Procedures

ACL reconstruction is surgery to replace a torn anterior cruciate ligament (ACL) — a major ligament in your knee. ACL injuries most commonly occur during sports that involve sudden stops and changes in direction — such as basketball, soccer, football, downhill skiing and gymnastics. ACL reconstruction surgery uses a graft to replace the ligament. The most common grafts are autografts using part of your own body, such as the tendon of the kneecap (patellar tendon) or one of the hamstring tendons. Sometimes the quadriceps tendon from above the kneecap is used. Another choice is allograft tissue, which is taken from a deceased donor

Primary repair of the ACL in carefully selected patients with femoral avulsion is possible. It provides stability with preservation of biology, resulting in a more normal feeling knee while simultaneously eliminating graft harvest and incorporation-related issues.

ACL Reconstruction (Primary and Revision)

and PrimaryACL Repair

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Knee Arthroscopy

Knee arthroscopy is a surgical procedure that allows doctors to view the knee joint without making a large incision (cut) through the skin and other soft tissues. Arthroscopy is used to diagnose and treat a wide range of knee problems. During knee arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your knee joint. The camera displays pictures on a video monitor, and your surgeon uses these images to guide miniature surgical instruments. Because the arthroscope and surgical instruments are small, your surgeon can use very small incisions, rather than the larger incision needed for open surgery. This results in less pain for patients, less joint stiffness, and often shortens the time it takes to recover and return to activities.

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Patellar Instability

The medial patellofemoral ligament (MPFL) is a part of the complex network of soft tissues that stabilize the knee. The MPFL attaches the inside part of the patella (kneecap) to the long bone of the thigh, also called the femur.

Together, the patella and femur compose the patellofemoral joint.

Injury to the MPFL can occur when the patella dislocates or becomes subluxated (partially dislocated) due to a trauma experienced during athletics or an accident, as a result of naturally loose ligaments – most frequently seen in girls and women – or due to individual variations in bony anatomy. People with these injuries are described as having patellar instability.

MPFL reconstruction is a surgery in which a new medial patellofemoral ligament is created to stabilize the knee and help protect the joint from additional damage.

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ALL (Anterolateral ligament) Reconstruction

The goal of extra-articular (ALL) reconstruction is to eliminate residual laxity and reduce the risk of ACL graft rupture. Anterolateral ligament reconstruction can play a role in augmenting rotational stability in the ACL-reconstructed knee.

This procedures is most likely to benefit hyperlax patients, revision ACL cases, pivoting athletes, and those with grade III pivot shifts.

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Meniscal Root Repair

Meniscal root avulsions are challenging injuries causing meniscal extrusion and loss of hoop stress distribution, which can lead to the development of knee arthritis. Securing the meniscus in a small bone socket has proven to be an effective means to restore hoop stresses and improve outcomes.

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Shoulder Instability

The shoulder is one of the most moveable joint in your body. It helps you to lift your arm, to rotate it, and to reach up over your head. It is able to turn in many directions. This greater range of motion, however, can cause instability.

Shoulder instability occurs when the head of the upper arm bone is forced out of the shoulder socket. This usually is the result of a sudden injury .

Once a shoulder has dislocated, it is vulnerable to repeat episodes. When the shoulder is loose and slips out of place repeatedly, it is called chronic shoulder instability.

A Bankart repair is a surgical procedure to prevent recurring anterior shoulder dislocations due to instability in the back of the shoulder. The most common form of shoulder ligament injury is the Bankart lesion, where the ligaments are torn from the front of the socket. 

 

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Rotator Cuff Surgery

Surgery to repair a torn rotator cuff most often involves re-attaching the tendon to the head of humerus (upper arm bone). A partial tear, however, may need only a trimming or smoothing procedure called a debridement. A complete tear is repaired by stitching the tendon back to its original site on the humerus.

Your doctor may offer surgery as an option for a torn rotator cuff if your pain does not improve with nonsurgical methods. Continued pain is the main indication for surgery. If you are very active and use your arms for overhead work or sports, your doctor may also suggest surgery.

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Surgery for Knee Arthritis

Knee replacement surgery — also known as knee arthroplasty can help relieve pain and restore function in severely diseased knee joints. The procedure involves cutting away damaged bone and cartilage from your thighbone, shinbone and kneecap and replacing it with an artificial joint (prosthesis) made of metal alloys, high-grade plastics and polymers.

In determining whether a knee replacement is right for you, your orthopaedic surgeon assesses your knee's range of motion, stability and strength. X-rays help determine the extent of damage.

Robotic Knee Surgery using ROSA

Designed by surgeons for surgeons, the ROSA® Knee System provides objective soft tissue feedback and accurate bone resections, which aim to restore a patient’s natural knee. ROSA Knee collects intra-operative metrics to inform your decision-making and provide data-driven insights, so you can focus on achieving the optimal outcome for each patient.