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LIFESTYLE
ISAKOS PF Traveling Fellowship, 2014 Summary Report
Fellows
Laurie A. Hiemstra, MD
Banff Sports Medicine, Banff, BC, CANADA
Shital N. Parikh, MD
Cincinnati Children’s Hospital, Cincinnati, OH, USA
Lyon, France (October 6–8, 2014)
Our traveling fellowship started in Lyon, France’s second- largest city which is immersed in rich historical and cultural tradition. On the morning of October 6, Dr. David Dejour picked us up from the hotel and we headed straight to the operating room. The day was packed with 8 surgeries, back and forth between 2 operating rooms and 2 very efficient surgical teams. The surgical cases included patellofemoral arthroplasty, salvage trochleoplasty, MPFL reconstruction and tibial tubercle distalization. The sad part was that there was no time for lunch. The evening dinner was hosted by Dr. Dejour at Brasserie Leon de Lyon with Professor Elvire Servien, Dr. Guillaume Demey and a visiting fellow. On October 7, we visited the Albert Trillat Center at University Hospital, where we were greeted by Professor Philippe Neyret and Professor Servien. It was wonderful for Professor Servien to present the ‘History of French Orthopaedics’ with brief introduction of the pioneers of patellofemoral surgery. The morning session ended with case discussions. That afternoon gave us some free time to hike up the ‘Fourviere’ and the ‘Roman ruins’. The morning of October 8 was again spent with Dr. Dejour in the operating room where we had chance to discuss some cases, interact with him and get more surgical perspective on the patellofemoral joint.
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Tampere, Southern Finland (October 9–11, 2014)
Tampere has been dubbed as the ‘Manchester of Finland’ for its industrial past. Dr. Petri Sillanpaa, picked us up from the hotel on the morning of October 9 and we headed to ‘Kirurgian Koulutuskeskus’, the newly launched surgical training center. A pre-course seminar on lower extremity osteotomies was organized which was attended by Finnish orthopaedic surgeons. The presentations were impressive and it was a delight to hear the experience of senior surgeons, who later confessed how nervous they were as they had to repeatedly rehearse their presentations in English – just for us. That afternoon, we scrubbed with Dr. Sillanpaa on 2 surgical cases, an ACL reconstruction in a skeletally immature patient and MPFL reconstruction for patellar instability. The evening was relaxing with the unique experience of Finnish tradition at Sauna Hangaslahti, followed by dinner prepared by local chefs. On October 10, there was an academic conference on patellofemoral joint at the Tampere University Hospital. We both gave two presentations related to patellofemoral instability and there were thoughtful exchanges of ideas during the conference. The afternoon surgical cases included a trocheloplasty with MPFL reconstruction and an MPFL reconstruction using adductor longus autograft in a skeletally immature patient. The evening dinner was at Finlayson Palatsi restaurant in the heart of Tampere.
London, United Kingdom (October 13, 2014)
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We met Professor Andrew Amis at the Imperial College in London on Monday, October 13; it was raining, as expected. Founded in 1907, Imperial College London is one of the world’s best science-based institutions. Professor Amis gave us a guided tour of his biomechanical lab, including the history, development and basis for several workstations in the lab. He introduced us to a robot in his lab that has been used to study joint biomechanics. The display of heavy-duty automatic guns on his shelf could give an insight towards his love for machines. We met Joanna Stephen, MSc in the lab who gave us an in-depth review of all the patellofemoral cadaveric experiments that she had been involved with. At noon, we presented our perspective on patellofemoral joint at the weekly research meeting and enjoyed interacting with postdoctoral and PhD research fellows and students. This was followed by lunch in the cafeteria of Victoria and Albert museum, the world’s largest museum of decorative arts and design. We had nice discussions about potential biomechanical research related to PF joint. That evening we headed to Norwich.
8 ISAKOS NEWSLETTER 2015: Volume I