In The News
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
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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:
Medial Meniscus Transplant Testimonial 2025
Post: Meniscus transplantation is increasingly prevalent, particularly among young active patients who are unsuitable candidates for joint replacements. As a cartilage restoration surgeon, this procedure is frequently employed for patients with meniscal deficiency and early symptoms. In my practice, I have observed highly satisfactory outcomes from this surgery, especially given the current lack of alternative effective options for these patients. A recent testimonial below highlights the success of this procedure in a young athletic male who stands over 6 feet 6 inches tall, demonstrating that correct matching of size yields positive results.
At Orthopedic Specialists of Seattle, we provide the most advanced care for athletes by employing cutting-edge technology and techniques. For more information about this surgery and its outcomes, please visit my website.
Meniscus Transplantation: https://www.grantgarciamd.com/meniscus-transplant-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
How AI is Revolutionizing Everyday Life and M
Post: How AI is Revolutionizing Sports Medicine - One Injury at a Time
https://www.youtube.com/shorts/QkKDYer_AUE
From sideline diagnosis to surgical planning, artificial intelligence is reshaping the way we treat athletes.
In this episode of Sports Doc Talk, we break down:
- Real-world AI tools already in the clinic
- How predictive algorithms help avoid injury
- The future of personalized recovery
Whether you’re a surgeon, PT, athlete, or just a fan of innovation - this is where tech meets tendon.
Imagine a world where we predict ACL injuries before they happen. We’re closer than you think.
Drop your thoughts: How do you see AI changing sports medicine over the next 5 years?
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 https://www.linkedin.com/in/grant-garcia-29127322/recent-activity/all/ - Trusted recovery tools for optimized healing.
Full Episode on YouTube link: https://youtu.be/YAVLYfBSVBQ?si=W2za0WHXfmxdaiEG
Grant Garcia MD, Seattle with Prof H Gopalan
Post: Cartilage Transplants - What’s the Hype?
Thanks to everyone who showed up for my Orthopaedic Principles LIVE session on cartilage transplants.
- Didn’t catch it live? No worries -
- Watch the full replay here:
- [Link in Bio or: https://www.youtube.com/live/3oM55NchwQk]
- What’s Inside the Talk?
- Real insights on OCA & biologic augmentation
- Athlete case studies: Lonzo Ball, Gabriel Landeskog
- My personal cartilage repair algorithm
- Outcomes + revision pearls
- Graft matching tips for complex cases
Whether you’re a:
- Surgeon
- Fellow or resident
- Sports doc managing active patients…
This one’s for YOU.
Drop your questions in the comments or DM me if you want to go deeper on any cases or slides.
Learn more on my website: [Link in Bio or https://www.grantgarciamd.com/cartilage-repair-and-transplantation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html]
How to Do a Remplissage
Post: We’ve been discussing remplissage a lot because it’s a simple procedure with significant benefits. Research shows it leads to lower recurrence rates and fewer complications, while maintaining good range of motion. For tips on making this surgery quick for labral fixation, see my latest blog post. For detailed discussion on when to use Remplissage, visit my blog. Follow my updates for more insights and check my website for additional information.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Remplissage Surgery: https://www.grantgarciamd.com/remplissage.html
Staying Active Year-Round with eFoiling Adventures
Post:
Recharging on the water.
Had an awesome weekend eFoiling with one of my best buds, Matt Thatcher! 🤙 Growing up immersed in water sports, I’ve always been drawn to that mix of adrenaline and calm - and eFoiling has quickly become my favorite way to unwind.
The feeling of floating silently over the water after a long day at work? Absolutely unbeatable.
And I’m proud to say I’ve officially ridden every month this year - rain or shine, cold or warm, I’m hooked.
Grateful for the innovation behind the Fliteboard - it brings a whole new dimension to water sports.
Nothing quite like the feeling of flying over water.
Biologic ACL Repair with Dr. Garcia
Post: ACL repair has become a critical component of my practice, yielding positive results in carefully selected patients. The Arthrex ACL repair tightrope has significantly impacted outcomes. We are continually working on methods to enhance these repairs while minimizing stiffness. Please refer to my latest surgical video that showcases potential advancements in biological enhancement for ACL repair surgery. It is essential with new techniques to avoid non-weight bearing or restricted range of motion in the first six weeks to reduce stiffness and arthrofibrosis. Stay informed about future updates. At Orthopedic Specialists of Seattle, we offer a comprehensive range of options to assist patients in returning to their active lifestyles.
How AI Frees Up Doctors to Focus on What Real
Post:
How AI Frees Up Doctors to Focus on What Really Matters
https://youtube.com/shorts/II3JwpCSCvs?si=kGf34LEX7zoqJZCF
As an orthopedic surgeon, I’ve seen firsthand how much time we spend buried in charts, documentation, and EMR workflows - time that could be spent with patients.
This video says it all.
AI isn’t here to replace us. It’s here to restore us - to help us reclaim the human connection in medicine.
Whether it’s drafting notes, reviewing imaging, or managing post-op follow-ups, the integration of smart tools allows us to focus on what truly matters: the patient in front of us.
- Less screen time
- More face time
- Better outcomes
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
Dr Garcia’s Live Lecture on Updated Cartilage Transplants in 2025
Post: Missed It Live? You Can Still Catch It!
Cartilage Transplants – What’s the Hype?
Thanks to everyone who tuned in for my live Orthopaedic Principles presentation on cartilage transplant surgery. We had an incredible global turnout and some great questions from the orthopedic community.
If you weren’t able to catch it live - no problem.
You can watch the full recording here:
https://www.youtube.com/live/3oM55NchwQk?si=2emt3K0chl4rneR2
What did we cover?
- Real-world insights on OCA, and biologic augmentation
- Case studies including pro athletes like Lonzo Ball and Gabriel Landeskog
- My personal algorithm for when and how to intervene
- Outcomes data that shape decision-making
- How to navigate complex revision scenarios and graft matching
This talk is packed with high-yield pearls for surgeons, fellows, residents, and anyone managing cartilage injuries - especially in active and athletic populations.
DM me if you have questions or want to dive deeper into a specific case or slide.
To learn more check out my website as well:
The LET of the shoulder
Post: In certain cases, isolated labral repairs may be insufficient. This subject is currently highly relevant in the context of shoulder instability. As more data become available, the incorporation of remplissage into stabilization surgeries is becoming increasingly common. I refer to this as the new LET of the shoulder. Research has shown lower recurrence rates and fewer complications, with satisfactory range of motion outcomes. The prospects for this surgical technique are promising. For a comprehensive discussion on when to incorporate Remplissage, please refer to my latest blog post. Follow my updates for additional insights, and visit my website for further information.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Remplissage Surgery: https://www.grantgarciamd.com/remplissage.html
Crab Season is Here!
Post:
Crab Season is Here!
There’s nothing quite like the start of crab season in the San Juan Islands. It’s one of my favorite traditions - and even more special when shared with my family.
Every summer, we head out early on the water, pots in hand, anticipation high. The kids help bait the traps, we haul them up together, and the reward is a feast of fresh Dungeness crab pulled straight from the Salish Sea.
These pictures capture a glimpse of why this tradition means so much to me - the crisp morning air, the excitement of checking the pots, and the joy of sharing it all as a family.
Whether it’s your first time or your fiftieth, there’s something magical about these moments as you never know what will be in the pot! Grateful for another season of making memories, one crab at a time.
Post: T-Minus 2 days Until We Go LIVE!
Cartilage Transplant Surgery - Who, When, and Why It Matters
On July 23rd at 7:30AM PST, I’ll be live with Orthopaedic Principles breaking down real-world cartilage transplant strategies - from elite athlete cases to revision scenarios, and everything in between.
Curious about how we match grafts?
What factors make or break outcomes?
Why biologics alone aren’t always the answer?
This talk is geared toward orthopedic surgeons, fellows, residents, and anyone passionate about the future of joint preservation.
Watch LIVE on YouTube:
https://www.youtube.com/@OrthopaedicPrinciples
- Clinical pearls
- Cutting-edge outcomes data
- Patient selection algorithms
- And insights you won’t find in the textbooks
Don’t miss this one - tune in, engage live, and let’s move the field forward together.
Understanding Rotator Cuff Augmentation with
Post: Rotator cuff surgery is effective in many cases. However, sometimes it is necessary to enhance the repair to reduce recurrence. Patrick Denard discusses methods he uses to improve his repairs. This conversation includes expert insights and a look into the future of shoulder surgery, covering topics from biologics to advanced implants.
Listen now:
Apple:https://tinyurl.com/SDTAPLDrDenard
YouTube:https://tinyurl.com/SDTYTDrDenard
Spotify:https://tinyurl.com/SDTSDrDenard
Brought to you by The Recovery Shop, where better healing begins.
Visit shop-recovery.net. For more info, contact Mike at mikeb@shop-recovery.com.
Visit sportsdoctalk.com for episodes, transcripts, and additional resources.
LIVE ORTHOPAEDIC PRESENTATION: July 23 @ 7:30AM PST
Cartilage Transplants - What’s the Hype?
