So I had to wait 4 months to heal from the first surgery to have the ACL done. Thanks, Cathy. So, when we fix an ACL, we actually have to take out the old ACL and put something new in to replace it. It’ll be 2 weeks tomorrow and I’m ready to work hard to get better. Anyway, I just wanted to make that point very clearly- recovering from knee surgery is a major deal, regardless of age and regardless of graft choice. Does the hamstring method use only a portion of the 2 hamstrings, or are the hamstring tendons completely removed/severed? ACL Scars and Weak Hamstrings A young athletic footballer came in after being referred by a friend. It was so successful that I ran a marathon in 2006! Now if I can just get to germany for a regenokine treatment i’ll be set. Regardless of which one you do there is a con to it. Find out the reconstruction techniques used to repair the torn ligament. EVEN your doctor. I had a patella graft done on my right knee one year ago as of Sept 11. Surgical reconstruction of the ACL by 4-strand hamstring graft, patellar tendon graft or allograft have proven to be remarkably effective in restoring function and stability to the injured knee. Found inside â Page 85There is the potential to regain full knee flexion strength following the harvest of hamstring tendons for ACL reconstruction. Adhesions in the posterior ... Guess I got a great Dr. and Donor. I too do running and was wondering whether you managed to keep getting your times lower or even managed to run quick then your best? ), and in the meanwhile I’ve to decide what graft to use. One is to take a piece of the hamstring tendon from behind the knee and use it in place of the torn ligament. I’m 33 so retired from rugby now but keen to get back into skiing rowing etc. I had my ACL recon with a hamstring graph when I was 23 years old. The latter is a prominent sports surgeon and all that stuff yada yada yada so I chose him and feel strongly the patellar is going to be the right graft for me. I am a dance teacher so I jump around and change direction a lot, so need it sorting, but worried about the risks! In woman this notch is smaller 7-10mm which makes more of a V shape. Hello to all, and thanks for sharing your experiences. The Anterior Cruciate Ligament, or ACL, is one of the most important stabilising ligaments in your . The ACL (anterior cruciate ligament) plays a major role in keeping your knees stabilized. My 14 year old daughter tore her Left ACL in Nov 2009 playing soccer. So… I am leaning towards a cadavar (allograft). Anyone who has had the surgery think this a possible goal? I am pain-free in this knee, and it is more stable than my other “healthy” knee. I was in pain for several minutes and then I hobbled home. Very helpful blog, I’m glad I found it! His goal is to be wrestling by February 20th. Is it because of the donor site morbidity? Wish me luck! Very helpful blog. It seems like the safest option because there aren’t shortages of cadavars but I only have so many hamstrings or patellas. Iam 17 years old,a senior, I tore my Acl on oct 3rd 2011 had surgery on november 12th, 3 weeks i was doing great(hamstring graft) but yesterday i fell and an adhesion just broke i can extend my knee more than i could before, but im in so much pain it feels like a pulled hamstring , has someone experienced something like this? I did a MRI and the results is ACL complete tear partial tear on the meniscus and cartilage. I will keep you all updated! Tough to sleep with that machine but I am a believer in it. My son had the anatomic reconstruction. I would guess skiiers need stronger graft and they would recommend patellar. I have had two ACL reconstructions and used both the hamstring and cadaver methods. My main goal is to get back to a high level of skiing (and also play tennis). Looking back it was awful. I ask because I’ve heard conflicting info with some docs saying they do grow back and others say they’re gone forever. Thank you. IT MADE A WORLD OF DIFFERENCE ONCE THE SCREWS WERE GONE…. Glad to hear that you’re doing well with your surgery one year out. They do not constitute an endorsement of any medical provider nor guarantee the efficacy of the treatments provided. 