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Doctor insights on: Acl Reconstruction

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Dr. Allen Lu
366 Doctors shared insights

Acl Reconstruction (Overview)

Because an acl (anterior cruciate ligament) cannot heal itself on its own, an acl is "reconstructed" by placing a graft tendon substitute (from your own or donor cadaver tendon) placed into tunnels made in the original acl position, and fixed in place with screws, buttons, or other fixation device. The body then replaces the cells and structure of the graft over 6-8 months, recreating a new acl.


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How successful is an ACL reconstruction?

How successful is an ACL reconstruction?

Fairly: Successful in replacing the ACL. However that said, the new ACL has no nerve supply going to it so you may not know if you re-injure it in the future. Secondly the way the ACL is replaced in our current surgical options, its not the same place as before and therefore the stress on the knee can increase causing degeneration in the joint as well. Consider Regenexx Stem Cell therapy options. ...Read more

Dr. Allen Lu
366 Doctors shared insights

Acl Reconstruction (Overview)

Because an acl (anterior cruciate ligament) cannot heal itself on its own, an acl is "reconstructed" by placing a graft tendon substitute (from your own or donor cadaver tendon) placed into tunnels made in the original acl position, and fixed in place with screws, buttons, or other fixation device. The body then replaces the cells and structure of the graft over 6-8 months, recreating a new acl.


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How long is recovery for ACL reconstruction?

8-9 months: The initial recovery for acl reconstruction has dramatically improved. Most patients are now quite functional anywhere from 1-6 weeks after surgery, and can perform daily activities (and varies between surgeons and individual patients). However, the acl graft takes 8-9 months to fully mature, so pivoting activities still need to be restricted. Newer evidence is supporting the need to restrict. ...Read more

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How can I tell if my ACL reconstruction has worked?

Talk to your surgeon: After an appropriate amount of time, your knee should feel stable to you and to your surgeon. Physical examination and discussion with your surgeon should confirm that your procedure was successful. If questions persist, a repeat MRI imaging study can demonstrate acl graft integrity and when blood supply has returned to the graft and it is ready for high stress activity again. ...Read more

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How long does the pain last post-acl reconstruction?

How long does the pain last post-acl reconstruction?

A few weeks: The acute pain from surgery typically last only a couple of weeks. Following, it is not uncommon to feel less pain as time goes on. However, it is also normal to have soreness and some swelling in the knee for a few months following major reconstructive knee surgery. ...Read more

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What is the recovery time for an ACL reconstruction?

Several stages: Recovery from acl reconstruction has many stages. For an isolated acl recon., you will usually start bearing weight as soon as you regain quad control. That may be a few days to a couple weeks. Next work to regain full range of motion for a couple weeks. Next you strengthen the leg in therapy. Depending on you graft choice and your choice of sport you may be back to full release at 6-12 mo. ...Read more

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What is the procedure like for an ACL reconstruction?

What is the procedure like for an ACL reconstruction?

Acl: It's done as an arthroscopic procedure, outpatient surgery, using a graft to replace te acl. Check out www. Orthoillustrated. Com for some animations or youtube. ...Read more

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How long does it take to heal from ACL reconstruction?

How long does it take to heal from ACL reconstruction?

5-12 months, varies: This is highly variable depending on other injuries in the knee, the activity level you are returning to, and the type of surgery/graft choice used to replace your acl. In general, daily activities and sedentary work can be resumed in 2-6 weeks. Full healing of the graft varies from 6 months to 2 years. Most sports can be resumed at 6-9 months, but normal strength and function may take longer. ...Read more

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How do you tell if there is ACL reconstruction failure?

How do you tell if there is ACL reconstruction failure?

Knee feels unstable: There are many ways to define failure after acl recon. The graft can fail traumatically or because of a technical error either way you will feel the knee is unstable and slides in and out of place with buckling and giving away. At this point an MRI scan can be used to evaluate the status of the acl graft. ...Read more

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How variable is recovery time from a ACL reconstruction?

How variable is recovery time from a ACL reconstruction?

Well: After any surgery, it takes time to heal from it. Most people with ACL repair surgeries will take 3-4 months to feel like the knee feels stable and stronger as the graft sets in. It can take up to 9 months to fully heal. Following your doctor's orders are key and when rehab starts follow it to a T. You will do just fine. If you are concerned talk to your doctor. Check Regenexx. Com ...Read more

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Question about ACL reconstruction? Risk vs benefit to me?

Most benefit: The acl is not only the anterior cruciate ligament but also the crucial ligament for stability of the knee. Most younger or more active patients will function better and have fewer knee problems with their acl reconstructed. ...Read more

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What should I expect with recovery of ACL reconstruction?

