Daniel Liechti, MD @DanielLiechtiMD Twitter profile | Pikagi

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Daniel Liechti, MD

@DanielLiechtiMD

407

Followers

216

Following

55

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181

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Board certified sports medicine and complex knee orthopedic surgeon at Bellin Health Titletown Sports Medicine.

Green Bay, WI

https://t.co/tRMA7f7gI7

Joined April 2022

Don't wanna be here? Send us removal request.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

11 days

Special Edition of Meniscus Monday The LMORT Lesion: Meniscus tears commonly occur in conjunction with ACL tear. One of those classic tears is the lateral meniscus oblique radial tear (LMORT). What do we know about them and what should we do? A 🧵 about the lateral meniscus:

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

3 months

@DGlaucomflecken This is the medical equivalent of, “It’s not like you’ll just have a calculator in your pocket all the time.”

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

@BarstoolBigCat Announcer: "And the Packers are still dominating the Bears, just like they have for the last 30 years."

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

3 months

@DGlaucomflecken Also Lee Kiefer: “Na.”

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

3 months

Interesting case of the day. Patient with mild degenerative changes in their knee presents with a locked knee after reaching for something in a position of hyperextension. CT imaging performed in ED shows locked osteophytes on the inferior patella and trochlea.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

11 months

Today I was denied auth by @Cigna to perform a meniscus REPAIR of an acute tear in a young patient. They stated must fail 3 months non-op treatment if knee isn't actively locked. Will they authorize the much larger procedures when the meniscus is no longer repairable?

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

9 months

When an ACL fails over and over again, look for other reasons of failure. Here is a staged anterior closing wedge osteotomy to address excess tibial slope in a 5th time failed ACL. Note the improvement in anterior tibial translation after correction even without a new ACL.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

9 months

In med school, residency, and fellowship, I saw exactly zero distal triceps tendon avulsions. I have now fixed FIVE in the last year. This is atypical, right?

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Meniscus Monday! Meniscus root tears are injuries that can occur in the 5th and 6th decades of life. These tears can lead to rapidly progressive arthritis and repair is often recommended. Here we see reduction of a complete root tear with a 2 tunnel vertical mattress construct

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Putting together a meniscus talk and here's a little historical perspective. We've come a long way.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

The consequences of untreated medial meniscus root tears are significant. Unfortunately, found another example of their natural history. This patient in their 40s felt a pop while walking up the stairs and in two years has gone on to develop rapid osteoarthritis.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Meniscus root tears are important to recognize and address. Unfortunately, the natural history of a medial meniscus root tear can be seen in this patient when left untreated, with rapid progression of medial arthritis. #savethemeniscus #orthotwitter

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 months

Tunnel osteolysis after ACL allograft reconstruction: When an ACL recon fails, a staged surgical approach is sometimes required. Surgery 1: Remove previous implants and fill the defect of the previous graft with new bone. Surgery 2: New ACL recon after the bone has healed.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

6 months

With newer generation technology, many meniscus repairs can be performed exclusively with all-inside devices, which have been shown to have similar biomechanical properties to traditional inside-out techniques. A few tips to maximize safety of all-inside repairs: 🧵(1/5)

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

29 days

Interesting pic of the day: This young patient with excessive posterior tibial slope has a chronic tear of their third ACL reconstruction that resulted in medial meniscus tear and then meniscectomy. Notice relative anterior tibial translation and point loading of the posterior

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

I’m starting to believe that if you take the time to look, there’s a meniscus tear to be found in almost every ACL reconstruction.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

@generalorthomd Would suggest that transferring may delay the patient’s surgery to more than 24h after injury. Their own journals state delay significantly increases mortality and complications.