2 years post op. There is definitely more pain from the petellar harvest site up front, but at about 6 weeks post surgery I think it is a toss up. It is Very informative. Found inside â Page 87a section of tendon taken from your hamstring muscle. Today most knee ... ACL reconstruction is not a minor procedure. The risks of nerve injury, infection, ... I don’t like the idea of the patella tendon surgery causing constant knee pain nor the idea that kneeling or being on my knees for extended periods of time would be painful as my job often requires this. Learn more about how we diagnose and perform anterior cruciate ligament (ACL) surgery at Children's Colorado. (bubbabravo@gmail.com), Last year i torn my acl in a motorcycle accident. I have been working really hard the last 2 weeks as my house got flooded and I had to repair walls and bathroom. Post-op very little pain, 90 degrees day after surgery on my own, quad has gotten stronger everyday. I had total ACL repair over 13 years ago while playing highschool football. ACL Hamstring Tendon Autograft Reconstruction Protocol The intent of this protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone an ACL hamstring tendon autograft reconstruction. I have been really active in sports. The anterior cruciate ligament (ACL) is a major stabilizer of the knee joint. By three weeks off everything. I have pulled my hamstring a few times since my surgery and it has become a pain in the rear. The hamstring, though it takes a little bit longer to return to full activity, has a much smaller scar that is not on a joint so one would not have to worry about the scar tissue snagging on the joint when in rehab. I would think humans are poor research subjects:-) I’ve heard patella is the choice for pro athletes because it’s a bone to bone graft which is strong. I’m 29, tore my ACL two weeks ago and my OS has not been very helpful in determining which graft I should use. Curr Rev Musculoskelet Med. The knee became unstable and i ended up with a bucket handle tear. I have never worn a brace, taken pain meds or used any machines (cpm) during my process. Make sure the PT+fitness program is relative to the lifestyle/sport/activities you plan on returning too! I also had the patella graft. I consider the repaired knee my stronger knee and I have never had knee pain like I have been hearing in this forum. What is the downside of the cadaver tendon beside a remote chance of infection. My right knee has been pretty good since the operation, I’d say about 95%, but it is sore to kneel on, however I am a plumber and wear knee pads and it is ok. As you can see, there’s good reason to hesitate when making a choice with potential long-term health ramifications. Went on to play baseball in March, Football, and then made the basketball team. I will know more after the surgery. Had to wait until 2004 for Dr. Patel do do the surgery ( I had fallen down the stairs 3 times before he agreed that I needed the surgery). ACL surgery is a repair or reconstruction of the anterior cruciate ligament (ACL). I wanted to do the hamstring graft based off my own research, so I made sure I found a good surgeon that prefers to do that type of graft. The biggest issue, however, is the increased incidence of anterior or patello-femoral knee pain that may persist. That was 4 years ago. However, looking at the pros and cons of both the techniques, I am confused which one to opt for whether HAMSTRING or PATELLAR graft? There’s also a lot of other exercises I do but they have nothing to do with my ACL. The scar is also longer and may be sensitive for patients that kneel a lot. I just had my ACL reconstruction using hamstring graft almost three weeks ago. The entire process was less painful than a visit to the dentist. the next day after some iceing the swelling went the the real physio kicked in. Even though I’m only 26, I will have had a meniscus repair and ACL reconstructions in both knees. After meeting with the surgeon, he decided to use the quadricep tendon. im 2 days post-op, i opted for hamstring graft using Endobutton CL ultra and GTS Bioabsorbable. Phase I: (0-6 weeks) Goals: Alleviate acute pain and swelling Increase ROM 0-90° (emphasize 0° extension) Increase hamstring and quadriceps strength Promote comfortable ambulation TDWB with brace and crutches Maintain cardiovascular conditioning Plan: (0-2 weeks) Patellar mobilization PROM positioning for…Read more › Found insideNow in a revised and expanded second edition including ten new chapters, this classic text on the diagnosis and management of posterior cruciate ligament injuries represents the state of the art. Fortunately, there was no damage to the MCL, PCL, or meniscus. NOTE: This blog post provides general information to help the reader better understand regenerative medicine, musculoskeletal health, and related subjects. Thank you for the great blog! At first, I was very happy because the post-op pain was FAR less with the hamstring graft. If your son isn’t an elite sprinter, I’d say hamstring. The ACL is an important soft-tissue structure in the knee that connects the femur to the tibia. Sorry for the late reply. If you put it in vertically it will prevent the it from being sliding back in fourth but not twist. Also, when stretching or bending at the waist I could feel the gap or empty space in my leg from the donor site. Needless to say that recovery was painful just to get into the next surgery. On the plus side, the knee has held up well and I continued to play all sports including basketball. I’m also doing regular 2 mile walks without issues and hope to be cleared to run next month. the