The Z-Lig™ ACLR Device, invented by Kevin R. Stone, M.D. and subsequently developed by Aperion Biologics, has been cleared for marketing and distribution in the European Union and other markets which recognize the CE Mark.
When I hear a patient say, “The doctor told me it is a standard procedure,” I often think that means there isn’t much thought being put into it. Each knee is different. Each torn meniscus cartilage is different.
When skiing superstar Lindsey Vonn recently announced her withdrawal from the Winter Olympics, she demonstrated that reconstructing the torn anterior cruciate ligament of a world-class athlete has its unique problems.
A recent study suggested that meniscus surgery doesn't help. Studies can be misleading. Even small losses of meniscus tissue lead to big changes in force concentration on the tibia (shin bone) and eventually arthritis.
Losing a meniscus is tough on the body. Without a meniscus, the covering of each of the bones, called the articular cartilage, rub up against one another, which leads to pain and, eventually arthritis. Patients often ask me "Isn't there a shock absorber you can put back into the knee joint?"
Knees do not necessarily wear out evenly, sometimes one part of the knee is perfectly fine while another part is completely destroyed. If only part of the knee joint is worn out, why replace all of it?
What do you expect to get from your surgical care? No one really asks this question, yet the answer determines your satisfaction. Surprisingly, the answers you receive from your surgeon, your physical therapist, your fitness trainer, and your coach may differ.
Most ski bindings have not changed in thirty years. When bindings comply with international safety standards, they do a brilliant job of reducing tibia fractures. However, these fractures account for only 3% of all skiing injuries, while ACL injuries have risen to 20% of skiing injuries. Surprisingly, bindings are not designed to protect the ACL while skiing. Over time, skis have changed in both shape and length—so what is the problem with designing bindings in relation to the ACL?