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Broken Kneecap: Bracing, Wires, Screws and Plates Your #patella (kneecap) is the largest sesamoid bone in the body, sitting at the center of how we straighten the knee. When it breaks, the first question to answer is simple: can you perform a straight leg raise? That single finding drives almost everything that follows. . When the extensor mechanism is intact displacement is minimal, most #patellafractures do well w/o surgery. We immobilize the knee in extension, allow weight bearing as tolerate
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People ask me what makes an ACL reconstruction “perfect.” It’s not one skill, it’s a hundred small decisions, made correctly, one after another. It’s checking the graft measurement twice. It’s laying out every instrument in the exact same order, every single time, so nothing is ever a guess under pressure. Patients don’t see any of this. They see the outcome: walking again, running again, playing again. But that outcome is built in the details nobody photographs: the pause before a suture, the r
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