In The News
Biceps Tendon Transfer 2025
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UPDATED SURGICAL VIDEO | Biceps Transfer + Autograft Augmentation for Difficult Rotator Cuff Tears
Just released an updated surgical technique video highlighting my approach to biceps transfer with autograft augmentation for the most difficult rotator cuff tears-chronic, retracted, poor-quality tissue where standard repair alone is likely to fail.
These are the cases that challenge even experienced surgeons:
- Long-standing retraction
- Thinned, compromised tendon
- Loss of mobility and tension mismatch
- High risk of re-tear without augmentation
This is where thoughtful reconstruction-not just repair-becomes essential.
Why biceps transfer + autograft in difficult tears?
In select chronic and high-risk cuff tears, the long head of the biceps can be leveraged as a local, biologically favorable tissue source, and when combined with autograft augmentation, it allows:
- Improved load sharing in repairs under tension
- Reinforcement of poor-quality native tendon
- Restoration of shoulder force couples
- A more durable construct without over-tensioning fragile tissue
The updated video walks through:
- Indications for difficult and revision-risk tears
- Technical pearls for biceps transfer
- When autograft augmentation adds value
- Strategies to reduce failure in chronic pathology
These are not routine cuff repairs.
They are problem-solving reconstructions designed to give patients with difficult tears a real chance at lasting function.
Website link: https://www.grantgarciamd.com/biceps-tendon-transfer-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Updated surgical video is attached
More on managing difficult and chronic cuff tears coming soon.
The Future of Cartilage and Meniscus Treatments
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🎙️ NEW SPORTS DOC TALK CLIP - NOW LIVE 🔥
👉 Watch the short clip: https://youtube.com/shorts/X1IZJd_0XRw?si=OjP0J1lyvhLQ8f8E
In this episode of Sports Doc Talk, hosts William Sanchez and Grant Garcia sit down with renowned orthopedic surgeon and sports medicine innovator Brian Cole for a forward-looking discussion on the future of cartilage and meniscus transplantation.
🧠 Clip Summary - Future of Meniscus & Cartilage Transplantation:
In this clip, Dr. Cole outlines how advancements in biologic augmentation, tissue preservation, and surgical technique are changing the landscape for cartilage and meniscus restoration. He highlights the potential for improved durability, faster recovery, and expanded indications*-bringing us closer to truly *joint-preserving solutions for athletes and active patients.
🎧 Episode highlights include:
- The evolving science behind cartilage and meniscus restoration 🧬
- Where current research is headed-and what it means for clinical practice
- Mentorship, legacy, and shaping the next generation of sports surgeons
- Real insights from decades in high-stakes orthopedic care
🎧 Now streaming on:
➡️ YouTube: https://lnkd.in/gREkJTDW
➡️ Apple Podcasts: https://lnkd.in/gCZRJpn7
➡️ Spotify: https://lnkd.in/gtE-9f5A
More education. More cases. More advanced topics.
Sponsored by The Recovery Shop - leaders in post-surgical recovery and DME.
📩 Contact: Mike - [javascript protected email address]
Elbow Blog Series Summary and Thank You
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🔥 ELBOW BLOG #24 - THANK YOU & SERIES RECAP 🔥
Elbow Blog #24 is a thank-you.
After 6 months of elbow education, case discussions, surgical pearls, and short videos, this final entry is about *gratitude*-and what’s next. 🙏🦾
🎥 In my thank-you video, I want to sincerely thank everyone who tuned in, followed along, shared the content, and used these posts to better understand elbow injuries-from youth athletes to high-level competitors.
📚 Missed an episode or want a full recap?
You can find the entire 6-month Elbow Blog series here:
This series was built to be:
- Practical
- High-yield
- Clinically relevant
- Directly applicable to real patients
🚀 What’s next?
More education. More cases. More advanced topics.
💬 I’d love your input:
👉 What elbow, shoulder, or sports medicine topics would you like to see covered next?
Thanks again for following along-and for being part of the conversation.
From Jungle Trails to the Operating Room: Recharged and Ready After Costa Rica
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Back to reality… but WOW what a week 🇨🇷🔥🌴
Costa Rica absolutely delivered on every single bucket-list moment for our family ❤️✈️
- We soaked in natural hot springs surrounded by jungle 🌋♨️
- Spotted sloths hanging overhead 🦥🌿
- Watched monkeys right outside our window 🙉🐒
- Fed giraffes and zebras on safari 🦒🦓🥕
- Horseback rode along the beach 🐎🌊
- Learned to surf (with plenty of wipeouts 😅🏄♀️)
- Released baby sea turtles into the ocean 🐢🌅
- And most importantly… soaked up uninterrupted family time 💛👨👩👧👧
There’s something powerful about stepping away - no OR schedule, no clinic charts, no meetings - just adventure, nature, and being fully present 🌎✨
Now it’s time to trade jungle hikes for clinic hallways and head back to taking care of patients 💪🦴🏥
Clinic starts Monday.
Grateful. Recharged. Inspired. Ready to go.
Pura Vida always 🇨🇷❤️
Balancing Innovation and Safety in Surgery
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🎙️ NEW SPORTS DOC TALK CLIP - NOW LIVE 🔥
👉 Watch the short clip:
https://youtube.com/shorts/O9p9vsi5GNc?si=-OohB8aentq-9Soq
In this episode of Sports Doc Talk, hosts William Sanchez and Grant Garcia sit down with renowned orthopedic surgeon and sports medicine leader Brian Cole for a focused, high-impact discussion on balancing innovation with safety in modern orthopedic surgery.
🧠 Clip Summary - Innovation vs Safety:
In this short clip, Dr. Cole emphasizes that while innovation is critical to advancing our field, it must be thoughtful, measured, and grounded in patient safety. New techniques and technologies should enhance outcomes - not outpace evidence or judgment. The best surgeons adopt innovation responsibly, integrating it only when it truly benefits patients.
🎧 Episode highlights include:
- How to responsibly balance innovation and safety in surgery
- The role of mentorship and legacy in orthopedic education
- The realities of high - stakes decision-making in sports medicine
- The future of cartilage and meniscus treatments 🦴🧬
🎧 Now streaming on:
➡️ YouTube: https://lnkd.in/gREkJTDW
➡️ Apple Podcasts: https://lnkd.in/gCZRJpn7
➡️ Spotify: https://lnkd.in/gtE-9f5A
Sponsored by The Recovery Shop - leaders in post-surgical recovery and DME.
📩 Contact: Mike - [javascript protected email address]
Pediatric Throwing Elbow Treatments
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🔥 ELBOW BLOG #23 - PEDIATRIC THROWING ELBOW 🔥
The pediatric throwing elbow is a unique injury pattern with unique risks.
Ignore the warning signs-and you risk growth plate injury, instability, or long-term damage. ⚾🦴
In Elbow Blog #23, this 1-minute video focuses specifically on the throwing athlete and why early recognition and proper management are critical.
🎥 What this short video covers:
- Why repetitive throwing + open growth plates is a dangerous combination
- Medial elbow pain and the spectrum of Little League elbow
- How overuse, pitch counts, and mechanics drive injury risk
- When pain is a red flag-not soreness
- The importance of rest, timing, and avoiding premature return to throwing
⚠️ These injuries don’t just affect the current season-they can alter arm development, velocity, and durability long term.
This is about protecting young arms while preserving their future.
🎯 Elbow Blog #23:
Smart decisions now prevent surgeries later.
Updated Glenoid fracture repair with Remplissage in High Level Quarterback
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🏈 NEW SURGICAL VIDEO | High-Level Quarterback Shoulder Repair
Just released this new surgical video demonstrating a glenoid fracture repair combined with a remplissage in a high-level quarterback.
This case highlights several key principles when treating elite throwing athletes:
🦴 Accurate glenoid fracture reduction and fixation
🎯 Management of an engaging Hill-Sachs lesion
⚙️ Stability without sacrificing throwing mechanics
🔬 Modified Remplissage Technique for Throwers
In this case, I utilized a modified remplissage designed specifically for overhead and throwing athletes:
- Less infraspinatus bite to minimize posterior over-constraint
- Steeper anchor angle to allow effective defect filling
- Still fully fills the Hill-Sachs lesion while preserving external rotation and functional range
For quarterbacks, the objective isn’t just preventing instability-it’s restoring controlled motion, velocity, and confidence without compromising long-term performance.
The video walks through:
- Indications and surgical decision-making
- Technical pearls for fracture fixation
- When and how a modified remplissage can be safely used in throwers
- Return-to-play considerations
Website: https://www.grantgarciamd.com/remplissage.html
📹 Video clip is below
👉 More on this topic coming soon, including deeper dives into technique selection and outcomes in throwing athletes.
The Emotional Journey of Treating Professional Athletes
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🎙️ NEW SPORTS DOC TALK CLIP - NOW LIVE 🔥
👉 Watch the short clip: https://youtube.com/shorts/rj0Ga0raB5s?si=oC7Pc3cnBg231k-z
In this episode of Sports Doc Talk, hosts William Sanchez and Grant Garcia sit down with renowned orthopedic surgeon and sports medicine leader Brian Cole for a high-impact discussion on where sports medicine is headed next.
🧠 Key takeaways from the episode:
- Balancing innovation with patient safety in modern surgery
- The importance of mentorship and the legacy of teaching medicine
- The emotional and professional demands of caring for elite athletes
- The future of cartilage and meniscus treatments 🦴🧬
🏟️ Caring for professional athletes brings unique challenges:
- Compressed timelines and return-to-play pressure ⏱️
- Careers, contracts, and livelihoods tied to medical decisions 📉📈
- Coordinating with teams, agents, trainers, and organizations 🤝
- Managing expectations while protecting long-term joint health
- Making high-stakes decisions where there is no margin for error 🎯
This is an honest, experience-driven conversation from decades at the highest level of orthopedic sports medicine.
🎧 Now streaming on:
YouTube: https://lnkd.in/gREkJTDW
Apple Podcasts: https://lnkd.in/gCZRJpn7
Spotify: https://lnkd.in/gtE-9f5A
Sponsored by The Recovery Shop - leaders in post-surgical recovery and DME.
📩 Contact Mike :mikeb@shop-recovery.com
Growth Plates and Elbow Surgery
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🔥 ELBOW BLOG #22 - PEDIATRIC ELBOWS & GROWTH PLATES 🔥
Pediatric elbows are not small adult elbows.
Miss that distinction-and the consequences can last a lifetime. 🦴⏳
In Elbow Blog #22, this 1-minute video breaks down the critical growth plate considerations every clinician, coach, and parent needs to understand when treating young athletes.
🎥 What this short video highlights:
- Why open physes change everything in diagnosis and treatment
- Common mistakes when evaluating pediatric elbow pain
- How growth plate injuries can masquerade as “tendonitis”
- When rest is enough-and when delayed care risks permanent damage
- The importance of age, sport, volume, and mechanics in decision-making
⚠️ Throwing athletes, gymnasts, and overhead youth competitors are especially vulnerable-and early recognition matters.
This isn’t about being aggressive.
It’s about being accurate, protective, and intentional.
🎯 Elbow Blog #22:
Protect the growth plate. Protect the future.
Largest MACI Arthro performed in the US
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🚨🔥 Largest MACI Arthro Implant Performed🔥🚨
Thrilled to share my video of the first-ever successful MACI Arthro case using the largest implant possible with this system in the country - a true milestone in minimally invasive cartilage repair! 💪🧬
This case pushed the limits of what can be achieved arthroscopically - combining precision, innovation, and surgical finesse to restore large cartilage defects through small portals. ⚙️🦵
🎥 In this video, you’ll learn:
💡 Advanced tips & tricks for optimal defect preparation
🪄 Techniques for precise graft handling and placement
🧩 Strategies to ensure implant stability and integration in high-demand knees
The MACI Arthro system is redefining what’s possible in cartilage restoration - giving athletes and active patients a faster, less invasive path back to performance. ⚡🏃♂️
👨⚕️ Every step in this video highlights how next-gen biologic implants and refined arthroscopic techniques are transforming the way we treat cartilage injuries.
If you’re passionate about cutting-edge sports medicine and innovation in orthopedics, this is one to watch. 🚀
MACI Arthro Link:
Mentorship The Legacy of Teaching in Medicine
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🎙️ NEW SPORTS DOC TALK CLIP - NOW LIVE 🔥
👉 Watch the short clip: https://youtube.com/shorts/v2Z3JA2Xq1E?si=MzQwGQXjnF8W9Z0G
In this episode of Sports Doc Talk, hosts William Sanchez and Grant Garcia sit down with renowned orthopedic surgeon and sports medicine leader Brian Cole for a high-impact conversation on where sports medicine is headed next.
