DiFelice Foundation for Orthopaedics

DiFelice Foundation for Orthopaedics TO RESEARCH AND PROMOTE ADVANCEMENTS AND NEW TECHNIQUES IN ORTHOPAEDICS

10/30/2023

That’s a wrap for this year’s concert! What a great night! Thanks to all of our supporters, who came out to listen. Thanks to The Cutting Room and the Ainsworth, for hosting the night, and for Taconic distillery for sharing their awesome selection of bourbons! Next gig….Giants Stadium!! 😳 😎

10/27/2023

Patients are able to cope with proximal tears” is something I hear quite frequently. While many use it as an argument against repair, I feel like it actually supports it. There is a subset of patients who have the potential to functionally “cope” with their injuries and return to certain activities, but many do not.

Unfortunately, a frequent consequence of an ACL insufficient knee is subsequent damage to the cartilage or menisci. Rather than finding out if a patient is a “coper” or “non-coper”, repair provides a perfect, minimally morbid option to get them back to their activities. Kudos to Kanto et al. for this epidemiologic study of intra-articular injuries further.

In their retrospective study, the authors examined the intra-articular injury rates of 75 patients who opted for initial conservative treatment after ACL injury. Of these 75 patients, only 11 were classified as “copers” – meaning they did not have subsequent buckling of their knee during activity. The authors reported that “non-copers” had significantly higher rates of intra-articular injury while playing sports 3-12 months post-injury; however, both “copers” and “non-copers” had comparably high prevalence rates after 12 months. Rather than waiting for potential intra-articular damage, we need to treat acute injuries acutely.

10/23/2023

🔥🎷 Ya better "TAKE IT TO THE STREETS" to get your tickets to the concert! 🎸 No tickets sold at the door, so get 'em now 😎 Sales end on Thursday ❗❗

10/19/2023

We’ve Got The Horns!! 🎺🎺
Only 1 week left to buy tickets!! Sales end Thursday!!
NO TICKETS SOLD AT THE DOOR!!

Let’s Rock!! 🎸🤘🏼

10/16/2023

The American Journal of Sports Medicine Kudos to the MOON group and my colleagues here at HSS for this insightful look into return to activity after ACL reconstruction. Utilizing the Marx Activity Scale, which evaluates running, cutting, deceleration, and pivoting, the authors reported only 40% of highly active individuals returned to play at their preinjury level after 2 years. This begs the question, what does this mean for our less active patients?

Not only is it PA Week, but it is PT month! Shout out to Tony Chen, PA and Robert O’Brien, PA for being my right hand m...
10/12/2023

Not only is it PA Week, but it is PT month! Shout out to Tony Chen, PA and Robert O’Brien, PA for being my right hand men! Also shout out to the PA team at HSS Paramus (seen here) and the rest of the PTs out there that are integral to helping our patients get great results! I/we couldn’t do what we do without these critical team members.

Here are a few slides from my first podium presentation on Primary ACL Repair at the Emerging Techniques in Orthopedics ...
10/11/2023

Here are a few slides from my first podium presentation on Primary ACL Repair at the Emerging Techniques in Orthopedics meeting in Las Vegas in 2012. One of the main goals of my talk was to start a worldwide conversation about ACL Repair, and where it might fit into a modern day, customized treatment algorithm for ACL injuries following my Preservation First approach. This is distinctly different from the current “gold standard”, “one size fits all” approach of reconstruction for all ACL injuries.

11 years later, I am ecstatic to report that the conversation is up and running worldwide! Several weeks ago at the AGA (Society for Arthroscopy and Joint Surgery) meeting in Berlin, Prof. Sebastian Muller, from Basel, Switzerland, presented his talk “ACL Repair with Internal Brace enables comparable outcomes to ACL reconstruction.” He reported good to excellent two-year outcomes in his ACL repair patients, with comparable outcomes to his ACL reconstruction patients.

Congratulations Dr. Muller, I look forward to meeting you and having a great ACL Repair conversation!

10/10/2023

The medial collateral ligament (MCL) is one of the most frequently injured ligaments in the knee. While conservative treatment for partial MCL injuries is widely accepted, treatment for severe injuries is still heavily debated, especially in the setting of a multiligament injury.

In this retrospective analysis performed by my research team, we examined the clinical and patient-reported outcome measures (PROMs) of acute superficial MCL repair with suture augmentation in the setting of a multiligament knee injury.

We found that patients treated acutely with suture augmentation had excellent stability, low rates of postoperative stiffness, and good-to-excellent PROMs at short-term follow up. Read for free, link in the bio.

Read the full article here: rb.gy/giq71

10/08/2023

Rehearsing for the big night!! Don't miss out on Dr. D and the Repaired Men on October 28th at The Cutting Room!

TICKETS AND TABLES ARE GOING QUICK! Get yours now, link in bio!

10/06/2023

The picture is of my patient hiking Bryce National Park in Utah 5 1/2 months s/p ACL & MCL Primary Repairs! The video is 8ish month follow-up and she continues to do great!

SM was 21 when she tore her ACL playing volleyball. I was able to repair her ACL and after a speedy recovery she got ba...
10/04/2023

SM was 21 when she tore her ACL playing volleyball. I was able to repair her ACL and after a speedy recovery she got back to all of the many sports that she plays. She is now 10 years out and continues to enjoy an active lifestyle. Check out pix of her Heliboarding in Switzerland, and rock climbing at Banff in Canada!!

10/03/2023

Correct! ... The knee cap (patella) is missing. You can see it on today’s images that include the AP & Merchant views (normal views inset), and a cut of the CT scan. The patient had congenital trochlear dysplasia where the trochlea (front part of the femur or thigh bone where the patella engages) is misshapen.

Typically the trochlea has a groove that the patella sits in and it usually stays stable. With trochlear dysplasia, the bone is flat instead of grooved and so the patella doesn’t stay in place. After multiple failed surgeries at outside institutions, this patient’s patella had been dislocated for 18 years (new groove formed on the side!) and he presented with post traumatic arthritis of the knee.

Problems like this are very difficult to solve with knee replacement. However, here at HSS we have a team to address problems just like this- the Complex Case Reconstruction Center. The buck stops here! We’ll get him fixed.

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