I’m honored to be presenting LIVE on Orthopaedic Principles, diving deep into one of the most complex and evolving areas in sports medicine: Cartilage Transplantation.
- What’s the latest data on OCA and biologic augmentation?
- Which patients benefit most - and which ones don’t?
- Why is cartilage surgery more than just plugging a hole?
- What can we learn from elite athletes like Lonzo Ball and Gabriel Landeskog?
This isn’t just a theoretical discussion - I’ll walk through real-world surgical algorithms, decision-making pearls, and outcomes that are reshaping how we treat cartilage lesions.
Join live on YouTube: https://www.youtube.com/@OrthopaedicPrinciples
Time: Tuesday, July 23rd | 7:30 AM PST
Let’s talk evidence, innovation, and the future of joint preservation.
To learn more check out my podcast or website sections:
https://www.sportsdoctalk.com/
Tag a colleague, bring your questions, and join us for what promises to be a high-yield session.
Introduction to Advanced Labral Techniques
Post: As surgeons, our aim is to improve surgical efficiency, effectiveness, and reduce complications. The literature on remplissage has expanded significantly, showing its underutilization and potential to reduce labral repair failures when done correctly. I am working on ways to simplify and enhance this surgery, with more updates coming soon. Check out my blog post below on shoulder instability and the importance of considering this additional step in instability cases. Follow for more tips and visit my website for details.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Remplissage: https://www.grantgarciamd.com/remplissage.html
Brand New Arthrex Soft Tissue Button Quad ACL Surgery – First in Washington State
Post:
BREAKING: Next-Gen Arthrex ACL Fixation Without Metal!
Arthrex Soft Tissue Button - 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.
How Supplements Can Enhance Shoulder Surgery
Post: Supplementation is a significant topic in recovery. In a short clip, Patrick Denard discusses supplementation after surgery and his company, Surgical Nutrition. This brief clip from my podcast with Patrick Denard covers the subject comprehensively and how this enhances recovery. The discussion includes insights into shoulder surgery, touching on topics such as biologics and advanced implants.
Listen now:
Apple:https://tinyurl.com/SDTAPLDrDenard
YouTube:https://tinyurl.com/SDTYTDrDenard
Spotify:https://tinyurl.com/SDTSDrDenard
Brought to you by The Recovery Shop, where better healing begins.
Visit shop-recovery.net. For more info, contact Mike at mikeb@shop-recovery.com.
Visit sportsdoctalk.com for episodes, transcripts, and additional resources.
Across the Lake Swim - A Full Circle Moment
Post:
Reel: Across the Lake Swim - A Full Circle Moment
There are moments in life that bring everything full circle.
Yesterday, I had the privilege of swimming in the Across the Lake event - a tradition that’s near and dear to my heart. As a former swimmer and coach at the Mercer Island Beach Club, this event isn’t just a swim across the lake - it’s a swim through memories, milestones, and the community that shaped me.
From coaching on this club years ago, to now sharing this experience with my kids and community - it was an emotional, invigorating, and unforgettable morning.
Why do events like this matter? Because they connect generations, build resilience, and celebrate the power of water to bring us together.
Shoutout to all the swimmers, volunteers, and families who make this possible year after year. And to the next generation of swimmers - your journey is just beginning.
Tips for improved labral repairs
Post: Enhancing the efficacy of labral repairs involves making surgical procedures more efficient and improving access. Although I am trained in performing most shoulder surgeries using the beach chair position, I exclusively utilize the lateral decubitus position for labral surgeries. Furthermore, I highly endorse the use of Arthrex knotless Fibertaks and the Gemini cannula. For an in-depth discussion on how positioning and technology have advanced my surgical repair techniques, please refer to my latest blog post. Follow my updates for additional insights, and visit my website for further information.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
MACI, TTO, MPFL 2025 Testimonial
Post: Difficult problems sometimes require complex surgery. Managing patellofemoral cartilage and instability pathology involves addressing all aspects of the issue. Large surgeries can achieve excellent outcomes with proper expectations and execution. Check out a testimonial from a patient with over 30 patella dislocations, pain, and significant cartilage defect. We performed MACI patella, TTO, and MPFL reconstruction. She is a year out and very satisfied. Visit my website for more details. At Orthopedic Specialists of Seattle we continue lead in technology and innovation in Washington State.
The Benefits of Remplissage in Shoulder Surgery
Post: The inclusion of remplissage in shoulder surgery is becoming increasingly accepted. As technology advances and our expertise improves, we are witnessing promising results that support its broader application. I invite you to watch this brief clip from my podcast with Patrick Denard, where we discuss this topic. Join us for an engaging conversation, expert insights, and a glimpse into the future of shoulder surgery, covering everything from biologics to advanced implants.
Listen now:
Apple:https://tinyurl.com/SDTAPLDrDenard
YouTube:https://tinyurl.com/SDTYTDrDenard
Spotify:https://tinyurl.com/SDTSDrDenard
Brought to you by The Recovery Shop, where better healing begins.
Visit shop-recovery.net. For more info, contact Mike at mikeb@shop-recovery.com.
Visit sportsdoctalk.com for episodes, transcripts, and additional resources.
Benefits of Knotless Technology for Labral Repair
Post: Knotless technology is revolutionizing orthopedic implants. Knots can irritate delicate cartilage and reduce tension in repairs, especially in small spaces. Check out my latest blog on how Arthrex knotless technology has improved my surgical repairs. Follow for more tips and visit my website for details.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Testimonial after PFJ, TTO and MQTFL 2025
Post: Surgery is not one size fits all, and this month focuses on patellofemoral replacements, a less common surgery with specific indications. The power of the Arthrex implant is excellent and often sufficient to correct significant patellofemoral pathology like high TTTG, dysplasia, or rotational deformity with isolated severe arthritis. In less than 10 percent of my cases, additional procedures are needed. Watch this video testimonial from a patient with 20 years of severe patella instability and pain. We performed a full Arthrex combo, including MQTFL reconstruction and Tibial Tubercle Osteotomy along with the replacement. She’s now able to track her patella normally and pain-free for the first time in years. At Orthopedic Specialists of Seattle, we offer diverse options to help patients regain their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Future of Orthopedic Surgery Exciting Innova
Post: Recent advancements in cartilage surgery indicate promising future developments. A short clip from the podcast Sports Doc Talk Podcast which we discussed NHL captain Landeskog’s recovery from a cartilage transplant and a tibial tubercle osteotomy. The clip addresses potential innovations in cartilage surgery over the next 5-10 years. At Orthopedics Specialists of Seattle, there is a continuous effort to stay informed about the latest advancements in cartilage surgery.
Haven’t tuned in yet? Catch it here:
Apple:https://lnkd.in/gdy7fQtd
Spotify:https://lnkd.in/gFwr7zpS
YouTube:https://lnkd.in/gv2KTjcf
We’d love to hear from you:
What part of the episode surprised you most - or gave you hope for the future of sports recovery?
Special thanks to our sponsors, The Recovery Shop. Visit shop-recovery.net. For more info, contact Mike at mikeb@shop-recovery.com.
Be sure to tune in to Sports Doc Talk Podcast on your favorite podcast platform and visit sportsdoctalk.com for episodes, transcripts, and additional resources.
Advanced Techniques for Labral Repairs
Post: What technology is used for labral repairs? The Arthrex knotless Fibertak has provided advancements in enhancing these repairs. Knotless technology has seen significant improvements, leading to better repair outcomes. The blog below discusses the benefits of using this advanced knotless technology. A recent blog video in the shoulder instability series explains the process of conducting these repairs. Follow for future updates. For more details, visit the website via the link below.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Testimonial after ACL and PLC reconstruction
Post: Multiligamentous knee surgery requires careful timing and assessment of related injuries. Intra-articular injury and surgery can cause stiffness. See a recent testimonial from a patient who traveled for ACL reconstruction, posterior lateral corner reconstruction, and complex lateral meniscus repair. Best wishes for her recovery. Learn more from my links below. Orthopedic Specialists of Seattle continue to improve techniques to provide the latest tools for patient recovery.
PLC Reconstruction: https://www.grantgarciamd.com/lcl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Preparing Patients for Life Changing Surgerie
Post: Surgery is a major event that involves thorough preparation, the procedure, and recovery. We recently discussed how I prepare my patients for complex surgeries and extended recoveries. This is similar to what NHL captain Landeskog likely experienced during his recovery from a cartilage transplant with a tibial tubercle osteotomy which we discussed on our recent episode of Sports Doc Talk Podcast.
Haven’t tuned in yet? Catch it here:
Apple:https://lnkd.in/gdy7fQtd
Spotify:https://lnkd.in/gFwr7zpS
YouTube:https://lnkd.in/gv2KTjcf
We’d love to hear from you:
What part of the episode surprised you most—or gave you hope for the future of sports recovery?
Special thanks to our sponsors, The Recovery Shop. Visit shop-recovery.net. For more info, contact Mike at mikeb@shop-recovery.com.
