acl reconstruction Archives | Jeremy M. Burnham, MD

Bone & Joint Clinic of Baton Rouge | Sports Medicine


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All Posts Tagged: acl reconstruction

After Hours Sports Injury Clinic on Friday and Saturday

The Bone & Joint Clinic and Lake After Hours have teamed up to hold an after hours sports clinic on Friday nights and Saturday morning during football season. There are two locations open until 11 p.m. on Friday nights with sports medicine doctors on call, and Dr. Mazoch and Dr. Burnham have training room at the Lake After Hours on Drusilla on Saturday mornings from 9-10:30 a.m. or until the last patient is seen.

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New Research Article on Female ACL Injuries

Dr. Burnham co-authored a research study with Dr. Vonda Wright on female ACL tears. Dr. Wright is an orthopaedic surgeon who is an expert in sports medicine and fitness. This article reviews the most recent research on ACL injuries in female athletes. The rate of anterior cruciate ligament injuries is on the rise in female athletes. It is important that ACL surgery is not done on a “one-size-fits-all” basis, but rather must be individualized for each patient. ACL rehabilitation programs should target the hip, core, and trunk neuromuscular control. A team approach including the surgeon, athletic trainer, physical therapist, coach, family, and patient is paramount to success.

The research study was performed at the University of Pittsburgh Center for Sports Medicine.

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New Research Article on the Anterolateral Complex of the Knee

Dr. Burnham co-authored a research study with Dr. Freddie Fu, Dr. Volker Musahl, Dr. Elmart Herbst, and Dr. Marcio Albers on a hot topic in sports medicine. The research article describes the complex anatomy and function of the anterolateral knee, including the anterolateral ligament (ALL) and the anterolateral complex, which have received much focus in recent media stories. These anatomical structures play an important role in knee stability, especially in the setting of ACL injury and ACL reconstruction in athletes.

The research study was performed at the University of Pittsburgh Center for Sports Medicine.

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Return to Play after ACL Surgery (New Research) – Single Leg Step-Down Test

Dr. Burnham and colleagues recently published a research study on a test that may be useful in determining when patients can return to sports after ACL (anterior cruciate ligament) reconstruction. The test is called the Single Leg Step-Down test (SLSD). It has been shown to identify patients with weak hip and core musculature, which are important muscle groups to rehabilitate after undergoing ACL surgery. Although the surgery to reconstruct or repair the ACL usually takes only 1-2 hours, the rehabilitation can take 6-10 months. Determining the optimal time to return to sports is difficult, and no one test or measurement can determine when you are ready to return after surgery. However, numerous studies have shown that the trunk, hip, and core muscles are important factors in the neuromuscular control of the lower extremity, and that adequately strengthening these muscles after ACL surgery can help prevent against re-injury. In this study, performance on the SLSD test was significantly correlated with hip and core strength, especially in females. Further research will be performed to help determine the role of the SLSD test in predicting injury in athletes.

The research study was performed at the Biodynamics Gait Lab at the University of Kentucky, under the guidance of Mary Lloyd Ireland, MD and Brian Noehren, PT PhD. 

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New Research Published on ACL Reconstruction with Hamstring Graft

Dr. Burnham co-authored a cost-effectiveness analysis of ACL reconstruction using a specific technique of augmenting the normal hamstring graft with donor tissue to improve the strength of the graft. In his study, the authors demonstrated that the augmented graft resulted in a lower rate of re-tear. The study was published in the prestigious American Journal of Sports Medicine, which is the most read sports medicine journal in orthopaedic surgery. Expert knee specialist Darren Johnson, MD was the senior author on the paper.

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Publications

Peer-Reviewed Publications
  1. Burnham JM, Bradley JP. (2018) MRI Findings Are Only One Part of the Equation in National Football League Athletes: Shoulder Instability in Contact Athletes. Arthroscopy. doi: 10.1016/j.arthro.2017.07/026. PMID: 29304983.
  2. Unger RZ, Burnham JM, Gammon L, Malempati CS, Jacobs CA, Makhni EC. (2018) The Responsiveness of Patient-Reported Outcome Tools in Shoulder Surgery is Dependent of the Underlying Pathological Condition. Am J Sports Med. doi: 10.1177/0363546517749213. PMID: 29323925.
  3. Shin J, Burnham JM, Pauyo T, Moreau C. (2017). Refractory Pain Following Hip Arthroscopy: Evaluation and Management. Accepted, Journal of Hip Preservation Surgery, March 2017. Manuscript No. JHPS-2017-021.
  4. Pfeiffer TR, Burnham JM, Hughes J, Kanakamedala AC, Herbst E, Popchak A, Irrgang J, Debski RE, Musahl V. (2017). A Tomahawk Shaped Femur is a Risk Factor for Anterior Cruciate Ligament Injury. Accepted, JBJS, June 2017.
  5. Burnham JM, Wright V. (2017) Update on ACL Rupture and Treatment in the Female Athlete. Orthopaedic Clinics of North America, March 2017. doi: 10.1016/j.csm.2017.05.004. PMID: 28886823.
  6. Pfeiffer TR, Kanakamedala AC, Herbst E, Nagai K, Murphy C, Burnham JM, Popchak A, Debski RE, Musahl V. (2017). Female Gender Predicts Greater Rotatory Knee Laxity in Collegiate Athletes. KSSTA. doi: 10.1007/s00167-017-4684-6. PMID: 28823037.
  7. Musahl V, Herbst E, Burnham JM, Fu FH. (2017) A Review of the Anterolateral Complex and Anterolateral Ligament of the Knee. Accepted, July 2017, Journal of the American Academy of Orthopaedic Surgeons. Manuscript No. JAAOS-D-16-00758.
  8. McQuerry JL, Burnham JM, Ireland ML, Wright RD. (2017) Delayed Presentation of Thigh Compartment Syndrome in a Previously Undiagnosed Factor VII Deficient High School Football Athlete. Accepted, JBJS Case Connector, July 2017.
  9. Burnham JM, Fu FH. The importance of individualized, anatomic anterior cruciate ligament (ACL) reconstruction. Annals of Joint, July 2017. doi: 10.21037/aoj.2017.07.07
  10. Wilson BR, Roberson K, Burnham JM, Yonz MC, Ireland ML, Noehren B. (2017) Relationship Between Hip Strength and the Y-Balance Test Composite Score. Journal of Sport Rehabilitation, July 2017. doi: 10.1123/jsr.2016-0187 PMID: 28714790.
  11. Jacobs CA, Burnham JM, Jochimsen KN, Hunt ER, Malempati CS, Molina D, Hamilton DA, Abt JP, Lattermann C, Duncan ST. (2017) Preoperative Symptoms in Femoroacetabular Impingement Patients Are More Related to Mental Health Scores than the Severity of Labral Tear or Chondral Lesion. Accepted, Journal of Arthroplasty, June 2017. doi: 10.1016/j.arth.2017.06.053 PMID: 28739309.
  12. Burnham JM, Makhni EC, Meta F, Lizzio V, Bozic K. (2017) Technology Assessment and Cost-Effectiveness in Orthopaedics: How to Measure Outcomes and Deliver Value in a Constantly Changing Healthcare Environment. Current Reviews in Musculoskeletal Medicine. doi: 10.1007/s12178-017-9407-6. PMID: 28421386.
  13. Burnham JM, Pfeiffer T, Shin J, Herbst E, Fu FH. (2017) Bony Morphologic Factors Affecting Injury Risk, Rotatory Stability, Functional Outcomes, and Re-tear Rate after ACL Reconstruction. Annals of Joint, June 2017.
  14. Herbst E, Albers M, Burnham JM, Fu FH, Musahl V. (2017) Anatomy of the Anterolateral Complex of the Knee. Accepted, Orthopaedic Journal of Sports Medicine, July 2017.
  15. Massey P, Perry KJ, Berken D, James J, Nelson BG, Burnham JM, Hollister A. (2017) Delayed Diagnosis of Pediatric Osseous Blastomycosis of the Hand: A Brief Report. Hand & Microsurgery. doi: 10.5455/handmicrosurg/262225.
  16. Burnham JM, Malempati C, Carpiaux A, Ireland ML, Johnson DL. (2017) Anatomic Femoral and Tibial Tunnel Placement During Anterior Cruciate Ligament Reconstruction: Anteromedial Portal All-Inside and Outside-In Techniques. Arthroscopy Techniques, March 2017. doi: 10.1016/j.eats.2016.09.035. PMID: 28580242.
