Kwadwo Owusu-Akyaw, MD

Kwadwo Owusu-Akyaw, MD As a Sports Medicine Surgeon, it is an honor and privilege to help return athletes at all levels to their highest potential.

If you ever find yourself unable to do what you love, let's make the journey back to health together. My specializations include operative and non-operative treatment of athletic injuries to the knee, hip and shoulder. I have extensive training in arthroscopic (minimally invasive) treatment of these injuries when appropriate. I additionally specialize in the use of Orthobiologics, such as PRP (platelet-rich plasma) for non-operative treatment of joint injuries. I currently serve as the Company Physician for the Richmond Ballet. I have previously worked as a member of the medical team for the Brooklyn Nets NBA team, North Carolina Central University (Durham, NC), Duke University (Durham, NC) and Iona College (New Rochelle, NY).

For Black History Month we will take the opportunity to highlight African-American pioneers in orthopaedic medicine and ...
02/10/2026

For Black History Month we will take the opportunity to highlight African-American pioneers in orthopaedic medicine and share the barriers they broke, the impacts that they have made, and the paths of excellence they paved for many that have come after them.

Dr. James Robert Gladden (1911–1969) was a trailblazing African-American orthopaedic surgeon. Born in Charlotte, NC, he excelled academically, trained in orthopaedics at Freedmen’s Hospital (Howard University), and in 1949 became the first African American certified by the American Board of Orthopaedic Surgery and the first African-American elected to AAOS. In 1951, he became the first Black Fellow of the American College of Surgeons. His legacy lives on through the J. Robert Gladden Orthopaedic Society (est. 1998), which promotes diversity, mentoring, and excellence in orthopaedic care.

Friday Research Round-Up! Indications and Outcomes of Arthroscopic Labral Reconstruction of the Hip: A Systematic Review...
01/30/2026

Friday Research Round-Up!

Indications and Outcomes of Arthroscopic Labral Reconstruction of the Hip: A Systematic Review

This systematic review of 11 studies (373 patients) found that arthroscopic labral reconstruction is most commonly indicated for irreparable labral tissue, often determined intraoperatively. All studies reported clinically significant improvements in validated functional outcomes, with low rates of complications, revision surgery, and conversion to arthroplasty. Donor-site pain was the most common complication, but overall patient satisfaction was high. These results support labral reconstruction as a safe and effective option when repair is not feasible, with important implications for
post-operative rehabilitation and patient education.

Friday Research Roundup! Long-Term Outcomes of Primary Hip Arthroscopy: Multicenter Analysis at Minimum 10-Year Follow-U...
01/16/2026

Friday Research Roundup!

Long-Term Outcomes of Primary Hip Arthroscopy: Multicenter Analysis at Minimum 10-Year Follow-Up

In a multicenter study of 294 patients followed for an average of 12 years, both labral repair and capsular repair were associated with higher patient satisfaction and lower rates of conversion to total hip arthroplasty (THA). Labral debridement and capsular nonrepair increased THA risk, as did older age, higher BMI, and advanced radiographic changes. Patients undergoing combined labral and capsular repair had a THA conversion rate of just 3%, compared to 31% for those with debridement and nonrepair. These findings highlight the importance of labral and capsular preservation for long-term joint health and reinforce the need for individualized rehabilitation strategies in higher-risk populations.

This weeks Research Roundup article is:Restoration of Labral Function in Primary Hip Arthroscopy: From Labral Repair to ...
12/19/2025

This weeks Research Roundup article is:

Restoration of Labral Function in Primary Hip Arthroscopy: From Labral Repair to Labral Reconstruction

Labral repair is now the gold standard for treating labral tears, offering superior outcomes compared to debridement. For irreparable tears, segmental and circumferential labral reconstruction techniques have emerged, both showing good short-, mid-, and long-term results. Circumferential reconstruction removes all damaged tissue and uses grafts to restore the labrum, while segmental reconstruction targets only the affected segment. Labral augmentation is also an option for hypoplastic labra, preserving the native chondrolabral junction. No clear evidence favors one reconstruction method over another, but restoration of labral function is critical for joint biomechanics and symptom relief.

12/13/2025

Had to work the rust off…

Rejoice this season and carry the spirit of Justice and Peace all year long..

Friday Research Round Up!Hip Arthroscopic Surgery: Patient Evaluation, Current Indications, and Outcomes Hip arthroscopy...
11/21/2025

Friday Research Round Up!

Hip Arthroscopic Surgery: Patient Evaluation, Current Indications, and Outcomes

Hip arthroscopy has rapidly evolved, especially in the athletic population, due to improved understanding of hip pathology and advances in imaging and surgical techniques. Indications now include symptomatic labral tears, femoroacetabular impingement (FAI), capsular laxity, chondral lesions, and more. Extensile arthroscopic capsulotomies have enabled better access for labral repair, chondral treatment, and osteochondroplasty. Short- and midterm outcomes are favorable for prearthritic lesions, but long-term data are needed to determine the impact on degenerative progression. For physical therapists and athletic trainers, this underscores the importance of early recognition and comprehensive management of hip pathology in athletes, as well as the need for ongoing research into long-term joint preservation.

