Excellent outcomes and rapid recovery following biceps tenodesis for prior failed SLAP repair!
A SLAP tear (SLAP stands for superior labrum anterior to posterior) is an injury to the labrum. The labrum is a soft-tissue structure surrounding the shoulder socket. It helps stabilize the joint and acts as a "bumper" to limit excessive motion of the humerus. When injured, labral tears can cause symptoms including pain, painful clicking and instability.
When surgical treatment is indicated, options include a SLAP repair or alternatively a biceps tenodesis. To learn more about this topic please visit Dr Saithna’s website (see bio) or check out the OJSM podcast where Dr Saithna discusses this topic with other experts “Biceps Tenodesis Part 1: SLAP Repair v Tenodesis in Young Athlete” http://tinyurl.com/y9xn5k7h
#SLAPtear #labrum #labraltear #cheerleading #shoulderpain #bicepstenodesis #scottsdale #phoenix #orthopedicsurgeon
"Dr. Saithna is the best shoulder surgeon ever. Had surgery for my multiple shoulder issues and had ZERO pain. Recovery has been great. Feel better than I have in months. Not only is Dr. Saithna a phenomenal surgeon, he is very personable, friendly & has always taken the time to listen. Would definitely recommend him." #shoulderpain #frozenshoulder #adhesivecapsulitis #rotatorcuff #orthopedicsurgeon #scottsdale #phoenix #orthopedics #sportsinjury
Dr Saithna offers the full spectrum of operative and non-operative treatment for knee cartilage injuries including cartilage repair procedures. This patient testimonial describes an excellent outcome from chondroplasty. This is a procedure used to treat damaged or worn-out cartilage in joints. Cartilage is the smooth tissue that covers the ends of bones in a joint and helps them move smoothly. When this cartilage gets damaged, it can cause pain and restrict joint movement.
During a chondroplasty, Dr Saithna uses special tools to smooth out or repair the damaged cartilage. This can involve removing loose or frayed bits of cartilage, smoothing rough surfaces, or creating tiny holes to stimulate the growth of new, healthier cartilage. The goal is to improve joint function, reduce pain, and potentially delay the progression of arthritis.
The potential benefits of chondroplasty include:
Pain Relief: By repairing or removing damaged cartilage, chondroplasty can help alleviate joint pain and discomfort.
Improved Joint Function: Smoother, healthier cartilage can help joints move more easily and with less friction, leading to improved mobility.
Delaying Arthritis: Chondroplasty may slow down the development of arthritis by addressing cartilage damage in its early stages.
Minimally Invasive: Chondroplasty is often performed using minimally invasive techniques, which means smaller incisions and quicker recovery times compared to more extensive surgeries.
Faster Recovery: Most people can return to their regular activities relatively quickly after a chondroplasty, with some physical therapy to aid in the healing process.
Overall, chondroplasty is a valuable procedure for addressing cartilage issues in joints, providing relief from pain, restoring joint function, and potentially preventing more severe joint problems down the line. However, it's important to consult with a healthcare professional to determine if it's the right treatment for your specific situation. For an appoi
A patellar dislocation is when the kneecap, also known as the patella, slips out of its normal position. The kneecap is like a small, flat bone that sits in front of the joint. Sometimes, due to a traumatic injury or even just anatomical reasons (like a shallow groove, or abnormal alignment), the kneecap can pop out of place. This can be very painful and makes it difficult to move your knee.
Initial treatment involves “reducing” the patella (putting the kneecap back into its proper position) However, if the problem is recurrent the surgery is usually needed. For most patients an MPFL (medial patellofemoral ligament) reconstruction very successfully resolves the problem. This is a surgical procedure to repair a ligament in your knee that helps hold the kneecap in place. During MPFL reconstruction, Dr Saithna uses a graft (a piece of tissue) to replace the damaged ligament, helping to restore stability to the kneecap. However, in more complex cases (eg where there is significant malalignment or a large osteochondral injury) additional procedures are often required.
Tibial tuberosity transfer is frequently used in addition to an MPFL reconstruction when significant malalignment (eg patella alta (kneecap sits too high), or elevated TTTG distance) is present. It is a surgical procedure where a piece of bone and the patellar tendon from the front part of your shinbone (the tibia) is moved to a different position. During the surgery, Dr Saithna carefully cuts the tibial tuberosity and repositions it to a better location. This is done to improve the alignment of the kneecap and further reduce the risk of dislocation.
In cases of patellar dislocation where the cartilage has been damaged, an osteochondral allograft can sometime be needed. This is a surgical procedure that involves replacing the damaged area with healthy donor cartilage and bone tissue.
