The Sports Docs Podcast

On today’s episode we’re focusing on biologic augmentation of rotator cuff tears – including an algorithm for determining which patients require augmentation as well as different augmentation approaches such as extracellular matrix scaffolds and Orthobiologics.  

 We are joined today by Dr. Brian Cole, a Professor of Orthopedic Surgery and Chair of the Department of Orthopedic Surgery at Rush University Medical Center, Chair of Surgery at Rush Oak Park Hospital and Section Head of the Rush Cartilage Restoration Center.  He is also a past president of the Arthroscopy Association of North America and a team physician for the Chicago Bulls and Chicago White Sox.

Research Links:
https://www.briancolemd.com/wp-content/themes/ypo-theme/pdf/rotator-cuff-augmentation-with-dermal-allograft-improve-clinical-outcomes.pdf

https://www.briancolemd.com/wp-content/themes/ypo-theme/pdf/bmac-augmentation-may-produce-structurally-superior-rotator-cuff-repair-2023.pdf

https://pubmed.ncbi.nlm.nih.gov/32169466/

CuffMend: https://www.arthrex.com/shoulder/cuffmend-augmentation-system

Today’s episode is going to focus on management of patellar instability – including nonsurgical treatment, MPFL reconstruction techniques and the addition of other procedures including trochleoplasty and osteotomies. We are joined today by two outstanding guests! 

 Dr. Miho Tanaka is a Professor of Orthopedic Surgery at Harvard Medical School and the Director of the women sports medicine program at Mass General Brigham.  She is also the head team physician for the New England Revolution and team physician for the Boston Red Sox, Boston ballet and Boston Glory.

Dr. Beth Shubin Stein is an orthopaedic surgeon at the Hospital for Special Surgery and Professor of Orthopaedic Surgery at Weill Cornell Medical College. She is also the Co-Director of the women’s sports medicine center at HSS and the Director of the Patellofemoral Center at HSS.

So, without further ado, let’s get to the Field House!

Today’s episode is going to focus on two common athletic shoulder injuries that we see in American football – traumatic anterior shoulder dislocations and acromioclavicular joint injuries. We’ll dive into the acute on-field management followed by treatment thereafter, including nonoperative and surgical treatment options. 

We are joined today by Dr. Kevin Farmer, a Professor of Orthopaedic Surgery at the University of Florida, a team physician for the University of Florida gators and the editor of the “In-Season Management of Football Injuries” textbook. He is also a past president of the Florida Orthopaedic Society and the Florida Alliance for Sports Medicine, and a board member for AAOS and the Southern Orthopaedic Association. 

So, without further ado, let’s get to the Field House!

Today’s episode is going to focus on the workup of a patient with a suspected multiligamentous knee injury as well as a surgical approach that follows – including acute versus delayed surgery, repair versus reconstruction, surgical technique and order of operations in the OR. We are joined today by two outstanding guests! 

Dr. Matt Provencher is an orthopedic surgeon at the Steadman Clinic in Vail Colorado, Principle Investigator at the Steadman Philippon Research Institute and assistant Editor-in-Chief of Arthroscopy.  He is very active in academic societies and serves on the Board of Directors for AOSSM, AANA and SOMOS.

Dr. Armando Vidal is also an orthopedic surgeon at the Steadman Clinic in Vail and is the Vice President of the Medical Staff of Vail Health Hospital.  He is was previously the head team physician for the Denver Nuggets, and  former team physician for the University of Colorado men's basketball and the University of Denver men's hockey.

So, without further ado, let’s get to the Field House!

Today’s episode is going to focus on rotator cuff repair – specifically the various repair constructs to address different tear patterns, when and how to best augment rotator cuff repairs and how our present clinical data can help us counsel our patients and optimize outcomes. 

We are joined today by Dr. Peter Millett, an orthopedic surgeon and partner at the Steadman Clinic in Vail Colorado, researcher and board member at the Steadman Philippon Research Institute and Medical Director for Ski and Snowboard Club Vail. He is also an ambassador for the US Ski and Snowboard team and a consultant to the NHL Players Association and MLB Players Association.

So, without further ado, let’s get to the Field House!

Today’s episode is going to focus on osteochondral allograft transplantation, and specifically how basic science research can and should impact your clinical practice.

We are joined today by Dr. Brian Cole, a Professor of Orthopedic Surgery and Chair of the Department of Orthopedic Surgery at Rush University Medical Center, Chair of Surgery at Rush Oak Park Hospital and Section Head of the Rush Cartilage Restoration Center.  He is also a past president of the Arthroscopy Association of North America and a team physician for the Chicago Bulls and Chicago White Sox.

 So, without further ado, let’s get to the Field House!

Today’s episode is going to focus on patellofemoral cartilage restoration and discuss osteochondral allograft transplantation for both patellar and trochlear lesions, as well as off-the-shelf options including Arthrex Cartiform. We will also chat about the addition of osteotomies to offload that cartilage restoration and optimize outcomes.

We are joined today by Dr. Tom DeBerardino, a professor of orthopedic surgery at the University of Texas health San Antonio, team physician for UT San Antonio athletics and a retired US Army veteran.

So, without further ado, let’s get to the Field House!

Today’s episode is going to focus on revision ACL reconstruction – starting with the diagnostic workup of a patient with a suspected ACL retear as well as the surgical approach that follows, including graft choice, staging and the addition of other procedures such as LET and osteotomies. We are joined today by two outstanding guests! 

Dr. Mary Mulcahey is a Professor of Orthopaedic Surgery at Loyola University Chicago’s Stritch School of Medicine, Chief of Sports Medicine at Loyola University Medical Center and Deputy Editor for Sports Medicine at the Journal of bone and joint surgery.  She is also a team physician for Loyola University athletics and recently launched the new Women’s Sports Medicine program at Loyola Medicine.

Dr. Clayton Nuelle is a Professor of Orthopaedic Surgery at the University of Missouri and Associate Editor for the Arthroscopy Journal.  He is a team physician from Mizzou athletics and the head team physician for Mizzou football, soccer, swimming, tennis and softball.

So, without further ado, let’s get to the Field House!

Today’s episode is going to focus on the level I clinical trials evaluating the Bridge-Enhanced ACL Repair or “BEAR”, including an update from the ongoing multicenter RCT – the BEAR-MOON trial! We are joined today by two outstanding guests! 

Dr. Brett Owens is a professor of orthopedic surgery at the Brown University Alpert Medical School, Chief of Sports Medicine at Miriam Hospital and the Director of the Rhode Island Cartilage Repair Center.  He is also a team physician for the Providence Bruins and Brown University athletics.

Dr. Kurt Spindler is a professor of orthopedic surgery at the Cleveland Clinic Lerner College of Medicine, Director of Clinical Research and Outcomes at the Cleveland Clinic in Florida and a past president of AOSSM. He has also served on numerous NFL committees including the Safety Council and the Research and Innovation Committee.

So, without further ado, let’s get to the Exhibit Hall!

On today’s episode we’re rebooting our most popular episode of all time which focuses on rehabilitation of ACL surgery with Candace Townley Cox, a Doctor of Physical Therapy and body movement expert at Evolution Physical Therapy. 

We’re going to continue our discussion with Candace Townley Cox and focus on rehabilitation of quad function and lower extremity mobility after surgery.
We start with a systematic review from the August 2022 issue of AJMS titled The Effects of Blood Flow Restriction in Patients Undergoing Knee Surgery. 

Now, we did a whole episode on blood flow restriction therapy or “BFR” with Dr. Eddie Chang back in October of 2021. If you haven’t already listened, go check it out! In brief, BFR involves the use of a cuff or tourniquet system positioned at the upper part of the limb to restrict venous blood return while maintaining arterial inflow. Restriction of venous outflow leads to an anaerobic – or oxygen depleted – environment similar to that of higher-intensity training. This anaerobic environment is hypothesized to promote muscle hypertrophy through a combination of cell signaling and hormonal changes, effectively leading to muscle mass and strength gains at lower intensity training – ideal for our post-op patients.

Lawrence Wengle and colleagues at the University of Toronto performed this review of 11 papers and concluded that the use of BFR led to significant improvements in quad muscle mass, quantified by cross-sectional area of the muscle, and quad strength after knee surgery. Patient reported outcomes were not significantly different between those who used BFR and those who did not. Lastly, in the two studies that used BFR pre-op, no significant benefit was found.