News and Activities
NEWS - What has the patellofemoral foundation achieved?
Upcoming Meetings, Conferences and Events
Patellofemoral Foundation (PFF) Recent Developments
- Miho Tanaka and her team from Johns Hopkins received the first Patellofemoral Surgical Anatomy Award at the Annual meeting of the Arthroscopy Association of North America in May 2014.
- The PF Foundation Board of Directors has awarded a $5000 grant to Dr John Elias at Akron General Hospital to study patella articular contact pressure alteration with lateral entry of the patella into the trochlea.
- At left, Dr Fulkerson presents the first Patellofemoral Lifetime Achievement Award to Dr Alan Merchant at the annual PFF luncheon in New Orleans which was hosted by the Board of Directors.
- Below, The 2014 Orthopedic Learning Center hands on cadaver surgery course was held February 28-March 1, 2014 in Rosemont IL. 38 participants and over 20 faculty participated and refined PF surgery skills on cadaver knees.
PF Surgery Course Faculty 2014
- Dr Matthew Bollier, Assistant Professor of Orthopedic Surgery at the University of Iowa has been awarded a $5000 grant from the Patellofemoral Foundation to support a research project entitled: "The effect of patellar height on patellofemoral contact pressure and area after medial patellofemoral ligament reconstruction: a finite element analysis."
- At the May 2013 meeting of ISAKOS in Toronto, Drs Shital Parikh and Laurie Hiemstra were awarded the 2013-14 ISAKOS/PFF traveling fellowship.
- At the May 2013 ISAKOS meeting in Toronto, Dr Shinya Oka was honored with the ISAKOS/PFF Research Excellence Award for his research entitled “A Simulation of the Optimal Femoral Insertion Site in Medial Patellofemoral Ligament Reconstruction.”
The International Patellofemoral Study Group met in Ghent Belgium August 29-31, 2013 under the leadership of past PF Foundation traveling fellow, Fredrik Almqvist.
Above, the 2013 Orthopedic Learning Center course was sold out with 48 orthopedic surgeons attending April 12 and 13, 2013 in Rosemont, Illinois, at the Orthopedic Learning Center. All of these surgeons learned indications and techincal skills for several key patellofemoral surgery procedures. Participants uniformly reported a very favorable experience. The course was co-sponsored by the Patellofemoral Foundation and the Arthroscopy Association of North America.
- The PFF board meeting and luncheon was held in Chicago on March 22, 2013. Nick Sgaglione announced the new AANA PF Surgical Excellence Award to be co funded by AANA and PFF.
- The Patellofemoral Foundation is jointly sponsoring a hands on patellofemoral surgery course in collaboration with the Arthroscopy Association of North America Feb 28-March 1, 2014. More information is available through the Arthroscopy Association of North America.
- The Patellofemoral Board of Directors extends grateful thanks to 2012 Major Corporate Benefactors Smith and Nephew Endoscopy, Conmed Linvatec, Kinamed, and DJO Global.
- Drs Bill Post and Jack Andrish presented live surgical cadaver demonstrations on, respectively, medial patella stabilization and anteromedial tibial tubercle transfer at the July 2012 American Orthopedic Society of Sports Medicine meeting in Baltimore. A crowd of over 250 orthopedic surgeons attended.
- 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. Click here for pictures.
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.
PFF/ISAKOS Travelling Fellowship
- Travelling Fellowship Facts
- Travelling Fellowship Application Form on ISAKOS website
- 2011-2012 ISAKOS Travelling Fellows
- 2010 ISAKOS Travelling Fellows - a "travelogue" with pictures
- 2009-2010 Awardees - Drs. Nicola Maffulli (England), Christian Lattermann (USA),
Philip Schoettle (Germany), and Petri Sillanpaa (Finland)
- 2008 Awardee - Dr. Elvire Servien
- 2007 Awardee - Dr. Christina Stukenborg-Colsman
- 2006 Awardee - Dr. Ryosuke Kuroda
- 2005 Awardee - Dr. Fredrik Almqvist
- 2004 Awardee - Dr. Jason Koh
- Dr. Svend Erik Christiansen's research on repair of the medial PF ligament
- Dr. John Elias & Dr. Andrew Cosgarea's research using a computer model of knees with dysplastic trochleas
- PFF has established close working relationships with the International Society of Arthorscopy, Knee Surgery and Orthopedic Sports Medicine (ISAKOS), the International Patellofemoral Study Group (IPSG) and the Arthroscopy Association of North America (AANA). For more information on these strategic alliances click here .
