Nicholas Colyvas MD @DrNickColyvas Twitter profile

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Nicholas Colyvas MD

@DrNickColyvas

1 year

What’s going on here ? #orthotwitter Permission✅

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Nicholas Colyvas MD

@DrNickColyvas

2 months

Meniscal mobility ..

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Bioabsorbable screw. Just say no #revisionACL

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Nicholas Colyvas MD

@DrNickColyvas

5 months

Rare X 3 Rarely seen Rarely symptomatic Rarely need surgery Distal semiTendinosis rupture Marathon runner. Failed 6 months conservative RX Torn tendon reattached to tibia (posterior to pes) With permission ✅

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Shifting along …. #ACL #Pivotshift

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Nicholas Colyvas MD

@DrNickColyvas

1 year

What implant is this ?

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Meniscus Monday. Radial tear. Relatively easy to repair -fresh tear, young patient with good quality, mobile tissue.

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Nicholas Colyvas MD

@DrNickColyvas

7 months

My meniscus repair channel on YouTube is now live. Just a small selection, more will be added regularly #savethemeniscus

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Nicholas Colyvas MD

@DrNickColyvas

11 months

Every once in a while I have to operate at the main hospital, instead of our super-efficient Surgery Center. Laying out the needed instruments, in order, on the back table for the techs unfamiliar with the procedure (in this case root repair) helps things go smoothly

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Nicholas Colyvas MD

@DrNickColyvas

6 months

Pimple popper: the meniscus edition AHLM cyst

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Nicholas Colyvas MD

@DrNickColyvas

11 months

Preview of my next video … With permission #savethemeniscus

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Nicholas Colyvas MD

@DrNickColyvas

7 months

Latest video on the meniscus repair channel. All- inside repair of PHMM tear, with some technique tips for accurate reduction of the meniscus, and "double stacking" vertical mattress sutures @savethemeniscus With permission

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Nicholas Colyvas MD

@DrNickColyvas

6 months

2 yr follow up 40 yr old Gratifying radiologic (and clinical) improvement after 22mm fresh osteochondral allograft OATS procedure

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Nicholas Colyvas MD

@DrNickColyvas

4 months

Full visual button flip: very satisfying #suspensoryACL

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Thanks for all the great responses, some highly amusing ! This in fact is an ACL deficient knee, the patient demonstrating a voluntary hamstring active test (Dehli test). Without context hard to tell between this and a PCL deficient knee.

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Nicholas Colyvas MD

@DrNickColyvas

9 months

Ready and set for fellows meniscus transplant lab tomorrow

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Nicholas Colyvas MD

@DrNickColyvas

1 year

With permission 17 yr old high school soccer star. Complex, predominantly radial, tear of the lateral meniscus. Repaired with all-inside and outside-in technique, augmented with transtibial suture. Also bone marrow venting with notch microfracture. 6 weeks NWB, 6 months in…

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Nicholas Colyvas MD

@DrNickColyvas

4 months

I think I’ll stick with the morning coffee ….

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Nicholas Colyvas MD

@DrNickColyvas

8 months

Yesterdays harvest of meniscus preservation. #savethemeniscus

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Nicholas Colyvas MD

@DrNickColyvas

6 months

Sent to me for revision ACL Who is doing an osteotomy on the first surgery ? #ACLrevision #slope

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Meniscus Monday: Follow-up from my previous BHLM re-tear post. "Old school" repair with open lateral incision, inside out sutures, fibrin clot and added bone marrow venting. #orthotwitter #savethemeniscus with permission

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Nicholas Colyvas MD

@DrNickColyvas

5 months

Meniscus imaging Still not a perfect science Will 3D imaging and AR improve what we can see and diagnose ? gif courtesy of Jesse Courtier, MD from our poster presentation Colyvas N, Bunker M, Patel Rina, Zapala MA, Durand R, Courtier J. "3D MRI-derived Augmented Reality…

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Nicholas Colyvas MD

@DrNickColyvas

9 months

Acute distal biceps rupture repair, single incision technique with button, 8 months ago. Uneventful surgery and acute post-op course. Now limited pronation/supination … With permission

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Nicholas Colyvas MD

@DrNickColyvas

10 months

“Meniscus surgery is boring” Last 2 days: 18 yo : BHLM repair- all inside 54 yo: root repair - transosseous 36 yo: Mm repair - vertical tear MM -all inside plus inside out 51 yo: LM repair : circumferential sutures plus outside in 56 yo: LM anterior horn repair with…

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Nicholas Colyvas MD

@DrNickColyvas

1 year

The definitive guide ! Thanks to @thekneedoc

Meniscal repair: The current state and recent advances in augmentation - PubMed

Meniscal injuries represent one of the most common orthopedic injuries. The most frequent treatment is partial resection of the meniscus, or meniscectomy, which can affect joint mechanics and health....

pubmed.ncbi.nlm.nih.gov

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Nicholas Colyvas MD

@DrNickColyvas

7 months

Does this mean I’m forced to keep practicing till 2031 ? 😀

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Nicholas Colyvas MD

@DrNickColyvas

11 months

Todays interesting case With permission #orthotwitter #SCjoint

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Nicholas Colyvas MD

@DrNickColyvas

8 months

Meniscus Monday Mirror image bucket handle tears 2 yrs apart left: ski injury, acute repair, complete recovery right: golfing injury No concomitant injury both quite thin rimmed

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Nicholas Colyvas MD

@DrNickColyvas

9 months

Not cheap, but effective #savethecartilage #savethemeniscus #MAT

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Nicholas Colyvas MD

@DrNickColyvas

5 months

Happy to see my long time friend and colleague is now our department chair !

