In The News
Hardest Patellofemoral Replacement Patients
Post: Patellofemoral replacement is a niche surgery and one of the least common replacements done in the knee. My preferred implant is the third-generation patellofemoral replacement from Arthrex, known as “Sportsplasty.” Check out my 4th segment of series examining the hardest patients to treat with this surgery and what additional procedures you can add to have continued success. We explore the less talked about MQTFL reconstruction and tibial tubercle osteotomies as well. Stay tuned for upcoming episodes in the next few weeks. At Orthopedic Specialists of Seattle, we provide a full range of options to help our patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia performs A Staged ACL Reconstruction
Post: ACL tears are a common condition in my practice. I treat athletes at all levels with the goal of returning them to sport. The testimonial below is from a patient who uniquely tore both of their ACLs. I performed staged ACL reconstructions three months apart and received this testimonial a few weeks ago. Best wishes to her in her skiing endeavors!
ACL Reconstruction: https://www.grantgarciamd.com/acl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
"I can't recommend Dr. Garcia enough! He successfully repaired both of my ACLs, and the entire process-from surgery to recovery-was outstanding. He is incredibly skilled, attentive, and genuinely cares about his patients. During my follow-up appointments, he took the time to answer all my questions and made sure I was recovering well. His friendly and reassuring approach made a challenging experience much easier. If you're looking for a top-notch surgeon who truly puts patients first, Dr. Garcia is the one to go to!
PS: I'm skiing again"
~Anna K
Famous Athletes Affected by Blood Clots
Post: Blood clots can impact athletes and influence their careers. Listen to this short clip below where we review recent cases of high-profile athletes diagnosed with blood clots and the effects on their careers. We encourage you to view this brief segment from the Sports Doc Talk Podcast featuring William Sanchez. For the full episode, check out the links below or visit our website at www.sportsdoctalk.com.
Special thanks to our sponsors The Recovery Shop for this episode.
Victor Wembanyama’s Season-Ending Injury: The Dangers of Deep Vein Thrombosis and Blood Clots
YouTube: https://lnkd.in/gXd6jR2U
Spotify: https://lnkd.in/gbfwu6fa
Testimonial after Distal Femoral Osteotomy
Post: Osteotomies can be an effective surgical technique. While addressing the cartilage and meniscus is crucial, not correcting alignment can cause the procedure to fail. In many cases, the osteotomy is considered a critical component of the surgery. Below is a testimonial from a young active female patient who traveled from out of state for a cartilage transplant combined with a distal femoral osteotomy. She had been evaluated by multiple surgeons with limited options. Upon consultation, she experienced severe lateral pain due to a cartilage defect and an anterior meniscus tear, affecting her ability to perform daily activities. After an online second opinion, considering her distance, she decided to travel for the distal femoral osteotomy, cartilage transplant, and meniscus repair. Over two years post-surgery, she has successfully returned to running without pain. Orthopedic Specialists At Raulerson of Seattle, we offer advanced procedures to help our patients return to their preferred sports.
Distal Femoral Osteotomy: https://www.grantgarciamd.com/distal-femoral-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia’s Updated Quad ACL Reconstruction Technique
Post: Quad tendon ACL reconstruction has become increasingly popular. In my practice, it is a key procedure for active athletes. I have made several modifications to my technique over time and am pleased to present my updated approach for Arthrex Quad ACL reconstruction with both femoral and tibial button fixation. Tensioning from both sides, in my opinion, has greatly improved final tension, ease of internal brace placement, and reduced complications in primary or revision surgeries. Practicing in a high-tech worker population, many patients want to be informed about the surgical techniques used. This video demonstrates the innovative methods applied during their surgery. For more information, visit the website section below. At Orthopedic Specialists of Seattle we strive for the most cutting sports technology.
ACL Reconstruction: https://www.grantgarciamd.com/acl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
MACI A Game Changer in Minimally Invasive Su
Post: Advancements in cartilage surgery, particularly by making these procedures less invasive, are essential for innovation. This approach is exemplified by the recent introduction of MACI® Treatment Artho. We invite you to view a brief segment from our recent Sports Doc Talk Podcast featuring Nick Colangelo, CEO of Vericel® Corporation, as he provides an overview. For additional information, please visit our website or watch the full podcast episode below.
Revolutionizing Cartilage Repair: The MACI Breakthrough with Nick Colangelo
YouTube: https://lnkd.in/ga52RaC5
Also on all your favorite listening platforms.
Types of Patellofemoral Replacement Patients
Post: Patellofemoral replacement is a niche surgery and one of the least common replacements done in the knee. My preferred implant is the third-generation patellofemoral replacement from Arthrex, known as “Sportsplasty.” Check out my 3rd segment of my four-part blog series examining the types of patients we see who need this surgery and how to avoid pitfalls with this surgery. Stay tuned for upcoming episodes in the next few weeks. At Orthopedic Specialists of Seattle, we provide a full range of options to help our patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Double Osteotomy Procedure performed by Dr. Garcia
Post: Achieving a good surgical outcome relies on performing the appropriate procedure. In theory, this seems straightforward. However, higher-risk surgeries often involve more complications, greater stress, and require advanced skills. It is essential for surgeons to make these decisions collaboratively with their patients, considering all factors involved. While it may be tempting to choose simpler options, sometimes the more complex procedures are necessary for challenging cases. As surgeons gain experience and skills, tackling these difficult surgeries should become more manageable.
As a cartilage surgeon and knee preservation specialist, I frequently face the challenge of making the right decisions. Clear communication with patients about the risks of more extensive procedures is crucial. For example, in osteotomies, performing a single osteotomy is generally preferred, with an opening wedge being the ideal choice. However, there are situations where multiple corrections or closing wedges are required due to the extent of deformity.
When undertaking such procedures, it is important to be aware of one’s skills and limitations, as well as understanding the normal anatomical angles of the knee to accurately identify and correct deformities. Below is an example of a recent patient who presented with severe varus deformity and significant pain. Imaging revealed abnormalities in both the tibia and femur, necessitating a double osteotomy for proper realignment. We performed a lateral opening wedge distal femoral osteotomy combined with a medial closing wedge high tibial osteotomy to achieve normal alignment. For more information on these procedures and knee preservation techniques, please refer to the links below.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
The Journey to FDA Approval for MACI
Post: FDA approval is a rigorous process for all innovations, including MACI due to its pharmaceutical status. Vericel undertook additional efforts to get MACI® Treatment Arthro approved for patients. Watch a short clip from our recent show Sports Doc Talk Podcast featuring Nick Colangelo, CEO of Vericel. For more information, visit our website or view the full show below.
Revolutionizing Cartilage Repair: The MACI Breakthrough with Nick Colangelo
YouTube: https://lnkd.in/ga52RaC5
Also on all your favorite listening platforms.
Reason to Choose Patellofemoral Replacement
Post: Patellofemoral replacements constitute less than 1% of knee replacements. Advances in techniques and specific indications have shown excellent results in a challenging patient population. The third-generation patellofemoral replacement from Arthrex, known as "Sportsplasty," is my preferred implant. This is part of a five-part blog series examining the choice of PF replacement and the outcomes associated with this surgery. Future episodes will be released in the coming weeks. At Orthopedic Specialists of Seattle, a full range of options is available to help patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Introduction to Patellofemoral Replacements
Post: Patellofemoral replacement is a niche surgery. Of all total knee replacements they are less than 1% of implants used. Advances in techniques and tight indications have demonstrated excellent results in a challenging patient population. My preferred implant is the third-generation patellofemoral replacement from Arthrex, known as “Sportsplasty.” Check out my 2nd segment of my five-part blog series examining this topic, covering indications, surgical planning, and necessary concomitant surgeries. Stay tuned for upcoming episodes in the next few weeks. At Orthopedic Specialists of Seattle, we provide a full range of options to help our patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
MQTFL Reconstruction with Patellofemoral Replacement and TTO
Post: We all know surgery is not one size fits all, and this is the month of patellofemoral replacements, which is a less commonly done surgery with tight indications. The power of this implant by Arthrex is excellent and many times only this surgery is needed to correct significant patellofemoral pathology such as high TTTG, dysplasia, or rotational deformity with severe patellofemoral arthritis in isolation. Now in less than 10 percent of my patellofemoral replacements we need more. Check out this short clip of my recent surgery where more was needed. This is a mid 40-year-old patient with severe patella OA with a TTTG of 24, C/D ratio of over 1.4, severe dysplasia and chronic debilitating pain and patella dislocations. Its been over 10 years since he had limited pain and normal tracking. We did a full Arthrex combo using a MQTFL reconstruction, Tibial Tubercle Osteotomy with my new FiberCerclage and headless compression screws in addition to a patellofemoral replacement. You can see the tracking both before and after the final MQTFL connection. I wish him well in his recovery! At Orthopedic Specialists of Seattle, we provide a full range of options to help our patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
MQTFL Reconstruction: https://www.grantgarciamd.com/medial-quadriceps-tendon-femoral-ligament-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Blood Clots The Silent Threat to Athletes
Post: Orthopedic surgeons frequently encounter blood clots in their patients. The primary concern arises when a blood clot dislodges and travels to the lungs, presenting a significant risk, especially in athletes. We encourage you to view this brief segment from the Sports Doc Talk Podcast featuring William Sanchez. For the full episode check out the links below or visit our website at www.sportsdoctalk.com.
Special things to our sponsors The Recovery Shop for this episode.
Victor Wembanyama’s Season-Ending Injury: The Dangers of Deep Vein Thrombosis and Blood Clots
YouTube: https://lnkd.in/gXd6jR2U
Spotify: https://lnkd.in/gbfwu6fa
Dr. Garcia at AAOS in San Diego
Post: A quick trip to San Diego for our national meeting AAOS. Tons of connections and learning to be had in this short trip. This continued learning is invaluable to validate we are doing the best for our patients and learn more tips and tricks to get better.
Introduction to Patellofemoral Arthritis
Post: Isolated patellofemoral arthritis presents significant challenges for both patients and practitioners. As a specialist in complex knee and patellofemoral surgery, you will encounter these patients. This condition is particularly problematic for individuals in their mid-40s who are too advanced for cartilage preservation but too young for a total knee replacement. Often, these patients seek a second opinion after being told by previous surgeons that there are no viable treatment options. In my experience, these patients are excellent candidates for a patellofemoral replacement.
During my training, the options for these procedures were scarcely mentioned, and many of us learned from earlier generations of implants that such patients would fare merely “okay.” This perception is inaccurate. Over the past few years, I have been surprised by the high level of patient satisfaction and return to sports following this procedure. Patient selection and managing expectations are crucial components of successful outcomes.
My preferred implant is the third-generation patellofemoral replacement from Arthrex, known as “Sportsplasty.” I have developed a five-part blog series to examine this topic, covering indications, surgical planning, and necessary concomitant surgeries. I hope this will be beneficial to young sports surgeons addressing this niche pathology within their practice. Stay tuned for upcoming episodes in the next few weeks. At Orthopedic Specialists of Seattle, we provide a full range of options to help our patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia highlights the Importance of Preoperative Planning
Post: Preparation is essential for successful surgery. As surgical complexity increases, so does the necessity for thorough preparation. Anticipating potential issues before entering the operating room can significantly mitigate risks. During residency, this concept is often emphasized; however, real-world examples solidify its importance.
When performing osteotomies, particularly tibial osteotomies, it is crucial to be aware of an uncommon malformation known as an aberrant popliteal artery. This condition involves a branch of the artery passing in front of the popliteus muscle. Although rare, it occurs frequently enough to warrant attention. Careful review of MRIs is imperative, as overlooking this can lead to significant complications for the surgeon. Six months ago, I discussed this topic and recently encountered my second patient within a year with this anomaly, confirmed through a CT angiogram (see image below). Typically, this malformation is not highlighted in MRI reports, requiring vigilant examination.
This post aims to assist young surgeons in avoiding these potential complications. At Orthopedic Specialists of Seattle, we provide our patients with comprehensive sports medicine care in Seattle.
The Incredible Comeback of Jalen Watson!
Post: Leg fractures can be gruesome injuries in sports. Thankfully they are infrequent and if the joint is not involved, returning to sports can be successful. We talked briefly about this on our recent Superbowl episode Sports Doc Talk Podcast. Check out this short clip regarding Jalen Watson’s comeback. This episode is packed with valuable information and engaging discussion. Don’t miss it on all major streaming platforms and YouTube!
A big thank you to our sponsors, The Recovery Shop. Visit them at shop-recovery.net. For more information, contact Mike at mikeb@shop-recovery.com.
Youtube: https://lnkd.in/gJKbX8wk
Spotify: https://bit.ly/4jL7eoK
Dr. Garcia performs UCL Repair with an Internal Brace
Post: Caring for baseball players is a niche practice that involves managing expectations of players, coaches, parents, and agents. I often get second opinions on UCL repair vs. reconstruction. Recently, a young baseball player from Taiwan had a very repairable UCL injury. After an online evaluation, his family flew here from Taiwan for an Arthrex UCL repair with an internal brace, avoiding full reconstruction. I just got this note from his father 6 months after surgery with a successful return! This successful procedure has helped him return to baseball faster than traditional methods. At Orthopedic Specialists of Seattle, we continue providing cutting-edge care to the Seattle area and beyond.
Testimonial:
Hey, just wanted to send this to you… opening day and Ryan’s returned to play in the field!
The trainer/rehab specialist at Taipei American School was amazed that – as per your rehab protocol – Ryan was able to come back so quickly post the UCL repair and brace surgery you did. He played outfield and hit today; his projected return to pitching is in about 2 weeks. Thanks again for the awesome work and all the reassurances along the way.
Testimonial after lateral meniscal root repair
Post: Meniscal root tears can be challenging in many ways. We continue to improve our surgical methods to give the best results but even with this failure do occur. Careful patient expectations need to be set when you counsel these patients. Again, meniscal root tears come in various flavors and in the right patient we can make a big difference by fixing them. Check out this video testimonial of a very active gentlemen who had a lateral meniscal root repair. To learn more about this surgery and outcomes check out my link below.
Meniscal Root repair: https://www.grantgarciamd.com/meniscal-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
The Future of Medical Imaging in Sports!
Post: It has been over a year since the injury and near-death experience of Damar Hamlin. Celebrity cardiologist Dr. Dave Montgomery provides an explanation of what occurred in this clip below. The full discussion can be found on our podcast @Sports Doc Talk Podcast included many insightful comments on athletes and cardiac care. Listen on all our platforms below. Thank you to our sponsors The Recovery Shop.
Title: Urgent Call: Life-Saving Cardiac Care with Dr. Dave Montgomery
YouTube: https://lnkd.in/gmWccMYZ
Dr. Garcia demonstrates his trochleoplasty technique
Post: Trochleoplasty is a highly effective procedure for treating trochlear dysplasia, which causes patella instability and dislocations. Using the Arthrex pushlock system and trochleoplasty drill has been crucial for my patients with severe dysplasia. Watch my technique video on trochleoplasty with a patella cartilage transplant, MPFL reconstruction, and TTO. Visit my website for more details. At Orthopedic Specialists of Seattle we specialize in complex patellofemoral conditions to help patients return to their activities.
Trochleoplasty: https://lnkd.in/gAwBTWvs
Patient testimonial 7 months out from MFC cartilage transplant
Post: Cartilage transplants if done well and with appropriate expectations can be life changing. While the surgery itself is moderately technical it’s the patient discussions, and evaluation of the rest of the knee and complex additional treatment needed some time that is more complicated. Check out this video I just got from my patient 7 months out from MFC cartilage transplant. While the results are impressive the story is even better. She had previous MPFL and trochleoplasty done elsewhere with moderate results, she developed severe medial pain and given her complex history had several opinions with most shying away from any treatment. After our long discussion of expectations, we made a decision together to go after the MFC defect with edema. She got me a bit teary eyed in the office at the last visit (I tried to hold back :) ) when it was the best her knee has felt in over 5 years and her friends are shocked at what she can do now. Never stop listening to your patients, they will tell you what they need. To learn more about this surgery check out my website link below. Orthopedic Specialists of Seattle we continue to offer cutting edge treatment to get our patients back to active lifestyles.
Cartilage Transplant: https://www.grantgarciamd.com/cartilage-repair-and-transplantation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Why We Must Screen Elite Athletes!
Post: Why screen elite athletes for cardiac issues? We discussed this with celebrity cardiologist Dr. Dave Montgomery in the short clip below. Check out our full Sports Doc Talk Podcast for his insightful comments on athletes and cardiac care. Don’t miss it on all platforms. Thanks to our sponsors, The Recovery Shop.
Title: Urgent Call: Life-Saving Cardiac Care with Dr. Dave Montgomery
YouTube: https://lnkd.in/gmWccMYZ
Patient Testimonial after Patella Tendon Reconstruction
Post: Patella tendon reconstruction is a rare surgery with various techniques aimed at reducing the risk of patella baja while ensuring a robust repair. My approach uses both autograft hamstrings, kept attached at the tibia and looped through the quad, along with an Achilles tendon allograft fixed with 3 Arthrex knee fibertaks. I also add an internal brace on these patients though make sure you set this at 90 degrees. This method has been effective for me, though it’s important to manage patient expectations thoroughly.
For example, a middle-aged patient was referred to me after 14 years of issues, recently using a cane and having a 14-degree extensor lag. He had only 5 mm of tendon left that had slowly ruptured after previous debridement of the tendon elsewhere over 5 years ago. While he is not likely to engage in high-level sports soon, I am pleased with his functional outcome. For more information, visit my website below.
Patella tendon repair: https://www.grantgarciamd.com/patellar-tendon-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Anterior Tibial Osteotomy
Post: The significance of anterior tibial osteotomies is considerable. As a cartilage and complex knee surgeon, I regularly assess alignment issues, particularly in revision surgeries. While coronal alignment is often emphasized, sagittal alignment and tibial slope are also critical for successful outcomes. Recently, I treated a female patient who had experienced 4 failed ACL surgeries. Upon review, her weight-bearing lateral X-ray showed a posterior slope of 16 degrees on CT and xrays. After thorough preparation and planning, we performed an anterior osteotomy tibial osteotomy with revision ACL reconstruction at the same time. The image on the right shows full weight bearing at six weeks post-operation, illustrating effective slope correction. Although her treatment is ongoing, the results are promising. Orthopedic Specialists of Seattle offers comprehensive surgical care for both acute simple injuries and complex cases in Washington State
Anterior Tibial Osteotomy:https://www.grantgarciamd.com/anterior-tibial-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
The Future of Medical Imaging in Sports!
Post: What is the future of medical imaging for our Athletes. Check out this recent clip from our Sports Doc Talk Podcast with Celebrity cardiologist Dr. Dave Montgomery. It was an incredible interview with so many insightful comments on athletes and appropriate cardiac care. You don’t want to miss this one. Listen on all our platforms below. Big thanks to our sponsors The Recovery Shop.
Title: Urgent Call: Life-Saving Cardiac Care with Dr. Dave Montgomery
YouTube: https://lnkd.in/gmWccMYZ
Meniscal Repair Using Fiberstitches 2025
Post: Subtle tricks and tips are the difference in providing consistently good results and what separates experience from inexperience. This is one of the major reasons I post so many surgical videos to provide my tips and tricks to help us avoid the mistakes I have made. Meniscus repair is a very common surgery and I’m a huge proponent of the new Arthrex 1.5 fiberstitch. Check out one of my newest surgical videos showing how effective these devices are for larger meniscus tears and the ability to get a solid vertical mattress repair with an all inside device. Recent data has shown the impressive pullout strength of this implant, and you can see it firsthand on this video below! For more tips and tricks check out my website at www.grantgarciamd.com.
Meniscus Repair: https://www.grantgarciamd.com/meniscus-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
MDI Stabilization Testimonial
Post: Multidirectional instability is a challenging diagnosis. In many cases we try to use non-operative treatment for as long as possible but as we know this doesn’t always work. When patients have failed non-op treatment, we need to consider advanced techniques to give these patients a reasonable outcome after surgery. With the addition of the Arthrex knotless fibertaks we can perform a robust pan capsular plication that is low profile with good results. Check out this recent video testimonial of a hyperlax patient who struggled with hundreds of dislocations and way too many frustrating opinions before getting the stabilization she needed. At Orthopedic Specialists of Seattle we continue to offer advanced sports care to even the most difficult cases in the Seattle area.
Multidirectional Instability Website: https://www.grantgarciamd.com/multi-directional-instability-stabilization-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Shohei Ohtani's Shocking Injury Update!
Post: What happened to Shohei Ohtani? Shoulder dislocations are a common injury with both surgical and non-surgical treatment options, depending on various factors. Learn more from our short clip in the latest Sports Doc Talk Podcast with William Sanchez. For further information, visit www.sportsdoctalk.com.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Full Episodes:
New Biceps Tenodesis with 360 labral repair
Post: Efficient surgery requires planning, preparation, and good tools. In shoulder instability surgery, techniques must adapt to patient pathology. For labral repair with biceps tenodesis in lateral position, I use the Arthrex Loop & Tak technique, which is fast and reliable, even for high-level athletes. As a referral center, I frequently handle 360-degree labral tears. With the Arthrex rotation lasso and upgraded Arthrex knotless fibertak, these surgeries take under an hour without accessory portals. Check out the final results of my recent 360 labral repair with arthroscopic biceps tenodesis. To learn more check out my website link below.
Labral Repairs: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Recent Review a year after Cartilage and Osteotomy Surgery
Post: Osteotomy surgery is complex but crucial for cartilage preservation. Many patients seeking cartilage procedures discover they need an osteotomy during their visit. Patient counseling, including discussing complications and benefits, is essential. With experience, these conversations have become easier for me. Here’s a recent review from over a year out after a significant cartilage and osteotomy surgery, which motivates me to continue tackling challenging cases for my patients’ well-being. For more information, visit my website section below.
Dr. Garcia Shares His Passion for Orthopedics with Young Learners
Post: I had the highlight of my last few months when my 7-year-old daughter asked me to come present to her 1st grade class. I had a ton of fun sharing some of the fun things about my job and teaching about bones, muscles and tendons. Even better, we got a bit messy and made splints for everyone in the class! The look on her face after we finished, made it all worth the effort and time to get ready for this. While working hard and taking care of patients is incredibly rewarding, my two daughters are the brightest spots in my life.
Post: Proud to receive the Castle Connolly Top Doctors recognition for the 4th consecutive year. Thanks to the staff, patients, and colleagues for their support in achieving this honor. At Orthopedic Specialists of Seattle, we remain committed to providing high-quality and diverse orthopedic care in the Seattle area and beyond.
Dr. Garcia performs lower trapezius transfer using Arthrex Anchors
Post: Lower trapezius transfer is one of my most helpful additions to my challenging rotator cuff deficient patients. The data continues to show promise for a difficult injury especially in patients under 65 years old. As this surgery continues to gain traction more nuances appear. When I perform this salvage surgery sometimes, I get lucky and can repair the anterior supraspinatus. This week, I was able to slide the supraspinatus anteriorly and then place the lower trapezius posteriorly. Using Arthrex anchors for this repair the versatility is fantastic especially with low profile fibertaks. These patients in my opinion have the best results. Again, not always possible but if you run into this option during surgery try your best to add any supraspinatus fixation. I recently met with one of the top product managers Manik Dham and after reviewing recent data decided to lower my footprint attachment based on his discussion with numerous surgeons around the world. Working with Arthrex I gained access to so much cutting edge technology and data even before its available to the general surgeon population. To learn more about this surgery check out my website link below. At Orthopedic Specialists of Seattle, we continue to offer the most cutting edge and complex procedures for our patients in the Seattle and surrounding area.
Lower Trapezius Transfer: https://www.grantgarciamd.com/lower-trapezius-transfer-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia presents MACI® Treatment in Park City
Post: Big thanks to all MACI® Treatment for the opportunity to present this week at the AAOS/AOSSM/AANA Sport Medicine Symposium in Park City. We reviewed all things MACI and the cutting-edge new technique MACI arthro. It was a great turnout, and a pleasure to present the surgical walkthrough and case presentation of the first MACI Arthro in the PNW. I continue to be impressed by this new technique with each patient I do. While these trips for me are usually 24 hours to get home to my family, it was a special treat to convince my wife to come for the weekend and get two amazing days of skiing in with her and a little Sundance film festival! To learn more, check out my website link on MACI arthro below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://lnkd.in/g5aJAapx
Faster recovery with MACI® Arthro Technique
Post: When you do a “new” technique you want it to be better than your previous one without sacrificing outcomes. This is exactly what I have seen from the MAC Arthro and it keeps getting better. In select patients, we can now use the same time-tested MACI® Treatment implant with much more minimally invasive implantation. As I continued to do more, I’m blown away by the reduced swelling and how the patients feel even 1 week post op. This patient messaged me on social media, with her permission, see her message and video below. You will see she is using my cutting-edge post op tool the Rebless. This allows not only passive but active assist and passive assist motion to reduce early PT visits and produce awesome results at 6 weeks. This patient was very excited to be a part of this new wave of minimally invasive high quality cartilage surgery. To learn more, check out my website link on MACI arthro below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://www.grantgarciamd.com/maci-arthro-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Review from my patient:
Maci Arthro one week post op at 75 degrees with zero pain, minimal pain during day, and have to slow myself down because I’m feeling so good. Amazing recovery so far! So grateful for this new technology!
Dr. Garcia Performs Arthroscopic MACI live using Rods & Cones System
Post: Cartilage, innovation and technology is one of my favorite combinations. Yesterday I performed the first live MACI arthro in the country using one of the newest and hottest video systems on the market, the Rods&Cones Video Technology. A huge thank you to my OR team for making this happen! My rock-solid tech Vaid and PA (Corbin Brokaw, PA-C Brokaw) were instrumental in helping with this successful procedure. This technology did not disappoint with a heads-up display camera and a 2nd OR perspective camera you can see a sneak peak in my video below. This is the future of OR video and live teaching and I’m honored to be a part of it. To learn more about the surgery I performed check out my website links below. Orthopedic Specialists of Seattle we are proud to be on the forefront of technology and innovation for Washington State.
MACI Arthro: https://www.grantgarciamd.com/maci-arthro-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
What Makes a Player Resilient Exploring Inju
Post: Why are some players more resilient? High-level athletes recover from injuries at different rates and with varying outcomes, despite receiving excellent care. Is there more to it? Watch this clip from our latest @sportsdoctalkpodcast with Will Sanchez. For the full episode, visit www.sportsdoctalk.com.
Full Episodes:
Dr. Garcia shares Innovations in ACL Repair at Arthrex OTIF
Post: Honored to be a part of one of the biggest Arthrex Meetings of the year, OTIF. I discussed my ACL repair technique with the new tightrope fixation that has benefitted so many patients and preserved their ACLs. I covered ACL preservation, cartilage surgery, and osteotomies. Arthrex leads in innovation and teaching, and I’m thrilled to contribute to enhancing patient outcomes with advanced technology. Learn more about my ACL repair technique via my link below. At Orthopedic Specialists of Seattle, we offer cutting-edge techniques for our patients in Seattle and beyond.