What should I expect with recovery of ACL reconstruction?

See link: Here is link to detailed recovery http://www. Nycsportsmed. Com/pdf/2012/seneviratne%20acl%20rehab%20protocol%20
upper body work outs - no problem 6 weeks post op.
Jogging on treadmill - usually can do after 8weeks post op.
Cutting sports such as skiing, tennis, soccer - minimum 6months post op, but safest after one year. ...Read more

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What can I expect during the recovery of ACL reconstruction?

What can I expect during the recovery of ACL reconstruction?

Rehab: Each surgeon performs that acl a little differently, but in general expect a week of rest, 5-6 weeks of range of motion exercises and quad activation, another 6 weeks of quad strengthening, 6 more weeks of rest with proprioception training. Some surgeons allow you to do more at 4 months, I tend to keep you down until about 8 months before any pivoting actions. ...Read more

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What is the definition or description of: ACL reconstruction?

Replacement: Because an acl (anterior cruciate ligament) cannot heal itself on its own, an acl is "reconstructed" by placing a graft tendon substitute (from your own or donor cadaver tendon) placed into tunnels made in the original acl position, and fixed in place with screws, buttons, or other fixation device. The body then replaces the cells and structure of the graft over 6-8 months, recreating a new acl. ...Read more

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How long should the crutches stay on after ACL reconstruction?

How long should the crutches stay on after ACL reconstruction?

Variable: Crutches assist with walking after an acl reconstruction because the quad muscles are usually inhibited and not functioning after knee surgery. As the quad muscles return to function, you should be able to wean off the crutches. Some patients are using the crutches 2 months after surgery. Some of my patients with all-inside acl reconstructions are off crutches within days. It depends! ...Read more

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Acl reconstruction. When will I be able to reach full extension?

Acl reconstruction. When will I be able to reach full extension?

It take a while: Most likely it need from six month to a year depending your physical therapy program. ...Read more

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Should someone who has had ACL reconstruction avoid going to the gym?

No: Once the acl reconstruction heals you can return to all sports. Here's what you can do at the gym.
Upper body work outs - no problem 6 weeks post op.
Jogging on treadmill - usually can do after 8weeks post op.
Cutting sports such as skiing, tennis, soccer - minimum 6months post op, but safest after one year.
Please consult with your surgeon for guidelines related specifically to you. Hope that helps. ...Read more

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What types of exercise should be avoided after an ACL reconstruction?

Varies: Initially after acl reconstruction you are placed in a brace with the knee locked in extension. Pt starts soon afterwards. Most doctors agree to avoid leg extension (open chain) exercises since this may put unwanted stress on the knee. Once you have restore function to the knee you twisting and cutting exercises maybe started around 3 months and return to sports 6-9 months depending on things. ...Read more

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How much does an ACL reconstruction usually cost? I don't have an insurance

How much does an ACL reconstruction usually cost? I don't have an insurance

Call surgeons: Call several surgical groups or individual surgeons and tell them your situation. You may come across someone who can provide the services you need and give you a financial break. Same thing w/hospital. I'm sorry that it has to be done this way but you can make it happen. Your local doc can help also. Peace and good health. ...Read more

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What to do if I had ACL reconstruction 28 days ago. How durable is my new acl?

Not very: The graft is weaker now then it was at the day of surgery, it needs time to strenghten and heal and this takes months for the process to be completed, over time it will be as durable as your old acl ...Read more

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I'm 4 weeks out of ACL reconstruction. Should I be able to reach full extension by now?

YES!!: Gaining full extension should be the first thing that you work on achieving. Depending on the type of graft you have it may be more difficult to get full extension but it should be your first goal. Range of motion followed by strengthening and sport specific activities is the general course of your recovery. ...Read more

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Acl reconstruction, just had mine done. Can you offer some tips or experiences for recovery?

Acl reconstruction, just had mine done. Can you offer some tips or experiences for recovery?

6-12 mos: Although many sources suggest a full recovery to sports in 6 mos, it may be 6-12 months before you can return to full physical activities.

Timing depends on the amount of knee damage, type of graft, specific sport, competition level, & psychology

http://www. Emoryhealthcare. Org/acl-program/surgical-recovery/acl-rehab-expectations. Html

http://www. Aaos. Org/news/aaosnow/dec12/clinical7.asp ...Read more

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I'm three weeks out from ACL reconstruction. How long until I should get be able to reach full extension?

3-4 weeks: Need to gain full extension in 4-6 weeks post acl especially btb graft. Need to have pt get on it imediatly. Use prone hangs, extension board, no pillows under bend of knee. ...Read more

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How much allograft ACL reconstruction cost?