🧠 Key takeaways from the episode:
- How to balance innovation with patient safety in modern surgery
- The importance of mentorship and teaching the next generation
- The emotional realities of caring for elite and professional athletes
- Where cartilage and meniscus treatments are evolving 🦴🧬
This is an honest, experience-driven discussion from decades at the highest level of orthopedic sports medicine.
🎧 Now streaming on:
YouTube: https://lnkd.in/gREkJTDW
Apple Podcasts: https://lnkd.in/gCZRJpn7
Spotify: https://lnkd.in/gtE-9f5A
Sponsored by The Recovery Shop - leaders in post-surgical recovery and DME.
📩 Contact Mike :mikeb@shop-recovery.com
Advanced Elbow Arthroscopy
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🔥 ELBOW BLOG #21 - ADVANCED ELBOW ARTHROSCOPY 🔥
Elbow arthroscopy is no longer just about debridement.
It’s about precision, access, and preserving cartilage in high-demand athletes. 🦾🎯
In Elbow Blog #21, we dive into advanced arthroscopic techniques*-including the *arthroscopic Outerbridge technique*-designed to address *complex chondral pathology while minimizing morbidity and maximizing return to sport.
🎥 In the brief video series, we cover:
- Portal strategy and positioning for safe elbow access
- Arthroscopic visualization of challenging cartilage lesions
- The *Outerbridge technique*-when to use it and why it matters
- Tips, tricks, and pitfalls that only show up in real cases
- How these techniques change outcomes in throwing athletes
💡 These are high-level tools for surgeons treating:
- Elbow OCDs
- Focal chondral defects
- Painful mechanical symptoms in competitive athletes
This isn’t theory-it’s practical, reproducible arthroscopy you can take straight to the OR.
🎯 Elbow Blog #21: Advanced problems require advanced solutions.
Honored & Grateful
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🏆 Honored & Grateful 🏆
I’m incredibly excited to share that I’ve been named a Castle Connolly Top Doctor for 2026 ⭐️
Even more meaningful-this also marks my 5-Year Castle Connolly Top Doctor Award, recognizing five consecutive years of this honor. Consistency at this level doesn’t happen alone.
🙏 Huge thank you to my amazing team at Orthopedic Specialists of Seattle. Your dedication, precision, and relentless commitment to excellence make it possible for us to deliver the highest level of care to our patients every single day.
To my patients-thank you for your trust. It’s a privilege to care for you, push the boundaries of orthopedic innovation, and help you get back to doing what you love.
Here’s to teamwork, innovation, and continuing to raise the bar in orthopedic care. 🚀💪
Northwest Sports Summit - The Momentum Continues
Post: 🔥 NORTHWEST SPORTS SUMMIT - THE MOMENTUM CONTINUES 🔥
One of the biggest takeaways from the Northwest Sports Summit was the continued commitment from Arthrex and Arthrex Seattle to bring truly high-level, physician-driven education to the Pacific Northwest. 🧠🦾
This wasn’t a one-off event-it reflects a long-term investment in surgical excellence, honest discussion, and real-world decision-making for practicing sports medicine physicians.
I was honored to serve as a lead speaker and thought leader, sharing practical tips, surgical pearls, and real-world strategies on some of the most complex and high-stakes knee and shoulder problems we face in sports medicine-where judgment, nuance, and experience truly matter. 🦿💪
👏 Huge shout-out to Auston Robinson, MBA Robinson and his entire team for seamlessly coordinating a sold-out, physician-only program that delivered exactly what was promised:
- Meaningful engagement
- Tough cases and open debate
- Education that actually changes how we think and operate
Because of leadership like this, the PNW continues to level up-with access to national-caliber teaching, collaboration, and innovation right here at home.
🚀 This is how you build a region. More to come.
Also big thanks to the other amazing faculty Jason Grassbaugh and Albert Gee
From Surgeon to TikTok Star The Unexpected Rise
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🎥 New from Sports Doc Talk! From Scalpel to Spatula: Dr. Weil’s Unexpected TikTok Journey
Check out this fun and inspiring snippet featuring Dr. Wayne Weil’s rise from the OR to TikTok fame! In this clip, we see Dr. Weil blend surgical precision with culinary creativity, taking his followers inside his viral cooking class moment that exploded on social media - proving that attention to detail and passion translate on and off the table.
🔗 Watch here: https://youtube.com/shorts/dtEZ4mNTbLA?si=5kAP_tN6iwqVAw9W
Whether you’re in healthcare, content creation, or simply curious how a surgeon becomes a TikTok star, this spotlight episode delivers big takeaways.
🎙️ Full Episode Links:
YouTube: https://lnkd.in/ehuhTx-e
Spotify: https://lnkd.in/eJ5yiRtJ
Apple Podcasts: https://lnkd.in/ectFzmad
🙏 Brought to you by The Recovery Shop - your go-to for post-surgical rehab and DME solutions.
📩 Contact Mike :mikeb@shop-recovery.com
Follow for more content:
👤 Dr. Wayne Weil • 👤 William Sanchez • 👤 Dr. Grant Garcia
150+ Cartilage & Meniscus Transplants - Milestone Unlocked
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🚨 150+ CARTILAGE & MENISCUS TRANSPLANTS - MILESTONE UNLOCKED 🚨
Beyond grateful to surpass 150 meniscus and cartilage transplant surgeries at Seattle Orthopedic Center 🏥 - a milestone that reflects years of hard work, precision, and an incredible team all focused on saving knees and restoring lives 🦵💪
💥 These are NOT easy cases.
Meniscus transplants and cartilage restoration are among the most technically demanding surgeries we perform 🔬🦵 - often for patients who’ve been told they’re “out of options.”
📍 Today’s case:
🧩 Dovetail lateral meniscus transplant
🧬 Cartilage transplant
🎯 One knee. One mission. Maximum precision.
With the help of advanced Arthrex instrumentation 🛠️, we continue to push the envelope and redefine what’s possible in modern knee preservation surgery 🚀
🙌 This milestone belongs to the team:
🔥 Vaid Olanday - rock-solid scrub tech
🔥 Corbin Brokaw, PA-C - my PA, relentless preparation and execution
🔥 Gail Petteruti - my other outstanding PA, excellence year after year
🔥 And the entire OR staff who make these complex cases possible 💙
This isn’t just a number - it’s teamwork, trust, and technical excellence coming together for patients who need it most.
➡️ Mission remains the same:
Save joints 🦵 | Preserve knees 🛡️ | Restore active lives 🏃♂️⛷️🏄♂️
OCDs of the elbow
Post:🎯 Elbow Blog #20: Osteochondritis Dissecans (OCD) of the Elbow
Elbow OCDs aren’t just “growing pains.”
They’re real cartilage injuries that can derail young athletes if missed.
🏀⚾ Most common in throwers and gymnasts
🦴 Involves the capitellum cartilage + underlying bone
⏱️ Early diagnosis = better outcomes, fewer surgeries
In this video, we break down:
- What elbow OCD actually is
- Warning signs parents & athletes shouldn’t ignore
- When rest works-and when surgery matters
👉 Knowledge + timing make all the difference.
Honored to instruct at Arthrex OTIF 2026
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Honored to instruct at Arthrex OTIF 2026. 🙌🦴
✈️ A quick 48 hours to Florida and back, but filled with meaningful education, collaboration, and innovation.
💥 Why OTIF stands out:
- Elite surgeon educators sharing real-world experience 🧠
- True collaboration between surgeons, engineers, and designers ⚙️
- A focus on precision, efficiency, and reproducibility in the OR 🎯
🦾 Key discussions:
- The future of sports medicine education 📚
- Smarter surgical workflows and next-gen instrumentation 🔧
- Where innovation is headed over the next decade 🚀
🎙️ Also had a great meeting on the future of production innovations*-and recorded a *podcast episode I’m excited to share soon.
Grateful for the opportunity and the Arthrex team’s continued leadership.
🔥 More to come.
New Arthroscopic Thumb Surgery: A Game Changer
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🎥 New from Sports Doc Talk! – Arthroscopic Thumb Surgery Clip
In this quick clip, we highlight arthroscopic thumb surgery - a minimally invasive keyhole procedure used to evaluate and treat pathology at the base of the thumb joint (CMC joint). Arthroscopy involves inserting a tiny camera and instruments through small incisions to inspect, debride, or address ligament and cartilage issues with less tissue trauma and a faster recovery timeline compared to traditional open approaches.
This technique can be used for conditions like arthritis, ligament tears, or painful degenerative changes at the thumb’s basal joint, helping patients maintain strength, mobility, and earlier return to function.
🔗 Watch here:
https://youtube.com/shorts/jceiUFrGBJI?si=UMfl6nW80a0NiuGY
- Why arthroscopic approaches can mean less pain and faster rehab than traditional open surgery.
- When arthroscopy is ideal for thumb arthritis and soft-tissue pathology.
- How surgical precision and innovation influence return-to-sport timelines.
🎙️ Listen & watch the full episode:
YouTube: https://lnkd.in/ehuhTx-e
Spotify: https://lnkd.in/eJ5yiRtJ
Apple Podcasts: https://lnkd.in/ectFzmad
🙏 Brought to you by The Recovery Shop - your go-to for post-surgical rehab and DME solutions.
📩 Contact Mike :mikeb@shop-recovery.com
Follow for more content:
👤 Dr. Wayne Weil • 👤 William Sanchez • 👤 Dr. Grant Garcia
Summit 2 week Annouce
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🔥⏳ TWO WEEKS OUT - NORTHWEST SPORTS SUMMIT ⏳🔥
Challenges, Controversies, and Revisions in Sports Medicine
🚨 Due to overwhelming demand, this program is now RESTRICTED TO PHYSICIANS ONLY.
(Orthopedic surgeons, sports medicine physicians, and physician-level providers)
On January 24, Arthrex Seattle becomes the epicenter of high-level sports medicine thinking - where real cases, real failures, and real outcomes are dissected by surgeons who actually do this work. 🧠🦾
This is not a lecture series.
This is a live, case-driven surgical debate. ⚔️
👨⚕️ Dr. Grant Garcia
Orthopedic Specialists of Seattle | HSS → Rush
👨⚕️ Dr. Albert Gee
Chief of Sports Medicine, UW | Huskies Team Physician
👨⚕️ Dr. Jason Grassbaugh
Franciscan Medical Group | Arthroscopy Journal Editor
📍 Arthrex Seattle – Kirkland
🗓 January 24, 2026
⏰ 8:00 AM – 12:00 PM
🥐 Breakfast starts at 7:15 AM
🧩 What we’re diving into:
The cases most meetings avoid - because they’re controversial, high-stakes, and career-defining:
🦿 ACL in the high-level athlete
🦵 ACL + LET - who ACTUALLY needs it
🦴 Recurrent patellar instability
🏀 Glenoid bone loss + failed stabilization
🧬 Cartilage + meniscus transplants
💪 Irreparable cuff tears - young vs aging athletes
All case-based.
All outcome-driven.
All interactive. 🗣️📊
Bring your toughest cases.
Bring your controversies.
Bring your questions. 🔍🔥
🚨 Capacity is limited and physician-only due to demand.
🎯 RSVP by January 19 through your Arthrex rep
If you treat athletes - and you want to sharpen how you think about instability, grafts, cartilage, bone loss, and surgical failure - this is the room. 🧠⚡️
This is where the PNW levels up. 🚀💥
Elbow Arthroscopy: Modern Benefits
Post: ***Elbow Blog #19 **🔍*
Elbow Arthroscopy - Modern Benefits, Key Risks, and Why It’s Evolving**
Elbow arthroscopy has become one of the most transformative tools in managing complex elbow pathology. As techniques, visualization, and instrumentation improve, we’re seeing better outcomes with less morbidity and *faster return to activity*-especially for athletes and active patients. 💪🦴
But with the elbow’s tight anatomy and proximity to multiple neurovascular structures, this procedure requires precision and expertise. Here’s a breakdown of what clinicians, therapists, and patients should understand.
🌟 Benefits of Elbow Arthroscopy
🔹 Minimally Invasive, Faster Recovery
Small portals reduce soft-tissue disruption, postoperative pain, and downtime.
