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LIFESTYLE
04
Norwich, United Kingdom (October 14–15, 2014)
Just two hours north of London, Norwich has a wealth of historical architecture and medieval churches. Professor Simon Donell welcomed us in his countryside house and introduced us to his family members which included four cats, three Alpacas, a few chickens and a horse. The fabulous meals at his house were prepared using home- grown eggs, vegetables and fruit. The morning of October 14 was spent at Norfolk and Norwich Hospital where Professor Donell showed us a video presentation of his modified trochleoplasty and a sample of complex cases that were treated by him in past. The afternoon was spent in the new patient clinic, where we had a chance to examine several referred patients with complex patellofemoral disorders, including patients with failed previous patellar stabilization procedures and a subluxed patellofemoral joint with arthrosis. The dinner was hosted by Professor Donell at ‘The Wildebeest’ – an African themed restaurant with great food. The morning of October 15 was spent in the operating room for a complex case of habitual / obligatory dislocation of patella in flexion. The surgery comprised of distal femur de-rotational osteotomy, Albee trochleoplasty, MPFL reconstruction and quadricepsplasty. After surgery and rounding on inpatients, we headed to the airport on our way to Munich.
05a 05b
Ulm and Oberstdorf, Germany (October 16–17, 2014)
On October 16, we arrived in Ulm which was an hour long train-ride from Munich. Ulm is a city in southern Germany and is the birthplace of Albert Einstein. We were greeted by Dr. Sabine Lippacher, who accompanied us to the Institute of Orthopaedic Research and Biomechanics at University of Ulm. She introduced us to the head of the Joint Biomechanics Group, Professor Dr. Lutz Durselen, who gave us the tour of the lab; the lab was unique and immaculate. It was an all-in-one research center including capabilities for studies related to biomechanical engineering, cell biology, histopathology, microCT and computer modeling. Dr. Lippacher explained to us her experiments that were conducted in the lab to detect PF contact forces after MPFL reconstruction.
06 07
That evening, we reached Oberstdorf, a hiking and skiing town in southwest Germany, located in the Bavarian Alps. Dr. Manfred Nelitz received us at the train station. At dinner, he talked about his training in pediatric orthopaedics and how it has helped him to understand the developmental issues related to patellofemoral joint. On the morning of October 17, he picked us up from the hotel and we headed to the operating room. We assisted him in an MPFL reconstruction using a sleek technique of quadriceps tendon graft harvest. We continued case based discussions related to trochleoplasty, arthroscopic assessment of trochlear dysplasia, patellofemoral instability in skeletally immature patients and role of de-rotational osteotomy in management of patellofemoral disorders.
October 18, 2014: After two weeks of learning, sharing and fun, we said au revoir, nähdään, see you later and Auf Wiedersehen to each other
01 with Dr. David Dejour
02 with Professor Elvire Servien
03 with Dr. Petri Sillanpaa
04 with Professor Andrew Amis
05ab with Professor Simon Donell (center)
06 with Dr. Sabine Lippacher and Dr. Lutz Durselen
07 with Dr. Manfred Nelitz
ISAKOS NEWSLETTER 2015: Volume I 9