ACL preservation repair: https://www.grantgarciamd.com/acl-preservation-acl-repair-surgery-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Meniscal Repair with OSSIO’s Game-Changing Bone Anchors
Post: Teaching and learning are at the forefront of new technology. This can be done in many forms but one of my favorites is through video techniques. I had the pleasure of working with one of the hottest device companies on the market OSSIO to demonstrate my technique for meniscal root repair and their game changing bone anchors. In addition, we dove into probably one of the most exciting applications of their product called the “knee bar” where we showed how this bone morphing technology can be used to treat subchondral insufficiency fractures with incredible results. Big thanks to my rockstar tech Vaid for assistance with these surgeries and my incredible team at Orthopedic Specialists of Seattle for making this happen both in our ASC and clinic. Can’t wait to show you all the finished product so stay tuned. To learn more about this product check out my recent podcast with them below.
Podcast:
Dr. Garcia’s Highly Motivated Team
Post: No matter what type of surgery you do, having a good team is essential. Many times my patients may see only a few of the members of my team but so many people are involved in making these procedures run smoothly. The harder the surgeries get the more important having a great surgical team becomes. I’m truly blessed to have some of the best OR staff and PAs I have ever worked with. What is even more impressive is they love the hard stuff and they rise to the challenge of executing a large complex knee surgery. Meniscus transplant, high tibial osteotomy, cartilage transplant, MACI, multilig, TTO, or a combo of the above is no problem for this team which is impressive knowing this is a small private practice ASC in Seattle. Last week we did a tough case involving a 20-year-old patient needing a revision Quad ACL, Lateral meniscal root repair, medial meniscus transplant, lateral femoral cartilage transplant and IT band tenodesis. Below is a quick peak of my top-notch PA duo Gail Petteruti and Corbin Brokaw, PA-C making our quad ACL graft and the meniscus transplant grafts for our patient. What is even more crazy is one of them always volunteers (even when they are on call) to come in even without me asking for these combos because they want to be a part of the challenge and help. Assisting me is Vaid, my top-notch tech who thrives under the pressure of these cases and keeps me in check. There are many more involved but big shout outs to those who help me take on some of the toughest knee surgeries in Washington state and allow Orthopedic Specialists of Seattle to continue to offer the most comprehensive cartilage care in the area. To learn more about these surgeries check out my cartilage restoration section below.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia announces the first PNW MACI Course
Post: See one, do one, teach one. If only it were that simple. As a surgeon, usually these numbers are dramatically expanded, and it requires hundreds of hours to master the skill. As we gain experience most of our “new” surgeries require a much shorter learning curve. That being said, courses and teaching are still incredibly helpful for all of us. As a cartilage surgeon I thoroughly enjoyed being involved with the teaching of new techniques and technology. I am excited to announce the first PNW MACI course lead by myself, Justin Newman MD and my rockstar PA, Corbin Brokaw, PA-C. The main focus of this course will involve the new cutting-edge technique MACI Arthro, with a cadaver lab, practice considerations for MACI and ASC integration. It’s a great course for both surgeons and physician assistants to help teach all levels of the process. Sign up if interested (link below), looking forward to welcoming everyone to the PNW for a great agenda. To learn more about MACI and the new MACI arthro check out my links below.
Link for Sign Up: https://form.jotform.com/243545464529161
MACI Arthro: https://lnkd.in/g5aJAapx
Advancements in Quad ACL Reconstruction: Speed Closure Technique
Post: Quad acl reconstruction has had an explosion in growth. It has become my workhouse ACL for many different reasons. Even with the latest technology we are still finding ways to further improve all aspects of this surgery. My latest addition is a speed closure of the quad graft harvest site and below is my surgical video. This is a fun little tip, and trick can be done with an arthroscopic assisted method as well. To learn more about this surgery check out my link below. Orthopedic Specialists of Seattle specialists of Seattle are always looking for ways to improve our surgeries and give our patients better outcomes.
ACL Reconstruction: https://www.grantgarciamd.com/acl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Injury Insights: MLB's Road to Recovery for 2025
Post: Check out our latest podcast on the MLB injuries that are being dealt with in the off season. We review shoulder instability, UCL tears and more. You don’t want to miss this one!
Welcome to the latest episode of Sports Doc Talk! We’re your hosts, William Sanchez and Dr. Grant Garcia, and we’re diving deep into Major League Baseball (MLB) most significant injuries and the advanced medical procedures used for recovery. In this episode, “Injury Insights: MLB’s Road to Recovery for 2025,” we cover the latest updates on key players like Shohei Ohtani, Ronald Acuña Jr., and Spencer Strider. We’ll break down complex medical procedures, including the Bankart shoulder repair and UCL surgery with an internal brace, offering clear and informative explanations that cater to sports enthusiasts and those interested in sports medicine.
Join us as we discuss the impact of these injuries on players’ careers and the latest advancements in sports medicine that aid in their recovery. We’ll also touch on the broader implications of these medical procedures for the future of baseball and how they could affect the upcoming 2025 season. With analysis and engaging conversation, this episode promises to be enlightening and informative.
A big thank you to our sponsors, The Recovery Shop. Visit them at shop-recovery.net. For more information, contact Mike at mikeb@shop-recovery.com. Be sure to tune in to Sports Doc Talk Podcast on your favorite podcast platform, and visit sportsdoctalk.com for episodes, transcripts, and additional resources.
Spine Boarding and Coordination
Post: Spine boarding is something every team physician needs to know how to do. Check out this short clip on my explanation of the process and how this relates to the recent scare by Grant DuBose of the Miami Dolphins and Hard Rock Stadium. This is from our recent show Sports Doc Talk Podcast with William Sanchez. We also talk about the importance of the medical hand off. Check out our full episode below or at www.sportsdoctalk.com.
Full Podcast:
Dr. Garcia performs Challenging Cartilage Repair with MACI® Treatment
Post: Arthroscopic cartilage surgery continues… 2 weeks ago we completed our third MACI® Treatment Arthro and it keeps getting better. This patient came from over 3 hours away to get this unique surgery. This case was a bit more challenging as it was a very low LFC defect. Biggest trick on this one is an excellent assistant. My PA Corbin Brokaw, PA-C is rock solid, as this required the leg to be held at 110 degrees and the camera to be held at the same time to prep the defect and place the implant. With his help we completed this surgery in around an hour with no issues. This patient was very excited to be a part of this new wave of minimally invasive high quality cartilage surgery. Check out the results below. Best of luck to my patient and their recovery. To learn more, check out my website link on MACI arthro below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://lnkd.in/g5aJAapx
Dr. Garcia Performs Double Osteotomy Procedure
Post: If you are performing osteotomies and practice joint preservation you need to understand about defining the location of the deformity. It also means you need to feel comfortable with approaching the knee from different sides. Most of the time a single osteotomy is enough. If you do enough of any surgery, there are outliers and sometimes you need to do a double osteotomy to avoid a large single correction or joint incongruence. This is a great example of my patient who had a very large varus deformity coming from both the femur and tibia. We caught this early and made plan for the case, he is a high demand laborer over 6 months out and his medial knee pain is gone and back to work! It’s great to have NEWCLIP TECHNICS to help with 3d modeling and measurement to confirm my Xray measurement on location of deformities. For more information check out the cartilage section on osteotomies below.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Ossio and Pediatric Orthopedic Game Changing
Post: Getting pediatric approval for an orthopedic implant is a big deal. It usually takes much more effort and data to get this approval. This is exactly what OSSIO did to allow these young patients to have this incredible bone changing technology. We recently featured Brennan Marilla from OSSIO on my podcast Sports Doc Talk Podcast with William Sanchez. This is one of the hottest orthopedic device companies with some of the newest tech in orthopedics. Check out this short clip about the pediatric approval process and what this means for future patients. To listen to the full podcast, see below or check out our website at www.sportsdoctalk.com.
Podcast:
Audio: https://lnkd.in/gxVG37Jx
Video: https://lnkd.in/gjj9gzQZ
Dr. Garica completes a record number of MACI surgeries and implants in one day.
Post: As any orthopedic surgeon knows, the end of the year can be incredibly busy with patients trying to get their surgery before deductibles reset. In my practice, it means working harder and longer to make sure our patients can be accommodated to the best of our abilities. This Friday was a special day, as my incredible team helped me complete a record number of MACI surgeries and implants in one day. For the first time in MACI® Treatment history, we performed 3 MACI surgeries with 4 MACI implants in one OR day, to help our cartilage patients start their road to recovery. We performed 1 large bipolar MACI with a TTO, 1 smaller bipolar with a medial meniscus repair and a MACI arthro, demonstrating the versatility of this game-changing technology. Huge thanks to my PA Corbin Brokaw, PA-C, Techs Daniel and Vaid, rep Nathan VanNoy and my amazing OR staff. It’s awesome to see a small private practice in Seattle achieve this feat and best of luck to my patients and their recovery! To learn more about these MACI surgeries check out my links below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://www.grantgarciamd.com/maci-arthro-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Grant Garcia performs UCL Reconstruction with Hamstring Autograft
Post: UCL reconstruction is a niche practice. Despite this less common surgery, it is very well known given its impact on professional baseball. There are several techniques for reconstruction available the most well-known are the docking technique and Jobe technique. Variations have been described. The issue with both is the bone tunnel can be technically challenging with the concern for damage of the bone bridge. I have tried to improve this concern and develop a technique that is more efficient in the OR without sacrificing strength. I have been blown away with the versatility of this technique whether its gracilis graft, revision after UCL repair or standard palmaris autograft. Below is my surgical video showing the ease of this technique using gracilis autograft. For those who do UCL reconstruction this graft is the hardest to pass when it comes to UCL surgery and with this new technique it was not a problem. For more information check out my link below. @Orthopedic specialists of Seattle we offer the latest treatments to help our baseball players get back in the game!
UCL reconstruction: https://www.grantgarciamd.com/ucl-reconstruction-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Ossio Fiber Making Cortical Bone
Post: Remaking cortical bone is the holy grail of orthopedics. Do we have a material that turns into the hardest bone? This is exactly what OSSIO did. We recently featured Brennan Marilla from OSSIO on my podcast Sports Doc Talk with William Sanchez. This is one of the hottest orthopedic device companies with some of the newest tech in orthopedics. Check out this short clip to review to look at the data on how Ossio turns into cortical bone. To listen to the full podcast, see below or check out our website at www.sportsdoctalk.com.
Podcast:
Game-Changing MACI Arthro Procedure Revolutionizing Cartilage Repair
Post: MACI arthro is one of the hottest sports medicine announcements in the last year. The ability to perform this time test surgery, through an FDA approved arthroscopic method is game changing. We are all trying to see if the hype matches patient outcomes and I can say so far, I’m blown away with the recovery difference. Check out the first patient in the pacific northwest to undergo MACI arthro. He is 8 weeks out and couldn’t be happier with his progress. Best of luck to my patient and his recovery. To learn more, check out my website link on MACI arthro below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://www.grantgarciamd.com/maci-arthro-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia performs medial DFO to treat knee deformity
Post: If you are performing osteotomies and practice joint preservation you need to understand about defining the location of the deformity. It also means you need to feel comfortable with approaching the knee from different sides. Most of the time valgus can be corrected by a distal femoral osteotomy and varus by a high tibial osteotomy but not always. This is a great picture of my patient who had his deformity from the femur with significant varus, so we performed a medial opening distal femoral osteotomy. We caught this early and made plans for the case, he is 9 weeks out with no pain, walking normally and his medial knee pain is already gone! It’s great to have @NewClips to help with 3d modeling and measurement to confirm my Xray measurement on location of deformity. For more information check out the cartilage section on osteotomies below.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
How Biointegrative Implants Transform Bone He
Post: When we want the perfect implant, we think of hard solid fixation but leave no trace. This is exactly what OSSIO did. We recently featured Brennan Marilla from OSSIO on my podcast Sports Doc Talk Podcast with William Sanchez. This is one of the hottest orthopedic device companies with some of the newest tech in orthopedics. Check out this short clip to review the properties of this implant and where it ranks from hardness and integration. To listen to the full podcast, see below or check out our website at www.sportsdoctalk.com.
Podcast:
Audio: https://lnkd.in/gxVG37Jx
Video: https://lnkd.in/gjj9gzQZ
Post: Sometimes it just takes the little things to remind you of why you do your job. From the first time I started practice, my goal was to take on hard cases. At Rush and HSS this is what I saw and I wanted to mimic this in my practice. Again not every surgery is a flying success but when you do hard stuff don’t expect to be perfect just do your best (easier said than done)... Taking on these hard surgeries and cases is no small feat especially when you have an established practice where the standard ACLs, meniscus, shoulder instability and cuffs are very common and it is so much less stressful to avoid the hard ones. But these hard cases are what push us to get better as I have no desire to stop learning… I just received this testimonial today from a patient 2 years out from an arthroscopic HAGL repair. She saw so many doctors and a number of MRIs all told her no surgery. When we looked at the images and listened to her you could see the HAGL lesion, but I had to go against all the notes and MRI reports. Sure enough when I went in the HAGL was right in front of me… The rest is history. Again you can see there was risk in taking on this case and this was explained numerous time during our consultations. That being said it sure feels good to read this!
TESTIMONIAL:
Sorry it’s taken so long… I’m a HAGL patient of Dr Garcia and he did surgery on me 2 years ago. I will start off with a short version of my story…. I got a shoulder injury working at UPS and battled L&I for 3 years, saw several doctors and specialists who diagnosed me with tendinitis, thoracic outlet syndrome, and multiple other things. Went through endless physical therapy….nothing was helping me. Finally they tried to close my claim and I at that point got a lawyer. I was eventually led to Dr. Grant Garcia who looked at the intensive images of my shoulder and immediately diagnosed me with a HAGL, a posterior labrum tear, and extreme shoulder instability.
I’m now about 2 years into recovery from surgery and if it weren’t for Dr. Garcia, I wouldn’t have my life back and wouldn’t be doing the things I love and enjoy again. He is an amazing doctor and very good at what he does. After every doctor I had been to and said there was nothing wrong, I am very grateful to have been lead to him! He is very good at what he does. God bless you Dr Garcia!
~Dallas P
Revolutionizing Cartilage Surgery with MACI®
Post:Practice makes perfect. Last week we completed our second MACI® Treatment arthro and it keeps getting better. This patient was very excited to be a part of this new wave of minimally invasive high quality cartilage surgery. After performing the first MACI arthro in the pacific northwest, it’s great to continue to help these cartilage patients get back in the game with smaller incisions and the same quality MACI implant. We continue to make improvements, and this case took less than an hour from skin to skin. Check out the results below. Best of luck to my patient and his recovery. To learn more, check out my website link on MACI arthro below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://lnkd.in/g5aJAapx
Why Pro Athletes Get Different Treatments!
Post: We all think the professional athletes get the most cutting-edge technology. In some cases, it’s just the opposite, they get the time-tested surgeries and many times team physician’s don’t want to push the envelope on a new surgery for these athletes. If you buck the norm on an NFL or NBA player doesn’t get back it can mean significant repercussions. Also, it’s a place where sometimes the agents dictate the surgery as much as the surgeons. Check out this short clip with our guest Dr. Joseph Liu where he reviews this concept. This is from our recent episode of Sports Doc Talk Podcast. Watch the full episode below or visit our website at www.sportsdoctalk.com.
Video Podcast link: https://lnkd.in/gwEdWMdQ
Transforming Lives with Osteotomies
Post: Osteotomies are a powerful tool to improve patient outcomes, protect cartilage surgeries and reduce the need for knee replacement in selected patients. I had a fully packed Monday afternoon filming with the NEWCLIP USA team and superstar filmmaker Cameron Kit building a great journey of why we do osteotomies, the benefits of 3D guidance and behind the scenes. I even got to do a little behind the scenes at my personal life that I rarely post about. More to come but excited to partner on this high-quality commercial production. To learn more about these osteotomies and how they can change our patient’s lives check out my testimonial section or my cartilage restoration section below. At Orthopedic Specialists of Seattle we strive to keep our patients in the game using cutting edge techniques!
Testimonials (Search Osteotomy): https://www.grantgarciamd.com/testimonials-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia demonstrates his LFC MACI Arthro Technique
Post: One of the most important parts of introducing new technology is teaching proper techniques. MACI® Treatment has done a great job introducing the game changing technology MACI Arthro. New Maci Arthro set is an exciting new option for patients. With the help of MACI and a lot of hard work on all fronts I present to you my MACI arthro lab technique for lateral femoral condyle implantation. This one is a bit harder than a MFC or trochlear, and I offer tips to make this a successful surgery. To learn more, check out my website below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://lnkd.in/g5aJAapx
Innovative ACL Repair and Multiligamentous Knee Surgery: A Patient Success Story
Post: Multiligamentous knee surgery requires a delicate balance of timing and evaluation of concomitant injuries. Even worse, the intra-articular injury and surgery can lead to more stiffness. This patient testimonial is a unique combination of surgery. He suffered ACL proximal avulsion and a complete avulsion of his posterior lateral corner with biceps femoris off the fibular head. He is a super active individual but also had an ACL quality too good to remove. I decided to push the envelope and performed an ACL repair with internal brace and did a full PLC corner reconstruction with full repair of the biceps femoris with larger Swivelock in the fibular fixation. This result is bonkers and one of the best-looking ACL and PLC, I have had. I really think the decreased trauma intra-articularly with the repair vs reconstruction helped a ton with the speedy recovery. Best of luck in his continued recovery but there is no doubting his speed in the office. I didn’t even have to speed him up!! To learn more about this innovative ACL repair technique check out my link below. To learn more, check out my links below. Orthopedic Specialists of Seattle we continue to improve our techniques to offer the most cutting-edge tools to get patients back in the game.
PLC Reconstruction: https://www.grantgarciamd.com/lcl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Lifelong Learning in Orthopedic Surgery
Post: As orthopedic surgeons you don’t stop learning. We are always looking for ways to get better and offer our patients new techniques to improve their outcomes. Check out this short clip with our guest Dr. Joseph Liu where he reviews this concept. This is from our recent episode of Sports Doc Talk Podcast. Watch the full episode below or visit our website at www.sportsdoctalk.com.
Video Podcast link: https://lnkd.in/gwEdWMdQ
Spotify: https://lnkd.in/ggTvtFw2
Remarkable Outcome with MACI Cartilage Repair
Post: When surgeons do a new cutting-edge technique, we also want to see data. This is difficult as many times you don’t have time to wait for 10 year or 15-year data as too many patients miss out on this technology if you do. Thankfully one of my work horse surgeries is MACI which has incredibly durable long-term data. While most of my MACI surgeries do not get another scope, this patient underwent a repeat scope for a different issue, and you can see after 3 years for a massive trochlea defect it looks amazing. He is almost 50 now and wow I was impressed by the growth, many would have tossed in the towel on this and done a patellofemoral replacement, but I’m glad we went this direction. I continue to be blown away by this technology in carefully selected patients. To learn more, check out my website link below. Orthopedic Specialists of Seattle specialists we continue to offer the most innovative technology in Seattle and beyond.
Patellofemoral Replacement Testimonial in Young Active Female
Post: Despite being a cartilage surgeon and having many different options for saving the knee, in the end you need to listen to the patient’s needs. With all of my complex knee patients, I generally offer multiple options from least to most aggressive and less risky to more risky. Based on each patient’s affinity for return to sport and risk they make the best choice for them. This testimonial is a perfect example of that. This young patient came into my office as a second opinion after a failed patella cartilage procedure done elsewhere. She was extremely frustrated after dealing with this problem for over 5 years. We talked about multiple salvage options and in the end she chose a patellofemoral replacement. This is the best part of my job as I get to customize the approach for each patient. To learn more about this surgery check out the link below. Orthopedic Specialists of Seattle we offer our cartilage patients a customized approach that works for their needs.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Presenting for Invictus Surgical Incorporated
Post: I had a great time last night presenting for Invictus Surgical Incorporated and Arthrex in Tacoma, Washington. It was an honor to present to a full house and review my techniques and literature review for so many great topics. We discussed meniscus repair, quad ACL, ACL repair, LET and even internal bracing. All the surgeons had great questions and I loved the engagement. It was exciting to share my perspective with this group and teach the cutting edge techniques we are offering in Seattle in addition to learning something new for this great audience. At Orthopedic Specialists of Seattle we are dedicated to staying on top with the latest technology in Washington State.
What Lonzo Balls Surgery Means For Future NBA
Post: What does Lonzo Ball’s surgery mean for future players? If he has a successful season this opens the door for many other players with similar injuries who did not get offered this type of surgery. Check out my short segment from my recent episode of my Sports Doc Talk Podcast. This full episode reviews the incredible comeback story of Lonzo Ball after a unique surgery and injury. Tune in to Sports Doc Talk on your favorite podcast platform, and visit sportsdoctalk.com for episodes, transcripts, and additional resources.
Lonzo Ball returns to the 2024 NBA season after cartilage surgery
Link: https://lnkd.in/gJ2E6e7U
Spotify: https://lnkd.in/gD3AqsPp
Celebrating Patient Success: Dr. Grant Garcia's Commitment to Complex Knee and Cartilage Surgery
Post: Taking care of difficult cases is the highlight of my work. As a complex knee and cartilage surgeon I see a broad range of pathology. There is nothing better than working tirelessly with a patient to get a solid outcome. I just received this google review and thought it was worth sharing. This makes all the hard work worth it! To see more like this check out my testimonial section below.
Age restrictions of osteotomies
Post: What are the age restrictions for osteotomies? What are the benefits of osteotomy over knee replacement? What are the results? This is the final episode of my osteotomy blog series below, that answers these questions. I have developed this blog series to better help my patients understand why these surgeries are important and how they can improve patients’ lives and get them back to the activities they love. Check out the video below. At Orthopedic Specialists of Seattle we offer complex sports care to get our patients back in the game.
Cartilage Restoration: https://lnkd.in/gdFtzvsa
Dr. Joseph Liu, Orthopedic Surgeon for USC and the L.A. Kings
Dr. Joseph Liu, Orthopedic Surgeon for USC and the L.A. Kings
Post: Check out our newest episode of Sports Doc Talk Podcast. We are joined by my good friend and USC orthopedic surgeon Joseph Liu. You don’t want to miss this one. We talk about his team coverage of the LA kings and the numerous other professional teams he has covered, in addition to what it takes to be a professional team physician. Also we dive into the medical legal issues that can arise, a touchy topic but a necessary consideration for any surgeon caring for professional athletes. Visit our website www.sportsdoctalk.com.
Youtube link: https://lnkd.in/gwEdWMdQ
In this episode of Sports Doc Talk, hosts William Sanchez and Dr. Grant Garcia welcome Dr. Joseph Liu, an orthopedic surgeon with extensive experience in sports medicine. Dr. Liu shares insights from his training at the Hospital for Special Surgery and Rush University, and his current role at Keck Medicine of USC where he treats collegiate athletes and professional teams like the Los Angeles Kings. He discusses the unique challenges of being a team physician, including the pressure to return athletes to play quickly and the complexities of managing high-stakes injuries. Dr. Liu also highlights the importance of collaboration among specialists to ensure comprehensive care for athletes.
The conversation delves into the medical-legal aspects of sports medicine, particularly the recent high-profile lawsuit involving NFL team physicians, and the potential solutions such as league-provided insurance to protect team doctors. Dr. Liu emphasizes the importance of maintaining a healthy work-life balance, sharing his strategies for staying grounded, including regular exercise and travel. The episode also explores the evolving landscape of sports medicine with the introduction of NIL deals and transfer portals in collegiate sports, and how these changes impact athlete management. This episode is a must-listen for anyone interested in the behind-the-scenes world of sports medicine and the life of a team physician.
Big thanks to our sponsors The Recovery Shop. Visit them at https://shop-recovery.net/. Contact Mike at [javascript protected email address] for more information. Tune in to Sports Doc Talk on your favorite podcast platform, and visit sportsdoctalk.com for episodes, transcripts, and additional resources.
How do you do the Lonzo Ball Cartilage Transplant
Post: How do you do a meniscus and cartilage transplant? Check out my short segment from a recent episode of my Sports Doc Talk Podcast. This full episode reviews the incredible comeback story of Lonzo Ball after a unique surgery and injury. Tune in to Sports Doc Talk on your favorite podcast platform, and visit sportsdoctalk.com for episodes, transcripts, and additional resources.
Lonzo Ball returns to the 2024 NBA season after cartilage surgery
Link: https://lnkd.in/gJ2E6e7U
Spotify: https://lnkd.in/gD3AqsPp
Advancing Knee Surgery Innovations
Post: What a way to start off my week. It was a short trip to Arthrex headquarters in Naples, Florida. I continue to be blown away by the dedication of Arthrex to constantly looking for cutting edge technology to improve our sports surgeries and patient outcomes. They work closely with the best in the business from product managers, engineers, videographers and surgeons to stay a step ahead of the competition and help surgeons treat their patients better. Thank you to Arthrex for allowing me to show my meniscus repair techniques and tricks and discuss ACL repair techniques and rehab protocols. Also test out futurist ACL repair, LET and reconstruction prototypes that are going to make our knee surgeries even better. I’m so excited to offer this technology to my patients soon. At Orthopedic Specialists of Seattle we are dedicated to staying on top with the latest technology in Washington State.
MCL and DK Metcalf IRG Kiro Segment
Post: MCL injuries are very common and many times on NFL injury reports they are labeled as “knee sprains”. The good news: many of these injuries can be treated without surgery. I was recently on KIRO News App 710 ESPN Radio with IRG Physical & Hand Therapy CEO Shannon O’Kelley for their “Sports Injury Update” discussing DK Metcalf’s recent MCL injury and what factors are involved when it comes to professionals. It was a pleasure to represent Orthopedic Specialists of Seattle and Proliance Surgeons on this show. Check out this episode below. To learn more about this surgery check out my website below:
Dr. Grant Garcia Leads MACI Arthroscopy Workshop in Chicago
Post: It was a great Saturday teaching MACI arthro in Chicago at the OLC, reviewing the science with the tips and tricks of the surgery. We had amazing faculty and Dr. Brady Heaps and I performed a live cadaver MACI Arthro to kick off the lab. It was awesome to see all the attendees perform a successful MACI arthro right after! I hope the attendees left confident to perform this surgery. This is an absolute game changer with less than 2 cm incision for a time tested and durable cartilage procedure. To learn more, check out my website below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://www.grantgarciamd.com/maci-arthro-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
2 Weeks Post Op from MACI Arthro
Post: Maci Arthro is one of the latest innovations in cartilage surgery. Check out this 2-week post op video of the first MACI Arthro in the PNW. I was blown away by the lack of pain and quad strength at 2 weeks. Special thanks to my patient for being so willing to share their progress and being just as excited as I am for this cutting-edge technology! This surgery is an absolute game changer with less than 2 cm incision for a time tested and durable cartilage procedure. To learn more, check out my website below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://www.grantgarciamd.com/maci-arthro-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Revision ACL Nick Chubb
Post: Revision ACL is a niche practice. Nick Chubb of the Cleveland Browns had an incredible surgeon James Voos, MD to get him back on the field. Revision ACL surgery is one of my passions and a common surgery I perform. Check my take on Nick Chubb’s recovery on this short segment below from our recent episode of Sports Doc Talk Podcast reviewing his injury, incredible recovery, surgery and what this means for the Cleveland Browns.
