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Doctor insights on: Acl Reconstruction Hamstring Vs Patellar Tendon

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

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. Allen Lu
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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

Dr. William Forsythe
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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?

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

Dr. William Forsythe
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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.

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

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

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

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

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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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?

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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Is the patellar tendon used in reconstructing the acl?

It can be: The traditional gold standard acl reconstruction uses a patella tendon along with some bone on both sides. There are alternatives aug as hamstring tendon and donor cadaver grafts that are now used more commonly. There are studies that claim each is better than another. ...Read more

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For what reason is the patellar tendon used in reconstructing the acl?

For what reason is the patellar tendon used in reconstructing the acl?

Good graft source: It is readily available and a strong graft. Most surgeons now use hamstrings instead because of lower morbidity at the harvest site. ...Read more

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Tendon (Definition)

Tendons are made up of collagen and are the functional tissue that interfaces between muscles and bone. Muscles generate force that is transmitted through its tendon that inserts on a specific bone that is moved in the plane of the connecting joint made ...Read more

Dr. John Michalski
638 doctors shared insights

Patella (Definition)

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

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Dr. William Forsythe
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