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  1. Replies
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    There has been a lot of debate about meniscal...

    There has been a lot of debate about meniscal allografts. Lot sof claims, pro and con, but little science. A large scale study of long term results is now available. Here it its.
    ...
  2. I carefully measure the patella tendon from the...

    I carefully measure the patella tendon from the oppsite side, and transfer the quad tendon from that side to the deficient side. This is followed by a tension band wire for early motion.
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    Its pretty hard to argue against a Latajet...

    Its pretty hard to argue against a Latajet procedure on someone with an unstable shoulder who hangs out on a website for extreme athletes. It is by far the most stable of all the repairs out there.
  4. Charles Saltzman is an excllent foot and ankle...

    Charles Saltzman is an excllent foot and ankle guy in SLC
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    Dr. Pete Deol office phone 8002585250

    Dr. Pete Deol
    office phone 8002585250
  6. My Lab had a TPLO on both sides. Most people...

    My Lab had a TPLO on both sides. Most people don't have a sloped enough tibia to be benefited by that operation but it works very well expecially for large breeds.
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    Medical progress doesnt' move at the speed of...

    Medical progress doesnt' move at the speed of internet social website development. Most folks are still wearing the clothes they bought in 2008 and 2009.
    The most recent metaanalysis of thousands...
  8. IS VERY DANGEROUS TO TAKE A DOCTOR OUT OF HIS'HER...

    IS VERY DANGEROUS TO TAKE A DOCTOR OUT OF HIS'HER COMFORT ZONE. I would have him do the hamstring graft. I wouldn't want anyone operating on my patella tendon unless, that is what he did all the...
  9. I have seen way to many horror stories resultant...

    I have seen way to many horror stories resultant from patients convincing their doc to do it their way. If you want "A"' and doc is suggesting B, then either go with "B", or find a doc who is...
  10. I don't use allografts in athletic people...

    I don't use allografts in athletic people becuaseof the annoying tendency to fail in young athletes. My primary graft choice in athletes is always opposite patella tendon. To a person, everyone who...
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    The degenertive cuff nees to be cut out and...

    The degenertive cuff nees to be cut out and advanced in a young man.
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    Without looking at it, I couldn't begin to tell...

    Without looking at it, I couldn't begin to tell you because the MRI regular over diagnoses the MCL injury.

    Previously, I have told my patients who get hurt on vacation, to keep the ER brace on...
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    My unwashed undiplomatic view is that the healing...

    My unwashed undiplomatic view is that the healing response stuff is as useless as titties on a boar hog.
    I have only seen failures of this procedure, and there is nothing that doesnt' work in...
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    Allografts seem to work ok for many folks, but...

    Allografts seem to work ok for many folks, but autografts seem to have the upper hand when the results are reviewed in metanalysis. (The means many studies are combined together) and when serious...
  15. Everything I do is different from the average...

    Everything I do is different from the average doc. First, I only do ACLR on patients who have completed prehab. Surgery doesn't do any good for range of motion or strength. If you start with a...
  16. No immoblizer is necessary, and same is not used....

    No immoblizer is necessary, and same is not used.
    Here is the proof:
    http://www.youtube.com/user/sandersclinic
  17. My patients never use crutches after ACL surgery....

    My patients never use crutches after ACL surgery. HOwever, I make them stay off their feet except to go to the bathroom or dining room and prohibit them from going to work for a week. If one stays...
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    Almost all my patients who were given unloader...

    Almost all my patients who were given unloader braces wore them only a few times and were angry that I perscribed them.
  19. The beauty of the study that I referenced ...

    The beauty of the study that I referenced earlier is that is contains hundreds and hundreds of cases. Many of the other studies quoted in this thread contain a very limited number of cases, and as...
  20. Replies
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    I always reccommend using Ice after exercising an...

    I always reccommend using Ice after exercising an injured part
  21. I have a house in Vail. Don't worrry you can't...

    I have a house in Vail. Don't worrry you can't afford my neighboorhood.
  22. Replies
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    We are on the United Health Care plan....

    We are on the United Health Care plan.
    Obviously, an office visit before surgery is ideal.
    The mainstay of our presurgical rehab is riding the stationary bike. Straight line running is permitted...
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    I am no fan of allografts, but would consider one...

    I am no fan of allografts, but would consider one in a person who had no plans to engage in any sport activities outside of a health club for at least one year, and recognized that the results are...
  24. This is a must read for the intelligent person...

    This is a must read for the intelligent person facing ACLR. It is Level 2 evidence, which is the best quality of evidence available in a clinical study on ACLR

    I am sorry to report that it will...
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    The only reliable way to do this research is...

