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Dr. Rudzki had the privilege of training in Sports Medicine and developing his knee surgical skills at Washington University in St. Louis and the Hospital for Special Surgery in New York City. He has performed high caliber research on cartilage transplantation as well as ACL injury in NHL players and written articles on bioabsorbable knee implants and fracture fixation about the knee.

Dr. Rudzki has a high level of expertise in the performance of arthroscopic ligament reconstruction, cartilage restoration, complex meniscal repair, treatment of patellar instability, osteotomy and fracture treatment about the knee in a wide range of athletes from adolescents to professionals. He serves on the clinical faculty of the George Washington University School of Medicine teaching medical students and orthopaedic surgical residents. As a consultant for Arthrex and Stryker, Dr. Rudzki engages heavily in medical education to train surgeons and product specialists on emerging techniques and engages with engineers on product design teams to help develop better tools and techniques. As a member of the AAOS Evaluation Committee, he spent several years writing questions on knee injuries and surgical treatments for surgeons in practice and in training.

ACL Reconstruction of 49 Year Old Mountain Biker

This case example of ACL Reconstruction demonstrates a common example summarizing indications, surgery, rehab, and functional outcomes.

MRI image of pivot-shift bone bruises sustained at the time of ACL tear.

Chief Complaint/Injury

49 year-old male mountain-biker, skier, and fitness enthusiast with acute knee injury.

Workup/Images

History, physical exam, and imaging are consistent with an Anterior Cruciate Ligament (ACL) Tear.

Surgery for ACL Tear

Patient undergoes successful arthroscopic hamstring autograft ACL reconstruction. This is performed with a high-definition fiberoptic video camera to remove the torn, incompetent ACL and create anatomic tunnels on the femur and tibia to place a hamstring graft which becomes the new Anterior Cruciate Ligament.

Intraoperative image of Hamstring ACL Reconstruction

Result of ACL Reconstruction

Patient undertakes comprehensive post-operative physical therapy program and returns to mountain bike racing and climbing Mt. Kilimanjaro with his son.

Over 100,000 ACL reconstructions are performed each year in the United States. These procedures are highly effective for patients who want to return to sports requiring pivoting, cutting, and lateral movement. The surgical techniques continue to improve with better knowledge of the true ACL anatomy, medial portal drilling techniques, fixation devices, and rehabilitation protocols. Continued research focuses on how to improve surgical treatment and post-operative rehabilitation of these injuries.

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District Orthopaedics
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