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
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
How long after ACL reconstruction (patellar autograft) with medial meniscus repair and lateral meniscectomy can one start taking anti-inflammatories?
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
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 moreSee 2 more doctor answers
Had an mpfl reconstruction now need ACL hamstring reconstruction are there major risks with the ACL recon due to hypermobility and previous MPFL recon?
On thing is if Ur-: -own tissue is 2 B used, it is of poor quality due 2 Ur general condition of hyper-mobility means Ur tissue will also B effected since it will also become hype-mobile meaning it will stretch. Best option is cadaver bone-tendon-bone allograft. It will not stretch like Ur own will. Also I would B tested 4 Marfan's. There R 3 grades of this malady. 1= people who R short in stature with Ur symptoms. ...Read more
For post patellar dislocation, can knee supports really support the knee from recurring patellar dislocation?
Patellar dislocation: If you do your rehab and utilize your brace you have a chance for recovery without recurrence, but you are more at risk for redislocation than individual that has not had a dislocation. There are multiple structural factors which come into play. This is something for you to discuss with your orthopedist ...Read more
Quite strong: The strength of fixation for an allograft acl reconstruction varies on the type of fixation and individual surgeon technique, but in general the initial strength is similar or greater than the original native acl. Over time as the body replaces the allograft tissue, the graft becomes first weaker, then about the same strength as the original. This process takes about 8-9 months. ...Read moreSee 1 more doctor answer
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
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
Knee brace: No. Provides no functional support.Get a more detailed answer ›
Talk to your surgeon: Brace use after acl reconstruction is still controversial. Both immediate post-op bracing as well as eventual functional "sports" braces have questionable effectiveness. Most studies show no improvement in knee stability, re-injury rate, or healing time or rates with use of a brace. I still use braces most of the time, however, because subjectively patients feel better with the extra support. ...Read more
Is it possible to dislodge a reconstructed ACL via patella tendon by over rotation or excessively pivoting the foot? Post ACL recon. 1 week after
Possible: If there's been any injury to a recently reconstructed acl, i recommend you see your surgeon for an evaluation. ...Read more
Depends.: Allograft tendons can be as strong or stronger then autograft tendons, depending on what you are comparing. Patella tendon autografts are "gold standard" but hamstring tendons are quickly being recognized as being just as good. One downfall to allografts is that it takes longer for your body to "ligamentize" the graft, however there are benefits to allografts as well. ...Read moreSee 1 more doctor answer
Follow surg's plan: Ur surgeon has the answer 2 ur specific situation . Follow his/her protocol 4 recovery recommendations. ...Read more
Variable: A PCL partially heals in a slightly looser position. Some patients have minimal difficulty with a PCL tear while others have instability sensations and weak push-off strength. Still others have rotational instability. Because of this, the PCL discussion needs to be personalized to your specific situation. This should really be addressed with a PCL sports medicine specialist. ...Read more
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