www.piersbarrymd.com Orthopedic Surgeon, Sports Medicine
Fellowship Trained
Surgical Specialties
Fellowship trained in sub- specialties include ACL
Reconstruction, Knee
Arthroscopy, and Shoulder
Arthroscopy
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Trauma Care
Also specializing in sports and non-sports related trauma including fractures of the hip, ankle, wrist
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Truly Minimally Invasive
Minimally invasive is beyond the incisions made during surgery—max v min v real minimally invasive
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I believe that successful outcomes are the result of treating every patient as an equal partner. Each individual has different goals and needs. While many orthopedic injuries are best treated with surgery, an equal number can be solved with noninvasive or minimally invasive techniques, and therapy. Any patient is an athlete whether his or her goal is to finish a specific race, hike or swim, or train to reach the Olympics.

Minimally invasive surgery

Sports Medicine

Trauma

Knee Arthroscopy

ACL Reconstruction
 Shoulder Arthroscopy
 Rotator Cuff Repair

Hip Arthroscopy

Carpal Tunnel Surgery

Knee Replacement

Hip Replacement
 Shoulder Replacement
 Therapeutic Injections
(Viscosupplementation)
As one of the race physicians for the riders in the Tour of CA
Fellowship trained as a team physician for:

Piers Barry M.D. is a Board Eligible Orthopedic
Surgeon who dedicates his practice to Sports
Medicine, specializing in Arthroscopic and
Reconstructive surgery of the Knee, Shoulder,
Elbow, Hip, and Ankle.
Dr. Barry graduated from Marin Academy, and subsequently earned a degree in English Literature with minors in Chemistry and Biology at Whitman
College where he was a varsity swimmer and still holds the triathlon record. After college he taught high school English at Lyc é e Beaussier in Toulon,
France. He completed Medical School graduating from the University of Southern California with honors, and continuing on to an Orthopedic Surgery
Residency at USC. After completion of all required training he went on to do an extra year of fellowship in Sports Medicine at Santa Monica Orthopedic
Group where he worked as a team physician for numerous professional and nation teams.
During his residency training in orthopedic surgery at USC + LA County Dr. Barry worked at affiliated hospitals such as University Hospital, Children’s
Hospital of LA, Rancho Los Amigos, and White
Memorial, and Kaiser Baldwin Park hospitals. He worked with USC varsity athletes from a number of different sports including football, basketball, water polo, and volleyball. This wide spectrum of experience in different sports is invaluable in understanding the needs and injuries of all types and levels of athletes.
Dr. Barry completed further subspecialty training at his fellowship in Sports Medicine and Arthroscopy at
Santa Monica Orthopedic Group. He then entered private practice, but continues to conduct research.
In fellowship he served as team physician with Santa
Monica Orthopedic Group for the US Men’s National
Soccer team, LA Galaxy Professional Soccer Team,
Chivas USA Professional Soccer Team, Amgen Tour of
California Professional Cycling Race, Pepperdine
University, Santa Monica Rugby Club, Santa Monica
College Football Team as well as for numerous high school football teams.
He has published scientific journal articles and has given presentations on subjects such as arthroscopic treatment of knee, shoulder, and ankle, and hip injuries. Dr. Barry has presented several scientific papers including a recent presentation on Shoulder
Arthroscopy with Arthroscopic Biceps Tenodesis.
Dr. Barry is a member of the Arthroscopy Association of North America (AANA), and the AAOSM.
In his free time, Dr. Barry enjoys spending time with family, triathlon, swimming, and cycling. He is active in road bike and triathlon races. Dr. Barry speaks
French and Spanish fluently, and some Italian.
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Why arthroscopy with Dr. Barry
Knee Arthroscopy
ACL Reconstruction
(cont’d)
Shoulder Arthroscopy
Continued…
One of the most important aspects of medicine is knowing the strengths of your team. As a team physician with professional sports teams I have worked with up to 6 other physicians at the same time. We may have an orthopedic surgeon, internist, neurologist, dentist, podiatrist, chiropractor, and more, all at the same event working together.
I send a consultation note for all new patients to the referring doctor, and surgical patients see their physician for medical clearance before surgery. I follow up with written notes regarding each case.
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For many years traumatic injuries, many of which occur in sports, have been treated with maximally invasive techniques, previously thought necessary to best restore anatomic position. A shift in practice toward minimally invasive led to a loss of ensuring proper anatomy. The best treatment is one in which muscle and soft tissues are preserved using techniques that also anatomically restore function. This is the method I use in approaching trauma injuries, whether they are sports related or not.
Wrist fractures