pain is with the wounds. I do have pain when I kneel on that knee, but if I know I have to kneel on a hard surface, I can either put something soft down first, or shift my weight to my left leg more, and it’s okay. Now with my left knee ACL gone, my new surgeon recommends an allograft. I had the CPM machine for 10 days (an hour on two off). Happened to me. It makes sense, being immediately at the knee joint- perhaps more of a moving part. It should be noted when analyzing different opinions on graft choice that 60% of recovery is linked to your own efforts at rehab so its not just about graft choice but also what you do post op. As i agree with King Kong here, please do not rush to get back to your game. I went with the patellar in the first place because the doc said it was stronger and then I retore it anyway. Both surgeries may have their benefits but in the end it comes down to the hard work and dedication of the individual for recovery time and strength. Pros: Less or no knee pain, comparable strength to patellar. I have extensive arthritis, grinding, pain, decreased range of motion and I am definitely in preservation mode as opposed to getting back to any sort of sports, etc. That’s similar to my story, I had a full year to strength in my leg. Here is the 2nd video in the Treatment Series. I still had good range of motion and by this time no pain. I think the LARS procedure performed in Europe may be the way to go. She had the patellar graft from cadaver. I was cleared to play sports again just before 5 months from my sugery. Now my patella tendon is splitting! Carolyn, hope you are recovering well from your surgery. attributed to Greg d… (SBQ16SM.19) A 22-year-old soccer player sustained an acute ACL rupture 4 years ago. I believe my delayed surgery and improper initial diagnosis did not help. I did the hamstring and had a much smoother transition. I ruptured my left ACL in November and had the patella tendon surgery 2 days ago and it’s sore. It was after this second injury that an MRI was done revealing ACL and meniscal tear. Ligaments are strong bands of tissue that attach one bone to . This makes patients with a history of chronic patello-femoral pain or arthritis, patellar tendonitis or petite individuals with narrow patellar tendons . I was 30 at the time. My only restriction is wearing the brace BUT I have to utilize both crutches to walk with the brace. Healing would be slightly less painful, however in the long run the hamstring is somewhat permenantly weakened and the graft isn’t as strong. I’m at 2 months post surgery and have virtually no knee pain and can walk around fine without any limp. I just finished my ACL off after tearing it 7 years ago….but due to my age and work (PT with peidatrics)…I will probably go with the cadaver graft as I need to get on the floor to work with my young students. Everyone I know who has had the surgery has some advice, but the only other girl i know close to my age that used hamstring regretted it (but never bothered to explain why). Hi I had acl recon tuesday night 1st sept 2009. As long as you don’t reinjure your knee, there is zero risk in not having surgery! The surgeon laid out all of the different choices -- hamstring tendon graft, patellar tendon graft and choosing from using his own tissue or going with a donor bank. I had the same surgeon for both procedures. Osteomyelitis following arthroscopically assisted anterior cruciate ligament (ACL) reconstruction has rarely been reported in the literature. Looking forward to seeing my hot rehab girl twice a week for the next 6 months! It may repair the acl, but it will cost you something. Glad to hear that everything went so well for you. (8 years). The first time was Jan. 08 and the retear was Dec. 09. 5. (see pain med side effects! At most points in time was well ahead on rehab schedule. The hamstring is a little sore, but knee pain is minimal at best – I might even say non-existent. I read all the posts here on this site and think that a lot of the post op knee pain most of you describe after surgery would not have anything to do with the graft used. Although it may be inevitable. How was skiing w/o a brace? I think with cadaver, the rehab takes longer because the graft needs to “take” and to make sure it’s strong enough. I just had surgery on the left knee (2 days post-op) using a cadaver tendon. I tore my right knee ACL (confirmed by MRI) & potentially left knee ACL (similar mechanism of injury & symptoms) playing ultimate frisbee. I am definitely not ready to give up sports and I owe a girl for an illegal clip in the backfield (Women’s pro football), which is what caused this. I’m also opting for this as well since I have an active lifestyle and play alot of different sports. The patellar tendon grafts have had a significantly higher incidence of prolonged patellar tendinitis after surgery.
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