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Wait Time and 30-Day Mortality in Adults Undergoing Hip Fracture Surgery

This cohort study uses health administrative databases in Ontario, Canada, to investigate the optimal timing of hip fracture surgery after which patients’ risk of complications increase.

jamanetwork.com

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

@barstoolsports I have a friend who did this in med school. He had a picture of the letter, and he used it to tell girls he was an NBA undrafted free agent.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

3 months

Underwent successful closed reduction. However, after experiencing another "locking" episode, proceeded with reduction and arthroscopic excision of the abutting osteophytes. After telling countless patients osteophytes don't cause symptoms, I guess I have been proven wrong.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

The popliteus tendon is an important stabilizer to external rotation, internal rotation and varus forces on the knee. Sometimes referred to as the “fifth ligament”, an accurate assessment of the popliteus is crucial in multi-ligament knee injuries.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

7 months

Last week was bittersweet as I closed my practice with @BlackHillsOrtho . I am thankful to all of my incredible staff, colleagues, and patients for welcoming me into your community and for the opportunity to serve you. I am excited to announce that I will be joining @BellinHealth

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Increased posterior tibial slope is becoming recognized risk factor for ACL graft failure. The patient demonstrated here had ruptured their ACL for the 5th time. Interestingly, our veterinary colleagues have been treating this in canines for decades with the TPLO procedure.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

10 months

Success story: Exactly 9 months s/p ACL, LET, medial and lateral meniscus repairs. All PT metrics cleared at PT of Wyoming, and she is back on the slopes! Early in my career, I am not sure if I'm more excited or apprehensive about this video. (reproduced with permission)

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

10 months

While the early literature continues to show good outcomes comparable to other autografts for ACL, this is my major reservation for using the quad tendon in young athletes. This same data was observed by @thetrainingHAUS and still other studies suggest residual quad strength

@kcrehabguy

Dan Lorenz

10 months

Open access @AJSM_SportsMed article shows QT grafts weaker at 7mos compared to BPTB and HS. Definitely been my experience, never been super impressed. Look forward to reading this one.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

8 months

Nice weekend for a workshop in complex knee surgery. Learning from one of the best!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Surgery is cool, but injury prevention is much cooler! With fall sports getting started, adding this FIFA 11+ program to your warmups has been shown to reduce ACL and lower extremity injuries.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

We did 62 high school sports physicals tonight! When it comes to spreading the word about these, I'm pretty sure moms in Facebook groups just outperformed multimillion dollar advertising corporations.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

9 months

@ashtonsamos

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Ortho Writes Perfect SOAP Note, First No-Worder This Year | GomerBlog

An amazing feat in SOAP note medical note writing

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 months

Friday Night Lights is back. Happy football season everyone!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

4 months

I have to say I’m surprised this didn’t appear first in the orthopedic literature.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Accepted! Pretty cool to announce that this will be the first orthopaedic publication ever to come out of Gillette, WY!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

9 months

Nonoperative treatment of a meniscal root tear 11 months after acute injury in a healthy and active patient. Meniscus root tears are more common in women and occur in 5th-6th decade of life. Many describe a low grade pop and swelling. Tears can lead to rapidly progressive

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

@northwoods1980 ABCs of ER: Airway, breathing, CT scan

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

5 months

Has anybody ever considered this in patients with intact (stable Lachman), non-anatomic ACLr grafts with persistently positive subjective instability and a positive pivot shift?

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

@NuelleSportsMD Recently came across one of these that had “a little” graft-tunnel length mismatch.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Just because it’s snowing in October up here, doesn’t mean it’s too late for a good hike.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Hey, that’s me.

@ArthroscopyJ

Arthroscopy Journal

2 years

Open Popliteus Tendon Reconstruction using a Hamstring Tendon Autograft #knee #popliteus

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Orthopaedics, especially sports medicine, is not a one size fits all approach. Sometimes, there are several viable treatment plans, many of which are non-operative, to the same problem. Patient characteristics, expectations, and shared decision making must be taken into account

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

@mtyrelgarner Take a breath. Self assess. Talk to your family. If you want ortho, biggest advice I can give is don’t be deterred. Happens to great candidates every year. There are plenty of pathways in outside the match, but it’s an uphill battle.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

6 months

While the PCL generally shields the popliteal artery in medial meniscus repairs, the posterior horn of the lateral meniscus is in closer proximity. This study shows lateral meniscal repairs in the figure 4 position are safest. Repairing from the AM portal can also be a useful

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Hard to overstate the impact he’s had, but when this many current and former residents show up, it speaks for itself. Congratulations on your retirement Dr. Emery!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

It’s at this point, I think the question needs to be asked. Who’s the better football team this year: the Wyoming Cowboys or the Alabama Crimson Tide?