The invention of the locking plate has allowed for a surgeon to restore early motion and recreate anatomy of the distal radius by going between muscles and tendons rather than through them. A 6-
8 cm incision is all that is needed to insert the plate on a broken wrist. The plates rarely need to be removed, and patients are free to return to regular function and forget about the injury and surgery.
Clavicle Fractures
For many years, surgeons have ignored the importance of a shortened clavicle, and “good enough for adequate function” was seen as an excellent result. However, with the demands of new population who want to reach their best possible outcome, and want to continue competitive sports for their entire life, surgeons are re-evaluating the importance of restoring the anatomy of the clavicle--the strut that maintains the shoulder in place. I treat clavicle fractures with a special anatomic plate, which is designed to restore the complex double “S” curve. In this minimally invasive approach, I search for the small nerves the run over the clavicle and preserve them rather than cutting the nerves which supply sensation over the chest. Athletes can get back to sports much more quickly than without surgery, and restore their full function rather than compromise their ultimate performance through a residual deformity.
Shoulder Separation (AC Joint Dislocations)
The end of the clavicle joins the shoulder blade at the AC (Acromio-Clavicular) Joint. A fall on the clavicle may result in a fracture, but a fall a little farther to the outside can result in a shoulder separation or AC joint dislocation. This is a common cycling or football injury though it can occur in many different sports. A partial separation (Grade I or II) is treated with a sling. Intermediate
(Grade III) can be treated without surgery initially but may need intervention if it does not become painless on its own. High Grade (IV or V) Separations need surgical treatment for restoration of function.
Hip Fractures
A hip fracture is one of the most common injuries in patients over 65; this type of injury can be treated in a number of different ways depending on the injury pattern. A typical pattern is the “Inter-
Trochanteric” fracture of the hip. For a inter-trochanteric hip fracture
I typically use an intramedullary (a locking rod inside the hollow part of the femur) as it allows for preservation of the most muscle and tendon.
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Injury prevention the least invasive approach of all, and prevention of re-injury is just as important.
Patients with ACL tears are
10 times more likely to tear their graft ACL again compared to a patient who has never had an ACL injury. They are twice as likely to tear their “normal” knee’s ACL as reconstructed knee’s ACL.
Advanced, intensive rehabilitation focused on the hip and core (and not the quadriceps) is the key to prevention of initial and recurrent tears. My approach to the treatment of injuries through minimally invasive technique and guiding patients through rehabilitation is the key to a rapid and long-lasting return to function. Please visit my webpage to view approaches to rehabilitation and other information on services. www.piersbarrymd.com
Faster Recovery, Better Ultimate outcomes, Minimizing Pain
Long-Term Recovery of Function
A truly minimally invasive approach to surgery is important for faster initial recovery and decreasing pain after surgery, but also for the ultimate goal of regaining pain free and full function. Often minimally invasive surgery is only associated with incision size, which impacts cosmesis, but truly minimally invasive surgery is actually related to what happens beneath the surface with tendons, ligaments, and muscle tissue. This aspect is far more significant for pain and function.
The most important aspect of minimally invasive sports surgery is the restoration of anatomic function, followed by the preservation of muscle, tendon, and soft tissue. While in recent years open surgery has been largely replaced with arthroscopic surgery, open surgery can be a better option to best preserve tissue. One specific example of this is AC Joint reconstruction for a separated shoulder—a common cycling and football injury.
In the reconstruction of an ACL, surgeons previously used a large open incision 10-12 inches in length disrupting the entire knee. The race to do surgery through pleasing small arthroscopic incisions was problematic because initially the anatomy was not recreated.
The surgery is not minimally invasive if it is done imperfectly! I use
2-3 small arthroscopic portals and a 1-2 inch tibial opening to allow for perfect visualization and completely anatomic ACL reconstruction with preservation of the native footprint.
We have made rapid advances in ACL reconstruction. 30 years ago, following surgery patients were casted and kept in the hospital.
Now, the ACL reconstruction is performed as an outpatient procedure and patients are allowed full range of motion in a brace and are walking well within weeks. Pain control is established through a mixture of the minimally invasive technique, local anesthetics, and multi-modal pain control. The results of this approach, as with all true minimally invasive surgery show an better long-term function and recovery, as well as short-term easy recovery and minimal pain.
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