Be sure to tune in to Sports Doc Talk Podcast on your favorite podcast platform and visit sportsdoctalk.com for episodes, transcripts, and additional resources.
How do you fix a labral tear
Post: The frequency of enhancing labral repair depends on the patient’s pathology. Sometimes, isolated repair is effective. Many patients and young surgeons inquire about basic repairs. This recent blog video from my shoulder instability series addresses how we conduct these repairs. Follow for upcoming tips. For more details, visit my website via the link below.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Seattle Met Top Doc 2019-2025
Post: I am honored to be selected as a Seattle Met Top Doc for the 7th year in a row. Taking care of patients at Orthopedic Specialists of Seattle has been incredible and I’m so fortunate to have an amazing team that makes my work fun and interesting. I strive to provide the most comprehensive sports medicine care in the state of Washington and it’s wonderful to have such great partners and staff that support this vision. To learn more about what we are doing to be on the cutting-edge check out my website.
Website: www.grantgarciamd.com
Pro vs Recreational Athletes Key Difference
Post: Rehabilitating baseball players is highly nuanced. Driveline Baseball is one of the leading institutions for this care. Here is a short clip from my recent podcast Sports Doc Talk Podcast with Driveline Physical Therapist Dylan Newcomer. We discuss the differences between rehabilitating professional versus adolescent baseball players. For the complete podcast, visit www.sportdoctalk.com or listen on your preferred podcast platform.
Youtube:
Spotify Audio:
Listen to Sports Doc Talk on your favorite podcasting platforms.
How to Diagnosis Boney Injuries
Post: Bone injuries in shoulder instability complicate surgical outcomes and necessitate more detailed consideration. Advanced imaging and techniques are required if significant bone damage is identified. Review my latest blog in the series on shoulder instability, which examines bony pathology and methods for identifying this condition. For additional information, please visit my website through the link below.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Advancing Surgical Innovation with Arthrex in Naples, FL
Post: Starting my week with a brief visit to Arthrex headquarters in Naples, Florida, was inspiring. Arthrex’s commitment to advancing surgical technology for better patient outcomes is impressive. Collaborating with top professionals - product managers, engineers, videographers, and surgeons - they lead in innovation. We focused on improving UCL surgery, the future of remplissage, and the next generation of ACL repair. I look forward to offering these advancements to my patients soon. At Orthopedic Specialists of Seattle, we stay at the forefront of the latest technology in Washington State.
Follow these innovations at www.grantgarciamd.com
Dr. Garcia’s Hay Barrel Technique for Discoid Meniscus Repair
Post: Discoid meniscus tears can be quite challenging. MRIs are not always accurate, and it is important to be prepared for a combination of repair options. When a patient presents with a surgical discoid meniscus tear, it is essential to review all potential options thoroughly. In some cases, trimming away the discoid portion may reveal a full horizontal tear. Depending on age and activity level, attempting repair in such situations can be considered. For an example of a horizontal discoid meniscus repair using a hay-barrel technique in a young active female, refer to the video technique outlined below. At Orthopedic Specialists of Seattle, advanced techniques are utilized to save the knee and help patients return to their active lifestyles.
Discoid Meniscus Tears: https://www.grantgarciamd.com/discoid-meniscus-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Quantifying Baseball Performance Driveline's
Post: Baseball utilizes numerous quantitative measures. At Driveline, data is effectively used for player rehabilitation. Below is a brief segment from a recent podcast by Sports Doc Talk Podcast featuring Driveline Baseball Enterprises, Inc Physical Therapist Dylan Newcomer, discussing qualitative and quantitative measures in high-level baseball rehabilitation. For the complete podcast, visit www.sportdoctalk.com or listen on your preferred podcast platform.
Youtube:
Spotify Audio:
Listen to Sports Doc Talk on your favorite podcasting platforms.
What other imaging is needed in shoulder instability?
Post: Shoulder instability often requires advanced imaging. Non-operative treatment is typically the first approach, but recent research supports multifocal surgical interventions. Watch my third blog post for a detailed review of imaging types for shoulder instability. For more information, visit my website through the link below.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
ACL Repair 2025 Update
Post: ACL repair has advanced with new techniques and literature data. Patient selection is key for impressive results. The Arthrex ACL repair tightrope has shown better outcomes than expected in over 40 repairs. Watch my updated technique video below from the Western Orthopedic Forum in Newport Beach, CA. Orthopedic Specialists of Seattle offers various options to help patients return to active lifestyles.
AI in Baseball Training Driveline's Cutting
Post: Similar to surgery, rehabilitation has seen continuous innovation. Physical therapists constantly seek methods to help players return to their sports. Driveline Baseball is one of the leading institutions in this area. Here is a short clip from a recent podcast at @Sportsdoctalkpodcast with Driveline Physical Therapist @Dylan Newcomer, discussing how Artificial Intelligence has assisted in getting high-level baseball players back onto the field. For the complete podcast, visit www.sportdoctalk.com or listen on your preferred podcast platform.
Youtube:
Spotify Audio:
Listen to Sports Doc Talk on your favorite podcasting platforms.
What’s associated with shoulder instability?
Post: Shoulder instability is a complex condition that requires careful consideration in patient management. Typically, non-operative treatment is the initial approach; however, recent research and advanced imaging techniques suggest an emerging trend towards multifocal surgical interventions. I invite you to watch my second blog post for an in-depth review of the pathology associated with shoulder instability. For additional details, please visit my website through the link provided below.
Shoulder Instability: https://lnkd.in/gDFTZ_dH
MACI Trochlea 2025 Testimonial
Post: Support for cartilage surgery is crucial. While discussing techniques and the latest technology is important, patient outcomes are paramount. MACI is a key method in our cartilage restoration procedures. Here is a recent testimonial from a patient who conducted extensive research before undergoing MACI surgery on his trochlea. For more details on this procedure, please visit my website. Orthopedic Specialists of Seattle take pride in leading technological innovation in Washington State.
Tom Swales on the Psychological Component of
Post: There is a significant psychological component to injury and recovery. View this short clip that highlights the importance of this physiological factor. For the full episode, visit Sports Doc Talk Podcast, where Tom Swales joins Dr. Grant Garcia and William Sanchez to discuss a comprehensive approach to rehabilitation-one that extends beyond merely addressing injuries.
Listen Now on All Major Platforms:
YouTube: https://lnkd.in/enMsxa27
Apple: https://lnkd.in/ehF7PQRz
Spotify: https://lnkd.in/eihxWVWx
Explore more: sportsdoctalk.com
The Captain Returns: The High-Stakes Surgery of Gabriel Landeskog
Post: As promised our newest episode of Sports Doc Talk Podcast was released this morning. We dive into the first cartilage transplant patient to return to the NFL. We discussed the surgery and what it even took to get there. This surgery was performed by my mentor Brian Cole. Congrats to a unique and successful outcome.
Episode Title: The Captain Returns: The High-Stakes Surgery of Gabriel Landeskog
Hosts: William Sanchez & Dr. Grant Garcia
Check out the full episode: https://lnkd.in/gpJKx6ZH
In one of the most remarkable comebacks in NHL history, Colorado Avalanche captain Gabriel Landeskog returned to the ice after a 1,032-day absence-following an unprecedented knee surgery: an osteochondral allograft with a tibial tubercle osteotomy. On this episode of Sports Doc Talk, Will and Dr. Grant Garcia go behind the scenes on this complex procedure, breaking down why it’s so rare, what makes Landeskog’s case unique, and how this could shift the future of sports medicine.
From cartilage transplants and recovery timelines to the intense mental and physical challenges elite athletes face, this episode is a must-listen for fans of sports, medicine, and comeback stories. Plus, Dr. Garcia answers viewer-submitted questions and shares why this surgery may soon become the new standard.
Introduction to Shoulder Instability with Dr. Garcia
Post: Shoulder instability is a complex subject with various nuances involved in patient care. Initially, non-operative treatment is often preferred; however, recent data and advanced imaging may indicate a shift towards multifocal surgical management. Due to the significance of this topic, I have compiled an extensive blog series that reviews both surgical and non-surgical options, along with detailed discussions on related topics. Please watch my first blog post introducing the subject of shoulder instability. For further information, visit my website linked below.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Washington Magazine Top Doc 2021, 2023-2025
Post: Honored to be featured by Best in Washington Magazine! Thanks to my dedicated staff and physician assistants at Orthopedic Specialists of Seattle, we provide high-quality sports medicine care with the latest technology. Visit www.grantgarciamd.com.
Dr. Garcia demonstrates his updated PLC reconstruction techniques with an ACL/PCL/PLC reconstruction
Post: Multiligamentous knee surgery necessitates meticulous planning and patience. It is imperative to prepare the surgical team for these extensive ligament reconstructions and to carefully sequence procedures to avoid tunnel conflicts. Recently, I performed an ACL, PCL, and PLC reconstruction utilizing Arthrex tightrope fixation. The expertise of my PA team, Corbin Brokaw, PA-C and Gail Petteruti, was instrumental in completing this complex case efficiently in our ASC. Additionally, we have enhanced our posterior lateral corner fixation using the new Arthrex Knee fibertak. Please view the accompanying surgical video which demonstrates my updated technique. For more information, visit the relevant sections on my website. At Proliance Orthopedic Specialists of Seattle, we continue to offer the most advanced ligament technology.