Youtube: https://lnkd.in/gxTKXgK8
Spotify: https://lnkd.in/gG-xHmKQ
Dr. Garcia’s technique for Combined ACL and PCL reconstruction
Post: Multi-ligamentous knee surgery requires a delicate balance of timing and evaluation of concomitant injuries. Combined ACL and PCL injuries can be challenging, and careful discussion of expectations and graft choice and technique is needed. Below is my new technique video for a combined ACL and PCL reconstruction. I have adapted to using Arthrex internal brace and tightrope fixation for both my ACL and PCL grafts. This is based on recent ACL and PCL data demonstrating improved biomechanics (especially for PCL) and the ability to re-tension each graft during surgery. So far, I have been incredibly happy with my results. To learn more, check out my links below. Orthopedic Specialists of Seattle we continue to improve our techniques to offer the most cutting edge tools to get patients back in the game.
Lonzo Ball returns to the 2024 NBA season after cartilage surgery.
Post: This is the Sports Doc Talk Podcast episode I have been waiting for, for the last 2 years. Lonzo Ball is back and the first player to return to the NBA after a meniscus and cartilage transplant! Even better, his surgery was done by my mentor and teacher Brian Cole, one of the best cartilage surgeons in the country. Our last episode around part of this surgery was our most popular episode yet and I have had a number of patients asking me when this would come out. Listen below and enjoy!!
Lonzo Ball returns to the 2024 NBA season after cartilage surgery
Link: https://lnkd.in/gJ2E6e7U
Spotify: https://lnkd.in/gD3AqsPp
In January 2022, Chicago Bulls guard Lonzo Ball faced a series of debilitating knee injuries that sidelined him for over two years. His journey to recovery included multiple surgeries, including a cartilage and meniscus transplant in March 2023, and a bone allograft procedure.
Amazingly, after more than 1,000 days away from the court, Lonzo Ball made his highly anticipated return to the NBA, demonstrating his unwavering determination and resilience.
In this episode, Dr. Grant Garcia and William Sanchez explore the complexities of Ball’s injuries, the advanced surgical techniques used, and the extensive rehabilitation process he underwent. We discuss the medical hurdles Ball overcame, the innovative treatments that facilitated his recovery, and the mental and physical fortitude required to return to professional basketball.
Join us as we celebrate Lonzo Ball’s inspiring comeback. An episode that listeners have requested is finally here to kick off the NBA 2024 season. Tune in to Sports Doc Talk on your favorite podcast platform, and visit sportsdoctalk.com for episodes, transcripts, and additional resources.
Dr. Garcia demonstrates first live MACI Arthro video in the US
Post: Cartilage has so many facets to it and continues to be an area for significant innovation. Arthroscopic MACI for specific cartilage injuries is a game changer and the new Maci Arthro set is an exciting new option for patients. As promised from my first MACI Arthro in the Pacific Northwest the full surgical video is complete. See below for the first MACI Arthro live patient video in the United States! I have included tips and tricks especially when you go dry with the scope and manage the tourniquet down. I can’t wait to see the results of my current patients and more to come. To learn more, check out my website below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI: https://lnkd.in/gDqXzV5K
Nick Chubb's return to the gridiron
Post: Nick Chubb is back after a devastating knee injury. Check out our hot off the press short episode of Sports Doc Talk Podcast reviewing his injury, incredible recovery, surgery and what this means for the Cleveland Browns
Youtube: https://lnkd.in/gxCZ5QaC
Spotify: https://lnkd.in/gdckN7-P
In Week 2 of the 2023 NFL season, Cleveland Browns running back Nick Chubb suffered a devastating knee injury, causing significant damage to his medial collateral ligament, medial capsule, and meniscus. On November 14, 2023, Chubb underwent a second surgical procedure to repair a torn anterior cruciate ligament (ACL). Remarkably, just 398 days after this severe injury, Nick Chubb made his triumphant return to the football field, showcasing his resilience and determination.
In this episode, Dr. Grant Garcia and William Sanchez delve into the specifics of Chubb’s injury, the intricate details of his surgeries, and the rigorous rehabilitation process that followed. They explore the medical and physical challenges Chubb faced, the advanced treatment methods employed, and the extraordinary dedication required for his recovery.
Join us as we celebrate Nick Chubb’s inspiring journey back to professional football and gain insights into the medical expertise and personal perseverance that made his return possible. Tune in to Sports Doc Talk Podcast on your favorite podcast platform, and visit sportsdoctalk.com for episodes, transcripts, and additional resources.
Dr. Garcia Performs Two Complex Knee Surgeries to Restore Mobility in a Trauma Nurse from Wyoming
Post: One of my favorite things about my job is taking care of awesome patients with difficult issues. I’m fortunate as a sports medicine surgeon to have so many different patients with one main desire, to get back to the activities they love. This is a very special patient of mine who flew in from Wyoming for not one but two complex knee surgeries. She is a helicopter trauma nurse and is one of the nicest people I have ever met. 4 years ago, we did a distal femoral osteotomy with a cartilage transplant on her left knee. She did awesome, she got back to running (this was her passion), hiking and all the other amazing outdoor activities Wyoming has to offer without pain. Unfortunately, she suffered a dirt biking accident 3 months ago, when I got the call, I was worried about the operative knee but instead she suffered a complete ACL, posterior lateral corner with a bad anterior and posterior radial tear of her lateral meniscus on the non-operative knee. Given her experience from the previous surgery she wanted me to give her the best shot at success. My amazing PA team and scheduler Sabrina moved my schedule around so we could fix her promptly with the hopes of saving her meniscus. She still has a way to go but she is now 8 weeks out and we fixed her lateral meniscus, did a full reconstruction of her PLC and ACL and now she is walking well with a big smile on her face. I wish her the best of luck and look forward to her continued recovery. Orthopedic Specialists of Seattle we continue to offer cutting edge care to the surrounding Seattle area and beyond. To learn more about this second opinion option check out my link below:
Second Opinion: https://lnkd.in/gWcyNyDf
What Do We Do In Conjunction With Osteotomies
Post: What other surgeries do we do with osteotomies? How are these surgeries improved by the osteotomy and what are the results? Part 5 of my osteotomy blog series below answers these questions. I have developed this blog series to better help my patients understand why these surgeries are important and how they can improve patients’ lives and get them back to the activities they love. Check out the video below, more episodes to come. At Orthopedic Specialists of Seattle we offer complex sports care to get our patients back in the game.
Cartilage Restoration: https://lnkd.in/gdFtzvsa
Dr. Garcia performs the First Successful MACI® Arthro Surgery in the Pacific Northwest
Post: After working on cadaveric specimens assisting MACI® Treatment with the FDA trial for MACI Arthro, making the MACI Arthro LFC video technique (coming soon!) and teaching the Summer West Coast MACI Arthro launch, it all came to fruition today. My team and I successfully performed the first patient MACI Arthro in the Pacific Northwest! Huge thanks to my awesome PA, Corbin Brokaw, PA-C and my tech Jason for their help as I could not have done it without their expert assistance. Also the support of my rep Nathan and Karla Quick. This surgery was an absolute game changer with less than 2 cm incision for a moderate size trochlear defect. I can’t wait to see the results and looking forward to showing off our technique video soon, as we got some great footage. To learn more check out my website below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI: https://lnkd.in/gDqXzV5K
The Scary Reality of NFL Concussions
Post: What are the dolphins and doctors going to do with Tua, will he play again? This is a massive concussion topic for the NFL, thrust into the spotlight again. This is a difficult situation and challenging for the medical staff. With this level of injury, there can be a massive medical legal liability to clear Tua that has not been discussed and maybe a challenge to get done. Check out this short clip discussing this. This is from our more recent episode of Sports Doc Talk Podcast with William Sanchez that has it all. The full episode is below or on our website at www.sportsdoctalk.com
Lower Trapezius Transfer with Partial Cuff Repair
Post: This is the week of the lower trapezius transfer. You recently saw my testimonial after this surgery. As this surgery continues to gain traction more nuances appear. When I perform this salvage surgery sometimes, I get lucky and can repair the anterior supraspinatus. In this case, I was able to slide the supraspinatus anteriorly and then place the lower trapezius posteriorly. These patients in my opinion have the best results. Again, not always possible but if you run into this option during surgery try your best to add any supraspinatus fixation. I hope this video helps others to see another option for this game changing surgery. To learn more about this surgery check out my website link below. At Orthopedic Specialists of Seattle, we continue to offer the most cutting edge and complex procedures for our patients in the Seattle and surrounding area.
Lower Trapezius Transfer: https://www.grantgarciamd.com/lower-trapezius-transfer-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Planning and Imaging for Osteotomies
Post: How do we plan for osteotomies? What are the risks of the surgery? What tools and imaging do we use to get the alignment just right? Part 4 of my osteotomy blog series below answers these questions. I have developed this blog series to better help my patients understand why these surgeries are important and how they can improve patients’ lives and get them back to the activities they love. Check out the video below, more episodes to come. Orthopedic Specialists of Seattle we offer complex sports care to get our patients back in the game.
Cartilage Restoration: https://lnkd.in/gdFtzvsa
Dr. Grant Garcia Discusses MACI® Procedure at Boise Dinner Talk
Post: I spent a short 12 hours in Boise, Idaho for a great dinner talk reviewing the MACI procedure and the exciting Arthro MACI® Treatment. It was a great audience with lots of good questions. Special thanks to Mike Remley for setting it up. This technology is a gamechanger for patients to have a more minimally invasive option for cartilage regrowth with a time-tested product. Looking forward to the future of this surgery and getting my cartilage injury patients back in the game! At Orthopedic Specialists of Seattle we offer the most cutting-edge technology to our patients.
MACI: https://lnkd.in/gDqXzV5K
Guardian Caps The Future of NFL Safety
Post: Concussions in the NFL is a continued hot topic. New tech is being evaluated on a yearly basis with the hopes of continuing to improve the numbers. Guardian Sports Caps covers is a unique technology that has gained interest based on its documented 50% reduction in concussions. Check out this short segment on this our more recent episode of Sports Doc Talk Podcast with William Sanchez has it all. The full episode is below or on our website at www.sportsdoctalk.com
Testimonial after lower trapezius transfer
Post: Lower trapezius transfer is one of my newest additions to help treat difficult and complex shoulder injuries. This surgery has been a game changer for my practice and the results have blown me away in the carefully selected patients. Generally, these patients have a deficient supraspinatus with a deficient infraspinatus and lack external rotation strength. Most times these patients have failed 1 or 2 rotator cuff surgeries. Again, with most of these salvage surgeries you need a reasonable or fixable subscapularis for good success. The part I love about this is the return of strength to the patient and the overall low morbidity of the procedure. Check out my video testimonial below of a mid 50-year-old female who failed a rotator cuff repair by an outside surgeon with a 2nd surgery after that who presented with no supraspinatus or infraspinatus cuff strength with atrophy and pseudoparalysis. If you ask any shoulder surgeon this is a tough problem. To learn more about this surgery check out my website link below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge and complex procedures for our patients in the Seattle and surrounding area.
Lower Trapezius Transfer: https://www.grantgarciamd.com/lower-trapezius-transfer-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Celebrating Teamwork and Comprehensive Sports Care at Mercer Island High School
Post: Team work makes the dream work! It is always fun taking care of my former high school team, Mercer Island High School, a big congrats to the win today and the undefeated record! Even better when your partner joins you! Dr. Wayne Weil is my amazing hand partner and the team hand surgeon for Mercer Island High School. Not only is he a rockstar surgeon, but a great friend and awesome partner. You may recognize him from our dual surgeon approach videos as he is my go to for complex elbow surgeries. Together we do our best to offer the most comprehensive care in Washington State for upper extremity sports injuries at Orthopedic Specialists of Seattle.
How do osteotomies work?
Post: So you have now heard about osteotomies from my posts but how do they work? How do we protect our cartilage surgery or improve pain from arthritis? Part 3 of my osteotomy blog series below answers these questions. I have developed this blog series to better help my patients understand why these surgeries are important and how they can improve patients’ lives and get them back to the activities they love. Check out the video below, more episodes to come. Orthopedic Specialists of Seattle we offer complex sports care to get our patients back in the game.
Cartilage Restoration: https://lnkd.in/gdFtzvsa
Dr. Garcia demonstrates his technique for a closing wedge high tibial osteotomy
Post: Complex knee surgery requires understanding of many different types of procedures. One of the more nuanced specialties is osteotomies. The first key when doing these surgeries is to identify where the deformity is coming from. If you don’t do this, you can run into trouble. Be careful to use the standard rule of valgus gets a DFO and varus gets a HTO. Below is a perfect example of a case where the patient had valgus of their knee with continued lateral pain. The deformity was coming from this tibia, so we did a medial closing wedge high tibial osteotomy. Closing wedges are more difficult and require different tips and tricks. Hopefully this surgical video helps review some of the tricks I use to execute this surgery. To learn more check out my website below. At Orthopedic Specialists of Seattle we offer complex sports care to get our patients back in the game.
Cartilage Restoration: https://lnkd.in/gdFtzvsa
Custom Solutions for Complex Total Shoulder Replacements
Post: When it gets difficult, sometimes custom is needed. Total shoulder replacements are one of my passions and as many of us know that the glenoid can be the biggest issue. Sometimes I take on very difficult cases and the custom shoulder replacement options have been incredibly helpful and significantly improved outcomes. Check out my preparation of one of my hardest glenoids I’ve seen in practice, this Biomet/Zimmer custom system has been incredible for taking care of very difficult situations. Custom implants are great but do require more time for the surgeon to get prepared for the case. In the end the results are all worth it. By using the system, I’m able to speed up the case, reduce complications and get excellent outcomes. This patient is coming back for the second side. His other glenoid was worse than this and he achieved full range of motion with this reverse total shoulder replacement! For more information check out my website to learn more. At Orthopedic Specialists of Seattle, we continue to push the envelope and provide the most cutting-edge tools for our patients with difficult problems.
Reverse total shoulder replacement: https://www.grantgarciamd.com/reverse-shoulder-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Advancing Cartilage Treatment: A Successful Saturday in Seattle
Post: I had a wonderful Saturday morning in Seattle teaching MACI, TTO and more to some great surgeons. Special thanks to Nathan, my home rep, for setting this up and the invite. Appreciate MACI® Treatment supporting my desire to teach complex cartilage treatment. Also big thanks to Invictus Surgical Incorporated and Arthrex for providing great rep coverage to show off their Arthrex TTO set and screws, a true show of teamwork in the medical device world. It’s great to demonstrate these concomitant surgeries to help more patients and surgeons in the Seattle area and beyond achieve excellent outcomes!!
AC Joint Injuries
Post: AC joint injuries can be confusing and treatment especially for type 3 injuries is controversial. New data suggests we need to categorize these injuries into two parts with a focus on anterior and posterior instability as well as superior elevation. We talked about this AC joint controversy on my recent episode of Sports Doc Talk Podcast with William Sanchez. Listen to this short segment to learn more about AC shoulder joint injuries and my treatment algorithm. Be sure to listen to Sports Doc Talk on your favorite listening platform and visit sportsdoctalk.com for episodes, transcripts, and much more.
Video Podcast: https://lnkd.in/g-6JfE-u
Audio: https://lnkd.in/g6F3j6Pw
How we do the osteotomies and the results
Post: What types of osteotomies of the knee are commonly done? Why do we do these and what conditions do they treat? Part 2 of my osteotomy blog series below answers these questions. I have developed this blog series to better help my patients understand why these surgeries are important and how they can improve patients’ lives and get them back to the activities they love. Check out the video below, more episodes to come. Orthopedic Specialists of Seattle specialist of Seattle we offer complex sports care to get our patients back in the game.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia demonstrates his tips and tricks for meniscus repair
Post: Subtle tricks and tips are the difference in providing consistently good results and what separates experience from inexperience. This is one of the major reasons I post so many surgical videos to provide my tips and tricks to help us avoid the mistakes I have made. Meniscus repair is a very common surgery and I’m a huge proponent of the new Arthrex 1.5 fiberstitch. I am pleased to present my tips and tricks video with Arthrex to review how you can dial in the tension of these implants and what tricks I use for an all inside meniscus repair. Recent data has shown the impressive pullout strength of this implant, and you can see it firsthand on this video below! For more tips and tricks check out my website at www.grantgarciamd.com.
Full video: https://www.arthrex.com/resources/VID1-006513-en-US/dialing-in-the-tension-with-the-fiberstitch-15-implant
Meniscus Repair: https://www.grantgarciamd.com/meniscus-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia performs successful UCL repair with an internal brace on a young baseball player
Post: Taking care of baseball players is one of my passions. This is a niche practice that involves managing expectations for the players, coaches, parents and even agents. In addition there are so many considerations that go into the right treatment options, many of which only apply to these players and the torque placed on the arm during throwing. I frequently getsecond opinions regarding both shoulder and elbow injuries in baseball players. Yesterday we completed a successful UCL repair with an internal brace on a young baseball player from Taiwan. By offering my online second opinion we reviewed his images, previous treatment and saved him from a full UCL reconstruction in Taiwan as he had a very repairable UCL injury. After my online evaluation his family made the long flight out here for a successful Arthrex UCL repair with internal brace to help him get back to baseball faster than traditional UCL reconstruction. My office team did a great job of coordinating his careand despite the jet lag he was in good spirits with a successful surgery! Orthopedic Specialists of Seattle we continue tooffer cutting edge care to the surrounding Seattle area and beyond. Tolearn more about this second opinion option check out my link below:
Second Opinion: https://www.grantgarciamd.com/sports-orthopedic-second-opinion-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia in Las Vegas for the OSET and National Launch of the MACI® Treatment
Post: I spent a short 12 hours in Las Vegas for the OSET and National launch of the MACI® Treatment Arthro technique and instruments. It was an honor to represent MACI and discuss this newly FDA approved Arthro MACI set with a packed house! Special thanks to my amazing co-faculty Deryk Jones and Michael Kuhn MD. This technology will be a gamechanger for patients to have a more minimally invasive option for cartilage regrowth with a time-tested product. Looking forward to the future of this surgery and getting my cartilage injury patients back in the game! Orthopedic Specialists of Seattle we offer the most cutting edge technology to our patients.
Data on RTS for NFL ACL Injuries
Post: ACL injuries are extremely common and can be devastating for NFL players and teams with an 8 month or more recovery time. We recently talked about ACL surgery return to sport data on my episode of Sports Doc Talk Podcast with William Sanchez. Listen to this short segment to see what the odds are for each position in making a comeback after ACL reconstruction. Be sure to listen to Sports Doc Talk on your favorite listening platform and visit sportsdoctalk.com for episodes, transcripts, and much more.
Video Podcast: https://lnkd.in/g-6JfE-u
Audio: https://lnkd.in/g6F3j6Pw
Dr. Garcia receives Top Doctor Award for from Castle Connolly
Post: Honored to receive another award from Castle Connolly Top Doctors for Hispanic and Latino Doctors! My dad immigrated here from Brazil when he was only 9 years old and worked hard to provide me with the tools to get where I am today. Thank you to my parents, patients and staff for allowing me the opportunity to be chosen for this honor. At Orthopedic Specialists of Seattle we continue to strive to offer the best and most diverse orthopedic care in the Seattle area and beyond.
Post: Friday night lights is back. First home game of the season for our Mercer Island High School team! It so rewarding to cover these games and take care of the athletes. It’s near and dear to me as both my wife and I went to high school here and after 15 years of east coast and Midwest training I’m back in my hometown helping these athletes get back in the game. Special thanks to JoLynn Leisinger one of my favorite ATCs and good friend, who works tirelessly to keep these athletes safe. Also big thanks to my partner Wayne Weil, the amazing hand surgeon for our team. At Orthopedic Specialists of Seattle we are proud to provide team coverage to Mercer Island High School.
Introduction to Osteotomies
Post: One of the most common surprises I find in my practice is when I recommend an osteotomy. Many of my patients have never heard of them and are completely unaware of this option. Early in practice this was a challenge, as I have gained more confidence and built my patient results this has become easier to discuss. There are many reasons for this including fellowship training, risks of the surgery, added work of looking for malalignment and complexity of the surgery. If you do cartilage procedures and joint preservation you must have osteotomies in your treatment regimen. Despite my attempt in the clinic to fully review this topic it can be alarming to think of realigning the leg at the first visit with me. I have developed a blog series to better help my patients understand why these surgeries are important and how they can improve patients’ lives and get them back to the activities they love. Check out the introduction video below, more episodes to come. Orthopedic Specialists of Seattle specialist of Seattle we offer complex sports care to get our patients back in the game.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
How Practicing in the Lab Transforms Surgical
Post: Improvement is a recurring theme, but one needs practice to improve. As an innovator and sports surgeon, when I want to try a new technique or bring a new surgery to my patients, I always hit the lab first. I’m lucky to have Arthrex and Auston Robinson that can assist with lab time and keeping me on the cutting edge. I recently spoke with Auston Robinson, MBA who is the owner of the Arthrex PNW on my podcast Sports Doc Talk Podcast with William Sanchez. Check out this short segment below on how I prepare for innovation in the OR and keep up with the fast-paced sports surgery world. For the full episode click the links below or visit www.sportsdoctalk.com.
Highlighting the invaluable role of Rachel Robinson, Dr. Garcia’s Arthrex rep.
Post: Doing difficult cases means you need a great team. I can prepare, practice, coordinate but in the end, I need my team to effectively and efficiently complete the surgery. My complex cartilage cases sometimes require many teammates. I have posted before about my amazing PA team, nurse and techs but I would like to highlight a key missing member of my posts, my rep. You have heard it recently on my podcast @sportsdoctalk but I will highlight her again. Rachel Robinson, my Arthrex rep has been incredible and exceeded my expectations. There is nothing easy about many of my cases and while I try to be a nice guy in the OR, I will tell you my expectations are extremely high, and I have low tolerance for those that are not prepared. My patients expect me to be at my best and this is what I expect from my team. Thankfully they have yet to let me down! Rachel comes early, stays late and flawlessly prepares for these difficult surgeries and keeps copious notes. She has taken it all on and continues to impress; MPFL/TTO/Cartilage no problem for her, ACL/PCL/MCL no problem, Meniscus/HTO/Cartilage transplant no problem, Lower trap transfer followed by latarjet no problem. In over a year or so, she went from a fairly new rep to now teaching her colleagues some of the most advanced techniques in the state. Thank you, Rachel Robinson, for keeping me at my best and making your shoes hard to fill!! @orthopedicspecialistsofseattle we continue to offer our patients the most cutting edge procedures to get them back in the game.
2024 NFL Season: Key Injuries + Comeback Players
Post: Back for another episode of Sports Doc Talk Podcast. If you like the NFL you are going to love this one. We talk about key injuries and major players coming back from surgery last season. Just in time for NFL kickoff tonight!
Episode Title: 2024 NFL Season: Key Injuries + Comeback Players
Host: Will Sanchez and Dr. Grant Garcia
Are you ready for some football?! In this episode, hosts William Sanchez and Dr. Grant Garcia delve into the critical injuries that shaped the 2023 National Football League (NFL) season and how these injuries will affect the upcoming 2024 season. Sponsored by The Recovery Shop, the discussion covers the prevalence and impact of injuries in the NFL, with a particular focus on specific player injuries and their long-term effects on careers and performance. Dr. Garcia breaks down each injury and shares data on how these injuries impact not only the players but also the positions they play.
Sponsor Link: https://shop-recovery.net/
We provide updates on several high-profile players and their specific injuries, including Daniel Jones, Nick Chubb, Joe Burrow, Aaron Rodgers, Kirk Cousins, Anthony Richardson, and Deshaun Watson. Each player’s injury, recovery process, and expected performance are analyzed, offering a comprehensive look at what fans can expect in the upcoming season. Be sure to listen to Sports Doc Talk on your favorite listening platform and visit sportsdoctalk.com for episodes, transcripts, and much more.
Video Podcast: https://youtu.be/R0oy76XZbio?si=bTFsrS15T2jBVBEj
Innovating Remplissage: Collaborating with Arthrex for Better Outcomes
Post: Innovation doesn’t happen overnight; it takes a lot of work and time. You can listen to my “Napkin to Reality” episode on my podcast at Sports Doc Talk Podcast to learn how we take ideas and make real life products that improve patients lives. I had a great time last week working with John Seyler and the Arthrex team at Invictus Surgical Incorporated perfecting our ideas to improve remplissage. I’m excited for the future of this surgery and its ability to reduce revision rates with Bankart repair. With the explosion of data surrounding this procedure, hopefully we can make this surgery more efficient and effective. Excited to show off some of this work soon! To learn about some of these advances check out my podcast www.sportsdoctalk.com or my main site at www.grantgarciamd.com.
Napkin to Reality Episode: https://podcasters.spotify.com/pod/show/sportsdoctalkpodcast/episodes/Topic-Innovation-Napkin-to-Reality-e1vqhmk/a-a9e8aqp
Success after Meniscal Root Repair!
Post: Training at Rush University Medical Center and Hospital for Special Surgery I grew accustomed to taking care of out of state patients. I have continued with this treatment plan and offer online second opinions for out of state patients. This helps reduce the burden of traveling for the initial visit and allows patients to test whether it’s worth it for them to travel to see me. In many cases they make the trip out for more complex care. This patient was very excited for me to post her results. She came to see me from Idaho after suffering a meniscal root tear, we promptly fixed it and we are happy to say she passed her test to be a firefighter this week! My office does a great job of coordinating these patients. In her ½ day of clinic we had a patient from Wyoming, Canada, Oregon, and my team works hard to accommodate this distance of travel. Orthopedic Specialists of Seattle we continue to offer cutting edge care to the surrounding Seattle area and beyond. To learn more about this second opinion option check out my link below:
Second Opinion: https://www.grantgarciamd.com/sports-orthopedic-second-opinion-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Team Effort How Collaboration Leads to Bette
Post: Teamwork is the key to successful surgery. I’m fortunate to have an amazing team including many of the cases I do involving high level Arthrex reps (Rachel Robinson). I recently spoke with Auston Robinson, MBA who is the owner of the Arthrex PNW on my podcast Sports Doc Talk Podcast with William Sanchez. Check out this short segment below of how the reps and surgeon work together to make these cutting-edge and complex surgeries go smoothly. For the full episode click the links below or visit www.sportsdoctalk.com.
What Happens When You Hear a Crack in Your Knee
Post: Radial meniscus tears can be a real challenge. Recent Olympic hopeful missed the Paris Olympics due to this injury. My recent Olympic injury podcast on Sports Doc Talk Podcast with William Sanchez touched on this topic. Check out this short segment where we discuss the impact this injury had on the Olympians as well as my recreational athletes that undergo this surgery. For the full episode check out our website at www.sportsdoctalk.com.
