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Doctor insights on: Patellar Or Hamstring Graft For Acl

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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

Graft (Definition)

Tissues from one location are transferred to another . Also refers to ...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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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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What's having a patellar graft ACL reconstruction?

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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I am nervous about an ACL and patellar graft surgery. What can I do?

I am nervous about an ACL and patellar graft surgery. What can I do?

Get support: Very common and safe surgery done hundreds or even thousands of times across US each year. Making sure you have all your questions answered and maybe finding person or persons who have had surgery can go a long way to relieve concerns. Your surgeon can give you names of some patients to talk to I am sure. ...Read more

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I had 3 ACL recons., last one was 6 mon ago. 2 & 3 used patellar allografts. I still get hamstring pain doing concentric exercises. What causes it?

I had 3 ACL recons., last one was 6 mon ago.  2 & 3 used patellar allografts.  I still get hamstring pain doing concentric exercises.  What causes it?

Incomplete rehab: Hamstring allografts often cause pain in the post-op period but rarely cause prolonged pain or functional problems. It may be sciatica (nerve pain) but if it is coming from you hamstring a pt that can help with an eccentric strengthening program and manual treatment to break up adhesions usually helps. ...Read more

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

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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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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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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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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How long are you on crutches for after ACL revision surgery using a patella tendon graft? And what is rehab like after revision surgery?

How long are you on crutches for after ACL revision surgery using a patella tendon graft? And what is rehab like after revision surgery?

See below: Although it varies, most patients progress to weight bearing as tolerated in a brace over an approximate 2 week period and rehab with the goal of returning to full activity over approximately 12 weeks. Each case is different, I would discuss your specific case with your surgeon. ...Read more

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How would I know if I tore my ACL again? Had patella tendon graft put in knee, I just worked out and it's now swollen had surgery May 15, 2014

How would I know if I tore my ACL again? Had patella tendon graft put in knee, I just worked out and it's now swollen had surgery May 15, 2014

Let me try to help: To know for sure two ways, physical exam and MRI for the knee. some times the physical exam alone could do 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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Love trekking nd rock climbing. Which graft (patellar or hamstring) would fit me best?

Both work well: Both grafts in addition to a cadavre grafts can work well. More importantly, the way the procedure is performed and the postop rehab are more important than the actual graft used. You would probably require at least six months of rehab postop before returning to rock climbing. ...Read more

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How long does it take for a ACL hamstring graft to turn into a ligament after a ACL reco?

6-8 months: Our studies show that the graft incorporates from the outside - in. The inner part is usually completely replaced and turned into an acl ligament between 6 and 8 months after surgery. This is why we often limit pivoting activities for so long after acl reconstruction! ...Read more

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I had a ACL recon 2 1/2 years ago and my hamstring (where the graft is from) is only functioning at about 30% from 100%. Physio not working. Help pls?

Hmmmm?: All graft choices gave potential problems and one problem with hamstrings is residual weakness but only 30% is a lot. If pt has failed i would probably get it checked. Usually two tendons are harvested leaving sartorial and biceps as knee flexors. If you also lose sartorius then you might have more weakness. ...Read more

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Had my hamstring graft acl reco 3month ago, i am worried is it possible graft failed because i been sleeping way too late every night these 3 month?

Had my hamstring graft acl reco 3month ago, i am worried is it possible graft failed because i been sleeping way too late every night these 3 month?

What?: Sleeping too early or late would have no affect on the healing of your acl. If you feel like your knee is still "slipping" despite your acl reconstruction, then make sure your surgeon is aware and make sure you are following their restrictions and postop protocol. ...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

Dr. John Michalski
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Patella (Definition)

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