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For additional information, please read these pages:
Carpal Tunnel Syndrome and Surgery
Arthroscopic Rotator Cuff Repairs
Osteoarticular Transfer System (OATS)
Microfracture
Meniscus Repair
Meniscus Transplant
Knee Realignment Procedures
Minimally Invasive Knee Replacement
GetAroundKnee
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Specialties |
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Arthroscopic
Surgery and Sports Medicine |
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Dr. Landsberg is an arthroscopic surgeon
(minimally invasive surgery through small
holes), having performed arthroscopic knee and
shoulder surgery for over 20 years. He is taking care of local high schools for their
sports medicine injuries and has performed prep-articipation
physical exams. He also performs elbow
arthroscopy, ankle arthroscopy and wrist arthroscopy,
including
endoscopic carpal tunnel release. Dr.
Landsberg has extensive shoulder surgery experience with
respect to
arthroscopic rotator cuff repairs, which he
has been doing for over 10 years, arthroscopic labral
repairs and arthroscopic repairs for dislocating
shoulders. |
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Endoscopic Carpal
Tunnel Release |
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As an arthroscopic surgeon, Dr. Landsberg has
performed arthroscopic carpal tunnel release for
10 years through a small incision up in the
wrist. Most patients return to the office 10
days following the surgery with full range of
motion in the wrist and fingers. Most do not
take any pain medication
postoperatively. This allows a
much earlier return to function and work. |
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Arthroscopic
Rotator Cuff Repair
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Dr. Landsberg performs all rotator cuff repairs arthroscopically. This is done as an outpatient
procedure. With newer arthroscopic techniques,
there is much better visualization and treatment
than with traditional open or mini open rotator
cuff repair. Even for chronic and large tears,
arthroscopic repair
can be performed. Sometimes the repair is
augmented with a graft, which can also be
inserted and repaired arthroscopically. All
patients receive a shoulder block
preoperatively, which often gives up to 15 or 20
hours of postoperative pain relief, to allow for
early immobilization and range of motion. A pain
pump, which can be left in for 48 hours
following surgery, is also used at times. |
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Arthroscopic Knee Surgery |
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After a failure of conservative or non-operative
measures for knee problems, arthroscopic surgery
can be performed. Dr. Landsberg can treat early
arthritis or articular cartilage defects in the
joint surface with a number of approaches. Joint
surface problems can be treated with simple
debridement,
and cartilage repair procedures. These
arthroscopic procedures include the
OATS
procedure, and
microfracture (chondral picking)
techniques. The knee can be realigned through
osteotomy procedures. |
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Meniscal Preservation Surgery |
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The medial and lateral meniscus (cartilage
cushions on the inside and outside of each knee)
are important shock absorbing structures in the
knee. If there is a meniscal tear, as little of
the damaged meniscus as possible should be
removed. Dr. Landsberg makes all efforts to
preserve as much
normal tissue as possible. This
includes partial meniscectomy and he has
multiple techniques for
meniscal repair and
preservation in his armamentarium. Dr. Landsberg
is also one of the few orthopaedic surgeons
performing
meniscal transplant surgery in the
area, and the only surgeon who has performed
this procedure in Sumner County. These
procedures are all done arthroscopically. |
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Knee Realignment
Procedures |
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In younger patients, with malalignment of the
lower extremities and arthritis concentrated to
just one side of the knee, usually the inside of
the knee (medial compartment), Dr. Landsberg
performs, in selected patients, realignment
procedures. This is typically called a
high tibial osteotomy (HTO). For lateral compartment
arthritis (on the outside of the knee) distal
femoral osteotomies are often performed. |
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Minimally
Invasive Total Knee Replacement |
Failing all this, knee replacement can be
performed. Dr. Landsberg is one of the only
surgeons in this area performing minimally
invasive total knee replacement, preserving
muscle function through a small incision. He is
one of the only surgeons in the area using
computer-assisted
navigation to aid in exact placement of the new
knee components. He is the only surgeon
performing both procedures together. Minimally
invasive surgery is associated with less
discomfort, earlier hospital discharge, less
rehabilitation, and earlier return to function.
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GetAroundKnee |
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Stryker's
single-radius knees have been used in knee
replacement surgery since 1996. They are
designed to work with the body to promote
natural-like circular motion. This is due to the
single-radius design of the knee implant. Single
radius means that as your knee flexes, the
radius is the same, similar to a circle,
potentially requiring less effort from your
quadriceps muscle. |
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