Full Episode Video: https://lnkd.in/gzNT2RXg
Full Episode Audio: https://lnkd.in/g3mfvvAd
Post: I’m pleased to announce the FDA approval for the new Arthroscopic MACI® Treatment system. A big thank you Vericel® Corporation for involving me in this process and allowing me to be part of this cutting edge technology. After multiple trips to Boston for the FDA trial, filming of the new technique (coming soon!), and teaching of the West Coast reps it has finally come to fruition. This system is a total game changer and in select cartilage patients we can now offer a less invasive method of cartilage repair to help our patients get back in the game. To learn about MACI® Treatment check out my website below and stay tuned for the arthroscopic update. Orthopedic Specialists of Seattle we continue to be at the forefront of sport medicine to give our Seattle patients the best options currently available.
MACI Treatment: https://www.grantgarciamd.com/matrix-induced-chondrocyte-implantation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Full MACI Arthro FDA Press Release: https://www.globenewswire.com/news-release/2024/08/26/2935408/0/en/Vericel-Announces-FDA-Approval-and-Commercial-Availability-of-MACI-Arthro.html
Aberrant Popliteal Artery
Post: Being prepared is the key to good surgery. As your surgeries get more complicated the need for preparation increases. If you anticipate issues before the operating room this can reduce your risks. If you went through residency, you have heard this before but real-world examples are the key to it sticking.
As a cartilage surgeon there are so many aspects you need to be watching out for with large combination cases. If you do osteotomies, especially tibial osteotomies you need to watch out for a rare malformation called an aberrant popliteal artery. At an event a few years ago, I was listening to a talk by a well-known senior surgeon who said he had only seen 1 in his career, so my thinking was what are the odds? Should I be concerned about this? He told me he reviews MRIs of his osteotomy patients before every case to look for this. I adapted this practice, did more research on it and reviewed case examples to be prepared in case it ever happened. Honestly I thought I would never see one, well I was wrong. This is a young patient who was scheduled with me for a closing wedge HTO and bone grafting two weeks ago who I found to have an aberrant popliteal artery on my 2nd review of the MRI a week before. This was completely left off the MRI report as well. This was confirmed after I got an urgent CT angio the next day. If this goes unrecognized there is a high chance of vascular injury i.e. a bad day in the OR. Thankfully we caught it early enough and just did the bone grafting. I post this to help all the young surgeons out there avoid this potential complication like that attending did for me. Orthopedic Specialists of Seattle we continue to strive to offer our patients the most thorough sports medicine care in Seattle.
Arthrex: Innovating the Future of Orthopedics
Post: Innovation is the key to the game and a recurring theme in my posts and practice. One of the top companies for innovation is Arthrex, whom you have seen in the news a lot recently for high level athletes getting back to sports. I had the pleasure of interviewing my good friend and colleague Auston Robinson, MBA who is the owner of the Arthrex PNW on my podcast Sports Doc Talk Podcast with William Sanchez. I work closely with him to get better and bring the most cutting edge technology to my patients in Seattle and beyond. This episode is packed with information and is a great background regarding Arthrex’s mission and how surgeons can leverage this to give their patients the best outcome.
Episode Title: Arthrex: Innovating the Future of Orthopedics
Host: William Sanchez and Dr. Grant Garcia
Guest: Auston Robinson, Agency Owner at Invictus Surgical Incorporated
In this episode of Sports Doc Talk, we sit down with Auston Robinson, MBA, a leading figure in the orthopedic industry, to discuss the innovative solutions offered by Arthrex. Auston shares insights into how Arthrex prioritizes patient and doctor feedback to continuously improve its products. We delve into the importance of reputation in the medical device industry and how Arthrex maintains its strong standing.
Learn about Arthrex’s commitment to fostering a positive organizational culture and providing continuous training for its team. Discover the company’s VIP targeting system and how it leverages machine learning for enhanced patient care. Tune in as we explore Arthrex’s future-focused approach, including preventive medicine, biomaterial and tissue engineering, and its expansive product portfolio.
Special thanks to our sponsors The Recovery Shop, you can find their link below for more information.
Be sure to listen to Sports Doc Talk on your favorite listening platform and be sure to check us out at sportsdoctalk.com for episodes, transcripts, and much more.
Dr. Garcia perform live surgery using new rods & cones system
Post: Cartilage, innovation and technology is one of my favorite combinations. Yesterday I had the privilege of teaching a young surgeon in Hawaii my technique for complex MACI patella, TTO with MPFL reconstruction using one of the newest and hottest video systems on the market, the Rods&Cones Video Technology. At Orthopedic Specialists of Seattle this was the first time this type of surgery was performed on the Rods&Cones system in the country! A huge thank you to my OR team for making this happen! This technology did not disappoint with a heads up display camera and a 2nd OR perspective camera you can see a sneak peak in my video below. This is the future of OR video and live teaching and I’m honored to be a part of it. To learn more about the surgery I performed check out my website links below. Orthopedic Specialists of Seattle we are proud to be on the forefront of technology and innovation for Washington State.
Tibial Tubercle Osteotomy: https://www.grantgarciamd.com/tibial-tubercle-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Lateral meniscus transplant with cartilage transplant
Post: Cartilage procedures can be a daunting surgery especially when you do combination cases. The key to these surgeries is to set appropriate expectations for patients, and be prepared. Scanogram, MRI, CT all should be part of the planning for more complex surgery. Finally when executing only take on what you feel comfortable with and stage if you are worried about time of surgery. I’m fortunate enough to have an incredible team of techs, schedulers, nurses and PAs who help me tremendously with coordination and execution of these cases. Check out this 40 year old patient that benefited tremendously from a meniscus and cartilage transplant. In this case she had some damage to her plateau but in my experience if you can cover the defect with the meniscus the results are similar to my standard cartilage and meniscus patients. For more information on this surgery check out my website below.
Meniscus Transplant: https://www.grantgarciamd.com/meniscus-transplant-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Cartilage Transplant: https://www.grantgarciamd.com/cartilage-repair-and-transplantation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
The Impact of Achilles Injuries on Young Athl
Post: Achilles Injuries are devastating. Despite the amazing Olympics we just watched there were some key athletes who unfortunately missed their chance. My recent Paris Olympic injury podcast on Sports Doc Talk Podcast with William Sanchez touched on this topic. Check out this short segment where we discuss the impact these Achilles injuries had on the Olympians as well as my recreational athletes that undergo this surgery. For the full episode check out our website at www.sportsdoctalk.com.
Full Episode Video: https://lnkd.in/gzNT2RXg
Full Episode Audio: https://lnkd.in/g3mfvvAd
Trout Blast - Meniscus Re-injury Explanation
Post: Mike Trout’s 2nd meniscus in the last year is really difficult to hear about. We recently discussed this injury and the impact on @sportsdoctalkpodcast with William Sanchez. Check out this short clip explaining how re-injury may have occurred and what revision surgery means.
Video link: https://lnkd.in/gJuBHhhz
Be sure to check us out at sportsdoctalk.com for episodes, transcripts, and much more.
The Role of Mental Health in Athlete Recovery
Post: The Olympics are almost done, and it has been an amazing last 2 weeks. What has stood out most in the perseverance of these athletes. We have heard so much about injuries and how these Olympians are overcoming adversity. What is spoken less about is the mental health of the injury. In my opinion this is even harder and requires more time and effort than even surgical recovery. My recent Paris Olympic injury podcast @sports doc talk touched on this topic. Check out this short segment where we discuss the impact mental health has on Olympians as well as my recreational athletes that undergo surgery. For the full episode check out our website at www.sportsdoctalk.com.
Full Episode Video: https://youtu.be/SgtAcIrHMhc?si=2fR5o8E-2lXQuv6k
Full Episode Audio: https://podcasters.spotify.com/pod/show/sportsdoctalkpodcast/episodes/We-Are-The-Champions-2024-Olympic-Edition-e2ml497
Revision ACL, Meniscus Transplant, Cartilage Transplant Testimonial
Post: When you first start doing complex cartilage don’t bite off more than you can chew, and planning and prep is absolutely essential. At first these young patients with difficult problems can be long visits and be daunting. Don’t be afraid to do these in two parts or three. Don’t be afraid to reach out to colleagues. I did this all the time early on, and while timing consuming it always helps the patient to be at your best. What’s best for the patient is to fix all the issues, if you skip the meniscus transplant and just do the cartilage on a deficient knee it will fail, if you just do the revision ACL on a painful deficient meniscus it will not be a good result and increase the failure risk of your ACL. If you don’t feel comfortable with this refer out, the worst thing you can do is a second (or third) poor surgery for the patient. Timing, expectations and planning is the key to good results in these tough cases. Check out this testimonial on this young 24-year-old who came to my office with 2 failed ACLs (very poor tunnels), meniscal deficiency and cartilage damage with good alignment. We did a two stage ACL, followed by a revision quad autograft, IT band tenodesis, medial meniscus transplant and cartilage transplant. She rocked her recovery, but I will tell you this is not a chip shot surgery and requires a big team to get the 2nd surgery done efficiently. Big thanks for my stellar PAs Gail and Corbin and my amazing OR staff for allowing me to help these patients! Orthopedic Specialists of Seattle we take on these cases to offer hope to young patients in difficult situations!
Meniscus Transplant: https://www.grantgarciamd.com/meniscus-transplant-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Cartilage Transplant: https://www.grantgarciamd.com/cartilage-repair-and-transplantation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Updated MCL reconstruction with internal brace
Post: Isolated MCL tears are generally treated without surgery. This case is a bit unusual but worth sharing. This patient is young and suffered a medial tibial plateau fracture which was fixed at an outside hospital. He unfortunately developed further MCL laxity after this which was confirmed on stress views and on arthroscopy. He complained of pain from the plate and continued laxity. We did a plate removal and a MCL reconstruction with a Arthrex fiber tag tightrope for tensioning and added an internal brace. Check out this new surgical technique below. I have been quite happy with my results.
MCL reconstruction: https://www.grantgarciamd.com/mcl-repair-and-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
We Are The Champions: 2024 Olympic Edition
Post: After a short summer hiatus we are back at Sports Doc Talk Podcast with our new Olympic episode with cohost William Sanchez We talk about injuries and recovery and the mental grit of these athletes. You don’t want to miss this one.
YouTube: https://lnkd.in/gn6gpgsG
Available on all podcasting platforms.
Join us on the latest episode of “Sports Doc Talk Podcast Talk Dr. Grant Garcia and William Sanchez,” where we dive deep into the world of sports injuries and recovery, focusing on this year’s Olympic Games. We discuss high-profile injuries affecting top athletes like Simone Biles, Skye Blakely, Cameron Brink, Alicia Monson, Kayla DiCello, Sophia Smith, Jaedyn Shaw, and Shilese Jones. Discover how these athletes navigate their recovery journeys, challenges, and the incredible resilience they show in the face of adversity. Whether you’re a sports enthusiast or just curious about the medical side of athletics, this episode is packed with insights and inspiration.
Enjoy a casual conversation as we explore the latest advancements in sports medicine and rehabilitation techniques that help athletes get back to peak performance.
A big shoutout to our sponsor, The Recovery Shop, for supporting this episode.
Visit them at to learn more https://shop-recovery.net/
For more information, visit our website at www.sportsdoctalk.com, where you can find past shows, transcripts, and opportunities to be a guest on the show. You can catch us on YouTube and your favorite listening platforms. To the Sports Doc Talk fans out there, thank you!
Middle Age OCD Treatments
Post: Osteochondritis dissecans is not just a diagnosis of adolescents. Some patients have this undiagnosed for years. I have many patients that come into my office in their 30s, 40s and even 50s. The presentation is different and so is the treatment algorithm. Check out my final segment below overviewing this patient population. To learn more about this condition check out my website section below. Stay tuned for weekly updates as we address more adult treatments of OCDs next week! Orthopedic Specialists of Seattle we offer all levels of care for these advanced cartilage injuries.
Dr. Garcia demonstrates a custom patellofemoral replacement
Post: Sometimes you just need to do it custom. Complex patellofemoral joint pathology is a passion of mine. Recently I took on a challenging case of a gentleman with completely locked patella laterally with good motion and severe patellofemoral arthritis. There was no appreciable trochlea groove, so I decided to do a custom patellofemoral replacement. My brief surgical procedure is below outlining the custom implant which I did along with a large tibial tubercle osteotomy and MQTFL reconstruction. This combination kept the patient stable and tracking well for the first time in 20 years! To learn more about this surgery check out my link below. More to come on my podcast Sports Doc Talk where we review how these custom 3D guides are helping surgeons deal with difficult surgical problems safely and efficiently.
Patellofemoral replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia’s new technique for elbow UCL reconstruction
Post: UCL reconstruction is a niche practice. Despite this less common surgery, it is very well known given its impact on professional baseball. There are several techniques for reconstruction available the most well-known are the docking technique and Jobe technique. Variations have been described. The issue with both is the bone tunnel can be technically challenging with the concern for damage of the bone bridge. I have tried to improve this concern and develop a technique that is more efficient in the OR without sacrificing strength. I have been blown away with the versatility of this technique whether its gracilis graft, revision after UCL repair or standard palmaris autograft. Below is my step-by-step video demonstrating my approach to UCL reconstruction using palmaris autograft. For more information check out my link below.
UCL reconstruction: https://www.grantgarciamd.com/ucl-reconstruction-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Advanced treatments for OCDs
Post: Advanced treatment of osteochondritis dissecans can be challenging. Check out my third segment below overviewing more advanced treatment. To learn more about this condition check out my website section below. Stay tuned for weekly updates as we address more adult treatments of OCDs next week! Orthopedic Specialists of Seattle we offer all levels of care for these advanced cartilage injuries.
Dr Garcia working with the MACI Team in San Diego
Post: Big thanks to MACI® Treatment for having me down to San Diego for their national sales meeting on Wednesday. Working on cutting edge technology is one of my favorite things. It was great demonstrating new techniques and working towards improving the procedure. Even got to work with previous co-resident Dr. Brady Heaps which made the experience even better. I can’t wait for the future technology coming to the OR which will benefit our patients and outcomes. To learn more about this surgery check out my link below. Orthopedic Specialists of Seattle we continue to work on improving technology to help out Seattle patients and beyond.
Testimonial after MACI with MPFL Reconstruction
Post: Cartilage procedures come in all shapes and sizes. MACI® Treatment is an excellent option and I have been really pleased with the results. This patient population is extremely satisfying to take care of, as a successful procedure can be a massive improved quality of life for the patient. Check out this recent video testimonial of a young patient with patella instability and an isolated painful cartilage defect. His result was impressive and I’m excited to share this testimonial. To learn more about this procedure checkout my links below. Orthopedic Specialists of Seattle we offer cutting edge cartilage care to help out active patients get back in the game.
Diagnosis and Treatment of OCDs
Post: Osteochondritis dissecans diagnosis and treatment can be confusing and there are several variables involved. Check out my second segment below overviewing diagnosis and basic treatment. To learn more about this condition check out my website section below. Stay tuned for weekly updates! Orthopedic Specialists of Seattle we offer all levels of care for these advanced cartilage injuries.
Dr. Garcia demonstrates his anterior tibial osteotomy technique
Post: We have seen the power of osteotomies. In carefully selected patients with appropriate expectations, this surgical tool can have high success and dramatically improve results of more complex procedures. High posterior tibial slope (usually greater than 13 degrees) has demonstrated increased risk of revision ACL surgery. In patients with multiple failed ACLs and high slope, this should strongly be considered. The challenge is it’s not a common procedure and most surgeons have limited volume. I recently put together a surgical video to help guide others. Check out my video demonstrating my technique for anterior closing wedge tibial osteotomy. This patient is a young female with a 17 degree posterior slope, 2 failed ACLs. We did an anterior tibial osteotomy with removal of hardware and bone grafting for poor tunnels. To learn more, check out my website link below. Orthopedic Specialists of Seattle specialize in some of the most complex knee cases in the state of Washington.
Anterior tibial osteotomy: https://www.grantgarciamd.com/anterior-tibial-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Pain control with the NICE machine
Post: Pain control after surgery is a hot topic. As a surgeon my goal is opioid sparing as much as possible. We have seen so many innovations to help with this goal. One of my recent products has been the Nice Recovery Systems, who was recently featured on my podcast Sports Doc Talk Podcast with William Sanchez. Check out this short clip from the show below explaining how this innovative system helps pain control and reduces pain medicine use after surgery. I’m proud to offer this innovative product to my patients and include it in my enhanced recovery after and before surgery protocol (ERABS) To listen to the full episode check out below or on our website at http://www.sportsdoctalk.com/
HTO and Cartilage Transplant Testimonial
Post: As a cartilage surgeon it’s important to respect all parts of the knee. This means alignment, meniscus and of course cartilage. If you are going to take on challenging cartilage cases you need to evaluate and treat the 3 problems if they arise. The good news is if you effectively correct what is needed the results can be incredibly satisfying. Check out this recent testimonial of a very active 45 year old male who drove from Canada to have a cartilage transplant with a high tibial osteotomy. He originally came in for just a transplant but we found his alignment was significantly in varus and added the osteotomy to reduce failure of the transplant and improve knee longevity. To learn more about the procedure check out my links below. Orthopedic Specialists of Seattle we offer some of the most advanced cartilage care in the Seattle area and beyond.
Cartilage Transplant: https://www.grantgarciamd.com/cartilage-repair-and-transplantation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
High Tibial Osteotomy: https://www.grantgarciamd.com/high-tibial-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
The Science Behind Nice Recovery Systems
Post: As a sports surgeon I’m always looking for ways to improve outcomes and make the surgery recovery better. One of my recent gems has been the Nice Recovery Systems, who was recently featured on my podcast Sports Doc Talk Podcast with William Sanchez. Check out this short clip from the show below explaining the system. As a previous patient I know frustration with continued ICE refill systems, when I first tried this, I knew it was a gamechanger, even my wife was blown away by not having to continue to refill the ice!! I’m proud to offer this innovative product to my patients and include it in my enhanced recovery after and before surgery protocol (ERABS) To listen to the full episode check out below or on our website at http://www.sportsdoctalk.com/
Dr. Garcia Introduction to OCDs
Post: Osteochondritis dissecans can be a challenging diagnosis. In some cases, non-operative treatment is needed, in others arthroscopic fixation and sometimes more complex surgeries are needed such as a cartilage transplant. Depending on age the treatment options also change. Check out my brand-new blog post which is part 1 of 4 segments on OCDs which will include diagnosis, management, basic and advanced treatment. To learn more about this condition check out my website section below. Stay tuned for weekly updates!
Orthopedic Specialists of Seattle we offer all levels of care for these advanced cartilage injuries.
Honored to be selected by Best in Washington Magazine as a featured doctor!
Post: Honored to be selected by Best in Washington Magazine as a featured doctor! This wouldn’t be possible without my amazing staff and physician assistants that enable me to offer high quality sports medicine care. At Orthopedic Specialists of Seattle we continue to offer the most cutting-edge technology in all aspects of orthopedic care.
Podcast on the new NICE recovery system.
Post: So excited for our new Episode featuring Nice Recovery Systems!
Welcome to the latest episode of @sportsdoctalkpodcast with Grant Garcia and William Sanchez. This episode is sponsored by The Recovery Shop. Check them out at Recovery Shop link below, where they offer a comprehensive range of physician-approved post-operative recovery products all
This episode we are excited to interview Grant Kashner, Chief Commercial Officer of NICE. We dive into the innovative technology behind the NICE machine, which offers advanced cold compression therapy that significantly improves recovery outcomes. This state-of-the-art device provides consistent cooling and compression, reducing pain and swelling more effectively than traditional methods.
NICE collaborates with institutions nationwide and is trusted by professional athletes, including official snowboard and ski teams.
We’ll also share our own personal experiences with the NICE machine and Will complains that he never should have given it back. We also have a little fun with the NICE team regarding their team pictures. All we have to say is that the puppy steals the show. Stay tuned for insights into how NICE is transforming recovery, its expansion into new markets, and how doctors can get involved.
Check out Sports Doc Talk on your favorite podcast platforms and on our YouTube page. Reminder for great transcripts, insights, previous shows and if you would like to be a potential future guest check us out at sportsdoctalk.com. As always, we appreciate all of the listeners and viewers.
Complex Rotator Cuff Repair with Biceps Tendon Transfer
Post: Massive chronic rotator cuff tears are a difficult problem. Depending on the pathology and rotator cuff involvement we have various treatment options. One recent procedure discussed is the biceps transfer. Using autograft tissue to augment your repair can be an excellent option in these isolated supraspinatus tears. There are various techniques to perform this, check out my newest video demonstrating a biceps centralization technique and over the top rotator cuff repair. This patient had a chronic tear with atrophy on his MRI. To learn more about these techniques and other augmentation we use for the rotator cuff check out my shoulder section below. Orthopedic Specialists of Seattle we offer some of the most complex and cutting edge procedures for chronic shoulder injuries in Seattle and beyond.
Website Section: https://www.grantgarciamd.com/shoulder-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia explains his new ERABS protocol
Post: Improved and accelerated recovery are a constant theme of my posts and in my practice. Daily, I get patients asking what else they can do. They hear about the innovative surgeries and what it takes to get better but they still ask for more. They want the full package and they deserve it. Many of my patients in Seattle are athletic and tech savvy, they read about all different ways to help improve post op recovery. They want recovery technology, advanced cooling, robotics, nutrition etc. As someone who is continuing to look for ways to improve, I have spent numerous hours working with companies like Nice Recovery Systems, Xcelerated Recovery® and The Recovery Shop to offer cutting edge post operative technology. I’m proud to announce my new website section using my new ERABS Protocol (Enhanced Recovery After and Before Surgery). This section offers videos, information and links to what technology I’m offering to get my patients back in the game. This section is rapidly growing so check back soon as we have some great new podcasts coming up on Sports Doc Talk Podcast featuring this technology and methods. To learn more about this visit the link below or my full website at www.grantgarciamd.com. Orthopedic Specialists of Seattle we are striving to give our patients the most cutting edge technology to get back in the game after injury!
ERABS Website Link: https://www.grantgarciamd.com/accelerated-recovery-erabs-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
SDT Blast ACL Repair and Biologics
Post: ACL repair and biologics…. Patients want to know if we can save their ACL, more patients are coming in asking for this. They also want to know what the latest is in biologics enhancement. We have amazing new technology for ACL repair and reconstruction, but biologics is less often addressed. Check out the short clip below from my recent podcast on Sports Doc Talk Podcast with William Sanchez reviewing the Arthrex ACL repair tightrope with biologics. To learn more, visit my website at www.grantgarciamd.com or our podcast website at www.sportsdoctalk.com
Full Podcast:
Posterior Lateral Corner Reconstruction
Post: Multi-ligamentous knee reconstruction requires a lot of coordination pre op, intraop and postoperatively. As a surgeon who specializes in this it is important to understand and be prepared in the OR. Posterolateral corner injuries can be challenging especially when the anatomy is significantly distorted, in addition you must respect the peroneal nerve which is frequently scarred in. I present to you my surgical video of a recent posterior lateral corner reconstruction with an ACL repair. Patient has made an insane recovery . In this case you can see the biceps femoris was fully pulled off which made for a little added fun. To learn more check out my website link below.
@orthopedicspecialistsofseattle
we offer some of the most complex sports care in the Seattle area and beyond.
Posterior Lateral Corner Reconstruction:
https://www.grantgarciamd.com/lcl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
SDT Blast BioACL
Post: Biologics and ACL surgery… everyone wants to know about this. ACL surgery is a great surgery and continues to evolve. That being said, we still have a ways to go. We have amazing new technology for ACL repair and reconstruction, but biologics is less often addressed. One reason it’s that it’s not usually covered by insurance and 2nd we are still getting better data to show benefits. One potential option is the Arthrex BioACL, this option combines new technology and biologics. Check out the short clip below from my recent podcast on Sports Doc Talk Podcast with William Sanchez reviewing all things ACL and biologics. To learn more, visit my website at http://www.grantgarciamd.com/ or our podcast website at http://www.sportsdoctalk.com/
Full Podcast:
A quick 24 hour trip to Dallas this weekend to teach MACI, TTO and more to some great surgeons.
Post: A quick 24 hour trip to Dallas this weekend to teach MACI, TTO and more to some great surgeons. Special thanks to Rod for setting this up and the invite. Appreciate MACI supporting my desire to teach complex cartilage treatment throughout the country. It’s great to demonstrate these concomitant surgeries to help patients around the country achieve great outcomes!!
ACL repair, MCL repair, Lateral meniscal root repair
Post: ACL repair is continuing to gain more traction. Newer techniques like the Arthrex ACL tightrope have allowed me to continue to expand my indications. While many of these proximal ACL tears are standard, sometimes we have to be prepared for more interesting cases. No matter the level of complexity in the right patient, who has a fixable proximal ACL tear, I will now attempt repair. Check out my new surgical video of my 33 year old patient with a proximal ACL tear, lateral root tear and MCL tear. Given the root tear we needed to fix her sooner so I did an ACL repair with internal brace, IT band tenodesis, MCL repair with internal brace and lateral root repair. To learn about this surgery check out my links below. Orthopedic Specialists of Seattle we continue to offer cutting edge techniques for even the most complex knee surgeries.
IT band tenodesis: https://www.grantgarciamd.com/it-band-tenodesis-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Post: Honored to be named a Seattle Met Top Doc for the fifth year in a row! Thank you to my patients and staff for allowing me the opportunity to be chosen for this honor. At Orthopedic Specialists of Seattle we continue to strive to offer the best orthopedic care in the Seattle area and beyond.
7 weeks after rotator cuff repair with Cuffmend
Post: Rotator cuff augmentation and biologics are incredibly hot topics. We have seen in some cases just repairing the cuff is not enough. Augmentation and biologics are needed in these cases to improve our results. We are continuing to learn more about the balance between biologics, patches and innovative repair techniques. Check out another testimonial only 7 weeks after revision rotator cuff surgery with 2mm Arthrex Cuffmend patch. This technique is one of my go-to procedures when enhancement is needed given the speed of the additional procedure. To learn more, check out my website link below. At Orthopedic Specialists of Seattle we are continuing to push the envelope on technology and biologics that improve outcomes and reduce recovery time. Check out one of my newest website sections on rotator cuff augmentation below.
Rotator Cuff Augmentation: https://www.grantgarciamd.com/rotator-cuff-repair-with-augmentation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
SDT Starting Nutrition & Xcelerate
Post: Who is the best fit for surgical nutrition and how does this work? We continue to get these questions even with my recent podcast episode on Sports Doc Talk Podcast, I have been getting more inquiries about this topic. It was a pleasure to interview Reza Jazayeri, MD Jazayeri and his company Xcelerated Recovery® to learn about this topic. Check out this final short segment below to learn about how the company started, its goals to provide high quality nutrition supplementation. To learn more, check out the full episode or follow us at www.sportsdoctalk.com
Full Podcast:
Pediatric MPFL Reconstruction with Prochondrix for Cartilage Repair
Post: Patella dislocations can come with many different nuances. Understanding risk factors for recurrence, cartilage damage and dysplasia are important. What can make things more challenging is open growth plates in addition to a large OCD. Check out this recent case of a 14 year old with open growth plates and a large OCD. Unfortunately there was no fragment remaining to fix back so I decided to add an off the shelf osteochondral product Prochondrix. In addition I performed a growth plate sparing MPFL reconstruction. This MPFL technique has been a workhorse for me in patients with open physes. For more information visit my website below.
