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Activities

Meetings, Conferences and Events 

Traveling Fellow Elvire Servien Visits US and South Africa for Further Study
As part of her traveling fellowship, Elvire Servien of Lyon, France visited three different surgeons in two countries on two different continents. Her report is provided below:

In June of 2009, I went to the United States to meet Dr. John Fulkerson of Farmington, CT and Dr. Anthony Schepsis of Boston, MA. I saw different surgeries, including and MPFL procedure and Dr. Fulkerson’s osteotomy. But I also saw many patella-disorders I usually do not see in my practice. Indeed, when experiencing anterior knee pain in France, patients are referred to the physician for a rehabilitation protocol. We went to the lab with Dr. Fulkerson with his fellow and did an MPFL knee dissection on a cadaver. I also saw several antero-medialization osteotomies with a repeat of the anteromedial tibial tubercle transfer with Dr. Schepsis. The second interesting point was a very high rate of patients with previous lateral retinaculum release (two or three recurrent procedures) coming to see a “patella surgeon expert.” With Professor Schepsis, the dynamic CT-scan was a very interesting exam and was performed in order to analyze patello-femoral tracking during flexion.

My second destination was South Africa , where I visited Dr. Spike Erasmus. I saw his technique for MPFL reconstruction and had an extensive discussion with him about MPFL isometry and graft fixation. The fellowship ended with an International PF Study Group meeting and fantastic Sabi Sabi

Educational Opportunities

Posted by on in Meetings

The Patellofemoral Foundation (PFF) Board of Directors met in San Francisco at the American Academy of Orthopedic Surgeons meeting on March 6, 2008. Representatives from our major benefactor, Smith and Nephew Endoscopy, attended as well as Lieve Van den Berghe, Vice Preident of DJO International and organizer of the Patellofemoral Consensus Group. The AAOS meeting was a great opportunity for Patellofemoral Board Members to fulfill part of our mission to enhance awareness of patellofemoral problems and provide focused educational opportunities for health care professionals about prevention and proper care of patients and athletes with patellofemoral pain and instability.

John J. Elias, M.D., Andrew J. Cosgarea, M.D. 
Medical Education and Research Institute of Colorado, Colorado Springs, CO
Orthapaedic Surgery, Johns Hopkins University, Baltimore, MD

John Elias and Andrew Cosgarea have reported new and exciting results from their PFF funded research. In a computer model of knees with dysplastic trochleas, they have established that proximal realignment (MPFL reconstruction) creates greater patellofemoral articular loads than tibial tubercle transfer. This important work helps to further clarify the need for distal alignment in controlling patellar instability when the trochlea is flat and there is lateral tracking of the patella. Read More

 

Tagged in: Research

Purpose: The purpose of this study was to evaluate the effect of surgical reinsertion of the medial patellofemoral ligament (MPFL) to the adductor tubercle compared with conservative treatment in patients with primary dislocation of the patella. Methods: Eighty patients with primary patella dislocation were included in the study. Delayed arthroscopy (mean, 50 days after injury) was performed to assess cartilage injury and status. During arthroscopy, patients were randomized to surgical reinsertion of the MPFL or to conservative treatment. Conservative treatment was use of a brace with 0° to 20° motion for the first 2 weeks after dislocation. Patients were followed up for 2 years. The incidence of recurrent patella dislocation was recorded along with the clinical Kujala scores and Knee Injury and Osteoarthritis Outcome Scores. Results: The redislocation rates were 17% and 20% in the operative and conservative treatment groups, respectively (P= not significant). Kujala scores were 85 and 78 in the operative and conservative treatment groups, respectively (P = .07). The patella stability subscore was significantly higher in the operative group. No difference in Knee Injury and Osteoarthritis Outcome Scores was found. Conclusions: Delayed primary repair of the MPFL by use of an anchor-based reattachment to the adductor tubercle without vastus medialis obliquus repair after primary patella dislocation does not reduce the risk of redislocation nor does it produce any significantly better subjective functional outcome based on the Kujala knee score. Only the specific subjective patella stability score was improved by MPFL repair compared with conservative treatment. Level of Evidence: Level I, therapeutic randomized controlled trial. Read More

Tagged in: Research

Introducing Board Member Philippe Neyret, M.D.

Posted by on in Meetings

neyret

At the PFF Board meeting on March 6, 2008, members of the Board welcomed Philippe Neyret, M.D., of Lyon France to the Board of Directors.

Dr. Neyret is Professor and Chief of Orthopedics Department in Lyon (France), after the famous Alfred Trillat and Henri Dejour. The Lyon school is known for its expertise in the field of knee surgery and particularly patellofemoral disorders. The Lyon team has published results of many clinical investigations and books. Dr. Neyret serves many prestigious international societies such as ISAKOS, ESSKA, EFORT... He has particular interest in sport and soccer injuries.

For a full list of Patellofemoral Foundation Board of Directors click here.

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