- The PF foundation co-sponsored (with the Arthroscopy Association of North America) a hands-on cadaver PF surgery course at the Orthopedic Learning Center in Rosemont, Illinois on January 20 and 21, 2012 for orthopedic surgeons. Despite a snowstorm, 39 participants and 20 instructors showed up for this "first ever" hands on PF Surgery Course. The next course is being planned for April 12-14, 2013.
- The Board of Directors is pleased to announce election of past PFF fellow Jason Koh to the Board of Directors.
- At its most recent board of director's meeting, the Arthroscopy Association of North America decided to co-sponsor, with the Patellofemoral Foundation, a hands-on cadaver surgery course on patellofemoral surgery for orthopedic surgeons January 20-21, 2012 at the Orthopedic Learning Center in Rosemont, IL. Dr Peter Jokl spearheaded this project. Drs Jack Farr and Jason Koh are the program directors and will join Drs Anthony Schepsis and John Fulkerson as master surgery instructors.
- Musculoskeletal Transplant Foundation has joined the Patellofemoral Foundation's corporate benefactors with the first major contribution of 2011.
- 2010 ISAKOS Travelling Fellows - a "travelogue" with pictures
- At the March 2010 American Academy of Orthopedic Surgeons meeting in New Orleans, Dr Fulkerson hosted a luncheon for the board of directors, corporate benefactors, and the ISAKOS travelling fellows at Mr B's Bistro on Royal Street. The newly released Patellofemoral Online Education URL (www.med.yale.edu/library/pfoe) was highlighted as the fellows met to discuss their April journey to patellofemoral centers in USA, France and England. At the luncheon, Elizabeth Arendt, Professor of Orthopedic Surgery at University of Minnesota joined other individual benefactors with a major contribution to the Patellofemoral Foundation.
- The Patellofemoral Foundation's Patellofemoral Education Website is now on line. It was built in conjunction with the Yale Library under the leadership of Peter Jokl MD, Professor of Orthopedic Sugery at Yale and Editor in Chief of the website, and John Gallagher at the Yale Medical Library.
- On April 25th 2009, Ronald Grelsamer, MD and James Gladstone, MD hosted a Patella course at the Mount Sinai Medical Center in New York City. It was standing room only, as over 130 orthopedists, physical therapists and allied health professionals listened to a panel of experts taken mostly from the International Patellofemoral Study Group. These included Vicente Sanchez-Alfonso and Fred Almqvist (who flew in from Spain and Belgium respectively), Rick Cautilli from Philadelphia, Jack Farr (Indianapolis), Wayne Leadbetter from Baltimore, Anthony Schepsis (Boston), as well as Elliot Hershman and Eveline Erni (PT) from New York. John Fulkerson, MD, founder of the International Patellofemoral Study Group and of the Patellofemoral Foundation was the Keynote Speaker. (Submitted by Ronald Grelsamer MD)
- The Patellofemoral Foundation's Board of Directors recently approved an affiliation with the Yale University Library to initiate a web-based Patellofemoral Resource Center, to be developed with the help of the Yale University Medical Library and the under the guidance of Dr. Peter Jokl, Professor of Orthopedic Surgery at Yale. Dr. Tony Schepsis will oversee a video library component that is currently being developed.
- The Patellofemoral Foundation gratefully thanks all those who have supported the Foundation's efforts over this past year, and extends special thanks to the Ronald Grelsamer Family (in memory of Ron's father Philippe); Smith and Nephew Endoscopy; Kinamed; Hartman Newspapers; The Alfred Trillat Fund courtesy of Philippe Neyret and associates (Lyon, France); and DJ Ortho for their exceptional support in 2009.
- Dr. Farhad Iranpour (UK) received the 2011 Patellofemoral Foundation's Research Excellence Award
- Dr. C. Benjamin Ma (USA) and associates received the Patellofemoral Foundation's Research Excellence Award
- Mr. J. William Hartman, Founding Benefactor has renewed his support of PFF
- Kinamed pledges its support of PFF
- Introducing Our Newest Board Member Philippe Neyret, M.D.
