Doctor insights on:
Patellar Or Hamstring Graft For Acl
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
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 moreSee 1 more doctor answer
Having microfracture knee surgery; what if doc finds a torn ACL & didn't suspect it ? How does he decide weather to use a hamstring or patella graft?
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
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
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
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
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
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 moreSee 5 more doctor answers
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 moreSee 2 more doctor answers
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
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
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
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 moreSee 1 more doctor answer
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
Is it physically possible to be clear from a ACL reconstruction surgery using a hamstring graft in 4 months?
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 moreSee 1 more doctor answer
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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