🔹 Superior Joint Visualization
High-definition arthroscopy allows precise treatment of:
- Loose bodies
- Synovitis
- Posterior impingement
- Osteophytes
- Cartilage lesions
🔹 Highly Effective for Mechanical Symptoms
Athletes experiencing catching, locking, or extension pain often experience significant improvement.
🔹 Versatility Across Pathologies
From inflammatory conditions to early arthritis, arthroscopy covers a wide spectrum of elbow disorders.
⚠️ Key Risks to Recognize
Even with modern refinements, elbow arthroscopy carries unique challenges:
🔹 Nerve Irritation or Injury
The ulnar, median, radial, and PIN nerves lie close to standard portals-emphasizing the importance of surgeon experience and careful portal placement.
🔹 Postoperative Stiffness
Scar formation or guarding can impact motion; early guided rehab is essential.
🔹 Persistent Symptoms
Advanced arthritis or complex instability may require additional interventions.
🔹 Infection or Fluid Extravasation (Rare)
Proper technique and monitoring minimize these risks.
💡 Who Benefits Most?
Athletes, throwers, and active individuals with mechanical symptoms or posterior impingement often see the greatest gains. For the right patient, elbow arthroscopy can dramatically restore function with minimal downtime.
🔥 The Takeaway
Elbow arthroscopy continues to advance, pairing minimally invasive access with powerful diagnostic and therapeutic capabilities. As technology evolves, we’re seeing safer portals, improved biologics, expanded indications, and a growing role in joint preservation.
A procedure once considered high-risk is now a cornerstone of modern elbow care-when performed with precision and the right indications.
Updated Distal Tibial Allograft Glenoid Reconstruction Surgery
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🎥 NEW SURGICAL VIDEO JUST DROPPED — DISTAL TIBIAL ALLOGRAFT IN COMPLEX INSTABILITY 🦴🔥
Just released: a high-definition OR breakdown of distal tibial allograft reconstruction - one of the most advanced bone-augmentation techniques for severe glenohumeral and knee instability. 📍
This isn’t animation.
This isn’t theory.
This is real anatomy, real decision-making, and real execution - captured from the table. 🛠️🎯
In this video you’ll see:
✅ Precise graft preparation & sizing
✅ Intraoperative navigation of off-axis defects
✅ Fixation strategy nuances that shift outcomes
✅ How I manage graft fit, contour, and stability
✅ What to do when textbook answers fail
Whether you’re wrestling with recurrent anterior instability, critical glenoid bone loss, or revision failure - this video is a practical look at reconstructive execution at a high level.
👇 Watch/learn here:
Watch the surgical video here:
Have questions about the case?
Drop them below or shoot me a message - I’ll pull clips and insights straight from the video to answer. 🎯
Internal Brace Revolution Cutting Rehab Time In Half
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🎥 Watch this clip from our latest Sports Doc Talk featuring Dr. Wayne Weil!
👉 Internal Brace Revolution - Cutting Rehab Time In Half shows how modern internal bracing techniques are changing recovery timelines and helping athletes get back in action faster. Short, powerful insights from the forefront of orthopedic innovation.
🔗 https://youtube.com/shorts/ESGXub1P6zk?si=4lNzNc0IkYw5w8IH
🧠 Episode Summary - Precision Hands: Inside the World of Dr. Wayne Weil
We’re joined by Dr. Wayne Weil, orthopedic hand, wrist, and elbow specialist at Proliance Surgeons, for a deep dive into precision surgery, innovation, and life inside the OR - plus a few surprises from the Seattle Hand Doc himself. 🎙️
In this episode you’ll learn:
🔹 How internal bracing techniques are revolutionizing how we treat tendon and ligament injuries - and cut rehab time dramatically.
🔹 What microsurgical precision really looks like - and why it matters for outcomes and return-to-sport.
🔹 How Dr. Weil approaches common athletic injuries like hook of hamate, skier’s thumb, and wrist trauma with cutting-edge tools and techniques.
🔹 The behind-the-scenes of life in the OR - and even how surgical precision translates to creativity in other parts of life (yes, viral kitchen content too!).
🎙️ Listen & watch the full episode:
YouTube: https://lnkd.in/ehuhTx-e
Spotify: https://lnkd.in/eJ5yiRtJ
Apple Podcasts: https://lnkd.in/ectFzmad
🙏 Brought to you by The Recovery Shop - your go-to for post-surgical rehab and DME solutions.
📩 Contact Mike: mikeb@shop-recovery.com
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👤 Dr. Wayne Weil • 👤 William Sanchez • 👤 Dr. Grant Garcia
🔗 https://youtube.com/shorts/ESGXub1P6zk?si=4lNzNc0IkYw5w8IH
Midsubstance Patella Tendon Repair with Hamstring Augmentation
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🎥 Complex Mid-Substance Patellar Tendon Repair 🔩💪
This case features one of the most challenging tendon injuries we see - a mid-substance patellar tendon rupture. These are notoriously difficult due to poor tissue quality and limited distal purchase. But with the right tools and technique, we can rebuild strength and restore function.
Here’s the step-by-step breakdown 🧠👇
1️ Exposure & Assessment: The rupture was located in the mid-substance, so both proximal and distal tendon ends were debrided to healthy tissue.
2️ Hamstring Harvest & Preparation: A gracilis and semimembranosus autograft was harvested and prepared for augmentation to biologically reinforce the repair.
3️ Primary Tendon Repair: The patellar tendon ends were re-approximated using a Knee Fibertaks and a locking stitch pattern to restore the native length and tension.
4️ Graft Augmentation: The hamstring graft was weaved through the tendon substance and anchored proximally and distally to provide biologic and mechanical strength.
5️ Internal Brace Reinforcement: A internal brace was added along the repair to protect the construct during early motion - giving immediate stability while healing occurs.
6️ Final Tensioning & Range of Motion: The construct was tested through flexion to confirm stability and restore smooth knee extension without gapping.
💡 Why it matters: Mid-substance patellar tendon tears are difficult, but combining hamstring autograft augmentation with an internal brace provides durable reinforcement, faster rehab confidence, and improved long-term outcomes.
These techniques are changing the way we manage complex knee tendon injuries 🚀
New Year. Fresh snow. Family time.
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New Year. Fresh snow. Family time. **🇨🇦❄️⛷️
There’s something special about slipping away for a short ski trip to Canada over New Year’s - deep powder, quiet runs, snow-covered trees, and the kind of moments that remind you why these quick escapes matter.
No long itinerary.
No packed schedule.
Just family, fresh tracks, and starting the year outdoors in the mountains.
Grateful for time together, snowy adventures north of the border, and memories that will last far longer than the trip itself. Here’s to kicking off the new year the right way. 🥂🏔️
Ending the year with a true team win
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🔥 Ending the year with a true team win 🔥
This photo says it all. Finishing out the year with one of the most complex ASC cases I perform:
🦵 Lateral meniscus transplant (slot technique)
🦵 Revision ACL reconstruction (quad autograft)
🦵 IT band tenodesis
🦵 Lateral cartilage transplant
If you do cartilage and knee preservation surgery, you know how technically demanding this combination is. These cases don’t happen without an elite OR team.
Huge shoutout to my rockstars:
💪 Gail Petteruti, my PA
💪 Vaid Olanday, my surgical tech
Couldn’t do work like this without you. The result was excellent, and I wish my patient the very best with recovery heading into the new year.
⛷️ Quick ski break… then we’re back at it next week. Grateful, energized, and ready for what’s ahead.
The Surprising Cause of Hook of Hamate Fractures
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🎥 Hook of Hamate Fractures: A Small Bone with a Big Impact
In this quick Sports Doc Talk short, Dr. Wayne Weil breaks down one of the most commonly missed injuries in athletes - hook of hamate fractures 🖐️⚾️
▶️ Watch the clip here:
👉 https://youtube.com/shorts/Q2urIXe5yXE?si=xkqC5cfLq0SrMC40
Why this injury matters:
- Seen frequently in baseball, golf, hockey, and racquet sports
- Often missed on standard X-rays
- Can cause persistent ulnar-sided wrist pain, grip weakness, and nerve symptoms
- Early diagnosis + the right surgical approach can mean a faster, more reliable return to play
Dr. Weil explains when to suspect it, why advanced imaging is key, and how modern surgical techniques are helping athletes get #BackInTheGame faster.
We’re joined by Dr. Wayne Weil, orthopedic hand, wrist, and elbow specialist at Proliance Surgeons, for a deep dive into precision surgery, innovation, and life inside the OR - plus a few surprises from the Seattle Hand Doc himself 🍳
🎙️ Sports Doc Talk
YouTube: https://lnkd.in/ehuhTx-e
Spotify: https://lnkd.in/eJ5yiRtJ
Apple Podcasts: https://lnkd.in/ectFzmad
🙏 Brought to you by The Recovery Shop - your go-to for post-surgical rehab and DME solutions.
📩 Contact Mike :mikeb@shop-recovery.com
Follow for more content:
Testimonial after lower trapezius transfer 2025
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🔥 Real Results. Real Patients. Real Comebacks. 🔥
This mid-50s, highly active patient came to us with severe shoulder dysfunction that had failed prior treatments and was limiting his ability to work, train, and enjoy life.
After undergoing a Lower Trapezius Transfer with Arthrex instrumentation, his results speak for themselves. 💪
✅ Improved strength
✅ Restored overhead function
✅ Less pain
✅ Confidence back in his shoulder
The Lower Trapezius Transfer can be a game-changing option for the right patient with irreparable rotator cuff pathology who wants to stay active and avoid more invasive solutions.
🎥 Watch his full video testimonial to hear his story-in his own words-and see what’s possible when the right procedure meets the right patient.
👉 Struggling with shoulder weakness or failed rotator cuff surgery?
👉 Wondering if you still have options besides a shoulder replacement?
Click the video, learn what’s possible, and reach out to see if this procedure could be right for you.
Link for more information:
One Day. Four MACI® Procedures. A New Benchmark in Cartilage Restoration
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🔥 ONE DAY. FOUR PATIENTS. HISTORY MADE. 🔥
After a long week of big cases, today was something special.
We performed the most MACI® procedures done in the country in a single day - 4 patients, including TTOs and MACI Arthro.
Moments like this are a reminder of why we push the envelope - to give patients access to cutting-edge cartilage restoration options that can truly change lives. 🦵✨
This simply doesn’t happen without an incredible team:
💪 Jay, our rockstar nurse
🔧 Jason, my go-to scrub tech
🩺 Corbin Brokaw, PA-C & Gail Petteruti, two outstanding PAs who bring it every single case
🚚 And a huge shoutout to Nathan, my rep, for making sure every implant arrived on time - despite brutal weather
Grateful. Proud. And excited to keep raising the bar for knee preservation and cartilage restoration. Proliance Orthopedic Specialists of Seattle we continue to push the envelope at our outpatient ASC. More awesome updates are coming as we finish this big month!!
UCL Complications
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Elbow Blog #18
Understanding Complications in UCL Reconstruction: What You Need to Know
While UCL reconstruction (Tommy John surgery) remains one of the most successful procedures in sports medicine-especially for overhead throwers-it’s not without potential challenges. As the procedure continues to evolve, it’s important for athletes, coaches, families, and even surgeons to understand the real complications we watch for and how we work to prevent them.
This week’s video highlights several key considerations during reconstruction and what can contribute to problems down the road. 🎥
🔍* The Most Important Complications to Understand*
1️ Tunnel Widening & Graft Loosening
One of the most underestimated issues. Micro-motion inside the bone tunnels can lead to widening, weaker fixation, and delayed biologic healing. This is why graft tensioning, tunnel size, and fixation method matter more than ever.
2️ Ulnar Nerve Irritation or Neuropathy
Even with meticulous technique, the ulnar nerve can become irritated due to scarring, traction during throwing, or graft placement. Early recognition is key to preventing long-term symptoms.
3️ Graft Failure or Insufficient Healing
Though uncommon, graft breakdown can occur-especially with early return to high-velocity throwing or poor biologic integration. Modern biologics and improved tunnel design aim to reduce this risk.
4️ Loss of Motion (Stiffness)
Scar formation, protective guarding, or improper rehab can lead to flexion or extension deficits.
A structured, progressive rehab program is critical to maintaining motion without overstressing the ligament.
5️ Medial Elbow Pain From Overload
Sometimes the reconstruction is strong, but the athlete’s mechanics overload the medial elbow.
This is where pitch counts, biomechanics, and workload management are just as important as the surgery itself.