- PFF General Statement of Agreement
- Other Board of Directors News
Once again the Patellofemoral Foundation has generously supported the efforts of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) to encourage research and expertise in the field of patellofemoral disorders. The Patellofemoral Research Excellence Award for 2009 has been won by C. Benjamin Ma and his colleagues Choongsoo Shin, Dana Carpenter and Sharmila Majumdar from the USA for their investigation of patellofemoral joint kinematics in anterior cruciate ligament deficient and reconstructed knees. The award consists of an honorarium whereby the research was presented at the Biennial ISAKOS meeting in Osaka, Japan and may be published in the Arthroscopy journal. For both this award and the Travelling Fellowship Awards, the number and quality of applications has increased substantially compared to two years ago, reflecting the success of the Patellofemoral Foundation in encouraging research and interest in disorders of the patellofemoral joint. ISAKOS is very grateful for the ongoing support of the Foundation. — Julian Feller FRACS Chair, ISAKOS Knee Committee
Established in 1987, Kinamed designs and manufactures implantables and instruments for orthopedics and neurosurgery. Kinamed recently made a generous three-year pledge of support to the Patellofemoral Foundation. Support from Kinamed and all our donors is vital to our ability to fund innovation, research, education and awareness of patellofemoral disease. To become a Patellofemoral Foundation supporter, click here.
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.
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.
Patellofemoral General Agreement Statement from the PFF/ IPSG Consensus meeting sponsored by DJO International on March 6, 2008
- Focal loading can be a cause of PF pain.
- Overuse or at times cyclical overload of soft tissue or bone areas may explain the unusual and sometimes ill defined nature of anterior knee pain in some patients (Dye theory of envelope of load acceptance) Treatment should establish load reduction.
- Patellofemoral imbalance (including but not limited to malalignment) may cause pain by virtue of cyclical soft tissue and/or bone overload.
- Focal supraphysiological loading can, in some patients, be a cause of PF pain.
- Loss of vascular homeostasis (e.g. hypervascularity, ischemia, osseous hypertension) may be associated with anterior knee pain.
- Structural damage of articular cartilage does not always result in anterior knee pain. However, there is growing evidence that a subset of patients with chondral lesions may have a component of their pain related to that lesion.
There are many alternatives for non-operative PF pain treatment that should be considered some of which may include medications that affect neural pain transmission.
History, exam, imaging and response to treatment (differential injection, specific unloading, medication and multidisciplinary evaluation) should correlate well and be consistent in order to localize pathology and to make a precise diagnosis. Treatment should be developed based on the most precise diagnosis possible. Persistence of pain may be related to inaccurate appraisal of the cause of pain and/or inappropriate treatment decisions, patient non-compliance or complications of surgical treatment.
A patient’s active participation and understanding in his/her treatment is necessary for optimal results.
PFF/ISAKOS Travelling Fellowship Facts
Each year Patellofemoral Foundation (PFF) in conjunction with the International Society for Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) and the International Patellofemoral Study Group (IPSG) selects a young orthopedic surgeon with strong academic credentials and interest in pursuing an academic career related to the patellofemoral joint to be awarded a PFF/ISAKOS Travelling Fellowship.
The physician travels to various medical sites around the world to learn more about patellofemoral disease and how well respected expert physicians, surgeons and therapists are treating it. At each site the travelling fellow participates in patellofemoral research, patellofemoral surgical procedures, patient management or cadaver dissections in order to broaden their knowledge of the disease. The knowledge learned by the travelling fellow is invaluable and is then passed on to contemporaries, and patients.
The Travelling Fellow’s expenses are reimbursed by PFF. The physician is selected from a highly competitive international group of young orthopedic surgeons. Since 2004 Travelling Fellows have been from Belgium, France, Germany, Japan and the United States.
The Travellowing Fellowship application deadline is October 1, 2009. An application is available on the ISAKOS website. Travelling Fellowship Application Form on ISAKOS website
2011 Travelling Fellows
2010 Travelling Fellows
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
Dr. Christina Stukenborg-Colsman, Associate Professor of Orthopedic Surgery at the University of Hannover, Germany, was awarded the 2007 PFF/ISAKOS patellofemoral travelling fellowship a t the May 2007 ISAKOS meeting in Florence Italy.
