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Doctor insights on: Acl Surgery Cadaver Vs Patella

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Is it normal to feel resistance at the patella when bending after 3 weeks of an ACL reconstruction surgery?

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!

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Dr. Allen Lu
365 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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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

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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.

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.

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Is patellar tendonitis after ACL surgery common?

Varies: It does vary somewhat. Anterior knee pain is more common if the graft was taken from the patellar tendon itself as opposed to the hamstring or an allograft. I would let your surgeon know you are having problems.

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How can I treat patellar tendonitis after ACL surgery?

How can I treat patellar tendonitis after ACL surgery?

See details: You can treat it by consulting with the surgeon who did the ACL repair and following his/her advice.

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Nervous for ACL surgery with patellar graft, what to do?

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.

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Had an ACL surgery 6weeks back. There is still considerable supra patellar swelling. Extension lag is 30 deg. When I can get full extension?

Had an ACL surgery 6weeks back. There is still considerable supra patellar swelling. Extension lag is 30 deg. When I can get full extension?

ACL surgery: Following ACL surgery and bone patellar tendon bone (BPTB) autograft it is not unusual to have post operative swelling from the graft site. I am concerned that you have a 30 degree extension lag and I would consult with your surgeon to ensure that there has been no injury to the patella, patella tendon and that your brace (if you are using one) is not locked in a flexion setting.

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How to treat patellar tendonitis after ACL surgery?

How to treat patellar tendonitis after ACL surgery?

This is common: It is very common for someone to have this after surgery. It occurs more often with autogenous PT grafts. Ice often, stretch you hamstrings, do cross-friction massage in area that is most tender, take some NSAID's as needed, do stim at PT, try Ketoprofen skin patches and just wait. If is has been longer than 18months, then consider trying a PRP injection. 14% of patients can have it long term.

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Had third ACL surgery about 4 months ago but I am havin lots of pain in my knee cap when I bend or straighten it out...what could be the problem?

Had third ACL surgery about 4 months ago but I am havin lots of pain in my knee cap when I bend or straighten it out...what could be the problem?

2 possibilities: Did you have a bone-tendon-bone autograft? If your graft was taken from your own kneecap, there could be an injury to the kneecap. If not, scar tissue that causes decreased motion and quad weakness that is normal after surgery will make the kneecap work harder. Those conditions can cause patellofemoral pain. Your surgeon should determine which problem you have.

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6 weeks after ACL surgery, knee flexion is 90-100, extension lag is 30. Supra patellar swelling present. When can I get full flexion and extension?

6 weeks after ACL surgery, knee flexion is 90-100, extension lag is 30. Supra patellar swelling present. When can I get full flexion and extension?

Depends: Your Surgeon is in best position to tell you. Sometimes full range of motion is never achieved after surgery even with PT

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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

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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.

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Are standing leg extensions okay to get after ACL surgery?

Are standing leg extensions okay to get after ACL surgery?

Depends...: Check your surgeons post-op protocol and/or check with your physical therapist. Together they will be able to answer specific questions about your exercises and recovery.

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How long after ACL surgery would I need to keep my leg elevated for?

How long after ACL surgery would I need to keep my leg elevated for?

Variable: The more you elevate the leg the better immediatly after surgery. This lasts for at least the first 3-4 days. After the acute period, you shuld elevate it whenever you feel like it is swelling. After the first month, the mojority of the surgical swelling shoul have resolved. Pain or swelling in the calf is another story, you should notify your surgeon immediately with any new calf swelling.

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Help, I can't stand up or put weight on leg after ACL surgery. Anything I can take?

Help, I can't stand up or put weight on leg after ACL surgery. Anything I can take?

Ask ur doc: Mask your surgeon what he wants you to take. He most likely have you a prescription for pain medications and have instructions to ice it. It is common to have pain so much that you can't out weight on it

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If they take a graft for ACL surgery where do they take it from and is it just a separate incision in same leg?

If they take a graft for ACL surgery where do they take it from and is it just a separate incision in same leg?

Varies: Autografts include bone/patella tendon/bone, hamstring, quad. Tendon usually from the same knee and in most cases the surgeon can use the same incision as the tunnel though sometimes a couple incisions. Allograft comes from deceased individuals who have donated their organs, usually either knee or ankle tendon.

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Age22. 2months over with my ACL surgery hamstring autograft. I have my exams for continous 15days. Is it okay if I skip my leg exercises till dat time?

Age22. 2months over with my ACL surgery hamstring autograft. I have my exams for continous 15days. Is it okay if I skip my leg exercises till dat time?

You should not: You should not discontinue your exercises. After acl reconstruction surgery they are specials protocols that need to be follow in order to get maximun beneficts fron the surgery, .

Dr. John Michalski
667 Doctors shared insights

Patella (Definition)

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