The Shelbourne Knee Center Podcast

Management of Patella Fractures (with Jan Szatkowski, MD)

On this episode, we have a comprehensive discussion on patella fractures with Dr. Jan Szatkowski, an orthopedic trauma surgeon at IU Health in Indianapolis, IN. He shares his extensive knowledge and experience in treating knee trauma, specifically patella fractures.
Listen to gain insights into the various techniques for patella fracture management, including traditional methods and the evolving trend of plate fixation. Discover how advancements in surgical approaches are changing postoperative rehabilitation protocols and patient outcomes.
The episode sheds light on the nuances of diagnosing and treating patella fractures, including tips for recognizing stress fractures and the significance of early intervention. Explore the multidisciplinary perspectives on patient care, where the timing of rehabilitation and innovative techniques play a critical role in recovery.
Follow us on X and Instagram @theskcpodcast, visit our YouTube and Facebook pages, or email us at theskcpodcast@gmail.com

Patients Place: Lateral Meniscus Tears

In this episode, we delve into the intricacies of lateral meniscus tears, a common knee injury. This informative session is designed for patients seeking clarity about their condition and treatment options.
Dr. Benner discusses the typical symptoms that accompany lateral meniscus tears, including pain and possible locking of the knee. He explains the various mechanisms of injury and the importance of pattern recognition in diagnosing this condition.
The episode emphasizes both non-surgical and surgical treatment pathways. Listeners will gain insight into how physical therapy can aid recovery and when surgery becomes necessary. Dr. Benner also sheds light on different tear types and their healing potentials, articulating the nuanced decisions in treatment plans.
Furthermore, the discussion extends to postoperative rehab, detailing expectations, possible swelling, and strategies to ensure a timely return to activities. Key points about meniscus cysts are also covered.
Whether you're a patient or a healthcare provider, this episode serves as a valuable resource, encapsulating vital information about diagnosis, treatment, and the rehabilitation journey of lateral meniscus tears.
Follow us on X and Instagram @theskcpodcast, visit our YouTube and Facebook pages, or email us theskcpodcast@gmail.com

Patients Place: MCL Tears

Welcome to another engaging episode of Patient's Place, specifically designed to break down complex medical topics for patients and non-clinicians. This episode dives deep into the world of Medial Collateral Ligament (MCL) tears, focusing on common mechanisms, symptoms, and treatment options.
Join the discussion as we explore how MCL injuries are sustained, typically through sports-related incidents such as a hit to the knee. We discuss the importance of understanding the signs, including medial knee pain, and the diagnostic process that follows.
The episode also demystifies the examination procedures you might encounter if you suspect an MCL tear. Dr. Benner highlights the significance of grades of injury, explaining their impact on recovery time and comparing MCL tears to familiar injuries like ankle sprains.
Treatment strategies are dissected, emphasizing that most MCL tears can heal without surgical intervention. We explore options ranging from rest and physical therapy to the rare use of casts for more severe injuries.
Discover insights into prevention, particularly in sports like football where knee injuries are common, and the role braces may play. The episode concludes with practical advice for managing the healing process and preventing re-injury.
Follow us on X and Instagram @theskcpodcast, visit our YouTube and Facebook pages, or email us at theskcpodcast@gmail.com

Patients Place: PCL Tears

In this episode of The Shelburne Center podcast, we dive deep into the world of PCL (Posterior Cruciate Ligament) tears, a lesser-known but significant knee injury. Dr. Benner guides us through the various aspects of PCL tear diagnosis, focusing on the unique injury mechanisms typically associated with these tears. 
We explore the signs and symptoms that patients can expect, such as bruising and the characteristic posterior sag of the tibia. Special attention is given to the physical examination techniques and imaging tools that aid in correctly diagnosing PCL tears. 
Dr. Benner shares insights into the non-surgical treatment approach employed at the Shelburne Knee Center, emphasizing the importance of rehabilitation without the need for surgical interventions. The discussion covers the expected healing timelines for various grades of PCL tears and highlights the key rehabilitation steps required to ensure optimal recovery. 
This episode also contrasts PCL tears with ACL injuries, explaining why surgeries are often unnecessary for isolated PCL tears. Join us as we unravel the complexities of PCL injuries and provide valuable educational resources for enhancing patient care.
Follow us on (X) and Instagram @theskcpodcast, visit our YouTube and Facebook pages, or email us at theskcpodcast@gmail.com

TKA Outcomes Based on Area Deprivation Index (with Fehmi Berkay, MD)

In this episode, we are joined by Fehmi Berkay, MD, an orthopedic resident from Wright State University. We delve into a study on total knee arthroplasty outcomes influenced by the Area Deprivation Index (ADI). This research explores the intersection between socioeconomic factors and medical outcomes, offering insights into how non-clinical elements like income, education, and housing affect recovery and satisfaction in knee surgery patients.
The episode provides a detailed discussion of the study's methodology, including ADI categorization, patient demographics, and analysis of recovery metrics over time. Despite uncovering significant differences in the statistics, Fehmi discusses how these disparities do not necessarily translate into clinically meaningful variances in patient recovery, highlighting the importance of tailored patient care and robust postoperative protocols.
This dialogue is a must-listen for orthopedic surgeons, physical therapists, and healthcare professionals interested in the critical role socioeconomic status plays in patient outcomes, as well as for patients seeking to understand how these factors may affect their healthcare journey. Tune in to gain valuable perspectives on optimizing patient care by considering socio-environmental contexts.
Follow us on Instagram and X @theskcpodcast, visit our YouTube and Facebook pages, or email us at theskcpodcast@gmail.com

