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Meetings, Conferences and Events 

PFF General Statement of Agreement

Posted by on in Meetings

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.
  • 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.

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. 

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.
 

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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 osteotomy performed on a cadaver knee during Dr. Stukenborg-Colsman's visit.

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Pictured: MPFL and an anteromedial tibial tubercle transfer ostemotmy performed on a cadaver knee

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Dr. Ryosuke Kuroda is a leading Japanese knee surgeon from Kobe, Japan.

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.

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Picutured: Dr. Ryosuke Kuroda with Dr. John Fulkerson, Dr. Phillippe Neyret and Dr. David Dejour in 2006.

 

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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

With the support of DJOrtho, Dr. Almqvist organized an international consensus validation meeting on patellofemoral pain in Florence on May 26, 2007.

 

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