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Injuries to the MCL can occur in isolation or in combination with other knee ligament injuries such as the ACL. While the MCL often has potential to heal, stress x-rays may be helpful in determining grade of injury. Gapping of >3.2 mm is associated with a grade III MCL injury.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

10 months

Winter sports are now in full effect in Wyoming! Wonder what the other ortho docs have to say about this awesome and unique sport of ours - Skijoring

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Very excited to announce that for the first time @BlackHillsOrtho will be offering FREE high school sports physicals this summer in Northern Wyoming. Gillette: July 19 2201 S. Douglas Hwy Gillette, WY 82718 SHERIDAN: July 27 and August 3 1301 Avon St Sheridan, WY 82801

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

3 months

Very interesting study.

@lorenzo_masci

Lorenzo Masci

3 months

Interesting study: PRP (3 injections) vs. exercise vs. (PRP + Exercise) for knee OA. Exercise is superior to PRP (no surprises), but adding PRP to exercise does NOT enhance the exercise effect. One to bookmark. We need more of these studies.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

8 months

ATs are critical. They know an athlete’s day-to-day, their personality, their tendencies, and their preparation. They are the eyes and ears of sports medicine. They are the first responders.

@MuyVienDPT

Vien Vu

8 months

Happy #NATM2024 . It is well-known ATs are central in managing an athlete's health, but also a central part of leading staff. See @ErnieRimer 's visual below, and notice the one constant through the spectrum. See linked article on how to collaborate as a PT:

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Wouldn't be surprised if this was an underestimate. @plthom06

@unusual_whales

unusual_whales

@unusual_whales

1 year

Pickleball injuries may cost Americans up to $400 million this year, per Bloomberg.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Success Story: After being sidelined with an injury in 2022, BHO patient Gavin Stafford just made a major comeback claiming the Wyoming 2A state title in both the 100m and 4x100m dash. Congrats Gavin!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Career Day at Campbell County High School! Had a great time with the @BlackHillsOrtho Wyoming clinic team, taking lunch and answering questions about all the different career options there are in medicine.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

When you’re not allowed to fly fish yet, but you can’t stop thinking about it. (Reproduced with permission from this patient)

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

8 months

Good morning, and good luck to all the med students in the NRMP match! Especially those applying ortho! One of my mentors would say Monday is the bigger day because, “No matter where you go, your next 5 years will be a temp controlled 67 degrees and fluorescent”.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

@DocMcConks Failure rates or laxity were not compared in this study. However, they found... "A more detailed analysis of anterior tibial translation revealed that 8 patients after ACL-IB and 1 patient after ACL-R had a side-to-side difference >3 mm."

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

10 months

To play devil’s advocate to myself, this recent OJSM article suggests that it doesn’t:

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ACL Reconstruction With Quadriceps Soft Tissue Autograft Versus Bone-Patellar Tendon-Bone Autograft...

Background: The optimal graft choice for anterior cruciate ligament (ACL) reconstruction (ACLR) in the high-level cutting and pivoting athlete remains controver...

journals.sagepub.com

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

3 months

@LaidaniMohamed8 Knee is locked in extension, unable to flex. Patella is also locked.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

11 months

How should we counsel young athletes who have torn their ACL for a second or third time? Our latest review suggests the results are not quite as good as we may think. The meniscus and cartilage matter!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

After knee ligament surgery, a good outcome cannot be achieved without appropriate rehab. Great insight from Jon Schoenecker and the experts at @twincitiesortho . cc: @EliteWyoming

Jon Schoenecker, PT (@jonschoeneckerpt) • Instagram photos and videos

www.instagram.com

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

New technique out in @videojsportsmed ! Posterior medial meniscus root repair with peripheral stabilization stitch.

