Doctor insights on:
What Is The Main Difference Between Bone Plugs And Screws For Acl Reconstruction
A lot.....: When we perform an ACL reconstruction, we need to utilize a "graft" to construct a new ligament. Some of those graft choices have bone plugs and some are all soft tissue (hamstring tendons). After the graft is placed, we need to secure it or hold it in position. We can use screws or other devices to go this. So a screw is a means of fixation, whereas the bone plug is simply a part of a graft. ...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
It's possible: It is possible that your screw can work its way out, or cause discomfort in situ. If this happens, talk with your surgeon, as he/she may be able to easily remove the screw if your repair has sufficiently healed. This usually requires local anesthesia with sedation, or occassionally a general anesthesia to quickly remove the screw. ...Read moreSee 1 more doctor answer
I understand that there is a difference between ACL repair and reconstruction? My x-ray shows screws, does ACL repair involve screws? What did I have?
ACL repairs R a --: -thing of the past, it is not repairable. U had a reconstruction. Allografts or autografts R used. Allo=tissue from a cadaver, fresh frozen from the donor, auto =using Ur own tissue. ...Read more
Unnecessary: Screws used in acl reconstruction are either absorbable (which means the body will incorporate it), or non absorbable. A nonabsorbable screw is typically buried in bone and doesn't cause damage to surrounding tissues. If it really needs removal, we must ensure the acl reconstruction has matured completely. Waiting a year after reconstruction before removal is preferred. ...Read more
Yes it can: An acl reconstruction can fail. It is not any stronger then your acl ligament was prior to the initial injury. So if you plant and cut on a planted foot or other traumatic incident it can re-rupture. If an allograft is used there is a slightly higher re injury rate. Further sometimes but rarely the screw that is used to fix the graft an come loose. You should see your surgeon for follow-up. ...Read more
Give it 6-12 months: Anterior (front) knee pain is common after an acl reconstruction, especially after a patellar tendon autograft. Kneeling may always be a problem. Keep doing your rehab. Typical time for return to pivoting activities is about 6 months with 12 months for 'full recovery'. ...Read more
Knee: Please get an appointment to see the doctor who saw you 2 years ago! Hope all goes well - please keep me posted. ...Read more
15 yrs old athlete male 185cm - 17 yrs bone age. About to have ACL reconstruction surjery. Is there a risk of asymmetric growth after to surjery ?
Nothing: Depends when they were taken out and the kind of graph used, usually nothing needs to be done and you can return to all activies ...Read more
Can ACL reconstruction screw up a nerve that causes foot pain? Oct 2013 I had it done and I still get really painful sensations in the foot sometimes
ACL Surgery: It is unlikely that your intermittent foot pain has been caused by ACL reconstruction in 2013. If a nerve was damaged at the time of surgery, the symptoms would be continuous, not intermittent. Some patients can develop a condition called chronic regional pain syndrome (CRPS) after lower extremity surgery. It is more common in females with lower extremity trauma. Recommend evaluation for this ...Read more
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
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