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dr brian gruber, integrated orthopedics

I recently attended the San Diego Shoulder Institute’s annual event in San Diego, CA on June 22-25, 2016. This is an event I attend annually. It’s a top-notch international orthopedic shoulder meeting where cutting-edge research and data are presented each year.

I wanted to share a little bit with you about the event and how it impacts our work and patients at Integrated Orthopedics.

This year, there was a lot of focus on rotator cuff repair. Information on the newer techniques like patches and PRP/biologics – which we perform at Integrated Orthopedics – was presented. It was helpful to see the continued positive data and outcomes for these approaches to rotator cuff repair.

Another area of focus was on superior capsular reconstruction. This is a procedure we perform at our practice. It is ideal for patients with rotator cuff damage that would be irreparable through more conventional approaches. At the conference, there was a lot of data presented on this procedure. While the data is still new, early outcomes continue to be promising.

A final area of focus at the conference that is of great interest to me was Patient Specific Instrumentation (PSI) for use in the shoulder. PSI has been used in the knee for several years, but its application to the shoulder is newer. PSI is the use of custom-made guides that match a patient’s individual anatomy, which can assist in the efficiency and accuracy of surgery. We are not currently implementing PSI for the shoulder, but as more data emerges on its effectiveness, it is something I’ll be considering incorporating into the practice.


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