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Lynn 11/11/2008 11:19 AM Report
Dr. Steadman and his rehab clinic changed my life! After I ruptured my ACL, I researched and found a top notch surgeon in my state for my ACL replacement. Needless to say, it didn't go well. 6 weeks later my surgeon went in again to do a MUA to "fix" my scar tissue problem. Results were worse. My knee was then almost completely frozen- I could barely walk, my surgeon along with a 2nd opinion surgeon said there was basically nothing they could do. So in a matter of 3 months time I went from doing triathlons to having a handicap sticker and the docs telling me they could do nothing to help me. I got back on the internet and researched for the very best knee doctor in the country. Time and time again Dr. Steadman's name kept coming up, not only as one of the best in the nation but also the world! So I packed up my stuff and went out to Vail to see if he could help.
After 2 surgeries (and 6 weeks of INTENSIVE rehab in the Vail clinic after each surgery) I am as close to back to normal as I could hope. I’m back to triathlons and my life. I'm pretty sure he could have retired years ago, but he continues to share his talent. Not only is he a brilliant surgeon but he also is very personable and friendly. He has a wonderful bedside manner. Words could not express how thankful I am to this man!
But I also want to say a word about the physical therapists at the Vail Clinic. Dr. Steadman makes sure that the very best PT's are employed in his clinic and he works hand in hand with them. So I am also incredibly grateful to the amazing PT staff that spent hundreds of hours helping me rehab not only my knee but my spirit!
Scott 11/01/2008 02:59 AM Report
www.SteadmanHawkins.com is where to locate the information about Steadman Hawkins Clinic and all the physicians associated with the clinic. I am an elite runner and a Certified Athletic Trainer who has had two knee surgeries performed by Dr. Steadman. I have had excellent results and would recommend him without hesitation. The clinic, hospital, physical therapy and foundation are superior.
marybeth bronson 10/31/2008 01:49 PM Report
I am interested in learning more about solving post knee surgery pain by increasing the volumn capacity in the knee. My 87 yo mother lives with persistant knee pain now two years after her surgery.
Marvin Sleeper, RN. 10/31/2008 12:23 AM Report
Nice interview with Dr. Steadman. I have the unique perspective of being an operating room nurse at Vail Valley Medical Center and a patient of Steady's. Being a life long skier, surfer and cyclist, I promptly trashed a knee after moving to ski country full time and putting in 100 days a year on the hill. First off, I like saying that Vail is the best town in the world to have to choose a knee surgeon in. That goes for shoulder, spine, hip and hand as well. There is also another outstanding orthopedic practice in town called Vail Summit Orthopedics. I have been operated on by both practices. Back to Steady; I have had a Steadman ACL reconstruction followed a year later by a microfracture procedure in the same knee. Although my knee runs a little rough due to this articular surface lesion, the regrowth of the fibrious cartilage in the medial trochlea of the femur has calmed significantly my discomfort, pain, ache, swelling and crepitus. Given the ease of the microfracture procedure it really is a great choice for the right candidate. My advice; this will only work if you follow rehab instructions. You must have a few months to take it easy and let the new fibrocartilage mature and heal in place. GOOD LUCK with your new knee!
Andres 10/29/2008 08:44 AM Report
Dr Steadman must be respected for all the benefits he brought not only for individuals, but for orthopedic science in general. He may not have been the first to 'risk' early motion, but was the first to say it out loud, changing the whole concept of rehab in the world. Although the 1st experiments about cartilage replacement were shown drilling holes into subcondral bone by Dr Salter in Canada, late 1960's, forming what he called 'fibrocartilage' because (although very similar) did not have the same biomechanical and cellular properties of the original. Since then a new paradigm was created. Microfractures were not 'invented' but based upon that evidence. But that's the way science go, improving ideas. I disagree with the former comment about growing cartilage in lab. It's been done for more then 20 years (started in Sweeden), but results are still much poorer and agressive than mosaic-plasty or micro-fractures. In other words. There are many approaches for a problem that may bring good results or not. The best is the one your doctor is more familiar with ... Although you may have a lot of (trunkated) information available in internet, for sure your physitian has much more then you. The only thing one should be aware is that unfortunatelly not all professionals, IN ANY AREA, do have very good-sense all the time, and that should be analysed by the non-med person. If this situation did not exist the world would simply be perfect. Dr Steadman has proven most of the time he is right.
JS 10/28/2008 11:46 AM Report
Re: soft motion
As a patient of Dr. Steadman, I can tell you that in my case 'soft motion' referred to early passive motion using a CPM (continuous passive motion machine)or assistance from the physical therapist to gently bend and straighten the knee. Motion is passive when it does not involve the active use of your limb, in this case the knee. There are methods other than CPM and manual bending that can also accomplish "soft motion." The important thing is that it be gentle and not involve forced or extreme bending.
Bonnie Snyder 10/28/2008 11:31 AM Report
I also was hanging on Dr. Steadman's last comment
about increasing the volume capacity in the knee when
Charlie ran out of time! How to get this info???
