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Twentieth Century Orthopaedic Association is an orthopaedic travel club established in 1946 for the purpose of promoting dissemination of scientific information and fostering friendships among orthopaedic colleagues.

3. Subject to and within the limits of such purpose as set forth in paragraph 1 above, to (a) facilitate the meeting of practitioners in the field of orthopaedic medicine for the presentation, dissemination and discussion of medical and scientific matters of common interest relating to orthopaedics, and (b) foster friendship and fellowship between members of the Association in furtherance of the presentation, dissemination and discussion of such matters. During 1945 Everett Bugg discussed with several other surgeons then in military service the idea of forming a small organization of young orthopaedic surgeons who had been through similar experiences during World War II.

In January 1946 Milton Cobey, Clinton Compere, Ed Holscher, Julian Jacobs, Mike Leinbach and Charles Wilson met with Everett at the Palmer House during the Academy Meeting. The group agreed to invite others from anywhere in the continental United States and Canada to participate and set an initiation fee of $20.00.