If you have a knee injury call 602.266.2272 for an appointment with Dr Saithna at any of our locations (Scottsda
In young, active patients involved in strenuous physical activity, a ruptured proximal biceps tendon can cause significant cramping pain and functional limitation. This is especially the case if the rupture occurs due to a failed tenodesis (a surgical procedure designed to remove a damaged part of the tendon and fix the good part back to bone). This patient (posted with permission) underwent a biceps tenodesis at the time of rotator cuff repair by another surgeon, but his repair failed shortly afterwards and he developed a severe popeye deformity (a cosmetic deformity where the muscle bulges abnormally) and cramping pain which prevented him from returning to construction work
The patient sought a second opinion and Dr Saithna recommended a revision biceps tenodesis using a mini-open subpectoral biceps tenodesis technique. The procedure fully resolved the patient’s cosmetic deformity and abolished his cramping pain. The patient had been unable to perform heavy lifting for 6 months prior to surgery with Dr Saithna and is now back to weightlifting and construction work with no restriction
For an appointment with Dr Adnan Saithna call 602.266.2272. We have locations in Scottsdale, Central Phoenix and the West Valley
#biceps #bicepsworkout #bicepstenodesis #bicepstenodesisrevision #orthopedicsurgeon #scottsdale #phoenix #Arizona
Lateral extra-articular procedures reduce graft rupture rates in both primary and revision ACL reconstruction
This retired pro-volleyball player (posted with permission) had prior isolated reconstructions. Dr Saithna performed a revision ACL reconstruction with quadriceps tendon autograft and a lateral extra-articular procedure to reduce the risk of yet another failure
Not only do lateral extra-articular procedures reduce risk of retear significantly but as per this patients testimonial that “it was the easiest recovery” (despite more complex surgery) adding an LEAP does not delay recovery or rehabilitation
Below are some of Dr Saithna’s selected publications on this topic. For an appointment with Dr Saithna please call 602.266.2272. We have locations in Scottsdale, Phoenix and the West Valley
Saithna A, et al. ACL Revision Plus Lateral Extra-Articular Procedure Results in Superior Stability and Lower Failure Rates Than Does Isolated Anterior Cruciate Ligament Revision but Shows No Difference in Patient-Reported Outcomes or Return to Sports. Arthroscopy. 2023
Hopper GP, Philippe C, El Helou A, Gousopoulos L, Fradin T, Vieira TD, Saithna A, Sonnery-Cottet B. Combined Revision Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction. Arthrosc Tech. 2022
Haidar IM, Billières J, Saithna A,et al. Outside-In Drilling Allows Avoidance of Two-Stage Surgery in Revision Anterior Cruciate Ligament Reconstruction. Arthrosc Tech. 2021 Feb
Fradin T, Saithna A, et al Management of the Failed First Revision ACL Reconstruction: Clinical Outcomes of Nonsurgical Management Versus Second Revision ACL Reconstruction From the SANTI Group. Am J Sports Med. 2022
Pioger C, Saithna A, et al. Influence of Preoperative Tunnel Widening On the Outcomes of a Single Stage-Only Approach to Every Revision ACL. AJSM 2022 #acl #aclrevision #aclreconstruction #anterolateralligament #modifiedlemaire #scottsdale #arizona #phoenix #glendale #orthopedicsurgeon #volleyball #
Anterior knee pain (pain at the front of the knee) can be a disabling problem in young active patients and can prevent participation in sports and can even cause symptoms on activities of daily living such as going up/down stairs, sitting with the knee bent or even just pain at rest.
This patient (shared with permission) had lateral (on the outer side) patella pain due to a bone spur, and maltracking. She had been unable to squat or lunge for 10 years!
At only 2 months after surgery she has made incredible progress and is able to squat and lunge again ! Patient underwent a lateral facetectomy and retinacular lengthening which abolished the impingement caused by the bone spur and corrected the tracking
If you have knee pain, don’t let it stop you doing the things you love. Call us on 602.266.2272 for an appointment with Dr Saithna, multi-award winning orthopedic surgeon. We have locations in #scottsdale #phoenix #glendale #kneepain #arthritis #chondromalacia #chondromalaciapatella #maltrackingpatella #anteriorkneepain #orthopedics #orthopedicsurgery #orthopedicsurgeon
A medial meniscus root tear is a significant injury that can lead to arthritis due to its impact on the stability and function of your knee joint. The meniscus plays a crucial role in cushioning and stabilizing the joint, protecting the bones from excessive friction and wear. When the root of the meniscus tears, this support is compromised, causing uneven pressure on the articular cartilage and bones. Over time, this imbalance can lead to the development of arthritis, as the protective cushioning is reduced, and the joint becomes more susceptible to damage and inflammation. To prevent the progression of arthritis and maintain the long-term health of your knee, it's important to consider fixing the meniscus root tear through appropriate medical interventions, which can help restore stability, reduce joint strain, and minimize the risk of further joint degeneration.
