The Sports Docs Podcast
Sports medicine is a constantly evolving field, with hundreds of new articles published each month on the topic. This ever-growing wealth of information can make it challenging to stay updated on the newest approaches and techniques, and to know which data should actually change your practice. Join orthopedic surgeons, Dr. Catherine Logan and Dr. Ashley Bassett, as they chat about the most recent developments in sports medicine and dissect through all the noise.
On each episode of The Sports Docs podcast, the hosts will tackle a specific injury – from ACL tears to shoulder instability – and review the top research from various high-impact journals that month, including The American Journal of Sports Medicine, Arthroscopy: The Journal of Arthroscopic and Related Surgery, Sports Health, Journal of Shoulder and Elbow Surgeons, and more. The Sports Docs will also be joined by experts in the field of sports medicine – orthopedic surgeons, nonoperative sports medicine specialists, athletes, physical therapists, athletic trainers and others – to provide a fresh and well-rounded perspective based on their unique experiences.
The Sports Docs – Dr. Logan & Dr. Bassett – are friends & former co-residents from the Harvard Combined Orthopaedic Residency Program, who went onto esteemed sports medicine fellowships at The Steadman Clinic and The Rothman Institute, respectively. Dr. Logan practices in Denver, CO, and serves as Team Physician for Men's USA Lacrosse & as a Team Physician for U.S. Ski & Snowboard. Dr. Bassett is the director of the Women’s Sports Medicine Center at the Orthopedic Institute of New Jersey and practices across northern NJ, primarily in Morris and Sussex Counties.
Together, they will bring monthly conversations on how to care for athletes of all ages and levels of play, with a healthy mix of cutting-edge science and real-world application.
The Sports Docs Podcast
37. Dr. Cassandra Lee: Patellofemoral Cartilage Injuries - Part II
On each episode, we chat about the most recent developments in sports medicine with experts from around the country. In this episode, we’re going to continue our discussion with Dr. Cassandra Lee and chat more about osteochondral allograft transplantation and tibial tubercle osteotomy.
From the October 2020 issue of Cartilage, we start with the publication titled “Bipolar Osteochondral Allograft Transplantation of the Patella and Trochlea.” David DeWitt and colleagues at Kaiser Permanente Southern California prospectively followed 18 patients who underwent fresh osteochondral allograft transplantation of the patella and trochlea with an average follow up of 33 months.
All patients had graft survival at final follow up with no revisions and no conversion to arthroplasty. All clinical outcome scores – including KOOS, IKDC, SANE and VAS – significantly improved from pre-op. We finish up our conversation with a focus on realignment osteotomies to augment cartilage restoration procedures for the patellofemoral joint, referencing an infographic from the 2019 issue of Arthroscopy titled “Optimizing Patellofemoral Cartilage Restoration and Instability With Tibial Tubercle Osteotomy.” The authors explain that the specific type of TTO depends on the pathology being treated, with four subgroups identified. In the absence of patellar instability, distal lateral patellar lesions are treated well with an isolated anteromedializing TTO while medial, central and/or panpatellar cartilage lesions are best treated with combined anteromedializing TTO and cartilage restoration as well.
Patients with patellar instability require soft tissue stabilization, i.e. an MPFL reconstruction, and either a medializing TTO for those with lateralized tubercle position or a distalizing TTO for those with patella alta. Did you get all of that? Well, if you didn’t don’t worry. We have a nice graphic from this article on our Instagram – the sportsdocspod.