26th & 27th January 2026
The Westin Hotel, The Waterfront,
Cape Town, South Africa

In January 2024, 309 delegates from 53 countries participated in a two-day consensus meeting in Birmingham, UK, to debate researched evidence on 21 consensus statements on Chondrosarcoma and 20 consensus statement on Infection in Oncology Reconstructions, via a Delphi process. We wanted to hold a meeting that would help sarcoma units around the world to have answers to day to day problems we face treating patients with Chondrosarcoma and Periprosthetic Joint Infection in orthopaedic oncology reconstructions. Often the literature delivers very mixed opinions as to what is the best way to treat a variety of scenarios and consensus meetings can help the clinician know what the global opinion is on those subjects. They are designed to guide clinicians but are not intended to be universally applied to every clinical situation.

The results of the meeting are available to download on the Boom Consensus website and will be published. Anyone who is interested in sarcoma and wants to take part in projects as a result of this meeting, future meetings or just keep up to date with free to register their interest in the group via this website and a member of the board will contact you to send registration forms to join the group.

The 2026 meeting moves to Cape Town and The Westin Hotel! This great venue serves as a safe and secure central point for the conference. Accommodation is available as part of the registration process and there is more information about Cape Town on the ‘Venue’ tab above.

Meeting Highlights

Consensus topics to be voted on include:

Day 1:

– Management of aggressive benign bone and soft tissue disease

Day 2

– Surgical management of pelvic tumours

Convenors

Thomas Hilton

Dr. Thomas Hilton is one of the few orthopaedic surgeons in South Africa to be…

…fellowship-trained internationally in orthopaedic oncology and limb reconstruction. Based in Cape Town, he specialises in treating bone tumours, sarcomas, and infections with precision and care. His practice is dedicated to improving outcomes for patients by using advanced surgical techniques, including custom prosthetics, minimally invasive biopsies, and innovative treatment planning.

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With his unique expertise and commitment to patient care, Dr. Hilton provides solutions for even the most challenging orthopaedic cases.

Keith Hosking

Dr Keith Hosking qualified as an Orthopaedic surgeon at the University of Cape Town…

… and also completed a year fellowship in Orthopaedic Oncology / Limb sparing surgery at the Royal Orthopaedic Hospital, Birmingham, UK, in 1999. Today he is a member of the International Limb Salvage Society and is a regular participant and contributor at international meetings. He is the head of the Orthopedic Oncology unit at Groote Schuur Hospital as well as the Life Orthopaedic Hospital. He has performed thousands of limb sparing surgeries.

Lee Jeys

Prof Lee Jeys is a leading consultant trauma and orthopaedic surgeon in Birmingham who…

… specialises in Orthopaedic Oncology and Complex Arthroplasty. He sub- specialises in Pelvic Sarcomas having undertaken over 350 hemipelvectomies in his career to date.
He has published over 300 scientific papers in the world’s most important orthopaedic journals and he has written several chapters in textbooks about surgery. Professor Jeys gained a DSc for his thesis ‘Improving Patient Outcomes by Innovation and Collaboration’. The DSc is the highest research degree in the UK and only awarded for individuals who make an outstanding contribution to their field. Professor Jeys regularly lectures around the world on joint replacement and tumour surgery. He also has a MSc in Orthopaedic Engineering.
He is involved with several national committees including being the former Chairman of the National Centre Research Institute (NCRI) for Sarcomas and Board member of EMSOS. He has worked with NICE, health technology appraisal boards, as well as several multinational companies.

Vineet Kurisunkal

Mr. Vineet Kurisunkal is an orthopaedic oncologist who specialises in the treatment

…of benign & malignant bone and soft tissue tumours (sarcoma) and metastatic bone disease.

He completed his undergraduate and postgraduate orthopaedic training in India. He undertook his specialist fellowship training in orthopaedic oncology under Professor Ajay Puri and Professor Ashish Gulia at the prestigious Tata Memorial Centre, Mumbai, India, with one of the largest sarcoma centres in the world. He underwent further specialist training in navigation assisted pelvis and sacral sarcoma surgeries at the Royal Orthopaedic Hospital, Birmingham, certified by the Royal College of Surgeons, England.

