Complications in Knee and Shoulder Surgery

Complications in Knee and Shoulder Surgery

Robert J. Meislin Jeffrey Halbrecht Editors Complications in Knee and Shoulder Surgery Management and Treatment Options for the Sports Medicine Orthopedist

Editors Robert J. Meislin, MD Orthopedic Surgery NYU Hospital for Joint Diseases New York, NY USA Jeffrey Halbrecht, MD The Institute for Arthroscopy and Sports Medicine San Fancisco, CA USA ISBN: 978-1-84882-202-3 e-isbn: 978-1-84882-203-0 DOI: 10.1007/978-1-84882-203-0 British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2009926046 Springer-Verlag London Limited 2009 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Learn from the mistakes of others you can never live long enough to make them all yourself. John Luther In dedication to our mentors, Victor Frankel, MD, and Joseph Zuckerman, MD orthopedic surgeons who taught us about leadership, hard work, and dedication to detail... and most importantly how to stay out of trouble! In appreciation, Robert J. Meislin, MD Jeff Halbrecht, MD

Preface To Err is Human Alexander Pope Any surgical intervention has potential risks and complications. This book is designed as a reference tool and a roadmap for the sports medicine orthopedist to minimize the complications in knee and shoulder surgery. Some complications are avoidable; some are not. By understanding the functional anatomy at risk, proper surgical setup, proper equipment, and proper patient selection, a preventative approach to complications can be instituted. The authors of these chapters represent leaders in orthopedic sports medicine and have provided novel methods for dealing with intraoperative complications and situations that can occur in the midst of a routine arthroscopic reconstruction. In discussing these issues, we hope to raise the surgeon s awareness of potential complications and to provide wisdom and advice to properly avoid and treat these problems should they arise. How one deals with complications truly tests the mettle of the surgeon. Keeping one s cool in the midst of an intraoperative complication will be facilitated by having an algorithmic approach. We hope that this book will improve your outcome should these problems occur. Some complications are unavoidable. Arthrofibrosis or stiffness may take place in the best of hands. Infection may surface postoperatively in the most sterile OR. We provide you with the background to confront these challenges. A list of ten Pearls are offered at the beginning of most chapters as a quick reference card. Because revision surgery automatically has inherent complications, the authors have provided their respective experience with these more complex cases. Techniques are described and pictures are included. We hope that this collective experience will provide confidence and solutions in these trying moments. And from that both the surgeon and the patient will surely benefit. Robert J. Meislin, MD New York, NY Jeffrey Halbrecht, MD San Francisco, CA vii

Contents 1 Avoiding and Managing Complications in Meniscus Repair....... 1 Trong B. Nguyen and Peter R. Kurzweil 2 Avoiding and Managing Complications in Meniscus Transplantation................................... 19 Benjamin Shaffer and J.R. Rudzki 3 Avoiding and Managing Complications in Cartilage Restoration Surgery......................................... 37 Bert R. Mandelbaum, Joshua A. Johnston, and Jason M. Scoop 4 Avoiding and Managing Complications in ACL Reconstruction.... 53 Don Johnson and Olufemi Ayeni 5 Avoiding and Managing Complications in PCL Reconstruction..... 75 Shane T. Seroyer and Christopher D. Harner 6 Avoiding and Managing Complications of Collateral Ligament Surgery of the Knee..................... 91 Leon E. Paulos and Kirk Mendez 7 Avoiding and Managing Complications in Osteotomies of the Knee................................... 115 David A. Vasconcellos, J. Robert Giffin, and Annunziato Amendola 8 Avoiding and Managing Complications in Patella Surgery......... 133 Michael V. Elman, Scott Zimmer, and Anthony A. Schepsis 9 Avoiding and Managing Complications Associated with Arthroscopic Knee Surgery: Miscellaneous Knee Conditions........................................... 165 Eric J. Strauss and Robert J. Meislin 10 Avoiding and Managing Complications in Shoulder Labral Repair..................................... 175 Jeffrey S. Abrams 11 Avoiding and Managing Complications for Shoulder Superior Labrum (SLAP) Repair.............................. 189 Michael S. Bahk and Stephen J. Snyder ix