Patients Place: Medial Meniscus Tears

This installment of Patients Place delves into the causes, symptoms, and treatment options for one of the most common knee conditions: medial meniscus tears.
With insights into both acute and degenerative tears, the episode provides a thorough explanation of how these injuries occur and the populations they affect. We discuss different diagnostic methods, including physical examinations and imaging techniques, to accurately identify this knee condition.
Listeners will gain valuable knowledge on the various treatment paths available, ranging from non-surgical methods like therapy and medication to surgical interventions. The conversation also touches on postoperative recovery and rehabilitation for those undergoing meniscus surgery.
This episode serves as a comprehensive guide for anyone dealing with medial knee pain, offering insight into when it's time to consult a healthcare provider and explore the options tailored to your specific condition.
Follow us on Instagram and X @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or email us at theskcpodcast@gmail.com

Patients Place: Graft Choice for ACL Reconstruction

In this third Patients Place episode, we shift focus to sports medicine, specifically exploring graft choices following an ACL injury.
Dr. Benner walks listeners through the essential conversation about graft options, covering the pros and cons of allografts, hamstring grafts, quadriceps tendon grafts, and the highly recommended patellar tendon graft. Understand the decision-making process behind ACL reconstruction and learn why the patellar tendon graft is often considered the superior choice for long-term stability and recovery.
The episode also addresses common patient concerns, such as healing times, retear risks, and the innovative approach of harvesting the graft from the contralateral knee to optimize rehabilitation. Whether you're a high-level athlete or a weekend warrior, this episode offers valuable insights to empower your surgical decisions and recovery journey.
For more information and to stay connected, follow us on Instagram and Twitter at @theskcpodcast, visit our YouTube and Facebook pages, or email us at theskcpodcast@gmail.com

Patients Place: Managing a Painful Total Knee Replacement

On this episode of Patients Place, we discuss the challenging topic of painful total knee replacements. This episode aims to provide valuable educational content for patients experiencing difficulties after knee surgery, as well as for healthcare providers seeking to better understand these issues.
We discuss common symptoms and concerns patients face, such as persistent pain, instability, and reduced mobility. We highlight the importance of a thorough physical examination and the role of imaging in diagnosing potential problems, including infection, implant loosening, and malrotation.
The episode also covers the emotional impact of unsuccessful knee surgeries and the significance of having a clear treatment plan. Dr. Benner emphasizes the importance of ruling out infections, assessing ligament stability, and considering advanced imaging if necessary.
Listeners will gain insights into the potential causes of knee replacement failure, including metal allergies and extrinsic factors like hip or back issues. Dr. Benner outlines both non-surgical and surgical treatment options, offering hope for patients seeking to improve their quality of life.
Connect with the SKC podcast on social media on Instagram and Twitter (X) @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or reach out via email at theskcpodcast@gmail.com

Patients Place: Knee Osteoarthritis

Welcome to the inaugural episode of "Patients Place," a new segment designed specifically for patients seeking to understand knee problems. This episode delves into the complexities of osteoarthritis, one of the most common diagnoses among patients experiencing knee pain.
The conversation begins with a detailed explanation of the signs and symptoms that lead patients to seek medical advice. Dr. Benner categorizes patients into two groups: those at "time zero," who are newly experiencing knee pain, and those seeking second opinions after previous diagnoses.
The episode covers the potential causes of osteoarthritis, including normal aging, post-traumatic cases, and genetic factors. Dr. Benner explains the importance of x-rays and physical examinations in diagnosing the severity and location of arthritis, which can significantly influence treatment options.
Listeners will gain valuable knowledge about non-surgical treatment options, such as medication, physical therapy, and the role of injections. Dr. Benner emphasizes the importance of patient involvement in the decision-making process, highlighting that surgery is not the only path to relief.
Whether you're a patient at the Shelbourne Knee Center or anywhere else, this episode aims to provide practical advice and reassurance about managing osteoarthritis effectively. Join us on this journey to better understand knee health and explore various treatment avenues.
For more information, connect with us on Instagram and Twitter at @theskcpodcast, visit our YouTube and Facebook pages, or email us at theskcpodcast@gmail.com.

Multiligament Knee Injuries

On this episode, we discuss the topic of ACL reconstruction with multiligament involvement and how the outcomes compare to those with isolated ACL tears.
The episode begins with an overview of the mechanisms, ligaments involved, and treatment options for multiligament knee injuries. Dr. Benner highlights the unique approach at the Shelbourne Knee Center, emphasizing the importance of avoiding complications, particularly stiffness, over achieving perfect stability.
Scot details the study's methodology and results, which included data from over 5,000 patients. The discussion covers the treatment goals of converting multiligament injuries to resemble isolated ACL tears and the outcomes measured, such as range of motion, postoperative laxity, scar resection rate, graft tear rate, and IKDC scores.
The results reveal no significant differences in key outcomes between patients with isolated ACL tears and those with additional medial or lateral ligament involvement. 
Additionally, the episode touches on the importance of maintaining range of motion, avoiding stiffness, and the potential benefits of non-surgical treatment for certain ligament injuries. The discussion concludes with a call to the orthopedic community to consider these findings and the positive outcomes achieved through these methods.
Don't miss the exciting announcement about the upcoming launch of "Patients Place," a new segment geared towards patients, offering accessible and informative content on various knee injury topics.
Follow us on Instagram and Twitter (X) at @theskcpodcast, and check out our Facebook and YouTube pages. For any questions or topic suggestions, email us at theskcpodcast@gmail.com. If you enjoyed this episode, please leave us a five-star review and share your thoughts!