🧬* The Good News: We’re Getting Better Every Year*
What excites me most is how the field is responding:
- Smaller, smarter tunnels to minimize widening
- Improved fixation systems that increase graft stability
- Targeted biologics to enhance tendon-to-bone healing
- Refined rehab protocols tailored to throwing athletes
- Better diagnostics to identify early warning signs before they become major problems
Understanding complications isn’t about creating fear-it’s about improving outcomes, educating athletes, and driving innovation in how we approach UCL surgery. 💪⚾
🎥Reference Video
A quick breakdown of complications during UCL reconstruction and why surgical precision and technique refinement are critical for avoiding them.
ACL Repair Testimonial 2025
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🚀 Next-gen ACL Repair is HERE
Huge shoutout to this 58-year-old patient who just crushed recovery after an ACL repair + InternalBrace® augmentation 🦵⚙️
This is where sports medicine is heading ➜ preserve the native ligament when possible and reinforce it with advanced fiber-tape technology instead of automatically removing & replacing.
🔬✨ Innovation in real life.
Her testimonial says it best:
“I can’t believe how quickly my knee felt stable again. I thought AC problems at my age would mean a huge surgery - but this was fast, solid, and I’m already back to my normal activities.”
🔥 This is why ACL preservation is so exciting:
- Less tissue removal
- Faster recovery for the right tear pattern
- Strong internal support with the InternalBrace®
- More anatomic + more biologic
We’re pushing ACL care forward - one patient at a time.
Grant Garcia, MD
Sports Medicine | Orthopedic Specialists of Seattle
Why Recovery Times for Turf Toe Vary From We
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🚨 Turf Toe: Why a “Minor” Toe Injury Can Limit Elite Performance 🚨
“Turf toe” sounds minor - but for athletes, it can be anything but.
This injury is a sprain of the big toe MTP joint, a critical structure for push-off, acceleration, and cutting. When overlooked or undertreated, turf toe can quietly limit explosiveness, delay return to play, and in some cases become career-altering.
🎥 Watch the 60-second breakdown:
▶️ https://youtube.com/shorts/7HG4x6wq4cc?si=W8JnB4-0fP-kjVC8
Clip summary:
In this short video, we explain that turf toe is not just “toe pain,” but a ligament injury to the big toe joint that athletes rely on for power and stability. Even low-grade injuries can significantly affect sprinting, cutting, and push-off. Early recognition matters - untreated turf toe can progress, prolong recovery, and compromise performance.
Key takeaways:
- Turf toe is a ligament injury, not a bruise
- It directly impacts speed, explosiveness, and change of direction
- Early diagnosis and proper management are critical for return to play
This is essential knowledge for athletes, coaches, parents, and clinicians focused on performance and injury prevention.
🎧 Full Sports Doc Talk episodes:
Apple: https://lnkd.in/gDZFtQrr
YouTube: https://lnkd.in/gzNshGtV
Spotify: https://lnkd.in/gm6CxZnV
William Sanchez
Grant Garcia, MD
🤝 Brought to you by The Recovery Shop - post-surgical rehab and DME solutions supporting safe return to play.
Advancing UCL Reconstruction: The Future Is Smaller, Smarter Tunnels
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***Elbow Blog #17 **🚀*
Advancing UCL Reconstruction: The Future Is Smaller, Smarter Tunnels ⚾🔬**
UCL reconstruction continues to evolve, and even with the long-standing success of the docking technique, we’re entering an exciting era of refinement. As throwers push biomechanics harder than ever, it’s clear that the future hinges on one major advancement:
👉 Smaller, more biologically friendly tunnels with stronger, more stable fixation.
In this week’s case, I highlighted key steps for optimizing humeral docking tunnels and avoiding tunnel widening-one of the most important challenges in modern UCL surgery. The video below shows how subtle adjustments can dramatically improve graft stability and long-term outcomes. 🎥
Why Smaller Tunnels Matter 🦴⬇️
Shrinking tunnel diameter without sacrificing fixation strength is becoming a major research and development focus. Benefits include:
🔹 Reduced graft micromotion → less tunnel widening
🔹 Improved tendon-to-bone contact for better biologic healing
🔹 More bone preservation, especially valuable in revisions
🔹 New fixation strategies designed for low-profile, high-strength stability
These refinements are designed to create a more durable construct that can handle today’s throwing demands-95+ mph fastballs, year-round competition, and accelerated return-to-play timelines.
What’s Coming Down the Pipeline 🔥
Innovation across sports medicine is moving fast:
🧪 Biologic augmentation to enhance the tendon-bone interface
🔩 Next-generation small-tunnel fixation systems engineered for strength and reduced micro-motion
📐 Precision tunnel planning & imaging tools to optimize biomechanics
🛡️ Hybrid reconstruction + internal brace concepts to offload early stress
All signs point toward a future where UCL reconstructions are stronger, more reproducible, and increasingly minimally invasive, while still rooted in the reliability of the docking technique.
🎥 Reference Video
Dr. Garcia demonstrates the benefits of Arthrex Trimano leg holder for osteotomy surgery
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🚀 Game-Changing Tip for Osteotomy Procedures 🦴
Just dropped a new Tips & Tricks video on one of the most underrated - yet truly transformative - tools in the OR: the Arthrex Trimano Leg Holder.
This has become a must-have setup for my osteotomy cases, and here’s why 👇
🔹 Superior Protection of the Neurovascular Bundle
The Trimano allows for stable, reproducible positioning that opens up the field and gives you safer, more controlled access - dramatically reducing the risk around the neurovascular structures.
🔹 Effortless Fluoro/X-Ray Access
The positioning is optimized for clean imaging without constant repositioning. Faster, smoother, and far fewer interruptions in workflow.
🔹 Hands-Free Efficiency = Smaller Team Needed
By securely maintaining leg position, the Trimano eliminates the need for multiple assistants and allows your team to focus on what matters most: precision and execution.
🔹 Enhanced Exposure for Precise Cuts & Planning
Consistent traction and alignment make it easier to execute the osteotomy with accuracy and confidence.
This tool has been a total game changer in my practice - especially when dealing with complex realignments.
🎥 Check out the video to see exactly how I set this up and why it’s become a critical part of my osteotomy workflow.
Inside a Turf Toe Surgery How Surgeons Repai
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🔥🚨 Turf Toe: The “Small Injury” That Can Change a Career 🚨🔥
Most people hear turf toe and think it’s no big deal…
But athletes know this injury can be game-changing - and sometimes career-changing.
Check out this quick breakdown 🎥👇
▶️ https://youtube.com/shorts/vrfQtlBu0r4?si=pnJIlvC0a7k5t22J
In under 60 seconds, you’ll learn:
🦶 What turf toe really is
⚠️ Why it’s far more serious than people think
🏃♂️💥 How it affects explosiveness, cutting, and performance
🔬 What to watch for so injuries don’t worsen
Perfect for athletes, weekend warriors, coaches, and anyone who wants to stay on the field. 💯
Give it a watch - and share with someone who needs this! 🙌🔥
Apple: https://lnkd.in/gDZFtQrr
YouTube: https://lnkd.in/gzNshGtV
Spotify: https://lnkd.in/gm6CxZnV
Follow for more content:
William Sanchez
Grant Garcia, MD
Brought to you by The Recovery Shop - your go-to for post-surgical rehab and DME solutions. Visit them at shop-recovery.net. For more information, contact Mike at mikeb@shop-recovery.com.
▶️ https://youtube.com/shorts/vrfQtlBu0r4?si=pnJIlvC0a7k5t22J
Dr. Garcia demonstrates the new Arthrex BTB Fibersnare
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🦵 Game-Changing ACL Innovation: FiberSnare Technique for Independent Internal Brace Tensioning 🎯
Pushing ACL reconstruction forward again - this time using the Arthrex FiberSnare to independently tension the internal brace during BTB ACL reconstructions.
This new approach streamlines the procedure while giving surgeons precise control over graft and brace tension - something we’ve always aimed for but rarely achieved this efficiently.
🔍 Why this matters:
✅ Independent tensioning - allows you to fine-tune the internal brace after graft fixation for optimal biomechanical balance.
✅ Improved graft protection - the internal brace acts as a load-sharing construct during early rehab, helping protect the graft during healing.
✅ Streamlined setup - the FiberSnare simplifies passage and tensioning, reducing OR time and clutter.
✅ Reproducible workflow - makes complex dual-construct ACLs more consistent and surgeon-friendly.
This technique is an elegant step forward - merging innovation, control, and efficiency to improve outcomes for high-performance athletes and everyday patients alike.
ACL Reconstruction:
🎥 Watch the surgical video below to see how the FiberSnare enhances BTB ACL reconstruction with a clean, controlled, and modern approach.
UCL Reconstruction Techniques
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⚾🔧 Elbow Blog #16: Who Truly Needs UCL Reconstruction - And How We Choose the Best Technique 🔧⚾
When a UCL tear is too severe for repair - or in a revision case - that’s when we move to full UCL reconstruction.
In this episode, I break down:
✅ Which patients truly require reconstruction - high-level throwers, distal tears, chronic instability
✅ Classic surgical techniques - Jobe vs. Docking Technique - and how we choose between them
✅ Graft options - palmaris, hamstring, allograft, and how athlete profile affects the decision
✅ Future direction - advanced internal bracing + biologics to improve graft healing and protect against revision
💡 Reconstruction is still the gold standard - but the tech is evolving fast, making it safer, stronger, and smarter than ever before.
🔗 Watch Elbow Blog #16: UCL Reconstruction - Technique Selection, Graft Choices & What’s Next
Why Preventing Ankle Injuries is a Game Chang
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🔥 WATCH THIS: Game-Changing Ankle Protection in Action
https://youtube.com/shorts/fkTIYu0ilGY?si=Ra63CDoKr0Cct4AF
In this highlight, you’ll see the moment when next-gen ankle bracing technology kicks in - a device designed not to restrict movement, but to enhance stability at the exact moment it’s needed. Think: explosive cuts, high-speed lateral movement, and a brace that supports without holding back.
🎙️ Episode Spotlight - “The Future of Ankle Protection”
Here’s what’s covered in detail:
🦶 Why ankle injuries remain one of the most under-recognized performance killers in sport. According to Lyles, many athletes still treat ankles as “minor” issues when they’re chronic performance drains. - 🛠️ Innovative design breakthroughs: Lyles and the hosts discuss how the latest devices use smart materials, tailored fit, and dynamic response to movement. They highlight how a brace can now allow full range of motion until a risky position is detected, then lock or support. - 🌍 Global athlete examples: From pro leagues to youth feeders, the discussion includes how this technology is being scaled internationally - not just for pro athletes, but for high school and developmental levels. - ⏳ Long-term career impact: The conversation shows how “prevention” is no longer optional. It’s about staying in the game for seasons, not just returning after surgery. Lyles talks about athletes who could do everything right - except their ankle support was lacking - and how that changed their trajectory.
🎧 Watch / Listen Now:
YouTube: https://lnkd.in/gNdJ2Vuu
Apple: https://lnkd.in/grjdRUYx
Spotify: https://lnkd.in/gQZpmsxx
Follow the voices leading this shift:
Keke Lyles
Betterguards Technology
William Sanchez
Dr. Grant Garcia
When do we operate on partial UCL tears
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⚾🛠️ Elbow Blog #15: When We Operate on Partial UCL Tears - And Why Modern Repair Is a Game Changer 🛠️⚾
Not all UCL surgeries are full reconstructions anymore.
In this episode, I break down:
✅ Which partial tears qualify for UCL REPAIR - and why location matters (proximal tears do far better than distal)
✅ How UCL repair + internal brace can lead to faster return to play than traditional reconstruction
✅ Why this option is especially powerful for in-season or younger athletes
✅ And yes - we’re already thinking ahead…
→ New future reconstruction techniques are being developed specifically to help in revision cases if a repair ever fails
💡 The goal? Preserve native tissue today - keep reconstruction options alive for tomorrow.
🔗 Watch Elbow Blog #15: UCL Repair for Partial Tears & The Future of Revision Surgery
Dr. Garcia demonstrates his updated MACI Arthro Live Surgery
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🎥🦵 Full MACI Arthro Technique Updated - Complete Surgical Walkthrough Now Live 🦵🎥
In this newest surgical video, I take you inside the OR for a full start-to-finish demonstration of the MACI Arthro technique - the latest minimally invasive evolution of cartilage restoration.