x Contents 12 Avoiding and Managing Complications of Arthroscopic Biceps Tenodesis............................................ 207 Michael S. Bahk, Joseph P. Burns, and Stephen J. Snyder 13 Avoiding and Managing Complications of Arthroscopic Rotator Cuff Repair......................................... 225 John Trantalis and Ian K.Y. Lo 14 Avoiding and Managing Complications of Surgery of the Acromioclavicular Joint................................ 245 Matthew T. Provencher, Lance LeClere, Anthony A. Romeo, and Augustus A. Mazzocca 15 Complications of Arthroscopic Shoulder Surgery: Miscellaneous Shoulder Conditions............................ 265 Alexander Golant and Young W. Kwon Index......................................................... 273

Contributors Jeffrey S. Abrams, MD Orthopedic Surgery, Princeton Orthopedic Associates and Sports Medicine, Princeton, NJ, USA Annunziato Amendola, MD Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USA Olufemi Ayeni, MD, FRCSC Sports Medicine Clinic, Carleton University, Ottawa, ON, Canada Michael S. Bahk, BA, MD Southern California Orthopedic Institute, Van Nuys, CA, USA Joseph P. Burns, BA, MD Southern California Orthopedic Institute, Van Nuys, CA, USA Michael V. Elman, MD Orthopedic Surgery, Boston University Medical Center, Boston, MA, USA J. Robert Giffin, MD Department of Orthopedic Surgery, University of Western Ontario, London, ON, Canada Alexander Golant, MD Orthopedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA Christopher D. Harner, MD Department of Orthopedics, University of Pittsburgh Medical Center, Pittsburgh, Allegheny County, PA, USA Donald H. Johnson, MD, FRCSC Sports Medicine Clinic, Carleton University, Ottawa, ON, Canada Joshua A. Johnston, MD Orthopedic Surgery, Santa Monica Orthopedic and Sports Medicine Group, Santa Monica, CA, USA Peter R. Kurzweil, MD Department of Sports Medicine, Southern California Center for Sports Medicine, Long Beach, Los Angeles, CA, USA xi

xii Contributors Young W. Kwon, MD, PhD Department of Orthopedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA Lance LeClere, MD, LT, MC, USN Orthopedic Surgery, Naval Medical Center San Diego, San Diego, CA, USA Ian K.Y. Lo, MD, FRCSC Surgery, University of Calgary, Calgary, AB, Canada Bert R. Mandelbaum, MD Orthopedic Surgery, Santa Monica Orthopedic and Sports Medicine Group, Santa Monica, CA, USA Augustus A. Mazzocca, MD Orthopaedic Surgery, University of Connecticut Health Center, Farmington, CT, USA Robert J. Meislin, MD Orthopedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA Kirk Mendez, MD Private Practice, Orthopedic Specialist of Nevada, Las Vegas, NV, USA Trong B. Nguyen, MD Orthopedic Surgery, Southern California Center for Sports Medicine, Long Beach, Los Angeles, CA, USA Leon E. Paulos, MD Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX, USA Matthew T. Provencher, MD, LCDR, MC, USN Department of Orthopedic Surgery, Naval Medical Center San Diego, San Diego, CA, USA Anthony A. Romeo, MD Department of Orthopedics, Rush University Medical Center, Chicago, IL, USA J.R. Rudzki, MD Department of Orthopedic Surgery, The George Washington University School of Medicine, Washington, Washington, DC, USA Anthony A. Schepsis, MD Orthopedic Surgery, Boston University Medical Center, Boston, MA, USA Jason M. Scopp, MD Peninsula Orthopedic Associates, Salisbury, MD, USA Shane T. Seroyer, MD Department of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Contributors xiii Benjamin S. Shaffer, MD Department of Orthopedic Surgery, The George Washington University School of Medicine, Washington, Washington, DC, USA Stephen J. Snyder, MD Southern California Orthopedic Institute, Van Nuys, CA, USA Eric J. Strauss, MD Orthopedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA John N. Trantalis, MBBS Orthopedics, University of Calgary, Calgary, AB, Canada David A. Vasconcellos, MD Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USA Scott Zimmer Sports Medicine, Boston University School of Medicine, Boston, MA, USA