The Knee Foundation
Focus on Knees

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Kaustubh Durve

Knee Fellow - Nov 2007 – July 2008 - Based at Droitwich Knee Clinic

Kaustubh Durve

I started the knee fellowship at the Droitwich Knee Clinic on 1st November 2007. I applied because I wished to develop a focused interest in knee surgery in general, and arthroscopic knee surgery in particular. The Droitwich Knee Clinic being a specialist clinic dealing with knee disorders, I knew that it had a good number of patients being referred to it from all over the country for specialist opinion.

During my Fellowship I have gained experience in a large number of arthroscopic knee surgeries and ligament reconstructions, apart from deformity correction surgeries around the knee using external fixators, and numerous total and partial knee joint replacements in both, primary and revision situations. I have thus been able to acquire and develop the essential skills pertaining to arthroscopic knee surgery. Through my experience in clinics, I have developed a sound approach towards the initial differential diagnoses and subsequent investigation of a variety of knee disorders.

During my Fellowship, I also passed the Diploma in Sports Medicine exam held by the Faculty of Sports and Exercise Medicine of UK. My involvement with the treatment and rehabilitation of sports injuries during this fellowship, played a major role in helping me pass the exam. Besides, the physiotherapists here have experience of being involved with professional sports teams, and their input also proved very valuable.

There are many opportunities for research, owing to meticulous records of various knee scores kept at the Droitwich Knee Clinic. The Knee Foundation has always supported me by promptly acquiring necessary journal articles, and providing help with data processing and imaging. I am currently involved in a few research projects as follows:
1. Early results of High Tibial Osteotomy using monolateral external fixator, combined with microfracture for medial compartment osteoarthritis of knee: Paper presented at the Naughton Dunn meeting in Birmingham, draft being finalised for publication
2. Medium term results of arthroscopic lateral retinacular release for advanced patellofemoral joint arthritis: Data collection and review in progress
3. Percutaneous needle retraction of fat pad during knee arthroscopy: Technique report submitted for publication
4. Surgical correction of patella infra using ring fixator: a case report: Draft being finalised for publication

I have immensely enjoyed my fellowship here at Droitwich, and all the consultants have been extremely kind and supportive. There is a strong academic atmosphere here, with emphasis on teaching and sharing knowledge. The Knee Foundation runs regular courses related to knee surgery and knee disorders, which present learning and teaching opportunities.

I would recommend this fellowship to those junior orthopaedic surgeons, who have not had much exposure to arthroscopic knee surgery during their primary training, and who wish to develop their skills in this area.

I intend to return home to Mumbai, India, and work in a teaching institution where I can further develop my special interest in knee surgery. Hopefully, I will pass on to the young residents there, some of the knowledge which I gained here.