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Posterior Medial Meniscus Root Repair With Peripheral Stabilization Stitch - Daniel J. Liechti,...

Background: Posteromedial meniscal root tears occur when the meniscal root detaches from the tibial plateau, which limits the native functionality of the menisc...

journals.sagepub.com

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

8 months

Always proud to be a #Hawkeye , but today is a little bit extra special. Congratulations @CaitlinClark22 !!!!!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

I find these cases very difficult: Early 50's yo M. Point tenderness on lateral patellofemoral joint. Healthy and very active (10+ mile hikes/hunting trips). No tibiofemoral pain or arthritis. If extensive non-op treatment with quad strengthening and periodic injections is

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

@AJSM_SportsMed Interesting. Is there any reason to still obtain routine MRI in the typical FAI patient?

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Is ACL Reconstruction alone sufficient in our young and professional athletes? To prevent re-repture, increasing literature suggests that adding a lateral extra-articular procedure may improve failure rates. #BeltAndSuspenders #ACL #orthotwitter

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Risk Factors for Anterior Cruciate Ligament Graft Failure in Professional Athletes: An Analysis of...

Background: Anterior cruciate ligament (ACL) injuries are among the most common knee injuries sustained in elite sport, and athletes generally undergo ACL recon...

journals.sagepub.com

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Excessive anterior pelvic tilt may contribute to femoroacetabular impingement (FAI). Physical therapy exercises aimed at reducing excessive tilt are beneficial. One recent study suggests a 10 degree reduction in pelvic tilt is equivalent to cam resection:

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Black Hills Ortho is looking for a Physician Assistant! Ideal PA-C candidates should have an interest in sports medicine, the operating room, and a team environment.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 months

@DrNickColyvas What do you use to place your fibrin clot in the defect? I've used a smooth cannula and a probe. I've tied the clot to an inside out needle and shuttled it in through a cannula like a zipline. Neither are all that smooth.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

10 months

@JustinJMitchell @AdamSchefter @RapSheet @PardonMyTake @PardonMyTake launched a successful campaign to end turf fields using outraged Taylor Swift fans after Kelce tweaked his ankle. Real articles appeared in Newsweek, Dail Mail, Yahoo…. They might be the most powerful figures in sports media.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

The fact that Brock Purdy was out there last night throwing checkdown passes with a complete UCL injury is pretty impressive. Wishing him a speedy recovery.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

@stevemchale In January, I do think repair was still a viable option for this acute tear, especially in this young 45 yo patient. By September/October 21, certainly too much cartilage loss had taken place.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

@LaidaniMohamed8 This patient was in varus. Treated in a medial unloader brace. They had good relief and so we had an osteotomy discussion. At the time, they decided to continue with bracing and forego any surgical procedure for now.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

11 days

When drilling transtibial tunnels for lateral meniscus root repair, here is one study that highlights strategies to avoid tunnel convergence. I typically drill my transtibial tunnel for the lateral root in the tibial bone block harvest site of my BTB graft.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 months

@DrNickColyvas Once tucked in it works really nicely. I still am trying to do it more efficiently. I use this Arthrex cannula and cut out the plastic leaflets at the aperture with Mayo scissors to make it a “semi-open” cannula. Works ok.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

This weekend, the CCHS and TBHS anatomy classes got to learn about the medical field, see real anatomy on cadaver specimens and do REAL surgeries in an OR with @BlackHillsOrtho . Thank you @Arthrex , Campbell County Hospital and volunteers. Such a cool event!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

Meet the newest member of the team, Kelsey Anderson, FNP! Kelsey has been putting in some work down in Denver at the lab as she masters graft preparation for all things knee. So happy to have her on board!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

10 months

@generalorthomd @aschwartz45 @CenterRotation @drsebheaven @ChrisGraysonMD1 Could it be S&N Synergy?