Dr. Stukenborg-Colsman visited with Dr. Fulkerson in July 2007. The following picture shows a dissection of the MPFL and an anteromedial tibial tubercle transfer ostemotmy performed on a cadaver knee during Dr. Stukenborg-Colsman's visit.
Pictured: MPFL and an anteromedial tibial tubercle transfer ostemotmy performed on a cadaver knee
Dr. Kurosaka and manages a stem cell laboratory as well as a busy clinical practice. He is at the cutting edge of cartilage resurfacing research using stem cells.
Dr. Kuroda visited Dr. Jack Farr and Dr. John Fulkerson in March of 2006 then continued his fellowship with a visit to Dr Philippe Neyret and Dr. David Dejour in Lyon France in September of the same year.
Picutured at right: Dr. Ryosuke Kuroda with Dr. John Fulkerson, Dr. Phillippe Neyret and Dr. David Dejour in 2006.
Dr. Fred Almqvist of the University of Ghent, Belgium was the 2005 Travelling Fellow. Dr. Almqvist's fellowship allowed him to study with Dr. John Fulkerson (Connecticut, USA), Dr. Phillippe Neyret (Lyon, France) and Dr. Chris Ackroyd and Dr. Andrew Aims (United Kingdom).
Read about his experiences by clicking A personal review of the Patellofemoral Travelling Fellowship 2005. (A Microsoft WORD document)
With the support of DJOrtho, Dr. Almqvist organized an international consensus validation meeting on patellofemoral pain in Florence on May 26, 2007.
Dr. Joson Koh was sponsored by the Patellofemoral Foundation to do educational travel regarding the patellofemoral joint, as the 2004 Travelling Fellow. He visited with Dr. Donald Fithian in San Diego, Dr. Chris Ackroyd and Dr. Andrew Aims in the United Kingdom and attended the 2005 meeting of the International Patellofemoral Study Group (IPSG).
Patellofemoral Foundation Funded Research
The Hartman Patellofemoral Reseach Fund was established in recognition of Mr. J. William Hartman. Mr Hartman, president of Hartman Newspapers, Rosenberg, Texas, expressed unhesitating and early support of the concept and mission of the Patellofemoral Foundation with his generous Founding Benefactor pledge. Mr. Hartman renewed his committment to Patellofemoral Foundation in July 2007 with pledge of support for the next five years. We truly appreciate his dedication to Patellofemoral Foundation's mission.
Computational Comparison of Tibial Tuberosity Anteromedialization vs. MPFL Reconstruction for Patellofemoral 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. Click here for details.
Christiansen's PFF/ISAKOS award winning research found that there is no advantage to acute repair of the medial PF ligament after acute dislocation of the patella.
Arthroscopy Association of North America (AANA)
Pictured:Board Members Left-Right: Philippe Neyret, M.D., Eric Dahlinger, M.D, Jack Bert, M.D. (incoming president of AANA) Peter Jokl M.D., Jack Farr, M.D., John Fulkerson, M.D, Eric Jania, and Anthony Schepsis, M.D.
Patellofemoral Foundation Board of Directors meeting with Jack Bert, incoming president of the Arthroscopy Association of North America (AANA), in San Francisco on March 6, 2008. The Board of Directors welcomed Jack Bert, incoming president of the Arthroscopy Association of North America(AANA), to the meeting and discussed a strategic alliance of the PFF with AANA to promote education of orthopedic surgeons about the patellofemoral joint. A proposal regarding this relationship was submitted to the AANA Board of Directors At its Board of Directors meeting April 2008, The Arthroscopy Association of North America (AANA) approved a formal relationship with the Patellofemoral Foundation (PFF) as a way of fostering and promoting patellofemoral research and education.
The shared goal is to foster and promote more and better education for AANA members regarding patellofemoral problems, as these can be complex and difficult to treat at times. PFF hopes to help AANA assume a leadership role worldwide in patellofemoral education, particularly as anterior knee pain (AKA patellofemoral pain) is very common among athletes and workers, as well as the elderly.