Sean E. Sitton, MD

Husband, Father, and Board Certified Orthopaedic Sports Medicine Surgeon @AndrewsSportMed @AlabamaFTBL @IowaOrthoRes @BCMHouston @BYU

[Sean E. Sitton, MD @SSittonMD]

@LenMacPT @kcrehabguy 🤣

[Sean E. Sitton, MD @SSittonMD]

@LenMacPT I typically do “ROM as tolerated” for peripheral MMT and for Medial Roots and LMT (root, radial, bucket, LMORT, large peripheral, hypermobile) limit 0-90° for first 2-4 weeks. Wouldn’t limit ROM beyond 4 weeks for any tear.

[Sean E. Sitton, MD @SSittonMD]

@LenMacPT I’d be worried if it’s a large peripheral Lateral tear or any of the other mentioned ones.

[Sean E. Sitton, MD @SSittonMD]

@JeremyBurnhamMD The “less harvest-site pain” is a myth. Same pain, if not worse than BTB in my experience. If your BTB patients are having a ton of anterior knee pain, you’re probably doing it wrong. If you don’t think QT patients have harvest site pain, you’re probably not asking/listening.

[Sean E. Sitton, MD @SSittonMD]

@LenMacPT It’s those complex Lateral/LMORT ones I worry about with passive flexion past 90° early on. 😬

[Sean E. Sitton, MD @SSittonMD]

@LenMacPT I have them start PT within 1-3 days post op.

[Sean E. Sitton, MD @SSittonMD]

@kevinfarmermd 😳

[Sean E. Sitton, MD @SSittonMD]

@kevinfarmermd I hope they take away his Aggie class ring for that.

[Sean E. Sitton, MD @SSittonMD]

@LenMacPT @snaggs100 Some of us still refuse to drink the kool-aid. #FraudTendon

[Sean E. Sitton, MD @SSittonMD]

@CenterRotation @jointdocShields @InvictaOrtho @generalorthomd @traumaticum @orthotraumamd @JanetConwayy @EcclesMD_Ortho @BrianChalmersMD @PeltMD @ChipRoutt @bethgausdenmd @NaanDerthaal @AAOS1 @orthogal21 @rkh_md Quad Tendon ACLs are the best!

[Sean E. Sitton, MD @SSittonMD]

@LenMacPT @NuelleSportsMD I’d be shocked if there’s no sig difference in RTS between the two grafts. If there is any chance that there is increased risk of failure w/ BTB vs QT, it probably has to do with Increased RTS after BTB. ⬆️risk of failure if able to actually return to high risk sports.😉

[Sean E. Sitton, MD @SSittonMD]

@LenMacPT I feel like listening to feedback from my PTs makes me a better surgeon and helps us take better care of patients. Even tho large majority of my ACLs are BTB auto, I also value my PT’s initial impressions during pre-hab which can often influence/change my surgical strategy.

[Sean E. Sitton, MD @SSittonMD]

@H2O_SportsMD @txsportsdoc @robgraymd @CE_HandSurg @NuelleSportsMD I used to love the PEEK screw for this very reason, until I had someone fall at 6 weeks post op and fx completely through that 8mm socket. 😬 Probably would still be using it if that hadn’t happened. 🤦🏼‍♂️I’ll never use the screw again for that reason.

[Sean E. Sitton, MD @SSittonMD]

@txsportsdoc @robgraymd @CE_HandSurg @NuelleSportsMD @H2O_SportsMD Baby Hohmann on ulnar side, Army/Navy on Radial side and distally.

[Sean E. Sitton, MD @SSittonMD]

@FixnBones Are you there, Dan?!! That looks awesome!

[Sean E. Sitton, MD @SSittonMD]

@LenMacPT BTB still the best. There’s a time/place for every graft, but for me nothing more satisfying than interference screw fixation of BTB bone blocks and a rock solid Lachman. It’s incredible to me that QT is pushed so much. “Laud the Fraud” 🤪

[Sean E. Sitton, MD @SSittonMD]

@txsportsdoc @drchrisahmad Very possible. 💪

[Sean E. Sitton, MD @SSittonMD]

@mike_pollak 😂