He has authored a number of papers in the world’s most important orthopaedic journals and has written book chapters on sarcomas in various textbooks. He continues to develop his research interest in orthopaedic oncology which he presents at national and international conferences.

Minna Laitinen

Minna Laitinen is an Associate Professor and Head of Department at…

…Helsinki University Hospital, specialising in orthopaedic oncology with extensive experience in the management of bone tumours. For more than two decades, she has been an active researcher in chondrosarcoma, pelvic and sacral tumours, complex oncologic reconstruction and metastases.

She completed orthopaedic oncology fellowships at both Münster University Hospital in Germany and the Royal Orthopaedic Hospital in Birmingham, UK, gaining broad international expertise that continues to inform her clinical and academic work.

She is a founding member of the Finnish Bone Lesion Society and an active member of ISOLS and EMSOS, contributing to global collaboration in musculoskeletal tumour research. She also made history as the first female President of the Finnish Orthopaedic Society, reflecting her longstanding commitment to leadership and advancement within the field.

Widely recognised for her clinical insight, scientific rigor, and dedication to improving care for patients with rare bone tumours, she remains a driving force in orthopaedic oncology research and education.

Guy Morris

Guy Morris is an orthopaedic surgeon who specialises in the treatment of bone and…

…soft tissue cancer (sarcoma), he is also an arthroplasty surgeon performing both primary and revision hip and knee replacements.

He completed an undergraduate degree in Sports Rehabilitation and Injury Prevention before graduating in Medicine from the University of Leicester in 2007. He undertook his higher surgical training in the West Midlands on the Birmingham Orthopaedic Training Program and obtained his Fellowship of the Royal College of Surgeons of England in Trauma and Orthopaedics in 2017. He then gained further experience in the specialist field of oncology and arthroplasty during his fellowship in Sydney under Professor Paul Stalley at the Royal Prince Alfred Hospital; the largest sarcoma unit In Australia.

He has authored a number of papers in international journals and is himself a reviewer of scientific papers and textbooks. An honorary clinical lecturer at Birmingham University, he has maintained an active interest in teaching and has lectured on FRCS revision courses, been an examiner for mock FRCS examinations, and regularly contributes on the registrar teaching program.

Travel Advice

A COVID19 vaccination is not required for entry to South Africa. A visa is required for entry from certain countries, please follow the link below to see the South African visa requirements. Should you need a letter of invitation from the conference organiser to confirm your attendance please contact bookings@clockwork-uk.com. A travel pack will be sent to all registered delegates before the meeting

The Waterfront Safety

The safety and wellbeing of all our delegates is of paramount importance and the Waterfront’s robust security measures allow everyone to relax and enjoy the event with complete peace of mind.

The V&A Waterfront is one of the city’s safest areas, with dedicated security personnel patrolling the precinct around the clock. The site is monitored by a professional security team and supported by comprehensive CCTV coverage to ensure a safe and welcoming environment for all.

Registeration is now closed

Day 1 - Monday 26th January

07:30

Registration & Coffee

08:00

Welcome & Introduction

Keith Hosking & Thomas Hilton

08:15

Scene Settings & Rules

Lee Jeys

Session 1: Surgical Treatment of TGCT

Moderators: Lee Jeys & Keith Hosking

08:30 – 09:25

What are the poorer prognostic factors for tGCT?

When should we operate on TGCT in a primary setting and in a recurrent setting?

When should we not operate and consider medical treatment for TGCT?

Session 1: Non-Surgical Treatment of TGCT

Moderators: Lee Jeys & Keith Hosking

09:25 – 10:05

What are the effective systemic treatments for tenosynovial giant cell tumour of tendon sheath and how long should they be used?

Are there any intra-articular adjuvant treatments to reduce the recurrence rate in tGCT?

