Page 31 - ISAKOS Newsletter 2016 Volume 1

Teaching Center Fellowship Report
Vitor Barion Padua, MD BRAZIL
I am an orthopedic surgeon, specialist in knee surgery and sports trauma, in Marilia-SP Brazil, and was selected to participate in the ISAKOS Teaching Center fellowship. I chose to visit the service of Prof. Romain Seil in Luxembourg, and Prof. Andreas Imhof in Munich. In Luxembourg I followed the service for a week, having participated in several surgeries such as unicompartimental knee prosthesis, rotated cuff revision and knee arthroscopy with trans-septal via.
Prof. Romain, was very attentive, explaining to me details of the procedures and always open for discussion.
I also followed the rehabilitation service, focused on muscle gain and proprioception, with periodic evaluations, and specific methods of instability evaluation such as Genourob, performed by a well-trained staff, not allowing patients to return to full sporting activities before fully recovered.
Something very interesting was the LCA pathway, where there is a framework for collecting all data of patients with ACL injury, treated surgically or not, and the operative data of each patient undergoing reconstruction. And how they manage the largest number of patient at follow-up.
My ISAKOS Center Fellowship to Hospital for Special Surgery, USA
Hatem Galal Z. Said, MD, FRCS EGYPT
I was very pleased to revive the news of my awarding the ISAKOS visiting Centre fellowship. I specialize in Hip arthroscopy, and had planned to visit Dr. Bryan Kelly in the Hospital for Special Surgery in New York. Dr. Kelly is well known in the field of Hip arthroscopy with many publications, while HSS is among the top Orthopaedic Hospitals in the US. I had contacted Lisa who had kindly arranged the technical paperwork and the dates on short notice.
I attended four days, in which I got the chance to attend two OR days with Dr. Kelly. He utilizes two staggered ORs which allows a rapid turnover between surgeries. I enjoyed watching Dr. Kelly perform Hip Arthroscopy through Central access first.
One important point was reproducibility in the setup, traction, portals and surgical steps – this reduced the surgical time, and facilitated the team work flow. I also attended a day of clinic, in which I had very thoughtful discussions with the Physiotherapist Todd, who had confirmed the importance of the team approach and assessment of the patients with hip pathologies.
At the end of the week I had the chance to participate in the third Osteotomy Congress of Luxembourg, which were present various world references in this topic, which was really very nice.
TEACHING CENTER SCHOLARSHIP REPORTS
In Munich I accompanied Prof. Imhof in a surgical day, and saw some osteotomies, where we could discuss from the indications, surgical techniques and the newest materials. He was always very attentive, making sure I could follow every detail of the procedures.
I would like to thank ISAKOS for the opportunity to participate in the ISAKOS Teaching Center fellowship, where I had the opportunity to meet two services with two reference Teachers in Europe and in the world. These surely did greatly enrich my knowledge what will help me a lot in my daily practice.
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The focus on analyzing individual hip muscle dysfunctions and directed strengthening or stretching is of utmost importance. At the same day, I visited a small Cadaver dissection session with the fellows who were training on Peri- acetabular osteotomy.
I appreciate very much the opportunity which allowed me to get exposure this great hospital and surgery. I have learned new tips which I will apply in my Arthroscopic Hip Surgery, and hope to benefit my patients further.
01 Photo Hatem Said with Dr. Bryan Kelly in HSS, NY
ISAKOS NEWSLETTER 2016: VOLUME I 29