A5026564658- Knee injuries and reconstruction techniques
- Hip disorders and treatments
- Orthopaedic implants and arthroplasty
- Bone fractures and treatments
- Shoulder Injury and Treatment
- Sports injuries and prevention
- Lower Extremity Biomechanics and Pathologies
- Cardiac Valve Diseases and Treatments
- Tendon Structure and Treatment
- Bone and Joint Diseases
- Total Knee Arthroplasty Outcomes
- Bone Tumor Diagnosis and Treatments
- Orthopedic Surgery and Rehabilitation
University of Utah
2019-2024
University Hospitals of Cleveland
2023
Orthopedic Center
2020
University of California, Los Angeles
2013
To evaluate short- to mid-term-outcomes, including instability rates, following medial patellofemoral ligament (MPFL) reconstruction in skeletally immature versus mature pediatric patients.Patients younger than age 18 with recurrent patellar who underwent primary allograft MPFL by a single surgeon from 2013 2019 were identified. Skeletally patients all-epiphyseal drilling and metaphyseal at the Schöttle's point. Patients 1 year surgery contacted complete questionnaires, which included...
➤ Both mechanical and biological factors can contribute to bone loss tunnel widening following primary anterior cruciate ligament (ACL) reconstruction. Revision ACL surgery success is dependent on graft position, fixation, incorporation. 1-stage 2-stage revision reconstructions be successful in correctly indicated patients. Potential future solutions may involve the incorporation of agents enhance surgery, including use marrow aspirate concentrate, platelet-rich plasma, morphogenetic protein-2.
To evaluate mid-term outcomes after medial patellofemoral ligament (MPFL) reconstruction with and without tape augmentation in the skeletally mature adolescent population.All patients under age 18 recurrent patellar instability treated surgery at a single institution by surgeon from January 2013 through June 2017 were identified current procedural terminology codes. Inclusion criteria (1) primary MPFL reconstruction, (2) minimum 3 years' follow-up, (3) skeletal maturity. Exclusion bilateral...
Physical therapy is frequently utilized in the postoperative care of femoroacetabular impingement syndrome (FAIS). There has been limited research into efficacy a structured home exercise program (HEP) compared with formal physical (FPT) this patient population.
Case: A 12-year-old girl sustained a right-sided tibial spine fracture while jumping on trampoline. Postoperative course was complicated initially by arthrofibrosis requiring manipulation under anesthesia and subsequent leg length discrepancy attributed to posttraumatic overgrowth necessitating femoral epiphysiodesis. Ten years after initial injury, she reported her knee be 63% of normal an International Knee Documentation Committee score 63.2. Symptomatic epiphysiodesis repair has not been...
Objectives: Patellar instability requiring medial patellofemoral ligament reconstruction (MPFL) in the pediatric population poses a challenge that isometric point of femoral fixation (Schottle’s point) is close proximity to distal physis. As result, various alternative techniques have been described avoid physeal damage, however consequences this are unclear. Continued growth and altered graft mechanics growing child areas concern. The objective current study was evaluate short midterm...
Case: A 13-year-old boy sustained an acute, grade III medial collateral ligament (MCL) distal periosteal avulsion injury while playing noncontact football. Treatment consisted of diagnostic knee arthroscopy with open physeal-sparing MCL repair. At approximately 1-year follow-up, new development genu valgum in the operative extremity was noted. After 8 months nonoperative treatment deformity progression, patient underwent correction proximal tibial hemiepiphysiodesis. Conclusion: Although...
A 15-year-old boy presented with left-sided hip pain and imaging consistent the diagnosis of femoroacetabular impingement. Following arthroscopy, which included an osteochondroplasty, labral repair, capsular patient's anterior improved. However, his deep aching persisted until ischial osteoid osteoma was identified treated radiofrequency ablation. At 3 years follow-up, patient reports high satisfaction minimal pain. We present this case to illustrate importance considering all potential...
Objectives: The treatment of femoroacetabular impingement (FAI) has evolved over the last two decades, transitioning from an open hip dislocation to a more minimally invasive arthroscopic approach as gold standard for treatment. non-surgical management FAI well, and key mainstay paradigm become physical therapy, both in preoperative postoperative periods. Previous research demonstrated importance therapy reducing pain improving function patients with FAI. As changed, delivery patient...
Objectives: Prior studies have suggested femoral version may outweigh the effect of cam impingement on hip internal rotation; however, effects acetabular morphology were considered. This study investigates influences and range motion (ROM) in patients with femoroacetabular syndrome (FAIS). Methods: With IRB approval, a retrospective chart review radiographic analysis was performed presenting pain to clinic single surgeon. Patients included if their thought be intra-articular origin, had full...