Check out my newest Rods&Cones live video on this procedure
What you’ll see in the video:
✅ Precise portal setup & instrumentation for optimal visualization
✅ Arthroscopic lesion prep with controlled margins
✅ My exact method for MACI membrane sizing, retrieval & implantation
✅ Pearls to prevent graft flipping, folding, or drift
✅ How this technique reduces morbidity vs. traditional open MACI
This is not just a highlight - it’s the full technique, unedited and designed to help newer surgeons adopt this cutting-edge approach with confidence.
Proud to be on the front edge of bringing easier recovery, less invasive cartilage restoration to our athletes.
The Art of Deciding When to Perform Surgery o
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🔥 GAME-CHANGING ANKLE TECH JUST DROPPED
This might be the biggest leap forward in ankle injury prevention we’ve seen in years - and it’s finally here.
🎥 Watch the innovation in action:
https://youtube.com/shorts/1-6SgyVBD9Y?si=Vx3tJldF33Aemzs9
From elite NBA players to youth athletes - ankle sprains remain one of the most common and costly injuries in sports. But what if we could actively prevent them without restricting performance?
🎙️ Now Streaming - The Future of Ankle Protection
On the newest episode of Sports Doc Talk, we sit down with Keke Lyles, former NBA Strength Coach of the Year, to uncover:
✅ Why ankle injuries derail athlete performance more than most realize
✅ Why old-school braces have FAILED for elite movement
✅ How next-gen reactive ankle support could save careers
✅ What this means for basketball, soccer, track, gymnastics & beyond
🎧 FULL EPISODE NOW LIVE:
YouTube: https://lnkd.in/gNdJ2Vuu
Apple: https://lnkd.in/grjdRUYx
Spotify: https://lnkd.in/gQZpmsxx
Follow the leaders shaping the future:
Keke Lyles
Betterguards Technology
William Sanchez
Grant Garcia, MD
UCL Types and When to Do Surgery
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⚾⏳ Elbow Blog #14: When Is the Right Time to Operate on a UCL Tear? ⏳⚾
Not every UCL tear means surgery - and even when it does, timing is everything.
In this episode, I break down the critical factors that guide the decision:
✅ Tear location matters - proximal vs distal UCL tears behave VERY differently
✅ Does the athlete need to finish the season? Or is long-term career the priority?
✅ When we use PRP + bracing as a bridge instead of immediate surgery 🧬
✅ Why timing surgery wrong can cost an entire season - or a scholarship
💡 At the end of the day - this isn’t a surgeon’s decision alone. It’s a player, family, and team conversation, tailored to the athlete’s goals.
🔗 Watch Elbow Blog #14: Making the Call on UCL Surgery & Timing
🔗 Learn more here: UCL Reconstruction & Repair - Dr. Grant Garcia
Dr. Garcia's updated UCL reconstruction with internal brace
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⚾💪 UCL Reconstruction Reinvented: The Double Dunking Technique with Internal Brace! 💪⚾
When precision, speed, and stability matter most - this technique delivers. 💥
In my latest surgical video, I demonstrate my streamlined UCL reconstruction using the Double Dunking Technique + Internal Brace, combining power and efficiency to get athletes back in the game faster. 🏃♂️⚡
🎥 What makes this approach stand out:
✅ Double Dunking Technique - allows for secure graft passage and controlled tensioning
✅ Internal Brace augmentation - adds immediate stability without over-constraining the elbow 💪
✅ Fast, reproducible setup - reduces operative time while maintaining precision ⏱️
✅ Smooth fixation and easy graft handling - ideal for high-demand throwers and athletes 🧠🏈
This technique blends the best of anatomic reconstruction with cutting-edge reinforcement - restoring strength and confidence in record time. ⚙️🔥
🌐 Learn more about my UCL reconstruction and repair techniques here:
👨⚕️ Dr. Grant Garcia, MD
Sports Medicine & Shoulder/Elbow Specialist
Orthopedic Specialists of Seattle
UCL Tears and MRI Correlation
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⚾🧠 Elbow Blog #13: Diagnosing UCL Tears - Why MRI Alone Isn’t Enough 🧠⚾
Not all UCL injuries are obvious - and not all “tears” on MRI mean the same thing.
In this next installment, I break down how we truly diagnose UCL injuries in elite throwers:
✅ What we look for on MRI - and why high-grade vs partial tears matter
✅ Why you can’t rely on MRI alone - you must correlate with physical exam & symptoms
✅ How prior imaging and injury history change the interpretation completely 🧩
✅ When subtle changes on MRI still mean BIG problems - especially for pitchers
💡 Two athletes can have the same MRI - but very different treatment paths. That’s why experience and context matter.
🔗 Watch Elbow Blog #13: How I Diagnose UCL Tears on MRI
🔗 Learn more here: UCL Reconstruction & Repair - Dr. Grant Garcia
Dr. Garcia’s - Anterior Meniscal Root Repair Technique
Post: 🩺💥 Mastering the Anterior Meniscal Root Repair — A Rare but Vital Technique! 💥🩺
🚨 This isn’t your everyday meniscus tear. The anterior meniscal root tear is one of the least common knee pathologies we see — but when left untreated, it can completely alter joint biomechanics and accelerate arthritis. 😬🦵
In my latest surgical video, I walk through my step-by-step anterior meniscal root repair technique, highlighting how to restore knee stability and preserve long-term cartilage health. 🧠💪
🎥 What you’ll see in the video:
- Precise portal placement for optimal visualization
- Advanced suture management to restore anatomic fixation
- Use of anchor-based repair for secure root restoration
- Real-time pearls for managing limited working space near the anterior horn
- Why early recognition and anatomic repair are key to joint preservation
This less common tear pattern requires a completely different strategy from posterior root repairs — and getting it right can make all the difference in preserving meniscal function and preventing arthritis progression. ⚙️🏃
👨⚕️ Technique by Dr. Grant Garcia, MD
Sports Medicine & Cartilage Restoration Surgeon
Orthopedic Specialists of Seattle
🎯 Watch the full surgical breakdown and learn how I optimize outcomes for these complex cases.
The Shocking Cost of NFL Injuries Millions Left on the Table
Post: 💸🏈 The True Cost of Injuries in Pro Sports! 🏈💸
You won’t believe how much a single injury can cost a professional team 😳💰 - from millions in lost salaries to derailed championship runs. Our latest Sports Doc Talk Short dives into the financial fallout of athlete injuries and what teams are doing to fight back. 💥📉
🎥 Watch the short here 👇
👉 https://youtube.com/shorts/k0K-GxXWOkw?si=A-hz_0kgPKDbHjSq
💡 Inside the Short:
💸 The shocking salary losses from season-ending injuries
📊 The ripple effect on performance and team success
⚕️ Why prevention and recovery science are worth every penny
Want to go deeper? ⬇️
🎧 Full Episode: https://youtu.be/Q-0EkFx70Fo?si=PQQ5_5JPmfpX6RJF
🔥 What You’ll Learn in the Full Episode:
- How teams calculate the true ROI of player health 📈
- The hidden business cost behind “next man up” 💼
- Real-world examples of how one injury changes a season 🏆
- Why advanced sports medicine is the ultimate investment 💊⚡
👉 https://youtube.com/shorts/k0K-GxXWOkw?si=A-hz_0kgPKDbHjSq
🎙 Hosted by:
Dr. Grant Garcia & William Sanchez
💪 Brought to you by The Recovery Shop
UCL Surgery: In Season Athlete
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⚾💥 Elbow Blog #12: UCL Surgery Options & In-Season Athlete Decisions 💥⚾
For athletes, especially throwers, a UCL tear can feel like the end of a season - or even a career. But treatment isn’t one-size-fits-all. 🩺
In this video + blog, I dive into:
👉 The differences between UCL repair vs. UCL reconstruction
👉 How we help athletes decide whether to treat in-season or wait until the offseason 🕒
👉 The role of biologics and bracing as “bridge options” for athletes trying to finish their season 🧬
👉 What recovery looks like for each surgical path, and how it impacts return-to-play timelines 💪
💡 Every athlete’s goals are different. For some, finishing the season matters most. For others, long-term stability and career preservation guide the decision. That’s why a tailored approach is so important.
🔗 Learn more here: UCL Reconstruction & Repair - Dr. Grant Garcia
Chronic Patella Tendon Reconstruction with Achilles allograft and Hamstring Autograft
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💥 Chronic Patella Tendon Reconstruction - 2 Years Post-Injury 💥
Chronic patella tendon ruptures are among the most challenging injuries in sports medicine. By the time patients reach us, they’ve often lost significant strength, function, and hope.
This case was no exception - a patient presenting 2 years after a devastating patella tendon rupture.
In the video below, I showcase my reconstruction technique using an Achilles allograft. Here’s what sets it apart:
🔹 Achilles allograft with bone block for secure fixation at the patella
🔹 Meticulous tensioning and augmentation to restore the extensor mechanism
🔹 A robust construct designed to withstand high stress and support long-term recovery
🔹 Tailored to overcome the scarring, retraction, and muscle atrophy seen in chronic cases
Even after two years, we were able to rebuild the tendon, restore the patient’s knee extension, and give them back a functional, active lifestyle.
This case highlights why complex reconstructions demand innovation - and why no patient should give up, even years after injury.
🎥 Watch the surgical breakdown in the attached video
🔗 Learn more about my patella tendon repair approach: Patella Tendon Repair – Grant Garcia MD
Orthopedics is about more than fixing injuries - it’s about restoring lives.
Team Doctors Reveal The Hidden Battle Agains
Post:
🌙💤 Game-Changer for Pro Athletes: The Power of Sleep! 💤🌙
Think performance is all about the gym or practice field? 🏋️♂️⚡ Think again! Our latest Sports Doc Talk Short dives into one of the most overlooked performance enhancers - SLEEP 😴🔥
When elite athletes close their eyes, their bodies are doing some of the hardest work:
💪 Muscle repair
🧠 Memory consolidation
⚡ Hormone regulation
🚫 Injury prevention
🎥 Watch the short here 👇
👉 https://youtube.com/shorts/D2dPFtAe7pg?si=nopDUN7rPcXWkQ89
Then catch the FULL EPISODE to see how sleep, force plate data, and recovery science all come together to keep pros at the top of their game 🏆📊
🎧 Full episode here 👇
👉 https://youtu.be/Q-0EkFx70Fo?si=PQQ5_5JPmfpX6RJF
🩺 Hosted by:
Dr. Grant Garcia & William Sanchez
🎙 Brought to you by The Recovery Shop
👉 https://youtube.com/shorts/D2dPFtAe7pg?si=nopDUN7rPcXWkQ89
Diagnosing UCL Tears
Post:
🩺 Elbow Blog #11: Diagnosing UCL Tears 🩺
The ulnar collateral ligament (UCL) is critical for elbow stability, especially in throwers and overhead athletes. When it’s injured, the right diagnosis is the key first step to recovery.
In this latest blog + video, I break down:
👉 The most common symptoms of a UCL tear (pain on the inside of the elbow, loss of velocity, instability)
👉 How physical exam maneuvers help identify UCL injury ⚡
👉 The role of advanced imaging like MRI and ultrasound in confirming the diagnosis
👉 Why early and accurate diagnosis is so important for treatment planning and long-term outcomes
💡 A missed or delayed diagnosis can mean prolonged pain, further ligament damage, and even career-ending consequences for competitive athletes. With the right workup, we can create a tailored plan - whether that’s rehab, biologics, or surgical reconstruction.
🔗 Learn more here:
UCL Reconstruction & Repair - Dr. Grant Garcia
48-Hour Seattle - Florida Innovation Blitz with Arthrex
Post:
🚀✈️ 48-HOUR SEATTLE ➜ FLORIDA INNOVATION BLITZ WITH ARTHREX
Just returned from an action-packed 48 hours at Arthrex headquarters in Florida, and I can confidently say - the future of shoulder surgery has never looked brighter. 🔥
We spent the trip deep in cutting-edge research and development, collaborating on advanced shoulder solutions that will elevate surgical precision, speed recovery, and push biologic augmentation even further. From lots of research and development testing to high-level strategy sessions, this was true innovation in motion.
🎥 Also had the opportunity to film new educational content - can’t wait to share these videos with surgeons and patients soon. Arthrex continues to invest heavily in global surgeon education, and it’s an honor to contribute.
