Dr. Landsberg is an arthroscopic surgeon (minimally invasive surgery through small holes), having performed arthroscopic knee and shoulder surgery for over 20 years.  He is taking care of local high schools for their sports medicine injuries and has performed preparticipation physical exams.  He also performs elbow arthroscopy, ankle arthroscopy and wrist arthroscopy, including endoscopic carpal tunnel release.  Dr. Landsberg has extensive shoulder surgery experience with respect to arthroscopic rotator cuff repairs, which he has been doing for over 10 years, arthroscopic labral repairs and arthroscopic repairs for dislocating shoulders.

As an arthroscopic surgeon, Dr. Landsberg has performed arthroscopic carpal tunnel release for 10 years through a small incision up in the wrist.  Most patients return to the office 10 days following the surgery with full range of motion in the wrist and fingers.  Most do not take any pain medication postoperatively.  This allows a much earlier return to function and work.

Dr. Landsberg performs all rotator cuff repairs arthroscopically.  This is done as an outpatient procedure.  With newer arthroscopic techniques, there is much better visualization and treatment than with traditional open or mini open rotator cuff repair.  Even for chronic and large tears, arthroscopic repair can be performed.  Sometimes the repair is augmented with a graft, which can also be inserted and repaired arthroscopically.  All patients receive a shoulder block preoperatively, which often gives up to 15 or 20 hours of postoperative pain relief, to allow for early immobilization and range of motion.  A pain pump, which can be left in for 48 hours following surgery, is also used at times. 

Meniscal Preservation Surgery

The medial and lateral meniscus (cartilage cushions on the inside and outside of each knee) are important shock absorbing structures in the knee.  If there is a meniscal tear, as little of the damaged meniscus as possible should be removed.  Dr. Landsberg makes all efforts to preserve as much normal tissue as possible.  This includes partial meniscectomy and he has multiple techniques for meniscal repair and preservation in his armamentarium.  Dr. Landsberg is also one of the few orthopaedic surgeons performing meniscal transplant surgery in the area, and the only surgeon who has performed this procedure in Sumner County.  These procedures are all done arthroscopically.

Knee Realignment Procedures

In younger patients, with malalignment of the lower extremities and arthritis concentrated to just one side of the knee, usually the inside of the knee (medial compartment), Dr. Landsberg performs, in selected patients, realignment procedures.  This is typically called a high tibial osteotomy (HTO).  For lateral compartment arthritis (on the outside of the knee) distal femoral osteotomies are often performed.

Failing all this, knee replacement can be performed.  Dr. Landsberg is one of the only surgeons in this area performing minimally invasive total knee replacement, preserving muscle function through a small incision.  He is one of the only surgeons in the area using computer-assisted navigation to aid in exact placement of the new knee components.  He is the only surgeon performing both procedures together. 

Minimally invasive surgery is associated with less discomfort, earlier hospital discharge, less rehabilitation, and earlier return to function.