Although donors are screened for communicable diseases, there is a risk of disease transmission associated with using graft tissue from a cadaver.
There is a potential for viral transmission such as hepatitis or HIV. Choosing which graft to use for ACL reconstruction is highly individualized for each patient.
Discuss your lifestyle and the risks and benefits with your orthopedic surgeon to determine the best course of action to reach your goals. Autographs The patellar tendon and hamstring autografts are the most common choices for ACL reconstruction. Benefits: Orthopedic surgeons have the most experience with this procedure Strongest graft concerning initial fixation Quicker return to full athletic participation, typically months Risks: Increased chance of pain or discomfort while kneeling More painful due to harvesting the tendon and bone portions There is an extra incision where the graft is harvested Increased risk for patellar fracture Increased risk for patellar tendonitis Although called the hamstring autograft, the tendons associated with this graft are not technically part of the hamstring.
Benefits: Least amount of post-operative pain Easier rehabilitation in regards to quadriceps activation Quicker return to activities of daily living No extra incision is required.
The same incision is used to place the fixation hardware. Ligaments and tendons are both made of connective tissue and both can be torn or overstretched, but they differ in function. Ligaments attach one bone to another. Tendons attach a muscle to a bone. Both, however, are essential to proper body mechanics.
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In addition to allowing movement, muscles…. Back strain is a common sports injury. Learn how to treat a mild back strain at home. A recessed maxilla can cause cosmetic issues like flat cheekbones and a prominent jaw, and lead to dental problems, speech issues, and obstructed….
If you do tear a meniscus, you might be tempted to "walk it off. A lateral pelvic tilt is when one hip is higher than the other. Learn about five exercises that can help with this condition. Enthesopathy refers to pain and inflammation around your joints. This includes your wrists, knees, and ankles.
Here's how to recognize and treat it. Health Conditions Discover Plan Connect. Medical Review: William H. This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.
Your use of this information means that you agree to the Terms of Use and Privacy Policy. Learn how we develop our content. To learn more about Healthwise, visit Healthwise. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Top of the page. ACL reconstruction surgery uses a graft to replace the ligament.
The most common grafts are autografts using part of your own body, such as the tendon of the kneecap patellar tendon or one of the hamstring tendons. Sometimes the quadriceps tendon from above the kneecap is used. Another choice is allograft tissue, which is taken from a deceased donor. Repair surgery typically is used only in the case of an avulsion fracture a separation of the ligament and a piece of the bone from the rest of the bone.
In this case, the bone fragment connected to the ACL is reattached to the bone. Arthroscopic surgery Many orthopedic surgeons use arthroscopic surgery rather than open surgery for ACL injuries because: It is easy to see and work on the knee structures. It uses smaller incisions than open surgery. It can be done at the same time as diagnostic arthroscopy using arthroscopy to find out about the injury or damage to the knee. It may have fewer risks than open surgery. What happens During arthroscopic ACL reconstruction, the surgeon makes several small incisions—usually two or three—around the knee.
What To Expect Arthroscopic surgery is often done on an outpatient basis, which means that you do not spend a night in the hospital. Why It Is Done The goal of ACL surgery is to restore normal or almost normal stability in the knee and the level of function you had before the knee injury, limit loss of function in the knee, and prevent injury or degeneration to other knee structures. You may choose to have surgery if you: Have completely torn your ACL or have a partial tear and your knee is very unstable.
Have gone through a rehab program and your knee is still unstable. Are very active in sports or have a job that requires knee strength and stability such as construction work , and you want your knee to be as strong and stable as it was before your injury. Are willing to complete a long and rigorous rehab program.
Have chronic ACL deficiency, which is when your knee is unstable and affecting your quality of life. Have injured other parts of your knee, such as the cartilage or meniscus , or other knee ligaments or tendons.
Both have been found to be equally successful. Allograft tissue may be the preferred option for people who are not going to be playing high-demand sports, such as basketball or football, as these tendons are slightly weaker. Synthetic man-made tissues are currently used in certain situations, such as revision surgery and multi-ligament injuries. The graft tissue will be removed and cut to the correct size.
It will then be positioned in the knee and fixed to the thigh bone femur and shin bone tibia. This is usually carried out using a technique called knee arthroscopy. An arthroscopy is a type of keyhole surgery. It uses a medical instrument called an arthroscope, which is a thin, flexible tube with bundles of fibre-optic cables inside that act as both a light source and camera. The arthroscope will illuminate your knee joint and relay images of your knee to a television monitor.
This will allow the surgeon to see the inside of your knee clearly.
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