  17. Kline P, Burnham JM, Yonz MC, Johnson DL, Ireland ML, Noehren B. (2017) Hip External Rotation Strength Predicts Hop Performance After Anterior Cruciate Ligament Reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, April 2017. April 2017. doi: 10.1007/s00167-017-4534-6. PMID: 28378137.
  18. Burnham JM, Albers M, Herbst E, Fu FH. (2017) Individualized, Anatomic Anterior Cruciate Ligament (ACL) Reconstruction. World Clinics in Orthopedics, Accepted
  19. Arner JW, Herbst E, Burnham JM, Rahnemai-Azar AA, Soni A, Naendrup J, Popchak A, Fu FH, Musahl V. (2017) MRI Can Accurately Detect Meniscal Ramp Lesions of the Knee. Knee Surgery, Sports Traumatology, Arthroscopy, doi: 10.1007/s00167-017-4523-9. PMID: 28343325.
  20. Herbst E, Albers M, Burnham JM, Shaikh HS, Naendrup J, Fu FH, Musahl V. (2017) The Anterolateral Complex of the Knee: A Pictorial Essay. Knee Surgery, Sports Traumatology, Arthroscopy, doi: 10.1007/s00167-017-4449-2. PMID: 28233023.
  21. Musahl V, Getgood A, Neyret P, Claes S, Burnham JM, Batailler C, Sonnerty-Cottet B, Williams A, Amis A, Zaffagnini S, Karlsson, J. (2017) Contributions of the Anterolateral Complex (ALC) and the Anterolateral Ligament (ALL) to Rotatory Knee Stability in the Setting of ACL Injury: A Roundtable Discussion. Accepted, Knee Surgery, Sports Traumatology, Arthroscopy, April 2017. doi: 10.1007/s00167-017-4436-7. PMID: 28286916.
  22. Herbst E, Burnham JM, Albers M, Musahl V, Fu FH. (2017) Layer-by-Layer Anatomy of the Anterolateral Complex of the Knee. Operative Techniques in Orthopaedics, doi: 10.1053/j.oto.2017.02.002.
  23.  Rahnemai-Azar AA, Zlotnicki J, Burnham JM, Guenther D, Soni A, Debski RE, Musahl V. (2017) Secondary Stabilizers of the ACL Deficient Knee. Operative Techniques in Orthopaedic Surgery, doi: 10.1053/j.oto.2017.02.005.
  24. Burnham JM, Herbst E, Pauyo T, Johnson DL, Fu FH, Musahl V. (2016) Technical Considerations in Revision ACL Surgery. Accepted, Operative Techniques in Orthopaedics, October 2016. http://dx.doi.org/10.1053/j.oto.2017.01.012.
  25. Jacobs CA, Burnham JM, Malempati C, Makhni EC, Swart E, Johnson DL. (2016). Allograft Augmentation of Hamstring Autografts for Young Patients Undergoing ACL Reconstruction: Clinical and Cost-Effectiveness Analyses. American Journal of Sports Medicine. Doi: 10.1177/0363546516676079. PMID: 28298052.
  26. Burnham JM, Herbst E, Albers M, Pauyo T, Fu FH. (2016) The Anterolateral Complex of the Knee: A Comprehensive Review of Its Structure and Function. Journal of Clinical Orthopaedics, October 2016. doi: 10.13107/jcorth.2454-5473.141.
  27. Goldberg J, Burnham JM, Dhawan V. (2016) Subcutaneous Ulnar Nerve Transposition Using Osborne's Ligament as a Ligamentodermal or Ligamentofascial Sling. Accepted, American Journal of Orthopedics. Manuscript No. AMJORTHOP-D-15-00220.
  28. Burnham JM, Yonz MC, Robertson K, McKinley R, Wilson BR, Johnson DL, Ireland ML, Noehren B. (2016) Correlation of Hip and Trunk Dysfunction with Single Leg Step-Down Performance. PTIS doi: 10.1016/j.ptsp.2016.05.007 PMID: 27592407
  29. Burnham JM, Kim D, Kamineni S. (2016) Midshaft Clavicle Fractures: A Critical Review. Orthopedics 39(5). PMID: 27220117.
  30. Burnham JM, Howard J, Lattermann CL. (2015) Medial Patellofemoral Ligament Reconstruction with Concomitant Tibial Tubercle Transfer: A Systematic Review of Outcomes and Complications. Arthroscopy. doi: 10.1016/j.arthro.2015.11.039. PMID: 26882966.
  31. Duncan ST, Khazzam MS, Burnham JM, Spindler KP, Dunn WR, Wright RW. (2015). Sensitivity of Standing Radiographs to Detect Knee Arthritis: A Systematic Review of Level I Studies. Arthroscopy, 31(2),321-328. doi: 10.1016/j.arthro.2014.08.023. PMID: 25312767.
  32. Burnham JM, Broussard M, Milbrandt TA. (2014). Bilateral Pulmonary Embolism in an Adolescent with Sickle Cell Disease and a Recent Total Hip Arthroplasty. The Iowa Orthopaedic Journal, 34, 107-110. PMID: 25328468.
