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Dr. Robert F. LaPrade, MD Complex Knee Specialist & Sports Medicine
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Dr. Robert F. LaPrade, MD Complex Knee Specialist & Sports Medicine's posts

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The technique of a meniscus root repair involves isolating the root, placing a minimum of 2 sutures in the remaining meniscal attachment, and trying to reposition it back to a more anatomic position. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. This is important because these repairs are still quite tenuous with current technology, so it is important to try to put the meniscus back into a position where there would not be a lot of tension on the repair with knee range of motion.

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Arthritis in the knees is a debilitating condition that affects thousands of people every day. Knee osteoarthritis is the most common form of arthritis in the knees. Osteoarthritis of the knee is often caused by a traumatic injury from previous years. It is a slow, progressive degenerative disease in which the joint cartilage gradually wears away. This injury is typically seen in middle-aged and older people, but can sometimes affect younger patients, especially for patients who have had part of their meniscus removed for previous tears.

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Dr. LaPrade presenting the Achilles Orthopaedic Sports Medicine Award to Gilbert Moatshe, MD of Norway and SPRI at the ISAKOS meeting in Shanghai, China.

Left to right; Lars Engebretsen MD, PhD, Gilbert Moatshe MD, Dr. LaPrade
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Dr. LaPrade named to the Becker's ASC Review list of 65 great orthopedic surgeons.

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The posterior horn of the medial meniscus is the most important weightbearing portion of the meniscus. While the medial meniscus absorbs 50% of the weight transmitted across the medial compartment, the posterior horn of the medial meniscus is the most important portion of the meniscus that provides the shock absorbing capacity.

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A large number of combined ACL and grade III (complete) MCL injuries can be treated with rehabilitation to allow the MCL to heal prior to ACL reconstruction. Almost all other complete grade III tears that occur in combination with other knee ligament tears require a combined surgical reconstruction. The literature is somewhat unclear on whether to perform a staged reconstruction or to perform a surgical reconstruction all in one setting. Ligaments of the knee are co-dependent for overall stability in the knee – performing a reconstruction for just a portion of the injured knee increases the risk for the reconstructed ligament to be stretch out in the future. In most cases, Dr. LaPrade recommends performing a multiple ligament reconstruction in one setting.

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Multidirectional instability in the knee refers to a knee that is extremely unstable. Typically, multidirectional instability is due to ligaments of the knee being injured from a knee dislocation, it can also occur in patients with significant joint laxity, such as those with Ehlers-Danlos syndrome.

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May is National Physical Fitness and Sports Month! Every physical activity counts in your goal to become more fit. The time we devote to keep our bodies moving will reward us with extra energy, productivity and good health we'll enjoy the rest of our lives. Get up and get moving!

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“Complex Knee Surgery Made Easy” is a unique book highlighted with quality multimedia images, videos and interactive links. Within this book are detailed descriptions of surgical procedures of the knee, including diagnosis, indications and postoperative rehabilitation protocol. Chapters on physical examination and videos on MRI interpretation open the book to set the stage for the surgical procedures that follow. Get your free copy today!
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