Our physicians aren't just in the OR all day—they're advancing the field of sports medicine as a whole.
Working closely with other research faculty, we search for ways to improve the prevention, diagnosis, and treatment of orthopedic injury, disease, and deformity.
Two studies on ACL injury treatment in adolescents
Armando Vidal, MD, was published in the American Journal for Sports Medicine in November 2014 and February 2015 for his studies on treating ACL injuries in children and teens.
Comparison of allograft versus autograft anterior cruciate ligament reconstruction graft survival in an active adolescent cohort
Adolescent patients are one of the most difficult patient groups to treat after an ACL injury, as they often want to return to cutting and pivoting sports as soon as possible. Choosing a graft for them is tricky, and there is no clear consensus on the best option. Many opt for the use of cadaver tissue (allograft), which doesn't have any donor site morbidity and produces less pain and scarring.
This paper demonstrates that despite these advantages, the allograft is a poor choice for the adolescent population. The relative risk of re-tear was four times higher, and the risk did not end at the typical two-year mark. Read more.
Factors predictive of concomitant injuries among children and adolescents undergoing anterior cruciate ligament surgery
The timing of surgery for adolescents is controversial. Although the risk is low, ACL surgery exposes kids with open growth plates to further injury and deformity.
Our data demonstrates that returning kids to sports with an ACL-deficient knee or delaying surgery leads to irreparable cartilage and meniscus injury. While the risk of growth plate injury is real (1-2% with ACL surgery), those problems are correctable. The development of arthritis secondary to cartilage and meniscal injury is not currently a solvable problem. These risks should be considered by physicians and the families they counsel. Read more.
Management of acute achilles tendon rupture. Miller L, Spittler J, Khodaee M, Bravman JT, Lyon C, Hoffecker L. Am Fam Physician. 2015 Jun 1;91(11):794-800.
Unicortical versus bicortical locked plate fixation in midshaft clavicle fractures. Bravman JT, Taylor ML, Baldini T, Vidal AF. Orthopedics. 2015 May;38(5):e411-6.
Association of meniscal status, lower extremity alignment, and body mass index with chondrosis at revision anterior cruciate ligament reconstruction. Brophy RH, Haas AK, Huston LJ, Nwosu SK; MARS Group, Wright RW. Am J Sports Med. 2015 Jul;43(7):1616-22.
Biomechanical comparison of traditional anchors to all-suture anchors in a double-row rotator cuff repair cadaver model. Goschka AM, Hafer JS, Reynolds KA, Aberle NS 2nd, Baldini TH, Hawkins MJ, McCarty EC. Clin Biomech (Bristol, Avon). 2015 Jun 14. pii: S0268-0033(15)00173-4. doi: 10.1016/j.clinbiomech.2015.06.009.
Compressive cryotherapy versus ice-a prospective, randomized study on postoperative pain in patients undergoing arthroscopic rotator cuff repair or subacromial decompression. Kraeutler MJ, Reynolds KA, Long C, McCarty EC. J Shoulder Elbow Surg. 2015 Mar 27. pii: S1058-2746(15)00077-4. doi: 10.1016/j.jse.2015.02.004.