Pediatric MPFL Reconstruction: https://www.grantgarciamd.com/pediatric-sports-medicine-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Case Presentation of Patient with MDI
Post: Multidirectional instability is a challenging diagnosis. In many cases we try to use non operative treatment for as long as possible but as we know this doesn’t always work. When patients have failed non op treatment we need to consider advanced techniques to give these patients a reasonable outcome after surgery. With the addition of the Arthrex knotless fibertaks we can perform a robust pan capsular plication that is low profile with good results. Check out my recent case presentation of a young female who suffered from this condition. At Orthopedic Specialists of Seattle we continue to offer advanced sports care to even the most difficult cases in the Seattle area.
Multidirectional Instability Website: https://www.grantgarciamd.com/multi-directional-instability-stabilization-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
SDT Blast Before and After Surgery
Post: More patients are coming in asking about surgical nutrition. Patients want to know how to reduce atrophy and improve recovery. Nutrition is one major part of the post operative recovery process and one of the keys to these questions. Check out this short segment from my recent podcast Sports Doc Talk Podcast with William Sanchez and nutrition expert Reza Jazayeri, MD overviewing who is the best fit for nutritional optimization. Spoiler alert everyone can benefit! Check out the full episode or follow us at www.sportsdoctalk.com
Full Podcast:
Post: Honored to be named a Castle Connolly Top Doctor for a third year in a row! Thank you to my patients and staff for allowing me the opportunity to be chosen for this honor. At Orthopedic Specialists of Seattle we continue to strive to offer the best orthopedic care in the Seattle area and beyond.
OCD Repair After Pediatric Patella Dislocation
Post: Pediatric patella dislocations can be challenging, what can make it more interesting is an OCD fracture as well. I thought this case was worth sharing. This patient is almost 15 years old and was sent to me with a recent patella dislocation and trochlea OCD fracture. You can see from one of the slides it’s a 2 cm defect and the fragment was stuck laterally on the condyle. To make it more interesting when I went in there was no bone attached which is a concern for the success of the repair. In addition, he still had wide open growth plates and based on this height and size has room to grow. I went for the gold and did a MPFL reconstruction with a growth plate sparing technique and repaired the OCD fragment using Arthrex bio compression screws. He did amazing and I rescoped him at 3 months to check the healing of the fragment and give both his parents and me a piece of mind. The video is the arthroscopic evaluation of the fragment 3 months out showing complete healing! To learn more about these surgeries check out my website links below. Orthopedic Specialists of Seattle we take on tough cases and offer the most innovative options to save each patient’s knee.
MPFL Growth Plate Sparing: https://www.grantgarciamd.com/patellar-dislocation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
SDT Blast Peptides and Amino Acids
Post: Nutrition continues to be a hot topic in orthopedics. Numerous articles have shown the benefit of optimization for hip fractures, total joints etc. More recently there has been a focus on athletes and sports surgery recovery. I had the pleasure of interviewing Reza Jazayeri, MD one of the experts on nutrition and first author of the amazing JAAOS article just published. Check out this short segment from my podcast Sports Doc Talk Podcast with William Sanchez overviewing one of the hottest topics, amino acids and peptides. I’m proud to offer this type of surgical nutrition to my sports patients pre and postoperatively. Check out the full episode or follow us at www.sportsdoctalk.com.
Full Podcast:
Post:The word osteotomy is intimidating for both patients and some surgeons. Without a lot of experience, it can be a challenging surgery and indications can be difficult to understand. I’m fortunate to see a high volume of cartilage patients and those dedicated to saving their knees. We have seen from the Korean data that offloading the compartment can improve joint space and, in some cases, there may be some cartilage regrowth and improvement. I don’t not often talk about this last part with my patients to avoid “overselling” the procedure. This X-ray below is a perfect example of how powerful realignment can be. I have seen this in my last 6 medical unloading HTOs and wanted to share this simple image. These X-rays are both taken weight bearing (one preop and one at 6 weeks). You may also notice we did a little slope correction to help her ACL out as well. This patient is 35 years old with medial pain and was walking full weight bearing into my office with no pain at 6 weeks. You can even see her healing is ahead as well. Again, she was hesitant to undergo this surgery and it took several visits to get to this point. This brings up another point, I am never pushing for a surgery like this, I told her several times it was up to her I just have the tools when she is ready. When she finally asked me for surgery, I knew she was ready, and you can see at 6 weeks she is fully bought in. To learn more about this surgery check out my website section below. Orthopedic Specialists of Seattle we have numerous options to save the knee.
High Tibial Osteotomy: https://www.grantgarciamd.com/high-tibial-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
UCL reconstruction after previous UCL surgery
Post: There is an exponential rise in elbow UCL surgery (Tommy John surgery). There are many factors for this, one of which is earlier specialization in baseball and other throwing sports. The UCL repair with internal brace is an amazing surgery with few re-ruptures and has been a workhorse in my throwing athlete practice. While its low, re-tears do occur and when this does the old techniques requiring bone tunnels are not possible. My recently developed UCL reconstruction technique using Arthrex Forktip and Regular swivelocks has been phenomenal when this situation occurs. I’m been shocked with how good the results are with this new technique for both revision and primary UCL reconstruction. I present to you a short video clip from a high level player who failed their repair from an outside facility at 2 years out we revised this to a UCL reconstruction with palmaris autograft in under 45 minutes. The hardest part of this case with finding his ulnar nerve since he had a previous transposition (special thanks to my partner Dr. Wayne Weil !). These cases require a team approach regardless of technique and evaluation of previous tunnels, but when you execute in a safe and efficient fashion it’s awesome! To see my full technique and learn about this surgery see my website link below. At Orthopedic Specialists of Seattle we offer our high level baseball players most cutting edge techniques to get them back on the field.
UCL reconstruction (Tommy John Surgery): https://www.grantgarciamd.com/ucl-reconstruction-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Grant Garcia works with Arthrex to improve Sports Products
Post: Innovation doesn’t happen overnight, it takes a lot of work and time. On top of our busy 60-80 hour work week, if you want to stay ahead of the game, those surgeons you see on social media, travel far and wide to work with companies to improve sports products and teach others their techniques. I’m fortunate to have a partner like Arthrex who continues to lead the sports medicine world with their passion for improvement and getting patients back in the game faster with better outcomes. I traveled 6+ hours of flying and 2 hours of driving each way to get to Arthrex headquarters from Seattle for a packed 7 hours of work. We worked on remplissage, lower trap transfer, tuberoplasty, UCL reconstruction, fiberstitch video techniques and more. Excited to show off some of this work soon. To learn about some of these advances check out my podcast www.sportsdoctalk.com or my main site at www.grantgarciamd.com.
Peptide Pathways - Unraveling Amino Acid Science
Post: You don’t want to miss this podcast. Nutrition is one of the hotest topics in orthopedics. It’s almost daily now my patients ask about nutrition and amino acids. For our athletes we need to optimize outcomes and Reza Jazayeri, MD has figured it out with Xcelerated Recovery® check out this episode of Sports Doc Talk Podcast. I learned so much during this it’s a game changer for me. Stay tuned I will be offering this product to my patients in the near future. Visit our website at www.sportsdoctalk.com to follow us.
Comprehensive Overview of Cartilage Injuries
Post: Cartilage injuries can be daunting for patients. In many cases it can be months to years before they get the diagnosis. Even more frustrating given its a niche speciality, many times they are told there is nothing that can be done. As I have posted before this is an exploding area of research and technology advancement. It’s important for our patients to understand the nuances of these injuries, from presentation, diagnosis and treatment. I present to you a recent simplified overview of cartilage injuries. At Orthopedic Specialists of Seattle we offer one of the most cutting edge and exhaustive list of options in Washington State. For more information check out my website below.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Proximal tib-fib stabilization using the cutting edge tightrope technique
Post: Proximal tibia-fibula instability is an uncommon condition. It is frequently missed and even when diagnosed the treatment plan can be difficult given most surgeons lack of experience. Reconstruction has been the mainstay of treatment but recent data has encouraged new technology to get patient’s back to weight-bearing faster with lower complication rates using tightrope fixation. Check out my newest technique using the Arthrex syndesmosis tightrope system for a proximal tibia-fibula stabilization. This patient had continued dislocations with multiple opinions and recurrent peroneal nerve symptoms. We did taping of the Tib-Fib joint which partially relieved symptoms which lead us to this surgery. To learn more about this condition check out my website below. Orthopedic Specialists of Seattle we continue to look for the latest advancements, even for the most unique patient injuries.
Proximal Tib-Fib Stabilization: https://www.grantgarciamd.com/proximal-tibiofibular-instability-and-stabilization-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
SDT Blast Endoscopy
Post: Endoscopic spine is one of the best advancements in spine surgery. We continue to see improvements in all facets of this new technology to get our patients back faster with smaller incisions. We are so lucky a Orthopedic Specialists of Seattle to have our own master endoscopic spine surgeon and one of the top endoscopic spine surgeons in Washington State, Dr. Andre Shaffer. We recently had him on my podcast Sports Doc Talk Podcast, check out this short clip explaining endoscopy and the future of the field. To listen to the full episode check out the links below or our website www.sportsdoctalk.com.
Full Podcast:
SDT New Tech Challenges and Coverage
Post: When a new and innovative product comes out who pays for it? how do sports surgeons get this into the OR. Like anything that is new and shiny there can be a cost. With some products there are minor tweaks so OR integration is easy. With game changing technology or major changes it can be harder. Check out this short clip from my Sports Doc Talk Podcast with William Sanchez on what it takes and what sports surgeons like me must do to get these products to our patients. To listen to the full episode follow us at www.sportsdoctalk.com or check out the links below.
Full Podcast:
MQTFL, Patellofemoral Replacement, TTO
Post: Let’s get a bit complicated. As a patellofemoral surgeon, having a number of procedures at your disposal is necessary to treat more complex issues. This patient is a pretty cool case. It’s a 50 year old female with 20 years of patella dislocations, her patellafemoral joint was really bad with a tttg of 26, c/d ratio 1.3. She had no pain medial and laterally but her patella was frequently stuck laterally with severe pain. To make it more interesting 20 years ago she had 1/3 of her medial patella tendon shifted medially and split. While I love cartilage procedures this one was too far gone, but even a patellofemoral replacement would not be enough and the split patella added another layer. I did a patellofemoral replacement, tibial tubercle osteotomy (only transferred the lateral 2/3 of the tendon) and MQTFL for added stability (have to do this with a patella button). Check out her tracking post op, it’s the first time in 20 years she has been stable. To learn more about this surgery check out my links below.
Patellofemoral replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Tibial Tubercle Osteotomy: https://www.grantgarciamd.com/tibial-tubercle-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Grant Garcia represents Arthrex at the Western OTIF in San Diego
Post: It was an honor to represent Arthrex at the Western OTIF in San Diego this weekend. This course is amazing with so many incredible faculty. We covered ACL repair, meniscal root repair, cartilage and meniscus transplants, ligament repair and more. The wet lab was an awesome opportunity for attendees to try out these techniques. Every year this course gets better and Arthrex continues to push the boundaries of medical education. Innovation is key to my practice and it’s awesome to have a partner like Arthrex to help me get my patients back faster and push the envelope on technology. Orthopedic Specialists of Seattle we are proud to offer the most innovative techniques in Seattle and beyond. To learn more about these techniques check out my website at www.grantgarciamd.com/.
SDT Blast Biologics in Spine
Post: Biologics in orthopedics continues to advance. For all injuries we continue to look at ways to improve non operative treatment for MSK injuries but also as adjuncts to our surgical procedures. I’m a huge proponent in sports for biologic treatments and excited to see the future. Spine and disc injuries are not excluded. Check out this recent clip from my interview at Sports Doc Talk Podcast with William Sanchez and special guest Andre Shaffer, minimally invasive spine surgeon. This short clip overviews some of the spine biologic options available and what is coming down the pipeline. To watch or listen to the full interview see links below or follow us at www.sportsdoctalk.com.
MACI overgrowth and treatment
Post: The MACI procedure is an excellent option for cartilage defects. I have been pleased with its versatility in all compartments and is a workhorse for my patello-femoral defects. As with any surgery postoperative expectations should always be discussed as well as potential complications. While uncommon one potential is for the MACI to grow “too much”. Check out this recent case of one of my patients with a central patella MACI with overgrowth. The fix is very straightforward as you will see. It’s amazing to see how much cartilage regrew as this defect was more than 5mm deep and has complete regrowth. Again another benefit of experience is knowing what to do if outcomes are not perfect, which is always a challenge but needed if you take care of complex problems. To learn more about MACI check out my website below. Orthopedic Specialists of Seattle we continue to offer cutting edge technology to our patients of Seattle and beyond.
SDT New Tech and Pricing
Post: Being on the cutting edge can be challenging. Not only do you have the risks involved with an early adopter but also new products inherently are more expensive. As a sports surgeon that continues to look for innovation, we have to be strategic to get some of the most advanced products on the market to our patients. Roadblocks exist and how you navigate this is important. Also it depends on the product, minor tweaks are easy, game changing technology is harder. Check out this recent clip from my podcast Sports Doc Talk Podcast with William Sanchez discussing some of these issues. Listen or watch our full podcast www.sportsdoctalk.com or the links below.
Full Episode: https://youtu.be/FP2x1O3UlAY?si=5OCDuwFHi0N_4_Ac
Testimonial after Cartilage Transplant at 50 years old
Post: It’s so often I get patients that say I was told I’m not a candidate for any cartilage procedure because I’m too old (many are in their 40s). Unfortunately with a niche surgery and the proficiency needed for concomitant procedures such as osteotomies, revision ligaments, meniscus transplant etc. it’s not surprising some physicians would like to avoid this all together. Thankfully in my practice at Orthopedic Specialists of Seattle I have wonderful partners that have not only seen the power of complex cartilage reconstruction but they are incredible at referring appropriate patients. This patient testimonial is a great one from my partners of a high level master’s basketball player. She just turned 50 with an isolated and painful cartilage defect. We tried so many non op options but eventually did a cartilage transplant. It’s important for everyone to see that in the appropriate indications cartilage transplants can do well in this population. To learn more about this surgery check out my website below.
Cartilage Transplant: https://www.grantgarciamd.com/cartilage-repair-and-transplantation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
SDT New Tech and Pricing
Post: New technology in orthopedics can help our patients immensely. The problem is sometimes innovation is expensive and it’s a challenge to get this covered depending on the product. To learn more about some of these in orthopedics check out this short clip below from my recent podcast Sports Doc Talk Podcast with William Sanchez. Listen to the full episode to better understand roadblocks to innovation and some of the challenges I deal with as a sports surgeon looking for game changing technology. Orthopedic Specialists of Seattle we continue to offer cutting edge treatments to improve our patient outcomes.
SDT New Tech and Choice
Post: Introducing new technology in orthopedics can be challenging. My recent podcast on Sports Doc Talk Podcast reviewed numerous roadblocks that can occur. This information is essential for new surgeons, patients or those interested in orthopedic innovation to better understand what it takes. Check out short clip from our recent show highlighting some of the steps needed and timeline to get our patients the latest technology. To follow us visit www.sportsdoctalk.com or check out the full episode below.
Full Episode: https://podcasters.spotify.com/pod/show/sportsdoctalkpodcast/episodes/Innovations-in-Healthcare-Striking-a-Balance-e2hn3ab
Dr. Garcia introduces newest video technology for OR teaching
Post: Cartilage, innovation and technology are some of my favorite topics to discuss. Yesterday I had the privilege of teaching a young surgeon my trochlear MACI technique using one of the newest and hottest video systems on the market, the Rods&Cones Video Technology. At Orthopedic Specialists of Seattle we hosted the first video proctorship for Vericel® Corporation MACI using this new system in the country! A huge thank you to my OR team including Jason, Corbin, George and Andrew in addition to other amazing staff! This technology did not disappoint with a heads up display camera and a 2nd OR perspective camera. The entire team got the same perspective as me and were able to interact with me the whole procedure. I can’t wait to roll this technology out to more events and teaching opportunities. This is the future of OR video and live teaching and I’m honored to be a part of it. To learn more about this MACI procedure I performed check out my website link below. Also stay tuned we recorded the whole thing in 4K so more to come! Orthopedic Specialists of Seattle we are proud to be on the forefront of technology and innovation for Washington State.
6 weeks after TTO with MACI of the patella
Post: Discussion of osteotomies can be daunting for patients. As I have gained experience I continue to emphasize their effectiveness. In many cases, I am telling the patients this is probably the most important part of their procedure. It’s especially challenging when they come in only asking for the cartilage portion and this additional surgery is recommended. Despite this proper education and expectations during the office visit and videos on my website help with the emotional aspect of this surgery. Check out this recent testimonial of a young active patient only 6 weeks after tibial tubercle osteotomy with Vericel® Corporation MACI of the patella. She was someone who found out about the additional TTO needed during our first visit and she has embraced the challenging recovery. She personally asked me to post this to show off her progress! At Orthopedic Specialists of Seattle we are continuing to perfect this surgery and get patients using innovative technology both during surgery and post recovery… You guessed it, she is one of my many rebless™ Rehab Motusium patients. To learn more about these osteotomies check out my website below.
Tibial Tubercle Osteotomy: https://www.grantgarciamd.com/tibial-tubercle-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Innovations in Healthcare: Striking a Balance
Post The 2024 baseball season is in full swing, but the hit-and-miss that occurs between medical technology, hospitals, and healthcare often at times leaves patients with a subpar experience. In this episode, Dr. Grant Garcia and William Sanchez embark on a journey through this dynamic terrain, where cutting-edge innovations intersect with the complexities of insurance coverage. From revolutionary surgical procedures to the hurdles faced by insurance companies, we delve into the challenges and opportunities shaping the future of healthcare.
As we navigate this complex landscape, we explore the delicate balance between costs, innovation, and patient care. With a spotlight on the role of AI in shaping the future of healthcare, we unravel the potential it holds to revolutionize patient outcomes and streamline medical processes. Amidst these discussions, we find ourselves inspired by the myriad possibilities that lie ahead, driven by a shared vision of enhancing patient care and well-being.
We extend our gratitude to our dedicated followers for their support and invite them to join us on Sportsdoctalk.com. With resources ranging from informative transcripts to engaging shows, we strive to foster meaningful discussions and insights. Find us on all major listening platforms, YouTube, LinkedIn, and Instagram, and be part of the conversation shaping the future of healthcare.
Rotator cuff augmentation 7 weeks out
Post: I recently posted my technique on rotator cuff repair augmentation using Arthrex Cuffmend with the new Fiberstitch RC. I have been really happy with this technique but nothing proves it better than results. Check out this patient 7 weeks after rotator cuff repair with Cuffmend augmentation! He was very excited to show off his results and so was I! Stay tuned, augmentation of rotators cuff might be a great topic for Sports Doc Talk Podcast with William Sanchez in the future. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge innovations in sports medicine.
Rotator cuff repair: https://lnkd.in/g6Nq6q43
Dr. Garcia demonstrates the new cuffmend rotator cuff augmentation technique.
Post: Rotator cuff augmentation is the future of reducing re-tear rates in our patients. We are continuing to learn more about the balance between biologics, patches and innovative repair techniques. Check out one of my newest surgical techniques using a 1mm Arthrex dermal allograft Cuffmend patch and the brand new shoulder Arthrex fiber stitches. This technique is one of my go to procedures when enhancement is needed given the speed of the additional procedure. To learn more check out my website link below. At Orthopedic Specialists of Seattle we are continuing to push the envelope on technology and biologics that improve outcomes and reduce recovery time.
Rotator cuff repair: https://www.grantgarciamd.com/revision-rotator-cuff-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Patient Testimonial - MACI Trochlea, High Tibial Osteotomy, and Meniscus Transplant
Post: Complex cartilage procedures require planning, preparation and setting expectations for patients. As I have mentioned in previous posts, knowing the basic procedures is great but the key to continued success is making sure alignment, meniscus and cartilage are all evaluated and treated if necessary. Many of these patients have multiple complaints so it’s important to tease out what is fixable and not. This video testimonial is an incredible result from one of the tougher surgeries I have done in a while. This patient had significant tibia varus, lack of medial meniscus with pain, and large trochlear defect with both medial and anterior knee pain. In one surgery we did medial meniscus transplant, high tibial osteotomy and MACI of his trochlear. Also, forgot to mention he is a pretty big guy at 6 foot 5. This is no chip shot of a recovery but after over a year of hard work he has had an amazing result. To learn more about these surgeries check out the links below. Orthopedic Specialists of Seattle we continue to offer numerous cartilage restoration options for our patients in Seattle and beyond.
Medial Meniscus Transplant: https://www.grantgarciamd.com/meniscus-transplant-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Post:Time for some fun cases with our first Wild Wednesday case presentation. We will start with my favorite, cartilage restoration. This patient is 39, 15 patella dislocations, TTTG 21, C/D 1.3. Patient has significant apprehension of the patella and pain under the patella. I did an initial scope and EUA, very unstable with 2x2cm lateral patella facet defect, MRI has cysts in patella. Final surgery, cartilage transplant of the patella, tibial tubercle osteotomy and MQTFL. I did the MQTFL to avoid damage to the patella OAG plug with anchors. See brief images below. To learn more about these surgeries check out my links below.
Cartilage Transplant: https://www.grantgarciamd.com/cartilage-repair-and-transplantation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Tibial Tubercle Osteotomy: https://www.grantgarciamd.com/tibial-tubercle-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
MQTFL reconstruction: https://www.grantgarciamd.com/medial-quadriceps-tendon-femoral-ligament-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Revision cartilage transplant testimonial
Post: Cartilage transplants are a unique and fascinating surgery. They are a very powerful surgery with very good results if done in appropriate patients. When doing these surgeries it’s always important to remember alignment, stability and cartilage status. Check out this testimonial below which is a bit more unique. This patient had a cartilage transplant 10 years ago at an outside facility and did really well until recently and came in with a loose body and locking knee. A majority of the old transplant cartilage surface dislodged and we did a revision transplant shortly after. The trick here is to go deeper with the plug to get to native bone. To learn more about this surgery or listen to my recent Lonzo Ball podcast on this check out our links below:
Cartilage Transplant: https://www.grantgarciamd.com/cartilage-repair-and-transplantation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Second look after lateral meniscus transplant
Post: Meniscus transplants are an essential part of cartilage restoration. This surgery has so many nuances and many times is done in combination with other surgeries. This has become one of my favorite surgeries due to the planning and technical challenge of getting these right. With the right expectations and indications the results can be impressive and incredibly gratifying. Check out this really cool video of one of my lateral meniscus transplants (slot technique) 8 months out. It’s amazing what healing capacity these grafts have! To learn more about this surgery, testimonials and indications check out my website link below.
Meniscus Transplant: https://www.grantgarciamd.com/meniscus-transplant-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Post:The power of osteotomies cannot be emphasized enough. As a cartilage surgeon and complex knee surgeon I’m always on the lookout for alignment issues especially in revision surgeries. While we preach coronal alignment, sagittal alignment and posterior slope is a very important factor to success. I wanted to share my recent case of a young active female who had failed 3 ACLs and came to my office after the 3rd failed ACL and the weight bearing lateral on the left (posterior slope on CT was 19 degrees). After careful preparation, discussion and planning we performed an anterior osteotomy, bone grafting and removal of hardware. The image on the right is full weight bearing at 6 weeks. Neither image has an ACL present, but you can see the slope correction is incredibly powerful. Her journey is not done but this image says a thousand words. When I showed her and her mom this image during the clinic everyone got a bit teary eyed (even me :). If you love what you do it’s not really a job anymore! Orthopedic Specialists of Seattle we offer every level of surgical care from the acute simple injuries to some of the most complex cases in Washington State.
Dr. Garcia speaking about ACL reconstruction on 710 ESPN Radio
Post:Taking care of high-level athletes is a unique privilege that involves an understanding of both on and off the field expectations. I was recently on KIRO News App 710 ESPN Radio with IRG Physical & Hand Therapy CEO Shannon O’Kelley for their “Sports Injury Update” discussing ACL reconstruction and what factors are involved when it comes to professionals. It was a pleasure to represent Orthopedic Specialists of Seattle and Proliance Surgeons on this show. Check out this episode below. To learn more about this surgery check out my website below:
ACL Reconstruction: https://www.grantgarciamd.com/acl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
ACL repair preservation
Post:The rebirth of the ACL repair is one of my favorite advances in the last few years. In the right patients and appropriate expectations, I have been blown away by my patient outcomes and satisfaction. A lot of this is due to the new Arthrex ACL repair tightrope device. I recently talked about this on my podcast Sports Doc Talk Podcast with William Sanchez. Check out the short clip below to learn more about how this technology has been performing in my patients. To watch or listen to the full podcast click below. Orthopedic Specialists of Seattle we offer the most cutting edge techniques in Washington State.
ACL Repair (Preservation): https://www.grantgarciamd.com/acl-preservation-acl-repair-surgery-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Full Podcast (Audio): https://podcasters.spotify.com/pod/show/sportsdoctalkpodcast/episodes/Tech-Trends-Unveiled_-A-Year-in-Review-and-Future-Horizons-e2fid95
Full Podcast (Video): https://youtu.be/i5NA5reravM?si=OBmxfuOSXgyKxsJA
Updated Anterior Labral Repair 2024
Post: Shoulder stabilization continues to be a surgery we are looking to improve. Data has demonstrated failure rates of 15% or more at 10 years. Glenoid bone loss evaluation, humeral bone loss, glenoid track, capsular laxity, and impact of sport are all taken into consideration when deciding the appropriate surgery. While I love the more complex procedures such as distal tibial allograft, latarjet, remplissage etc. Many times, a well-done arthroscopic stabilization will suffice. Check out my newest technique using the newest version of the Arthrex knotless fibertaks. These are one of my favorite anchors for shoulder instability as they are low profile, excellent access, and ability to retension. This technology has significantly improved my time and OR outcomes. To learn more, check out my website below. Orthopedic Specialists of Seattle we strive to offer the most minimally invasive sports options to get patients back in the game!
Shoulder Stabilization website: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
SDT New Tech MISHA
Post: When I look at new technology there are key factors that motivate me to consider using it with my patients. All of the standard ones include safety profile, cost, and peer reviewed data which are a given. What really stands out is technology that fills a gap in my practice and offers me a way to help more patients, preserve their joints and get them back to the activities they love. I reviewed some of this new technology on my recent Sports Doc Talk Podcast with William Sanchez which we will be expanding on with special segments throughout the year. Check out this short segment about the new Moximed MISHA implant. It is great to offer this technology to my patients in the greater Seattle area and beyond. Follow our podcast on our website www.sportsdoctalk.com.