PCL Reconstruction: https://www.grantgarciamd.com/pcl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
ACL reconstruction: https://www.grantgarciamd.com/acl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
PLC reconstruction: https://www.grantgarciamd.com/lcl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Understanding the UCL and Tommy John Surgery
Post: How do MLB team physicians decide on Tommy John surgery? This significant decision impacts both the player and the team. Listen to a brief clip from my recent @Sports Doc Talk Podcast discussing Gerrit Cole’s UCL surgery with an internal brace. For the full podcast, visit www.sportdoctalk.com or your preferred podcast platform.
Youtube: https://lnkd.in/gJdy5_WA
Spotify Audio: https://creators.spotify.com/pod/show/sportsdoctalkpodcast/episodes/Gerrit-Coles-season-ending-UCL-surgery-e30al1q
Listen to Sports Doc Talk on your favorite podcasting platforms.
Further Innovations in ACL Reconstruction Surgery
Post: One of the biggest improvements in my ACL reconstructions has been using the Arthrex Tightrope. While quad ACL reconstructions are my workhorse surgery, I also perform patella tendon autograft, hamstring autograft and allograft surgeries. The tightrope fixation has significantly improved all aspects of these surgeries. Watch the second part of my ACL innovations video for more on its benefits. At Orthopedic Specialists of Seattle, we provide comprehensive options to help patients regain active lifestyles.
ACL Reconstruction: https://lnkd.in/g6Wyv_UX
Urgent Call: Life-Saving Cardiac Care with Dr. Dave Montgomery
Article: https://thespun.com/college-football/kirk-herbstreit-refuses-to-apologize-for-political-comment
Post: Check out this recent hot topic with celebrity commentator Kirk Herbstreit. He emphasizes the need for better cardiac testing in sports. He also mentions his personal experience with hypertrophic cardiomyopathy. We recently covered this in our podcast with celebrity cardiologist Dr. Dave Montgomery. The full discussion can be found on our podcast Sports Doc Talk Podcast included many insightful comments on athletes and cardiac care. Listen on all our platforms below. Thank you to our sponsors The Recovery Shop.
Short Clip on Screening: https://youtube.com/shorts/hMDNJXNAPo4?si=zhTxroIonwmLbzDL
Live MACI Arthro: Rods & Cones System
Post: Cartilage innovation and technology is one of my primary interests. Recently, I performed the new MACI arthro procedure using Rods&Cones video technology to instruct several MACI representatives on this advanced surgery. Please review the complete surgical video from this procedure. This represents the future of OR video and live teaching, and I am honored to contribute to it. For more information on the surgery I performed, please refer to the links on my website below. At Orthopedic Specialists of Seattle, we are proud to lead in technology and innovation within Washington State.
MACI Arthro: https://www.grantgarciamd.com/maci-arthro-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Internal Brace of the Elbow How It Works
Post: How does internal bracing of the elbow work? This term is frequently mentioned in sports media regarding various athletes. Here is a brief clip from my recent podcast Sports Doc Talk Podcast discussing Gerrit Cole’s UCL surgery involving an internal brace. For the complete podcast, visit www.sportdoctalk.com or listen on your preferred podcast platform.
Youtube: https://lnkd.in/gJdy5_WA
Spotify Audio: https://creators.spotify.com/pod/show/sportsdoctalkpodcast/episodes/Gerrit-Coles-season-ending-UCL-surgery
Listen to Sports Doc Talk on your favorite podcasting platforms.
Introduction to innovations in ACL reconstruction surgery
Post: Advancements in ACL reconstruction are continually evolving. Our goal is to enhance patient outcomes, minimize the risk of re-tear, and expedite the return to sports activities. I have prepared a two-part blog series that showcases the cutting-edge innovations we employ to help patients resume their favorite sports. The first video in this series delves into the use of biologics and advanced implants. At Orthopedic Specialists of Seattle, we offer a comprehensive range of options to support patients in regaining their active lifestyles.
ACL Reconstruction: https://www.grantgarciamd.com/acl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia’s New Tensionable Tibial Spine Technique
Post: ACL tibial spine injuries can be challenging to treat and manage. Common issues observed include postoperative stiffness and chronic pain. To enhance surgical techniques and technology, I have tried a new approach for addressing this diagnosis. The video demonstrates a two-tunnel technique using the latest Arthrex ACL repair tightrope device, which offers re-tensioning capabilities and biomechanical strength. Patients typically walk within a week after surgery without losing reduction. At Orthopedic Specialists of Seattle, we utilize advanced technology to improve patient recovery times and outcomes.
ACL tibial spine website: https://www.grantgarciamd.com/arthroscopic-tibial-spine-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Tom Swales on the Importance of Movement in I
Post: Movement is essential to addressing musculoskeletal injuries. Surgeons may not always assess the entire body, but therapists often perform comprehensive assessments to prevent injuries. Watch this short clip, on assessing movement for injury prevention. For a detailed discussion, watch the full episode on Sports Doc Talk Podcast Talk, where Tom Swales joins Dr. Grant Garcia and William Sanchez to discuss a holistic approach to rehabilitation-one that goes beyond treating injuries.
Listen Now on All Major Platforms:
YouTube: https://lnkd.in/enMsxa27
Apple: https://lnkd.in/ehF7PQRz
Spotify: https://lnkd.in/eihxWVWx
Explore more: sportsdoctalk.com
Full MACI, TTO, MPFL with Rods and Cones Video Technology
Post: I am passionate about combining cartilage, innovation, and technology. Teaching these surgeries is easier with Rods&Cones Video Technology’s heads-up display camera and second OR perspective camera. Check out my video below for a sneak peek into this groundbreaking technology. Watch the full video for my MACI patella, TTO, and MPFL reconstruction and visit my website for more details on the surgery. Orthopedic Specialists of Seattle are proud to lead in technology and innovation in Washington State.
ACL Repair Surgery and Outcomes
Post: ACL repair has become a significant aspect of my practice, showing positive results in carefully selected patients. The Arthrex ACL repair tightrope has notably influenced outcomes. With over 40 repairs performed, the results have been better than initially expected. This is discussed further in the second video of a two-part series reviewing this implant and its impact on ACL repair outcomes. At Orthopedic Specialists of Seattle, a full range of options is provided to help patients return to their active lifestyles.
Dr. Grant Garcia Represents Arthrex at Western OTIF in Newport Beach
Post: It was an honor to represent Arthrex at the Western OTIF in Newport Beach this weekend. The course featured distinguished faculty and covered topics such as ACL repair, meniscal root repair, cartilage and meniscus transplants, multi-ligament knee reconstruction, and more. The wet lab provided attendees with valuable hands-on experience with these techniques. Each year the course improves, and Arthrex continues to advance medical education. Innovation is essential to my practice, and I am grateful for Arthrex’s support in improving patient recovery times and advancing technology. At Orthopedic Specialists of Seattle are proud to offer the most innovative techniques in Seattle and beyond. For more information about these techniques, visit my website at www.grantgarciamd.com/.
Meniscus Transplant: https://www.grantgarciamd.com/meniscus-transplant-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Streamline Your Self Assessment with the Sam
Post: Injury prevention begins with a neuro assessment. Watch this short clip on the SAM test for injury prevention and evaluation. See the full episode on @Sports Doc Talk, where Tom Swales joins Dr. Grant Garcia and William Sanchez to discuss a holistic approach to rehab beyond just fixing injuries.
Listen Now on All Major Platforms:
YouTube: https://lnkd.in/enMsxa27
Apple : https://lnkd.in/ehF7PQRz
Spotify: https://lnkd.in/eihxWVWx
Explore more: sportsdoctalk.com
ACL Repair Introduction
Post: ACL repair continues to gain traction with new techniques and improved literature data. Patient selection is important, and with appropriate selection, the results can be impressive. The Arthrex ACL repair tightrope has significantly influenced outcomes, and with over 40 repairs, the results have been better than initially anticipated. I made a 2-part series reviewing this topic on ACL repair, with upcoming episodes next week. At Orthopedic Specialists of Seattle, a full range of options is provided to help patients return to their active lifestyles.
Documentary after Dr. Garcia’s Distal Femoral Osteotomy
Post: Why do we as surgeons do what we do? It may vary with who you ask but I can tell you an overarching response will be to make people better. As a sports orthopedic surgeon my goal is to get patients back to what they love. There is nothing better than the last post op visit with a big smile on the patient’s face. While we don’t always hit homeruns, we do our best every time.
As a complex knee and osteotomy surgeon, I take on challenging problems that many don’t want to deal with. This is one of my favorite parts of my job to use every ounce of my experience, training and knowledge to solve and help these patients. I’m beyond excited for the opportunity from NEWCLIP TECHNICS to showcase a special patient of mine who flew in for a complex surgery involving meniscus repair, cartilage transplant and distal femoral osteotomy. With the right indications and expectations, we can achieve awesome results. I’m very proud to present this incredible production from Cameron Kit at Yoyos Productions. This is one of many of the out of state patients we have helped get back their active lives! At Orthopedic Specialists of Seattle, we offer advanced procedures to help our patients return to their preferred sports.