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Nicholas Colyvas MD

@DrNickColyvas

9 months

Meniscus surgery often requires a multitude of techniques and equipment types. Bucket handle plus root tear LM.

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Nicholas Colyvas MD

@DrNickColyvas

4 months

Knocked the old one right out of there ....

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Nicholas Colyvas MD

@DrNickColyvas

6 months

High School quarterback. Skeletally mature. Surgery or no surgery ?

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Nicholas Colyvas MD

@DrNickColyvas

11 days

Two in the same week. Sharks must be out...

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Nicholas Colyvas MD

@DrNickColyvas

5 months

25 year follow-up One of the reason I like the OATs procedures so much is their durability. Left knee OATs on the MFC gave this rugby player 25 yrs good years on that knee. Recently both knees became symptomatic and varus increased and he converted to bilat uni’s (outside the…

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Bit of an unusual one. Proximal Tib fib DJD and ganglion. Mild neuro symptoms, fair amount of pain. Cyst resection and joint fusion with fibula osteotomy: pain fully resolved. XR is 2.5 years post-op. with permission

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Nicholas Colyvas MD

@DrNickColyvas

2 months

Always good to be comfortable with the posterior approach to the knee. Synovial chondroma removal from posterior compartment

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Nicholas Colyvas MD

@DrNickColyvas

9 months

We got 60 plus young student athletes through their pre-participation physicals today. And yes, we did use those strange devices around our necks ! Thanks @WBerriganMD and Kevin Wang for your help

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Nicholas Colyvas MD

@DrNickColyvas

9 months

Original injury shoulder dislocation, massive RC tear. Reduced, but cuff untreated. One yr later ….

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Nicholas Colyvas MD

@DrNickColyvas

29 days

Thought the screw was backing out, turns out its a suture granuloma

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Nicholas Colyvas MD

@DrNickColyvas

1 year

9 months. Very happy #rotatorcuffrepair #doublerow

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Nicholas Colyvas MD

@DrNickColyvas

3 months

Creature from the deep or ..... torn ACL ?

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Who else gets a smile on their face when they see this while preparing a meniscus tear for repair ? 😀. #orthotwitter #savethemeniscus

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Nicholas Colyvas MD

@DrNickColyvas

3 months

It’s important to drive racecars when at an Orthopedic meeting ..

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Nicholas Colyvas MD

@DrNickColyvas

2 months

@TodayF1History Rush, because I was in it 😀but I think Senna was a fantastic documentary, and Grand Prix has great period race footage . All good choices

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Nicholas Colyvas MD

@DrNickColyvas

10 months

@miaowlex @olsonplanner General Surgery. Was admitted to the categorical GS program at UCSF, then saw the light and switched to Ortho !

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Nicholas Colyvas MD

@DrNickColyvas

3 months

AAOS 2024. Meniscus Preservation ICL. Privileged to share the podium with some of the best @doccasslee @SethLShermanMD Chris Dougherty

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Nicholas Colyvas MD

@DrNickColyvas

5 months

Latest publication. Difficult problem with a number of possible approaches. This worked well

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Nicholas Colyvas MD

@DrNickColyvas

6 months

Todays office: London to Birmingham

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Always very happy to see our patients reach their goals. And she did it without a functioning ACL ! #ACL #orthotwitter with permission

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Nicholas Colyvas MD

@DrNickColyvas

10 months

A bit loose....

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Nicholas Colyvas MD

@DrNickColyvas

6 months

Got to visit some of my UK “children “ today. I have missed them …

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Nicholas Colyvas MD

@DrNickColyvas

2 months

SF in the sunlight ..

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Nicholas Colyvas MD

@DrNickColyvas

9 months

Another great session improving and innovating meniscus surgical techniques in the lab, ultimately for better outcomes for our patients.

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Nicholas Colyvas MD

@DrNickColyvas

9 months

This one needed a good amount of graft #twostageacl #aclrevision

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Name the sign #savethemeniscus

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Gave this talk over 20 yrs ago: "will likely become more popular " was an understatement

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Nicholas Colyvas MD

@DrNickColyvas

1 year

I thinks he’s going into Ortho…..

