See my recently featured article on ACL repair and a new FDA approved implant. I have been performing this procedure and was the first in Northern New Jersey to perform the operation. I hope you enjoy the article.
The time has finally arrived! I will be moving my practice to the Ambulatory Care Center (ACC) in Livingston beginning April 4, 2022.
Sports related conditions of the shoulder, knee and elbow
- ACL Reconstruction & Repair
- Rotator Cuff Repair
- Shoulder Labral Repair
- Tommy John Surgery
- Meniscus Tears
- Cartilage repair and regeneration
- Shoulder and Knee Arthritis
- Tennis Elbow
- OCD (osteochondritis dissecans)
- Many other shoulder, knee and elbow conditions as well
I look forward to seeing old and new patients for orthopaedic injuries, consults and second opinions in my new location!
ACL repair has long been considered an operation that will fail. In recent years there has been a renewed interest in repairing the ACL. Based upon new information, a revisiting of old research articles and newer devices has identified tears that may be amenable for repair. Success with repair in the proper patient can be achieved reliably and the native ACL can be saved.
The BEAR technique utilizes a recently FDA approved device to “bridge” the gap in the repair and enhance healing by promoting healing through the use of the patients own blood and growth factors, providing a scaffold for repair and blocking the synovial (joint) fluid from disrupting the repair process. This now allows for an even wider array of tear patterns to be amenable to repair.
Video representation of BEAR procedure (Hold link to open video)
This is particularly exciting for younger, pediatric patients that are still growing. This technique avoids the need to use the patient own tissue and allows for safe repair without as much risk to the growth plate. Dr. Rizio is accepting new patients interested in this technique and also many other sports related injuries. Dr. Rizio sees sports injuries in adult and pediatric patients.
To learn more about the actual device, clink the link below for the company website:
225 Millburn Avenue
Millburn, NJ 07041
CHECK OUT A RECENT ARTICLE IN MORRIS/ESSEX MAGAZINE WHERE I AM A FEATURED CONTRIBUTOR ON ROTATOR CUFF DISORDERS
Don’t Shoulder the pain – Health and Life Magazine
Don’t Shoulder The Pain – Health & Life Magazine
— Read on www.healthandlifemags.com/dont-shoulder-the-pain/
ACL tears are a common injury and being seen with greater frequency and at younger ages. Tears lead to loss of time from sport and activities and can lead to further joint deterioration without prompt recognition and treatment. The standard treatment is a reconstruction with autograft (patients tissue) or allograft (donor, cadaveric tissue). The choice of graft depends on several factors including age of patient and sports activity level. Currently, the time to return to sport has been shown to effect re-injury rates. Historically, 6 months after surgical reconstruction was considered an appropriate time to return to sports without restrictions. This notion has been challenged by recent studies noting lower re-injury rates by waiting 9 months or more to return to sports.
Newer surgical instruments and a retrospective look at studies from decades ago regarding primary repair have lead to resurgence in interest in primary repair instead of reconstruction. Failure rates have been high with this technique in previous studies that lead to the abandonment of this procedure. However, when evaluating the results or success of repair in specific tears, the results can approach that of a reconstruction. Specifically, proximal tears (from the femur) have better success when repaired. The advantage of a repair is that the ACL can be saved, less invasiveness and potentially faster return to sports. If the repair were to fail the standard options for reconstruction still exist. This is particularly attractive in pediatric patients where reconstruction techniques can injure growth plates.
Not every patient is a candidate but the option should be available for those patients inclined to have a repair over a reconstruction. I offer this to my patients who are appropriate candidates based on MRI appearance and surgical evaluation. Below is a short video demonstrating a repair I performed and the technique utilized.