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Maryland doctor explains LET surgical procedure that can boost ACL recovery

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Maryland doctor explains LET surgical procedure that can boost ACL recovery


A surgical procedure called lateral extra-articular tenodesis (LET) boosts the recovery for patients suffering from anterior cruciate ligament (ACL) reconstruction.

LET is often performed at the same time as ACL repair, and it gives athletes added stability by reinforcing the outer side of the knee, which enhances stability.

How does LET work?

Doctors take a strip of tissue from the outer thigh and thread it through the knee in a way that limits unwanted twisting. This helps protect the new ACL as it heals.

“You take a strip that’s about eight centimeters long, pass it under the lateral ligament, then fix it back with a screw or staple,” said Mercy Medical Center orthopedic surgeon Dr. Mark Slabaugh.

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Dr. Slabaugh said when he first started offering LET two years ago, only 10% of patients were getting it. Now, nearly half of his ACL surgeries include the added step.

While not for everyone, LET is showing strong results in young athletes who play sports that involve cutting, jumping, and fast changes in direction, including track, soccer, and basketball. 

Doctors say LET leads to fewer reinjuries and more athletes getting back to their sport at a high level.

“It’s not just about the surgery,” Dr. Slabaugh said. “It takes motivation and discipline. If someone’s not willing to do the work, we don’t recommend it.”

ACL surgery “is not a death sentence.”

Track and field athlete Norah O’Malley, who competes at Denison University in Ohio, tore her ACL nearly a year ago. The Baltimore County native didn’t know if that meant the end of her college athletic career.

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She opted for the added LET procedure, and now she is back running.

“I didn’t expect to compete until a year after surgery,” O’Malley said. “But I ended up sprinting just eight months later.”

O’Malley was cleared to run again just five months after her surgery.

O’Malley was ready. Just five months after her surgery, she was cleared to run again. The typical timeline is six to 12 months for a full return to sports.

“I was expecting it to be really painful,” O’Malley said. “But I could get up and move around. The only difference now is the scar.”

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For O’Malley, what started as a major setback became a powerful comeback.

Though it may sound intimidating, Dr. Slabaugh reminds athletes that an ACL tear does not have to be a career-ender.

“This is not a death sentence,” Dr. Slabaugh said. “They can get back to the sports they love, and a lot of times they don’t have that understanding.”

For now, O’Malley is focused on finishing strong and trusting her knee again.

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‘Paralyzing’ E-ZPass fines balloon into tens of thousands in debt as lawmakers push fix

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‘Paralyzing’ E-ZPass fines balloon into tens of thousands in debt as lawmakers push fix


Essex resident Breezy Ludwig says a daily $1.40 commute through the Fort McHenry Tunnel spiraled into a staggering $54,000 in tolls and fines — a debt she still can’t fully explain.

Ludwig’s case is not isolated. Across Maryland, drivers are reporting toll debt ballooning into the tens of thousands of dollars. Some dispute the accuracy of their E-ZPass charges or say they weren’t aware of them, while others say they simply can’t afford the high penalties.

Now, bipartisan lawmakers are stepping in with legislation aimed at giving the state more flexibility to reduce what some call “egregious” debt.

Ludwig said she first noticed duplicate toll charges in 2020, along with an unexpected switch to pay-by-plate and video toll rates of $4 and $6 per trip. As fines of $25 per unpaid toll piled up, she spent hours trying to resolve the issue through the E-ZPass call center.

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Over time, the charges grew to what she described as a “paralyzing” $54,000. The Maryland Transportation Authority (MDTA) ultimately agreed to settle with her for $8,000.

“I kind of felt like I was losing it when this happened to me,” Ludwig said. “It balloons to this inflated number that’s terrifying and feels immobilizing.”

The MDTA confirmed that it settled with Ludwig and her husband to reduce their fines but said they can’t comment further on their case due to privacy concerns. Call center wait times have significantly decreased to about 30 seconds – much faster than they were during the COVID-19 pandemic and their transition to a new call center and system, according to MDTA.

