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Failed Articular Cartilage

Failed Articular Cartilage Repair Techniques
Articular cartilage is the smooth, bearing surface covering all joints. When damaged, it usually fails to heal on its own—but with novel treatments, it can be fixed. That said, here are some of the ways that attempted repairs have gone wrong.

Failed ACL

ACL Repair Surgery & Rehab
The goal of ACL surgery is to stabilize the knee joint, return it to normal mechanical function, and permit the athlete to resume sports without a deficit. Here are the most common reasons I see failures and what can be done about it.

Failed Microfracture

Microfracture Surgery Diagram - Failed Microfracture
Microfracture—the surgical procedure during which small holes are made in joint bones—has resulted in successful temporary repairs for thousands of injured athletes. Unfortunately, the repaired tissues often wore out—leading to more joint pain.

Viruses, Bacteria, and Infections

Corona Virus Microscope View
We are all worried about “catching something.” We are doing what we can to sterilize our environments. But in the process, we are creating resistance. Resistant bacteria, mutating viruses, and social distancing are the by-products of sterilized environments. Might we be better off just bathing in the microbiome of earth?

Collegiate Arthritis

College Injury
When college-age people come to see me with severely damaged joints, it’s a challenge. High school kids with the same issues are depressing. There are solutions, but they simply are not being applied widely enough.

High School Dropouts

Nutrition & School Peformance
Here’s a recent airplane seatmate conversation. A school teacher comments on his work: “The high school dropout rate is set at an early age. If a child doesn’t read beyond the third-grade level, their likelihood of dropping out skyrockets.”

My response: “Could it be that many can’t learn because they are hungry?”

Injuries as Opportunities

Injury as an Opportunity
Injuries happen to all athletes. The best ones use the injury to return to sports fitter, faster, and stronger than they were before they got hurt. Our job is to help them do that. Here is how we counsel our wounded athletic warriors.

Update on ACL Injuries and Treatment

Update on ACL Injuries and Treatment
The ACL Study Group meets every two years to update the latest knowledge on ACL injuries and treatments. This year’s meeting was at the base of the Hahnenkamm ski race in Kitzbuhel Austria—the most famous downhill ski race on the World Cup circuit. One hundred and fifty of the world’s top ACL surgeons watched 30 of the world’s bravest ski racers hurtle down the ice-crusted hill at 140 km/h (84 mph). The outcome of the race was predictable: The Austrians dominated. The outcome of the scientific meeting, however, was less conclusive; the ACL is still a tough problem to solve.

Blood in the Joint

Hemarthrosis: Blood in the Knee
When a major injury occurs, the joint swells. Part of the swelling is good, and part is bad. Let’s look at what can be done to optimize the outcome.

Ski Equipment Warnings

Skiing Safety TIps
Ski bindings have not substantially changed in decades. But skis and ski boot soles have, and therein lies the danger. Many bindings no longer work with all ski boots, and there is a growing mismatch between binding design and ski performance.


Inflammation Joint Health
The common pathway for almost all injuries and diseases is inflammation. Can it be controlled? And if so, should it?

Endurance Running: Fit after 50

Ultramarathon Running Recovery Tips
Here are some useful running recovery tips from guest contributor Stephanie Irving, ultra trail runner and veteran of two 100-milers and four 100Ks.

Athlete Hygiene

Athletes become patients when they get hurt. If and when they need surgery, it becomes obvious which athletes have cared for their bodies well and which have not—in which case trying to sterilize the injured area can be a challenge. Here are some tips to keep you clean from toe to head.

New Year’s Resolutions Are All in the Mind

New Year's Fitness Resolutions
Okay—so what is new in New Year resolutions? We all keep a few, forget about a few, and live knowing that we could live better, “if only….” So, here is my thinking about how you might achieve a few resolution successes.

Anonymity is Over

Anonymity is Over
All things digital are public. There is no encryption program that cannot be broken, no password that cannot be deciphered, and no medical record that is not shared. These facts affect your health and will impact some of the decisions you will make to survive.

Preventive Healthcare for the Joints

Avoiding Injury
At Stone Clinic we’re often asked, “What can I do to preserve my knees?” The answer: don’t get hurt. Knees can go forever, providing their cartilage and ligaments stay intact. “But how do I not get hurt?”

Skiing with Arthritis

Joint Lubrication Injections
Arthritis used to end people’s skiing lives. No longer. Current non-operative therapies, as well as operative repairs, now have people on the slopes into their 90s. Here's tips on how:

Statistics versus Success

Individual Person or Medical Statistic
Which are you: a statistic or a person with a problem? If you ask the government, or many of the “managed” health care plans, you are seen as a “life”—as in, how many “lives” will be treated and at what cost? If you ask a doctor who has your best interests at heart, you are a person. But if he or she says they must follow a guideline for your arthritis care, walk out. Here is why.

Conservative Care vs Operative Care

Band Aid Solution Conservative Care
The choice to operate—or not to operate—is a daily decision that all surgeons go through and that all injured patients face. At times, operative care can actually be more conservative than non-operative care, notably in cases where the injury is only going to get worse. Here are some of the typical choices our patients will face during this upcoming ski and winter sports season.

Gratitude Muscle

Gratitude Muscle
Much has made about the effectiveness of exercising your gratitude muscle. The health benefits of gratitude are broad and often begin with lowered stress, stronger relationships, and more energy. But how we practice this exercise, and make it part of our daily lives, is the dilemma. Here are five observations about what gratitude is not and a few tips for training the muscle: