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Arthroscopic Surgery and Sports Medicine |
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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. |
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Endoscopic Carpal Tunnel Release |
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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. |
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Arthroscopic Rotator Cuff Repair |
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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. |
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Arthroscopic Knee Surgery |
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After a failure of conservative or
nonoperative measures for knee problems, arthroscopic surgery
can be performed. Dr. Landsberg can treat early arthritis or
articular cartilage defects in the joint surface with a number
of approaches. Joint surface problems can be treated with
simple debridement, and cartilage repair procedures. These
arthroscopic procedures include the
OATS procedure, and
microfracture (chondral picking) techniques. The knee can be
realigned through osteotomy procedures. |
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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. |
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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. |
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Minimally Invasive Total Knee Replacement |
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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. |
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