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Doctor insights on: Best Graft For Acl Reconstruction

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What type of ACL reconstruction graft is best?

What type of ACL reconstruction graft is best?

There are a few, --: Like 1: patella-tendon-bone, from the front of the knee, taken from patient's knee;
2: hamstrings tendons, taken from the patient's knee are;
3: cadaveric achilles tendon.
Discuss with your orthopod as he'll be using the type he thinks would be the best for you.
Good luck. ...Read more

Dr. Allen Lu
366 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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When is the weakest point of an ACL reconstruction graft?

6-12 wks post-op: Once you are out from arthroscopic acl surgery 6-8 wks. The weak link is no longer the graft fixation points (interference scews, buttons, posts, 'tightrope' etc.) but switches to the graft itself (patellar tendon or hamstring). So your acl graft is the ' weakest' generally from post - op wk.6 or 8 thru post-op wk 12/14.After a few months the graft will develop (hopefully)some blood supply. Gl. ...Read more

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I've had ACL reconstruction and my graft is loose, what is going too happen? Thanks.

I've had ACL reconstruction and my graft is loose, what is going too happen? Thanks.

Depends!: You are very young, but it is in your age group that we see the highest failure rates. As long as your knee is stable then I would not pursue any surgery. If the graft has torn, and your knee is unstable then I would consider having the acl reconstructed again. ...Read more

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What's having a patellar graft ACL reconstruction?

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

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Could it be potentially harmful to the graft to force ROM after ACL reconstruction? I'm about 8 days post op and I have about 135 degrees flexion.

Follow the protocol: Although regaining ROM after ACL surgery is important, you do not want to accelerate beyond your rehab protocol. Make sure you, your physician and physical therapist are all on the same page with regards to your rehab protocol. ...Read more

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What to do if I had ACL reconstruction on 28th feb. My doctor used pattelar tendon graft.?

What to do if I had ACL reconstruction on 28th feb. My doctor used pattelar tendon graft.?

Follow instructions: Patellar tendon graft are considered one of the gold standard grafts, usually over time the tendon and bone where the graft wastaken fro heal, the knee will again recovery and begin to function normally ...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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Do I have to worry about the hamstring graft tearing 2 weeks after acl reconstruction surgery? If so how to prevent it tearing?

Do I have to worry about the hamstring graft tearing 2 weeks after acl reconstruction surgery? If so how to prevent it tearing?

Follow protocol: I would not "worry" about it, but I definitely would follow your postoperative instructions carefully. ...Read more

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My boyfriend had an ACL reconstruction a few months ago with a hamstring graft. His friends have signed him up for a bungee jump. Is this wise?

Wise? No.: I am the wrong person to answer this question, because I am a chicken. There are risks inherent in bungee jumping independent of an ACL reconstruction.

With the ACL construction in mind, what kind of activity is your boyfriend engaged in now? If he is finished with his physical therapy and he has full return of function, the operation may not be a factor anymore.

But why risk it? ...Read more

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Do I need pt with my knee after having a patellar graft ACL reconstruction?

Do I need pt with my knee after having a patellar graft ACL reconstruction?

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

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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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Why is there a stinging pain at the top of tibia when I stand or try to straighten my leg? Acl reconstruction hamstring graft

Why is there a stinging pain at the top of tibia when I stand or try to straighten my leg? Acl reconstruction hamstring graft

Referred: This discomfort is probably referred from your knee joint and may be a remnant of your previous surgery. Your orthopedic surgeon is best qualified to evaluate and advise you. ...Read more

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I had ACL reconstruction surgery using a hamstring graft 3 months ago and now I'm having sharp pain in my hamstring. Any suggestions?

I had ACL reconstruction surgery using a hamstring graft 3 months ago and now I'm having sharp pain in my hamstring. Any suggestions?

ACL: Not uncommon. If acute onset, usually ice and rest followed by rehab of hs with stretching and strengthening is all that is usually required. Would recommend discussing and having evaluated by your surgeon. ...Read more

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ACL reconstruction 2 wks ago using hamstring graft. Today I had intense sharp pain in my hamstring followed by dull constant ache. Thoughts?

Tendon rupture: The ACL tendon graft harvesting is a blind procedure that ends up narrowing the remaining tendon. The narrowed tendon may tear causing a sharp pain. The post-traumatic bleeding could explain the ache since blood, outside of its vessels is an irritant. Look for tell-tale bruising in the sore area. Let you surgeon know. ...Read more

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I had an ACL reconstruction 6 months ago. After finishing PT my Dr said the graft is too long and my knee is unstable. Should I do another surgery?

I had an ACL reconstruction 6 months ago. After finishing PT my Dr said the graft is too long and my knee is unstable. Should I do another surgery?

If it is 2 long-: -it's probably non functioning. Only way to get stability is to have it redone. Whether you should have a re do, it's up 2 you. If you can get by with a brace fine, but @ your age having it redone can save your knee from further damage from the instability. If it were me I would go for it. ...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?

