On this episode of Patients Place, we discuss the challenging topic of painful total knee replacements. This episode aims to provide valuable educational content for patients experiencing difficulties after knee surgery, as well as for healthcare providers seeking to better understand these issues. We discuss common symptoms and concerns patients face, such as persistent pain, instability, and reduced mobility. We highlight the importance of a thorough physical examination and the role of...

Welcome to the inaugural episode of "Patients Place," a new segment designed specifically for patients seeking to understand knee problems. This episode delves into the complexities of osteoarthritis, one of the most common diagnoses among patients experiencing knee pain. The conversation begins with a detailed explanation of the signs and symptoms that lead patients to seek medical advice. Dr. Benner categorizes patients into two groups: those at "time zero," who are newly experiencing knee...

On this episode, we discuss the topic of ACL reconstruction with multiligament involvement and how the outcomes compare to those with isolated ACL tears. The episode begins with an overview of the mechanisms, ligaments involved, and treatment options for multiligament knee injuries. Dr. Benner highlights the unique approach at the Shelbourne Knee Center, emphasizing the importance of avoiding complications, particularly stiffness, over achieving perfect stability. Scot details the study's...

On this episode, we dive into a different side of ACL rehabilitation with our esteemed guest, Meredith Chaput, PhD, PT, DPT, SCS, from the University of Central Florida. Meredith, a physical therapist with a PhD in translational biomedical science from Ohio University, shares her extensive knowledge and research on the visual cognitive progression during recovery from ACL reconstruction. We explore a range of topics, including: The integration of neurocognitive training in ACL rehab The...

On this episode, we explore the cost effectiveness of computer assisted versus conventional total knee arthroplasty. Joined by special guest Dr. Hassan Ghomrawi, surgical outcomes researcher/health economist and associate professor at the Orthopedic Surgery Department of the University of Alabama at Birmingham, the discussion delves into the economic incentives and outcomes associated with these advanced surgical techniques. Dr. Ghomrawi shares his unique journey from pharmaceutical economics...

On this episode, we delve into the topic of patellofemoral instability. We are honored to welcome Dr. Liza Arendt, a renowned expert in orthopedic sports medicine and a professor at the University of Minnesota. Dr. Arendt shares her journey into the field, her experiences as a trailblazing female physician, and her extensive knowledge on knee conditions. The episode covers a wide range of topics, including the evaluation and treatment of patellofemoral instability, the importance of detailed...

In this episode, we delve into the critical topic of VTE prophylaxis in knee replacement surgeries. Special guest Dr. Atul Kamath from the Cleveland Clinic joins the discussion to share insights from a recent JBJS article advocating for low-dose aspirin as the safest and most effective prophylaxis for VTE after total knee arthroplasty across all patient risk profiles. Dr. Kamath, a seasoned orthopedic surgeon with an impressive academic and clinical background, provides an in-depth analysis...

In this episode, we delve into the topic of ethical considerations in orthopedic surgery. Departing from our usual focus on surgical techniques and physical therapy, we explore the delicate balance between patient autonomy and fiduciary responsibility. The episode features a special guest, Dr. Claudette Lajam from NYU, a distinguished joint replacement surgeon and professor in the Department of Orthopedic Surgery at NYU School of Medicine. Dr. Lajam shares her insights from a recent article...

On this episode, we discuss intraosseous administration of medications in total knee arthroplasty with Dr. Katharine Harper, an orthopedic surgeon specializing in joint reconstruction at the Washington, D.C. VA Medical Center. Dr. Harper discusses her current role, and provides an in-depth exploration of intraosseous medication administration. During the conversation, she gives insights into the recent technique paper she had published in JBJS this year. Discover how this technique, backed by...

On this episode, we cover arthrofibrosis following ACL reconstruction.  We kick off with a general overview of what arthrofibrosis is, its causes, and its implications for both surgeons and physical therapists. Dr. Benner shares his extensive experience and insights learned from working alongside Dr. Shelbourne, an internationally known expert in this condition. The discussion progresses to cover the importance of prevention, early detection, and the critical role of achieving and maintaining...

In this episode, we discuss early objective predictors of return to sport following ACL reconstruction. This conversation is particularly relevant for sports medicine fellows, physical therapists, athletic trainers, and orthopedic surgeons. We explore a recent study focusing on the importance of early postoperative testing. Key points include the role of extension, strength, hop testing, and stability in predicting return to sport times.  Listeners will gain valuable insights into the...

