
Robert LaPrade, MD
@thekneedoc
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Complex Knee Surgeon & Sports Medicine Specialist Twin Cities Orthopedics. https://t.co/fcjYiaAFDi
Edina, Minnesota
Joined November 2011
Strong technique = strong repair. Dr LaPrade prefers vertical mattress sutures for most #meniscustears—the biomechanical gold standard. But for:.🔹Undersurface tears.🔹Radial lateral #meniscus tears.Horizontal sutures are key to restoring proper position.
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#ACL graft failure? Know the risks: .🔹 Patellar tendon autograft: lowest failure rate.🔹 Allograft (cadaver tissue): higher risk.🔹 Teens: up to 30% failure.🔹 Middle-aged: ~2–5%.Factors like hypermobility & other knee injuries matter too.#ACLrevision.
drrobertlaprademd.com
Traumatic reinjuries also can occur, but in general are not felt to be the most common cause of ACL graft failure, which can lead to ACL revision surgery.
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#Trochleoplasty corrects severe patellofemoral instability in patients with flat or dome-shaped trochlea (types B & D #dysplasia). It’s a rare but important procedure. Details here:
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#Chondromalacia #patella and genetics: Is it hereditary?. Some cases do have a genetic component since it’s a form of arthritis. Find out more:. #kneepain #sportsmedicine #orthotwitter.
drrobertlaprademd.com
Any type of pain over the anterior aspect of the knee was commonly called patellofemoral chondromalacia, however patellofemoral chondromalacia is a specific injury.
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New Study Alert! A modified Delphi technique helped build expert consensus on one of the knee’s most complex areas: the posterolateral corner. ✅ Unified guidance on:.🔹 Evaluation.🔹 Diagnosis.🔹 Treatment.🔹 Rehab.Led by global experts. #orthotwitter
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The #CarlosAlcaraz v. #JannikSinner rivalry: fast, fierce, and unforgettable. A #tennis showdown for the ages! Who’s your pick when these two clash? #Wimbledon
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When does a medial #meniscustear need surgery?.🔹 If it’s painful with twisting, pivoting, or squatting.🔹 If it’s a complex tear—like a root, radial, or meniscocapsular tear.🔹 To help prevent early arthritis.#sportsmedicine #kneesurgery.
drrobertlaprademd.com
A medial meniscus tear is more common than a lateral meniscus tear, because it is firmly attached to the deep medial collateral ligament and the joint capsule.
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Choosing between a distal femoral osteotomy (DFO) and total knee replacement (TKR) depends on many factors. Here’s what you should know 👉 #orthotwitter #kneepain #kneesurgery.
drrobertlaprademd.com
A distal femoral osteotomy involves changing the shape of the femur to make one become neutral to slightly bow-legged in alignment for knock knee alignment
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Talk about putting pressure on your knees! 23 hrs, 36 mins, and THREE massive climbs: #ElCapitan, #MountWatkins & #HalfDome. Kate & Laura are the first women to complete #Yosemite’s legendary Triple Crown — and they did it with style and strength!
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Do stem cell knee injections work after 60?” A common question—with a nuanced answer 👉 #osteoarthritis #stemcelltherapy.
drrobertlaprademd.com
Minnesota knee surgeon Dr. Robert LaPrade answers frequently asked questions associated with stem cell therapy.
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Here’s to knees that bend, bodies that move, and the freedom to chase your next adventure. Happy #July4th from Dr. LaPrade & Team! 🇺🇸 #IndependenceDay
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New research from Dr LaPrade and team! They’ve tackled one of the most difficult areas in knee surgery:.➡️ Revision ACL, PCL, MCL.➡️ With Primary Fibular Collateral Ligament Reconstruction.➡️ After First-Stage Bone Grafting.A must-read: #medtwitter.
drrobertlaprademd.com
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Why does your #kneecap keep popping out?.🔹 5–15% risk with a normal groove.🔸 30–50% with trochlear dysplasia. #Trochlear shape matters—and Dr. LaPrade’s team can help evaluate it properly. #dysplasia.
drrobertlaprademd.com
A diagnosis of trochlear dysplasia is usually made by a thorough physical exam and radiographic work-up.
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Heard of proximal tibiofibular joint instability?.Q: Are there exercises to fix it?.A: Not really & here’s why.This joint lacks muscles that can stabilize it effectively during most moves—even the biceps femoris can’t help during deep flexion or rotation.
drrobertlaprademd.com
Proximal tibiofibular joint instability is rather rare, but can be debilitating in patients who have symptoms.
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Cartilage damage in the knee? One advanced option for small defects is an Osteochondral Autograft Transfer (OATS). Here’s what you should know ➡️ .#SportsMedicine #CartilageRepair #Orthopaedics.
drrobertlaprademd.com
One specific cartilage restoration procedure that has proven to bring patients relief, is an osteochondral autograft transfers (OATS).
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Grade 3 MCL/POL injury? This surgical technique uses:.🔸Tibialis anterior allograft (MCL).🔸Semitendinosus allograft (POL).Designed to restore stability when conservative care fails. Still no clear gold standard—this adds to the evidence. #orthotwitter.
drrobertlaprademd.com
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Posterior horn lateral #meniscustears:.✅ Repair when possible.❌ Not repairable? Monitor for #arthritis. Future options:.• Activity modification.• Bracing.• Injections.• Lateral meniscal transplantation.Thorough physical + imaging workup is essential.
drrobertlaprademd.com
A posterior horn lateral meniscus tear is usually due to twisting or turning activities or falls. Lateral meniscal tears are common in sports such as skiing
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#Residency Applicants: Avoid These 4 Red Flags! Program directors reveal the key missteps that could cost you an interview at your dream residency. Don’t let simple mistakes hold you back. Learn what to watch out for and how to present your best self.
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How to measure #genurecurvatum? Use the heel height test:.1️⃣ Lay the thigh flat on the table.2️⃣ Lift the big toe.3️⃣ Measure from heel to table. 📏 1 cm = ~1° hyperextension (e.g., -5° = 5 cm heel height) Simple, reliable, and effective.
drrobertlaprademd.com
Genu recurvatum occurs when an athlete sustains an injury and has excessive backwards motion of their knee (hyperextension of the knee).
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