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Technique Video (23 mins) Anatomic Approach to Revision ACL Reconstruction
By: Freddie Fu
The anatomic approach is gaining popularity in ACL reconstruction. It is predominantly applied during primary ACL reconstruction. However, following the same principles as during primary surgery, the anatomic approach can also be applied during revision surgery. This video demonstrates the surgical technique for anatomic single- and double-bundle ACL revision surgery. Various possible scenarios are discussed and solutions are offered using a case-based approach.
8 min technique video - Distal Femoral Varus Osteotomy: Unloading the Lateral Compartment
By: David Backstein
On Tuesday, November 27 at 5:00 pm EST, surgeons at Bon Secours St. Francis Health System in Greenville, South Carolina, will perform a gender specific knee replacement during a live internet broadcast. Bill DeVault, MD, will perform the procedure, and Daniel E. Lee, MD, will moderate the hour-long webcast. A gender specific knee replacement is a special type of joint replacement that is shaped to match the specific contours of a woman's anatomy.
In a live Internet webcast on A unique first hand
surgical insight into the new high flexion primary knee & revison
December 6, 2007, Lawrence S.
Crossett, M.D., will perform two knee replacement surgeries using the
Complete™ from DePuy Orthopaedics, Inc. This
broadcast will take place at the University of Pittsburgh Medical
Shady Side Hospital in Pittsburgh, Pennsylvania.
At 3 PM EST, Dr. Crossett will perform a revision knee
replacement surgery using a new revision implant, the LCS®
This system helps diffuse loosening forces from the increased
constraint and offers surgeons increased fixation through the use of
metaphyseal sleeves on the femoral and tibial side.
At 6 PM EST, Dr. Crossett will perform a primary knee
replacement surgery that will highlight the LCS® Complete RPS, a
knee implant that is designed to provide increased range of motion
sparing the patient’s natural, healthy bone tissue.
On Thursday June 14th at 7pm EDT Crittenton Hospital in Rochester Hills, Michigan will host a live surgical broadcast featuring Jeffrey H. DeClaire, MD, of the DeClaire Knee & Orthopaedic Institute and Keith Berend, MD This broadcast will feature the Vanguard Primary Total Knee with Microplasty Elite Instrumentation. Biomet’s Microplasty® Minimally Invasive Instrumentation reduces the incision from 6-8" to 3-4". Additionally, this approach reduces the extent to which the surgeon must disrupt the soft tissue surrounding the knee.
On Thursday, Sept. 27 at 5:30 p.m. CDT, during a live global Webcast from the Roger Clemens Institute for Sports Medicine and Human Performance at Memorial Hermann in Houston, Texas, orthopedic surgeon Mark Adickes, M.D. will perform an innovative ACL reconstruction surgery designed to hasten rehabilitation and recovery time.
"For patients, the typical goal is to return to activities quickly and without pain , but, if they 're going to have reconstruction surgery, the repair should be durable and should allow them to return to normal activity without limitations," said Adickes. "The All-Inside RetroConstruction procedure is minimally invasive and achieves all of these goals."
Adickes, a former NFL offensive lineman and member of the 1991 Super Bowl Championship Washington Redskins team, is one of the original three surgeons in the country to perform this new technique. Having had two ACL procedures himself and experiencing 18-month recoveries, he was determined to find advanced surgical solutions for his patients.
“The results my patients are getting from this procedure are dramatic,” said Adickes. “Recovery time has been reduced and there is less pain because there’s not the damage to the tissue that a standard ACL reconstruction can cause.”
A minimally invasive computer assisted, total knee replacement surgery will be performed live over the Internet from Tampa General Hospital on April 18, 2007 at 4 p.m. ET. The procedure involves resurfacing the ends of the bones by making a small incision through which physicians place an implant that prevents bones from rubbing against each other. Because the minimally invasive procedure cuts less or no muscle, it gives the patient the potential for the fastest possible recovery.
Kenneth Gustke, M.D., Florida Orthopaedic Institute, founding member of the American Association of Hip and Knee Surgeons, will perform the procedure that will be narrated by Steven Lyons, M.D., a surgeon at the Florida Orthopaedic Institute.
OR-Live will broadcast a live surgery from Brigham and Women's
Hospital utilizing a novel, personalized knee implant. The new
prosthetic, the ConforMIS iDuo, is a bicompartmental resurfacing
implant designed for patients whose arthritic damage is limited to
either the medial or lateral compartments of the knee, in addition to
the patellofemoral compartment. The implant resurfaces only the
affected areas, offering a minimally invasive, bone preserving option
for younger patients that does not compromise their ability to move to
a traditional total knee replacement in the future. The procedure also
preserves the anterior and posterior cruciate ligaments, which help to
maintain knee kinematics.
Dr. Tom Minas, Director of the Cartilage Repair Center at Brigham
and Women's Hospital, and Dr. Wolfgang Fitz, Associate Orthopaedic
Surgeon at Brigham and Women's Hospital will perform the surgery. The
webcast will be moderated by Dr. Thomas Thornhill, MD, Chief of
Orthopaedics at Brigham and Women's.
The implant is created through an advanced image-to-implant
process that utilizes CT scans from a patient to create a virtual model
of a patient's knee. The implant, as well as the cutting and placement
guides used for the surgery, are custom designed and manufactured to
match each patient's knee anatomy.
To assure precise implantation, the surgeons will utilize
patient-specific instruments designed from the same scans as the
implant, including data on the patient's biomechanical axis. The
patient-specific cutting and placement guides reduce the number of
steps during surgery and provide precise guidance to accurately place
the instruments, simplifying the surgical technique. This personalized
approach eliminates many of the bone cuts required in traditional
surgery, helping to reduce surgical and recovery times. More than 80
patient-specific, partial knee resurfacing procedures have been
Halifax Health will present a live online same day partial knee
replacement surgery on Jun 30th at 7:00pm EDT. Richard Rhodes, MD, a
surgeon with Atlantic Orthopedics, will perform the procedure using the
Dr. Rhodes has been performing partial knee replacements for several
years and has completed more than 60 during the past year using the
The Oxford is the only fully-mobile bearing partial knee system
available in the United States. It can offer a more natural motion,
more flexibility, less pain and a higher success rate for long-term
results. These implants are made of metal and plastic materials to
create a smoothly functioning joint.
"Patients may be back to work in as little as two weeks as opposed to
more than a month with other devices," said Rhodes. "And there are no
restrictions on activity following the brief recovery period. It is
truly a prosthetic for today's active society."
Partial knee replacement surgery entails replacing damaged cartilage
and bone ends. It allows the preservation of healthy bone, cartilage
and ligaments, often preventing or delaying a total knee replacement.
"It is an extremely successful and remarkable procedure that can truly
improve someone's quality of life," said Rhodes. "Patients may go back
to their normal daily routines with no limitations."
The surgery may be viewed at halifaxhealth.org or the public is invited
to attend a viewing at Halifax Health Medical Center's auditorium. To
reserve a seat, please call 877.8.HALIFAX.
Podcasts and vodcasts of the event will be available through You Tube,
Google, Yahoo, MSN and iTunes. The procedure will also be archived on
the Halifax Health Web site.
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