What excites me most? The bold direction we’re taking with:
⚡ Minimally invasive techniques
🧬 Biologic augmentation & healing acceleration
🤖 Smarter instrumentation + next-gen implants
🌍 Global scalability for surgeons at every experience level
Every trip to Arthrex is a reminder that they’re not reacting to the future - they’re building it. And I’m proud to play a part in shaping what’s next for shoulder preservation and reconstruction.
Stay tuned - major things are coming. 💪🏽🔧🏁
Staged ACL Repair with MACI, TTO and MPFL reconstruction
Post:
🔥 Unique Knee Case Spotlight! 🔥
One of the most rewarding parts of my practice is seeing complex cases come together with excellent results. Recently, we had a patient undergo a staged surgical plan combining:
🦵 ACL repair with Arthrex TightRope
🧬 MACI cartilage restoration
🦴 TTO (tibial tubercle osteotomy)
🛡️ MPFL reconstruction
➡️ The outcome? A stable, pain-free knee, restored cartilage, and the ability to return to high-level activity. 🙌
💡 Why this case is special:
🔹 ACL preservation - when possible - maintains native anatomy & proprioception.
🔹 MACI provides a cutting-edge option for durable cartilage repair, improving long-term outcomes.
🔹 TTO + MPFL address patellar alignment and instability, protecting both ligament and cartilage work.
🔹 With today’s advanced tools, rehab protocols, and surgical planning, patients experience less stiffness, faster recovery, and better durability. 🚀
This is a great example of how modern sports medicine doesn’t just fix one problem - it treats the whole knee to maximize success. 🌟
📄 Learn more:
🔗 ACL Preservation & Repair
🔗 Cartilage Restoration (MACI)
🔗 Patient Testimonials
Force Plates & Jump Symmetry The Key to Prev
Post:
🔥🏋️♂️ Unlock the Power of Force Plate Testing! ⚡📊
Ever wonder how elite athletes fine-tune every movement to gain that extra edge? 💪🏈 In our latest Sports Doc Talk Short, we break down the science of force plate testing - where data meets performance. 📉➡️📈
🎥 Watch the short here 👇
👉 https://www.youtube.com/shorts/QC3wRcfL7rU
💡 What you’ll see:
- How force plates detect even the smallest asymmetries ⚖️
- Real-time insights on jump mechanics and explosive strength 💥
- How this data helps prevent injuries and optimize rehab 🔬🦵
Then, go beyond the highlight reel and catch the FULL EPISODE where we dive into:
✅ The evolution of performance testing technology
✅ How trainers and surgeons use it to guide recovery
✅ Real stories from athletes who transformed their return-to-play game
🎧 Full Episode here 👇
👉 https://youtu.be/Q-0EkFx70Fo?si=PQQ5_5JPmfpX6RJF
🎙 Hosted by:
Dr. Grant Garcia & William Sanchez
💥 Presented by The Recovery Shop
Medial UCL Elbow Introduction
Post:
⚾💥 Elbow Blog #10: Intro to UCL Tears 💥⚾
Ever heard of “Tommy John” surgery? That’s for the UCL - the key ligament on the inside of your elbow that keeps it stable during throwing. When it tears, athletes often feel pain, looseness, or a sudden drop in performance. 🚫💪
In this blog, I cover:
- 👉 What the UCL does & why it matters
- 👉 Common signs of a tear (pain, instability, velocity drop)
- 👉 When rehab works 🏋️♂️ vs. when surgery (UCL reconstruction) is the best path forward 🩺
- 👉 What recovery looks like after repair 🔑
Don’t ignore elbow pain - catching it early can change your outcome!
🔗 Read more here: UCL Reconstruction & Repair - Dr. Grant Garcia
Bilateral Remplissage Testimonial
Post:
💡 Unique Shoulder Case Spotlight 💡
Just had the privilege of sharing a remarkable patient story - someone who underwent bilateral Bankart repairs with remplissage and is now thriving again! 🙌🏐
🔹 Bankart repair: Reattaches the torn labrum & ligaments at the front of the shoulder to restore stability.
🔹 Remplissage: Fills in a humeral head defect (Hill-Sachs lesion) to prevent repeat dislocations.
👉 Together, these procedures create a powerful combination for shoulder stability - especially in patients with repeated dislocations.
What’s even more exciting is how far we’ve come:
- ⚙️ Modern arthroscopic techniques
- 💉 Smaller, stronger anchors
- 📈 Smarter rehab protocols
➡️ These advancements mean less stiffness, better motion, and faster return to sport than ever before. 🚀
This patient’s testimonial highlights what’s possible when cutting-edge surgery meets dedicated recovery. Stories like this remind me why I love advancing shoulder care for athletes and active patients. 💪
Read the full testimonial here:
🔗 Patient Testimonials
Learn more about the remplissage technique here:
🔗 Remplissage Procedure
Why Mental Performance Coaching is the Most C
Post:
🎙️🔥 SPORTS DOC TALK - Mindset Clip
🎥 Watch now: https://youtube.com/shorts/J_Wvkxo1QBQ?si=EaskFc1mfWY_oG56
In this 60-second hit, we break down why mental performance coaching is a true competitive edge-the difference between knowing what to do and executing when it counts. 🧠⚡️
In the clip you’ll hear about:
- Turning pressure into performance with simple, repeatable routines ⏱️🔁
- How confidence is built (not gifted)-and why consistency beats hype 💪✨
- A practical decision flow athletes can use mid-game to stay composed 🎯
- Quick tools (breath, self-talk, focus cues) to get back on track in seconds 🫁🗣️
Hosted by Dr. Grant Garcia & Will Sanchez - All Sports. All Orthopedics. All the time. 🏃♂️🏋️♀️
🎧 Listen now on all podcast platforms!
▶️ YouTube (full episodes): https://lnkd.in/gPp7tEuQ
🍎 Apple: https://lnkd.in/gQhquzWh
🟢 Spotify: https://lnkd.in/gU-sZ5pZ
If this helped, like, comment, share, and subscribe so you don’t miss the next drop. 🚀🔔
Elbow Instability Part 2
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💥 Elbow Blog #9: Living With Chronic Elbow Instability 💥
While a single elbow dislocation can be scary, chronic elbow instability is even more challenging. Patients often describe their elbow as “slipping,” “loose,” or feeling like it might give out during simple movements - pushing up from a chair, lifting weights, or even reaching overhead.
In this blog, I dive into:
👉 Why instability develops - repeated dislocations, sports trauma, or ligament laxity that never fully healed.
👉 The role of the LCL (lateral collateral ligament) in keeping the elbow stable, and why injuries here are so disruptive.
👉 When conservative care works - bracing, rest, and targeted rehab can help in milder cases..
👉 When surgery is needed - for athletes, laborers, or anyone with significant instability, an LCL reconstruction provides the stability needed to restore function and prevent long-term cartilage damage.
🩺 The good news: With proper diagnosis and treatment, most patients regain confidence in their elbow and return to the activities they love. Early treatment makes the biggest difference in outcomes.
🔗 Learn more here:
Elbow LCL Reconstruction - Dr. Grant Garcia
Unlocking Peak Performance The Power of Self
Post:
🎙️🔥 SPORTS DOC TALK - where real sports medicine meets game-time decisions.
🎥 Watch the 60-sec clip:
https://youtube.com/shorts/4hJQPGIoZi4?si=HgfL1-VmE7sOoZsA
In this bite-sized breakdown, we cut through the noise on 🩺 diagnosis → 🛠️ treatment → ⏱️ return-to-play. What actually drives the call between rehab vs surgery? How do we balance risk, performance, and season timelines? Athletes, parents, coaches-this one’s for you. 💪🏈🏀⚽️
Hosted by Dr. Grant Garcia & Will Sanchez
All Sports. All Orthopedics. All the time.🧠🏃♂️
💡 What you’ll get in every episode:
- Practical insights you can use today ✅
- Pro tips for faster, safer comebacks 🧩
- Tech + techniques shaping the future of care 🤖
🎧 Listen now on all podcast platforms!
▶️ YouTube (full episodes): https://lnkd.in/gPp7tEuQ
🍎 Apple: https://lnkd.in/gQhquzWh
🟢 Spotify: https://lnkd.in/gU-sZ5pZ
If this helped you learn something new, like, comment, share, and subscribe so you don’t miss the next drop. 🚀🔔
Elbow Instability
Post:
🤲 Elbow Blog #8: Elbow Instability - When Stability Fails 🤲
If your elbow ever feels like it might “give out,” makes clicking or catching motions, or swells after a dislocation or injury - that could be instability, especially involving the lateral collateral ligament (LCL) complex.
In this week’s post I cover:
🧠 What elbow instability means - the role of ligaments (like the LCL / LUCL), and why their integrity matters for everyday movement and athletic performance.
⚠️ Signs & symptoms to watch for: frequent feeling of looseness, pain on the outside of the elbow, difficulty with extension, or trouble pushing off surfaces.
🔍 Diagnosis: how physicians assess instability (clinical exam, imaging), and the kinds of instability patterns seen in practice.
🛠️ Treatment paths: from non-surgical management like bracing and therapy, to LCL reconstruction when ligament injury is severe or chronic.
💡 Early recognition & treatment of elbow instability is critical - delay can lead to ongoing pain, loss of motion, cartilage wear, even recurrent dislocations.
🔗 Want to understand how LCL reconstruction works + where to get help?
Elbow LCL Reconstruction - Dr. Grant Garcia
3rd time successful patella cartilage transplant with TTO and MQTFL reconstruction
Post:
💙 This one means a lot.
Today we’re sharing a patient’s journey after two prior failed patella cartilage transplants at an outside institution at only 19 years old and finally a successful 3rd cartilage transplant with a TTO, and MPFL reconstruction - and an outcome that brought smiles (and a few happy tears) to our whole team. 🙌
What you’ll hear isn’t just about surgery-it’s about resilience, trust, and teamwork. With a careful workup and a custom revision cartilage plan, plus committed rehab, this patient is back to doing what they love. That’s why we do this. 🦵🏃♂️✨
What made the difference:
- Thoughtful diagnosis & root-cause analysis 🧠
- Tailored revision strategy (no one-size-fits-all) 🔧
- Precise technique & OR efficiency ⚙️
- Patient grit + a great PT team 💪
👉 Learn more about cartilage repair & transplantation:
Grateful to our patient for allowing us to share their story, and to our entire care team for showing up every step of the way. 🙏
Navigating the Chaos How Athletes Can Focus
Post:
🎙️ Sports Doc Talk - inside the moments that define an athlete’s season.
Watch the clip ▶️ https://youtube.com/shorts/hLYsVgkpThk?si=D1AlG_jiEku2bwVo
In this 🔥 60-second breakdown, we dig into real return-to-play timelines, injury risk, and the tech changing outcomes. Athletes, parents, coaches, and fans-this one’s for you. 💪🏈🏀⚽️
Hosted by Dr. Grant Garcia & Will Sanchez - All Sports, All Orthopedics, All the Time.
🎧 Listen now on all podcast platforms!
▶️ YouTube (full episodes): https://lnkd.in/gPp7tEuQ
🍎 Apple: https://lnkd.in/gQhquzWh
🟢 Spotify: https://lnkd.in/gU-sZ5pZ
If you learned something new, like, share, and subscribe so you don’t miss the next drop. 🚀
Triceps Tendon Repair
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💪 Elbow Blog #7: Triceps Tendon Tears & Repair 💪
Not all elbow injuries are created equal. A triceps tendon tear is one of the most serious - often starting with a sudden “pop” 💥 and followed by pain, swelling, and the inability to fully extend your arm. 🚫
In this latest blog, I break down:
- How these injuries happen (sports, falls, lifting heavy)
- The key warning signs you shouldn’t ignore
- Why partial vs. complete tears require very different treatments
- When surgery is the best option - and what recovery looks like 🩺⚡
For athletes, weekend warriors, or anyone who relies on arm strength for daily life, getting the right treatment early makes all the difference in long-term outcomes.
Read more here ⬇️
🔗 Triceps Tendon Repair - Dr. Grant Garcia
Dr. Garcia’s updated technique for ACL with medialmeniscus transplant surgery
Post:
🚨 Surgical Spotlight: Meniscus Transplant + ACL Reconstruction 🚨
This month I’m highlighting meniscus transplantation for patients with meniscal deficiency and early joint symptoms. As a cartilage restoration surgeon, I consider this one of the most technically demanding solo procedures-especially when combined with ACLs, cartilage transplants, or HTOs.
