty with metaphyseal fixation — one of the most demanding situations in joint replacement, where the remaining bone cannot support a conventional implant and stability has to be found in the metaphysis.

I regularly host orthopaedic surgeons from other countries who come to observe my hip and knee replacement practice at Casa di Cura Figlie di San Camillo in Cremona. These are short training visits, lasting a few days, and a certificate of attendance is issued at the end.

Over recent years colleagues have come from eastern Europe, the Caucasus and the Far East. They come to see the direct anterior approach to the hip, personalised alignment planning in the knee, and how revision cases are handled.

I value this part of the work for a simple reason: teaching a technique forces you to justify every step. People watching ask questions you have never asked yourself, and that improves how you operate.