Introduction to Cartilage Injuries
Post: What is cartilage restoration? This is a subspeciality of sports medicine that is a combination of nonoperative and operative treatments to save someone’s cartilage or replace damaged cartilage. The whole goal is to reduce pain, delay arthritis and keep patients active. This is a growing field with new technology coming every few months. It’s an extremely niche specialty that requires extensive knowledge of biologics, ligament reconstruction and repair, osteotomies, cartilage procedures, meniscus repair and meniscus transplant. I’m fortunate to have established a high-volume cartilage restoration center Orthopedic Specialists of Seattle which allows me to take care of some of the toughest cartilage issues in Washington State. I do my best to share my tips and tricks through posts, surgical videos, and blogs. Check out this short video below to learn about cartilage injuries and to learn more see my website link below.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
3 Part MACI with TTO testimonial
Post: As a cartilage surgeon not everything is cut and dry. Many times, I must use my experience, past surgical outcomes, and the latest research to offer the best treatment plan. Vericel® Corporation MACI cartilage treatment is my workhouse given its high healing rate, ability to cover multiple lesions and that it doesn’t burn any bridges for other cartilage procedures. In many cases if you fix alignment, you can push the envelope on the cartilage portion. Check out below this perfect example of this young female with a tough 3 defect knee injury. We did a tibial tubercle osteotomy with MACI of her patella, trochlea and condyle and she did amazing (she is over 2 years out!). As challenging as this outcome is, check out our link below to see other testimonials like this one. Its patients like this that motivate me to continue to push the technology available. Orthopedic Specialists of Seattle we offer the most cutting edge cartilage restoration procedures in Washington.
Tech Trends Unveiled A Year in Review and Future Horizons
Post: What a year for Sports Doc Talk Podcast, we had so many great guests, hot topics, and lots of feedback from listeners and friends. Most importantly William Sanchez and I brought more sports and orthopedics throughout the year. After only a year it’s amazing to see patients coming in asking for the “podcast surgery” on a weekly basis, had to hear great feedback from friends and colleagues. We are very excited for this coming year, we have an awesome lineup of guests, new technology and now are full video podcasts! Check out the newest anniversary episode below on the latest tech. Follow us on our website www.sportsdoctalk.com.
As we wrap up, a heartfelt thank you to our audience and everyone who contributed to making Sports Doc Talk a great experience. Exciting times await, with upcoming episodes promising even more insight and engagement. Stay tuned, and let’s continue this remarkable journey together!”
Welcome to this special anniversary episode of Sports Doc Talk! As Dr. Grant Garcia and William Sanchez fondly look back on the remarkable journey of 2023, we’re eagerly stepping into 2024 with a promise of even more exciting content. Responding to your requests, today marks the launch of our dual-format podcast, seamlessly combining traditional and video platforms, as we strive to elevate the Sports Doc Talk experience to new heights.
In this episode, we had a blast reflecting on memorable topics and hosting amazing guests. We delved into cutting-edge medical technologies, such as the groundbreaking Moximed MISHA implant, innovative OSSIO Fiber Anchors, the latest advancements in Arthrex ACL repair tightrope fixation, ACL repair with the Micah BEAR implant, and more.
BEAR Surgery for ACL Preservation & Repair
Post: We are in a new age, there are now good options to repair the ACL in certain patients. It’s always a pleasure to share these techniques with the local Seattle area. I had the pleasure last week of being on the podcast Health Matters with Shannon O’Kelley the owner of IRG Physical & Hand Therapy It was great to talk about all things ACL. Check out my website to learn more about these options. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge techniques in sports medicine to get our patients back to the sports they love.
Dr.Garcia demonstrates his distal patella tendon repair technique
Post: If you have seen my website you know making surgical videos is one of my passions. Being able to share techniques, tips and pearls is invaluable. It’s not always easy as I cut and edit these all on my own, but as I travel around the country for different teaching opportunities, it solidifies my efforts to hear a surgeon or rep comment on these videos and how they were helped by the technical pearls. Not only do they help the medically inclined but my patients really appreciate seeing the techniques I’m going to use and learn more about their surgery. I always tell my patients, if they understand what their surgery is, I personally think it helps buy in for the recovery, improves compliance and reduces anxiety. One of the best companies in the business for surgical videos is Arthrex and many surgeons use these technique videos to prepare for cases or brush up on techniques. Recently I had the pleasure of making the distal patella tendon repair surgical video with Arthrex using the brand new knotless knee fibertaks. Check out this video below or on my website link.
Website Link: https://www.grantgarciamd.com/patellar-tendon-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Post: Having great partners is a big key to job satisfaction. Not only are my partners at Orthopedic Specialists of Seattle some of the best surgeons I know, they are some of the nicest. Our most recent addition is Dr. Andre Shaffer, my long time friend and co-resident at Hospital for Special Surgery. He is our super specialized spine surgeon. He is a great person on top of an impressive resume and his skills! Dr. Shaffer performed this week, the first Proliance Surgeons ASC Endoscopic spine surgery in the state of Washington! In my opinion endoscopic spine is the way to go, I personally have dealt with disc issues and thankfully avoided surgery. But during those weeks of pain I would only consider getting disc surgery by an endoscopic route. Surprisingly there is limited access for this in the Seattle area (I have personally experienced this). He worked hard to make this happen and I’m so excited for future Seattle spine patients and beyond to have better access to this technology. If you or someone you know needs micro disc surgery this is the only way to go. Also huge thanks to Arthrex spine for making this happen. At Orthopedic Specialists of Seattle we continue to set the benchmark for high quality and innovative care to get our patients back faster with cutting edge technology. Congrats Dr. Shaffer! To make an appointment with this spine rockstar click on the link below.
Appointment Link: https://orthopedicspecialistsofseattle.com/physicians-staff/dr-andre-shaffer-md/
SDT Blast Bishai and Acevedo How it started
Post: It was a pleasure to have Shariff K. Bishai, DO and Daniel Acevedo, M.D. on my podcast 2 weeks ago on Sports Doc Talk Podcast with William Sanchez. They are well known shoulders but also have a lot of fun. They started their own podcast I’m A Podstar Not A Doctor, which is awesome. Check out this segment from our show on how they started their podcast, it’s always great to hear the backstory behind a successful endeavor such as theirs. To hear the whole podcast listen below or subscribe on www.sportsdoctalk.com.
Post: I’m pleased to announce my google page and practice was selected as one of the Best Business in America for 2024. This is based on consistent 4+ star google reviews and continued proof of customer satisfaction. It’s easy to talk about complex and challenging surgeries but it’s the results that matter in the end and I’m honored to receive this. I’m fortunate to have an amazing team that makes my job easier and allows me to focus on getting the best outcomes for my patients. Thank you again to all my patients for these kind words as this is the life source that keeps me wanting to push the envelope and continue to get better. At Orthopedic Specialists of Seattle we offer the most cutting edge technology to get our patients back to the sports they love. To read more of these testimonials check out my website section below with search optimization to allow patients to see specific reviews for their particular surgery.
Testimonial Page: https://www.grantgarciamd.com/testimonials-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Case example of a dual surgeon approach
Post: I’m pleased to present my final episode of the “Dual Surgeon” approach with Dr. Wayne Weil. Difficult cases sometimes require more than one surgeon with specialty training. Working with my partner is not only fun but it allows us to offer complex care to even the most complicated cases. This short segment reviews a specific case example that required this special approach. At Orthopedic Specialists of Seattle we offer cutting edge techniques to get our patients back to the sports they love. To see other videos from this segment see the link below.
Dual Surgeon Approach: https://www.grantgarciamd.com/dual-surgeon-approach-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
SDT Blast Bishai & Acevedo Cutting Edge
Post: Staying on the cutting edge of surgery, balancing a busy practice, managing all your social media accounts and having time for yourself is no easy feat. I had the pleasure of interviewing on Sports Doc Talk Podcast with William Sanchez, two shoulder surgeons who make it look easy, Shariff K. Bishai, DO and Daniel Acevedo, M.D. Check out this short clip from our last week show on how they stay on the cutting edge. To learn more follow our podcast at https://www.sportsdoctalk.com/.
Testimonial after HTO and Cartilage Transplant
Post: Cartilage preservation has its unique challenges. While the cartilage regrowth and replacement parts get all the media hype, its important to remember that alignment, stability and meniscus health are crucial to making this success. If you are going to treat these patients you need to be looking at all potential factors. My video testimonial below is a perfect example. This is a gentleman that underwent microfracture by an outside surgeon with no evaluation of alignment. He came in with worse pain than before surgery, and we did a cartilage transplant (severe condyle edema from microfracture) and high tibial osteotomy for moderate varus. I would like to say this is a unique case but I have taken care of a handful of cases like this over the last year alone. Check out his result below and learn more about this surgery on my website links below. At Orthopedic Specialists of Seattle we continue to strive to give our patients the best outcomes even when it requires a more complex approach.
Cartilage Transplant: https://www.grantgarciamd.com/cartilage-repair-and-transplantation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
High Tibial Osteotomy: https://www.grantgarciamd.com/high-tibial-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Shoulder Surgeons_Dr. Shariff Bishai and Dr. Daniel Acevedo
Post:
Episode: Shoulder Surgeons_Dr. Shariff Bishai and Dr. Daniel Acevedo
Link: https://lnkd.in/gAbbZyqw
Welcome to Sports Doc Talk Podcast. In this episode, William Sanchez and Dr. Grant Garcia feature two exceptional guests who not only excel as top shoulder surgeons but also bring their captivating charm to the airwaves. @skbishai and @aceshoulderelbowmd hosts of ”@imapodstarnotadoctor,” join us to share their insights.
One of our many conversations delves into the crucial doctor-patient relationship, emphasizing mutual respect and the importance of building strong connections with patients. Dr. Bishai and Dr. Acevedo stress continuous learning, training, and peak performance in the medical field, echoing Dr. Acevedo’s mantra, “You got to stay ready to be ready.”
On their podcast, they are better known as the American Pharoah and Cuff Daddy, bringing a distinct blend of entertainment with eclectic guests and fun banter. A must listen to. This episode takes you on a rollercoaster of education and entertainment; from their experiences in the medical field to behind-the-scenes fun.
Whether you’re a medical professional, an avid podcast listener, or simply curious about Sports Doc Talk, this episode promises a blast of insights and entertainment. Visit sportsdoctalk.com for exclusive content, transcripts, and opportunities to be part of the show. Also, check us out on your favorite listening platform. Thank you for being a valued member of our community, and happy listening!
Post: Honored to be named a Castle Connolly Top Doctor for a second year in a row! Thank you to my patients and staff for allowing me the opportunity to be chosen for this honor. At Orthopedic Specialists of Seattle we continue to strive to offer the best orthopedic care in the Seattle area and beyond.
Meet Dr. Grant Garcia and His Sports Philosophy
Post: Getting to know your surgeon is sometimes difficult, and surgery can be daunting especially if it’s your first time or an acute injury. One of the main reasons I make so many videos for my patients is to allow them to get to know me a bit before they see me. Additionally, it allows my patients to better understand what their surgeries are going to be and how it’s going to be done. These videos offer an opportunity for my patients to know what I care about and how I approach the doctor patient relationship. Information is power in medicine, and I want my patients to have all the information possible. I am pleased to introduce my new introduction video compliments of @RobertRanney, one of the best videographers in the business. As I’ve gained experience, I felt the need to update this introduction for my patient so they can better understand my improved non-surgical and surgical philosophy. It is an absolute pleasure to come to work every day and help people get back to the sports they love. I am also honored to be in practice with some of the best surgeons in the state of Washington, and one of the nicest groups I’ve ever been a part of @Orthopedic Specialists of Seattle. To learn more about my practice, and the techniques offered check on my website below.
Website: www.grantgarciamd.com
Introduction: https://www.grantgarciamd.com/grant-garcia-md-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Live Demonstration of TTO combined with MACI procedure
Post: See one, do one, teach one. It’s a saying we have heard before. In surgery, it requires a lot more than one to move to the next step. I was privileged enough to have great mentors and benefited from seeing and doing a lot early on. As a complex cartilage knee surgeon, I have an opportunity to take care of numerous cartilage patients throughout Washington state and beyond. As my experience has gained, it’s a wonderful opportunity to now “teach one”. I teach my staff and assistants about what is going on during my surgeries, but nothing compares to the opportunity to teach fellow surgeons and trainees. There are so many venues in which we can teach, but one of the more unique experiences has been live broadcast from my OR and teaching fellow surgeons about MACI and concomitant techniques. Below is a recent video demonstrating my surgical technique for combined MACI and a tibial tubercle osteotomy. To learn more about this procedure and the other cartilage procedures offered check out my website link below.
Cartilage Restoration Website: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
ACL preservation repair with meniscus repair in young athlete
Post: ACL repair technology continues to improve and we have seen more and more data on the success of this procedure. In many cases the decision to repair is straight forward based on tear location and tissue quality. I present to you an interesting case testimonial. This is a young athlete referred to me because of a near complete proximal ACL tear and a complex meniscus tear. He had slight instability and couldn’t get back to sports because of stability concerns and meniscus pain. I decided to perform Arthrex tightrope repair with internal brace and full repair of his meniscus. In my opinion very little trauma occurs with this repair and I had an extensive discussion with his parents and him on saving his ACL versus reconstruction. The key point is as a complex sports surgeon you need to have all options available to patients and push the envelope to save the knee tissue when appropriate. You can see his video that at 5 months he is back to everything and already exceeding my expectations. To learn more about this procedure check out my website link below. At Orthopedic Specialists of Seattle we continue to offer cutting edge procedures to preserve tissue at all costs.
ACL Patella Tendon Reconstruction with Tightrope and Internal Brace.
Post: You have seen below the latest in ACL technology is being used to get our athletes back on the field. The new ACL patella tendon tightrope 2 by @Arthrex is one of the latest game changers in my practice. The ability to re-tension the femoral side, reduce concern for back wall quality and ability to add internal brace easily are the reasons I’m using it more frequently. Check out my latest surgical video reviewing the complete technique and preparation of the graft. To learn more, visit my website link below to learn about what we are doing @Orthopedic Specialists of Seattle to offer our patients the new technology in the Seattle Area and beyond.
Practice makes perfect
Post: “Practice makes perfect”, is a saying we all know well. To continue to get better and do advanced procedures, practice is often needed. As a complex sports surgeon, I’m always looking to get better and offer the latest innovations and techniques to my patients. I’m fortunate to work closely with Arthrex and can stay on the cutting edge of technology in sports medicine. I had a great time two weeks ago in the lab with Summit Surgical, Inc. improving my skills at trochleaplasty, and anterior tibial osteotomies in addition to trying out the latest tech coming soon to the operating room. By having easy access to Arthrex lab in Seattle, I offer my patients the most advanced procedures in the state of Washington. I tell my OR team all the time, if I stop wanting to get better and trying to push myself… it’s time to throw in the towel. Orthopedic Specialists of Seattle our goal is to deliver cutting edge technology and surgeries to improve outcomes and speed up recovery.
SDT Blast Napkin to Reality Easy Whip
Post: How do you take an idea and turn it into a full blown surgical product? First off this is no easy task with many potential roadblocks. Our most popular episode on Sports Doc Talk Podcast discussed this “Napkin to Reality” process. William Sanchez and I had the pleasure of interviewing Lia Winter who accomplished this amazing feat with her product “Easy Whip” at Winter Innovations. Listen to this short segment from the podcast to hear her Napkin to Reality story. Find this and other episodes on our website https://www.sportsdoctalk.com/
Full Episode: https://podcasters.spotify.com/pod/show/sportsdoctalkpodcast/episodes/Lia-Winter_co-founder-of-Winter-Innovations-e2d95nj
Complex anterior meniscus repair
Post: Complex revision meniscus repair is difficult but necessary to save the meniscus. In younger patients, I do as much as possible to save the meniscus at all costs. Some of the more difficult repairs involve complex anterior tear patterns. This young soccer player had 50% anterior radial tear and a small vertical tear of the capsule anteriorly with continued pain. I used a series of inside out stitches and ripstop technique to repair. Check out my surgical technique for this difficult tear. At Orthopedic Specialists of Seattle we used the most advanced techniques to save the meniscus and preserve the knee cartilage at all costs. Also check out my website to see a number of unique repair techniques.
SDT Blast Easy Whip & Innovations
Post: Innovation is one of my favorite topics to discuss. When it comes to sports surgery, this is key to helping my patients get back to the activities they love. I recently had entrepreneur Lia Winter on my podcast Sports Doc Talk Podcast with William Sanchez learn about her Easy Whip device. Check out this short segment to see how this game changing technology improves on current methods of tendon repair and reconstruction. Listen to the whole podcast below or follow us on our website at https://www.sportsdoctalk.com.
Whole Podcast: https://podcasters.spotify.com/pod/show/sportsdoctalkpodcast/episodes/Lia-Winter_co-founder-of-Winter-Innovations-e2d95nj
Dual Surgery and The Best Care
Post: How do we deliver the best care to our patients? This is a loaded question as it depends. Sometimes the best care is non-surgical and sometimes it requires the highest level of surgical specialization and others it’s in between. The hardest thing as a highly specialized sports surgeon is to know your limitations and when it’s time to ask for a colleague’s assistant or refer out. I’m blessed at Orthopedic Specialists of Seattle to have some of the best surgeons in the state of Washington encompassing most subspecialties. This leads perfectly into our 9th episode of the “Dual Surgeon Approach”. Check out this short segment below describing how we provide some of the best care in the area but working together on complex and overlapping cases. To learn more, check out my “Dual Surgeon” section of my website below. Orthopedic Specialists of Seattle we consistently work together to provide cutting edge techniques with highly skilled surgeons to give our patients the best outcomes possible.
Website Section: https://www.grantgarciamd.com/dual-surgeon-approach-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Honored to be faculty at the Vericel® Corporation
Post: Honored to be faculty at the Vericel® Corporation MACI advanced surgical technique course in Tampa, FL this weekend. Teaching complex cartilage surgeries, planning and osteotomies is a true honor. Vericel® Corporation testament to teaching surgeons the other important procedures that go along with their product is incredible. As a cartilage surgeon it’s essential to understand how meniscus replacement and osteotomies work in combination to improve your outcomes with these procedures. For many surgeons, osteotomies can be daunting, it’s these courses that give them the tools to be comfortable with the complex surgeries and indicate them properly. To learn about MACI or these osteotomies check out my website links below. Orthopedic Specialists of Seattle we offer the most complex knee restoration care in the state of Washington to keep our patients doing the activities they love.
MACI procedure: https://lnkd.in/gDqXzV5K
Distal Femoral Osteotomy: https://lnkd.in/gf8e7FZt
High Tibial Osteotomy: https://lnkd.in/gvrVwtJd
Tibial Tubercle Osteotomy: https://lnkd.in/gFTxMSS8
Meniscus Repair with new Fiberstitch
Post: You have heard it before, but I love innovation in sports surgery. My surgeries, podcast and clinic all focus on technology that gets my patients back to the sports they love and improves outcomes. I love working with Arthrex as it keeps me on the cutting edge of sports surgery with their constant focus on getting better. I’m happy to present the brand new 1.5 Arthrex fiberstitch for meniscal repair. Its smaller needles makes a significant difference for me in preventing tissue damage during repair. Check out my surgical video below of the first Arthrex 1.5 fiberstitch placed in Washington State. Orthopedic Specialists of Seattle we offer the newest proven technology to help patients get back in the game! Check out my website below to learn more about meniscus repair options.
SDT Blast Grass vs Turf
Post: Grass vs Turf is the continued debate in the NFL. Injuries are devastating and teams and players are always looking to reduce their incidence and improve player safety. Players are becoming more vocal on their preferences for grass fields. The short segment below from Sports Doc Talk Podcast with William Sanchez discusses this topic. The full segment is listed below as well or visit our website at https://www.sportsdoctalk.com to follow us and hear about exciting sports and orthopedic innovations.
Post: Glenoid fractures are a challenging injury to treat. DeShaun Watson just had this injury fixed by legendary sports surgeon Dr. Neal ElAttrache in LA. To learn more about his injury and the potential surgery he had check out my recent podcast on Sports Doc Talk Podcast with William Sanchez. Follow my podcast at sportsdoctalk.com. Good luck with his recovery!
Turf vs. Grass: The Impact on Injuries & AT&T's new 5G Helmet
Post: Heads up displays, 5G technology, all this technology is coming to the highest level of football. Check out the short segment below, from my recent podcast on @sportsdoctalkpodcast with William Sanchez where we go in depth on the future of these cutting-edge helmets. Also learn how I currently use this technology in orthopedic surgery and what the future holds for virtual reality and heads up displays in the operating room to make our procedures more accurate and efficient and improve outcomes. Listen to the whole episode below or follow us on our website at sportsdoctalk.com.
Analysis of NFL Quarterback Deshaun Watson's Injury
Post: Hot off the press! Deshaun’s Watson’s out for the season with a unique injury called a glenoid fracture. Check out my brand new podcast on this injury at Sports Doc Talk Podcast with William Sanchez. Learn about the injury and what this means for his future in football. Follow us at www.sportsdoctalk.com. Also check out my website to learn more and see how they may fix this injury using a unique combo of arthroscopic techniques.
Glenoid Fracture Repair: https://www.grantgarciamd.com/glenoid-fracture-repair.html
Updated MDI Surgery Technique
Post: Multidirectional shoulder instability is a very challenging pathology to treat. We do our best to manage these patients non operatively but sometimes this is not enough. Thankfully newer technology is available to improve our results in these surgeries. Big thanks to Arthrex for letting me show off this technology Monday with the filming of a Case Presentation at their headquarters. Check out the full release below of my newest MDI stabilization technique using all knotless technology. To learn more about this condition visit my website section below.Orthopedic Specialists of Seattle we take on some of the most challenging cases in the area using the latest innovations to improve outcomes.
Multidirectional Stabilization Website: https://www.grantgarciamd.com/multi-directional-instability-stabilization-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Arthrex Reel
Post: Innovation continues after a short trip to Arthrex headquarters in Naples, Florida. I continue to be blown away by the dedication of Arthrex to constantly looking for cutting edge technology to improve our sports surgeries and patient outcomes. They work closely with the best in the business from product managers, engineers, videographers and surgeons to stay a step ahead of the competition and help surgeons treat their patients better. Thank you to Arthrex for allowing me to show my multidirectional instability technique and work on future technology. I’m excited to all offer these incredible products to Washington State and beyond in the coming months. Follow them at Arthrex.com or my social media at www.grantgarciamd.com for the latest sports technology advances. Also listen to my podcast Sports Doc Talk Podcast on “Napkin to Reality” to see how simple ideas turn into cutting edge technology with Arthrex.Orthopedic Specialists of Seattle we are dedicated to staying on top with the latest technology in Washington State.
Turf vs. Grass: The Impact on Injuries & AT&T's new 5G Helmet
Post: Check out my newest podcast with William Sanchez on Sports Doc Talk Podcast We talk about Grass vs Turf fields and the injury risk, heads up displays in helmets and surgery and much more. Don’t miss this fun episode. Follow us at www.sportsdoctalk.com to stay updated on our latest podcasts.
What Drives Us To Get Better
Post: What drives you to be better? Why do we do this job that is high stress, high octane with risks (as small as they may be) that can be humbling to any surgeon. We do this because we love what we do! I present to you my 8th episode of the “Dual Surgeon” approach with Dr. Wayne Weil and what drives us to keep helping complex elbow and revision patients. This “Dual Surgeon” approach at Orthopedic Specialists of Seattle has allowed us to offer highly complex care for the Seattle area and beyond. To learn more about this see previous episodes and check out my website section below.
Website Section: https://www.grantgarciamd.com/dual-surgeon-approach-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Post: Honored to be selected by Best in Washington Magazine as a featured doctor! This wouldn’t be possible without my amazing staff and physician assistants that enable me to offer high quality sports medicine care. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in all aspects of orthopedic care.
Tibial Spine ACL Repair Testimonial
Post: ACL tibial spine injuries can be very difficult to treat and manage. The biggest issues I have seen are post operative stiffness and chronic pain. It is one of the most frequent second opinion diagnoses I see in my office. As someone who is continuing to look at improving my surgeries and game changing technology, I think I have found the solution to this challenging diagnosis. I have recently posted my new technique using the Arthrex Acl Repair Kit in reverse to repair these tibial spine fractures. The ability to re-tension and the biomechanical strength of this repair is incredible. From the first 6 weeks after this surgery, I was astonished at no movement of the tibial spine on xray with incredible range of motion. My patients are walking normally within a few weeks after surgery with no loss of reduction. Check out this recent testimonial of one of the first patients in Washington state to undergo this cutting-edge technique for tibial spine repair and get back to all activities. At Orthopedic Specialists of Seattle we push the envelope on technology to get our patients back faster and with better outcomes.
ACL tibial spine website: https://www.grantgarciamd.com/arthroscopic-tibial-spine-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
ACL tibial spine repair video: https://youtu.be/Qda8ljkdh3Y?si=Hdi7LWFykngzR1pa
Complex vertical and horizontal meniscus repair
Post: Saving the meniscus is of utmost importance. This can be difficult and in many cases as a joint restoration surgeon we must have multiple techniques at our disposal. In younger patients I’m willing to take on tougher repairs if it gives them a chance to preserve their meniscus. Check out my surgical video of a young active patient with a bucket handle meniscus but also a posterior horizontal tear. I had to use a combination of inside out, circumferential and all inside stitches to preserve this meniscus. I’m happy to say the patient is back to all activities and doing well. These are not 100 percent success surgeries but if we can give our patients appropriate expectations and the right healing environment it’s worth a shot. Check out my other repair techniques on my website link below. At Orthopedic Specialists of Seattle we perform some of the most cutting edge sports procedures in the state to get our patients back in the game.
