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Doctor insights on: Autograft

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Autograft (Overview)

Tissue taken from one part of the body and grafted onto another, for example, a skin graft from a healthy part placed over a portion of injured skin.


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How strong is an allograft tendon for ACL reconstruction surgery?

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

Autograft (Overview)

Tissue taken from one part of the body and grafted onto another, for example, a skin graft from a healthy part placed over a portion of injured skin.


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Bone flap reattachment after brain surgery, wires vs plates, differences?

Bone flap reattachment after brain surgery, wires vs plates, differences?

I am not sure: I am not sure. Lets see if someone else with expertise in neurosurgery will answer your question. ...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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Is knee microfracture surgery successful?

Is knee microfracture surgery  successful?

Yes: Usually it help to rebuild the cartilage but it take time. ...Read more

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What is anterior cruciate ligament) reconstruction surgery?

What is anterior cruciate ligament) reconstruction surgery?

ACL: The acl is the main stabilizing ligament in the knee. When it tears or ruptures, it can not be repaired, but needs to be reconstructed with a graft. There are numerous graft options which can be used to make a "new" acl. ...Read more

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Dpes meniscocapsular separation lateral meniscus require surgery ?

Dpes meniscocapsular separation lateral meniscus require surgery ?

meniscus: Usually a meniscocapsular separation require surgery to repair the meniscus back to the capsule with sutures. Alternatively, the meniscus can be removed partially or completely. ...Read more

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Is patellar tendonitis after ACL surgery common?

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. ...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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My daughter had ACL recon 18 months ago; hamstring autograft. Using endobutton in femur; bioabsorb screw in tibia NOT crossing growth plate retear?

My daughter had ACL recon 18 months ago; hamstring autograft.  Using endobutton in femur; bioabsorb screw in tibia NOT crossing growth plate  retear?

Hard to say: Hard to say, is your daughter having problems? Potential causes of instability after ACL reconstruction include a retear, or simply "stretching out" the original graft, or injuring another stabilizing structure. ...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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Explain treatment for soft tissue graft procedure using alloderm?

Explain treatment for soft tissue graft procedure using alloderm?

Allograft: If your gum is grafted with tissue from your palate is called an autograft. If it is tissue from another human being it is an allograft. Alloderm is connective tissue from a cadaver. It is an allograft that is used to increase the amount of gum tissue over a tooth where gum is lacking. It is stitched in place. ...Read more

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Is there an anterior cruciate ligament replacement surgery?

Yes: We call it acl reconstruction or anterior cruciate ligament reconstruction. We remove the dysfunctional acl and replace it with a tendon of similar size by placing it within tunnels drilled in the original position of the acl. The tendons come from your own knee or can be taken from donor cadaver tendons of the knee, foot, or ankle. Acl reconstruction tend to be very successful surgeries. ...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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Surgery time for tibial tubercle osteotomy?

Surgery time for tibial tubercle osteotomy?

If failed nonop: If all nonoperative measures for suspected patellar instability have been tried and failed, then T.T. osteotomy can be used to treat this problem. However, the success rate with this surgery is fair to good with a long recovery. I would make sure you have been through a long course of PT and used a quality brace first. If can help, then join my care team at www.healthtap.com/dr-clarkeholmes ...Read more

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Knee injury. MRI report "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?

Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more

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Are there 2 types of ACL reconstruction surgeries? Open surgery or arthroscopy?

Are there 2 types of ACL reconstruction surgeries? Open surgery or arthroscopy?

Multiple: There are multiple variations in ACL reconstruction which revolve around the choice of graft used and the surgical technique. Make sure you have an understanding of the basic porosity and cons of different approaches and don't hesitate to seek a second opinion. ...Read more

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Athroscopic debridement & menisectomy, partial medial & lateral. Grd1 oa changes lt medial femoral condyle, large posterior horn tear lateral meniscus?

Athroscopic debridement & menisectomy, partial medial & lateral. Grd1 oa changes lt medial femoral condyle, large posterior horn tear lateral meniscus?

Yikes: The wear on your lateral side and lateral meniscus tear is a not great. The lateral meniscus is responsible for balancing and distribution of force more so than the medial. Be very cautious returning to plant and pivot sports. ...Read more

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Muscle loss after arthroscopic knee surgery?

Muscle loss after arthroscopic knee surgery?

Very common: Quad muscle atrophy after knee surgery is very common and often overlooked as a continuing source of problems. Several months of routine thigh strengthening exercises are needed post-op to return to 100%. ...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?

