Dr. Cleff Flores Orthopedic Clinic Page

15/11/2025

The ACL (anterior cruciate ligament) is one of the major ligaments in the knee that helps stabilize the joint by preventing the tibia (shin bone) from sliding too far forward relative to the femur (thigh bone) and controlling rotational movements.

An ACL tear typically occurs during sudden pivoting, cutting, landing from a jump, or a direct impact to the knee, often resulting in a popping sound at the time of injury. The most common mechanism involves rapid changes in direction, abrupt stops while running, or overextending the knee joint see in sports like soccer, basketball, football, and skiing.

Female athletes are at a significantly higher risk of ACL injury—two to eight times more likely than males in sports involving cutting and jumping—due to differences in anatomy, neuromuscular control, hormonal factors.

Surgical reconstruction is often recommended for athletes or those with high physical demands, especially with a complete tear. Surgery typically involves replacing the torn ligament with a tendon graft, either from the patient’s own body or a donor, and is generally delayed until inflammation has subsided. Recovery from surgery usually takes six to nine months, involving a structured rehabilitation program to restore strength and function

09/11/2025

Total shoulder arthroplasty, or total shoulder replacement, is a surgical procedure that replaces the damaged parts of the shoulder joint with an artificial implant (prosthesis) to relieve pain and restore mobility and function.

The shoulder is a ball-and-socket joint where the head of the upper arm bone (humerus) fits into the cup-shaped socket (glenoid) of the shoulder blade (scapula). In a total shoulder arthroplasty, both the ball and socket surfaces are replaced with artificial components, typically a metal ball attached to a stem inserted into the humerus and a plastic socket that is usually cemented to the glenoid bone.

09/11/2025

Reverse total shoulder arthroplasty (rTSA) is a surgical procedure that replaces a damaged shoulder joint by reversing the normal ball-and-socket structure. The ball is attached to the shoulder blade (glenoid) and a socket (plastic cup) is attached to the upper arm bone (humerus) to help the deltoid muscle perform the arm's motion. This procedure is often used for patients with arthritis and irreparable rotator cuff tears, as it eliminates bone-on-bone contact and can significantly reduce pain.

15/11/2024

The Philippine Hip and Knee Society @75

03/11/2024

02/10/2024

18/08/2024

Honored to be one of the resource speakers of the 8th Post Grad Course of the WVSUMC Dept. of Internal Medicine. It was a pleasure working with my colleagues and esteemed professors in the College of Medicine

31/07/2024

The osseous tissue has a tremendous capacity to heal. In fact, it's the only tissue that can heal without a scar. These xrays were taken at 3mos, 6 mos and 1 year after the surgery to fix the humerus. After a year, there's consolidation of the fractured fragments, with almost no sign of fracture.

13/07/2024

Rheumatoid arthritis (RA) is an autoimmune disease that can affect the knee joint, causing inflammation and damage to the surrounding tissues. The main symptoms of RA in the knee include:
Joint pain, Swelling, Stiffness, Inflammation. Recently, we have a case of a 65/female who presented with a difficulty in ambulation with marked malalignment of the knee. She has been suffering for a long while and inquired if any medical or surgical means can remedy her condition. Thus, we offered her a definite solution, Total Knee Arthroplasty. Hoping ang praying for her recovery

28/06/2024

Remnant preservation ACL refers to a surgical technique whereby the native ACL tissue is preserved and used to enhance the reconstruction process. Among the benefits of Remnant Preservation ACL Reconstruction are:

1. Reconstructs a nearly normal attachment of the graft
2. Enhances cell proliferation, revascularization, and regeneration of proprioceptive organs in the reconstructed ACL
3. reduce risk of cyclops lesions, impingement, and extension loss
4. can accelerate cell repopulation and revascularization in the tendon graft

refereces:
Muneta T, Koga H. Anterior cruciate ligament remnant and its values for preservation. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2016 Oct 28;7:1-9. doi: 10.1016/j.asmart.2016.09.002. PMID: 29264267; PMCID: PMC5721904.

Kondo E, Masuda T, Shiota J, Iwasaki K, Onodera T, Yasuda K, Yagi T, Iwasaki N. Residual remnant preserving anatomic double-bundle anterior cruciate ligament reconstruction using hamstring tendon autografts. Ann Joint 2019;4:37.

Xie H, Fu Z, Zhong M, Deng Z, Wang C, Sun Y
and Zhu W (2022) Effects of remnant
preservation in anterior cruciate ligament
reconstruction: A systematic review and metaanalysis.
Front. Surg. 9:952930
Signh Remnant-Preserving Anterior Cruciate Ligament
Reconstruction: Remnant Envelope Technique