Brian Capogna, MD

Happy birthday to my amazing wife! Thank you for all you do for our growing family! Mia and Archer are lucky to have such a loving, caring, and kind mom! We love you very much!!! 😘

Happy 1st Mother's Day to my wonderful wife! You are already the best mommy Mia and Archer could ask for! We love you and appreciate all you do every day!! 💕

Had a great weekend with the family in Birmingham while catching up with great friends and colleagues at the ASMI Blind Squirrel Society Meeting! Had the opportunity to see Dr. Andrews and Dr. Cain interview coach Nick Saban in a fireside chat. It was also Mia's first plane ride and she did great!

🦵Can the ACL heal? With newer technology and advanced techniques there has been growing interest in ACL repair rather than reconstruction.

During repair the patient's ACL tissue is repaired back to the tear site and augmented with a high strength suture called an internal brace ().

Picture 1 shows an arthroscopic photo of the ACL where the tear is unclear.

Picture 2 shows that on further inspection the ACL is torn from it's origin on the femur.

The ACL tissue is sutured (picture 3) and repaired back to its naitive location on the femur with the addition of the Internal Brace (red arrow) which is the blue suture laying over the ACL (pictures 4 and 5).

Is ACL repair a good option for you? ACL repair is not possible in all tear types and all patients. But for the appropriate tear, with good tissue quality, in the correctly indicated patient it is a great option!
aclreconstruction

Another happy patient after arthroscopic meniscus repair! This patient had a repair of the meniscus root, a very important structure for joint preservation to prevent arthritis.

After a full recovery he is back running and playing sports without pain and doing great!

🦵🤕 Knee pain from arthritis affects hundreds of thousands of Americans a year. In highly active people with arthritis and pain only in one compartment of the knee a partial or "unicompartmental" knee replacement may be an excellent option.

This is performed using a CT scan for 3D mapping of the patient's anatomy and with the Mako surgical robot. The robot allows for perfect removal of the arthritic bone and placement of size matched implants.

🤖 Picture 1 shows the robot used during surgery.
Picture 2 is an actual case of mine in an active male with isolated medial joint space narrowing and pain. He failed nonsurgical management and underwent robotic-assisted partial knee replacement.
🏃🏽 Pictures 3 and 4 show post op Xrays of the medial compartment replacement performed outpatient where the patient was discharged home just hours after surgery!

🏋️‍♂️💥🤯 Lifting something and feel a POP in your elbow? One possibility is a tear of the biceps tendon at the elbow. Patients with this injury develope pain, deformity and bruising from the tear and retraction of the biceps muscle (picture 1 and 2).

Surgery is recommended in healthy active people to prevent weakness, chronic pain, and cramping!

😷 Through a minimally invasive 3cm incision the tendon is repaired back to the bone utilizing a suture button. Picture 3 shows the tendon out of the wound prepped with our repair sutures. Picture 4 is after anatomic repair to the biceps tuberosity! 💪

My patients are placed in a sling for comfort for 4 weeks and begin immediate motion after surgery. Strengthening begins at week 8 and most patients fully recovery by 4-6 months post-op!

Merry Christmas from our family to yours! Wishing everyone a very happy, healthy, and safe holiday season!

Welcome to the world Mia Ann Capogna! 11/10/21 at 3:03am our lives changed forever! Your mother and I are over the moon for you already! We love you!

Happy 1 year anniversary to the the best wife, friend, dog mom, and future mommy-to-be I could ever ask for! You are my sun, my moon and my stars! I love you!

Amazing to hear from patients returning to what they love! After a long ACL reconstruction and meniscus repair recovery my patient was named Varsity Team Captain, Student Athlete Player of the Month, Baton Winner, and Most Valuable Player! Congrats!

"Dear Dr. Capogna,

Just wanted to update you with some news about your patient, ⛹️🏻‍♀️. After you repaired her ACL last February she has worked so hard to get back on the basketball court. Well, she is the girls Varsity Team Captain and has had some outstanding performances. All this during the Covid pandemic.

Her coach is so proud of her and impressed with her recovery she has made. She was named Student Athlete, student player of the month, Baton Winner, and most recently most valuable player.

Eighteen months ago we had no idea where ⛹️🏻‍♀️ would be but with your skill and encouragement and ⛹️🏻‍♀️'s determination she is soaring!! Thank you so much for helping her reach her goals!!"

Meniscus root tears in young athletes need to be fixed to prevent downstream arthritis. Studies have shown that a tear at the root attachment increases contact forces to near total meniscectomy (meniscus removal).
Picture 1 shows the tear at the root attachment (yellow arrow)
Picture 2 shows how the root can be lifted away from the bone to identify the tear.
During surgery we drill a small tunnel at the attachment and place multiple repair sutures around the meniscus root as seen in pic 3.
We then shuttle those sutures through the tunnel to re-attach the meniscus to it's anatomic location (pic 4)
Picture 5 shows how the meniscus can no longer be elevated away from the bone now that it is anatomically repaired!

would like to wish everyone a safe and happy 4th of July!! The office will be closed Monday July 5th and reopen Tuesday July 6th! 🇺🇸

In a weekend filled with so much to celebrate I am so happy to celebrate the birthday of my beautiful, wonderful wife Melissa. You fill my life with such love and happiness and are the glue that holds our small (but growing) family together. The best birthday gift either of us will get this year is our baby girl Capogna. Archer is already excited to be a big brother! I love you!