In this case, I’m showcasing my updated minimally invasive medial meniscus transplant technique, performed alongside an ACL reconstruction. The anterior tunnel can be one of the most challenging aspects, and I hope sharing this approach helps others refine their skills and improve efficiency in the OR-without compromising outcomes.
At Orthopedic Specialists of Seattle, we’re proud to deliver advanced care for athletes using the latest surgical technology and techniques.
🎥 Check out the surgical video below and learn more about outcomes here:
👉 Meniscus Transplantation - Grant Garcia MD
Why 6 Months Is the Sweet Spot for ACL Recovery for Fertilized ACL
Post:
⏱️ Is 6 Months the New Gold Standard for ACL Recovery?
For decades, athletes were told to expect 9-12 months before getting back in the game after an ACL tear. But new data and techniques are challenging that timeline.
On the latest episode of the Sports Doc Talk Podcast, we break down why 6 months may be the true sweet spot for ACL recovery - and how innovations like the Fertilized ACL (BioACL) are making this possible.
🔥 In this conversation with Dr. Chad Lavender (inventor of the Fertilized ACL), you’ll learn:
- Why biologics + internal bracing are accelerating safe recovery
- How clinical trials are validating a faster timeline
- What this means for athletes, parents, and sports medicine as a whole
🎥 Watch the highlight clip: https://youtube.com/shorts/cu7rBqIRqWk?si=bn2zbnJ31fmv5Y2m
🎥 Full episode on YouTube:: https://lnkd.in/gdyg5urn
🎧 Available on Spotify + Apple Podcasts
This isn’t just faster recovery - it’s a safer, evidence-backed path to return-to-play. The future of ACL surgery is here.
Post: 🌟 Honored & Grateful 🌟
Thrilled to be recognized for the 2nd year in a row as one of Castle Connolly’s Top Hispanic & Latino Doctors 2025 🏆👨⚕️✨
This award is especially meaningful as I celebrate my father’s 🇧🇷 Brazilian heritage - a reminder of the resilience, hard work, and values that shaped my journey in medicine. Carrying forward that legacy in my practice and patient care makes this honor even more special.
Thank you to my patients, colleagues, and the amazing team at Orthopedic Specialists of Seattle who make it possible to deliver the highest level of care every day.
Here’s to continuing to represent and uplift our community in medicine! 🙌
Distal Biceps Tendon Repairs
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Elbow Blog Series - Part 6: Distal Biceps Repair
Distal biceps ruptures may not be as common as rotator cuff or ACL tears, but when they happen, they can be devastating for strength and function. Patients often struggle with lifting, twisting, and even basic daily activities.
In Part 6 of my Elbow Blog Series, I break down my approach to distal biceps tendon repair, highlighting surgical pearls, fixation techniques, and the keys to restoring arm strength and durability.
What you’ll see in this video:
- My preferred surgical approach for distal biceps repair
- Biomechanical principles behind secure fixation
- How early motion and strong repair constructs help optimize recovery
For active patients - especially those who rely on their arms for heavy ifting, sports, or work - a precise and durable repair is essential to get hem back to their lifestyle.
Learn more here: Distal Biceps Repair - Grant Garcia MD https://www.grantgarciamd.com/distal-biceps-repair-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
This series is all about education - helping patients and colleagues understand the complexity of elbow injuries and the surgical innovation that drives successful outcomes.
Today we officially hit 100 MACI cases at our ASC
Post: Milestone Moment!
Today we officially hit 100 MACI cases at our ASC
When I started my practice here, MACI (autologous cultured chondrocytes on porcine collagen membrane) wasn’t even being performed in our center. Fast forward, and we’ve now crossed the triple-digit mark-culminating in a complex case that included a TTO with MACI of 3 separate defects.
This accomplishment wouldn’t have been possible without the dedication and teamwork of so many:
- Nathan VanNoy, our incredible rep, who has been there for all 100 cases.
- Vaid, my rockstar scrub tech.
- Gail and Corbin, my outstanding PAs.
But most importantly-this milestone represents life-changing outcomes for our patients across Seattle and beyond. By offering advanced cartilage restoration that wasn’t previously available in our ASC, we’ve been able to give athletes, weekend warriors, and everyday patients the opportunity to return to the activities they love with less pain and more confidence in their knees.
Proud of how far we’ve come-and excited for the next 100.
All Soft Button Tightrope - Quad ACL Reconstruction First in Washington State
Post:
BREAKING: Next - Gen ACL Fixation Without Metal or Screws!
“Arthrex Soft Button Tightrope - A Metal - Free Breakthrough”
I’m proud to be among the first in the country - and the first in Washington State* - to use the new *Arthrex Soft Tissue Button for quadriceps ACL grafts. And we can confidently say: 💥 *It’s a game changer. *Check out my full video below with graft prep, tips and tricks and more.
This new implant allows suspensory fixation without metal, preserving soft tissue, minimizing hardware complications, and delivering rock-solid fixation.
Why this innovation matters:
- No metal = Less MRI issues
- Preserves bone
- Designed specifically for quad and hamstring tendon grafts
- Ultra-low profile with proven biomechanical strength
Arthrex hit a homerun on this - a system built for surgeons who want strong fixation without compromise.
At Orthopedic Specialists of Seattle, we’re proud to lead the way in sports medicine innovation, continually pushing the boundaries of what’s possible for our athletes and active patients.
🏆 Let’s raise the bar in ACL surgery - again.
Inside the Groundbreaking Clinical Trial That
Post:
Inside the Groundbreaking Clinical Trial
When it comes to ACL surgery, we’ve all heard the promises of faster recovery. But what really matters is the data.
On this episode of the Sports Doc Talk Podcast, we dive into the clinical trial validating the Fertilized ACL (BioACL) technique with its inventor, Dr. Chad Lavender.
In this conversation, you’ll learn:
- How the Fertilized ACL is performing in rigorous clinical trials
- The biologic and internal bracing science driving outcomes
- Why this trial could redefine the standard of care for ACL reconstruction
- What it means for athletes, parents, and surgeons worldwide
This is more than innovation - it’s evidence. And it’s setting the stage for a new era of ACL recovery.
Watch the highlight clip: https://www.youtube.com/watch?v=Y3qsoJaLW2s
Full episode on YouTube: https://lnkd.in/gdyg5urn
Also available on Spotify + Apple Podcasts
If you’ve ever wondered when ACL surgery would truly evolve, the answer may be right here.
Complex Case Spotlight
Post: Complex Case Spotlight
Today our team tackled one of the most technically demanding knee reconstructions we see in under 4 hours:
- Revision fertilized quadriceps ACL
- IT band tenodesis
- Lateral meniscus transplant
- Lateral cartilage transplant
Each of these procedures on its own requires precision and advanced planning. Combining them into a single revision surgery pushes the limits of modern sports medicine. Cases like this remind me why collaboration and preparation are everything.
None of this would have been possible without my rockstar team - Gail Petteruti, Corbin Brokaw, PA-C, and Vaid Olanday- who brought their skill, focus, and energy into the OR to make it happen.
Proud of what we accomplished together, and most importantly, excited for what this means for our patient’s recovery and return to activity.
At Orthopedic Specialists of Seattle, we continue to push the boundaries of what’s possible with revision and biologic knee reconstruction.
Biceps and Triceps Ruptures: The Injuries You Can’t Afford to Miss
Post:
ELBOW BLOG - PART 5 JUST DROPPED!
Biceps and Triceps Ruptures: The Injuries You Can’t Afford to Miss
Welcome to Part 5 of our elbow blog series-this episode tackles two of the most dramatic and high-impact injuries in sports: distal biceps and triceps ruptures.
These aren’t your average tendon injuries.
- They can get misdiagnosed.
- Timing is everything.
- And the surgical window is if you want full the best results.
In this video:
- How to quickly recognize a rupture on clinical exam
- What imaging to order-and when
- Who needs surgery (and who doesn’t)
- My approach to surgical repair and return-to-play
These are injuries we can’t afford to miss-especially in lifters, throwers, and contact athletes. Fast diagnosis = better outcomes.
- Let’s spread the word on early recognition:
- Drop a comment if you’ve managed one of these cases
- Tag a provider who works with athletes or weekend warriors
- Share this with your network to raise awareness
At Orthopedic Specialists of Seattle, we’re proud to deliver cutting-edge surgical care and timely intervention for athletes of all levels.
Updated Distal Biceps Fixation: New Arthrex Tension Tight Biceps Button
Post: Updated Distal Biceps Repair Technique
A distal biceps tendon rupture is a tough injury that can rob patients of strength and function, especially with lifting and rotational movements of the arm. Getting it right in surgery is critical for restoring both power and confidence.
I recently updated my distal biceps repair technique, incorporating an Arthrex tension-tight button fixation that provides strong, reliable fixation while minimizing surgical morbidity. This approach allows patients to safely begin the recovery process with confidence that their tendon is well secured.
I put together this surgical video to share the technique with colleagues, but it’s equally important for patients to know: We have advanced, dependable solutions for even these challenging injuries. With the right approach, we can help patients get back to lifting, training, and living without limitation.
At Orthopedic Specialists of Seattle, my focus is always on pairing cutting-edge techniques with individualized care to maximize outcomes.
Learn more about distal biceps repair: Distal Biceps Repair - Grant Garcia MD
Helping patients regain strength and return to what they love - that’s what it’s all about.
Friday Night Lights are BACK
Post: Friday Night Lights are BACK!
What an awesome way to kick off the start of the football season at Islander Stadium. It’s always special to give back to my Mercer Island hometown community and provide medical coverage for the team I grew up cheering for.
Big shoutout to my amazing friend and powerhouse athletic trainer, JoLynn Leisinge-her dedication to keeping our athletes safe and strong is unmatched!
The energy tonight was electric - from the cheer squad, the band and the packed student section. Excited to support these athletes all season long and help them stay healthy and ready to compete!
Let’s go MI!
Making Waves for a Cause!
Post: Making Waves for a Cause!
What an amazing Saturday morning at Swim Across America - Seattle! Hundreds of swimmers braved the cold water to raise awareness and for the fight against cancer - and the energy on the beach was unreal!
I was proud to be there providing medical coverage alongside my good friend Nina Thatcher. From the swimmers in their bright caps to the volunteers keeping everything running smoothly, it was pure teamwork at its best.
Events like this remind me why I love being part of this community - medicine, athletics, and purpose all coming together for something bigger than ourselves.
Let’s keep making waves to fight cancer!
Nano Needle Tech The Future of Minimally Inv
Post:
The Next Frontier in Orthopedic Innovation
Minimally invasive surgery isn’t just about smaller incisions - it’s about transforming outcomes, reducing recovery times, and getting athletes back to doing what they love faster.
On this episode of Sports Doc Talk Podcast, we dive into Nano Needle Technology - a cutting-edge approach reshaping the way we think about biologics and sports medicine.
Inside this episode:
- How nano-needle delivery is making biologics more effective
- The future of minimally invasive orthopedic procedures
- Why this technology could redefine healing and recovery timelines
This is the kind of innovation that bridges the gap between science fiction and clinical reality. The future of sports medicine is already here - and it’s smaller than you think.
Watch now: https://youtube.com/shorts/U0M90TlBX-A?si=e9oKGNspYszNeHZ6
Listen on Spotify + Apple Podcasts
If you’re curious about the next wave of biologics and minimally invasive techniques, this is a must-watch.
PRP for Elbow Tendinopathies: Does It Actually Work?
Post:
ELBOW BLOG – PART 4 IS LIVE!
PRP for Elbow Tendinopathies: Does It Actually Work?
Chronic elbow pain that just won’t quit? If PT, rest, and loading programs haven’t worked, you’re not alone. In Part 4 of our elbow blog series, we dive into one of the most talked-about biologic treatments in orthopedics today: Platelet-Rich Plasma (PRP).
What’s in the video:
- How PRP works at the cellular level
- When it’s the right choice (and when it’s not)
- The truth about outcomes, recovery time, and cost
- Why PRP is changing the game in lateral and medial epicondylitis
We break through the hype with clinical insight, real-world application, and a sharp look at how PRP fits into a modern elbow tendinopathy protocol
Have you used PRP-or had it yourself?
Comment below with your thoughts or questions
Share this with someone treating stubborn elbow pain
Orthopedic Specialists of Seattle is proud to lead the way in evidence-based biologics and regenerative care.
