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What Are Alternatives To Acl Surgery
Rehab & bracing: Not all ACL injuries require surgical intervention, but most do. Most activities of daily living can be performed without a functioning acl. Cutting, pivoting and changing direction are difficult or outright impossible for most patients without an acl. One can alter their activities avoiding those that cause knee instability, try bracing and definitely try rehabilitation in effort to avoid surgery. ...Read moreSee 1 more doctor answer
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
Complex topic: Traumatic re-rupture is most common cause of acl graft failure. Failed surgical result can be due to: non-anatomic position of the graft or residual laxity-both can predispose to tear of meniscus+cartilage damage-or to associated injury that was missed in 1st surgery; stiffness; infection, poor rehab, other causes. See an ortho sports medicine specialist, consider getting 2nd opinion. Good luck! ...Read moreSee 1 more doctor answer
Stable knee: An acl reconstruction that heals well should provide you with a stable knee. Other variables such as the status of your knee joint cartilage and especially the status of your medial and lateral menisci also weigh heavily in determining your final degree of functional painfree recovery. Immediately postoperatively, you will have mild to moderate pain and swelling relieved by oral pain meds. ...Read more
Different graft type: The ACL is typically reconstructed (replaced) rather than repaired. We typically reconstruct the ligament with a graft. The graft choice is often individualized to the patient. The three most common graft choices are a portion of the patellar tendon (bone patellar tendon bone), a piece of the hamstring tendon, or a graft from a cadaver (allograft). They all work well in the appropriate patient ...Read moreSee 1 more doctor answer
Yes: In general, it is okay to shower. Each surgeon has his/her own preferences, so i would go by your surgeon's instructions. I generally let my patients shower the day after surgery. The small portal incisions usually heal enough after the first day so that the risks of infection or wound breakdown are quite rare. ...Read more
Overview: Initially, most of your activity is done in physical therapy. Swimming and exercise cycle are two activities you can do early, followed by the Stairmaster and treadmill. Don't do strenuous activity outside of physical therapy for ~12 weeks. (No mowing lawns, etc., no snow blowing or shoveling.) It will take ~6 months of PT for you to return to strenuous physical activity such as skiing, soccer. ...Read more
Knee will improve: There is a fair amount of pain for a few days and then it gets better. Your surgeon will discuss the type of graft he would like to use for you. The rehab takes up to 4 - 6 months to return to sport. Many patients are waiking without a limp in a few weeks. Many patients recover fully and can go back to sports. Often the outcome is determined by meniscal tears and arthritis which may be present. ...Read moreSee 1 more doctor answer
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