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Doctor insights on: Acl Reconstruction Hamstring Vs Patellar Tendon

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Dr. Thomas Duffy
Board Certified, Orthopedic Surgery
22 years in practice
30K people helped
1

1
What works best for an ACL repair? Hamstring, patellar tendon or a cadaber

Dr. Thomas Duffy
Board Certified, Orthopedic Surgery
22 years in practice
30K people helped
What works best for an ACL repair? Hamstring, patellar tendon or a cadaber

They all work well.: The three types of grafts all are acceptable in acl reconstruction. It really depends on what graft your surgeon is most comfortable using. As well as, whether you want to use your own tendons or if you care about a cadaver. Long term results are excellent using auto or allografts. ...Read more

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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. John Michalski
638 doctors shared insights

Patella (Definition)

Patella is a thick piece of bone, more commonly known ...Read more


Dr. Robert Kwok
Board Certified, Pediatrics
28 years in practice
13M people helped
2

2
Had acl reconstruction on 1/8/2016 using a patellar tendon graft. My question is- Is it normal to lift your leg with tendon when muscles don't work?

Dr. Robert Kwok
Board Certified, Pediatrics
28 years in practice
13M people helped
Had acl reconstruction on 1/8/2016 using a patellar tendon graft. My question is- Is it normal to lift your leg with tendon when muscles don't work?

No: The answer is "No" because tendons don't contract... meaning they don't move on their own. The muscles contract. To move against gravity, such as lifting a leg, at least one muscle has to move. Otherwise, nothing happens. To move with gravity, such as letting a leg drop down, whatever muscles that were holding the leg up just have to relax or stop contracting... and the leg will drop. ...Read more

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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. Merrick Wetzler
Board Certified, Orthopedic Surgery
30 years in practice
28K people helped
3

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8 months ago i had ACL surgery, i did the patellar tendon way, i went to play soccer today and i felt something weird on the left side of my knee, help?

Dr. Merrick Wetzler
Board Certified, Orthopedic Surgery
30 years in practice
28K people helped
8 months ago i had ACL surgery, i did the patellar tendon way, i went to play soccer today and i felt something weird on the left side of my knee, help?

Patella pain ACL : It is not uncommon to have pain in the front of your knee after knee surgery especially. The muscles around might of become less flexible and the soft tissue hold the patella in place might of become tighter. I would take mild anti-inflammatories, start a good hamstring and quadriceps stretching program. Ice your knee. As well as contact your surgeon to see what else he wants you to do. ...Read more

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Dr. Hanford Yau
Board Certified, Endocrinology
11 years in practice
229K people helped
4

4
Hi ,I had a ACL surgery Patellar tendon (Autograft) on Mar26 which is closely 4months by now.Now I am noticing some swelling on the right knee.

Dr. Hanford Yau
Board Certified, Endocrinology
11 years in practice
229K people helped
Hi ,I had a ACL surgery Patellar tendon (Autograft) on Mar26 which is closely 4months by now.Now I am noticing some swelling on the right knee.

Reevaluation: Swelling can occur especially after a physically taxing day. If it does not improve, recommend notifying your orthopedic surgeon for followup visit. NSAIDs may be taken to help with reducing swelling ...Read more

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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. Andrew DeGruccio
Board Certified, Orthopedic Surgery
24 years in practice
635K people helped
5

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For athlete, is a patellar graft or a hamstring graft better for an ACL reconstruction?

Dr. Andrew DeGruccio
Board Certified, Orthopedic Surgery
24 years in practice
635K people helped
For athlete, is a patellar graft or a hamstring graft better for an ACL reconstruction?

Hamstring: Quicker recovery. Expected full regaining of hamstring strength at 1 year postop. No risk of fractures. Patellar tendon grafts result in only 80% regaining of quad strength longterm, and anterior knee pain complaints are high long term. Patella fracture risk postop due to graft defect. ...Read more

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Dr. Gregory Harvey
Board Certified, Orthopedic Surgery
33 years in practice
1M people helped
6

6
For a non-competitive athlete, is a patellar graft or a hamstring graft most effective for an ACL reconstruction?

Dr. Gregory Harvey
Board Certified, Orthopedic Surgery
33 years in practice
1M people helped

Acl tear: I would recommed a hamstring graft although the patella graft would work well too. The hamstring graft can be removed through a cosmetically nicer incision and there is probably less postop pain than a patella graft. I assume your question was in regards to autografts and not allografts? ...Read more

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Dr. Romanth Waghmarae
Board Certified, Pain Management
34 years in practice
8M people helped
7

7
I had ACL reconstruction both knees- 2005 Left and 2009 right. Both are torn again 100%. Doctor suggests new surgeries by taking tendons from patella.

Dr. Romanth Waghmarae
Board Certified, Pain Management
34 years in practice
8M people helped
I had ACL reconstruction both knees- 2005 Left and 2009 right. Both are torn again 100%. Doctor suggests new surgeries by taking tendons from patella.

ACL tears: Its unfortunate that both are once again torn. You need the ACL for joint stability otherwise you will have to wear a knee stabilizer. I think repeat surgery is a reasonable option. You will have to be extremely careful once this is done. ...Read more

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Dr. Zubin Khubchandani
Board Certified, Orthopedic Surgery
20 years in practice
359K people helped
8

8
It hurts for me to kneel 3 months after patella tendon ACL reconstruction, what's going one?

Dr. Zubin Khubchandani
Board Certified, Orthopedic Surgery
20 years in practice
359K people helped

Common problem: Anterior (front) knee pain is very common after an acl reconstruction, especially after a patellar tendon autograft. Kneeling may always be a problem. Keep doing your rehab. I would expect some improvement with time. ...Read more

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Dr. Peter Ihle
Board Certified, Orthopedic Surgery
49 years in practice
6M people helped
9

9
Hamstring or patella for ACL reconstruction, what are the factors involved treatment?

Dr. Peter Ihle
Board Certified, Orthopedic Surgery
49 years in practice
6M people helped
Hamstring or patella for ACL reconstruction, what are the factors involved treatment?

Surgeons preference: Both r acceptable ; each has it's own drawbacks. Either way accept the surgeon's advice as it is based on his/her experience. If u don't like the choice, seek an opinion from a surgeon who uses the technique u prefer. ...Read more

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Dr. Frank Walter
Board Certified, Orthopedic Surgery
15 years in practice
26K people helped
10

10
I had ACL reconstruction surgery and my surgeon said that my patella tendon graft was too long. Is that bad? Can someone explain how he fixed it?

Dr. Frank Walter
Board Certified, Orthopedic Surgery
15 years in practice
26K people helped
I had ACL reconstruction surgery and my surgeon said that my patella tendon graft was too long. Is that bad? Can someone explain how he fixed it?

Acl: Not sure exactly but if the graft was "too long" the knee may end up loose. I'm not sure what he meant by "too long" because I have never seen that before. If the surgery was completed I am convinced that your knee will do well ...Read more

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Dr. Mark Pack
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