http://www.wahlmd.com/dr-wahl-blog daily 0.75 2022-06-12 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1486232500342-JTD1MOFB512MPZ45DD6Z/IMG_0283.jpg blog http://www.wahlmd.com/dr-wahl-blog/were-famous-not-really monthly 0.5 2022-06-12 http://www.wahlmd.com/dr-wahl-blog/video-vascular-trauma-in-knee-injuries monthly 0.5 2022-01-09 http://www.wahlmd.com/dr-wahl-blog/video-acl-reconstruction monthly 0.5 2022-01-09 http://www.wahlmd.com/dr-wahl-blog/chatting-about-acl-revision-on-the-radio monthly 0.5 2022-01-09 http://www.wahlmd.com/dr-wahl-blog/anterolateralligament monthly 0.5 2022-01-09 http://www.wahlmd.com/dr-wahl-blog/osteoarthris monthly 0.5 2021-02-11 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1594696164920-6TARQ05D2HOZLM7G3C3X/Screen+Shot+2020-07-13+at+8.09.01+PM.png blog - Osteoarthritis = Cartilage Damage https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1594696164812-7A8G71R10KT3XGGRQD6D/Screen+Shot+2020-07-13+at+8.07.35+PM.png blog - Osteoarthritis = Cartilage Damage https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1594696166265-DN6223QEH4KZHOS8PTDM/Screen+Shot+2020-07-13+at+8.05.10+PM.png blog - Osteoarthritis = Cartilage Damage https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1594695598005-PEQS3SFTI6MXNISY3SO2/Screen+Shot+2020-05-27+at+3.36.23+PM.png blog - Osteoarthritis = Cartilage Damage https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1594695602786-SVVJF5HEVFQ86T89AOIT/Screen+Shot+2020-05-27+at+3.36.16+PM.png blog - Osteoarthritis = Cartilage Damage https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1594695603137-Z7CEQS8K3VRYJSAWXU8V/Screen+Shot+2020-05-27+at+3.36.09+PM.png blog - Osteoarthritis = Cartilage Damage http://www.wahlmd.com/dr-wahl-blog/oats-osteoarticular-transplant monthly 0.5 2018-05-12 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1505790059662-53KRKNCIJ9D6GUCWWHXV/Screen+Shot+2017-09-02+at+12.03.21+PM.jpg blog - OATs | OCA: Osteoarticular Transplant | Osteochondral Allograft - 1 Arthroscopic image of the OCD (osteochondral defect). https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1505790067201-4TX49ECQSOF1XU7FZ6OR/Screen+Shot+2017-09-02+at+12.03.35+PM.jpg blog - OATs | OCA: Osteoarticular Transplant | Osteochondral Allograft - 2 Open image of the OCD (osteochondral defect). https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1505790079222-VPWK8RA73OYS4UASPHWC/Screen+Shot+2017-09-02+at+12.04.23+PM.jpg blog - OATs | OCA: Osteoarticular Transplant | Osteochondral Allograft - 3 Harvested donor "plug”; showing the bone-cartilage interface. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1505790073945-E9EXOCBLRSVLCEOEJYO2/Screen+Shot+2017-09-02+at+12.04.02+PM.jpg blog - OATs | OCA: Osteoarticular Transplant | Osteochondral Allograft - 4 The plug is advanced until flush with the surrounding native cartilage. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1505790084681-NWY1VN7RZ65BEEEXXGWP/Screen+Shot+2017-09-02+at+12.04.35+PM.jpg blog - OATs | OCA: Osteoarticular Transplant | Osteochondral Allograft - 5 A second 20 mm donor plug is placed to fill the defect. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1505790092377-FCH2JTHDFW1H0FAR4LIW/Screen+Shot+2017-09-02+at+12.04.45+PM.jpg blog - OATs | OCA: Osteoarticular Transplant | Osteochondral Allograft - 6 “Profile” of the plugs matching the contour of the native femoral condyle. http://www.wahlmd.com/dr-wahl-blog/rotator-cuff-repair monthly 0.5 2024-01-28 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504224222293-73G3DUVP7T5R4F0ZLU11/ch1_image_019.png blog - Arthroscopic Massive Rotator Cuff Repair - Before This is considered a “massive” rotator cuff tear, where the supraspinatus and infraspinatus tendons have retracted back to the equator of the glenoid. In this photo, the supraspintus tendon should be attached on the greater tuberosity of the humeral head (well-beyond the red star). https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504224285107-Y5IKRLKUGIVJDEUXT730/ch1_image_027.png blog - Arthroscopic Massive Rotator Cuff Repair - During Arthroscopic fixation required 3 medial (inner) row anchors (12 sutures total) and 2 lateral (outer) row anchors. The anchors are buried in the bone and then the sutures from the anchors are passed through the rotator cuff tendon. When pulling on the sutures, the cuff tendon advances to its native attachment site at the greater tuberosity. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504224364297-DDG3CGSQK1SAYP9JNE4P/ch1_image_029.jpg blog - Arthroscopic Massive Rotator Cuff Repair - After As compared to the first photo, the rotator cuff tendon is now covering the great tuberosity and shoulder joint. As we say “the shoulder does not take a joke very well” and this patient will have a long recovery ahead. Patients typically have deep, achy pain for several weeks after surgery and sleep disturbance is the #1 complaint as most prefer sleeping in a semi-reclined position or even in a reclining chair! http://www.wahlmd.com/dr-wahl-blog/extra-articular-augmentation-anterolateral-ligament-reconstruction monthly 0.5 2018-02-19 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504222977085-OFCV954D3DZNKUWQBP37/Screen+Shot+2017-08-31+at+4.41.25+PM.png blog - Extra-Articular Augmentation | Anterolateral Ligament Reconstruction - 1 Splint ITB (Iliotibial Band) https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504222981563-JEJXEFJD1WD2JDJR5DPB/Screen+Shot+2017-08-31+at+4.41.35+PM.png blog - Extra-Articular Augmentation | Anterolateral Ligament Reconstruction - 2 Fix graft at Gerdy’s tubercle. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504222986020-K0FWPS0T8X4PZX0RR0K9/Screen+Shot+2017-08-31+at+4.41.44+PM.png blog - Extra-Articular Augmentation | Anterolateral Ligament Reconstruction - 3 Route the graft beneath the LCL to the lateral epicondyle. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504222995142-T5RP8W75ES14OGI17YKH/Screen+Shot+2017-08-31+at+4.41.58+PM.png blog - Extra-Articular Augmentation | Anterolateral Ligament Reconstruction - 4 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504222996227-8YKLLPABKFYTK7MRXJR4/Screen+Shot+2017-08-31+at+4.42.06+PM.png blog - Extra-Articular Augmentation | Anterolateral Ligament Reconstruction - 5 Fix the graft at the isometric position. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504223002077-5MSFKFXT7I22Z245HJPB/Screen+Shot+2017-08-31+at+4.42.15+PM.png blog - Extra-Articular Augmentation | Anterolateral Ligament Reconstruction - 6 Close the ITB (Iliottibial Band). http://www.wahlmd.com/dr-wahl-blog/extension-block-from-acl-tear monthly 0.5 2017-08-31 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504222336645-TYBIH2DFK5TDHATEII9B/Arthroscopy1.jpg blog - Extension Block from ACL Tear - 1 ACL fragment caught in the intercondylar notch. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504222341585-HUFAYZQT7WVQWTN20RA3/Arthroscopy2.jpg blog - Extension Block from ACL Tear - 2 ACL fragment caught in the intercondylar notch. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504222345316-MR247F011NI521PDHR8C/MRI1.jpg blog - Extension Block from ACL Tear - 3 Sagittal MRI view of the ACL fragment flipped forward. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504222350042-U88R4Z9NAQYVZ4RATPDQ/MRI2.jpg blog - Extension Block from ACL Tear - 4 Coronoal MRI view of the ACL fragment flipped forward. http://www.wahlmd.com/dr-wahl-blog/acl-graft-at-0-16-weeks monthly 0.5 2018-02-19 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504221774931-0C3RPR09KDIN8P1B3232/Screen+Shot+2017-07-21+at+11.03.54+AM+copy.jpg blog - ACL Graft At 0 + 16 Weeks - 0 Weeks ACL graft at initial time of surgery. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504221779603-OGJPZ3Q63GW659GLG1HG/Screen+Shot+2017-07-21+at+11.04.27+AM+copy.jpg blog - ACL Graft At 0 + 16 Weeks - 16 Weeks ACL graft 16 weeks after initial surgery. http://www.wahlmd.com/dr-wahl-blog/bone-patellar-tendon-bone-btb-or-bptb-harvest-for-acl-reconstruction monthly 0.5 2018-02-19 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504221234195-A5PIP6G249H4S77VD4Z9/Screen+Shot+2017-07-23+at+9.35.26+AM.png blog - Bone-Patellar Tendon-Bone (BTB or BPTB) Harvest for ACL Reconstruction - 1 Patellar tendon. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504221241720-AR9SY68ZCR95P9XKFF5R/Screen+Shot+2017-07-23+at+9.36.29+AM.png blog - Bone-Patellar Tendon-Bone (BTB or BPTB) Harvest for ACL Reconstruction - 2 Bone plug from tibial tubercle. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504221247037-AFKHFS3VOOXYAFFT863M/Screen+Shot+2017-07-23+at+9.36.47+AM.png blog - Bone-Patellar Tendon-Bone (BTB or BPTB) Harvest for ACL Reconstruction - 3 We take a small piece of extra bone from the tibial tubercle plug and use it as bone graft in the recipient patellar bone plug site. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504221251293-STOXDOT10CAEHE3Y5SP4/Screen+Shot+2017-07-23+at+9.37.05+AM.png blog - Bone-Patellar Tendon-Bone (BTB or BPTB) Harvest for ACL Reconstruction - 4 Middle 1/3 of the patellar tendon removed. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504221255503-P4P64XSDAP4G0KAYXNNS/Screen+Shot+2017-07-23+at+9.37.22+AM.png blog - Bone-Patellar Tendon-Bone (BTB or BPTB) Harvest for ACL Reconstruction - 5 Closure of the patellar tendon with the knee at 90 degrees of flexion. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504221259960-W7QOKDEKBV830AN2FJ43/Screen+Shot+2017-07-23+at+9.37.28+AM.png blog - Bone-Patellar Tendon-Bone (BTB or BPTB) Harvest for ACL Reconstruction - 6 Closer of the peritenon with the knee at 90 degrees of flexion. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504221271494-PVFNGP1VEKE77VIK5E8F/Screen+Shot+2017-07-23+at+9.37.36+AM.png blog - Bone-Patellar Tendon-Bone (BTB or BPTB) Harvest for ACL Reconstruction - 7 Bone-patellar tendon-bone (BTB) autograft. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504221288858-QHDGDMXLWFZ1GWDCWD3T/Screen+Shot+2017-07-23+at+9.38.08+AM.png blog - Bone-Patellar Tendon-Bone (BTB or BPTB) Harvest for ACL Reconstruction - 8 Final ACL reconstruction with BTB autograft. http://www.wahlmd.com/dr-wahl-blog/before-after-of-acl-tear-hamstring-autograft-reconstruction monthly 0.5 2018-02-19 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504220103284-O8HO4WQSYF30RV1RU4SV/ch1_image_013.jpg blog - Before + After: ACL Tear + ACL Reconstruction with Hamstring Autograft - Right ACL Tear https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504220121311-RJFJ91KLQQR9MJCX6CRG/ch1_image_032.jpg blog - Before + After: ACL Tear + ACL Reconstruction with Hamstring Autograft - Right ACL Reconstruction with Hamstring Autograft https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504220125895-3YK9MMX8VOU1WIEQTBR0/ch1_image_016.jpg blog - Before + After: ACL Tear + ACL Reconstruction with Hamstring Autograft - Left ACL Tear https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1504220130929-TOQGQ7L10V5J9BBZBF8P/ch1_image_034.jpg blog - Before + After: ACL Tear + ACL Reconstruction with Hamstring Autograft - Left ACL Reconstruction with Hamstring Autograft http://www.wahlmd.com/dr-wahl-blog/articular-cartilage-arthritis monthly 0.5 2017-05-15 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1486959940442-8176R8YH6IT6HDHRAWZ3/glenohumeral.jpg blog - What is Articular Cartilage + Arthritis? - Shoulder Joint The articular cartilage surfaces in the shoulder joint allow for smooth, low friction motion. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1486959952177-Y28EY9UJWK144AUKIMIJ/patellofemoral.jpg blog - What is Articular Cartilage + Arthritis? - Knee - Patellofemoral Joint The articular cartilage surfaces at the patella (kneecap) and trochlea allow for smooth motion when bending and straightening the knee. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1486959967267-GSGKDTP2MHK3IFLRMXVK/medial.jpg blog - What is Articular Cartilage + Arthritis? - Knee - Medial Compartment The articular cartilage at the medial (inner) aspect of the knee on the tibia and femur. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1488859213890-RW8PUXR8N7M9FIK2J8A2/Screen+Shot+2017-03-06+at+7.56.00+PM.png blog - What is Articular Cartilage + Arthritis? - Shoulder Joint The articular cartilage surface on the humeral side is worn making for increased pain, joint stiffness and inflammation. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1488859222388-9DBAAPDV48T5UUNMTUTJ/Screen+Shot+2017-03-06+at+7.56.10+PM.png blog - What is Articular Cartilage + Arthritis? - Knee - Patellofemoral Joint The articular cartilage surfaces at trochlea is arthritic, causing painful clicking with bending and straightening the knee, joint stiffness and inflammation. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1488859227030-0PLV54XWIPFJQI72OX0B/Screen+Shot+2017-03-06+at+7.56.19+PM.png blog - What is Articular Cartilage + Arthritis? - Knee - Medial Compartment The articular cartilage at the medial (inner) femur is worn, causing pain, joint stiffness and inflammation. http://www.wahlmd.com/dr-wahl-blog/cartilage-grading-outerbridge-scale monthly 0.5 2017-05-15 https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1486958324887-90JCWURVWNU8OVOHE6WQ/grade0.jpg blog - Cartilage Grading : Outerbridge Scale - Outerbridge Grade 0 Normal articular cartilage. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1486958330873-DRK1PV177B96I9943POP/grade1.jpg blog - Cartilage Grading : Outerbridge Scale - Outerbridge Grade I Articular cartilage with softening and swelling. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1486958335576-LX2WALEWC7JCWLC8BW6X/garde2.jpg blog - Cartilage Grading : Outerbridge Scale - Outerbridge Grade II Partial-thickness articular cartilage defect with fissures on the surface that do not reach subchondral bone or exceed 1.5 cm in diameter. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1486958388681-ZQLONE5KGY1SZXHY1OIC/grade3.jpg blog - Cartilage Grading : Outerbridge Scale - Outerbridge Grade III Articular cartilage fissuring to the level of subchondral bone in an area with a diameter more than 1.5 cm. https://images.squarespace-cdn.com/content/v1/57e704f3d482e9a8f58b5e3b/1486958426576-9QEAB01TI55QQRUQGZ4N/grade4.jpg blog - Cartilage Grading : Outerbridge Scale - Outerbridge Grade IV Articular cartilage with exposed subchondral bone. http://www.wahlmd.com/dr-wahl-blog/how-does-age-influence-acl-graft-choice monthly 0.5 2017-08-31 http://www.wahlmd.com/dr-wahl-blog/acl-graft-pre-existing-conditions monthly 0.5 2018-02-19 http://www.wahlmd.com/dr-wahl-blog/acl-graft-patient-factors-activity-levelsports monthly 0.5 2018-02-19 http://www.wahlmd.com/dr-wahl-blog/acl-graft-choice-and-sex monthly 0.5 2018-02-19 http://www.wahlmd.com/dr-wahl-blog/acl-graft-allograft monthly 0.5 2018-02-19 http://www.wahlmd.com/dr-wahl-blog/acl-graft-quad-tendon-autograft monthly 0.5 2018-02-19 http://www.wahlmd.com/dr-wahl-blog/acl-graft-hamstring-autograft monthly 0.5 2018-02-19 http://www.wahlmd.com/dr-wahl-blog/acl-graft-bone-patellar-tendon-bone-or-btb monthly 0.5 2018-02-19 http://www.wahlmd.com/dr-wahl-blog/do-i-need-acl-surgery monthly 0.5 2018-02-19 http://www.wahlmd.com/dr-wahl-blog/how-successful-is-acl-reconstruction monthly 0.5 2018-02-19 http://www.wahlmd.com/dr-wahl-blog/category/Knee+Dislocation monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/category/Cartilage monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/category/ACL+Revision monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/category/Osteochondral+Defect monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/category/ACL monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/category/Arthritis monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/category/Rotator+Cuff+Tear monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/category/ACL+Grafts monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Anterior+Cruciate+Ligament monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Anterolateral+Ligament monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/ALL monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Osteochondral+Defect monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Articular+Cartilage monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Knee+Injury monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Arthritis monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Bone-Patellar+Tendon-Bone monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Cartilage monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/ACL+Revision monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Sports+Medicine monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/OATs monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Allograft monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/OCD+Lesion monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Shoulder+Surgery monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/ACL monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Knee+Surgery monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Sports+Injury monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Rotator+Cuff+Tear monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/ACL+Graft monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/BTB monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Hamstring+Autograft monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Outerbridge+Scale monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Osteoarthritis monthly 0.5 http://www.wahlmd.com/dr-wahl-blog/tag/Rotator+Cuff+Repair monthly 0.5 http://www.wahlmd.com/wahl-intro daily 1.0 2023-02-24