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PFF/ISAKOS Travelling Fellowship

Sheanna Maine, MD
Mauro Núñez, MD
Patellofemoral Travelling Fellowship 2017-2019.

Regardless of our background, place of training or experience, we all have a common goal, to be able to offer our patients the best in terms of diagnostic certainty, timely and adequate treatment to improve their quality of life.

Fellowship programs serve this purpose by seeking expertise in a specific area within ​​our specialty. These programs have shown their value by significantly shortening the learning curve of those who have studied them.

While this holds true for established academic programs that usually last for a period of one year, we did not know exactly what to expect from a Traveling Fellowship, much less what the similarities might be, nor the dissimilar areas in comparison to a formal academic programs.

PFTF 2017-2019

Our itinerary included 2 continents, three countries and 5 centers, visited over 4 weeks.

We started with a week-long visit to Minneapolis, Minnesota with Dr. Elizabeth Arendt, followed by a flying visit to John Hopkins in Baltimore, with Dr Andrew Cosgarea and Dr Miho Tanaka. In that same week we traveled to our second country Canada, specifically to Banff to visit Dr Laurie Hiemstra.

Back in the USA we visited the Hospital for Special Surgery (New York City) during a week where we were hosted by Drs Beth Shubin-Stein, Sabrina Strickland and Daniel Green.

The opportunity to pause and mull over the learning experience gave us much to think about and many more questions to ask.

A few months later we started our journey to Asia, destination Kobe, Japan; where we visited Dr Ryosuke Kuroda.

Ultimately, our perspective on the patellofemoral joint has been coloured by our experiences. While we still do not know all the answers, we now have the benefit of many different views that we can draw upon to analyse and enrich our philosophy on management of its associated pathologies.

We believe that the Patellofemoral Traveling Fellowship (PFTF) is a unique experience from an academic point of view and it is an exceptional networking resource for all those surgeons who wish to enter this exciting field.

Perhaps part of the success of this program lies in its rigorous selection process, which allows candidates to be selected with intermediate or even advanced experience and a proven academic background and interest in the area. Another advantage of this program is the flexibility, the selected fellows coordinate dates, places and potential hosts to visit, being able to build an experience tailored to their academic needs and interests.

Although there is a fixed amount of money provided by the Patellofemoral Foundation, it is common for fellows to incur expenses somewhat higher than the maximum amount granted, in order to maximize their own experience.

ISAKOS 2019, Cancún, México.

During the biennial recently held in Cancun, Mexico, we closed our PFTF with a presentation highlighting the most relevant academic and social moments of this experience.

The true spirit of this presentation was to pay a well-deserved tribute to the various hosts involved in PFTF, both for their willingness to impart the most relevant concepts in the patellofemoral field, as well as for the hospitality demonstrated at all times in the socio-cultural sphere.

The academic component of the fellowship was not didactic and did not involve a set of approved learning objectives. Our

hosts gathered various clinical cases in order to demonstrate their analysis of information which enabled us to learn how to extract the most relevant information for clinical decision making. They openly showed us not only the successful cases but they also shared their complications and showed us how they dealt with them. We were able to observe immediate results, as well as long-term follow-ups, all in order to to help us form our personal decision making algorithms in record time.

The PFTF also gave us the opportunity to be involved with the Patellofemoral Study Group (PFSG), a group dedicated to clinical investigation of patellofemoral pathology in search of offering more and better quality treatment options.

In conclusion, the PFTF constituted a unique academic, networking and cultural opportunity. Our genuine interest in deepening our understanding of  PF pathology, was mirrored by our hosts and inspired us to continue investigating the development of patellofemoral pathology while appreciating the diversity of management strategies in our current surgical sphere.

