Publications by authors named "Andrew D Goodwillie"

Sideline medical care is typically provided by musculoskeletal specialists and orthopaedic surgeons with varying levels of training and experience. While the most common sports injuries are often benign, the potential for catastrophic injury is omnipresent. Prompt recognition of sideline emergencies and expeditious medical management are necessary to minimize the risk of calamitous events.

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Background: Many long-term studies have looked at outcomes after anterior cruciate ligament reconstruction (ACLR), but none have correlated long-term outcomes with postoperative laxity greater than 5 mm. It has been stated previously that more than 5 mm of postoperative graft laxity constituted a procedural failure.

Purpose: To directly compare tight grafts (<3 mm) and loose grafts (>5 mm) to determine the effect of graft laxity, as measured by KT-1000 arthrometer, after ACLR on long-term clinical outcomes.

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Article Synopsis
  • There are two main scaffold products for meniscal reconstruction available in Europe: the collagen meniscal implant (CMI) and the polymer scaffold (PS).
  • CMI has shown better long-term clinical outcomes in patients with chronic meniscus issues, with fewer reoperations compared to traditional methods.
  • In contrast, while PS has demonstrated short-term benefits, there's a lack of long-term data, and meniscal scaffolds generally haven't improved outcomes in acute cases.
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Article Synopsis
  • Repairing symptomatic meniscal tears can lead to successful results, especially when done in the right patients.
  • There are various repair techniques that have evolved over time, ranging from open surgeries to newer methods like inside-out, outside-in, and all-inside approaches.
  • The article covers how to choose the right patients, current surgical methods, helpful tips and common mistakes, as well as recent outcomes and potential complications related to these repairs.
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