Marc Haro, MD

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Marc Haro, MD Orthopedic Surgeon

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

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...
18/07/2025

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...
18/07/2025

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 ...

12/06/2025

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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...
24/10/2024

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
23/10/2024

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...
23/10/2024

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...
23/10/2024

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

One of Dr. Haro’s specialties are complex knee injuries including multiple ligament knee injuries and knee dislocations....
23/10/2024

One of Dr. Haro’s specialties are complex knee injuries including multiple ligament knee injuries and knee dislocations. He has published several studies on the topic! Do not hesitate to call if we can help in any way.

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

Nick Chubb is expected to take the field Sunday when the Browns battle the Bengals. The 4-time Pro Bowler has not played since Week 2 of the 2023 season, when he suffered devastating ACL, MCL and meniscus tears that required surgery. Learn more about combined ligament injuries, including the challenges of recovery, at : https://bit.ly/44bCDaW

Stop bracing your ACL’s and get the motion back ASAP!
12/09/2024

Stop bracing your ACL’s and get the motion back ASAP!

Another interesting study investigating the associations of patient characteristics and surgical techniques with the need for arthroscopic resection of a cyclops lesion. Find out more!

Reach here: https://doi.org/10.1002/ksa.12165

Way to go Bengals!
29/06/2024

Way to go Bengals!

It's official....Lucy Beckham Athletics finishes the 2023-24 school year as the BEST athletic program in AAAA in the state of South Carolina! Congratulations to all the coaches, faculty, staff, athletes, parents and supporting community! Without all of you it wouldn't be possible! Great day to be a Bengal! 🐅🐯🐅🐯🐅

https://www.facebook.com/share/qRPaFvgLxMLwcqwn/?mibextid=WC7FNe
30/05/2024

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The Shelbourne Knee Center Podcast is an educational podcast targeting clinicians who treat patients with knee pain or knee injuries. Scot Bauman, PT, DPT, physical therapist and clinical researcher and Rodney Benner, MD, orthopedic surgeon, will discuss a...

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