Distal Femoral Osteotomy: https://www.grantgarciamd.com/distal-femoral-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
The Future of MACI Expanding Horizons
Post: What does the future hold for cartilage surgery? In a recent podcast clip, MACI® Treatment CEO, Nick Colangelo discusses the future applications of their products. For more information, please visit our website or watch the full podcast episode below.
Revolutionizing Cartilage Repair: The MACI Breakthrough with Nick Colangelo
YouTube: https://lnkd.in/ga52RaC5
Also on all your favorite listening platforms.
Hardest Patellofemoral Replacement Patients
Post: Patellofemoral replacement is a niche surgery and one of the least common replacements done in the knee. My preferred implant is the third-generation patellofemoral replacement from Arthrex, known as “Sportsplasty.” Check out my 4th segment of series examining the hardest patients to treat with this surgery and what additional procedures you can add to have continued success. We explore the less talked about MQTFL reconstruction and tibial tubercle osteotomies as well. Stay tuned for upcoming episodes in the next few weeks. At Orthopedic Specialists of Seattle, we provide a full range of options to help our patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia performs A Staged ACL Reconstruction
Post: ACL tears are a common condition in my practice. I treat athletes at all levels with the goal of returning them to sport. The testimonial below is from a patient who uniquely tore both of their ACLs. I performed staged ACL reconstructions three months apart and received this testimonial a few weeks ago. Best wishes to her in her skiing endeavors!
ACL Reconstruction: https://www.grantgarciamd.com/acl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
"I can't recommend Dr. Garcia enough! He successfully repaired both of my ACLs, and the entire process-from surgery to recovery-was outstanding. He is incredibly skilled, attentive, and genuinely cares about his patients. During my follow-up appointments, he took the time to answer all my questions and made sure I was recovering well. His friendly and reassuring approach made a challenging experience much easier. If you're looking for a top-notch surgeon who truly puts patients first, Dr. Garcia is the one to go to!
PS: I'm skiing again"
~Anna K
Famous Athletes Affected by Blood Clots
Post: Blood clots can impact athletes and influence their careers. Listen to this short clip below where we review recent cases of high-profile athletes diagnosed with blood clots and the effects on their careers. We encourage you to view this brief segment from the Sports Doc Talk Podcast featuring William Sanchez. For the full episode, check out the links below or visit our website at www.sportsdoctalk.com.
Special thanks to our sponsors The Recovery Shop for this episode.
Victor Wembanyama’s Season-Ending Injury: The Dangers of Deep Vein Thrombosis and Blood Clots
YouTube: https://lnkd.in/gXd6jR2U
Spotify: https://lnkd.in/gbfwu6fa
Testimonial after Distal Femoral Osteotomy
Post: Osteotomies can be an effective surgical technique. While addressing the cartilage and meniscus is crucial, not correcting alignment can cause the procedure to fail. In many cases, the osteotomy is considered a critical component of the surgery. Below is a testimonial from a young active female patient who traveled from out of state for a cartilage transplant combined with a distal femoral osteotomy. She had been evaluated by multiple surgeons with limited options. Upon consultation, she experienced severe lateral pain due to a cartilage defect and an anterior meniscus tear, affecting her ability to perform daily activities. After an online second opinion, considering her distance, she decided to travel for the distal femoral osteotomy, cartilage transplant, and meniscus repair. Over two years post-surgery, she has successfully returned to running without pain. Orthopedic Specialists At Raulerson of Seattle, we offer advanced procedures to help our patients return to their preferred sports.
Distal Femoral Osteotomy: https://www.grantgarciamd.com/distal-femoral-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia’s Updated Quad ACL Reconstruction Technique
Post: Quad tendon ACL reconstruction has become increasingly popular. In my practice, it is a key procedure for active athletes. I have made several modifications to my technique over time and am pleased to present my updated approach for Arthrex Quad ACL reconstruction with both femoral and tibial button fixation. Tensioning from both sides, in my opinion, has greatly improved final tension, ease of internal brace placement, and reduced complications in primary or revision surgeries. Practicing in a high-tech worker population, many patients want to be informed about the surgical techniques used. This video demonstrates the innovative methods applied during their surgery. For more information, visit the website section below. At Orthopedic Specialists of Seattle we strive for the most cutting sports technology.
ACL Reconstruction: https://www.grantgarciamd.com/acl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
MACI A Game Changer in Minimally Invasive Su
Post: Advancements in cartilage surgery, particularly by making these procedures less invasive, are essential for innovation. This approach is exemplified by the recent introduction of MACI® Treatment Artho. We invite you to view a brief segment from our recent Sports Doc Talk Podcast featuring Nick Colangelo, CEO of Vericel® Corporation, as he provides an overview. For additional information, please visit our website or watch the full podcast episode below.
Revolutionizing Cartilage Repair: The MACI Breakthrough with Nick Colangelo
YouTube: https://lnkd.in/ga52RaC5
Also on all your favorite listening platforms.
Types of Patellofemoral Replacement Patients
Post: Patellofemoral replacement is a niche surgery and one of the least common replacements done in the knee. My preferred implant is the third-generation patellofemoral replacement from Arthrex, known as “Sportsplasty.” Check out my 3rd segment of my four-part blog series examining the types of patients we see who need this surgery and how to avoid pitfalls with this surgery. Stay tuned for upcoming episodes in the next few weeks. At Orthopedic Specialists of Seattle, we provide a full range of options to help our patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Double Osteotomy Procedure performed by Dr. Garcia
Post: Achieving a good surgical outcome relies on performing the appropriate procedure. In theory, this seems straightforward. However, higher-risk surgeries often involve more complications, greater stress, and require advanced skills. It is essential for surgeons to make these decisions collaboratively with their patients, considering all factors involved. While it may be tempting to choose simpler options, sometimes the more complex procedures are necessary for challenging cases. As surgeons gain experience and skills, tackling these difficult surgeries should become more manageable.
As a cartilage surgeon and knee preservation specialist, I frequently face the challenge of making the right decisions. Clear communication with patients about the risks of more extensive procedures is crucial. For example, in osteotomies, performing a single osteotomy is generally preferred, with an opening wedge being the ideal choice. However, there are situations where multiple corrections or closing wedges are required due to the extent of deformity.
When undertaking such procedures, it is important to be aware of one’s skills and limitations, as well as understanding the normal anatomical angles of the knee to accurately identify and correct deformities. Below is an example of a recent patient who presented with severe varus deformity and significant pain. Imaging revealed abnormalities in both the tibia and femur, necessitating a double osteotomy for proper realignment. We performed a lateral opening wedge distal femoral osteotomy combined with a medial closing wedge high tibial osteotomy to achieve normal alignment. For more information on these procedures and knee preservation techniques, please refer to the links below.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
The Journey to FDA Approval for MACI
Post: FDA approval is a rigorous process for all innovations, including MACI due to its pharmaceutical status. Vericel undertook additional efforts to get MACI® Treatment Arthro approved for patients. Watch a short clip from our recent show Sports Doc Talk Podcast featuring Nick Colangelo, CEO of Vericel. For more information, visit our website or view the full show below.
Revolutionizing Cartilage Repair: The MACI Breakthrough with Nick Colangelo
YouTube: https://lnkd.in/ga52RaC5
Also on all your favorite listening platforms.
Reason to Choose Patellofemoral Replacement
Post: Patellofemoral replacements constitute less than 1% of knee replacements. Advances in techniques and specific indications have shown excellent results in a challenging patient population. The third-generation patellofemoral replacement from Arthrex, known as "Sportsplasty," is my preferred implant. This is part of a five-part blog series examining the choice of PF replacement and the outcomes associated with this surgery. Future episodes will be released in the coming weeks. At Orthopedic Specialists of Seattle, a full range of options is available to help patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Introduction to Patellofemoral Replacements
Post: Patellofemoral replacement is a niche surgery. Of all total knee replacements they are less than 1% of implants used. Advances in techniques and tight indications have demonstrated excellent results in a challenging patient population. My preferred implant is the third-generation patellofemoral replacement from Arthrex, known as “Sportsplasty.” Check out my 2nd segment of my five-part blog series examining this topic, covering indications, surgical planning, and necessary concomitant surgeries. Stay tuned for upcoming episodes in the next few weeks. At Orthopedic Specialists of Seattle, we provide a full range of options to help our patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
MQTFL Reconstruction with Patellofemoral Replacement and TTO
Post: We all know surgery is not one size fits all, and this is the month of patellofemoral replacements, which is a less commonly done surgery with tight indications. The power of this implant by Arthrex is excellent and many times only this surgery is needed to correct significant patellofemoral pathology such as high TTTG, dysplasia, or rotational deformity with severe patellofemoral arthritis in isolation. Now in less than 10 percent of my patellofemoral replacements we need more. Check out this short clip of my recent surgery where more was needed. This is a mid 40-year-old patient with severe patella OA with a TTTG of 24, C/D ratio of over 1.4, severe dysplasia and chronic debilitating pain and patella dislocations. Its been over 10 years since he had limited pain and normal tracking. We did a full Arthrex combo using a MQTFL reconstruction, Tibial Tubercle Osteotomy with my new FiberCerclage and headless compression screws in addition to a patellofemoral replacement. You can see the tracking both before and after the final MQTFL connection. I wish him well in his recovery! At Orthopedic Specialists of Seattle, we provide a full range of options to help our patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
MQTFL Reconstruction: https://www.grantgarciamd.com/medial-quadriceps-tendon-femoral-ligament-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Blood Clots The Silent Threat to Athletes
Post: Orthopedic surgeons frequently encounter blood clots in their patients. The primary concern arises when a blood clot dislodges and travels to the lungs, presenting a significant risk, especially in athletes. We encourage you to view this brief segment from the Sports Doc Talk Podcast featuring William Sanchez. For the full episode check out the links below or visit our website at www.sportsdoctalk.com.
