Physician Protocols - By Chippewa Valley Orthopedics and Sports Medicine

Knee
ACL Quad/Patellar Tendon
ACL (Hamstring Graft)
Lateral Release
HTO (High Tibial Osteotomy)
DFO (Distal Femoral Osteotomy)
Quad or Patellar Tendon Repair
Tibial Tubercle Osteotomy +/- MPFL Reconstruction
Total Knee Arthroplasty
Advanced ACL Rehab
ACL with Meniscus Repair or Microfracture - Quad/Patellar Tendon Graft
ACL with Meniscus Repair or Microfracture - Hamstring Graft
Knee Meniscus Repair
Knee Microfracture Repair
ACL Bone-Tendon-Bone
PCL
Meniscal Root Repair and Meniscal Transplant

Shoulder
Arthroscopic SLAP Repair
Arthroscopic RCR
Total Shoulder Arthroplasty
Reverse Total Shoulder
Reverse/Posterior Bankart Repair
Arthroscopic Bankart Repair or Laterjet Procedure
Subacromial Decompression
Distal Biceps Tendon Repair

Hip
Hip Arthroscope (Labral Repair, PFO, Acetabuloplasty)
Hip Arthroscope (Iliopsoas Release, Debridement, non PFO)
Proximal Femoral Osteotomy
Direct Anterior Total Hip Arthroplasty
Posterior Total Hip Arthroplasty
Hip Resurfacing
Hip Abductor Repair
Open Hip Decompression
Advanced Hip Arthroscopy 
Hip Capsular Plication

Knee
Distal Realignment/Tibial Tubercle Transfer
Lateral Release
HTO (High Tibial Osteotomy)
DFO (Distal Femoral Osteotomy)
Total Knee Arthroplasty
Knee Meniscus Repair
Knee Microfracture Repair
Quadricep Tendon Repair
ACL

Hand
CMC Soft Tissue Repair

Shoulder
Distal Biceps Tendon Repair

Hip
Hip Scope with Femoroplasty, Labral Repair or Debridement
Advanced Hip Arthroscopy
Hip Abductor Repair
Total Hip Arthroplasty

Knee
Lateral Release
ACL
DFO(Distal Femoral Osteotomy)
HTO (High Tibial Osteotomy
Distal Realignment/Tibial Tubercle Transfer
Total Knee Arthroplasty
Advanced ACL Rehab
Knee Meniscus Repair
Knee Microfracture Repair
Osteochondral Allograft
Distal Patellar Realignment (Tibial Tubercle Transfer)/MPFL

Shoulder
Arthroscopic SLAP
Arthroscopic Bankart
Subacromial Decompression
Reverse Total Shoulder
Total Shoulder Arthroplasty
Reverse/Posterior Bankart Repair
RCR
Massive RCR
Biceps Tenodesis
Distal Biceps Tendon Repair

Hand
CMC Soft Tissue Repair

Shoulder
Reverse Total Shoulder
Open Bankart Repair
Flexor Pollicus Longus Repair
Arthroscopic SLAP Repair
Arthroscopic Bankart Repair
Arthroscopic RCR
Total Shoulder Arthroplasty and Reverse Total Shoulder Arthroplasty
Distal Biceps Tendon Repair
Biceps Tenodesis

Elbow
Total Elbow Arthroplasty

Hand
CMC Arthroplasty
Flexor Tendon Zone II

Knee
ACL Quad/Patellar Tendon
ACL (Hamstring Graft)
ACL with Meniscus Repair or Microfracture - Quad/Patellar Tendon Graft
ACL with Meniscus Repair or Microfracture - Hamstring Graft
Advanced ACL Rehab
Meniscal Root Repair/Meniscal Transplant
Knee Arthroscopy (partial meniscectomy/loose body removal/shaving chondroplasty/lateral release)
Cartilage or OCD Repair/OATS/Microfracture/Meniscal Repair
Knee Multiple Ligament Reconstruction
Knee Multi Ligament - ACL - Hamstring Graft +, - MCL,LCL,PLC
Knee Multi Ligament - ACL - Patellar, Quad Tendon Graft +,- MCL,LCL,PLC
Knee Multi Ligament - PCL +- MCL, LCL, PLC, PMC, ACL
PCL
Medial Patellar Femoral Ligament (MPFL) Repair
Total Knee Arthroplasty
Tibial Tubercle Osteotomy +/- MPFL Reconstruction
DFO (Distal Femoral Osteotomy)
Quad or Patellar Tendon Repair
HTO
Proximal Hamstring Repair
Meniscal Root Repair and Meniscal Transplant

Shoulder
Rotator Cuff Repair
Posterior Bankart Repair
Total Shoulder or Reverse Shoulder Arthroplasty
SLAP Repair, Bankart Repair or Bicep Tenodesis

Elbow
UCL with Palmaris Longus Graft
Flexor Carpi Radialis/Flexor Carpi Ulnaris Tendon Repair
UCL Docking Procedure

Ankle
Non-Op Achilles Tendon Rupture

Knee
Total Knee Arthroplasty

Shoulder
Arthroscopic SLAP Repair
Arthroscopic RCR
Total Shoulder Arthroplasty and Reverse Total Shoulder Arthroplasty
Arthroscopic Bankart Repair or Laterjet Procedure
Subacromial Decompression

Hip
Posterior Total Hip Arthroplasty
Direct Anterior Total Hip Arthroplasty
Hip Abductor Repair

Foot and Ankle
Austin Bunionectomy
Ankle Arthrodesis
Lateral Ankle Stabalization
Lapidus Bunionectomy
Achilles Tendon Repair
Total Ankle Replacement

Knee
Tibial Tubercle Osteotomy
Quad or Patellar Tendon Repair
Total Knee Arthroplasty
Knee Arthroscopy
ACL Hamstring Graft
ACL Quad/Patellar Tendon
Meniscal Repair
Multi-Ligament ACL/PCL/Posterolateral Corner Reconstruction
Osteochondral Allograft to Femoral Condyle
MPFL 
Meniscal Root Repair/Meniscal Transplant

Shoulder
Biceps Tenodesis
Shoulder Latarjet (Coracoid Transfer)
Total Shoulder Replacement
Pec Major Tendon Repair
Reverse Total Shoulder Replacement
Posterior Stabilization
Arthroscopic Anterior Stabilization
Arthroscopic Rotator Cuff Repair
Acromioclavicular Joint Reconstruction
Subscapularis Repair
Arthroscopic Capsular Release
Clavicle ORIF
Distal Biceps Tendon Repair
Superior Labral Repair

Hip
Posterior Total Hip Arthroplasty (use for revisions as well)
Hip Scope with Femoroplasty, Labral Repair or Debridement
Hip Arthroscope (Iliopsoas Release, Debridement, non PFO)
Hip Abductor Repair

Ankle
Achilles Tendon Repair

Knee
Total Knee Arthroplasty (use for revisions as well)
Knee Meniscus Repair
Quad or Patellar Tendon Repair
MPFL
Proximal Hamstring Repair

Shoulder
Biceps Tenodesis
Distal Biceps Tendon Repair
Total Shoulder Arthroplasty
Reverse Total Shoulder
Rotator Cuff Repair
Subacromial Decompression
Proximal Humerus ORIF
Distal Biceps Repair