Dr Saithna is an expert in meniscus repair surgery and has outstanding patient feedback. For an appointment with Dr Saithna at any of his offices (Scottsdale, West Valley, Central Phoenix) call our team on 602.266.2272
Dr Saithna’s publications on meniscus pathology are listed below:
Epidemiological Evaluation of Meniscal Ramp Lesions in 3214 Anterior Cruciate Ligament-Injured Knees From the SANTI Study Group Database: A Risk Factor Analysis and Study of Secondary Meniscectomy Rates Following 769 Ramp Repairs. Am J Sports Med. 2018
Suture Repair of Full Radial Posterior Lateral Meniscus Tears Using a Central Midline Portal. Arthrosc Tech. 2017
The popliteus tendon provides a safe and reliable location for all-inside meniscal repair device placement. Knee Surg Sports Traumatol Arthrosc. 2018
Risk Factors for Rapid Chondrolysis After Partial Lateral Meniscectomy: A Scoping Review of the Literature. Orthop J Sports Med. 2021
Suture Hook Versus All-Inside Repair for Longitudinal Tears of the Posterior Horn of the Medial Meniscus Concomitant to ACL Reconstruction Am J Sports Med 2022
Ramp Lesions:
⚡⚡⚡⚡Lightning fast recovery after surgery for frozen shoulder!⚡⚡⚡⚡ No pain and almost full range of motion at just two weeks after surgery. If you have shoulder pain or stiffness contact the office on 602.266.2272 for an appointment with Dr Adnan Saithna. Locations in #scottsdale #phoenix #glendale #shoulderpain #frozenshoulder #rotatorcuff #orthopedicsurgeon #orthopedics
Traditional rotator cuff repair techniques typically require 5-6 weeks of immobilization in a sling after surgery. The use of a bioinductive patch for repair of partial tears offers several potential advantages including:
✅Rapid resolution of pain after surgery
✅Only 2 weeks of sling immobilization (compared to 5-6 with traditional repairs)
✅Quick recovery of range of motion
✅Minimally invasive and quick surgery
✅No need to convert a partial tear to a full tear to repair it
In contrast, traditional treatments for surgical treatment of partial tears has included completing the tear and then fixing it, or fixing it in situ. Both of which have important issues associated with them including increased pain and stiffness (for in situ repairs) and concerns about failure (with tear completion and repair). Check out our systematic review on this topic for a detailed discussion of the pros and cons of these different options: Jordan RW, Bentick K, Saithna A. Transtendinous repair of partial articular sided supraspinatus tears is associated with higher rates of stiffness and significantly inferior early functional scores than tear completion and repair: A systematic review. Orthop Traumatol Surg Res. 2018 Oct;104(6):829-837. doi: 10.1016/j.otsr.2018.06.007. Epub 2018 Jul 20. PMID: 30036723.
Check out the video for a patient testimonial (shared with permission) following repair of a partial rotator cuff tear with a bioinductive implant. Note that the patient reports that recovery from this procedure was the easiest of any of her previous surgeries, the sling was discontinued at 2 weeks, she achieved excellent early range of motion and pain relief. This highlights some of the advantages of using a bioinductive implant over tradition repair techniques
The literature reports that short and midterm results following isolated bioinductive repair of partial-thickness tears demonstrate that it is a safe procedure associated with a reduction in pain, increased range of m
How painful is rotator cuff surgery?
"How painful is rotator cuff surgery?"
There is a general perception that rotator cuff surgery is very painful and many patients are apprehensive to undergo surgery for this reason. However, this perception is largely incorrect and major advances have been made in ensuring patients are comfortable after surgery
Watch the video to hear a patients perspective on pain relief after recent revision rotator cuff surgery with Dr Saithna, and how it compared to his initial surgery many years ago.
In contemporary practice, using a minimally invasive approach, and a comprehensive multi-modal pain relief strategy the vast majority of patients do not experience severe pain
Dr Saithna uses the following strategies to help minimize pain after rotator cuff surgery:
✅ Regional block (the anesthesiologist numbs major nerves so that there is minimal-to-no pain in the first 24 to 36 hours after surgery)
✅ Post-operative use of ice or a cooling splint
✅ A strategy of regular pain relief that works synergistically including Tylenol, a weak opiod and an anti-inflammatory
✅ A strong opiod is made available for any breakthrough pain
✅ Gentle early range of motion exercises
✅ Patient education and advice on activity modification, sleep position and managing with activities of daily living in a pain free manner
To book an appointment with Dr Saithna at any of his locations (Scottsdale, Central Phoenix, West Valley) please call 602.266.2272
#rotatorcuff #rotatorcuffsurgery #rotatorcuffrepair #shoulderpain #shoulder #scottsdale #phoenix #cavecreek #arizona
Can you guess which side? 💪💪💪
Fantastic outcome at 6 months after repeat revision rotator cuff repair with biologic and structural augmentation (anterior cable reconstruction using biceps autograft, and rotator cuff repair augmented with decellularized dermal allograft). But can you guess which side the patient had surgery on?