  33. Burnham J, Hollister A, Rush D, Avallone T, Shi R, Jordan J. (2011). Technique for and an Anatomic Guide to Forearm Tendon Repair. Techniques in Hand & Upper Extremity Surgery, 15(2), 125-132. doi: 10.1097/BTH.0b013e318201ba07. PMID: 21606787.
  34. Cardenas RJ, Javalkar V, Ezer H,Burnham J, Nanda A. (2011). Occipital Interhemispheric Transtentorial Approach to the Superior Cerebellum. J Clin Neurosci, 18(1), 128-130. doi: 10.1016/j.jocn.2010.04.053. PMID: 20947356.
Books & Book Chapters
  1. Burnham JM, Murr K, & Kamineni S. (2016). Arthroscopy of the Elbow: The Basics. In G. S. Kulkami (Ed.), Textbook of Orthopaedics and Trauma (3rd ed., Vol. 3, pp. 2008-2014): Jaypee Brothers
News, Media, & Non-Peer Reviewed Publications
  1. Burnham JM, Frank R. Sports Medicine Research at the 2016 Annual Meeting: Part 2 – Upper Extremity and Return-to-Play. AAOS Now. May, 2016.
  1. Burnham JM, Frank R. Sports Medicine Research at the 2016 Annual Meeting: Part 1 – Basic Science, Lower Extremity, and Cost-Effectiveness. AAOS Now. April, 2016.
  1. Burnham JM. The AAOS Resident Assembly: A Look Back on the Inaugural Year. AAOS Now. April, 2016.
  1. Erickson B, Burnham JM. Effect of Work Hour Restrictions on Orthopaedic Residency. AAOS Now. January, 2016.
  1. Harwood JL, Burnham JM. Leadership in Orthopaedics: A Personal Journey. AAOS Now. September, 2015
  1. Burnham JM, Harwood JH. Wearable Technology: Implications for Orthopaedic Surgery. AAOS Now. August, 2015.
  1. Erickson B, Burnham JM, Harwood JL, Frank R. What are the Essential Reads for Orthopaedic Residents? A Call for a National Orthopaedic Surgery Reading List. AAOS Now. August, 2015.
  1. Midley, Connie. Daily Exercise Improves Overall Health. Vim & Vigor. December, 2015.
  1. Burnham, JM. Importance of Core Strength in Overall Health. Lexington Herald-Leader. October 26, 2014.
Submitted Publications
  1. Jacobs CA, Burnham JM, Malempati C, Makhni EC, Swart E, Johnson DL. (2016). Allograft Augmentation of Hamstring Autografts for Young Patients Undergoing ACL Reconstruction: Clinical and Cost-Effectiveness Analyses. Submitted, American Journal of Sports Medicine, May 2016.
  1. Wilson BR, Roberson K, Burnham JM, Yonz MC, Ireland ML, Noehren B. (2016) Relationship Between Hip Strength and the Y-Balance Test Composite Score. Submitted, International Journal of Sports Medicine, May 2016. Manuscript No. IJSM-05-2016-5634-ob.
  1. McQuerry JL, Burnham JM, Ireland ML, Wright RD. (2016) Delayed Presentation of Thigh Compartment Syndrome in a Previously Undiagnosed Factor VII Deficient High School Football Athlete. Submitted, JBJS Case Connector, May 2016.
  1. Burnham JM, Willis CB, Ireland ML. (2016) Can Femoral Tunnel Reaming Method in ACL Reconstruction Be Determined from Plain Radiographs Alone? Submitted, KSSTA, March 2016. Manuscript No. KSST-D-16-00393.
  1. Goldberg J, Burnham JM, Dhawan V. (2016) Subcutaneous Ulnar Nerve Transposition Using Osborne's Ligament as a Ligamentodermal or Ligamentofascial Sling. Revisions Submitted, American Journal of Orthopedics, January 2016. Manuscript No. AMJORTHOP-D-15-00220.
  1. Eads R, Burnham JM, Hennig, P, Ireland ML. (2016) Candidal Septic Arthritis Masquerading as a Twisting Injury of the Knee. Submitted, Iowa Orthopaedic Journal, January 2016.
  1. James J, Massey P, Heaton JM, Berken D, Burnham JM, Hollister AM. (2015) Blastomycosis Osteomyelitis of a Pediatric Hand: Case Report and Literature Review. Submitted, Clinical Orthopaedics and Related Research, June 2015.
  1. Yonz MC, Burnham JM, Noehren B, Ireland ML. (2015) Relationship Between Trunk, Hip, and Knee Extension Strength to Hop Test Performance. Submitted, Medical Science in Sports and Exercise, June 2015.
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ACL Reconstruction Surgery

