Surgical Specialties
Dr. Limpisvasti is one of the leading surgeons performing these procedures in both professional and recreational athletes. As an innovator and researcher, he has published scientific research which has helped advance the surgical techniques currently used to help patients return to full function.
Shoulder
o Arthroscopic Rotator Cuff Repair
o Shoulder Instability (Labral Repair and Stabilization)
o Biceps Tendon Instability/Tear (Biceps Tenodesis Procedure)
o Shoulder Separation (AC joint reconstruction)
o Pectoralis Tendon Repair
These injuries can occur from athletic trauma or repetitive motions such as throwing and weightlifting. Some can heal with physical therapy and rehabilitation while others may require surgery to restore full function. Most surgeries can now be performed using minimally-invasive arthroscopic techniques that speed up recovery. The addition of viable tissue and cells can also improve surgical outcomes.
Knee
o Ligament Tears and Instability (ACL, PCL, MCL, LCL)
§ ACL Reconstruction vs Direct Repair and Internal Brace
o Meniscus Repairs
o Articular Cartilage Injuries (Cartilage Replacement-MACI Procedure)
o Quadriceps and Patellar Tendon Repairs
o Patellar Instability (MPFL Reconstruction)
Twisting and deceleration are common causes of these injuries in the knee. Current treatments for these injuries can include rehabilitation, bracing and medications. For those who require surgery, novel innovations such as internal bracing can be utilized to improve the strength and stability of these repairs. Although traditional surgery often required complete ligament replacement, advances in technique now often allow for direct repairs for better healing.
Elbow
o Ulnar Collateral Ligament Reconstruction (Tommy John Surgery)
o Ulnar Collateral Ligament Repair and Internal Brace
o Biceps Tendon Repair
o Triceps Tendon Repair
o Tennis and Golfer’s Elbow Surgery
o Elbow Arthroscopy (arthritis and loose bodies)
Ulnar Collateral Ligament (UCL) tears typically occur with repetitive overhead throwing. The UCL can also be torn during acute trauma in combat and contact sports. These injuries are typically treated with Tommy John surgery which can replace the torn ligament and allow for full return of elbow stability. Newer techniques utilizing an internal brace (a high-strength suture tape) can also allow for direct repair of the ligament and faster recovery.
Tendon ruptures around the elbow usually result from significant forceful loading. Degenerative changes can also occur over time with repetitive lifting and sports activities. These injuries can lead to pain and profound weakness if untreated. Partial tears can often heal with rehabilitation and biologic treatments such as platelet-rich plasma, while complete rupture typically requires surgical repair.