#rotatorcuff #boxing #boxingtraining #biceps #arthroflex #rotatorcuffrehab #rotatorcuffsurgery #shoulderpain #sparring #Scottsdale #phoenix #OldSchoolBoxing #Arizona #orthopedicsurgery #bicepstenodesis #boxinggym #boxinglifestyle #shoulderpain
Shared with permission
What function can you expect at 6 months after repeat revision rotator cuff repair?
See the attached video for an example of how repeat revision cuff repair, with biologic and structural augmentation (anterior cable reconstruction using biceps autograft, and rotator cuff repair augmented with decellularized dermal allograft) can result in excellent functional outcomes
Patient had two prior ipsilateral failed cuff repairs at another center
At 6 months following repeat revision she is back in the gym and training hard
This fantastic result demonstrates what we can achieve with a highly motivated athlete, the latest technical innovations in complex rotator cuff surgery, and an all-star team including outstanding physical therapists #teamwork #rotatorcuff #boxing #boxingtraining #biceps #arthroflex #rotatorcuffrehab #rotatorcuffsurgery #shoulderpain #sparring #Scottsdale #phoenix #OldSchoolBoxing #Arizona #orthopedicsurgery
ACL Repair: A Patient's Perspective
ACL repair (fixing the torn ACL, instead of reconstructing it with a graft) offers some important potential advantages over ACL reconstruction, including a rapid recovery. This is due to a much less invasive surgery (no drilling of large tunnels, avoidance of the need to harvest a graft, no need to allow time for a graft to mature, and quicker overall surgery). In this video (posted with patient consent), Deborah explains how she was able to quickly return to her preferred sports shortly after surgery (hiking, yoga, pilates, paddleboarding by 6 weeks, and running by 8 weeks).
If you are interested in ACL repair as an alternative treatment option to ACL reconstruction please visit Dr Saithna's ResearchGate page https://www.researchgate.net/profile/Adnan-Saithna to access the publications below or contact the office on 602.266.2272 for an appointment!
Dr Saithna's publications on ACL repair include the following:
1) Praz C, Kandhari VK, Saithna A, Sonnery-Cottet B. ACL rupture in the immediate build-up to the Olympic Games: return to elite alpine ski competition 5 months after injury and ACL repair. BMJ Case Rep. 2019 Mar 15;12(3):e227735.
2) Saithna A, Daggett M, Helito CP, Monaco E, Franck F, Vieira TD, Pioger C, Kim JG, Sonnery-Cottet B. Clinical Results of Combined ACL and Anterolateral Ligament Reconstruction: A Narrative Review from the SANTI Study Group. J Knee Surg. 2021 Jul;34(9):962-970.
3) Ferreira A, Saithna A, Carrozzo A, Guy S, Vieira TD, Barth J, Sonnery-Cottet B. The Minimal Clinically Important Difference, Patient Acceptable Symptom State, and Clinical Outcomes of Anterior Cruciate Ligament Repair Versus Reconstruction: A Matched-Pair Analysis From the SANTI Study Group. Am J Sports Med. 2022 Nov;50(13):3522-3532.
4) Rilk S, Saithna A, Achtnich A, Ferretti A, Sonnery-Cottet B, Kösters C, Bottoni CR, Monaco E, Cavaignac E, Ahlbaeumer G, Brandl G, Mackay GM, Vermeijden HD, Dallo I, Pace JL, van der List JP, Moggia JR, Chahla J, Batista JP,
Patient Testimonial Video | Revision Biceps Tenodesis | Dr Adnan Saithna
Patient Testimonial Video (posted with consent) | Revision Biceps Tenodesis
Dr. Adnan Saithna is a multi-award winning orthopedic surgeon. He specializes in arthroscopic and minimally invasive knee and shoulder surgery and has a particular interest in complex primary and revision surgery.
Dr Saithna has offices in Cave Creek/North Scottsdale, Central Phoenix and the West Valley. For an appointment call 602.266.2272
#orthopedicsurgeon #patientcare #patientexperience #bicepsrepair #bicepstenodesis #biceps #rotatorcuff #shoulderpain #scottsdale #phoenix #Arizona Athletico Physical Therapy
