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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > April, 2006 Vol. VII, No. 4

Outpatient ACL Surgery: Strategies for Success

Secrets of one team that consistently achieves excellent outcomes.

Arthur R. Bartolozzi, MD, and Cliff Fawcett, MSN, FNP, ATC

Anterior cruciate ligament tears are among the most common orthopedic injuries, striking everyone from highly trained athletes, to weekend warriors, to people who happen to suddenly twist their knees in just the wrong way. Many surgeons are hesitant to recommend ACL reconstruction for everyone - after age 35, they'll say, it might be preferable to just deal with limited mobility and occasional instability rather than go through the hassle of surgery and rehabilitation. In our practice, however, we see a number of patients who are very active long into their 30s, 40s and beyond - and we don't feel that they should have to deal with a "trick knee."

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Categories: Orthopedics
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Organization and standardization; Anesthesia and pain control; Home care and rehabilitation; Future developments in surgical technique; ACL. Patients; ACLs; Achilles; Anterior; Buying; CPM; Continuous; DVT; Manufacturers; Metal; Organization; Patients; Percocet; Thinking; abilities; absolutely; absorbable; accumulation; accurately; achieve; active; advances; advice; affixed; affixes; age; allograft; anatomically; anatomy; anesthesia; anesthetic; anterior; anteromedial; approach; arthroscopic; assistant; athletic; autograft; autografts; avoided; aware; back; baseline; begun; benefits; biggest; ... show all keywords
Organization and standardization; Anesthesia and pain control; Home care and rehabilitation; Future developments in surgical technique; ACL. Patients; ACLs; Achilles; Anterior; Buying; CPM; Continuous; DVT; Manufacturers; Metal; Organization; Patients; Percocet; Thinking; abilities; absolutely; absorbable; accumulation; accurately; achieve; active; advances; advice; affixed; affixes; age; allograft; anatomically; anatomy; anesthesia; anesthetic; anterior; anteromedial; approach; arthroscopic; assistant; athletic; autograft; autografts; avoided; aware; back; baseline; begun; benefits; biggest; biocompatible; blood; bone; breakthrough; bundle; bundles; called; care; chance; change; choose; circulates; clear; comfortable; common; company; comprised; contact; continuous; continuously; contracted; control; conventional; convinced; cool; cooling; correct; cost; couple; cover; critical; cruciate; damage; day; days; deal; deficient; degree; deliver; demanding; demonstrated; designing; develop; developed; developing; developments; device; difference; direct; disadvantage; discuss; double-bundle; earlier; early; education; efficiently; encourage; epidurals; equally; evaluating; exact; examining; excellent; exploring; exposure; faster; feel; femoral; femur; fine; fixation; flexion; focused; formalized; fourth; general; generally; goal; gold; good; graft; half; hamstring; happen; hassle; helps; hesitant; higher; highly; home; hours; incidence; incision; incorporate; inject; innovations; innovative; inside; instability; instrumentation; instruments; insurance; irreparable; joint; kinematics; knee; knees; lie; ligament; limited; local; long; long-term; longer; machine; machines; made; main; medical; meds; meniscus; method; mildly; minds; minimal; minimize; minutes; mobility; motion; motivate; moving; multi-modal; nerve; normal; number; occasional; offer; open; operating; oral; original; orthopedic; outcomes; outpatient; pad; page; pain; passive; patellar; patient; people; percent; persistent; picture; place; placement; placing; plan; points; portable; positioned; post-op; posterolateral; potential; practices; precise; precisely; prefer; preferable; prepared; prepares; procedure; procedures; program; promote; provide; pumps; quick; receive; recent; recommend; reconstruction; reconstructions; recover; recovery; reduce; rehab; rehabilitation; reinforce; relieve; remain; rent; replace; replacing; reproduces; require; research; researchers; restores; result; return; risk; rotational; screws; secure; sedated; send; separate; set; setup; short; show; single-bundle; smaller; spot; stability; standard; standardize; standardizing; start; stick; strategies; strength; striking; studies; success; successful; suddenly; supply; surface; surgeons; surgery; surgical; table; takes; team; tears; technically; technique; techniques; teenagers; tendons; things; tibia; tibialis; times; tissue; trained; tunnel; twist; typically; varieties; wait; walking; wary; watch; water; weekend; weight-bearing; work; wrong; years

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