Special things to our sponsors The Recovery Shop for this episode.
Victor Wembanyama’s Season-Ending Injury: The Dangers of Deep Vein Thrombosis and Blood Clots
YouTube: https://lnkd.in/gXd6jR2U
Spotify: https://lnkd.in/gbfwu6fa
Dr. Garcia at AAOS in San Diego
Post: A quick trip to San Diego for our national meeting AAOS. Tons of connections and learning to be had in this short trip. This continued learning is invaluable to validate we are doing the best for our patients and learn more tips and tricks to get better.
Introduction to Patellofemoral Arthritis
Post: Isolated patellofemoral arthritis presents significant challenges for both patients and practitioners. As a specialist in complex knee and patellofemoral surgery, you will encounter these patients. This condition is particularly problematic for individuals in their mid-40s who are too advanced for cartilage preservation but too young for a total knee replacement. Often, these patients seek a second opinion after being told by previous surgeons that there are no viable treatment options. In my experience, these patients are excellent candidates for a patellofemoral replacement.
During my training, the options for these procedures were scarcely mentioned, and many of us learned from earlier generations of implants that such patients would fare merely “okay.” This perception is inaccurate. Over the past few years, I have been surprised by the high level of patient satisfaction and return to sports following this procedure. Patient selection and managing expectations are crucial components of successful outcomes.
My preferred implant is the third-generation patellofemoral replacement from Arthrex, known as “Sportsplasty.” I have developed a five-part blog series to examine this topic, covering indications, surgical planning, and necessary concomitant surgeries. I hope this will be beneficial to young sports surgeons addressing this niche pathology within their practice. Stay tuned for upcoming episodes in the next few weeks. At Orthopedic Specialists of Seattle, we provide a full range of options to help our patients return to their active lifestyles.
Patellofemoral Replacement: https://www.grantgarciamd.com/patellofemoral-knee-replacement-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia highlights the Importance of Preoperative Planning
Post: Preparation is essential for successful surgery. As surgical complexity increases, so does the necessity for thorough preparation. Anticipating potential issues before entering the operating room can significantly mitigate risks. During residency, this concept is often emphasized; however, real-world examples solidify its importance.
When performing osteotomies, particularly tibial osteotomies, it is crucial to be aware of an uncommon malformation known as an aberrant popliteal artery. This condition involves a branch of the artery passing in front of the popliteus muscle. Although rare, it occurs frequently enough to warrant attention. Careful review of MRIs is imperative, as overlooking this can lead to significant complications for the surgeon. Six months ago, I discussed this topic and recently encountered my second patient within a year with this anomaly, confirmed through a CT angiogram (see image below). Typically, this malformation is not highlighted in MRI reports, requiring vigilant examination.
This post aims to assist young surgeons in avoiding these potential complications. At Orthopedic Specialists of Seattle, we provide our patients with comprehensive sports medicine care in Seattle.
The Incredible Comeback of Jalen Watson!
Post: Leg fractures can be gruesome injuries in sports. Thankfully they are infrequent and if the joint is not involved, returning to sports can be successful. We talked briefly about this on our recent Superbowl episode Sports Doc Talk Podcast. Check out this short clip regarding Jalen Watson’s comeback. This episode is packed with valuable information and engaging discussion. Don’t miss it on all major streaming platforms and YouTube!
A big thank you to our sponsors, The Recovery Shop. Visit them at shop-recovery.net. For more information, contact Mike at mikeb@shop-recovery.com.
Youtube: https://lnkd.in/gJKbX8wk
Spotify: https://bit.ly/4jL7eoK
Dr. Garcia performs UCL Repair with an Internal Brace
Post: Caring for baseball players is a niche practice that involves managing expectations of players, coaches, parents, and agents. I often get second opinions on UCL repair vs. reconstruction. Recently, a young baseball player from Taiwan had a very repairable UCL injury. After an online evaluation, his family flew here from Taiwan for an Arthrex UCL repair with an internal brace, avoiding full reconstruction. I just got this note from his father 6 months after surgery with a successful return! This successful procedure has helped him return to baseball faster than traditional methods. At Orthopedic Specialists of Seattle, we continue providing cutting-edge care to the Seattle area and beyond.
Testimonial:
Hey, just wanted to send this to you… opening day and Ryan’s returned to play in the field!
The trainer/rehab specialist at Taipei American School was amazed that – as per your rehab protocol – Ryan was able to come back so quickly post the UCL repair and brace surgery you did. He played outfield and hit today; his projected return to pitching is in about 2 weeks. Thanks again for the awesome work and all the reassurances along the way.
Testimonial after lateral meniscal root repair
Post: Meniscal root tears can be challenging in many ways. We continue to improve our surgical methods to give the best results but even with this failure do occur. Careful patient expectations need to be set when you counsel these patients. Again, meniscal root tears come in various flavors and in the right patient we can make a big difference by fixing them. Check out this video testimonial of a very active gentlemen who had a lateral meniscal root repair. To learn more about this surgery and outcomes check out my link below.
Meniscal Root repair: https://www.grantgarciamd.com/meniscal-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
The Future of Medical Imaging in Sports!
Post: It has been over a year since the injury and near-death experience of Damar Hamlin. Celebrity cardiologist Dr. Dave Montgomery provides an explanation of what occurred in this clip below. The full discussion can be found on our podcast @Sports Doc Talk Podcast included many insightful comments on athletes and cardiac care. Listen on all our platforms below. Thank you to our sponsors The Recovery Shop.
Title: Urgent Call: Life-Saving Cardiac Care with Dr. Dave Montgomery
YouTube: https://lnkd.in/gmWccMYZ
Dr. Garcia demonstrates his trochleoplasty technique
Post: Trochleoplasty is a highly effective procedure for treating trochlear dysplasia, which causes patella instability and dislocations. Using the Arthrex pushlock system and trochleoplasty drill has been crucial for my patients with severe dysplasia. Watch my technique video on trochleoplasty with a patella cartilage transplant, MPFL reconstruction, and TTO. Visit my website for more details. At Orthopedic Specialists of Seattle we specialize in complex patellofemoral conditions to help patients return to their activities.
Trochleoplasty: https://lnkd.in/gAwBTWvs
Patient testimonial 7 months out from MFC cartilage transplant
Post: Cartilage transplants if done well and with appropriate expectations can be life changing. While the surgery itself is moderately technical it’s the patient discussions, and evaluation of the rest of the knee and complex additional treatment needed some time that is more complicated. Check out this video I just got from my patient 7 months out from MFC cartilage transplant. While the results are impressive the story is even better. She had previous MPFL and trochleoplasty done elsewhere with moderate results, she developed severe medial pain and given her complex history had several opinions with most shying away from any treatment. After our long discussion of expectations, we made a decision together to go after the MFC defect with edema. She got me a bit teary eyed in the office at the last visit (I tried to hold back :) ) when it was the best her knee has felt in over 5 years and her friends are shocked at what she can do now. Never stop listening to your patients, they will tell you what they need. To learn more about this surgery check out my website link below. Orthopedic Specialists of Seattle we continue to offer cutting edge treatment to get our patients back to active lifestyles.
Cartilage Transplant: https://www.grantgarciamd.com/cartilage-repair-and-transplantation-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Why We Must Screen Elite Athletes!
Post: Why screen elite athletes for cardiac issues? We discussed this with celebrity cardiologist Dr. Dave Montgomery in the short clip below. Check out our full Sports Doc Talk Podcast for his insightful comments on athletes and cardiac care. Don’t miss it on all platforms. Thanks to our sponsors, The Recovery Shop.
Title: Urgent Call: Life-Saving Cardiac Care with Dr. Dave Montgomery
YouTube: https://lnkd.in/gmWccMYZ
Patient Testimonial after Patella Tendon Reconstruction
Post: Patella tendon reconstruction is a rare surgery with various techniques aimed at reducing the risk of patella baja while ensuring a robust repair. My approach uses both autograft hamstrings, kept attached at the tibia and looped through the quad, along with an Achilles tendon allograft fixed with 3 Arthrex knee fibertaks. I also add an internal brace on these patients though make sure you set this at 90 degrees. This method has been effective for me, though it’s important to manage patient expectations thoroughly.