Industry Session: Implant Cast Presentation

10:05 – 10:20

10:20

Coffee Break

 

Session 2: Surgical Treatment of GCT

Moderators: Guy  morris & Ajay Puri

10:45 – 11:20

In general when should we attempt curettage and when should we resect GCT of bone?

What is optimal treatment for patients with a juxta-articular fracture in GCT of bone?

Session 2: Denosumab As an Adjuvant Treatment

Moderators: Guy Morris & Ajay Puri

11:20 – 12:20

What is the role of denosumab in GCT of bone?

Does the use of perioperative denosumab increase the risk for local recurrence and malignant transformation in GCT of bone?

What is the optimal timing of using denosumab in a neoadjuvant setting for the surgical management of GCT of bone and should it be given postop as well to decrease risk of LR?

Session 2: Denosumab As a Long Term Treatment

Moderators: Guy Morris & Ajay Puri

12:20 – 12:55

Is it safe to use denosumab in the long term?

Is there a role for dose reduction/frequency increase or drug holidays with denosumab for GCT of bone?

Industry Session: Biocomposites Presentation

12:55 – 13:10

13:10

Lunch Break

Session 3: Use of Surgical Adjuvants in GCT of Bone

Moderators: Vineet Kurisunkal & Pietro Ruggieri

14:00 – 14:55

Should adjuvant treatments (eg cement, argon beam etc) be used in primary curettage of GCT of bone and which ones are effective?

Is there evidence that Zoledronate-Loaded Bone Cement can act as a Local Adjuvant Therapy instead of the Systemic Denosumab Treatment?

Does supplemental bone grafting at the subchondral bone in addition to PMMA reduce risk for pathologic fracture and development of arthritis?

Session 3: Recurrent & Systemic GCT

Moderators: Vineet Kurisunkal & Pietro Ruggieri

14:55 – 15:30

How should we treat GCT lung implantation/metastatic disease?

How do we manage GCT of bone with soft tissue recurrences?

15:30

Coffee Break

Session 4: GCT of Bone In Difficult to Treat Locations

Moderators: Minna Laitinen & Matt Houdek

15:55 – 16:30

How do we should we manage GCT of bone of sacrum?

Is lifelong Denosumab an option for difficult spine-/sacral GCTs?

Session 4: Surveillance

Moderators: Minna Laitinen & Matt Houdek

16:30 – 17:25

When should we obtain chest imaging in GCT bone?

What is the optimal follow up regime for GCT of bone?

Session 4: Perioperative Considerations

Moderators: Minna Laitinen & Matt Houdek

17:25 – 18:15

Does pelvic surgery benefit from a longer duration of perioperative prophylactic antibiotic therapy compared to extremity surgery, and which regimen should be used?

When is the optimal time following chemotherapy to perform a hemipelvectomy and when is it safe to restart chemotherapy?

What criteria determine if a pelvic sarcoma is unresectable?

18:15

Day 1 Round Up

19:15

Buses to Cabo

Day 2 - Tuesday 27th January

07:30

Registration & Coffee

08:00

Summary of Day 1

Lee Jeys

Session 5: Soft Tissue Considerations

Moderators: Guy Morris & Walid Ebeid

08:10 – 08:45

What are the predictors of wound breakdown during pelvic resection?

What are the optimal surgical approaches for accessing tumors in different pelvic zones?

Session 5: Reconstruction vs No Reconstruction

Moderators: Guy Morris & Walid Ebeid

08:45 – 09:25

What the advantages and disadvantages of reconstruction and non-reconstruction following pelvic tumour resection?
What are the functional outcomes between non-reconstruction and reconstruction in the short and long term?

Session 5: Pelvic Ring

Moderators: Guy Morris & Walid Ebeid

09:25 – 10:05

Does closing the pelvic ring increase stability and when is it indicated?
When is sacral or spinopelvic fixation indicated and is there an optimal technique?