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

10 months

@generalorthomd @aschwartz45 @CenterRotation @drsebheaven @ChrisGraysonMD1 Yeah, Synergy is 12/14 I think.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

11 months

@RyanHessMD “But didn’t AP return in 6 months?” I remember hearing this in fellowship from parents of high school athletes more than once!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

10 months

@DrNickColyvas Suspect favorable alignment? Not too late to save?!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

9 months

@BenMayoMD WOW. I will happily keep my run of triceps avulsions over that any day. 😂

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Shoulder dislocation is a relatively common occurrence on football sidelines. When they cannot be reduced, we tried to find out why:

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A Systematic Review of Acute Irreducible Shoulder Dislocations in the 21st Century - Daniel J....

Background: Rarely, closed reduction cannot be achieved in patients with acute shoulder dislocation, necessitating open management. A paucity of literature exis...

journals.sagepub.com

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

5 months

@SSittonMD Persistent pivot as a mechanism to account for the 15% failure rate in bucket handle tears? I ask one question and end up with something else to think about. Thank you!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

11 months

It’s a bad day to be on the CFP committee.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Accurate placement of biologic augments is important to optimize healing during arthroscopic surgery. Here is a new fibrin clot shuttling technique performed by @thekneedoc on a horizontal cleavage meniscus tear. Technique and video here: #orthotwitter

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Great to see two Iowa Hawkeyes going in the top 20. Congrats Lukas Van Ness and Jack Campbell! #GoHawks

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

6 months

Still, a knowledge of the sartorial branch of the saphenous nerve in relation to common anatomic medial knee landmarks is important. This is nicely summarized in this cadaveric study: (5/5)

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

11 months

Thank you @usd School of Medicine! It was a pleasure talking to you about orthopaedic sports medicine injuries.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Injuries to the lateral collateral ligament (LCL) of the knee can be challenging to diagnose, especially in chronic injuries as MRI may appear normal. Stress x-rays are extremely helpful in making an accurate diagnosis.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

9 months

@RyanHessMD I swear I wasn't dodging! We were on the other side of the elbow doing a ton of distal biceps. Everyone in Northern Wyoming knows how to do a rotator cuff and a distal biceps the Dr. Hess way. :)

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

@DrNikhilVerma @jachahla @Inside_TheMatch To those med students, I can personally attest after working with @jachahla once upon a time, you’ll have a hard time finding a more productive and awesome research year.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

5 months

Thank you Nolan! Great to hear!

@Nol_NB

Nolan Bernat

5 months

I really want to thank @DanielLiechtiMD for all the help with my surgery and my recovery process! I’m blessed to say I’m healthy and reached a full recovery! He’s one of the best in the business!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Dr. Krych et al. have shown that lateral meniscus posterior horn/root tears can be encountered as often as 12% of the time in ACL injury. These should be repaired!

@DrInderhaug

Eivind Inderhaug

2 years

We should repair lateral root tears and oblique radial tears at ACL-R! @thekneedoc @andrewgeeslinmd @jachahla @VolkerMusahl @TimSpaldingKnee @FKSMC_Getgood @darrenjohnsonmd @MurraySportOrth @DrKrych @RomainSeil @larsengebretsen @scottfaucettmd

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

@OrthoThompson A young patient called me old today for using the word “suspicious” instead of just saying “sus.” Had no idea I was in the same boat.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

Happy Meniscus Monday! The meniscus is a horseshoe shaped structure that acts as a shock absorber to the knee. A radial tear can result in complete loss of meniscus function and lead to rapidly progressive arthritis. Repairing these is recommended when possible.

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

@MDMillerMDUVA Thank you. Used your technique today for tibial osteolysis. Reamed about 30% of the dowel. It worked fantastic!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

2 years

@TexasOncologist @DGlaucomflecken Have been thinking about this. In the face of rising interest rates, the operating costs of PE becomes a real factor. What do you think happens on a macro level in 5-10 years?

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

3 months

@traumaticum Thank you!

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@DanielLiechtiMD

Daniel Liechti, MD

@DanielLiechtiMD

1 year

@northwoods1980 Seems like subchondral bone edema correlates fairly well with pain. Doesn’t mean they need a surgery, especially in the skeletally immature.

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