For example, a middle-aged patient was referred to me after 14 years of issues, recently using a cane and having a 14-degree extensor lag. He had only 5 mm of tendon left that had slowly ruptured after previous debridement of the tendon elsewhere over 5 years ago. While he is not likely to engage in high-level sports soon, I am pleased with his functional outcome. For more information, visit my website below.
Patella tendon repair: https://www.grantgarciamd.com/patellar-tendon-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Anterior Tibial Osteotomy
Post: The significance of anterior tibial osteotomies is considerable. As a cartilage and complex knee surgeon, I regularly assess alignment issues, particularly in revision surgeries. While coronal alignment is often emphasized, sagittal alignment and tibial slope are also critical for successful outcomes. Recently, I treated a female patient who had experienced 4 failed ACL surgeries. Upon review, her weight-bearing lateral X-ray showed a posterior slope of 16 degrees on CT and xrays. After thorough preparation and planning, we performed an anterior osteotomy tibial osteotomy with revision ACL reconstruction at the same time. The image on the right shows full weight bearing at six weeks post-operation, illustrating effective slope correction. Although her treatment is ongoing, the results are promising. Orthopedic Specialists of Seattle offers comprehensive surgical care for both acute simple injuries and complex cases in Washington State
Anterior Tibial Osteotomy:https://www.grantgarciamd.com/anterior-tibial-osteotomy-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
The Future of Medical Imaging in Sports!
Post: What is the future of medical imaging for our Athletes. Check out this recent clip from our Sports Doc Talk Podcast with Celebrity cardiologist Dr. Dave Montgomery. It was an incredible interview with so many insightful comments on athletes and appropriate cardiac care. You don’t want to miss this one. Listen on all our platforms below. Big thanks to our sponsors The Recovery Shop.
Title: Urgent Call: Life-Saving Cardiac Care with Dr. Dave Montgomery
YouTube: https://lnkd.in/gmWccMYZ
Meniscal Repair Using Fiberstitches 2025
Post: Subtle tricks and tips are the difference in providing consistently good results and what separates experience from inexperience. This is one of the major reasons I post so many surgical videos to provide my tips and tricks to help us avoid the mistakes I have made. Meniscus repair is a very common surgery and I’m a huge proponent of the new Arthrex 1.5 fiberstitch. Check out one of my newest surgical videos showing how effective these devices are for larger meniscus tears and the ability to get a solid vertical mattress repair with an all inside device. Recent data has shown the impressive pullout strength of this implant, and you can see it firsthand on this video below! For more tips and tricks check out my website at www.grantgarciamd.com.
Meniscus Repair: https://www.grantgarciamd.com/meniscus-repair-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
MDI Stabilization Testimonial
Post: Multidirectional instability is a challenging diagnosis. In many cases we try to use non-operative treatment for as long as possible but as we know this doesn’t always work. When patients have failed non-op treatment, we need to consider advanced techniques to give these patients a reasonable outcome after surgery. With the addition of the Arthrex knotless fibertaks we can perform a robust pan capsular plication that is low profile with good results. Check out this recent video testimonial of a hyperlax patient who struggled with hundreds of dislocations and way too many frustrating opinions before getting the stabilization she needed. At Orthopedic Specialists of Seattle we continue to offer advanced sports care to even the most difficult cases in the Seattle area.
Multidirectional Instability Website: https://www.grantgarciamd.com/multi-directional-instability-stabilization-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Shohei Ohtani's Shocking Injury Update!
Post: What happened to Shohei Ohtani? Shoulder dislocations are a common injury with both surgical and non-surgical treatment options, depending on various factors. Learn more from our short clip in the latest Sports Doc Talk Podcast with William Sanchez. For further information, visit www.sportsdoctalk.com.
Shoulder Instability: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Full Episodes:
New Biceps Tenodesis with 360 labral repair
Post: Efficient surgery requires planning, preparation, and good tools. In shoulder instability surgery, techniques must adapt to patient pathology. For labral repair with biceps tenodesis in lateral position, I use the Arthrex Loop & Tak technique, which is fast and reliable, even for high-level athletes. As a referral center, I frequently handle 360-degree labral tears. With the Arthrex rotation lasso and upgraded Arthrex knotless fibertak, these surgeries take under an hour without accessory portals. Check out the final results of my recent 360 labral repair with arthroscopic biceps tenodesis. To learn more check out my website link below.
Labral Repairs: https://www.grantgarciamd.com/arthroscopic-shoulder-instability-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Recent Review a year after Cartilage and Osteotomy Surgery
Post: Osteotomy surgery is complex but crucial for cartilage preservation. Many patients seeking cartilage procedures discover they need an osteotomy during their visit. Patient counseling, including discussing complications and benefits, is essential. With experience, these conversations have become easier for me. Here’s a recent review from over a year out after a significant cartilage and osteotomy surgery, which motivates me to continue tackling challenging cases for my patients’ well-being. For more information, visit my website section below.
Dr. Garcia Shares His Passion for Orthopedics with Young Learners
Post: I had the highlight of my last few months when my 7-year-old daughter asked me to come present to her 1st grade class. I had a ton of fun sharing some of the fun things about my job and teaching about bones, muscles and tendons. Even better, we got a bit messy and made splints for everyone in the class! The look on her face after we finished, made it all worth the effort and time to get ready for this. While working hard and taking care of patients is incredibly rewarding, my two daughters are the brightest spots in my life.
Post: Proud to receive the Castle Connolly Top Doctors recognition for the 4th consecutive year. Thanks to the staff, patients, and colleagues for their support in achieving this honor. At Orthopedic Specialists of Seattle, we remain committed to providing high-quality and diverse orthopedic care in the Seattle area and beyond.
Dr. Garcia performs lower trapezius transfer using Arthrex Anchors
Post: Lower trapezius transfer is one of my most helpful additions to my challenging rotator cuff deficient patients. The data continues to show promise for a difficult injury especially in patients under 65 years old. As this surgery continues to gain traction more nuances appear. When I perform this salvage surgery sometimes, I get lucky and can repair the anterior supraspinatus. This week, I was able to slide the supraspinatus anteriorly and then place the lower trapezius posteriorly. Using Arthrex anchors for this repair the versatility is fantastic especially with low profile fibertaks. These patients in my opinion have the best results. Again, not always possible but if you run into this option during surgery try your best to add any supraspinatus fixation. I recently met with one of the top product managers Manik Dham and after reviewing recent data decided to lower my footprint attachment based on his discussion with numerous surgeons around the world. Working with Arthrex I gained access to so much cutting edge technology and data even before its available to the general surgeon population. To learn more about this surgery check out my website link below. At Orthopedic Specialists of Seattle, we continue to offer the most cutting edge and complex procedures for our patients in the Seattle and surrounding area.
Lower Trapezius Transfer: https://www.grantgarciamd.com/lower-trapezius-transfer-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia presents MACI® Treatment in Park City
Post: Big thanks to all MACI® Treatment for the opportunity to present this week at the AAOS/AOSSM/AANA Sport Medicine Symposium in Park City. We reviewed all things MACI and the cutting-edge new technique MACI arthro. It was a great turnout, and a pleasure to present the surgical walkthrough and case presentation of the first MACI Arthro in the PNW. I continue to be impressed by this new technique with each patient I do. While these trips for me are usually 24 hours to get home to my family, it was a special treat to convince my wife to come for the weekend and get two amazing days of skiing in with her and a little Sundance film festival! To learn more, check out my website link on MACI arthro below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://lnkd.in/g5aJAapx
Faster recovery with MACI® Arthro Technique
Post: When you do a “new” technique you want it to be better than your previous one without sacrificing outcomes. This is exactly what I have seen from the MAC Arthro and it keeps getting better. In select patients, we can now use the same time-tested MACI® Treatment implant with much more minimally invasive implantation. As I continued to do more, I’m blown away by the reduced swelling and how the patients feel even 1 week post op. This patient messaged me on social media, with her permission, see her message and video below. You will see she is using my cutting-edge post op tool the Rebless. This allows not only passive but active assist and passive assist motion to reduce early PT visits and produce awesome results at 6 weeks. This patient was very excited to be a part of this new wave of minimally invasive high quality cartilage surgery. To learn more, check out my website link on MACI arthro below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://www.grantgarciamd.com/maci-arthro-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Review from my patient:
Maci Arthro one week post op at 75 degrees with zero pain, minimal pain during day, and have to slow myself down because I’m feeling so good. Amazing recovery so far! So grateful for this new technology!