Overview

Anterior cruciate ligament (ACL) injuries are one of the most common sports injuries in the United States. The ACL is one of the most important ligaments in the body, and is crucial to providing stability of the knee joint. Unfortunately, the ACL has poor healing potential, and ACL surgery is required to reconstruct the torn ligament in most cases. In some cases, however, the ACL can be repaired in a way that it will heal. Most of the time, repair is not possible and a reconstruction is needed. ACL reconstruction surgery is done by taking a tendon from somewhere else in the body (or from a donor) and using it to replace the torn ACL. 

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Patient-Centered, State of the Art Care

Fellowship Trained Surgeon

We utilize cutting edge techniques developed by sports medicine experts around the world, including minimally invasive surgical techniques, arthroscopic surgery, biologics and stem cell use, and ultrasound imaging.

Individualized Treatment

No two patients are exactly the same. We use new technology and sound principles to individualize each patient's treatment according to their own anatomy and physiology.

Get Back in the Game

Our goal is to optimize and restore your health so that you can return to the field, court, baseball diamond, performance stage, track, road, or trail as quickly and safely as possible, using operative and nonoperative treatments.

Sports Medicine Experience

We have treated and performed surgery on athletes from the recreational level to the highest levels of competition, including professional and collegiate athletes. All patients are treated with the same attention to detail and the same standard of care.

Expert Analysis

Dr. Burnham has authored and co-authored over 50 scientific publications and book chapters, and has presented research and instructional lectures at national and international meetings. 

Team Coverage

Dr. Burnham has served as a team physician for professional, collegiate and high school sports teams, including football, baseball, basketball, gymnastics, wrestling, track & field, equestrian sports, and swimming & diving.

Athletes Treated

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Schedule your sports medicine evaluation today.

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