Meniscus Repairs: https://www.grantgarciamd.com/meniscus-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
SDT HiDef Blast BFR
Post: Blood flow restriction is an essential part of the rehab process in my opinion. Patients often ask what I think will help improve their recovery and quad strength. I often suggest BFR and am a huge proponent of this technique. I have been very happy with the results. I recently interviewed W. Zach Smith, PT, DPT at HIDEF Physical Therapy on our podcast Sports Doc Talk Podcast with William Sanchez and he describes BFR in more detail. Check out this short segment from the full podcast on this topic. Listen to the full podcast in the link below or follow us on our website https://www.sportsdoctalk.com/
Post: It is great to offer sports care to so many patients. By specializing in complex knee and shoulder surgery, I often see patients from out of state. Similar to my mentors at Rush University Medical Center and Hospital for Special Surgery, I offer online second opinions to patients from out of state and country. This has been a great opportunity for patients to get further review of their case and make them feel at ease with their surgical decision. The one major thing I have learned is you need to listen very carefully to these patient complaints and many times it is more than one problem. If you set appropriate expectations, you can tremendously help them. Just this week I saw back my patient who flew in from Virginia for complex posterior shoulder stabilization. They had seen 5 surgeons and multiple other subspecialists with a barrage of tests over 2 years. The patient had told many providers they felt unstable but because of their long packet of notes and numerous tests many ignored their problems. The trick in this case was the patient had subtle posterior shoulder subluxations that was causing iatrogenic winging of the scapula (this has been described but is much less common). Patient is 7 weeks out and winging is completely gone, pain is completely gone, and they are the most stable they have been in 2 years! We have a ways to go and nothing beats follow up, but I thought I would share this interesting case. At Orthopedic Specialists of Seattle we strive to offer complex care for our patients using cutting edge technology. To learn more about this second opinion option see my website link below:
2nd Opinion website link: https://www.grantgarciamd.com/sports-orthopedic-second-opinion-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
How HiDef PT Stays On Top
Post: It’s been over a year since my Sports Doc Talk Podcast on “what it takes”. During this podcast we reviewed what it takes to make it to the top of the sports world. William Sanchez and I had the pleasure of speaking HIDEF Physical Therapy Co-Owner W. Zach Smith, PT, DPT last week and learning about how his physical therapy group stays at the top of their game. As a sports surgeon, it’s important to have a network of incredible physical therapists that can get your patients back to the sports they love. This group has been instrumental in my patients’ recovery. Listen to this short clip below to learn more or listen to the full episode from the link below. Follow us on any social media network of your choice on our website https://www.sportsdoctalk.com/
Learn the “behind the scenes” of the dual surgeon technique
Post: We continue with our “Dual Surgeon Technique Segment” with episode 7. I have mentioned it before but using a dual surgeon technique for complex elbow or nerve surgeries gives my patients the best possible outcome. For many of these cases they have had multiple opinions and sometimes multiple surgeries. As with most complex cases this requires a team effort and preparation. Wayne Weil and I prepare extensively for these cases to improve the efficiency and outcomes in the operating room. Listen to episode 7 below to learn the “behind the scenes” of the dual surgeon technique. Orthopedic Specialists of Seattle we continue to offer the most complex care for all musculoskeletal injuries in Washington State. To learn more about the “Dual Surgeon Technique” listen to the other episodes below.
Dual Surgeon Episodes: https://www.grantgarciamd.com/dual-surgeon-approach-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Post: It was an honor to represent Vericel® Corporation in Santa Barbara and Sherman Oaks California last weekend with Wes Burrows. Teaching basic and complex cartilage restoration is a passion of mine. As someone who deals with complex cartilage injuries in Seattle, it is great to give back and teach the pearls to good outcomes in this challenging pathology. To learn more about the MACI procedure check out my website section below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge techniques for cartilage in Washington State and beyond.
Zach Smith, Physical Therapist, and co-owner of HIDEF Physical Therapy
Post: Hot off the press, check out my newest podcast @sportsdoctalkpodcast with William Sanchez. We had special guest @zachthept talking about how @hidefpt stays at the top of its game and what they offer in terms of cutting edge technology. You don’t want to miss this one. Follow us on any platform of your choosing or check out our website www.sportsdoctalk.com
Recent ACL Webinar with MoveMend Rehab
Post:I recently had the pleasure of joining an ACL webinar with MoveMend Rehab and Performance with Micaela Riley,PT,DPT, CSCS. Check out this webinar below to learn more about graft options, outcomes, future surgical improvements and much more. Also see my website section for more in depth information on ACL surgery. Orthopedic Specialists of Seattle we continue to offer the most cutting edge solutions for our ACL patients.
ACL Reconstruction: https://www.grantgarciamd.com/acl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
New Glenoid Fracture Repair
Post:Glenoid fractures can be incredibly challenging to treat. We used to fix these open which has its own risks and challenges. For many of these large bony bankart and glenoid fractures with practice and patience we can now do these arthroscopically. This leads to faster recovery, better motion and overall better outcomes. Using the latest in Arthrex we can perform these faster and without metal implants. Check out my new technique for arthroscopic glenoid fracture repair using a double row soft tissue repair. To learn more about this technique see my website section below. At Orthopedic Specialists of Seattle we continue to offer the most complex care in Washington state using the latest technology to get our patients back faster.
Glenoid Fracture Repair: https://www.grantgarciamd.com/glenoid-fracture-repair.html
Testimonial after 3 Part MACI and TTO
Post:MACI (Vericel® Corporation) is an extremely effective cartilage procedure that allows me to treat difficult lesions involving the patella and trochlea. As a cartilage restoration surgeon I have numerous options at my disposal to get my patients back to the sports they love. Over the last few years I have been incredibly happy with my MACI results, again selection and concomitant procedures are key. Check out this recent testimonial after 3 defect MACI (trochlea, patella and medial femoral condyle) with a tibial tubercle osteotomy. This patient had debilitating pain and constant swelling. These 3 defect injuries are really challenging but he had an incredible result. The great part of MACI is we covered all the defects! To learn more about these procedures, check out my website below. Orthopedic Specialists of Seattle we continue to offer the most cutting edge cartilage restoration procedures in Washington state.
SDT Blast NFL & Biotech
Post:National Football League (NFL) is in full swing and we have already seen recent media on the tech being used in the NFL to get ahead. Check out another quick segment from my recent podcast at Sports Doc Talk Podcast with William Sanchez where we talk about biotech in the NFL. Diet, hydration and nutrition all matter in recovery and athletics. To stay ahead players and teams will do whatever it takes to optimize results. Follow our show on our website at www.sportsdoctalk.com or your favorite podcast app.
Dr. Garcia’s 2023 technique for ACL repair with internal brace
Post: ACL repair has seen an explosion in interest over the last few years. This is one of my favorite new innovations of Arthrex especially when we can use both tightrope fixation and the “internal brace”. My patient outcomes have been excellent and I’m continuing to look for ways to expand my indications in a thoughtful and clinically based manner. Check out my newest surgical video outlining the procedure. For more information and patient testimonials check out my website link below.
7 months after Quad ACL Reconstruction
Post: Patient videos are my favorite. Just got this one recently of my patient who is 7 months from Quad ACL reconstruction. The quad ACL is on my favorite ACL surgeries and allows me also to add the “Internal Brace” from Arthrex to all these ACLs. This is the same internal brace we have heard about recently with top athletes including Brock Purdy, Aaron Rodgers and Shohei Ohanti. Check out this short video of my patient wakesurfing. Also I get a lot of questions if functional braces have the option of getting wet. For my water sports enthusiasts, check it out, he has a waterproof option. To learn more about this ACL and the internal brace see my links below. Enjoy!
Kicking off the 2023 Season: Investigation on concussions and injury rates, Q-Collars, Hydration Sensors, and football predictions that undoubtedly will go wrong.
Post: As promised check out our recent hot topic podcast Sports Doc Talk Podcastwith William Sanchez. We explain the Nick Chubb injury and potential acute and long term problems. Additionally we talk about Aaron Rodgers “innovative” surgery.
SDT Blast NFL & Tech
Post: NFL and tech is not a new topic. In the @nfl, everyone is looking for an edge to get back faster and prevent injury. We have seen it just this week with the recent Aaron Rodgers surgery and the use of new and innovative techniques. We recently had a full episode exploring injuries, concussions and NFL tech. Listen to this recent segment below and subscribe to our full podcast @sportsdoctalkpodcast with William Sanchez to learn more.
Full Podcast: https://podcasters.spotify.com/pod/show/sportsdoctalkpodcast
Website: www.sportsdoctalk.com/
After Elbow Scope & Triceps Repair
Post: My goal as a sports surgeon is to get my patients back to the activities they love. This can be challenging especially when demands are high. It always brings a smile to my face to get pictures or videos from my patients achieving their goals after surgery. I just saw my previous patient back almost a year after their elbow scope and partial triceps repair for another condition. They were elated to show me their lifting progress and I was very excited to share this video with their permission. He is a big-time powerlifter and couldn’t do this without severe elbow pain for months. He had a partial triceps tear with a traction osteophyte and posterior loose body. The biggest concern after surgery was getting back hyperextension for lifting, which can be challenging in these cases. I’m pleased to say it was a success and he just hit his personal record of lifting an overhead squat of 100kg! Check out this video as this lift is not for beginners! For more information see my website below to learn more about these elbow surgeries. At Orthopedic Specialists of Seattle, we strive to get our athletes back to what they love.
Elbow Surgery: https://www.grantgarciamd.com/triceps-tendon-repair-at-elbow-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Kicking off the 2023 Season: Investigation on concussions and injury rates, Q-Collars, Hydration Sensors, and football predictions that undoubtedly will go wrong.
Post: We are back with another great podcast with Will Sanchez! We dive into recent football injuries and some really interesting data on kick offs and concussions as well as risk of injury with an additional game 17. Listen below and follow us at www.sportsdoctalk.com.
Episode Title: Kicking off the 2023 Season: Investigation on concussions and injury rates, Q-Collars, Hydration Sensors, and football predictions that undoubtedly will go wrong.
Football season kicks off, and with that, Dr. Grant Garcia and William Sanchez begin the show with a discussion about the NCAA’s research on the kickoff rule change and its impact on concussion rates in collegiate football. Despite the expectation that this rule change would reduce concussions during kickoff plays, the data suggests otherwise. We explore the many reasons behind this unexpected outcome and its implications for player safety in the sport.
The Q-Collar is a biomedical engineering innovation designed to reduce brain injury risks. This FDA-authorized device of its kind, works by increasing blood volume inside the head to reduce the brain’s movement upon impact, ultimately decreasing the risk of concussions, and has the potential to revolutionize player safety in contact sports. Will we see even more players utilizing this tech this season?
Don’t laugh but it’s true. We explore the fascinating concept of urinals with sensors that change color based on player hydration levels in the Jacksonville Jaguars’ facilities. This cutting-edge technology has the potential to optimize player performance and health. Even though Dr. Garcia was not a fan of this discussion. Ha!
The Seattle Seahawks lead the NFL in miles traveled but does distance and additional games add to more injuries? A study from Northwestern University might surprise you.
Do you want bad picks for the NFL season? We have them. Will Dr. Garcia get this show’s trivia? Have a listen and check it out. If you would like a transcript of the show, want to be a guest, or just want more information about Sports Doc Talk.
Video testimonial after meniscus transplant in an adolescent with a difficult knee issue
Post: Meniscus transplantation is a hot topic, as it usually involves young active patients that are too young for any joint replacements. As a cartilage restoration surgeon, this procedure is a workhorse for me in patients with meniscal deficiency and early symptoms. In my practice I have been extremely happy with the results of this surgery, especially as these patients have really no other good option currently. Check out this recent testimonial of a very young athlete who had an outside surgeon unfortunately remove all his lateral meniscus at 14 years old. He had issues almost immediately after surgery and came to me for a 2nd opinion. We had a long discussion of options and we decided to perform a lateral meniscus transplant with dovetail technique right after his 15th birthday (insurance wouldn’t authorize anything younger than 15). He had a great result. Listen to him and his parents’ thoughts about the procedure and surgery. These videos are important to me as I continue to get patients who are told that meniscus transplants are not successful and come to me for a second opinion. At Orthopedic Specialists of Seattle we strive to offer the most complex care for our athletes using cutting edge technology and techniques. Check out my website to learn more about this surgery and the results.
Meniscus Transplantation: https://www.grantgarciamd.com/meniscus-transplant-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
The first MPFL reconstruction with the new knotless knee fibertak in Washington State
Post: Innovation and technology is the theme of the month. I recently showed the use of the first Arthrex knee fibertak in the state of Washington, for IT band tenodesis. This anchor comes in 5 variations and each has its unique benefits. Check out this hot off the press video of the first MPFL reconstruction in Washington state using the new Arthrex knee fibertak with hybrid fixation (1 knotless and 1 sliding suture with needles). This is a great option for these patients. To learn more about MPFL reconstructions check out my website link below. At Orthopedic Specialists of Seattle we continue to find the newest technology to improve our surgeries and patients outcomes.
MPFL Reconstruction: https://www.grantgarciamd.com/medial-patellofemoral-ligament-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia new technique for Elbow UCL Reconstruction in Baseball Players
Post: We have seen numerous professional baseball players that have suffered UCL injuries. Most recently with Los Angeles Angels pitcher Shohei Ohtani. Unfortunately data from MLB has shown an increase in both primary and revision UCL reconstructions. As a sports and baseball surgeon, I perform both UCL repair with internal brace and reconstructions on these athletes as needed. For reconstruction, we continue to look for newer techniques to improve the speed of recovery and reduce the risk of bone tunnel damage in the ulna. I present my new technique below for UCL reconstruction in a high level baseball player using palmaris autograft. This technique improves the speed of the surgery, allows for ease of either palmaris or a larger gracilis graft and reduces potential complications seen with bone tunnels. With the help of Arthrex we are working to find ways to get our throwers back in the game. To learn more about his injury check out my website or recent podcast on Sports Doc Talk Podcast.
First OssioFiber Anchor for Meniscal Root Repair on the West Coast.
Post: I have posted many times about my use of cutting edge technology to improve my patient outcomes and make my sports surgeries more efficient. I present to you today the OSSIO Fiber Anchor for meniscal root repair. This anchor has impressive pullout strength yet turns into bone over time. It is 5x stronger than a biocomposite and 2x stronger than a peek screw so it eliminates the concern for cracking in the tibial shaft. My mentor Dr. Brian Cole has called these anchors a “gamechanger” and I agree. Check out below my implantation of the first OSSIO Fiber anchor for meniscal root repair on the West Coast. At Orthopedic Specialists of Seattle we are always looking to give our patients the best technology in Washington State and beyond. Check out their website and mine below to learn more.
OssioFiber Website: https://ossio.io/
Dr. Garcia’s update on treatments for shoulder instability
Post: Shoulder instability is one of my passions. From early medical training to full time practice I have been heavily involved with research and understanding better ways to improve on this condition. Over the years our techniques and technology have improved. To learn more about this condition and options for surgical and non surgical management check out my new information video below. Also for more information my website link is listed for this topic. Orthopedic Specialists of Seattle we continue to look for ways to improve our surgical outcomes with cutting edge technology.
Patient Testimonial - Patellofemoral Replacement with MQTFL Reconstruction
Post: MQTFL reconstruction is an emerging technique for patella stabilization. It has the benefits of avoiding anchor placement in the patella with similar results to standard MPFL reconstructions. Another advantage as it can be an additional procedure for challenging patellofemoral replacements. In patients with significant preoperative dislocations and severe isolated patellofemoral arthritis I will add this procedure. Check out this testimonial of a young active female who was severely debilitated by numerous patella dislocations, severe isolated patella OA and pain. She underwent a combined patellofemoral replacement with MQTFL reconstruction and got her life back. To learn more about these procedures see links below. At Orthopedic Specialists of Seattle we combined cutting edge techniques to offer a custom approach to each patient.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
MQTFL Reconstruction: https://www.grantgarciamd.com/medial-quadriceps-tendon-femoral-ligament-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Quad Tendon ACL graft prep
Post: Quad ACL reconstruction has advanced significantly over the last 5 years. Its growing popularity has been impressive, with more cutting-edge advances being introduced yearly and better literature looking at all aspects of the surgery. In my practice, it has exponentially grown as the perfect mix of a larger graft that is also all soft tissue. Much of the adoption has been due to the work of @Arthrex in developing better and more efficient techniques to perfect this surgery. I’m pleased to have been part of the newest addition to Quad ACL surgery with the use of the first Arthrex Quad Tightrope 2 in Washington State. This newest addition improved on the speed of the prep, improved button performance, and has been a unanimous hit in my operating room. Check out my, hot off the press, video of this new device below. @Orthopedic Specialists of Seattle, we continue to strive to bring our athletes the latest innovation to improve their outcomes and get them back to the sports they love. For more information on this surgery check out my website link below.
ACL Website:: https://www.grantgarciamd.com/acl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Video testimonial after patellofemoral replacement with a cartilage transplant
Post: Patellofemoral replacement is a unique procedure with tight indications. As a cartilage restoration and patellofemoral surgeon, I tend to see a higher percentage of patients that meet this criteria. The key to any good surgery is to listen and examine your patients. What do you do if you have a patient with significant painful patellofemoral arthritis, a painful MFC defect with an excellent meniscus and tibial plateau and under 55 years old? We took a unique approach and went outside the box by giving him a patellofemoral replacement and medial femoral condyle cartilage transplant. He had an incredible result and got back to all his activities, check out his video testimonial below. At Orthopedic Specialists of Seattle we continue to offer a custom approach to making our patients better. To learn more about these procedure see my website links below:
Cartilage Transplant: https://lnkd.in/g4avuNq6
Podcast on cartilage transplant: https://lnkd.in/g8UGWFNh
Patellofemoral Replacement: https://lnkd.in/gSDNJ7Ug
Dr. Garcia’s update 2023 technique for IT band tenodesis
Post: I’m a huge proponent of delivering cutting-edge technology to my patients to make my surgeries better and improve my patient outcomes. Whether it’s more research, more lab time, more meetings on upcoming technology, it’s worth it in the end to stay on the forefront of sports medicine and help my patients. I have been fortunate enough to work closely with Arthrex a leader in the sports medicine implants, and huge proponent of improving patient outcomes with technology to be part of these sports innovations. Last week I had the honor of using the brand new Arthrex knee fibertak and placed the first one in Washington state. Check out this video to see the technology in action. There are 5 versions and all have different uses so its incredibly versatile. Looking forward to all the uses for this new product. At Orthopedic Specialists of Seattle we continue to push the envelope for our athletes to make them better and improve their recovery!
SDT Blast WW Thumb Arthritis
Post: Thumb arthritis can be a chronic and frustrating problem. In older patients, there are many time tested treatments. In patients that are young newer more innovative approaches are needed. Expert hand surgeon, Dr. Wayne Weil describes these treatments on our recent episode of Sports Doc Talk Podcast with William Sanchez. Dr. Weil is becoming one of the leading experts on thumb preservation techniques for early arthritis. Listen below for his custom approach to these young active patients. At Orthopedic Specialists of Seattle we offercutting-edge innovation to help our active patients return to the sports they love. Subscribe or listen to this full episode below.
Website: www.sportsdoctalk.com
Full Episode: https://podcasters.spotify.com/pod/show/sportsdoctalkpodcast/episodes/Dr—Wayne-Weil—Hand…
Dr. Garcia’s recent webinar describing his use of the game changing technology, the Rebless machine.
SDT Blast: WW Thumb UCL
Post: Thumb UCL surgery has evolved with more innovative techniques. We have seen numerous athletes suffer this injury and make quick recoveries with the help of our new technology. The @arthrex_inc internal brace system has been a game-changer for this surgery and it is performed frequently by @waynemweilmd Check out this short segment from The @sportsdoctalkpodcast with William Sanchez featuring top Seattle hand surgeon Dr. Wayne Weil as he describes this injury and surgery. At The @orthopedicspecialistsseattle we have cutting edge technology to get our athletes back faster. To listen to the full episode see below or subscribe on our website link below.
Full podcast: https://podcasters.spotify.com/pod/show/sportsdoctalkpodcast/episodes/Dr—Wayne-Weil—Hand…
Website: www.sportsdoctalk.com
Patient Testimonial - Revision ACL X 3, MMAT, OAG, MACI 4.5 Months Out
Post: I love hearing from my patients when they start getting back to the sports they love. Just got this video last week. One of the hardest surgeries I have done included two stages, ACL bone grafting for 2 failed ACLs with poorly placed large metal hardware, MACI of the patella and trochlea. 2nd stage medial meniscus transplant, MFC cartilage transplant and 3rd time revision ACL reconstruction. This is the first time he wakeboarded in years and is only 5 months out. He has not had a stable and pain free knee in over 10 years! It also took advanced rehab techniques including the new rebless™ Rehab machine to get him to this level. This was a full team effort that made my week, and thought I would share. To learn more about these procedures check out my cartilage restoration section of my website linked below.At Orthopedic Specialists of Seattle we offer one of the most comprehensive cartilage and knee restoration treatments in the state of Washington.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Wayne Weil, Hand & Wrist Specialist
Post: Check out our new podcast episode featuring one of the top hand surgeons in Washington state, Wayne Weil MD. I have the pleasure of knowing him personally and professionally and you can’t find a better person and surgeon. You may also recognize him from my dual surgeon approach episodes. Subscribe below to learn how Orthopedic Specialists of Seattle offers our athletes cutting edge hand and wrist treatments designed to get our patients back faster with better outcomes.
Dual Surgeon Approach for Revision Elbow Surgery
Post: Revision elbow surgery is challenging and requires a team approach. Elbow surgery is already a more niche area to operate on and when previous surgery fails it can be difficult to find someone to treat your injury. At Orthopedic Specialists of Seattle, Wayne Weil and I use a “dual surgeon” approach to manage these injuries. Many times these are second or third opinions which are common in our practice. Below is another segment from our Dual Surgeon Approach explaining how we deal with previously failed elbow surgery. For an athlete with previous failed sports elbow surgery, we offer comprehensive management to help you get back to the sports you love.
Dr. Garcia Website: www.grantgarciamd.com
Dr. Weil Website: www.seattlehandandelbow.com
SDT Blast DS Q Collar & NFL
Post: Concussions are a major issue in contact sports. On Sports Doc Talk
Podcast: with William Sanchez we had the pleasure of interviewing one of the top specialists in the country David Smith MD. We learned so much about his recent FDA approved product Q Collar which is already making an impact on numerous professional sports. Below is a brief clip from the showing describing all the athletes and organizations involved with this new innovative device. To listen to the whole show subscribe on our website at www.sportsdoctalk.com.
Full Podcast: https://lnkd.in/dd_HPSUN
Check out Dr. Garcia’s recent webinar on patellofemoral replacements and cutting-edge advances
The competitive aging athlete
As a former swimmer and team physician for Swim Across America I’m heavily involved in the swim community. Its been wonderful to give back to my former high school and club team through sponsorship as well as taking care of their injured athletes. My good friend Nina Goldberg Thatcher is a leader in all aspects of her life, and you may have heard about her on my recent aging athletes podcast Sports Doc Talk Podcast with William Sanchez . She has been featured in our local newspaper as she has been instrumental in raising money for Swim Across America to raise money for cancer research and encourage young kids to get involved in the wonderful sport of swimming. Check out this recent article featuring her efforts as well as me and my group Orthopedic Specialists of Seattle as we are all dedicated to sponsoring our community.
SDT Blast Dr Smith Q Collar Explanation
Post: Concussions and traumatic brain injuries are a concern when you take care of athletes in a high contact sport. William Sanchez and I had the pleasure of interviewing @DavidwsmithMD who is the inventor of the Q collar which reduces the impact of head injuries and has been gaining popularity since its recent FDA approval. This device can be found on numerous professional players. Check out this recent clip from our podcast Sports Doc Talk Podcast discussing the explanation of the device and how Dr. David Smith took this idea from napkin to reality. Also check out our previous show outlining the process for technological innovation.
Napkin to Reality:https://lnkd.in/gNuRUe9R
Website:https://lnkd.in/gcjfaafr
Dr. David Smith Website:www.davidsmithmd.com
Check out Dr.Garcia’s demonstration of a MACI biopsy and MACI of the trochlea
Post: Cartilage restoration is a large part of my practice. One of my major cartilage workhorses is MACI. I have shown recent testimonials for this procedure which has very good success in my practice. Remember, with all of these surgeries, understanding when concomitant procedures are needed is essential. Many of my patients ask questions about the biopsy process and the basic level surgical implantation technique. I had the pleasure of partnering with Vericel® Corporation a few months ago for a live cadaver presentation of the biopsy process and a straightforward MACI implantation. Using the game-changing technology by Avail Medsystems we performed this surgical procedure in my operating room Orthopedic Specialists of Seattle with impressive audio and video quality. See below for the full presentation. To learn more about this procedure and video technology check out my website links and recent podcasts Sports Doc Talk Podcast with William Sanchez below. at Orthopedic Specialists of Seattle we continue to push the envelope on technology and innovation to offer this to our patients in the Seattle area and beyond.
Dr. David Smith, inventor of the Q-Collar
post:New Podcast is available!
Guest:David Smith MD inventor of the Q-Collar
In this podcast episode of Sports Doc Talk, Dr. Grant Garcia and William Sanchez
interview David Smith MD, the inventor of the Q-Collar. The Q-Collar is designed to mitigate the absorption of SLOSH (sloshing) energy by the soft tissues of the brain, thereby reducing the risk of brain damage from traumatic events. It is the first device authorized by the FDA for this purpose. You are going to love hearing his thoughts and how animals such as the woodpecker and ram became his inspiration for developing the Q-Collar. Many athletes across all professional sports are currently utilizing the Q-Collar. We discuss a few of these athletes throughout the show, but the Q-Collar is not just for contact sports, it is also used in military operations and other areas.
Dr. Smith is a highly accomplished medical professional with a background in internal medicine and a specialization in traumatic brain injury (TBI). He has served as a visiting scientist at esteemed institutions such as the Human Performance Laboratory for the Division of Sports Medicine at Cincinnati Children’s Hospital Medical Center and the North Shore Division of Neurosurgery and North Shore Neurological Institute.
If you would like a transcript of the show, want to be a guest, or just want more information about Sports Doc Talk, check us out at sportsdoctalk.com.
Post: Meniscal root repairs are one of my passions. This can be a very high quality of life improvement in the right patients. Many patients on initial presentation go from sudden pain and inability to walk to rapid change in the knee joint without fixation. Proper selection is essential to get the best results. Check out this recent patient who flew in from Idaho for her meniscal root repair. She is 3 months out doing great and looking forward to getting back to her active lifestyle! At Orthopedic Specialists of Seattle we offer complex sports medicine care to Washington State and beyond.
Website:
Post: I am honored to be selected as a Seattle Met Top Doc for the 5th year in a row. Taking care of patients at Orthopedic Specialists of Seattle has been incredible and I’m so fortunate to have an amazing team that makes my work fun and interesting. I strive to provide the most comprehensive sports medicine care in the state of Washington and it’s wonderful to have such great partners and staff that support this vision. To learn more about what we are doing to be on the cutting-edge check out my website.
Post: Routine surgeries are not always routine. You need to listen to patients and prepare for any potential complications. This is a wonderful patient; I had the pleasure of taking care of with mast cell activation syndrome. If you haven’t heard of it, they can go into anaphylaxis with any random medicine. This makes a simple rotator cuff surgery a little more complicated. She had severe shoulder pain and failed all attempts to avoid surgery. With proper planning and coordinating from her doctors and my team we did her surgery without any issues. Orthopedic Specialists of Seattle we take on challenging problems to help our patients in Washington state.
Testimonial:
Thank you for taking such good care of me Dr Garcia.
I was really nervous about the surgery, mostly because of possible complications with my mast cells and how I would respond to anesthesia, pain meds & antibiotics. You weren’t afraid to help with getting me through surgery without complications. Thank you!
I’m excited that my shoulder is feeling better as it’s been so painful for over a year now. You are awesome! All the best to you!!
