Post-discharge clinic visits; n = 1959. Clinic visits after discharge for 1959 patients who followed up within the UWMC hospital system for each of the thirty days following discharge (including orthopaedic, primary care, and other subspecialty clinics). Blue bars represent the number of nonreadmitted patients seen in any clinic on that post-discharge day. Red bars represent number of readmitted patients seen in any clinic that day. (Data in Fig. 1 add to seventy-nine of the total 125 readmitted patients because remainder likely followed up with another, outside provider [see Discussion]).

A fresh osteochondral allograft is harvested from a donor talus matched to the size and radius of curvature of the native articular surface (left). The graft is then transplanted into the prepared talus and is typically secured using two bioabsorbable screws (right).

Graph demonstrating the frequency of retears after repair over time.

Schematic outline of the experimental design.

Detailed diagram of patient selection. BS = bone scanning, CT = computed tomography, MRI = magnetic resonance imaging, and pts = patients.

Fig. 1-A The supraspinatus muscle-tendon-humerus interface after dissection. For orientation, the supraspinatus muscle is seen superiorly and the humerus is seen inferiorly. Fig. 1-B The supraspinatus muscle-tendon-humerus unit was embedded in a polyvinylchloride tube filled with polymethylmethacrylate. The supraspinatus tendon was glued to two pieces of sandpaper to increase the coefficient of friction at the tendon grip of the materials testing machine.

Schematic illustration of the direct coaptation of the contralateral C7 nerve with the lower trunk (performed in all of the patients in this series) and the transfer of the contralateral C7 nerve to the musculocutaneous nerve through the bridging medial antebrachial cutaneous nerve (performed in some patients). 1 = contralateral C7 nerve root, 2 = lower trunk, 3 = medial antebrachial cutaneous nerve, 4 = ulnar nerve, 5 = median nerve, 6 = lateral cord of median nerve, 7 = medial cord of median nerve, 8 = musculocutaneous nerve, 9 = lateral cord, 10 = posterior cord, 11 = radial nerve, 12 = axillary nerve, 13 = posterior division of lower trunk, 14 = C8 nerve root, and 15 = T1 nerve root.

Schematic block diagram illustrating the ACL Clinical Pathway with perioperative steps for patients and guidelines for providers. NMCSD = Naval Medical Center San Diego, ACLR = anterior cruciate ligament reconstruction, ASA = American Society of Anesthesiologists, d/c = discharge, OR = operating room, PT = physical therapy, rehab = rehabilitation, PACU = post-anesthesia care unit, POD = postoperative day, s/p = status post, H&P = history and physical, Rx = prescription, and abx = antibiotics.

Photograph depicting a simple measurement technique for identifying the center of the femoral ACL attachment when viewed at 90° of knee flexion²⁸. A vertical line (long arrow) is drawn from the lowest point of the condyle, and the center of the ACL footprint (short arrow) is 8.7 mm superior and 1.7 mm posterior to that point. (Reproduced, with permission, from: Davis AD, Steiner ME. Simple guidelines for anatomic femoral tunnel placement in ACL reconstruction. Paper read at the Annual Meeting of the American Orthopaedic Society for Sports Medicine. 2012 Jul 12-15; Baltimore, MD.)

Figs. 1-A through 1-D Features of slide-based disclosure data.