How much allograft ACL reconstruction cost?

Depends on the graft: There are many variables when it comes to acl grafts. Often has to do with a availability and demand of the particular type. (econ 101). Soft tissue grafts are often less than grafts with bone on the ends. There are many different sterilzation techniques that are important to consider which have different costs but also different affects on the quality of the graft. Can cost btw $1200 and $5000! ...Read more

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Can I run marathon after ACL reconstruction?

Can I run marathon after ACL reconstruction?

Generally yes: The purpose of aclr is restoring stability to your knee for athletic activities (though acl is more important in cutting/pivoting/agility/jumping and less so for straight line running). Proper and complete rehabilitation followed by proper marathon training should allow you to run. Talk to your surgeon--other factors such as cartilage or meniscus injuries could be more limiting. Good luck! ...Read more

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I have really weak after ACL reconstruction?

I have really weak after ACL reconstruction?

Rehab: It is normal to have some weakness immediately after acl reconstruction, which is why you will need to undergo a fairly long, rigorous rehabilitation program to regain strength and range of motion and balance. Keep up with your rehab program and you should eventually recover normal strength of your leg. ...Read more

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How long does ACL reconstruction surgery take?

How long does ACL reconstruction surgery take?

Average 1-2 hours: Average operative time for acl recon. Without additional procedures will be 1-2 hours currently. Just 15-20 years ago, this same surgery averaged 3-4 hours. ...Read more

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How much does allograft ACL reconstruction cost?

How much does allograft ACL reconstruction cost?

Thousands: According to cole dw, et al from wake forest university in arthroscopy 2005, the average hospital charge for allograft acl reconstruction was $4622. Nagda, et al in corr 2010 reported a mean cost of $5465. These costs do not include preoperative office visits, MRI to confirm diagnosis of acl tear, postoperative physical therapy. Costs may vary by practice, hospital, asc, insurance, etc. ...Read more

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When can I start driving after ACL reconstruction?

R slower than L knee: Generically it may take longer to be able to drive safely after right knee surgery since this is your driving foot. Once you are off daytime narcotics, can efficiently get into and out of car seat, and have painfree and normal reaction time moving from gas to brake pedal, you are probably safe to drve. Many state have something like our state's "impaired driver law". Check with your dmv. ...Read more

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What is ACL reconstruction with an allograft like?

Surgical procedure: Less painful than autograft. Still requires lengthy rehab. ...Read more

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How does an ACL reconstruction with allograft work?

ALLOGRAFT: The surgical procedure for the acl reconstruction is similar to an autograft. However since the graft is a donor, extra time is not required to remove the graft and the pain can be less after the surgery. Check out www. Orthoillustrated. Com for some nice animatiions of the surgery. ...Read more

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How long does swelling last after ACL reconstruction?

2-3 months.: Swelling following acl reconstruction is expected. It will go down over a 2-3 month time period gradually. You can ice the knee daily to help keep the swelling down. ...Read more

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Can you tell me about post ACL reconstruction surgery?

Takes a while: Takes a bit of dedication and persistence to get the most out of an acl reconstruction. Every surgeon has his/her own protocol and in part depends on how it was done and if there were any other injuries repaired or not. An example of one is given here:
http://www. Orthoassociates. Com/_pdfs/acl_recon. Pdf

discuss with your surgeon. The reconstruction is only half of the equation. ...Read more

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How much time taken for rehab after ACL reconstruction?

How much time taken for rehab after ACL reconstruction?

ACL Rehab: It depends on the graft used to reconstruct the acl as well as the technique used by the surgeon. Generally people go to therapy for 3-6 months and are able to return to sports in 6-9 months. ...Read more

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Is their any alternative of ACL reconstruction surgery?

Is their any alternative of ACL reconstruction surgery?

No: Strengthen the hamstrings and exercise only on the treadmill. That's about all the high impact activities you could do after an acl tear. ...Read more

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What people did before ACL reconstruction surgery was found?

What people did before ACL reconstruction surgery was found?

Therapy and bracing: Before the early 1990's, 80% were recommended for non-operative treatment of their acl deficient knee. This consisted of therapy and bracing and reduction in sporting activities. Many of these knees went on to early knee replacement. ...Read more

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Hw long one not feel pain after ACL reconstruction. Surgery?

It take about 6 week: This operation is painful, because we do a lot, shaving the old ligament, taking the graft installing the graft. So it take a while before pain is gone. ...Read more

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What to do if I have screws out after an ACL reconstruction?

Nothing: Depends when they were taken out and the kind of graph used, usually nothing needs to be done and you can return to all activies ...Read more