Sean E. Sitton, MD @SSittonMD
Husband, Father, and Board Certified Orthopaedic Sports Medicine Surgeon @AndrewsSportMed @AlabamaFTBL @IowaOrthoRes @BCMHouston @BYU Chandler, AZ Joined February 2018-
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@LenMacPT I typically do “ROM as tolerated” for peripheral MMT and for Medial Roots and LMT (root, radial, bucket, LMORT, large peripheral, hypermobile) limit 0-90° for first 2-4 weeks. Wouldn’t limit ROM beyond 4 weeks for any tear.
@LenMacPT I’d be worried if it’s a large peripheral Lateral tear or any of the other mentioned ones.
@JeremyBurnhamMD The “less harvest-site pain” is a myth. Same pain, if not worse than BTB in my experience. If your BTB patients are having a ton of anterior knee pain, you’re probably doing it wrong. If you don’t think QT patients have harvest site pain, you’re probably not asking/listening.
@LenMacPT It’s those complex Lateral/LMORT ones I worry about with passive flexion past 90° early on. 😬
@LenMacPT I have them start PT within 1-3 days post op.
@kevinfarmermd I hope they take away his Aggie class ring for that.
@LenMacPT @snaggs100 Some of us still refuse to drink the kool-aid. #FraudTendon
@CenterRotation @jointdocShields @InvictaOrtho @generalorthomd @traumaticum @orthotraumamd @JanetConwayy @EcclesMD_Ortho @BrianChalmersMD @PeltMD @ChipRoutt @bethgausdenmd @NaanDerthaal @AAOS1 @orthogal21 @rkh_md Quad Tendon ACLs are the best!
@LenMacPT @NuelleSportsMD I’d be shocked if there’s no sig difference in RTS between the two grafts. If there is any chance that there is increased risk of failure w/ BTB vs QT, it probably has to do with Increased RTS after BTB. ⬆️risk of failure if able to actually return to high risk sports.😉
@LenMacPT I feel like listening to feedback from my PTs makes me a better surgeon and helps us take better care of patients. Even tho large majority of my ACLs are BTB auto, I also value my PT’s initial impressions during pre-hab which can often influence/change my surgical strategy.
@H2O_SportsMD @txsportsdoc @robgraymd @CE_HandSurg @NuelleSportsMD I used to love the PEEK screw for this very reason, until I had someone fall at 6 weeks post op and fx completely through that 8mm socket. 😬 Probably would still be using it if that hadn’t happened. 🤦🏼♂️I’ll never use the screw again for that reason.
@txsportsdoc @robgraymd @CE_HandSurg @NuelleSportsMD @H2O_SportsMD Baby Hohmann on ulnar side, Army/Navy on Radial side and distally.
@FixnBones Are you there, Dan?!! That looks awesome!
@LenMacPT BTB still the best. There’s a time/place for every graft, but for me nothing more satisfying than interference screw fixation of BTB bone blocks and a rock solid Lachman. It’s incredible to me that QT is pushed so much. “Laud the Fraud” 🤪
@txsportsdoc @drchrisahmad Very possible. 💪
Very General Orthopae... @generalorthomd
18K Followers 2K Following Rural General Ortho. ex-NFL player. Skier, traveler, proud dad. FAAOS, FAAHKS. Former AAOS social media ambassador.
John Shields, MD, FAA... @jointdocShields
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Clayton Nuelle, MD, F... @NuelleSportsMD
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Ryan K Harrison, MD @rkh_md
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