SDT Blast Dr Anthony Yi Ankle Sprains
Post: Ankle sprains are incredibly common. Any doctor that takes care of an athletic population has seen this injury. There are so many different sprains and sometimes patients can develop chronic ankle instability. @Sports Doc Talk Podcast with William Sanchez we had the pleasure of having Dr. Anthony Yi, an expert foot and ankle surgeon, on our show to talk about foot and ankle injuries. Check out this clip from the show going over treatments for ankle sprains and potential surgical options. We didn’t forget to talk about William Sanchez’s favorite surgery “internal brace” by Arthre and how this game changing technology is improving outcomes for ankle injuries and surgeries.
Podcast Website:https://lnkd.in/gcjfaafr
Full Podcast:https://lnkd.in/g3cErtq3
Check out Dr. Garcia’s new Remplissage technique with an anterior and posterior labral repair
Check out Dr. Garcia’s technique for MCL reconstruction
SDT Blast Dr. Anthony Yi Ankle Fractures
Post: Ankle fractures are a common injury we see as orthopedic surgeons. At Sports Doc Talk Podcast we continue to focus on game changing technology to get patients back faster with better outcomes. The new fibular nail by Arthrex is pushing the envelope with faster weight-bearing, smaller incisions and lower hardware removal rates. We had the honor of interviewing top foot and ankle specialist Dr. Anthony Yi last week. Check out this short clip from our podcast with William Sanchez on ankle fractures and the cutting edge technology being used.
website: www.sportsdoctalk.com
Patient testimonial only 6 weeks after Apatella Cartilage Transplant
Post: We have heard so much recently about cartilage transplants with Lonzo Ball and Gabriel Landeskog undergoing this procedure. This surgery can have immense quality of life improvements in the right patient population. We can use this procedure for all parts of the knee, but less frequently do we hear about patella transplants despite their good outcomes. This is because the patellofemoral joint is much more complicated due to the contour of the anatomy. If you do cartilage restoration you must account for all aspects of this area. Check out this patient testimonial only 6 weeks after a patella cartilage transplant.
She previously underwent TTO and MACI but only 30 percent of the MACI grew back and she still had some pain and crepitus. The key lesson here is don’t burn bridges with your first surgery. As a result of our first surgery and some of the MACI regrowth, we used a smaller cartilage plug (20mm) and got her looking like this! No surgery is perfect and cartilage procedures are a tough problem to treat, be prepared for anything and make sure you are thinking about how your surgery will affect any future problems. Think outside the box and come ready with all your tricks and technology and you can help a lot of patients.
Horizontal meniscus repair in a high level soccer player
So excited for this new episode. One of the top foot and ankle surgeons in the Pacific Northwest Anthony Yi
Post: So excited for this new episode. One of the top foot and ankle surgeons in the Pacific Northwest Anthony Yi joined my new Sports Doc Talk Podcast to discuss high-level athletes, and how we’re getting them back sooner with newer foot and ankle technology. Check it out or visit us on our website at sportsdoctalk.com
Check out this recent video testimonial in a young active female after a high tibial osteotomy.
Check out our newest video describing the dual surgeon benefit of 2nd opinions for complex elbow surgeries and professional athletes.
SDT Highlight: Aging Athlete & Regenerative Medicine
Post:As a sports surgeon, I treat athletes at all levels. My goal is to continue to look for advancements in sports medicine that allows my patients to have a faster return to sport and improved outcomes. Regenerative medicine is a hot topic in the fight against disease, injury and aging.
In my recent episode Sports Doc Talk Podcast with William Sanchez we talk about the future of regenerative medicine and how it relates to our aging athletes. Check out this recent clip from our new episode.
Post: UCL repair with internal brace is true game changing technology. We have heard about it recently with Brock Purdy for the 49ers undergoing this procedure. Before this technology, reconstruction of the tommy john ligament was the only way to save a throwers elbow. In the right patient this procedure is less invasive with a faster recovery. We have seen an equivalent return to throwing with this newer procedure in high level athletes and excellent biomechanical strength. It’s a pleasure to offer this procedure at Orthopedic Specialists of Seattle to my patients in Washington state.
Check out this recent testimonial I received in a high-level baseball player who came from over 3 hours away to undergo this surgery. This is what motivates me to keep looking for ways to get my athletes back faster and safer than before. Check out my recent podcast at Sports Doc Talk Podcast with William Sanchez on this surgery or check out my website to learn more about this procedure.
Testimonial:
We are happy to share our great experience with Dr. Garcia and Landon’s surgery success anyplace and anytime! You were all so amazing and we are more thankful than words can express. This kid LIVES for baseball and Dr. Garcia, along with hard work and a fantastic physical therapist, have given that back to him.
Internal brace surgery was obviously a success, thank you SO MUCH for getting Landon back on the pitchers mound!!!
~The Welter family.
Post: Last week I demonstrated my surgical technique for MPFL reconstruction. This surgery is very powerful in the right patient to eliminate patella dislocations. Overall it is one of my most satisfied patient populations. Check out this recent testimonial from a young patient I did a staged bilateral MPFL reconstruction. This patient came from the other side of Washington state to undergo this procedure. Orthopedic Specialists of Seattle it’s a pleasure to offer our new technologies to the state of Washington and beyond.
Testimonial:
Took my Grandson to Dr Garcia, because the surgeons in the Tri-Cities said they couldn’t do the type of surgery he needed to be fully capable of doing anything a kid wants to do.
I did my research to find a Doctor with Experience for the NBA, since they have a lot of these surgeries, and found Dr Garcia.
He did both knees, (6 months apart) and now my grandson, who’s knee caps would dislocate if he stepped wrong, can do anything he wants.
Dr Garcia is great in all facets, bedside manner, how he explains things and most important the surgery.
Winner, Winner, Chicken dinner! Thanks Dr Garcia!
~Ken B.
Post: Gabriel Landeskog underwent cartilage transplant of his right knee on May 10. This is an uncommon surgery for a professional athlete but we have now seen two recent high profile athletes including Landeskog and Lonzo Ball have this surgery. I had the pleasure of training with the surgeon who did these surgeries, Dr. Brian Cole. He is an incredible mentor and always pushing the envelope to help athletes get back to the sports they love. I mimic my practice after his and offer similar cartilage restoration to the Seattle area and beyond. I recently did a podcast on this surgery after the announcement of Lonzo Ball’s cartilage transplant at Sports Doc Talk Podcast with William Sanchez. To learn more about this cutting edge procedure check out my podcast or website for more information.
Looking forward to the future of sports medicine and happy to be working with Arthrex to make this happen. To learn more about these advances check out my website sections below or listen to my napkin to reality podcast Sports Doc Talk Podcast with William Sanchez we highlight Arthrex and innovation.
SDT Highlight: Aging Athletes & Fitness Changes
Post: As a sports surgeon, I take care of athletes at all levels. As we age, my goal as a sports orthopedic surgeon is to keep my active patient population doing the activities they love. When injuries occur, I am looking at the most cutting edge technology to improve outcomes and get my aging athletes back faster. Recently I published a new podcast episode about this on Sports Doc Talk Podcast with William Sanchez. At OSS Seattle we are committed to offering the latest in technology to help our athletes overcome injury both operatively and non operatively. Check out this recent highlight from my podcast describing how fitness has changed over the last 10 years.
Podcast Website: www.sportsdoctalk.com
Check out Dr. Garcia’s new knotless MPFL Technique in 4K
Post:New Sports Doc Talk Podcast episode hot off the press with William Sanchez. This is our first listener request podcast! You asked for it and we delivered.
Topic: What keeps our aging athletes at the top of their game. We cover all facets from wearables, training, regenerative medicine, cutting edge surgeries and more. Learn more by subscribing to our podcast or listening below! Keep the requests coming on our website www.sportsdoctalk.com.
The competitive aging athlete
Portable Blood Flow Restriction: Game Changing Tech
Post:Getting our athletes back faster and stronger is the holy grail of sports medicine. In my practice, I continue to look for game changing technology that allows my patients to get the best and most innovative sports products on the market. Orthopedic Specialists of Seattle we are committed to finding ways to improve outcomes and recovery. Prehab is a critical part of acute ACL injuries; I also have cutting edge surgical techniques and do whatever it takes to save the cartilage and meniscus in the knee. You have heard about our new device the H ROBOTICS INC rebless machine that is helping our more complex knee patients get back to walking, stronger quads and rom faster than conventional CPM.
Check out this new BFR device below! I am a huge proponent of blood flow restriction after surgery which is used in all major professional sports for rehab and recovery. Recently I learned of a portal BFR machine that can be sent home with patients from their PT office. This is offered by Rehab United Seattle and they were kind enough to come by the office and let me show it off. This allows patients to double or triple their time doing BFR to hopefully provide faster gains in their recovery. I highly recommend it, but don’t take my word for it, check out this full demo video with Rehab United’s Kelly Vanhove and me. Stay tuned as this technology may show up soon on Sports Doc Talk Podcast with William Sanchez!
Post: It’s an honor to represent Summit Surgical and Arthrex at this year’s Western Orthopedic Summit in La Jolla. It was an incredible experience teaching others about advanced shoulder instability techniques and the latest game changing technology for ACL repairs. So happy to work with an organization dedicated to teaching and getting patients to the sports they love. It was amazing to learn from master’s in the field and hear about future advances that allow me to stay on the cusp of sports medicine.
Looking forward to the future of sports medicine and happy to be working with Arthrex to make this happen. To learn more about these advances check out my website sections below or listen to my napkin to reality podcast Sports Doc Talk Podcast with William Sanchez we highlight Arthrex and innovation.
Topic: Innovation: Napkin to Reality
SDT Highlight: MLB New Rules and Injury Risk
Post: Baseball is in full swing and so is the new pitch clock. We have seen faster games and pitchers with reduced speed in later innings but does this translate to more injuries…. hopefully not. As a surgeon that treats many baseball pitchers, we know fatigue and repetitive stress leads to injuries like UCL tears, slap tears, flexor overload etc. Check out this short clip from my recent podcast @sportsdoctalkpodcast with Will Sanchez discussing this new rule and our concerns for injury risk. Only time will tell whether faster games in MLB affect injuries but I am sure many different entities are monitoring this. Subscribe to our podcast below to hear the full episode or check out my website to learn more about these baseball injuries. Check out www.sportsdoctalk.com for more information.
SDT Highlight: New Pitch Timer Rule
Post: The new pitch timer is accelerating the play of baseball. If you
don’t know, MLB instituted a new rule to speed up the game and change the
pace. As a sports surgeon, who treats these baseball players, there are
concerns of injury risk with an accelerated pitch count. As a specialist in
baseball players, the pitchers are the ones we are most concerned about. We
are already seeing faster games and loss of top speed in some of our MLB
pitchers early in the game. Check out this brief explanation of this new
MLB rule in this highlight clip from my most recent Sports Doc Talk Podcast with William
Sanchez. For
the whole episode see the link below and subscribe to hear our upcoming
shows.
Website: http://www.sportsdoctalk.com/
Check out Dr. Garcia’s technique for high tibial osteotomy in a young active patient wanting to return to high impact activities.
Cartilage restoration is an essential part of my practice. It is important
if you practice cartilage restoration you understand all components of the
procedure. If a patient’s alignment is off, they must be corrected by doing
an osteotomy in addition to the cartilage procedure. Check out this recent
testimonial, my scheduler received, this patient had a previous
microfracture done elsewhere, no alignment was checked and they did quite
poorly. We identified they had alignment issues and performed a high tibial
osteotomy with a cartilage transplant and you can see his activity level
already at five months with a great day skiing.
Testimonial:
Good morning Alyssa, please pass along to Dr. Garcia that I skied over
32,000 vertical feet at Whistler this past weekend!! In 2 days, I’ll be at
the 5 month mark from my surgery. I’m feeling good after the last two days
and only needed 2 ibuprofen at the end of each day. So excited!
~Greg M.
2023 baseball season new hopes, new rules, new concerns.
4 months after root tear
Meniscal root tears are a hot topic in sports medicine. More and more
data has demonstrated the importance of fixing these tears to delay
arthritis and reduce pain. With proper patient selection you can see pretty
impressive results. Check out this video I just received from a young
patient with significant knee pain for over 4 months after surgery. He had
seen a few surgeons and no one could figure it out (30%+ can be missed on
MRI). We saw subtle meniscal root tear on MRI so scoped him to confirm and
sure enough it was a complete meniscal root tear which came together great.
He is 4 months out doing awesome and just sent me this video of him
surfing. For more information on this injury and the surgery check out my
website link:
Website: https://lnkd.in/geaeurzV
Lonzo Ball, cartilage transplant surgery
William Sanchez and I are so excited to announce our brand new website for our podcast Sports Doc Talk Podcast.
Post: William Sanchez and I are so excited to announce our brand new website for our podcast Sports Doc Talk Podcast, www.sportsdoctalk.com. You can find all our current podcasts, video podcasts, question and answer polls, informational videos and the ability to submit show requests. We have already received a few great requests and we are looking forward to featuring them on our show in the coming months. Stay tuned for our hot topic episode we just recorded last night on cartilage transplants and the recent Lonzo Ball surgery. Thanks for all our current subscribers our last episode hit over 200 listens already and we appreciate your following!
Website: www.sportsdoctalk.com
Innovation continues with this amazing 6 week testimonial
Post: Innovation continues with this amazing 6 week testimonial. ACL tibial spine surgeries are challenging, in that postoperative stiffness is a major problem. I see a number of 2nd opinions every year for this complication and have had my own patients take longer to recover with stiffness. I have tried different techniques to save the patients acl, get the spine to heal and preserve motion but nothing this results at 6 weeks.
I posted my recent technique using the new Arthrex ACL repair tightrope and I was blown away. Check out my patient 6 weeks after this surgery. ACL exam is perfect, the tibial spine remains fully reduced and motion is great. With the confidence of this repair, I doubled the speed of my previous protocol. At Orthopedic Specialists of Seattle our goal is innovation that benefits patients and outcomes!
Dr. Garcia’s BEAR ACL repair technique with an Internal Brace
Dr. Garcia’s newest technique to fix ACL tibial spine using the new ACL tightrope system
Dr. Garcia’s technique for distal femoral osteotomy
1 year after ACL tibial spine repair and posterior lateral corner reconstruction
Post: Multi-ligamentous knee injuries are a challenging surgery and recovery. I remember getting a call on vacation about a patient with a unique injury, ACL tibial spine avulsion and full posterior lateral corner injury. While waiting for swelling to reduce would be ideal, you must try and fix these spine injuries quickly if there is a chance to save the ACL. With the help of my amazing team, we moved things around and got this young high-level skier into surgery the next week. She persevered through this recovery, and I received these two messages from her roughly 1 year after ACL tibial spine repair and posterior lateral corner reconstruction. We saved her ACL and got her back to doing what she loves… skiing! These patients and stories are what make my job so fulfilling! @Orthopedic Specialists of Seattle we offer high-level care and work as a team to give patients the best outcome.
Note: Just wanted to share that I made it back on the mountain yesterday for the first time! Made it about 20 runs (even back to blues and blacks!) before my knee started to get achy, and I’m sure it’ll just get better from here. Thank you so much for everything and I’ll be sure to send a video some time this season.
Update a few weeks later: Still gaining confidence in my left ski, but we’re making progress!
Testimonial after innovative repair of her ACL ligament tear.
Check out our new podcast “Sports Doc Talk” with Will Sanchez and Dr. Grant Garcia.
Brand new show! First new episode of Sports Doc Talk coming this week. We will talk about the Super Bowl and how injuries impact the most watched sporting event in the US.
Follow us on: anchor.fm/sportsdoctalkpodcast
My recent MACI talk with Dr. Brian Cole on how to maximize cartilage training in fellowship.
Grant H. Garcia, MD I think it’s the season! Summited Rainier as well 2 weeks ago! And the shoulder held up amazingly… even after a little fall
My job as a sports orthopedic surgeon is to help my patients return to the sports and activities they love. Images and videos of my patients getting back to their hobbies are the highlights of my day. Check out this message I received from someone I did shoulder surgery on 2 years ago. Another patient of mine summiting Mount Rainier. This is no easy feat!
“One VERY satisfied client!!” – KC
Just got this message from my patient that I did a posterolateral corner reconstruction, MCL reconstruction and ACL reconstruction, 3 years ago. Always fun to get these videos of patients getting back to the sports they love.
Excited to provide team coverage for Swim America again this year. Great morning for a great cause. Good luck swimmers!
Honored to speak at the MACI fellows course last night with Dr. Brian Cole, my mentor and leader in the cartilage field.
Great time at Arthrex’s #WOTIF conference. Honored to speak on cutting edge techniques in shoulder surgery.
Dr. Garcia covers Swim America event, Congrats to all the swimmers raising money for a good cause!
Dr. Garcia was selected as a 2021 Top Doctor by Washington Magazine.
Dr. Garcia is honored to be selected for Seattle Met Top Doc for 2021! It is a pleasure to continue to offer advanced high quality sports care to the Seattle area.
Check out Dr. Garcia’s podcast on Skateboarding injuries in honor of the new Olympic sport!
Tune in to Dr. Garcia’s zoom talk on cartilage and meniscus transplants and how we are using cutting-edge techniques to preserve patient’s cartilage. The talk is on July 15th at 12pm, sign up using this link: lnkd.in/gfkbkqV
Dr. Garcia will be teaching shoulder instability techniques this week to young surgeons under 50 years old at the Arthrex Futures Forum in Naples, Florida. He will be showing cutting-edge surgery to improve labral repairs using the most minimally invasive techniques.
Dr. Garcia talks about RTS after ACL injury in the NFL on NYSEA sports radio.
Dr. Garcia demonstrates his release technique for frozen shoulder.
Patient shoulder replacement testimonial for a severe and complex shoulder fracture
Dr. Garcia demonstrates his technically advanced technique using a Distal Tibial Allograft (ankle bone) to reduce shoulder dislocations after failed previous shoulder surgeries.
Dr. Garcia demonstrates his technique for elbow UCL repair with an internal brace. This new technique is getting baseball players back to playing faster than conventional Tommy John surgery.
Dr. Garcia discusses his revision acl algorithm and what he does to improve outcomes.
Dr. Garcia demonstrates his technique for arthroscopic biceps tenodesis. This is a minimally invasive approach he can combine with other arthroscopic shoulder surgeries to reduce biceps tendon pain.
Dr. Garcia demonstrates his technique for arthroscopic rotator cuff repair.
Dr. Garcia was named Seattle Met Top Doc for a 2nd year in a row.
Thank you to all his patients and colleagues for the support.
Dr. Garcia demonstrates his technique for subpectoral mini-open biceps tenodesis.
Check out Dr. Garcia blog on ACL graft options. He uses a customized approach to each patient when choosing the type of graft for your ACL reconstruction.
Dr. Garcia demonstrates his advanced arthroscopic technique for snapping scapula syndrome. This surgical video demonstrates his arthroscopic scapulothoracic bursectomy and superior medial angle resection.
Dr. Garcia demonstrates his technique for acute elbow LCL repair
Dr. Garcia demonstrates his all suture technique for ACL repair and ACL tibial spine repair.
Dr. Garcia demonstrates his arthroscopic remplissage technique. This surgery improves outcomes for patient who have failed previous labral surgery.
Dr. Garcia demonstrates his advanced technique for “over the top” rotator cuff repair with a superior capsular reconstruction.
Dr. Garcia covers the Pac-12 Swim Championships. It was a great opportunity help out and take care of these high-level athletes.
Dr. Garcia demonstrates his elbow arthroscopy technique in a former high level gymnast.
Dr. Garcia demonstrates his arthroscopic surgical technique for anterior labrum “Bankart” repair.
Dr. Garcia demonstrates his inside-out meniscus repair technique for complex tears.
Check Out Dr. Garcia's Patient Testimonial After Complex Shoulder Stabilization Surgery
Dr. Garcia demonstrates his advanced technique for arthroscopic glenoid fracture fixation as well as bony bankart repair. This technique improves healing time and reduces stiffness over the open approach.
Check Out Dr. Garcia’s Patient Testimonial Video After Cartilage Transplant
Dr. Garcia demonstrates his innovated technique for partially torn, articular sided rotator cuff repairs. This newer technique reduces trauma to the rotator cuff without hurting healing potential.
Dr. Garcia presents his complex treatment algorithm for treating patients with shoulder instability and labral tear.
Dr. Garcia demonstrates his cutting edge technique for subscapularis repair after stemless total shoulder replacement.
Dr. Garcia demonstrates his arthroscopic technique for knee osteochondritis dissecans (OCD) repair.
Dr. Garcia demonstrates a cartilage transplant surgery. This is an innovative technique to preserve patients’ knees with a focal cartilage defect.
Dr. Garcia demonstrates his Superior Capsular Reconstruction technique
My treatment algorithm for Tommy John surgery.
Dr. Garcia demonstrates his innovative technique for arthroscopic meniscus root repairs.
Dr. Garcia speaks on OrthoBiologics, including PRP and Stem Cells, for Swedish hospital.
Dr. Garcia presents his September blog topic: patella dislocations and how we treat them.
Dr. Garcia demonstrates his innovative technique for the Latarjet procedure
Dr. Garcia talks about SLAP tears in his monthly blog post
Superior Capsular Reconstruction
Dr. Garcia will be lecturing to all Washington and Alaska Arthrex reps on Superior Capsular Reconstruction next week. He is honored to be selected for this teaching opportunity and will give an overview of the data on the procedure’s success and demonstrate his technique.
Dr. Garcia speaks on meniscal root tears and cutting edge treatment. Check out his first monthly sports and shoulder blog.
Dr. Garcia and OSS are launching a new sports medicine and shoulder blog
Check out Grant Garcia’s Facebook live session on shoulder replacements
Dr. Garcia’s speaks on sports medicine injuries and concussions in adolescents at Swedish Hospital. Check out his presentation below
Check out Dr. Garcia’s video segment on ACL tears and their associated injuries.
Know more
Dr. Garcia covers Skate for America, helping care for Team USA Figure Skating. Great job to all contestants, with numerous Olympians from around the world participating, it was an incredible event to cover.
Personalized blood flow Restriction rehabilitation?
Personalized Blood Flow Restriction (PBFR) training has become a novel training method for these individuals to obtain similar gains as high intensity training (HIT) utilizing significantly lower loads. BFR utilizes a specialized tourniquet system to reduce vascular inflow and completely occlude venous outflow in the limb.
Blood Flow Restriction Training After Knee Arthroscopy: A Randomized Controlled Pilot Study
Introduction:: Quadriceps strength after arthroscopic knee procedures is frequently diminished several years postoperation. Blood flow restriction (BFR) training uses partial venous occlusion while performing submaximal exercise to induce muscle hypertrophy and strength improvements. The purpose of this study was to evaluate BFR as a postoperative therapeutic intervention after knee arthroscopy.
Personalized Blood Flow Restriction Therapy: How, When and Where Can It Accelerate Rehabilitation After Surgery?
Abstract:Personalized (based on a percentage of a patient’s limb occlusion pressure) blood flow restriction is emerging as a potential advancement in orthopaedic surgery. Safe application of the technology requires the use of medical devices capable of customizing the pressures applied to individual patients. In those circumstances, it is a low risk and noninvasive technique. By limiting muscle atrophy and aiding in the recovery of strength and function, it has the potential to significantly reduce the morbidity from limb trauma and surgery, and aid in achieving a substantially earlier return to full activity.
Blood Flow Restriction, which is a treatment technique that combines low load resistance training with heavy compression of the involved extremity, allowing for amazing changes in muscle strength and loading capacity. Dr. Garcia tried it out, great option for rehabbing patients.
ARM- Blood Flow Restriction
Leg - Blood Flow Restriction
Defining Platelet-Rich Plasma Usage by Team Physicians in Elite Athletes
Background: The indications for the use of platelet-rich plasma (PRP) are vaguely defined despite the frequency of its use as a treatment for athletes. While select studies have advocated for its efficacy, the majority of orthopaedic research conducted on the topic has been equivocal.
Dr. Grant Garcia provides medical coverage for Swim Across America. Great turnout and congratulations to all those swimmers raising money for a good cause!
Stem Cell Therapy for Articular Cartilage Repair: Review of the Entity of Cell Populations Used and the Result of the Clinical Application of Each Entity
BACKGROUND: Following successful preclinical studies, stem cell therapy is emerging as a candidate for the treatment of articular cartilage lesions. Because stem cell therapy for cartilage repair in humans is at an early phase...
Return to Play Among Elite Basketball Players After OsteochondralAllograft Transplantation of Full-Thickness Cartilage Lesions.
Background: Osteochondral allograft transplantation (OCA) is a recognized option for full-thickness articular cartilage defects of the knee, especially in the setting of large lesions or those involving the subchondral bone.
Comparative Matched-Pair Analysis of Open-Wedge High Tibial Osteotomy With Versus Without an Injection of Adipose-Derived Mesenchymal Stem Cells for Varus Knee Osteoarthritis: Clinical and Second-Look Arthroscopic Results
BACKGROUND: High tibial osteotomy (HTO) is reported to be an effective treatment for varus knee osteoarthritis (OA) by redistributing the load line within the knee joint.
Borderline Glenoid Bone Defect in Anterior Shoulder Instability: Latarjet Procedure Versus Bankart Repair
BACKGROUND: The optimal procedure for anterior shoulder instability with a borderline (15%-20%) bone defect on the anterior rim of the glenoid is still controversial.
Clinical Outcomes and Return to Sport After Arthroscopic Anterior, Posterior, and Combined Shoulder Stabilization.
Background: Glenohumeral instability is a common abnormality, especially among athletes. Previous studies have evaluated outcomes after arthroscopic stabilization in patients with anterior or posterior shoulder instability...
Double-Row Arthroscopic Subscapularis Repair: A Surgical Technique
The subscapularis is the strongest rotator cuff muscle in the shoulder. Until recently, most surgical repairs were performed through an open approach. Furthermore, the reporting of arthroscopic repair techniques and outcomes is fairly limited. This is likely due to the difficulty involved in all-arthroscopic repairs and the relative...
Return to Work After Anatomic Total Shoulder Arthroplasty for Patients 55 Years and Younger at Average 5-Year Follow-up
As the number of anatomic total shoulder arthroplasties performed on younger patients continues to grow, return to work after surgery becomes increasingly important. The purpose of this study was to evaluate the ability of anatomic total shoulder arthroplasty to return patients 55 years or younger to work postoperatively...
Orthopedics Today Commentary – Healio
Orthopedics Today, May 2018. Anthony A. Romeo, MD; Grant H. Garcia, MD. As the population ages, the number of joint replacement surgeries has increased...
Sports and joint replacement: Patient perspective should be our priority
Jun 5, 2018 – Anthony A. Romeo MD, Grant H. Garcia MD, Healio Orthopedics Today May … However, recent studies from Garcia and colleagues found both …
Malnourished patients had increased risk for short-term complications after TSA
Using the American College of Surgeons National Surgical Quality Improvement Program database, Garcia and his colleagues identified 4,655 patients who underwent total shoulder arthroplasty (TSA) from 2005 to 2013.
Study reports on return to work, play after shoulder hemiarthroplasty
Grant H. Garcia, MD Grant H. Garcia. Garcia and his colleagues retrospectively reviewed 79 patients who underwent shoulder hemiarthroplasty. Patients were...
