Cedars-Sinai Kerlan-Jobe Institute’s Post

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Internal Brace surgery is a rapidly growing and effective option to repair the ulnar collateral ligament in overhead athletes. 1. The ulnar collateral ligament is the structure that is responsible for preventing excessive valgus stress at the elbow. 2. This surgery is a repair, using the patient's native ulnar collateral ligament, allowing for faster healing than UCL reconstruction. 3. The goal is to return players to competitive throwing at approximately 5 months after surgery, which is faster than with UCL reconstruction (typically 9 to 12 months). Wilk KE, Arrigo CA, Bagwell MS, Rothermich MA, Dugas JR. Repair of the Ulnar Collateral Ligament of the Elbow: Rehabilitation Following Internal Brace Surgery. Journal of Orthopaedic & Sports Physical Therapy. 2019;49(4):253-261. doi:10.2519/jospt.2019.8215 #physicaltherapy #physicaltherapist #pt #dpt #legacy #legacyphysicaltherapy #healthcare #rehabilitation #rehab #athlete #sports #recovery #overheadathlete #baseball #pitcher #onbaseu

Thank you Jane Rooney for sharing your preliminary results. I would like to emphasise the importance of this study and share my personal experience with a knee injury. Being a hand therapist, this was a whole new learning curve for me, but I applied the latest insights and technology on healing to the choices I made with regards to my healing. I fell down 2 steps and sustained a Grade 3 PCL and MCL tear plus I sprained ACL and LCL. The PCL/MCL combination has a poor prognosis. My personal circumstances meant that I could not have surgery and had to heal the ligaments myself. As I was on holiday, my MRI was delayed by 2 weeks and because it was post ski season, I only got my PCL brace in week 4. So I used kinesio tape for stability from day 1 and then used it to reduce oedema once I had my brace. This is what I have learnt about healing ligaments and bone: 1. Thanks to Dr Robert O Becker’s work we know that light using ferroelectricity and pizoelectricity regenerates ligament and bone. 2. Cortisone injections stop the regeneration of tissue. 3. Light therapy in the form of UVA/ B and infra red create the ferroelectricity and pizoelecrricity - whilst in Mauritius I used the sun. Once I returned I use phototherapy patches. 4. I have an ultrasound machine so I used it daily. 5. Aggressive Physiotherapy is not recommended. There is no need to gain range. Once the ligament has healed and the tissue settles, ROM will return. 6. Vibration over rides pain. I used it to regain ROM. 7. Energy healing works. I went to a healer and she used tuning forks, Himalayan music bowls and magnetism. The reason it works is because the body heals best when in a parasympathetic state. Deep relaxation aids healing. 8. GANS - gas in a nano state works. My healer applied GANS patches which were worn 24/7 for 6 weeks. Later I applied the gel. It helped me heal much faster. At 10 weeks, literally overnight, my ligaments healed. We need to combine specific bracing with all these modalities to help patients heal faster. We need to reassure patients that ligaments CAN heal. This notion that a certain grade of injury won’t heal and can only benefit from surgery is not true. But, we need to believe that ourselves. The hardest part of my injury was letting go of my centralised ideas and believing in the decentralised approach. The second hardest part is finding my quads again! Lastly patella pain is not necessarily a biomechanical issue. Adequate kinesio taping will take away patella pain. If you would like my presentation on the science of light please comment below with your email address or send me a DM.

Wide Awake, Local Anaesthetic, No Tourniquet. Technique, Uses and Guidance This handbook describes what WALANT is, what surgeries it can be used for, how to achieve good local anaesthesia and how best to structure a list. It is highly relevant to plastic and orthopaedic surgeons. Free to BADS members. Authors: Alex Kocheta, Malek Racy. https://lnkd.in/e-SGEH3J #DaySurgery #Handbook

Wide Awake, Local Anaesthetic, No Tourniquet. Technique, Uses and Guidance This handbook describes what WALANT is, what surgeries it can be used for, how to achieve good local anaesthesia and how best to structure a list. It is highly relevant to plastic and orthopaedic surgeons. Free to BADS members. Authors: Alex Kocheta, Malek Racy. https://lnkd.in/e-SGEH3J #DaySurgery #Handbook

Exciting news in orthopaedic innovation! - Smith+Nephew has secured FDA 510(k) approval for their Catalystem Primary Hip System. This ground-breaking system addresses the evolving demands of primary hip surgery, including anterior approach procedures and ASC applications. Craig Gaffin's Global Orthopaedics President, states: "Our CATALYSTEM Primary Hip System represents a significant milestone for Smith+Nephew's hip business, complementing our current hip portfolio with a primary stem ideal for advanced anterior approaches." Key features include: • Triple-taper stem design with uniform proximal loading • Reduced distal stem geometry and shorter lengths • Patent-pending Accubroach Technology • Oxinium Technology for superior wear and corrosion resistance Dr. Don Garbuz, Hip Society President and system contributor, adds: "We wanted to give surgeons confidence in broach to implant relationship... we put in a lot of time developing ACCUBROACH Technology with various tooth patterns to ensure excellent axial and rotational stability." What are your thoughts on this advancement in hip replacement technology? https://lnkd.in/eH-B9sSf 📰 Stay ahead of the curve by following Practical Patient Care on LinkedIn for more industry news and insights. #PracticalPatientCare #OrthopedicInnovation #HipReplacement #MedicalTechnology #PatientCare

Endoscopic procedure has been accepted well in USA healthcare with shorter recovery and better outcomes, except in Spine surgeries. Until unless data large enough to compare with conventional surgeries, especially in lumber fusion or shoulder surgeries with better recovery and outcome, we are still faraway in USA in endoscopic spine surgeries. I think it's time here to do such surgeries like other countries adopted. First step our own Spine surgeons to believe in outcome comparable, if not better to offer to their own patients as an option long awaiting.

Are you a professional in the field of orthopedics and traumatology, or just interested in the field? Read our guide of key talks from the SICOT 44th Orthopaedic World Conference, which highlights keynote speakers, as well as special events happening throughout the conference. Take a deeper dive >>> https://hubs.ly/Q02QTPqZ0

In this recent article in the Journal of Orthopaedic Experience & Innovation Experience & Innvoation, the authors have curated the best articles on this important and difficult procedure. A must read for shoulder and sports surgeons, fellows, and residents. https://lnkd.in/enwYT6nQ