Friday’s are for our Research Round Up! This weeks article is: Patients undergoing revision hip arthroscopy with labral ...
10/31/2025

Friday’s are for our Research Round Up! This weeks article is:

Patients undergoing revision hip arthroscopy with labral reconstruction or labral repair and patient-reported outcomes: a systematic review

Even patients who need a second hip scope have reason for hope. This systematic review looked at outcomes of revision hip arthroscopy comparing labral reconstruction vs. repeat labral repair. Across four studies (330+ revisions), patients showed significant improvements in hip outcome scores after revision surgery, whether the labrum was reconstructed or re-repaired. Rates of additional surgery were somewhat higher in the repair group, but overall results were comparable between techniques, suggesting surgeons can choose the best option per case. The encouraging takeaway is that a setback like residual or new labral damage is not the end of the road - with skillful revision surgery and diligent post-op rehab, patients can still regain function. This reinforces a team mindset: surgeons and PAs tackle the complex re-surgery, and PTs/ATC guide patients through personalized rehabilitation, proving that even challenging cases can get back to active living with collaborative
care.

Park N, Klug T, Patel S, Surucu S, Lee MS, Kardestuncer K, Norman M, Zhu J, Pettinelli NJ, Modrak M, Jimenez AE. Patients Undergoing Revision Hip Arthroscopy With Labral Reconstruction or Labral Repair and Patient-Reported Outcomes: A Systematic Review. Orthop J Sports Med. 2024 Sep 5;12(9):23259671241270356. doi: 10.1177/23259671241270356. PMID: 39247529; PMCID: PMC11378193.

Hip Mobility: The Key to Knee Injury Prevention in AthletesAthletes rely on powerful, coordinated lower body movement fo...
10/16/2025

Hip Mobility: The Key to Knee Injury Prevention in Athletes

Athletes rely on powerful, coordinated lower body movement for peak performance and injury resilience. Research shows that hip mobility and strength are critical for protecting the knee from injury, especially in sports involving running, jumping, and rapid changes of direction. When hip muscles—particularly the abductors and rotators—are weak or inflexible, abnormal movement patterns can develop. These patterns increase stress on the knee, raising the risk of injuries such as ACL tears and patellofemoral pain.

Biomechanical studies demonstrate that impaired hip control can alter knee alignment and loading during athletic tasks. This is especially important for female athletes, who may be more susceptible to hip-related influences on knee mechanics. Interventions that target hip strength and dynamic control—like neuromuscular training and hip-focused exercise programs—are recommended to reduce knee injury risk and improve performance.[1]

The American College of Sports Medicine recommends that team physicians and athletic trainers include hip abductor strengthening and flexibility exercises in conditioning programs for injury prevention. Screening for hip strength and movement quality, and tailoring training to address individual imbalances, are essential steps in keeping athletes healthy and on the field.[2]

In summary, optimizing hip mobility and strength is a cornerstone of effective knee injury prevention for athletes. Incorporating hip-focused exercises into training routines can improve lower limb alignment, enhance performance, and reduce the likelihood of serious knee injuries.

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References

1. Powers CM. The Influence of Abnormal Hip Mechanics on Knee Injury: A Biomechanical Perspective. J Orthop Sports Phys Ther. 2010;40(2):42-51. doi:10.2519/jospt.2010.3337.

2. American College of Sports Medicine. Selected Issues in Injury and Illness Prevention and the Team Physician: A Consensus Statement. Med Sci Sports Exerc. 2016;48(1):159-71. doi:10.1249/MSS.0000000000000827.

ACL tears aren’t 100% preventable, but the correct training can dramatically decrease injury risk. Below are a few strat...
10/02/2025

ACL tears aren’t 100% preventable, but the correct training can dramatically decrease injury risk. Below are a few strategies to integrate for ACL injury prevention.

-Proper Warm Up: Be sure to do a thorough regiment of light cardio and dynamic warmups before all activity.
-Strengthen & Balance: Focus strength training on the glutes, hamstrings, and core to keep the knees stable.
-Jump & Land Smart: Practice proper landing mechanics and plyometrics with a strength and conditioning coach, athletic trainer, or physical therapist to limit injury risk.
-Agility Drills: Add quick stops, pivots, and directional changes under control to your training routine to strengthen stability and reactiveness.

ACL recovery is a marathon, not a sprint. Physical therapy starts within days of surgery and typically lasts 6–9 months....
09/30/2025

ACL recovery is a marathon, not a sprint. Physical therapy starts within days of surgery and typically lasts 6–9 months. Most athletes return to sport between 9–12 months. This requires daily determination and effort from patients. Proper rehab is key to regaining strength and confidence in whatever activities you want to return to.

It is common that ACL tears involve other structures in the knee, like the meniscus. During ACL reconstruction, surgeons...
09/26/2025

It is common that ACL tears involve other structures in the knee, like the meniscus. During ACL reconstruction, surgeons check the meniscus and cartilage. If there’s a tear, surgeons will repair or trim it in the same procedure. Meniscus repairs sometimes mean a slightly slower rehab timeline but protecting that cartilage now can help prevent arthritis later.

What happens after a ACL tear? When the ACL is fully torn, it usually can’t heal on its own and requires surgery. During...
09/24/2025

What happens after a ACL tear? When the ACL is fully torn, it usually can’t heal on its own and requires surgery. During reconstruction surgery, the ligament is rebuilt using a graft for long-term stability. Here you can see a visual using a patellar graft, a common choice for reconstruction. ACL surgery is minimally invasive, arthroscopic, and tailored to each patient’s activity level—whether that’s weekend hiking or varsity football.

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