robertlaprade

About Robert LaPrade, MD

Robert LaPrade, MD, PhD has specialized skills and expertise in diagnosing and treating complicated knee injuries. He has treated athletes at all levels, including Olympic, professional and intercollegiate athletes, and has returned numerous athletes back to full participation after surgeries. Recognized globally for his outstanding and efficient surgical skills and dedication to sports medicine, he has received many research awards, including the OREF Clinic Research Award considered by many a Nobel Prize in orthopedics. Dr. LaPrade is one of the most published investigators in his field, and many of the surgeries that he has developed are now performed worldwide and recognized as the “gold standard” for the treatment of complex knee injuries.

Editorial Commentary: Arthroscopic Outcomes Are Equal to Open Popliteus Tendon Reconstructions, but Do Not Forget That the Goal Is a Stable Posterior Cruciate Ligament Reconstruction


Abstract:

Arthroscopic popliteus tendon reconstructions were found to be equally as efficacious as open popliteus reconstructions in restoring external rotation stability. However, when the procedure was combined with a posterior cruciate ligament (PCL) reconstruction, the PCL reconstruction still had increases of 4 to 5 mm of posterior tibial translation in side-to-side differences on posterior stress radiographs. […]

Editorial Commentary: Arthroscopic Outcomes Are Equal to Open Popliteus Tendon Reconstructions, but Do Not Forget That the Goal Is a Stable Posterior Cruciate Ligament Reconstruction

Influence of Medial Meniscus Bucket-Handle Repair in Setting of Anterior Cruciate Ligament Reconstruction on Tibiofemoral Contact Mechanics: A Biomechanical Study


Purpose:

To compare the impact of an inside-out repair versus meniscectomy of a medial meniscus bucket-handle tear in restoring native contact areas and pressures across the tibial plateaus in the setting of an anterior cruciate ligament (ACL) reconstruction (ACLR).

Methods:

Ten fresh-frozen cadaveric knees were tested in 6 knee conditions (1: intact; 2: ACL torn and bucket-handle […]

Influence of Medial Meniscus Bucket-Handle Repair in Setting of Anterior Cruciate Ligament Reconstruction on Tibiofemoral Contact Mechanics: A Biomechanical Study

Single-Stage Multiple-Ligament Knee Reconstructions for Sports-Related Injuries: Outcomes in 194 Patients


Background:

Outcomes after sports-related multiple-ligament knee reconstructions are limited.

Purpose:

To evaluate outcomes after single-stage surgical treatment of sports-related multiple-ligament knee injuries and to compare outcomes after anterior cruciate ligament (ACL)–based and posterior cruciate ligament (PCL)–based multiple-ligament knee reconstructions.

Study Design:

Case series; Level of evidence, 4.

Methods:

Skeletally mature patients with at least 2 major knee ligaments torn during a […]

Single-Stage Multiple-Ligament Knee Reconstructions for Sports-Related Injuries: Outcomes in 194 Patients

Clinical Outcomes of Inside-Out Meniscal Repair According to Anatomic Zone of the Meniscal Tear


Background:

There is significant discrepancy in the reported vascularity within the meniscus, and a progressively diminishing blood supply may indicate a differential healing capacity of tears that is dependent on the affected meniscal zone.

Purpose:

To examine the outcomes after inside-out meniscal repair in all 3 meniscal vascularity zones.

Study Design:

Cohort study; Level of evidence, 3.

Methods:

Patients were included […]

Clinical Outcomes of Inside-Out Meniscal Repair According to Anatomic Zone of the Meniscal Tear

Characterization of Growth Factors, Cytokines, and Chemokines in Bone Marrow Concentrate and Platelet-Rich Plasma: A Prospective Analysis


Background:

Platelet-rich plasma (PRP) and bone marrow concentrate (BMC) are orthobiologic therapies with numerous growth factors and other bioactive molecules. Before the clinical utility of PRP and BMC is optimized as a combined therapy or monotherapy, an improved understanding of the components and respective concentrations is necessary.

Purpose:

To prospectively measure and compare anabolic, anti-inflammatory, and proinflammatory […]

Characterization of Growth Factors, Cytokines, and Chemokines in Bone Marrow Concentrate and Platelet-Rich Plasma: A Prospective Analysis

Lateral Posterior Tibial Slope in Male and Female Athletes Sustaining Contact Versus Noncontact Anterior Cruciate Ligament Tears

Background

Lateral posterior tibial slope (PTS) has been identified as a risk factor for primary anterior cruciate ligament (ACL) tears.

Purpose/Hypothesis

The purpose was to prospectively determine if there was a difference in lateral PTS between male and female athletes sustaining contact ACL tears as compared with a group of sex-, age-, […]

Lateral Posterior Tibial Slope in Male and Female Athletes Sustaining Contact Versus Noncontact Anterior Cruciate Ligament Tears

Steeper Tibial Slopes, Like Steeper Ski Slopes, Might Lead to More ACL Stress and Tears


Commentary & Perspective

Steeper Tibial Slopes, Like Steeper Ski Slopes, Might Lead to More ACL Stress and Tears

Commentary on an article by Dean Wang, MD, et al.: “Tibiofemoral Kinematics During Compressive Loading of the ACL-Intact and ACL-Sectioned Knee. Roles of Tibial Slope, Medial Eminence Volume, and Anterior Laxity”

Robert F. LaPrade, MD, PhD

Examining the associations between […]

Steeper Tibial Slopes, Like Steeper Ski Slopes, Might Lead to More ACL Stress and Tears

LaPrade discusses Blood Flow Therapy (BFR) in ACL Reconstruction Patients

Blood Flow Restriction (BFR) stimulates hypertrophy, increasing the size of muscle cells by reproducing the same kind of environment that’s naturally present when you participate in a high-intensity workout.  “The muscle cells can be tricked into believing that they need to hypertrophy due to the extra environmental […]

LaPrade discusses Blood Flow Therapy (BFR) in ACL Reconstruction Patients

Quantitative mapping of acute and chronic PCL pathology with 3 T MRI: a prospectively enrolled patient cohort


Background

The diagnosis of incomplete acute and chronic posterior cruciate ligament (PCL) tears can be challenging with conventional magnetic resonance (MR) imaging, particularly for injuries in which the ligament appears continuous as occurs with chronic PCL tears that have scarred in continuity. Quantitative mapping from MR imaging may provide additional useful diagnostic information in these […]

Quantitative mapping of acute and chronic PCL pathology with 3 T MRI: a prospectively enrolled patient cohort

Utilization of Transtibial Centralization Suture Best Minimizes Extrusion and Restores Tibiofemoral Contact Mechanics for Anatomic Medial Meniscal Root Repairs in a Cadaveric Model


Background

Although posterior medial meniscal root (PMMR) repairs are often successful, postoperative meniscal extrusion after a root repair has been identified as a potential clinical problem.

Purpose/Hypothesis

The purpose was to quantitatively evaluate the tibiofemoral contact mechanics and extent of meniscal extrusion after a PMMR repair. It was hypothesized that the addition of a centralization suture (into […]

Utilization of Transtibial Centralization Suture Best Minimizes Extrusion and Restores Tibiofemoral Contact Mechanics for Anatomic Medial Meniscal Root Repairs in a Cadaveric Model
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