Knee / Acl Surgery

• Top Doc: Many Knee Replacement Surgeries Unnecessary

  Posted in: Knee / ACL Surgery | Posted on: 28-Mar-2019

  In an article you can read here a top orthopedic surgeon describes how the number of knee replacements more than doubled in the first decade of the 2000s, far outstripping population growth. While total knee replacements are an amazing breakthrough for people with disabling knee pain I too have seen how they have become often recommended to patients without severe arthritis where other alternatives could have been tried but were never recommended.

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• Top Doc: Many Knee Replacement Surgeries Unnecessary

  Posted in: Knee / ACL Surgery | Posted on: 30-Jan-2019

  Up to a third of total knee replacement (TKR) patients have continued pain and up to 20% are outright dissatisfied. The incidence of knee replacements doubled from 1999 to 2008 and continues to grow rapidly. For the most disabled patients, TKR provides a substantial improvement in life quality on average. 

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• Cortisone Injections Cause Cartilage Attrition

  Posted in: Knee / ACL Surgery | Posted on: 19-Dec-2018

  Cortisone drugs, (triamcinolone in this study) in a recent study published in the journal of the American Medical Association (volume 317(19) pp 1967-1975), are not used in our clinic for joint injections precisely because they...

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• Dr. Prodromos ACL Blog May 2018

  Posted in: Knee / ACL Surgery | Posted on: 17-Jul-2018

  The diameter of single bundle, hamstring autograft does not significantly influence revision rate or clinical outcomes after anterior cruciate ligament reconstruction by Wernicke et al is quite important because it correctly debunks the entire topic of evaluating Hamstring (HS) diameter for Hamstring ACLR. After over 30 years of exclusive use of HS autograft I can conclusively state that our studies have demonstrated that the HS is ALWAYS big enough, when quadrupled, to successfully reconstruct the ACL.

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• INFECTION RISK APPARENTLY ELIMINATED FOR HAMSTRING ACL RECONSTRUCTION

  Posted in: Knee / ACL Surgery | Posted on: 27-Feb-2018

  The risk in the past had only been about 1%. However a study from Australia in 2012 showed that soaking the graft in Vancomycin, an antibiotic, during surgery eliminated all post-operative infections

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