On this episode, we talk with Dr. Fred Azar from the Campbell Clinic in Memphis, TN about the medical management of NBA players with knee injuries. Dr. Azar has spent over 20 years in the NBA where he has served as the orthopedic team physician for the Memphis Grizzlies as well as serving as a consultant for varies NBA teams. On the podcast, he talks about the most common injuries seen in the NBA and how to manage them utilizing a team approach.  Follow us on (X) and Instagram @theskcpodcast,...

On this episode, we discuss the impact preoperative flexion has on postoperative flexion, following total knee arthroplasty. We cover a recent research project that shows the association between these timepoints when it comes to flexion range of motion.  Follow us on (X) and Instagram @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or email us at [email protected]

On this episode, we discuss a recent project assessing the rates of TKA based on the location and severity of knee OA. The project showed a statistically significantly higher rate of TKA for severe OA when the OA was located in the medial compartment when compared to the lateral or PF compartments.  Follow us on Instagram and (X) @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or email us at [email protected]

On this episode we talk with Michael Ainbinder, PT, DPT, CSCS from the University of Cincinnati. He is currently a sports PT resident working with the mens basketball team at UC. On the episode, he shares his experience with choosing a residency, his past year working with a high level basketball program, as well as the details of a research project he worked on looking at outcomes for high level basketball players returning from an ACLR.  Follow us on (X) and Instagram @theskcpodcast, visit...

On this episode, we talk with Dr. Gregory Maletis from Kaiser Permanente in Los Angeles, CA. We discuss registry data for ACLRs, in particular the one he leads: Kaiser Permanente ACLR Registry. He discusses the development of the registry at Kaiser as well as some of the recent findings him and his research team have discovered from their data.  Follow us on Twitter and Instagram @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or email us at [email protected]

On this episode, we discuss the topic of postoperative stability and rates of graft tears based on the type of meniscus treatment, following an ACLR. For this project, meniscus treatments included menisectomy, repair, and simply leaving the tear alone. We compared each treatment based on postoperative stability and rates of ACL graft tears.  Follow us on Instagram and Twitter @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or email us at [email protected]

On this episode, we discuss the treatment of the MCL in ACL/MCL injuries. We cover a recent project that was presented at APTA CSM, assessing outcomes for those with ACL/MCL injuries compared to isolated ACLRs. Outcomes in this particular study include postoperative stability and graft tear rates.  Follow us on Twitter and Instagram @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or email us at [email protected] 

On this episode, we discuss a recent project from our office, assessing the factors dictating polyethylene insert size in TKA. The factors assessed for this project include ligament procedures, preoperative alignment, range of motion, posterior slope, and patient reported outcome measures.  Follow us on Twitter and Instagram @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or email us at [email protected]

On this episode, we talk with Fehmi Berkay, MD, from Wright State University, about the impact chronic sleep disorders has on outcomes following TKA. Dr. Berkay reviews the project that was done and presented at the APTA Combined Sections Meeting this past month in Boston, MA.  Follow us on Twitter and Instagram @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or email us at [email protected]

On this episode, we interview Joel Novak, PT, DPT, CSCS, physical therapist from Community Health Network in Indianapolis, IN. The discussion is centered around blood flow restriction therapy for all knee conditions, both nonoperative and postoperative. Joel brings his experience and expertise on the matter and discusses how and why this is used for his patients. To learn more about Joel and BFR therapy, visit his website:  https://myperformancerehab.com/ Follow us on Twitter and Instagram...

On this episode, we have a conversation with Dr. Giles Scuderi from Northwell Health in New York about mechanical alignment in TKA. Dr. Scuderi discusses the rationale for this approach to surgery as well as the benefits it can bring for his patients.  Follow us on Twitter and Instagram @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or email us at [email protected]

On this episode, we talk with Dr. Stephen Howell from Adventist Health in Sacramento, CA. Throughout the episode, we discuss kinematic alignment in TKA, of which Dr. Howell has been leading the way with this method since 2006. He discusses the reasons why he switched to this method and the benefits he is seeing when it comes to his patient outcomes. You can get more information on Dr. Howell and his surgical methods at his website: https://www.drstevehowell.com/  Follow us on Twitter and...

On this week's episode, we have a great conversation with Dr. Fred Cushner from the Hospital for Special Surgery in New York City about technology in TKA. He brings us tremendous experience and information on smart technology being utilized with TKA to track data after surgery.  Follow us on Twitter and Instagram @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or email us at [email protected]