At the May 2013 meeting of ISAKOS in Toronto, Drs Shital Parikh and Laurie Hiemstra were awarded the 2013-14 ISAKOS/PFF traveling fellowship.
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In June, 2012, Dr Ashraf Abdelkafy of Egypt and Dr Geraldo Schuck of Brazil completed the US part of their ISAKOS Patellofemoral Traveling Fellowship, sponsored by the Patellofemoral Foundation. They visited with Drs Grelsamer, Fulkerson, Arendt and Dye. Click here for a report of their visit. In September, they visited Drs Simon Donell and Andrew Amis in the United Kingdom, as well as Drs Philippe Neyret, David Dejour, and Elvire Servien (former PF Traveling fellow) in Lyon, France. Click here for a report of the European portion of the their Fellowship.
PATELLOFEMORAL TREVELING FELLOWSHIP: KEY POINTS (by Geraldo Schuck)
Among the things we had the opportunity to see and discuss during the Patellofemoral Traveling Fellowship, I would like to highlight some of them. We who are knee surgeons are familiar with the vast majority of procedures related to Patellofemoral surgery, but my attention was pointed to procedures on the lateral retinaculum, both, repair procedures (in cases of excessive previous release) and lengthening. I had never seen them before, they were very interesting, and new to me.
I think we still need to study more about MPFL isometry and on the its points of insertion; I realized that some surgeons are more concerned with the femoral insertion while others with the patellar insertion, I couldn´t see a consensus. I also think there is still need for understanding in relation Patellofemoral arthroplasties; we have different models and techniques and also different moments of indications and positioning.
We had very rich discussions about the differences between patient’s complaints that come from instability or arthritis, and how we can use this to decide the best treatment option, as well as non-surgical approach to these conditions. Understanding the biology, tissue homeostasis, and adaptability of tissues, is a fertile field to be studied and we have them in mind as we think in femoropatellar joint disorders.
The Patellofemoral Tavelling Fellowship started in 2005, with Fred Almqvist and Ryosuke Kuroda travelling in 2005, and Elvire Servien and Christina Stukenborg-Colsman in 2007, began under the aegis of the Patellofemoral Foundation, and the selection committee of the Scientific Committee of the ISAKOS. The very first Travelling Fellow was Jason Koh, before ISAKOS was involved. Until this year, only one Travelling Fellow was selected.
At the 2009 ISAKOS Meeting, in Osaka, Japan, there was the much welcome surprise that three Travelling Fellows were to travel with a Godfather. On this occasion, the Fellowship was to take place in the spring of 2010. The four Patellofemoral Traveling Fellows 2010 made their way to San Francisco from different parts of the world. Dr. Petri Sillanpää from Tampere, Finland and Dr. Philip Schöttle from Zurich, Switzerland met the Godfather, Prof. Nicola Maffulli from London, England, at Heathrow Airport, and proceeded together to San Francisco. Petri and Nicola travelled in economy, and Philip exerted his charm on the check in ladies to get an upgrade to business class. This was a sign of things to come!
The aim of the Patellofemoral Travelling Fellowship is to promote better understanding and communication regarding patellofemoral pain. A stipend is provided by the Foundation to permit visits to several centres worldwide that offer opportunities to learn about the complexities of patellofemoral pain. This year four surgeons will be given the opportunity to benefit from this fellowship. Philip Schoettle from Germany, Petri Sillanpaa from Finland and Christian Lattermann from the USA will travel with Nicola Maffulli from England acting as their “godfather.”
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