In the News
ACL repair surgery is something that the orthopedic surgery community is just now beginning to talk about after decades of subscribing to the belief that it isn’t possible. The belief is slowly changing, in large part because of the groundbreaking surgical work of my guest on this episode, Dr. Gregory DiFelice of the Hospital for Special Surgery, Sports Traumatology & Joint Preservation Surgical department. In this conversation we talk about about the approach surgeons have taken in approaching ACL surgery in the past, what he’s done to ask questions that nobody was asking, and how his steps have led to the reintroduction of ACL repair surgery that is proving to be highly successful.
Fox 5 News Report - Dr Gregory DiFelice, ACL Repair Technique - April 5th 2017
Every year about 400,000 Americans tear their ACL ligament and for the past several decades there's pretty much only one way to fix the injury - if at all - reconstruction surgery. As our Health Reporter Erin Billups explains one New York City doctor has pioneered a new approach with extremely promising results.
The way Erika Larose is hopping you wouldn't think that just three months ago she had surgery to repair tears to her ACL and MCL ligaments in her knee.
Gregory S. DiFelice, MD, an orthopedic trauma surgeon at Hospital for Special Surgery, discusses his new ACL technique and provides historical context for its use to Medscape.
"Expanding on [previous] work allowed me to develop a new, minimally morbid arthroscopic suture anchor technique to reattach the ACL when it is proximally detached," said Dr. DiFelice. "Such patients are potentially the low-hanging fruit of the ACL-injured cohort because stability to the knee could be restored without undergoing a full reconstruction. With the application of this technique in appropriately indicated patients, we could potentially restore knee stability while avoiding the significantly more morbid reconstructive procedures. My team recently reported on the outcomes of my initial cohort of 11 patients using this technique."
ACL Preservation Q&A with Gregory S. DiFelice, MD
Dr. Gregory DiFelice, orthopedic surgeon at HSS, participates in a Q&A on ACL preservation on Arthrex Blog.
Dr. DiFelice covers off on the latest ACL preservation news and how his experience has changed his approach on all patients with ACL injuries.
"The great majority of my ACL preservation patients have recovered quickly, and with good outcomes," said Dr. DiFelice. "A patient detailed that he had full range of motion within one week and that since one-week post-op, he had been commuting an hour and 15 minutes each way to work via train with a lot of standing and walking. He explained that he didn't have any significant swelling or discomfort after the first week despite these long hours on his feet."
Arthrex Device Corrects Torn ACLs That Once Sidelined Players Permanently
Source: Naples Daily News
The Naples Daily News reports that arthroscopic instruments for minimally invasive surgery made by Arthrex, a Naples-based medical device manufacturing company, helped thirteen-year-old Emmett Maritato, who recently underwent surgery for a torn ACL.
Orthopedic surgeon Michael Havig, MD, who specializes in sports medicine, follows the lead of Gregory DiFelice, MD, orthopedic surgeon at Hospital for Special Surgery,who uses Arthrex medical devices to repair a torn ACL.
"It's absolutely cutting edge," DiFelice said. "It's changing the way we approach ACL injuries. For 90 percent of the patients, they are getting their knees back like they were never injured."
Where are they now? Three-sport star Greg DiFelice of Northern Highlands
The Record profiled New Jersey native and orthopedic surgeon at Hospital for Special Surgery, Dr. Greg DiFelice, who grew up in Upper Saddle River, NJ as the youngest of eight children. After training at Hospital for Special Surgery post-medical school, Dr. DiFelice returned to the hospital five years ago. He has been seeing patients at the new Paramus satellite office for the past eight months.
Reporter Ed Mills talks to Dr. DiFelice about a new procedure he developed for the treatment of knee injuries. "My clinical research is focused on the cruciate ligament of the knee," said Dr. Gregory S. DiFelice, Orthopedic Surgeon at Hospital for Special Surgery. "I have developed an intriguing new procedure for the ACL that is much less invasive, less morbid and has a quicker recovery time than the standard treatment of ACL reconstruction."
Hospital for Special Surgery Opens New Location in Paramus, New Jersey
Patients from 105 countries and all 50 states come to Hospital for Special Surgery (HSS) for what many believe to be the world’s finest orthopedic care, and now HSS is coming to New Jersey.The highly-rated New York City specialty hospital for orthopedics and rheumatology celebrated the grand opening of Hospital for Special Surgery Paramus Outpatient Center, at 140 East Ridgewood Avenue, with a ribbon-cutting on November 17.
What’s In My Bag with Gregory S. DiFelice, MD
Q: Dr. Gregory S. DiFelice, with your recent release of the technique manual, ACL Primary Repair, it seems that you are challenging the current treatment standard of reconstruction for ACL rupture. Do you think that arthroscopic ACL preservation will become the new standard of treatment?
A: Not at all. The procedure that I have described is an arthroscopic method of reattaching the ACL back to its native origin or insertion using suture anchors. It is really only applicable to avulsion or "peel off" type tears and will never become the standard of care for ACL tears, in general, since the majority of them are mid-substance tears that is not effective for this technique. However, it is a nice tool to have in your surgical toolbox.
Primary ACL Repair
Gregory DiFelice, MD, (New York, NY) makes a compelling case for ACL Primary Repair for certain patterns of ACL ruptures, by revisiting past literature and presenting his own technique and clinical outcomes. Dr. DiFelice begins the talk with a literature review- discussing what we can learn from previous clinical studies.
An important stabilizer in the knee, the ACL is estimated to have between 100,000 and 200,000 injuries annually throughout the United States. Deficiency of the ACL often causes instability and can create a “giving way” feeling in patients.Many different treatment options for ACL deficiency have been proposed. The first treatment of an ACL injury was described in 1903 by Mayo Robson