Thank you for the opportunity to present the Traveling Fellows. These are incredible people who will hopefully at some point be future Hall of Famers in our society as well. So for those of you who don't know, the Traveling Fellowship was started by Verne Mueller from ESCA and John Fagan from AOSSM, and it was in 1985 where they came up with the idea that we should have an international exchange of camaraderie, research ideas, and patient care. It has now expanded to be APCAS, which is Asia Pacific Rim, and the South and Latin America Sports Medicine Society, which is SLARD. And so there's an exchange between all of the societies that has become a robust fellowship exchange. So this year, we send AOSSM to ESCA in April. We have Mary Mulcahy, Brian Waterman, and Tiger Lee as our representatives from AOSSM, and Ned Amendola, a prior Traveling Fellow and prior AOSSM president as their godfather. So they went to Barcelona, Spain, Luxembourg, Bologna, Italy, London, Oslo, Lyon, and ended at the ESCA Congress in Paris, France. Each of the Traveling Fellows were asked to present three to five topics so that the host sites can ask for them to present their information, whether it be their clinical experience or their research. And these are the topics that the AOSSM Fellows presented. So Mary presented on ACL tears and sex-based differences and risk factors for graft-choice outcome and return to play, as well as the influence of psychological factors on outcomes following ACL reconstruction. Brian presented on telephormal cartilage restoration and biologic knee reconstruction in physically active patients. Tiger presented on the updated AOSS clinical practice guidelines for rotator cuff tears, as well as his perspective and his anterior shoulder instability. And then Ned presented on knee osteotomies combined with biologic resurfacing, as well as osteochondral lesions in the ankle. In addition to their academic sessions, they had a robust experience in the operating room where they got to learn from phenomenal surgeons from across the European societies. They got to visit all kinds of interesting places in the social camaraderie component of this fellowship, and got to build relationships that will hopefully last for a lifetime. So APCAS came to AOSSM this year. They're ending here at this meeting. We have William Blakeney from Australia, Erica Kohling from Indonesia. And of note, she was the first woman to be elected by APCAS as a Traveling Fellow. And we have Pho Ganraj from Thailand, with Peter Myers from Australia as their godfather. So their host sites were William Beaumont Hospital, Cleveland Clinic, University of Iowa, Vanderbilt University. And unfortunately, they were not able to go to UCSF because they all tested positive for COVID, but they all finished their quarantine in time to make it to the Magellan meeting, which we'll talk about later. And they're ending here. So Will presented on ladder J procedures, and then on the large ligament reconstruction failure retrieval study, which was fascinating. Erica presented on arthroscopic superior capsule reconstruction for massive rotator cuff tears, and she has created a mesh like you would use for hernia repair to strengthen the autograft that is used for that repair, and showed some excellent data for clinical and biomechanical performance. Pho presented on VAG for patellofemoral cartilage lesions. He talks about anterolateral ligament anatomy and biomechanics, and then quantifying anterior knee pain after using BTB for ACL reconstruction. And then Peter presented on tibial osteotomy and lateral meniscus allograft, as well as lateral extracarticular tenodesis and his long-term retrospective outcomes. They got to go to the Rock and Roll Hall of Fame in Cleveland. They got to see a couple of baseball games. They got to work on their guitar skills. And they got to defend themselves, most of them for the first time shooting a gun. They got to defend themselves by doing clay shooting and enjoying a phenomenal operative experience throughout their tour. Jessica also came to AOSSM this year. Maristela Saccomano from Italy, Guri Ekas from Norway, and Katja Tecklenberg from Austria. And their godfather was David Dujour from France. Their sites were New York University, University of Rochester, TRIA and Mayo Clinic combined, Stanford, Rush, Magellan Meeting, and here. So again, a very active tour. So they had a lot of topics that they were asked to present on. So Guri talked about pediatric ACLs and management rationale long-term outcomes. She discussed complications based on the Norwegian patient claims for ACL surgery, gave a nice talk about meniscal surgery and the evidence for it, as well as the Pediatric ACL Monitoring Initiative. Maristela talked about the reliability of three-dimensional evaluation of bipolar bone defects for anterior glenohumeral instability. The cuff plus procedure for treatment of large to massive rotator cuff tears, as well as arthroscopic glenoid reconstruction using a collagen membrane scaffold. So all very interesting topics with fantastic research. Katja talked about her experience in acute ACL reconstructions versus delayed. And when I say acute, they were within 48 hours in her facility. She also discussed about back to sports using an individualized approach for rehabilitation after ACL reconstruction. Talked about her Austrian injury surveillance system, looking at knee injuries in professional alpine ski racers. And then talked about the treatment of ACLs and the one-stop-shop approach, which again is an acute ACL reconstruction within 48 hours. And fascinating topics. And then Dr. DeJour and his program, his vast experience with trochleoplasty and trochlear dysplasia. He gave many talks on his perspective, and that was a treat for all the host sites to hear him discuss his experience. Again, a robust social experience, getting to see all kinds of different things across the cities that they toured. Unfortunately, I can't, within this period of time, can't do justice to every stop that they made, but it was a fantastic experience for all. And lastly, we have SLARD to AOSSM with Guillermo Arujo-Espinoza from Peru, Lucas Bolchav from Brazil, Ignacio Garcia Mancilla from Argentina, with Lucio Ernalan from Brazil as their godfather. Their host sites were Houston and the University of Texas. We had Atrium Health, Musculoskeletal Institute in North Carolina, the Rothman Institute and University of Pennsylvania combined, Ohio State, New Mexico, again Magellan and AOSSM. So Lucas talked about the sports injuries under perspective of complex systems and antifragility, using an interesting model of how we look at complex systems in a nonlinear manner, and his research is phenomenal. Guillermo talks about his experience with the Latin American consensus on the preliminary results of first-time traumatic anterior shoulder dislocations. Ignacio discussed revision ACL with and without lateral extracarticular tenodesis, as well as a knee-related quality of life, functional results in osteoarthritis at 20 years follow-up after ACL. And a very fascinating study on the persistence of anterior tibial subluxation after ACL reconstruction using MRI analysis. And then Lucio talks about his 10 years experience with MPFO reconstructions as well as ACL infection prevention. So again, a robust academic program as well as a robust social program, getting to do the OHIO, for those of you in the audience who are Ohio State fans, on the court as well as hiking in New Mexico and seeing the Rocky Statue in Philadelphia. So some of the highlights of their trip. The Magellan Society is the brain trust of Dean Taylor, who on his traveling fellowship recognized that this camaraderie, this relationship should last beyond the fellowship, three to four weeks that your tour lasts. So the Magellan Society is made up of nearly 400 members of prior traveling fellows and godfathers who meet every other year for a major meeting or for three days, where it's a five-minute presentation of research and a 10 to 15-minute discussion of the international perspective. It's one of the most healthy, robust conversations that you can have in sports medicine, and it's a true privilege to be able to take part in that. This took place at Devil's Thumb in Colorado just before this meeting. So for those of you who are interested in potentially becoming a traveling fellow, we strongly encourage that you take a look at the opportunities and getting involved. And hopefully for all of you, try to host if you can. It's a really, really impressive group of people that come through, and it's a wonderful camaraderie that we've developed. Thank you.

Traveling Fellowship program

international exchange

sports medicine societies

academic experiences

Magellan Society