Ravi 10/28/2008 10:43 AM Report
Great interview, very informative. Thanks to you and Dr. Richard Steadman.
My only suggestion is you should have him for entire hour.
Please bring him back when you can.
Michael George Lang 10/27/2008 11:39 PM Report
Dr. Steadman uses a modification of the Pridi technique (drilling holes into the bone to encourage cartilage growth) called Microfracture ( fracturing holes in the bone to encourage cartilage growth) but neither technique replaces the Hyaline cartilage that has been damaged. Hyaline cartilage is the wonderful stuff that covers the knee and has a coefficient of friction of less than 1/15 of ice. the cartilage that grows after microfracture is fibrous and does not have as good a coefficient of friction and is not as stable. I went to the Steadman clinic and was unhappy with the reasons they gave for wanting to do certain procedures. One Doctor wanted to replace an ACL which already had been replaced because he did not like the insertion points and said it made my knee less stable. Since I am an engineer by training and had gotten second and third opinions from orthopedic surgeons all who said the operation was unnecessary, I asked this surgeon what would be the change in stabilizing torque after the operation and he said he did not know. I am sure this surgeon was extremely competent but that is the wrong answer to give a high level systems engineer. I also read some papers on Microfracture results and they were all either written by Steadman or students of Steadman. I could not find a paper which gave the results of a double blind experiment using the microfracture technique so I never submitted to the operation. I give Steadman this credit; after the operation his group follows up with a survey to try to get a handle on statistical outcomes. I had an ACL successfully repaired by a very competent surgeon at Summit Valley Orthopedics in 1998 when they were in Frisco and I never got one inquiry from them about how I was doing other than the last office visit. If they do not measure outcomes how can they improve their procedures. Doctor Gabe Mirkin thinks most arthroscopic knee surgery is worse than useless. The only exception being surgery that repairs torn ligaments in the knee such as ACL repair. http://www.drmirkin.com/joints/1259.html My own opinion from extensive reading is that for most people over 50 until they can replace Hyaline cartilage your just out of luck. A great website for learning about the knee and knee surgery is Kneeguru.com. There is a relatively new technique called ACI where they grow your own Hyaline cartilage in a Petra dish for a year and than graft it back on. It is complicated and expensive but it is the only procedure which actually replaces Hyaline cartilage. I am sure one day we will be able to go to the Steadman clinic and get the good stuff.
carol 10/27/2008 06:33 PM Report
Dr. Steadman is amazing. He's the best at what he does. His great work and ethics are reflected by everyone who works at his clinic. How fortunate that he is so giftrd and shares his gifts.
Preston 10/27/2008 07:19 AM Report
The world needs more Doctors like this Doctor. Before I have to go to the next doctor, Mr. Rose, will you interview him for me?... Please.----------- Perfect questions, Great interview. Thanks again.
BC Kelly 10/25/2008 11:01 PM Report
During the interview the Doctor uses the term "soft motion" which I believe he indicated was to not put weight on the leg, but merely move the joint as soon as possible after surgery/injury.
30 years ago while in the Navy, I suffer a badly broken ankle, through the joint, and the Doctors had me do "Early Motion" which they said was experimental at that time, and necessary to keep from having a club foot.
It was successful, thankfully, and I've done well over all these years.
But recently I'd done some research on "Early Motion" and could not find any info on the concept - particularly if it's been used widely since the 70s as a treatment. Also found a support group at Yahoo for 'broken ankles' and of those members, all with Trimalleolar fractures, none had even heard of "Early Motion" much less had it prescribed.
Am curious if Steadman's "soft motion" is the equivalent, and why this does not seem to be common practice for most all joint injuries.
BC Kelly
Tallahassee Fla
bc@bckelly.com
Sheila 10/25/2008 10:56 AM Report
Outstanding show with Dr Richard Steadman!!! Thank you for having him on!
Nancy Webb 10/25/2008 04:29 AM Report
You featured someone I greatly admire, and who made a significant contribution to my life, Dr. Steadman. After what he called a "career-ending injury" when my anterior cruciate ligament was torn from bone in a soccer game, he helped my knee RE-GROW the ACL through an arthroscopic procedure that punctured the bone at the previous attachment site. When the blood flowing from this site clotted, a new ligament was formed by the body's own healing response, which is the name he gave the procedure. Microfracture was also performed to replenish missing cartilage. That evening I walked the halls, and the following day I explored Vail with my father. I returned to Alaska 4 days later, and continued the physical therapy on my own. Today 13 years later, no one can tell at all that my ACL was once injured, and I have no pain. I am sorry this wonderful procedure wasn't discussed. And I am far short of an outstanding athlete; he wants to help anyone over 35 stay active. I am 58 and still playing hockey. Thanks for having him on!
sock puppet 10/24/2008 06:00 PM Report
Susan - try: http://www.pbs.org/stationfinder/index.html
From right side of this screen, 'Find Charlie in Your Area." Click here...."
susan 10/24/2008 01:01 AM Report
what channel are you on? What station?