The 2017 Patellofemoral Foundation funded Travelling Fellows recently completed their fellowship with a visit to see Professor Ryosuke Kuroda and his sports medicine team at Kobe University Hospital. Not only was the trip a valuable academic experience, but also an incredible cultural immersion with hospitality second to none. From the moment we arrived in Japan, the language barrier we expected was barely noticeable as Professor Ryosuke, and Consultant Surgeons Takehiko Matsushita and Daisuke Araki were kind enough to translate for us in their clinic where a variety of Patellofemoral and Sports cases were reviewed. We had the opportunity to present our own research and were treated to a departmental dinner - the first in a week long extravaganza of Japanese culinary delicacy. Guided tours to Kyoto, Nara and Himeji castle introduced us to the concept of Wabi Sabi, a philosophical conundrum that we will continue to study and appreciate. The unit had then been instructed to present their rounds and complex cases in English and we finished our trip following a day of surgery with dinner at a Kobe beef restaurant. The experience has primarily reinforced to us that the mission for which the Patellofemoral Foundation and International Patellofemoral Study Group were  founded, being a collegial family of surgeons with a common interest in furthering understanding of the PFJ, is still alive and well. We sincerely hope that we will have the opportunity to return the hospitality of our Japanese family in the future and we look forward to presenting a summary of our travels at the ISAKOS meeting in Cancun.

ISAKOS PF traveling fellows

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Patellofemoral Foundation sponsored ISAKOS PF traveling fellows Sheanna Maine and Mauro Nunez visit with Professor Ryosuke Kuroda, a former Patellofemoral Foundation/ISAKOS fellow, in Kobe Japan where Dr Kuroda is Chairman of Orthopedic Surgery

The Patellofemoral Foundation Board of Directors are delighted to announce that we will be funding Drs. Robert Magnussen and Marc Tompkins to be the 2019-20 ISAKOS/Patellofemoral Foundation Traveling Fellows. Congratulations!
Marc Tompkins, MD
Associate Professor of Orthopedic Sports Medicine
University of Minnesota/TRIA Orthopedic Center
I am interested in the surgical treatment of patellofemoral instability as well as anterior knee pain.  I have done and am currently participating in research into clinical outcomes following patellofemoral surgery.  I have also done and am currently participating in radiographic and biomechanical based research around patellofemoral pathology.  In addition, I have done and am currently participating in research focusing on rehabilitation following patellofemoral injury or surgery.
I am very excited about the opportunity to participate in the patellofemoral traveling fellowship.  I look forward to building on the foundation of patellofemoral understanding that I currently have through observation and discussion with other patellofemoral surgeons.  I also look forward to getting to know other patellofemoral surgeons better, with the hope for future collegial exchange and possible research collaboration. — Marc Tompkins, MD

Robert Magnussen, MD
Associate Professor of Orthopaedics
Bruce and Susan Edwards Professor of Sports Medicine
Associate Orthopaedic Surgery Residency Program Director for Research
Department of Orthopaedics
The Ohio State University Wexner Medical Center
My current areas of PF interested include using the power of multicenter cohort studies to answer key questions surrounding the treatment of patellar instability. Through multi-center collaboration, we can greatly shorten the time needed to collect patients and outcomes and hopefully soon provide some definitive answers to two key questions: 1. Which patients who suffer a first time patellar dislocation would benefit from early reconstructive surgery? and 2. When is an MPFL reconstruction sufficient to restore patellofemoral stability? By answering these key basic questions, we can facilitate patients' return to activity while minimizing both potential surgical morbidity and time loss from activity.

— Robert Magnussen, MD




PFF traveling fellows Sheanna Maine (Australia) and Mauro Nunez (Costa Rica) have been busy traveling to University of Minnesota with Drs Arendt and Tompkins; Hospital for Special Surgery with Drs Strickland, Shubin Stein, Green, Gomoll, and Fulkerson; Johns Hopkins with Drs Cosgarea and Tanaka; and here, with Dr Laurie Hiemstra in Calgary, Canada. Dr Hiemstra is hosting the next International Patellofemoral Study Group meeting next September in Banff, Canada.

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