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Doctor insights on: Acl Reconstruction Failure

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When ACL surgery failure?

When ACL surgery failure?

Technical reasons: Less then optimal position of the graft in the femur and tibia can result in loss of motion, laxity and failure then again you tore the one you were born with and you can tear a graft. Seek guidance from an experienced knee surgeon. ...Read more

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Dr. Allen Lu
366 doctors shared insights

Acl Reconstruction (Definition)

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, ...Read more


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Acl and meniscus tear reconstruction cost?

Acl and meniscus tear reconstruction cost?

Tough to answer...: In the usa orthopaedic surgeons fees for that procedure are typically around $2000. The expensive part of the surgery is the hospital cost, anesthesia, etc. And it can be substantial ie >$20k if you dont have insurance. ...Read more

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How successful is ACL (anterior cruciate ligament) reconstruction surgery?

How successful is ACL (anterior cruciate ligament) reconstruction surgery?

Very successful: Anterior cruciate ligament reconstruction surgery has undergone considerable changes over the past decade. Intensive research into the biomechanics of the injured and the operated knee have led to a movement away from the techniques of the early 1980's characterized by post operative casting and delayed rehabilitation, to the current early rehabilitation program which in made the result better. ...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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Had an mpfl reconstruction now need ACL hamstring reconstruction are there major risks with the ACL recon due to hypermobility and previous MPFL recon?

Had an mpfl reconstruction now need ACL hamstring reconstruction are there major risks with the ACL recon due to hypermobility and previous MPFL recon?

On thing is if Ur-: -own tissue is 2 B used, it is of poor quality due 2 Ur general condition of hyper-mobility means Ur tissue will also B effected since it will also become hype-mobile meaning it will stretch. Best option is cadaver bone-tendon-bone allograft. It will not stretch like Ur own will. Also I would B tested 4 Marfan's. There R 3 grades of this malady. 1= people who R short in stature with Ur symptoms. ...Read more

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When ACL surgery failed?

When ACL surgery failed?

Acl failure: Acl graft can fail for many reasons. Usually it's a repeat injury. Other reasons can be discussed with an orthopedic surgeon. ...Read more

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What's having a patellar graft ACL reconstruction?

What's having a patellar graft ACL reconstruction?

Graft choice: Acls are reconstructed in several ways. One way is to take the central third of your patella tendon with bone attached at either end and reconstruct your acl using this tissue. ...Read more

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Dr. Allen Lu Dr. Lu
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What's PCL reconstruction surgery?

Dr. Allen Lu Dr. Lu
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What's PCL reconstruction surgery?

Restoring stability: There are many different methods for PCL reconstructions, depending on the surgeon you go to. There are single versus double bundle, bone block versus soft tissue, and various numbers are sizes of incisions. I tend to perform an all-inside minimally invasive PCL reconstruction using a double bundle configuration. Most of my patients have minimal pain after surgery, however, there rehab is the same. ...Read more

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Microfracture and ACL surgery?

Microfracture and ACL surgery?

Good options: Acl reconstruction at your age is a good option if you have knee instability. Only a small percentage of patients (copers) do well without surgery. Micro fracture at the same setting to address small cartilage defects is fine, but an oats procedure maybe better, where. Cartilage plugs are harvested from another area of the knee and implanted to the affected area. Check with your surgeon about it. ...Read more

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What is the strength of an allograft tendon after ACL reconstruction surgery?

What is the strength of an allograft tendon after ACL reconstruction surgery?

Depends.: Allograft tendons can be as strong or stronger then autograft tendons, depending on what you are comparing. Patella tendon autografts are "gold standard" but hamstring tendons are quickly being recognized as being just as good. One downfall to allografts is that it takes longer for your body to "ligamentize" the graft, however there are benefits to allografts as well. ...Read more

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How strong is an allograft tendon for ACL reconstruction surgery?

Very strong: One criteria for an allograft and the way it is fixed is that's its strength need to be as strong as the original acl. At the time of surgery, if done properly, the pullout strength is higher than the native acl. As the body grows into the graft, there is some weakening, followed by strengthening when the graft matures. ...Read more

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Knee still hurts 3.5 months postoperative ACL reconstructive surgery ?

Knee still hurts 3.5 months postoperative ACL reconstructive surgery
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Not unusual: You should be doing fairly well at this point you should have minimal swelling and your motion should be fairly normal you should be working on your strength and should be starting to work on some more aggressive activities depending on how you are doing if not doing well, have your surgeon check it out. ...Read more

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What is the recovery time for ACL reconstruction using hamstring, plus MCL repair plus lateral meniscus repair plus impact fracture of tibial plateau?

What is the recovery time for ACL reconstruction using hamstring, plus MCL repair plus lateral meniscus repair plus impact fracture of tibial plateau?

Difficult to say: You describe a fairly significant knee operation and set of injuries. It's hard to say without examining you and reviewing your studies. Your orthopedic surgeon is in the best position to answer this question. It's safe to say that your recovery will last for several months with a lot of physical therapy. ...Read more

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Recovery time from ACL revision surgery on knee?

8-9 months: An acl revision is seldom as simple as a first time acl reconstruction, so rehab would often be a bit more guarded. However, given good graft fixation, and a well-performed procedure, the expected recovery should be the same. Expect 6-12 weeks for return to daily activities and 8-9 months ideally before return to cutting sports. ...Read more

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Acl and meniscus reconstruction surgery done. What is the rehabilitation period for recovery?

Acl and meniscus reconstruction surgery done. What is the rehabilitation period for recovery?

6-12 mos: Acl: generally speaking. 12 wks for straight line jogging, 6 mos for pivoting activity. 12 mos for full recovery. Maybe a bit longer if allograft used. Meniscus: most meniscal surgeries are a meniscectomy rather than a repair. Meniscectomy recovery is about 1-2 months depending upon other factors. Meniscal healing after a repair is not a guarantee. It takes 6-12 months for full healing. ...Read more

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When is ankle reconstruction surgery needed?

When is ankle reconstruction surgery needed?

Ankle recon: When you have tried all conservative care and still have significant pain in your ankle. ...Read more

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What is the normal timetable for recovery from ACL reconstruction and meniscus repair using pateller tendon?

Variable: Protocols vary a great deal, but typically the meniscus needs about 12 weeks to heal before aggressive range of motion and strengthening can begin. Typically 6-8 months before return to cutting sports is required. ...Read more

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Complete full-thickness retear of infraspinatus 1.5cm retract @15wks post-op revision rotator cuff repair. Can use bioinductive implant in re-repair?

Complete full-thickness retear of infraspinatus 1.5cm retract @15wks post-op revision rotator cuff repair. Can use bioinductive implant in re-repair?

Rotator cuff tear: Yes if you are going to have another surgery, an augmentation patch should be available and also check in the operative report or with the surgeon if a single row or double row repair was done the first time ...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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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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