Ludwig’s experience mirrors complaints from other drivers who say relatively small toll balances quickly snowball into overwhelming debt. Some have taken their concerns directly to lawmakers in Annapolis.

A bill sponsored by Republican Senator J.B. Jennings would allow MDTA to reduce debts even after they’ve been transferred to the Department of Budget and Management’s Central Collection Unit (CCU).

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Jennings said constituents are often told that once debt is sent to CCU, it is out of MDTA’s control. His bill is intended to provide flexibility, not eliminate responsibility.

“You have to pay your toll. And you should pay some, you know, your interest, and somewhat of a fine,” Jennings said during a bill hearing. “But sometimes it just gets so egregious.”

Charges as high as $100,000

Jennings’ office regularly hears from constituents who owe $10,000 or more in E-ZPass debt, according to Rebecca Powell, Jennings’ communications director. And Ludwig’s case is not the most extreme story lawmakers have heard.

At recent hearings, Marylanders described debts that escalated dramatically:

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Heather Gerry said she owes nearly $100,000.

Brett Wilson said $900 in tolls grew to $30,000 before he realized there was a problem.

Nursing student Shawniece Turner said she is “completely scared” to drive because she cannot renew her registration with $35,000 in outstanding fines and tolls.

“The tolls still must be paid, but the penalties should reflect the actual cost of collection, not trap people in a cycle of debt,” Powell said in a text message.

Democratic Del. Jen Terrasa, who cross-filed the bill, said errors and rapid notices can quickly compound.

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“The notices come so fast and furious, and if your information is wrong in the first place, it can add up and move on, and you owe so much more than you ever would have owed in the first place.”

The legislation gained momentum this week after inquiries from Spotlight on Maryland, passing out of the Senate Judicial Proceedings Committee Tuesday and passing the full Senate on Thursday. Its future remains uncertain with just over a week left in the legislative session and no response from Gov. Wes Moore’s office on whether he would sign it.

Impact on state revenues

It’s unclear what impact the bill could have on the state’s revenues.

The MDTA told Spotlight it referred a little more than $43 million in video toll debt and approximately $158 million in civil penalty debt to CCU in the 2024 fiscal year.

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“We’re not saying that much is going to be relieved, at all,” Jennings said. “It’s just giving them the ability, should a constituent go to them, or they work it out with a constituent.”

State analysts say the impact on revenue may be limited.

A Department of Legislative Services fiscal note found that while MDTA and CCU warned of potential revenue loss, the effect would likely be minimal because MDTA already has authority to recall delinquent accounts. The bill could instead streamline how debt is reduced.

CCU currently collects a 17% fee on outstanding debt, with a portion going to the state’s general fund.

In a statement, MDTA said any changes must balance relief with “maintaining fairness to the 95% of the population that pays their tolls.”

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For drivers like Ludwig, that balance still feels out of reach.

“I mean any penalty – civil penalty – that is four times the original violation amount is meant to punish and to paralyze,” Ludwig said. “‘Predatory’ is the perfect word for it.”

Have a news tip? Contact Brooke Conrad at bjconrad@sbgtv.com or 443-578-2126, or contact the Spotlight team at SpotlightOnMaryland@sbgtv.com or 410-467-4670. Spotlight on Maryland is a joint venture by The Baltimore Sun, FOX45 News



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Multiple 911 callers report shots fired at Maryland’s Myrtle Point Park

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Multiple 911 callers report shots fired at Maryland’s Myrtle Point Park


An investigation is underway into a shooting at Myrtle Point Park in St. Mary’s County on Wednesday evening.

The sheriff’s office said multiple 911 calls were received around 6:53 p.m. alerting to shots fired. However, no injuries have been reported.

SEE ALSO | Man found dead after being run over by vehicle in Prince George’s County

Myrtle Point Park is a waterside park located in California, Maryland, with a beach, picnic area and trails. It remains closed Thursday while deputies continue to investigate.

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If you have any information on the shooting, call 301-475-8008.



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Storms move into Maryland Wednesday evening

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Storms move into Maryland Wednesday evening




Storms move into Maryland Wednesday evening – CBS Baltimore

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