Dr. Garcia Performs Arthroscopic MACI live using Rods & Cones System
Post: Cartilage, innovation and technology is one of my favorite combinations. Yesterday I performed the first live MACI arthro in the country using one of the newest and hottest video systems on the market, the Rods&Cones Video Technology. A huge thank you to my OR team for making this happen! My rock-solid tech Vaid and PA (Corbin Brokaw, PA-C Brokaw) were instrumental in helping with this successful procedure. This technology did not disappoint with a heads-up display camera and a 2nd OR perspective camera you can see a sneak peak in my video below. This is the future of OR video and live teaching and I’m honored to be a part of it. To learn more about the surgery I performed check out my website links below. Orthopedic Specialists of Seattle we are proud to be on the forefront of technology and innovation for Washington State.
MACI Arthro: https://www.grantgarciamd.com/maci-arthro-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
What Makes a Player Resilient Exploring Inju
Post: Why are some players more resilient? High-level athletes recover from injuries at different rates and with varying outcomes, despite receiving excellent care. Is there more to it? Watch this clip from our latest @sportsdoctalkpodcast with Will Sanchez. For the full episode, visit www.sportsdoctalk.com.
Full Episodes:
Dr. Garcia shares Innovations in ACL Repair at Arthrex OTIF
Post: Honored to be a part of one of the biggest Arthrex Meetings of the year, OTIF. I discussed my ACL repair technique with the new tightrope fixation that has benefitted so many patients and preserved their ACLs. I covered ACL preservation, cartilage surgery, and osteotomies. Arthrex leads in innovation and teaching, and I’m thrilled to contribute to enhancing patient outcomes with advanced technology. Learn more about my ACL repair technique via my link below. At Orthopedic Specialists of Seattle, we offer cutting-edge techniques for our patients in Seattle and beyond.
ACL preservation repair: https://www.grantgarciamd.com/acl-preservation-acl-repair-surgery-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Meniscal Repair with OSSIO’s Game-Changing Bone Anchors
Post: Teaching and learning are at the forefront of new technology. This can be done in many forms but one of my favorites is through video techniques. I had the pleasure of working with one of the hottest device companies on the market OSSIO to demonstrate my technique for meniscal root repair and their game changing bone anchors. In addition, we dove into probably one of the most exciting applications of their product called the “knee bar” where we showed how this bone morphing technology can be used to treat subchondral insufficiency fractures with incredible results. Big thanks to my rockstar tech Vaid for assistance with these surgeries and my incredible team at Orthopedic Specialists of Seattle for making this happen both in our ASC and clinic. Can’t wait to show you all the finished product so stay tuned. To learn more about this product check out my recent podcast with them below.
Podcast:
Dr. Garcia’s Highly Motivated Team
Post: No matter what type of surgery you do, having a good team is essential. Many times my patients may see only a few of the members of my team but so many people are involved in making these procedures run smoothly. The harder the surgeries get the more important having a great surgical team becomes. I’m truly blessed to have some of the best OR staff and PAs I have ever worked with. What is even more impressive is they love the hard stuff and they rise to the challenge of executing a large complex knee surgery. Meniscus transplant, high tibial osteotomy, cartilage transplant, MACI, multilig, TTO, or a combo of the above is no problem for this team which is impressive knowing this is a small private practice ASC in Seattle. Last week we did a tough case involving a 20-year-old patient needing a revision Quad ACL, Lateral meniscal root repair, medial meniscus transplant, lateral femoral cartilage transplant and IT band tenodesis. Below is a quick peak of my top-notch PA duo Gail Petteruti and Corbin Brokaw, PA-C making our quad ACL graft and the meniscus transplant grafts for our patient. What is even more crazy is one of them always volunteers (even when they are on call) to come in even without me asking for these combos because they want to be a part of the challenge and help. Assisting me is Vaid, my top-notch tech who thrives under the pressure of these cases and keeps me in check. There are many more involved but big shout outs to those who help me take on some of the toughest knee surgeries in Washington state and allow Orthopedic Specialists of Seattle to continue to offer the most comprehensive cartilage care in the area. To learn more about these surgeries check out my cartilage restoration section below.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Dr. Garcia announces the first PNW MACI Course
Post: See one, do one, teach one. If only it were that simple. As a surgeon, usually these numbers are dramatically expanded, and it requires hundreds of hours to master the skill. As we gain experience most of our “new” surgeries require a much shorter learning curve. That being said, courses and teaching are still incredibly helpful for all of us. As a cartilage surgeon I thoroughly enjoyed being involved with the teaching of new techniques and technology. I am excited to announce the first PNW MACI course lead by myself, Justin Newman MD and my rockstar PA, Corbin Brokaw, PA-C. The main focus of this course will involve the new cutting-edge technique MACI Arthro, with a cadaver lab, practice considerations for MACI and ASC integration. It’s a great course for both surgeons and physician assistants to help teach all levels of the process. Sign up if interested (link below), looking forward to welcoming everyone to the PNW for a great agenda. To learn more about MACI and the new MACI arthro check out my links below.
Link for Sign Up: https://form.jotform.com/243545464529161
MACI Arthro: https://lnkd.in/g5aJAapx
Advancements in Quad ACL Reconstruction: Speed Closure Technique
Post: Quad acl reconstruction has had an explosion in growth. It has become my workhouse ACL for many different reasons. Even with the latest technology we are still finding ways to further improve all aspects of this surgery. My latest addition is a speed closure of the quad graft harvest site and below is my surgical video. This is a fun little tip, and trick can be done with an arthroscopic assisted method as well. To learn more about this surgery check out my link below. Orthopedic Specialists of Seattle specialists of Seattle are always looking for ways to improve our surgeries and give our patients better outcomes.
ACL Reconstruction: https://www.grantgarciamd.com/acl-reconstruction-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
Injury Insights: MLB's Road to Recovery for 2025
Post: Check out our latest podcast on the MLB injuries that are being dealt with in the off season. We review shoulder instability, UCL tears and more. You don’t want to miss this one!
Welcome to the latest episode of Sports Doc Talk! We’re your hosts, William Sanchez and Dr. Grant Garcia, and we’re diving deep into Major League Baseball (MLB) most significant injuries and the advanced medical procedures used for recovery. In this episode, “Injury Insights: MLB’s Road to Recovery for 2025,” we cover the latest updates on key players like Shohei Ohtani, Ronald Acuña Jr., and Spencer Strider. We’ll break down complex medical procedures, including the Bankart shoulder repair and UCL surgery with an internal brace, offering clear and informative explanations that cater to sports enthusiasts and those interested in sports medicine.
Join us as we discuss the impact of these injuries on players’ careers and the latest advancements in sports medicine that aid in their recovery. We’ll also touch on the broader implications of these medical procedures for the future of baseball and how they could affect the upcoming 2025 season. With analysis and engaging conversation, this episode promises to be enlightening and informative.
A big thank you to our sponsors, The Recovery Shop. Visit them at shop-recovery.net. For more information, contact Mike at mikeb@shop-recovery.com. Be sure to tune in to Sports Doc Talk Podcast on your favorite podcast platform, and visit sportsdoctalk.com for episodes, transcripts, and additional resources.
Spine Boarding and Coordination
Post: Spine boarding is something every team physician needs to know how to do. Check out this short clip on my explanation of the process and how this relates to the recent scare by Grant DuBose of the Miami Dolphins and Hard Rock Stadium. This is from our recent show Sports Doc Talk Podcast with William Sanchez. We also talk about the importance of the medical hand off. Check out our full episode below or at www.sportsdoctalk.com.
Full Podcast:
Dr. Garcia performs Challenging Cartilage Repair with MACI® Treatment
Post: Arthroscopic cartilage surgery continues… 2 weeks ago we completed our third MACI® Treatment Arthro and it keeps getting better. This patient came from over 3 hours away to get this unique surgery. This case was a bit more challenging as it was a very low LFC defect. Biggest trick on this one is an excellent assistant. My PA Corbin Brokaw, PA-C is rock solid, as this required the leg to be held at 110 degrees and the camera to be held at the same time to prep the defect and place the implant. With his help we completed this surgery in around an hour with no issues. This patient was very excited to be a part of this new wave of minimally invasive high quality cartilage surgery. Check out the results below. Best of luck to my patient and their recovery. To learn more, check out my website link on MACI arthro below. At Orthopedic Specialists of Seattle we continue to offer the most cutting edge technology in Washington State.
MACI Arthro: https://lnkd.in/g5aJAapx
Dr. Garcia Performs Double Osteotomy Procedure
Post: If you are performing osteotomies and practice joint preservation you need to understand about defining the location of the deformity. It also means you need to feel comfortable with approaching the knee from different sides. Most of the time a single osteotomy is enough. If you do enough of any surgery, there are outliers and sometimes you need to do a double osteotomy to avoid a large single correction or joint incongruence. This is a great example of my patient who had a very large varus deformity coming from both the femur and tibia. We caught this early and made plan for the case, he is a high demand laborer over 6 months out and his medial knee pain is gone and back to work! It’s great to have NEWCLIP TECHNICS to help with 3d modeling and measurement to confirm my Xray measurement on location of deformities. For more information check out the cartilage section on osteotomies below.
Cartilage Restoration: https://www.grantgarciamd.com/cartilage-restoration-shoulder-knee-sports-surgeon-seattle-bellevue-everett-kirkland-wa.html
