Author Archives: CTXortho

Orthopedic problems? Quit procrastinating. Get answers now!

We Want To Hear From You! We have been working on reaching out to our patients and improving our patient education by using blog posts. But now we really want to hear from you on what your unanswered orthopedic questions are. Submit Your Questions Below See The Answers To Our Most Recent Questions. Is it […]

How do PRP injections work?

We have posted journals in the past that support the use of platelet rich plasma (PRP) injections to help heal many orthopedic injuries, but we have not discussed how PRP injections work. Platelets circulate in the blood and play an important role in hemostasis (controlling bleeding) and wound healing. When there is injury, platelets flock […]

Stem Cells Help Heal and Protect Rotator Cuff Repair

Stem cell injections have been a hot topic lately; however, as providers we are still learning how to best utilize these injections. Recent studies have shown that augmenting a rotator cuff repair (RCR) with mesenchymal stem cells (MSC) results in faster healing as well as decreased incidence of re-tear of the rotator cuff. In the […]

Risk Factors for Complication after Knee and Shoulder Arthroscopy

The risk of complication after a knee or shoulder arthroscopy is extremely low. Studies have found the rate of complication after shoulder arthroscopy to be 0.86% and complication after knee arthroscopy to be 0.92%. These rates are so low due to the fact that arthroscopic procedures utilize small incisions that heal faster, create less trauma, […]

What Graft Is Best For Your ACL Reconstruction?

Tearing an anterior cruciate ligament (ACL) graft is a devastating occurrence after ACL reconstruction (ACLR). Identifying and understanding the independent predictors of ACLR graft failure is important for surgical planning, patient counseling, and efforts to decrease the risk of graft failure. Types of grafts Patient’s with a torn ACL who are undergoing ACL reconstruction have a […]

Biceps tenotomy (release) vs Biceps tenodesis (re-attachment) for treatment of SLAP tear

A SLAP tear is a superior labral tear anterior to posterior. The labrum is the rim of cartilage in the shoulder joint. The long head of the biceps attaches at the top of the labrum. When a patient gets a SLAP tear, the biceps tendon can continue to pull on this torn cartilage creating pain. […]

Steroid vs hyaluronic acid (gel) vs PRP injections for treatment of knee arthritis

For patients with knee arthritis that are not ready for joint replacement, what is the right treatment? Studies have shown that corticosteroid injections are a good treatment for acute flare-ups, giving short term symptomatic relief. Corticosteroids work as an anti-inflammatory, immunosuppressive agent, and can lead to increased hyaluronic acid concentration in the joint. They found […]

The use of PRP may reduce the failure rate of rotator cuff surgery?

Because rotator cuff tears have a fairly high failure rate (most studies suggesting a 20% failure rate) due to impaired biological healing at the repair site, surgeons are looking for ways to improve the environment at the repair site. PRP has been shown to create inflammation, the first phase of healing,  at the site of injury and is believed […]