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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What is the definition or description of: autograft?

What is the definition or description of: autograft?

To yourself: Tissue taken from one part of the body and grafted onto another, for example, a skin graft from a healthy part placed over a portion of injured skin. ...Read more

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What are the current trends in acdf? Is zero p one of the newest technology? What is its limitation? How good compared to autograft? What other inst?

What are the current trends in acdf? Is zero p one of the newest technology? What is its limitation? How good compared to autograft? What other inst?

Multiple: There are many new devices and materials for acdf. Zero-p or chesapeake are standalone devices. Some of the new spacers are made of titanium or bioceramic. Autograft remains the gold standard but has its own set of problems - persistent pain, second surgery site, etc. Limitations on some of the newer devices are lesser likelihood of successful fusion. ...Read more

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I tore my acl. Which autograft is better?

I tore my acl. Which autograft is better?

3 main choices: The central third of the quadriceps tendon is also an up-and-coming autograft choice for reconstructing a torn acl. ...Read more

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Just had alif on 6/19, with autograft. All went well, i was improving everyday. Fell asleep sitting upright. In major pain again. Could I have broken?

Just had alif on 6/19, with autograft. All went well, i was improving everyday. Fell asleep sitting upright. In major pain again. Could I have broken?

Pain after surgery: If in doubt, you should inform your surgeon about this issue. If the recurrent pain was similar to the pre-operative pain, then your pain should be investigated further with radiographic studies. A simple x-ray can be easily done to rule out any bone graft displacement. Mri is also considered. ...Read more

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In an alif, what factors go into your decision to use allograft vs autograft? Which would you recommend for a patient with autoimmune issues?

In an alif, what factors go into your decision to use allograft vs autograft? Which would you recommend for a patient with autoimmune issues?

Multiple factors: Using an allograft when it is possible prevents the need to harvest a bone graft. However in patients who are expected to have problems with healing and incorporation of a bone graft an autograft is preferable. ...Read more

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I had an ACL surgery (type autograft) 23 days ago! swelling decreased a lot after 17 days, but past 5 days and so, swelling has increased !?

I had an ACL surgery (type  autograft)  23 days ago! swelling decreased a lot  after 17 days, but past 5 days and so, swelling has increased !?

Tell your surgeon!: Acl surgery can cause swelling in the knee, especially in the early recovery. It is most important to work on regaining full extension over the next several days to weeks. The swelling should progressively improve as well. If you have calf swelling or pain, there is a small chance that you have developed a blood clot. Sometimes as you increase your rehab you will have a few days of swelling. ...Read more

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ACL reconstructed with HS autograft 6 months ago. Last week it swelled up, i didnt feel any pain. Is it ACL failure or a meniscus tear ?

ACL reconstructed with HS autograft 6 months ago. Last week it swelled up, i didnt feel any pain. Is it ACL failure or a meniscus tear ?

Hard to say: Swelling in absence of pain or traumatic event could be any number of things but definitely less concerning than these same findings in assoc w/ pain or twisting re-injury to knee. If it persists for 10 days or more probably warrants re-evaluation by operating surgeon and if exam findings concerning probably repeat MRI to further evaluate. ...Read more

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I'm having surgery for maltracking (lateral release medial pattellfemeroral reconstruction and autograft on hamstring) what should I expect?

I'm having surgery for maltracking (lateral release medial pattellfemeroral reconstruction and autograft on hamstring) what should I expect?

Bracing & therapy: Bracing is usually warranted after patellar stabilizing surgery. Physical therapy is also important to help regain motion & strength. Your surgeon will have a specific rehabilitation regimen for you to follow for the 6-12 weeks following surgery. The layerl release decreases the tethering affect on the outside of your knee, and the mpfl reconstruction prevents patellar subluxation/dislocation. ...Read more

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22m, I have exams for 15days continously.Is it okay if i skip the exercise.Dont do any of it for that time?2months post ACL surgery hamstring autograft

Continue Exercise: In addition to prolonging and potentially harming your full recovery stopping your exercise may actually harm your exam scores. Taking time to walk and exercise during high stress times is an excellent way to reduce your stress, increase your focus, and improve your performance academically. ...Read more

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Is an autograft or allograft better for ACL reconstruction on 42 year old active mother of two?

Is an autograft or allograft better for ACL reconstruction on 42 year old active mother of two?

