Doctor insights on:
Acl Reconstruction Hamstring Vs Patellar Tendon
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
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
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
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.
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
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.
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
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
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
Ones a ligament: The acl is an importan ligament (ligaments connect bone to bone), that restrains anterior or forward translation of the tibia. The patellar tendon is a tendon (tendons connect muscle to bone). They serve very different functions. The central third of the patellar tendon is frequently used to reconstruct a torn acl. ...Read more
How long do general knee sprains take to heal? I was told that the nothing isn't torn, it's only stretched. It could be my ACL or my patellar tendon
Yes: The patellar tendon and hamstring tendons are the most common grafts used to reconstruct the acl; it cannot be repaired once torn. Another option is to use an allograft which means a cadaver tissue graft from a deseased person. These are also often patellar tendon or hamstring grafts. The literature is mixed but in general, using your own tissue is more successfull than using an allograft. ...Read more
I am 2.5 months out of acl reconstr. (Patellar tendon) and menisectomy. Can I dance at bars/clubs/parties? I did yesterday and knee is sore today
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?
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
Give it 6-12 months: Anterior (front) knee pain is common after an acl reconstruction, especially after a patellar tendon autograft. Kneeling may always be a problem. Keep doing your rehab. Typical time for return to pivoting activities is about 6 months with 12 months for 'full recovery'. ...Read more
Common if patellar-: -tendon was used. Autograft. Otherwise look 4 another cause. Ask Ur surgeon. ...Read more
Pain on patella (front of knee) 4.5 months post ACL reconstruction. Is this normal or should I be concerned?
Is it normal to feel resistance at the patella when bending after 3 weeks of an ACL reconstruction surgery?
No: Tightness over the patella with bending most often represents fluid within the joint (effusion). Typically the knee no longer swells after 3 weeks, so this may be from associated damage to the knee such as cartilage defects or meniscus tears. The range of causes is too wide, so it would be best to ask your surgeon! ...Read more
Yes-optimizes result: One recent study reported similar outcomes in patients who followed a self-guided rehab program to those who did formal therapy-key point is that both groups were doing therapy; patellar tendon grafts in particular benefit from pt early on to avoid postop stiffness. Talk to your surgeon-he/she should have a protocol for your therapist. I recommend sportsmetrics (tm) before return to agility sports. ...Read more
I got vicryl sutures for an acl reconstruction 8 weeks ago. There is a bump on the patella where the bioabsorbable suture is internally. Will it heal?
It may need: Removal. If persists, return to surgeon.Get a more detailed answer ›
How is a partial tear of the patellar tendon treated? My leg is only comfortable when flexed. Thanks!
See details: You can treat it by consulting with the surgeon who did the ACL repair and following his/her advice. ...Read more
Many graft choices: The latest multicenter level I clinical trials confirm that both allograft (donated cadaveric frozen tissue) and autograft (your own tisse; e.g., patellar BTB or hamstring, etc.) do very well for providing excellent outcomes for the unstable ACL deficient knee. Allografts have no harvest site morbidity. Discuss both options with your surgeon. ...Read more