Shelbourne Knee Center has only used the patellar tendon as the primary graft choice when doing ACL reconstructions. The patellar tendon is considered the “gold standard” of graft choices; however, many surgeons do not like to use this tendon due to the difficulty of the rehabilitation.
Chondral injuries to the knee joint refer to damage that’s done to the articular cartilage on the ends of the bones that make up the knee, the femur and tibia, but can also occur on the back side of the patella (kneecap). Chondral injuries are common to the knee joint especially with ACL injuries or multi-ligament injuries. One study reported 23% of acute ACL injuries and 54% of chronic ACL knees had articular cartilage damage.
There is much debate on the best way to treat a patient who has suffered an ACL tear regarding graft choice and when to do the surgery. However, the one opinion that most agree upon is doing a reconstruction on an isolated ACL injury to all school-age athletes and those individuals who want to return to high-risk activities is appropriate.
The benefit of treating just one thing is that you can become more familiar with a problem and the trends that occur. Although patellar dislocations are not common problems, we see a larger number of them because we only treat knee conditions and injuries. The average orthopedic surgeon may see fewer than 10 a year if that.
The Shelbourne Knee Center has been using the continuous passive motion (CPM) machine for all of our post-operative knee procedures and have not experienced the daily challenges or complications that we hear from many physical therapist in other facilities.
There are two menisci in the knee joint; medial (inside part of the knee) and lateral (outside part of the knee). They are “C” shaped cartilages that sit between the tibia (shinbone) and the femur (thighbone). The purpose of the meniscus is to improve the fit between the femur and the tibia, and it serves to help distribute weight evenly across the joint.
At the Shelbourne Knee Center, our pioneering efforts to focus only on the specialty of knee pain and injuries have given us unmatched insight into the options available to patients. Our team has tracked the outcomes of thousands of patients from non-surgical treatments to ACL reconstructions. And from this experience, our fellowship trained surgeons know when therapeutic options are more successful than surgery and how to minimize recovery time when surgery is necessary.