ACL: You should discuss this with your doctor since there are risks and benefits for each graft type. You might have less postop pain and a smaller scar with the allograft. ...Read more

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Having a difficult time making a decision between autograft and allograft ACL replacement. I am 38 years old but very active. Enjoy sports.

Equal results > 35: Most meta analyses of outcome studies confirm clinical results are similar for ACL reconstructions in patients over 35. The most important factor for success is still location of graft placement, so surgeon skill and expertise are important ...Read more

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I felt my leg slip a lil wen i was doin half squat..Left leg 2months post hamstring autograft surgery..Wat are the symptoms of graft failing? Pain?

I felt my leg slip a lil wen i was doin half squat..Left leg 2months post hamstring autograft surgery..Wat are the symptoms of graft failing? Pain?

Buckling- giving way: The symptoms of a failed graft are quite similar to the original symptoms after the initial tear. Complaints of knee looseness, buckling and giving way are common. Your knee may swell as well. ...Read more

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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, . ...Read more

Dr. Ki-Hon Lin Dr. Lin
2 doctors agreed:
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22 yr, badminton coach. 3months post ACL reconstruction, hamstring autograft. Can i split my daily daily exercises into parts? Or do it in one stroke.?

Dr. Ki-Hon Lin Dr. Lin
2 doctors agreed:

Can split: It's ok to split your daily exercises into parts. As long as you are consistently doing your exercises, i think you will be fine. Do see your surgeon if you notice that you are not progressing well with your exercises. ...Read more

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Acl surgery (hamstring autograft) in 3days..Age22, m, badminton coach.When will i be able to atleast walk.Dat too without any external bulky aid?

Acl surgery (hamstring autograft) in 3days..Age22, m, badminton coach.When will i be able to atleast walk.Dat too without any external bulky aid?

Depends: U have to ask this @ next appt with ur surgeon. We all have different protocols and guide lines for progresson to wt bearing and eventual discardimng of all bracing. ...Read more

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Badminton coach, 22yrs.2months over with my ACL surgery, hamstring autograft.I only do standing core exercise, walk approx 4kms a day. Is it enough?

Yes: You are very early out from your repair and should strongly avoid twisting or pivoting for another couple months. Soft tissue grafts can take 6-9 months to incorportate. We used to say 6 months but per dr. Fu the king of hamstring recon he typically advises 9 mo prior to return to competitive play. Closed chain exercises are strongly advised to avoid shear across the graft. ...Read more

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4months post ACL surgery, hamstring autograft, 22yrs, badminton coach.Wat is good or bad pain cuz my top of knee sumtime pains doin exercises.

4months post ACL surgery, hamstring autograft, 22yrs, badminton coach.Wat is good or bad pain cuz my top of knee sumtime pains doin exercises.

Patella femoral : If your pain is in front/under your knee cap, then most likely patella femoral pain syndrome/chondromalacia patella. Best managed with exercise to strengthen your quads to improve tracking, and avoiding deep knee bending activities. Also oral or topical nsaids can be of benefit, as well as a brace or injections. This is common after surgery as your muscles controlling the patella are out of shape. ...Read more

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Periodontist explained she only does an autograft for any gum recession. I have 7 bottom front teeth to do. Best options to 2 surgical visits?

Periodontist explained she only does an autograft for any gum recession. I have 7 bottom front teeth to do. Best options to 2 surgical visits?

Allograft: The alternative is an allograft, connective tissue from another source. Two examples are alloderm and mucograft. However, why not discuss with your doctor why she recommend an autograft, your own tissue. She might know something about your condition that we here do not. ...Read more

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My daughter had ACL recon 18 months ago; hamstring autograft. Using endobutton in femur; bioabsorb screw in tibia NOT crossing growth plate retear?

Hard to say: Hard to say, is your daughter having problems? Potential causes of instability after ACL reconstruction include a retear, or simply "stretching out" the original graft, or injuring another stabilizing structure. ...Read more

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For an acl ligament knee reconstruction if your hypermobile or have EDS is it best to have an allograft rather than autograft to reduce failure risk?

For an acl ligament knee reconstruction if your hypermobile or have EDS is it best to have an allograft rather than autograft to reduce failure risk?

Best 2 have -: -allograft otherwise the surgeon is replacing torn tissue with diseased tissue. Auto grafts put Ur own tissue in as the graft, & it also is effected by EDS, & will stretch & lead 2 hyper mobility again & the knee will B unstable again & more prone 2 retreat. My trainor @ the gym has type 1 Marfan's , & had 2 failed ACL RECON, LAST WAS ALLO & holding up. ...Read more

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