Marc Haro, MD

Marc Haro, MD Orthopedic Surgeon

Good article on ulnar collateral ligaments injuries (“Tommy John”) in throwing athletes. As this article indicates, we h...
09/06/2025

Good article on ulnar collateral ligaments injuries (“Tommy John”) in throwing athletes. As this article indicates, we have increased the rate of ligament repair instead of reconstitution, in young athletes. So far we have been very happy with the outcomes with a quicker return to sports.

Marc Haro, MD, MSPT, FAAOS
www.charlestonshoulderandknee.com
(843) 971-9350

Surgical techniques for professional pitchers are evolving as medial ulnar collateral ligament repairs and reconstructions with internal brace augmentation have increased over the past decade.

https://ow.ly/T4jW50Wyfrm

Osteotomies (realignment surgery) are a very valuable tool in the treatment of not only knee deformities, but also arthr...
09/06/2025

Osteotomies (realignment surgery) are a very valuable tool in the treatment of not only knee deformities, but also arthritis and cartilage injuries in the knee. Dr. Haro is one of the few surgeons who routinely performed osteotomies of the knee in South Carolina. For the part several years, we have been using customized patient specific instrumentation to improve the accuracy of the procedure.

Marc Haro MD, MSPT, FAAOS
www.charlestonshoulderandknee.com
(843) 971-9350

Both traditionally guided osteotomies and patient-specific cutting guide osteotomies accurately corrected lower extremity malalignment. Utilization of PSCG resulted in similar procedure times and cost, but less fluoroscopy, compared to conventional osteotomy.

https://ow.ly/ft2N50WPKIB

Graft choice matters! Over the years several studies have proposed that allograft (donor cadaver tissue) is a good graft...
07/20/2025

Graft choice matters! Over the years several studies have proposed that allograft (donor cadaver tissue) is a good graft choice in “older” patients needing an ACL reconstruction. In younger patients, numerous studies have shown they have a significantly higher retear rate than using your own tissue. Unfortunately, longer-term data now also shows that donor ligaments also fail at a higher rate in “older patients”. Why would you do a surgery that has a significantly higher rate of failure? By far away, the most common graft we have to revise is donor tissue.

Marc Haro, MD, MSPT, FAAOS
www.charlestonshoulderandknee.com
(843) 971-9350

Do you utilize allograft for ACL reconstructions in your practice? This recent study of ACL reconstructions in patients older than 40 years found similar subjective outcomes but significantly greater failure rates with allograft (9 failures) vs autograft (no failures). Read more in this month's arthroscopy https://ow.ly/z4xo50Wlq15

Absolutely agree. While we should strive to save the meniscus if possible, however sewing together, degenerative and tor...
07/18/2025

Absolutely agree. While we should strive to save the meniscus if possible, however sewing together, degenerative and torn meniscus or one with non-functional tissue just doesn’t make sense. It has never made sense. There have been studies for decades showing that the repair of degenerative meniscus tears can often can lead to worse outcomes than either leaving it alone or performing a menisectomy.

Partial lateral meniscectomy shows lower risk of subsequent meniscal injury and revision ACLR at long-term, raising questions about whether preserving the meniscus at all costs is always the best approach.

https://ow.ly/bBsv50W1NB0

Here’s a good article looking at it factors involved in the outcomes of cartilage transplantation. What the authors foun...
07/18/2025

Here’s a good article looking at it factors involved in the outcomes of cartilage transplantation. What the authors found is that larger grafts, older patients with more degenerative conditions, and overweight patients did not have as good of outcomes. However, overall cartilage transplants had very good outcomes long-term. In this study 73% of cartilage transplants were lasting 15 years or longer. Of the ones that do fail (15.8%) majority seem to be in the first few years (3.9).

Dr. Haro is one of the few surgeons that routinely performs osteochondral allograft transplantations for particular cartilage defects.

Marc Haro, MD, MSPT, FAAOS
(843) 971-9350
www.charlestonshoulderandknee.com

Background: Osteochondral allograft (OCA) transplantation is a successful treatment option for focal chondral and osteochondral lesions; however, outcomes vary ...

06/12/2025

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Marc Haro, MD, MSPT, FAAOS
(843) 971-9350

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Interesting article on using quad tendon grafts for ACL reconstructions. While the quad tendon is a reasonable graft, it...
10/24/2024

Interesting article on using quad tendon grafts for ACL reconstructions. While the quad tendon is a reasonable graft, it still has a higher retear rate and subsequent surgery rate than the patellar tendon grafts in young individuals (

A 2-year follow up of 89 adolescents having undergone quadriceps autograft ACL reconstruction showed significantly improved IKDC scores, high rates of return to sport, and low rates of graft failure. Learn more here: https://ow.ly/uCSI50TuFZj

Dr. Haro specializes in the treatment or patellar instability.Marc Haro, MD, MSPT, FAAOS(843) 971-9350
10/23/2024

Dr. Haro specializes in the treatment or patellar instability.

Marc Haro, MD, MSPT, FAAOS
(843) 971-9350

Have a patient with complex medial patellar instability? This new video shows the workup, diagnosis and planning for a unique case and treatment of iatrogenic medial patellar instability and patellofemoral arthritis. https://ow.ly/7nVc50TuGBB

Interesting article on the preparation of grafts in cartilage transplants. This is one of the procedures we perform rout...
10/23/2024

Interesting article on the preparation of grafts in cartilage transplants. This is one of the procedures we perform routinely in the treatment of cartilage injuries.

Marc Haro, MD, MSPT, FAAOS
(843) 971-9350

Osteochondral Allograft Reaming Significantly Affects Chondrocyte Viability https://ow.ly/MqG250TuwsS

Femoral tunnel placement is critical when surgically treating patellar instability! Marc Haro, MD, MSPT, FAAOS(843) 971...
10/23/2024

Femoral tunnel placement is critical when surgically treating patellar instability!

Marc Haro, MD, MSPT, FAAOS
(843) 971-9350

The Schöttle radiographic landmark is recommended for femoral tunnel position during MPFL-R in patients with nondysplastic or dysplastic trochleae. But in cases with concomitant deepening trochleoplasty a more distal femoral tunnel position should be considered. https://ow.ly/IvoF50TuCMY

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