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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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?

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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I've had an orthroscopic ACL reconstruction using a hamstring graft and a meniscus repair sugery 20 days ago, and now my knee is loose is that normal?

I've had an orthroscopic ACL reconstruction using a hamstring graft and a meniscus repair sugery 20 days ago, and now my knee is loose is that normal?

Well: After any surgery, it takes time to heal from it. Most people with ACL repair surgeries will take 3-4 months to feel like the knee feels stable and stronger as the graft sets in. Obviously following your doctor's orders are key and when rehab starts follow it to a T. You will do just fine. If you a re concerned talk to your doctor. ...Read more

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ACL reconstruction (day 8), today did some light exercising; hyper-extended my leg and felt a sharp pain on the graft and on the joint - re-ruptured?

Unlikely a rerupture: Assuming you stuck with the exercises your medical team recommended after surgery, it is highly unlikely that you re-ruptured the ACL graft. The sharp pain can come from the graft harvest sight if you had an autograft or can come from incision pain.
You will likely have a post-op visit in the next few days and so you should mention it to your surgeon. ...Read more

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I had right leg ACL reconstruction 3weeks ago (hamstring graft). Now I have nerve pain. Sharp shooting pain when inside of leg pressed + inside leg, shin, ankle hypersensitive and burning on touch?

I had right leg ACL reconstruction 3weeks ago (hamstring graft). Now I have nerve pain. Sharp shooting pain when inside of leg pressed + inside leg, shin, ankle hypersensitive and burning on touch?

Saphenous nerve?: Sounds like a sensory nerve on the inside part of your knee might be irritated. Should improve with time. If if doesn't, consider seeing your orthopedist and a neurologist. ...Read more

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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. ...Read more

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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. ...Read more

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Feeling a pop or crackle in back of knee after ACL surgery normal? Really worried about tearing or damaging graft

Feeling a pop or crackle in back of knee after ACL surgery normal? Really worried about tearing or damaging graft

Post op: You would have been sent home from surgery with specific post operation instructions. These instructions will include advice if you develop a complication. It is not wise to turn to strangers on the internet when you could have serious complications and you have a surgeon anxious to help. ...Read more

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If a low grade infection is found in the joint fluid after ACL repair is there any risk to the graft itself or problems in the future?

Yes: The "low grade" infection can infect the graft, the joint (destroy the cartilage) and or invade the bone and give you a bone infection in the bone tunnels.

Antibiotics are a must as well as serious consideration to irrigating the the knee out arthroscopically 1-3 times and if it progresses removing the graft itself.

F/u closely with your surgeon ...Read more

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Acl surgery 12 weeks ago my knee feels loose did I do something to the graft or anything what does mean when my knee feels lose or graft loose?

If Ur knee feels --: -as it did B4 recon., it means that the graft has failed, either by Bing loose 2 start with & now it's symptomatic. Or the fixation of the graft has. This assumes U had no episode that put the graft @ risk. Get back in & talk 2 Ur surgeon. U do not have Marfan's by any chance? If so & Ur own tissue was used, that could B the cause. Need 2 use allograft in this case. ...Read more

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Acl surgery 12 weeks ago hamstring my knee feels loose did I do something to the graft or anything what does mean when my knee feels loose?

Acl surgery 12 weeks ago hamstring my knee feels loose did I do something to the graft or anything what does mean when my knee feels loose?

Check up: You had acl surgery 12 weeks ago. You now notice the knee feels loose. It is normal to feel at risk after the surgery. You might remember the pain and the body is never as good as it was the first time. You should have a follow up apoitment with your orthopedist. He/she will examine you for flexibility and may repeat the mri to make sure the repair is healing. ...Read more

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Acl surgery 12 weeks ago hamstring my knee feels loose did I do something to the graft or anything what does mean when my knee feels loose?

Acl surgery 12 weeks ago hamstring my knee feels loose did I do something to the graft or anything what does mean when my knee feels loose?

Graft should be fine: Unless you had a major injury and felt a pop in your knee, the likelihood of injuring your graft the first 12 weeks after ACL surgery is very minimal. Your graft should be fine. The sensation of the knee feeling loose after ACL surgery is usually due to quad muscle weakness. Your quad muscle gets very week after surgery and makes you feel like your knee is loose but it isn't actually loose. ...Read more

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I had an ACL reconstruction on my fight knee, what are the best excercises for rehab?

I had an ACL reconstruction on my fight knee, what are the best excercises for rehab?

Quad and hamstrings: Typically, the quadriceps and hamstrings which are the secondary stabilizers of the knee are strengthened following acl reconstruction. Depending on the time from surgery and what type of graft and protocol your surgeon follows, an exercise program focused on these muscle groups as well as riding a stationary bike form the cornerstone of treatment. ...Read more

Graft (Definition)

Tissues from one location are transferred to another. Also refers to ...Read more