    The only reliable way to do this research is reccommendations from satisified patients. Stupidity relating to sports team affiliations, fancy websites, and the like will get you nowhere.
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    The Clinica Practice Guidelines just published by...

    The Clinica Practice Guidelines just published by the American Academy of Orthopaedic Surgeons advocate nonsurgical treatment of asymtomatic Rotator Cuff tears.

    Its hard to understand who who...
  27. why don't you go back to wind surfing. Surely by...

    why don't you go back to wind surfing. Surely by know that shoulder is strong enough.
  28. The healthy knee is in a much better positon to...

    The healthy knee is in a much better positon to donate a portion of its patella tendon, than the damaged one

    There is less post op pain and disability, as evidencec by the fact that patients walk...
  29. No powder in Houston. I am in Vail. Back home...

    No powder in Houston. I am in Vail. Back home tonight :-(
  30. Last I checked a doc doesnt need a special...

    Last I checked a doc doesnt need a special license to install ACL allografts, so I really don't have a dog in the race either.

    The articles you quoted are actually only one study published to...
  31. I have no intention of doing the library research...

    I have no intention of doing the library research for you and I don't have a copy of the paper in the My Documents file, but if you want to do it yourself you will find that the time it takes for an...
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    MY Lab has had to TPLOs. So far so good. That...

    MY Lab has had to TPLOs. So far so good. That is the way to go with this probem.
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    The big issue here is not the skill or noteriety...

    The big issue here is not the skill or noteriety of the doctors, but the fact that this is a 13 year old. Despite the presence of secondary sexual characteristics and closing growth plates, she is...
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    Send me a ping and I will send you a power point...

    Send me a ping and I will send you a power point about this
    sandersclinic@comcast.net
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    I dont use scafolds. In a non smoker, I can do a...

    I dont use scafolds. In a non smoker, I can do a biplanar osteotomy, repaired wiht a TOMOFIX plate without a scafold, a cadaver bone graft, or a bone graft from your hip. Find a Finnish surgeon...
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    It will only requre a small correction or about 5...

    It will only requre a small correction or about 5 degrees. Doing this procedure is reasonable, and I would reccommend the same for my patient.
  37. The vast majority of Navy Orthopaedists are young...

    The vast majority of Navy Orthopaedists are young men fresh out of training working of an educational comittmement. They need to stay out of trouble, and take the simplist approach considering their...
  38. You really need to direct this question to the...

    You really need to direct this question to the man that intalled the new ACL
  39. If I was going to be operated on by a newly...

    If I was going to be operated on by a newly minted Navy Orthopaedist, I would have them do the lateral meniscal allograft, and an allograft ACL, probably have them skip the PCL.

    Thats not what I...
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    The study doesn't indicate what surgical...

    The study doesn't indicate what surgical procedures were done, nor does it include the crazy type of people who inhabit this or off road motorcycle type message boards. Mostly the folks were...
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    "The pain hit me really hard starting on day six....

    "The pain hit me really hard starting on day six. This was my first major injury/surgery, and I had no idea how bad the pain would be".
    QUOTE]


    I appreciate your comments. People should never...
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    A graft that is too tight is probably worse than...

    A graft that is too tight is probably worse than a graft that is too loose. All attempts must be made to achieve full flexion and full extension. Full extension is not the zero point but the amount...
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    I have never heard of a sucessful "graft...

    I have never heard of a sucessful "graft retensioning" this far out. Usually the graft ends up in the garbage and a new one installed.
  44. Replies
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    Grade 2 tears LCL and PCL on the MRI aren't...

    Grade 2 tears LCL and PCL on the MRI aren't terrible big deals. They are nonsurgical injuries. The MCL business, even grade 3, heals in a brace. That leaves it as a simple ACL recon after the dust...
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    A patella graft only accelerated arthritis if its...

    A patella graft only accelerated arthritis if its put in too tight and the patient does't get full extension of the knee. A well done one prevents arthritis.

    If it were my knee, I would have some...
  46. Thread: Is this normal?

    by drmark
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    Nothing serious ever goes down without pain. ...

    Nothing serious ever goes down without pain. Everyone with a factory or rebuilt ACL will experience a mis step from time to time. Those with the rebuilt one will be more aware of them.
  47. I don't know anyone in that part of the world.

    I don't know anyone in that part of the world.
  48. Replies
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    I have found that the quad graft site is tough to...

    I have found that the quad graft site is tough to get over, but it lasts only about three weeks. My patients have seemed to have less pain with a patella tendon graft, but you can't harvest it again...
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    I usually put the bone block in the tibial. The...

    I usually put the bone block in the tibial. The femoral side is always more foregiving than the tibial side, so thats whre Iput the bone.
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    this is a complicated one. I owuld have tosee...

    this is a complicated one. I owuld have tosee you to tell you anything.
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