Chronic Pec Tear Reconstruction with Achilles Allograft
Post: Overcoming Chronic Pectoralis Major Tears
A pectoralis major tendon rupture can be a devastating injury - especially when it goes untreated for months or even years. The pec tendon plays a vital role in upper body strength and function, and chronic tears can lead to weakness, deformity, and significant limitations in sports, lifting, and even daily activities.
Recently, I treated a patient with a pec tendon tear that was over a year old, with more than 5 cm of tendon retraction. In chronic cases like this, a standard repair isn’t possible because the tendon has retracted or degenerated too much. That’s when advanced solutions come into play.
For this patient, I performed a pectoralis major reconstruction using an Achilles allograft. This technique allows us to restore continuity and strength even when the native tendon can’t be repaired. To further reinforce the repair, I used an internal brace, which I strongly advocate for to enhance stability, protect the reconstruction, and support recovery.
I put together a surgical technique video of this procedure to highlight the approach I use for complex pec tendon injuries. While the technical details are important for surgeons, my ultimate focus is on what this means for patients: a dependable solution that gives them a chance to regain strength and return to the activities they love.
At Orthopedic Specialists of Seattle, we’re proud to take on challenging cases and apply the latest innovations to help our patients achieve the best possible outcomes. Every successful recovery is a reminder of why I’m so passionate about this field.
Learn more about pec tendon repair: Pectoralis Major Repair - Grant Garcia MD
Here’s to continued innovation - and to helping patients get back to doing what they love.
Can Biologics Speed Up Pec Tear Healing Expl
Post:
Can biologics actually speed up pec tear recovery?
In this Sports Doc Talk clip, we dig into one of the most hyped - and misunderstood - tools in sports orthopedics:
Biologics. PRP. Stem cells.
But do they help pectoralis major injuries heal faster? And more importantly - do they improve function?
Here’s what we cover:
- Where biologics fit into the pec tear timeline
- When to consider them in surgical vs. non-surgical cases
- What the current evidence supports
- Elite athlete scenarios where they may make a difference
For surgeons, trainers, and athletes looking to optimize recovery - this conversation gets real about what’s proven and what’s just promise.
Check out the clip - and let us know:
Have you used biologics for pec tears? If so, when - and did it change the outcome?
https://youtube.com/shorts/DRRE5wovIq8?si=_tItNJDavEvtz6nc
Listen now on:
YouTube – https://lnkd.in/gwsrBCTx
Apple – https://lnkd.in/gxCR9C4x
Spotify – https://lnkd.in/gTYzCya8
Sponsored by The Recovery Shop - Trusted recovery solutions for athletes and providers.
Introduction to Tendinopathies
Post: ELBOW BLOG – PART 3 IS LIVE!
Tendinopathy 101: Why Your Elbow Still Hurts-and What to Do About It
You’ve done the exam. You’ve ruled out major instability. But that lingering elbow pain just won’t go away…
Welcome to Part 3 of my elbow blog series-this one’s all about tendinopathies: the misunderstood, mismanaged, and massively frustrating injuries that plague athletes, lifters, and desk warriors alike.
In this quick-hit video, I cover:
- Why “tendonitis” is outdated thinking
- What’s really happening at the tissue level
- The truth about PRP, eccentric loading, and biologics
- How I approach treatment before considering surgery
If you’ve ever dealt with tennis elbow, golfer’s elbow, or just “mystery elbow pain”-this one’s a must-watch.
Help spread real education:
- Tag someone who’s dealt with chronic elbow pain
- Share your go-to tendonopathy tip or question
- Follow for the next episode: Advanced treatment options + return-to-sport plans
2nd look after ACL Repair
Post:
SEE IT TO BELIEVE IT: ACL Repair with Internal Brace Holds STRONG
Second-Look Scope: Arthrex ACL Repair + IB in Action
This is the future of ACL surgery-and it’s WORKING.
We’re now seeing amazing results with ACL repair using the Arthrex InternalBrace in select patients. In this real-time second-look arthroscopy, you’ll see the graft fully healed, tensioned, and functioning beautifully. No reconstruction. No graft harvest. Just preserved native tissue reinforced with cutting-edge technology.
Why this video matters:
- Preserves proprioception and native biomechanics
- Faster recovery for the right patient
- Strong fixation with internal brace augmentation
- Tissue is healing and holding up-and we have the scope to prove it
This is not your old-school ACL repair. This is targeted, biologically enhanced surgery for the next generation of athletes.
- Tag a surgeon who’s exploring ACL repair
- Drop your thoughts or questions on who’s the ideal candidate
- Share with anyone following ACL advancements
Why Some Pec Tears Are Unfixable And What Tha
Post: Not all pec tears are surgical - and that’s the hard truth.
In this episode of Sports Doc Talk, we tackle one of the toughest conversations in sports orthopedics:
- Why some pectoralis major tears are truly non-surgical
- What factors lead to a “reconstruction situation” - massive retraction, fatty infiltration, chronic delay
- And most importantly: what you CAN do when the primary repair isn’t possible
From non-op strategies to salvage reconstruction with grafts, this clip dives into the reality behind the rupture.
This isn’t just about surgery - it’s about setting expectations, managing elite athletes, and making the right call under pressure.
Watch the clip. Surgeons, trainers, and sports docs - this is one you’ll want to weigh in on.
https://youtube.com/shorts/KBVQd6hChKQ?si=Kq6Xet84MRSR44-L
How do you handle the “tough” pec?
Listen now on:
YouTube – https://lnkd.in/gwsrBCTx
Apple – https://lnkd.in/gxCR9C4x
Spotify – https://lnkd.in/gTYzCya8
Sponsored by The Recovery Shop - Trusted recovery solutions for athletes and providers.
The Elbow Exam
Post: BLOG VIDEO: Part 2 is HERE!
How to Nail the Elbow Exam-Before You Even Order an MRI
Missed elbow injuries = missed outcomes.
In Part 2 of my elbow blog series, I break down one of the most critical (but often overlooked) parts of treatment: the exam and initial assessment.
Whether you’re treating overhead athletes, weekend warriors, or dealing with that vague medial pain-we all know how tricky elbows can be.
In this episode:
- My go-to physical exam sequence
- How to differentiate UCL injuries from other pathologies
- When to image-and when not to
- Pearls to avoid misdiagnosis (especially in throwers!)
This is the frontline playbook for any clinician, trainer, or athlete trying to get it right from day one.
Let’s elevate the standard of care:
- Drop your favorite exam tip in the comments
- Tag someone who evaluates elbow injuries
- Follow for Part 3: Treatment strategies and return-to-play protocols
Testimonial after medial distal femoral osteotomy
Post: A Game-Changer for Knee Pain: Real Patient, Real Recovery
Medial DFO: The Surgery That Gave Me My Life Back
When knee pain becomes life-altering-and every step is a reminder of what you can’t do-it’s time to think beyond the standard solutions.
In this powerful new video, one of my patients shares their journey through Medial Distal Femoral Osteotomy (DFO)-a procedure designed to realign the leg, reduce pressure on the medial compartment, and delay or avoid joint replacement in young, active patients.
Why this matters:
- Medial knee arthritis in younger adults is on the rise
- DFO preserves the native knee joint
- It’s an ideal option for active individuals not ready for a total knee
- This story proves what’s possible
If you’ve been told “just wait until you’re older” for a knee replacement… watch this.
Link:
Let’s change the conversation about early arthritis:
- Drop your questions or experiences below
- Share this with someone who’s still searching for answers
- Tag a provider or therapist who manages young patients with knee arthritis
Innovative Achilles Tendon Graft Repair For P
Post: Pec Tear Recovery Just Got Smarter.
In our latest Sports Doc Talk episode, we break down a game-changing technique: using an Achilles tendon allograft for chronic pectoralis major repairs - especially in cases with poor tissue quality or retraction.
Why it matters:
- Salvage option for failed primary repairs
- Durable augmentation for high-demand athletes
- Biomechanically robust - mimics native tendon architecture
Whether you’re dealing with revision cases or delayed presentations, this approach provides an innovative way to bridge the gap - literally and figuratively.
Check out the clip for surgical pearls, graft rationale, and outcomes insight.
https://youtube.com/shorts/BZ3jky-Nts8?si=L2L1RtzuDQjoVHHJ
Surgeons, trainers, or anyone managing elite athletes - would you consider this in your practice?
YouTube – https://lnkd.in/gwsrBCTx
Apple – https://lnkd.in/gxCR9C4x
Spotify – https://lnkd.in/gTYzCya8
Sponsored by The Recovery Shop – Trusted recovery solutions for athletes and providers.
Introduction to Elbow Injuries Blog
Post: New Blog Video: Introduction to Elbow Injuries!
Excited to launch the first in a series of short-form educational videos breaking down complex orthopedic conditions in a way that’s clear, engaging, and accessible to everyone-from patients to providers.
This episode covers the elbow-one of the most misunderstood and overlooked joints in sports medicine. Whether it’s UCL injuries, overuse syndromes, or traumatic instability, the elbow presents unique diagnostic and treatment challenges.
What you’ll learn:
- Common elbow injury patterns
- How we approach diagnosis and treatment
- When surgical intervention makes sense
- The latest in UCL reconstruction and internal bracing
This is just the beginning-future videos will dive deeper into surgical techniques, rehab tips, and case-based pearls.
Drop a comment if there’s a topic you’d like me to cover!
Dr. Garcia’s updated lower trapezius transfer technique
Post: New Surgical Technique Video Drop!
Watch now: https://youtu.be/TGneex4MMDg
I’m excited to share an updated Lower Trapezius Transfer technique video for irreparable posterior rotator cuff tears. This approach is becoming one of the most powerful options for restoring external rotation and shoulder function in challenging cases-especially in younger, active patients.
Why this procedure matters:
- Reconstructs the force couple without relying on tendon grafts
- Utilizes native muscle dynamics with robust fixation
- Improves function and reduces pain in patients with limited alternatives
This new video highlights updated steps, pearls, and intraoperative visuals that show how we’ve refined the approach in 2025. Whether you’re exploring tendon transfers or deepening your shoulder arsenal, this is a must-watch.
As always, feedback and discussion are welcome-let’s keep pushing innovation in shoulder surgery.
Lower Trapezius Transfer: https://www.grantgarciamd.com/lower-trapezius-transfer-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
How AI is Revolutionizing Personalized Rehab
Post:
Rehab Meets AI: The Future Is Here
Your next rehab program might combine your therapist and a highly advanced algorithm to bring you back to your best.
In this clip from Sports Doc Talk, we explore how AI is changing the game in personalized rehabilitation:
- Real-time feedback during home exercises
- Adaptive programming tailored to your recovery curve
- Faster return-to-play decisions with smarter data
Watch the quick breakdown
https://youtube.com/shorts/ky8B_BOJpuk?si=rHkNnh0rvxgDkcvG
And check out the full discussion in the newest episode.
This isn’t sci-fi. It’s already happening-and it’s reshaping how athletes recover, train, and stay in the game.
Curious how AI will change your clinic, your team, or your workflow? Let’s talk
The future of medicine isn’t about man or machine - it’s about man with machine.
Now streaming on every major platform - Apple Podcasts, Spotify, YouTube, and more.
Sponsored by: The Recovery Shop - Trusted recovery tools for optimized healing.
Full Episode on YouTube link: https://youtu.be/YAVLYfBSVBQ?si=W2za0WHXfmxdaiEG
What about Latarjet and DTA
Post: In certain cases, remplissage may be insufficient or inappropriate for patients. When there is significant glenoid bone loss, more extensive procedures such as Latarjet or Distal Tibial Allograft become necessary. In my final blog post on shoulder instability, I discuss the circumstances under which these larger procedures should be considered. Please follow my updates for further insights and visit my website for additional information.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Distal Tibial Allograft: https://www.grantgarciamd.com/distal-tibial-allograft-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Unreal results 8 weeks after lower trapezius transfer
Post:
Just 8 Weeks. Unreal Shoulder Recovery.
This isn’t your average rotator cuff fix.
This is a Lower Trapezius Transfer - and the results?
Watch this patient lift pain-free, confidently, and with strength - just 2 months post-op.
- Massive gains in motion
- Nearly no pain
- Real function, real fast
For patients with massive irreparable cuff tears, this transfer is a biomechanical
powerhouse - restoring motion by replicating the native force vector of the infraspinatus and teres minor.
We combine:
- Achilles tendon allograft
- Precision anchor fixation
- Early motion protocols for faster recovery
If you haven’t considered this approach - it’s time to take a second look.
Full breakdown, videos, and patient info here:
