FRCS Trauma & Orthopaedic Surgery

23/06/2023

New developments in Medial Meniscotibial ligament (Deep MCL) repair

George A. Paletta Jr, MD, MBA, (St. Louis, MO) demonstrates a medial meniscotibial ligament repair using the medial knee capsule repair implant system and GAP™ (Guided Arthroscopic Placement) guide.

27/01/2023

Ramp lesions- arw we missing these...

New Dr. LaPrade Study!

Over One-Third of Patients With Multiligament Knee Injuries and an Intact ACL: Ramp Lesions.

"Over one-third of MLKI patients with an intact ACL were diagnosed with MMRLs on MRI in this series. PMTP bone bruising was observed in 66.7% of patients with MMRLs, suggesting that increased vigilance for identifying MMRLs at the time of ligament reconstruction should be practiced in patients with this bone bruising pattern."

You can read the full study here: https://drrobertlaprademd.com/over-one-third-of-patients-with-multiligament-knee-injuries-and-an-intact-acl-ramp-lesions/

08/09/2022

Queen Elizabeth II dies on 8 Sep

20/06/2022

I am planning to run an online Basic Ortho and Trauma Biomechanics course day. Please comment below if interested and any suggestions.

20/06/2022

Basic Biomechanics- Principles Course (Trauma and Orthopaedics)
18 June 2022

20/06/2022

BBiO
A very successful and well received basic ortho and trauma biomechanics principles course with great feedback.

It is run on a Saturday twice a year where we teach basic biomechanics principles behind routine trauma and arthroplasty scenarios like what 'creep' is, how cement works, how Locking and DCP plates work and principles of lag screw DHS and Nailing. Keep an eye on the advert..

20/06/2022

BBiO
Another successfully conducted Basic Biomechanics Principles Orthopaedics course, Manchester UK.
It is run twice a year, a very well received course with great feedback. We teach basic biomechanics principles of routine Trauma and arthroplasty like what Creep is, how cement works, how DCP and Locking plates work and principles behind DHS and IM Nailing.

21/05/2022

Surgical Anatomy of the Radial Nerve at the Dorsal Region of the Humerus - A Cadaveric Study

http://ow.ly/Vo6O50JcCV8

29/01/2021

In this video, Dr. LaPrade reviews how to read knee MRI of radial meniscus tear. It is important to be able to differentiate a radial meniscus tear on magnetic imaging because they are a lot different from other tears. In a younger patient a radial tear can be catastrophic because it completely destabilizes the meniscus. https://www.youtube.com/watch?v=q5f_87SrYsA&feature=emb_title

25/01/2021

Meniscal root tears-- untreated lead to rapid osteoarthritis.

NEW Dr. LaPrade Study! Meniscal Root Tears: Solving the Silent Epidemic.

In this review article, Dr. LaPrade and his colleagues describe the most current knowledge surrounding meniscal root tears with a primary focus on diagnosis, management, and implications for the health of the knee joint. Historically overlooked or treated with meniscectomy, meniscal root tears are now known to disrupt the biomechanical role of the meniscus in the joint, leading to the rapid development of knee osteoarthritis. Tears of the medial and lateral posterior meniscal roots are associated with differing etiologies and sequelae, especially in regard to their action as secondary stabilizers of the knee, making root tears an important consideration in ligament reconstruction surgery. They discuss diagnostic challenges and well-established hallmarks of meniscus tears on imaging, and will conclude by explaining the preferred method for surgical repair of the meniscal roots and appropriate rehabilitation. https://drrobertlaprademd.com/meniscal-root-tears-solving-the-silent-epidemic/

17/01/2021

Reposting :⠀..⠀
"❓How Long Will a Knee Replacement Last❓⠀⠀
I think it's good common sense to delay getting a joint replacement as long as you're able to. The goal is to not need a revision surgery in the future. But just how long do joint replacements tend to last?⠀⠀
This study gave some great statistics you can use to help guide your patients considering joint replacements. I know I personally work with some young folks looking to delay as long as able and this was helpful for me to guide others.⠀⠀
The obvious piece of info was that folks that were younger more often needed revisions. This could be due to them either being more active or just the fact that they'll continue to live longer.⠀⠀
What are your thoughts? Were you surprised by this info? Let me know in the comments.⠀⠀
"

16/01/2021

TD

How is trochlear dysplasia diagnosed on x-rays?

Trochlear dysplasia is best diagnosed on both a 45-degree patella sunrise view and also on the lateral x-rays. On the lateral knee x-rays, the femoral condyles may not overlap normally and there can be what is called a crossing sign, which indicates the trochlea is not fully developed. In addition, a supratrochlear spur can also be present laterally, which can indicate a more severe case of trochlea dysplasia. On the patella sunrise views, one can measure the sulcus angle and determine the relative flatness of the trochlear groove. https://drrobertlaprademd.com/trochlear-dysplasia/ #6