Health Care News

  • Dr. Prodromos ACL Blog May 2018

    The diameter of single bundle, hamstring autograft does not significantly influence revision rate or clinical outcomes after anterior cruciate ligament reconstruction by Wernicke et al is quite important because it correctly debunks the entire topic of evaluating Hamstring (HS) diameter for Hamstring ACLR. After over 30 years of exclusive use of HS autograft I can conclusively state that our studies have demonstrated that the HS is ALWAYS big enough, when quadrupled, to successfully reconstruct the ACL.

    Read More

  • INFECTION RISK APPARENTLY ELIMINATED FOR HAMSTRING ACL RECONSTRUCTION

    The risk in the past had only been about 1%. However a study from Australia in 2012 showed that soaking the graft in Vancomycin, an antibiotic, during surgery eliminated all post-operative infections

    Read More

  • Dr. Prodromos ACL Blog August 2017

    It is well established that Non-Steroidal Anti-inflammatory Drugs (NSAIDs) such as ibuprofen (motrin, advil), naproxen (aleve), aspirin, celebrex, diclofenac, and meloxicam interfere with the healing of ligaments, bones, tendons and other connective tissue. For this reason Orthopaedic Surgeons are cautious in their use after reconstructive surgery and in other applications - although there are few clinical studies showing the effect of NSAIDs on outcomes. However, a recent paper entitled Predictors of Revision Surgery After Anterior Cruciate Ligament Reconstruction from the US Navy published in the American Journal of Sportsmedicine found a significant correlation with the use of NSAIDs and an increased rate of revision, i.e. failure, after ACL reconstruction. This held true for both so-called COX-1 NSAIDs, the vast majority available, and also COX-2 NSAIDs which include Celebrex and Meloxicam. The authors write “Increased odds of revision surgery among active-duty personnel were associated with the perioperative use of NSAIDs and COX-2 inhibitors.” This reinforces the conclusion found in one of the few other papers to look at this topic The effect of ketorolac on anteroposterior knee laxity after anterior cruciate ligament reconstruction. where it was found that “The use of ketorolac during bone-patellar tendon autograft ACL reconstruction was associated with increased AP laxity at 6 weeks postoperatively.”

    Read More

  • Dr Prodromos ACL Blog February 2016

    Anterior cruciate ligament reconstruction with a novel porcine xenograft: the initial Italian experience Anterior cruciate ligament reconstruction and service in the British Army Long-Term Examination of Bone Mineral Density in the Calcanei After Anterior Cruciate Ligament Reconstruction in Adolescents and Matched Adult Controls

    Read More

  • Dr Prodromos ACL blog September 2015

    PATELLAR TENDON GRAFTS FOUND TO HAVE INCREASING INCIDENCE OF KNEELING PAIN AFTER SURGERY ALLOGRAFTS FOUND TO HAVE THREE TIMES THE FAILURE RATE OF AUTOGRAFTS

    Read More

Pages [1] 2 of 2 | Next | Last
  • American Academy Regenerative Medicine
  • American Academy and Board of Regenerative Medicine
  • American Orthopaedic Society for Sports Medicine
  • isakos
  • Rush University Medical Center
  • American Association of Nurse Anesthetists
  • American Academy of Orthopaedic Surgeons
  • European Society of Sports Traumatology, Knee Surgery Academy
  • International Cartilage Repair Society