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Nicholas Colyvas MD

@DrNickColyvas

1 year

My happy places

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Nicholas Colyvas MD

@DrNickColyvas

8 months

#savethemeniscus

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Nicholas Colyvas MD

@DrNickColyvas

5 months

Got to spend time with one of the worlds premier meniscus surgeons today: Peter Myers in Brisbane #savethemeniscus

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Nicholas Colyvas MD

@DrNickColyvas

11 months

Always look in in the back of the knee when doing an ACL

OJSM_SportsMed

@OJSM_SportsMed

11 months

Medial meniscus ramp lesions increase anterior tibial translation, internal rotation and external rotation in ACL-deficient knees, and #ACL reconstruction combined with ramp repair improved knee joint stability. #OrthoTwitter Read it here #OpenAccess !

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Nicholas Colyvas MD

@DrNickColyvas

1 year

@hjluks “You have bone on bone arthritis. But we treat patients, not XRs. Ultimately you will need a knee replacement. Do not let anyone scope your knee. Keep running and enjoying your life, PT/injections may help but buy time. When the quality of your life is not acceptable see my…

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Nicholas Colyvas MD

@DrNickColyvas

9 months

AOSSM Surgical Skills lab at the OLC in Chicago

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Nicholas Colyvas MD

@DrNickColyvas

8 months

2 tunnels, 2 months later Happy patient #rootrepair

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Nicholas Colyvas MD

@DrNickColyvas

9 months

Final dinner and certificate ceremony for our fantastic UCSF Sports Surgery Fellows. Fantastic guys, awesome year. @matt_hartwell et al.

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Nicholas Colyvas MD

@DrNickColyvas

8 days

The artist formerly known as impingement ...

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Nicholas Colyvas MD

@DrNickColyvas

7 months

Great visit from Brian Cole as part of our UCSF Orthopedic Surgery grand rounds program.

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Tools of the trade must always have a mallet close at hand 😀 #meniscustransplant #savethemeniscus

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Nicholas Colyvas MD

@DrNickColyvas

9 months

Weekend garage upgrade: easy access air

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Nicholas Colyvas MD

@DrNickColyvas

9 months

Ok now I’m upset. Lost this treasured coffee mug given to me by the fellows a few years ago …😔 @Dr_C_Chambers

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Nicholas Colyvas MD

@DrNickColyvas

1 year

55 year old, recreational athlete, No acute trauma, mostly medial pain, some lateral. Varus knee(s), medial and lateral meniscus tears. Whats the #orthtwitter doing here ?

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Nicholas Colyvas MD

@DrNickColyvas

4 months

#orthotwitter If you're heading to San Francisco for AOOS and want to learn meniscus repair from some of the best, join us @doccasslee @SethLShermanMD Chris Dougherty MD @DrNickColyvas

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Nicholas Colyvas MD

@DrNickColyvas

6 months

Nice meeting venue

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Nicholas Colyvas MD

@DrNickColyvas

7 months

@jointdocShields It’s not new. Earlier version was available in Europe for a while, studies showed a high complication rate and it was pulled. New version went though FDA trials, company got $40M funding, and now the marketing begins …

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Nicholas Colyvas MD

@DrNickColyvas

7 months

Question for knee arthroscopy surgeons. What do you do for thrombophylaxis after knee scope? - nothing - depends on the case -depends on the rehab - always use something -other protocol our paper from last year as a reference example

Perioperative Thromboprophylaxis Is Associated With Lower Risk of Venous Thromboembolism After Knee...

III, retrospective comparative prognostic trial.

pubmed.ncbi.nlm.nih.gov

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Nicholas Colyvas MD

@DrNickColyvas

4 months

Who else thinks that inferior fascicle doesn’t look quite right ? 30 yr old Vague mechanical and pain symptoms after skiing injury Stable on exam Meniscus signs very soft

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Nicholas Colyvas MD

@DrNickColyvas

10 years

10 Liver cleansing Foods: http://t.co/rvwcZfpaBH

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Nicholas Colyvas MD

@DrNickColyvas

6 days

@realEstateTrent Hopefully a long time !

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Nicholas Colyvas MD

@DrNickColyvas

11 months

#rootrepair plus often the meniscus itself is somewhat worn out, and some needs repair in addition to the root refixation. #orthotwitter

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Nicholas Colyvas MD

@DrNickColyvas

9 years

Time to turn down the tunes? http://t.co/4nEUNIAfXC

Music in the operating room off-putting, study suggests

Playing music in the operating theatre can be disruptive and surgeons should think twice about pressing the play button, according to a small study.

www.bbc.com

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Nicholas Colyvas MD

@DrNickColyvas

6 months

As many have pointed out : “one view is no view “. How about now ?

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Nicholas Colyvas MD

@DrNickColyvas

1 year

Meniscus Monday Tear progression 40 year old, slight varus knees. Saw me a year ago MRI showed small tear of lateral meniscus. Didn't want surgery, responded initially to conservative management, but recently deteriorated now limited. MRI shows how these tears can rapidly…

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