Urgently Needed: An Alternative to TKA 

Demand for total knee arthroplasty (TKA), one of the most common orthopedic procedures performed in the U.S., is likely to exceed the supply of joint replacement surgeons in the coming years. One projection says that the number of TKAs will increase 5% every year (1). A more conservative projection calls for a 143% increase in TKA volume by 2050 compared with 2012 (1).

Why Timing Matters in ACL Reconstruction

When ACL reconstruction is performed too soon, patients are far less likely to return to competitive sport and are at significantly greater risk for anterior knee pain, arthrofibrosis and persistent weakness (1,2). “Appropriate timing of surgery is important for a full recovery after ACL reconstruction,” says K. Donald Shelbourne, MD, orthopedic surgeon at Shelbourne Knee Center. Full recovery—knee symmetry and the ability to return to competitive sport—is the goal for every patient at Shelbourne Knee Center.

New Wound Closure Device for TKA is Better than Staples

Shortcomings of surgical staples for wound closure after total knee arthroplasty (TKA) include pain, ugly scars, and wound-related complications. A new non-invasive wound-closure device, Zip Surgical Skin Closure (the Zip device), has statistically significant benefits in clinical outcomes and patient satisfaction compared to surgical staples, according to a study conducted by Shelbourne Knee Center orthopedic surgeon Rodney Benner, MD.

4 High School Athletes Return to Sport Faster

The consequences of an anterior cruciate ligament (ACL) tear can be devastating for a high school athlete. Nationally, only about 50–60% of athletes return to sport after an ACL tear. Those who do return to competitive sport are sidelined for an average of 12 months or more.

That’s why four injured high school athletes—Jessica Lehmkuhler, Landen Williams, Darby Bevis and Claire Neff—and their parents went looking for the best ACL treatment available. They all found what they were looking for at Shelbourne Knee Center.

The Best Graft for ACL Reconstruction

The patellar tendon graft (PTG) has always been the gold standard for anterior cruciate ligament (ACL) reconstruction. Yet, most orthopedic surgeons prefer hamstring grafts for younger athletes and cadaver grafts for older patients.

PTGs allow for unrestricted rehabilitation and earlier return to sports than hamstring grafts. With the ACL reconstruction and rehabilitation process used at Shelbourne Knee Center, athletes return to sport in an average of about 4–6 months after surgery(1), compared to 12 months or more for hamstring grafts.