Industry Session: 3D Side

Custom jigs and navigation: contenders or allies 

10:05 – 10:20

10:20

Coffee Break

Session 6: Surgical Complications

Moderators: Lee Jeys & Eduardo Botello

10:45 – 11:35

Should infection prophylaxis include local antibiotic deliver?
How should dead space be managed to avoid complications?
What is the treatment for infection following resection and reconstruction?

Session 6: Margins

Moderators: Lee Jeys & Eduardo Botello

10:45 – 12:35

How should intraoperative tumour spillage be handled?
How wide should the nearest margin be for pelvic osteosarcoma, Ewing’s sarcoma, chondrosarcoma, and sacral chordoma?
Should we surgically resect the pre-chemotherapy or post chemotherapy disease in the Ewings Sarcoma?

Industry Session: Zimmer Biomet Presentation

12:35 – 12:50

12:50

Lunch Break

Session 7: Paediatric

Moderators: Minna Laitenen & Richard Boyle

13:45 – 15:35

Should paediatric patients be treated and reconstructed differently? If so, what are the specific issues in reconstruction?
When and how should we reconstruct after P2 resection in children?

Session 7: Radiotherapy

Moderators: Minna Laitenen & Richard Boyle

13:45 – 15:35

When and how should radiotherapy be used in combination with surgery for pelvic Ewing sarcoma?
Can proton or photon radiation therapy replace surgery in the treatment of pelvic Ewing sarcoma?
When should radiotherapy alone be considered in sacral chordoma and is there an optimal type (IMRT/Proton/Carbon Ion) and dose?

15:35

Coffee Break

Session 8: Reconstruction

Moderators: Vineet Kurisunkal & Thomas Hilton

16:00 – 16:45

What is optimal reconstruction after a P1,2,3 resection?
When and how should we reconstruct after P2 resection in adults?

Session 8: Modern Techniques

Moderators: Vineet Kurisunkal & Thomas Hilton

16:45 – 17:25

Does computer-assisted surgery (navigation, robotics, or custom jigs) reduce intralesional margins and the risk of local recurrence in pelvic tumor surgery?
How do new reconstruction techniques, including custom 3D-printed implants, compare with traditional methods in pelvic tumor surgery?

17:25

Summary

17:30

Close

The Westin Hotel, Cape Town

The 2025 conference will be held at The Westin Hotel in Cape Town waterfront.

Convention Square
Lower Long Street
Cape Town City Centre
8000

The conference and accommodation will be held in the Westin Hotel at Cape Town’s waterfront. This hotel has been chosen not only because of its excellent conference facilities, but its safe environment. The Westin includes its own concierge service for safe arrival from the airport and onward travel after your stay. Any transport requests can be organised from the hotel to ensure the safety and security of the BOOM guests.

Safety & Security

We understand that some delegates may have safety concerns surrounding Cape Town. The Clockwork Team have been on a site visit and want to reassure all delegates of their safety during their stay, we have put together the following travel advice to help with your journey – theres also some key points below:

  • Pre-book your airport transfer, this can be done through the hotel – please contact them here
  • The Westin Hotel has 24 hour security. and the conference space has additional security upon entrance.
  • Once in the conference everyone must wear a lanyard
  • The social activities will be guest listed
  • Entrance to Cabo beach club will only be permitted from an official BOOM shuttle bus.

When travelling around Cape Town we found Uber to be very helpful, it is extremely quick and all journey’s are tracked on your phone. Card payments are widely accepted and we were able to use contactless payment in all bars and restaurants. For more information please see the travel advice below:

Venue Highlights

The Westing Hotel not only provides excellent conference facilities but is located in the safest area of Cape Town. The Westin includes its own concierge service for safe arrival from the airport and onward travel after your stay. Any transport requests can be organised from the hotel to ensure the safety and security of the BOOM guests.

Venue Location

Satellite Navigation
The address for the venue is: Convention Square, Lower Long Street, Cape Town, South Africa, 8000

The hotel is a 20 minute drive from the airport. The best way to travel to the hotel from the airport is by arranging transport through The Westin (+27 21-4129999 or email: )

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We do not recommend guests to use the train network in Cape Town

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