@txsportsdoc Agreed. I always like the ability to be able to extend the approach if need be. Sometimes if I can’t grasp the tendon and pull it distally, I’ll make a small accessory incision proximally to grab the biceps and shuttle it distally.
Did you know? Transtibial medial meniscus root repair had a 23% failure risk at 2 years in this study. Female patients, higher BMI, more severe chondral injury, and skipping rehab are all linked to higher failure rates. Share your thoughts below! #KneeSurgery#Meniscus
LET has been a hot topic amongst knee surgeons in recent years. This study shows that adding LET to ACL reconstruction may improve retear rates in those female soccer players with generalized ligamentous laxity. #ACLrecon#lateralextraarticulartenodesis#returntosport
Check out this systematic review comparing inlay versus onlay open subpectoral biceps tenodesis, where both techniques demonstrated similar clinical outcomes, pain relief, return to sport, and low Popeye deformity rates. #BicepsTenodesis
Wang et al. report that proximal hamstring repair was associated with lower reoperation and postoperative infection rates than reconstruction in a large nationwide database study. #HamstringRepair
Does an intact root repair always mean a successful one? Second-look arthroscopy after MMPRT repair showed that many repairs were intact but lax, and that laxity was associated with worse clinical and radiographic outcomes. #MedialMeniscusPosteriorRootTear#MeniscalRepair
Which fixation method performs best for LET? This cadaveric biomechanical study found no significant difference in load to failure between interference screw and suture anchor fixation, while staple fixation trailed behind. #LateralExtraarticularTenodesis
Quad tendon: 2x the cross-sectional area of patellar tendon, 38% greater load to failure, 68% greater stiffness, and less harvest-site pain (Shani et al., 2016). Re-rupture rate: QT 2.5% vs. hamstring 8.7%, p=0.01 (Hurley et al., 2022). A meta-analysis of 2,962 patients across 32 RCTs found QT superior to both BTB and hamstring on key outcome measures (Yang et al., 2020). BTB is still a great graft, but the data on QT keeps getting stronger.
Anterior cruciate ligament repair performed within 15 days of injury yields favorable outcomes, with a significant improvement in Howell scale scores and strong clinical results on both patient-reported measures and manual maximum KT-1000 testing.
Check out this database study highlighting the protective effect of anterior cruciate ligament reconstruction in reducing progression to total knee arthroplasty.
https://t.co/6luxvRl2kD
#ACLReconstruction#Arthroscopy#TotalKneeArthroplasty
Curious about how to advise patients on how and when to return to golf after an elective orthopaedic surgery?
This review from Randy M. Cohn, MD, FAAOS; Erik J. Stapleton, DO, MS; John M. Pirtle, DO, MEd; and Adam D. Bitterman, DO, FAAOS offers insights! https://t.co/5QlyEDkk0x
Check out this study defining substantial clinical benefit thresholds after ACL reconstruction showing age, sex, BMI, athletic status, injury type, and time to surgery influence outcomes.
https://t.co/2nDK46fQAQ
#ACLReconstruction#ClinicalOutcomes
This #VisualAbstract shows promising long-term outcomes after arthroscopic CC ligament reconstruction in chronic Type V AC dislocations.
https://t.co/1nyDpQy2CA
Check out this technique video for revision reconstruction of a prior failed labral reconstruction using an iliotibial band autograft. Read the full article here: https://t.co/MfEYiqQISV #LabralReconstruction@marcphilippon