Which Graft To Chose For ACL Surgery
HTML-код
- Опубликовано: 13 авг 2016
- There are many grafts available for you to chose from for your ACL surgery. You must be part of this decision. Cadaver grafts can have high failure rates in certain groups. Your own tissue often remains the best choice in the long run.
Important: I cannot and will not respond to requests for specific medical advice left in the comments section of these videos. Legally I cannot offer specific medical advice to people in this format. If you want to ask a question about a specific injury you have, leave it in the comments below, and I might answer it in an upcoming video. If you need more detailed information on your injury, go to my website where I share information on various Orthopedic Surgery topics. www.HowardLuksMD.com
The content of this RUclips Channel, / howardluksmd (“Channel”) is for INFORMATIONAL PURPOSES ONLY. The Channel may offer health, fitness, nutritional and other such information, but such information is intended for educational and informational purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. The content does not and is not intended to convey medical advice and does not constitute the practice of medicine. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. You should consult with your healthcare professional before doing anything contained on this Channel. You agree that Dr. Luks is not responsible for any actions or inaction on your part based on the information that is presented on his Channel. Dr. Howard Luks makes no representations about the accuracy or suitability of the content. USE OF THE CONTENT IS AT YOUR OWN RISK.
Use this as a stepping stone to improve your discussion with your surgeon. Research is changing every month. The views expressed here may not be relevant in the coming years. This video is for your education only... This is NOT meant as medical advice.
Please remember, while I appreciate your questions, I cannot and will not offer specific medical advice by email, online, or in the comments at the end of these videos. My responses are meant to provide general medical information and education. Please talk with your physician or health care provider for your specific orthopedic and medical concerns.
I had an allograph 22 years ago and it has been working wonderfully.
I loved this video. What a privilege to hear two great docs having a discussion about a controversial topic.
Thanks! We are glad you enjoyed it !
Its nice to find these informative videos. I have a question, if you have used up patella tendon graft like i had for my first surgery at 26 yo and at 34 i have been advised and installed cadaveric allograft, any comments about this re current options/route when one of the better grafts is used up.
It would be nice to hear someone address the recent use of allografts for ACL ruptures with MSC and PRP as an adjunct.
I had an ACL and meniscus surgery yesterday. My surgeon used both allograft and autograft as my hamstring tendon is too small so they sewed both. I am a 25 year old 5’2 male that is very active. I will keep you guys updated :) thanks for the video!
same here i will have surgery in july 25 but my doctor wanted allograph only
update bro?
What do say to the new developments in bone tunneling and insertion points for attaching allografts?
I am 52 years old, but a pretty avid downhill skier. That is how I tore my ACL 3 months ago. As a young person, I skied bumps competitively, but "old' now. I am scheduled for reconstructive surgery. My dr. is recommending allograph. Is that a good choice for me? I am not young, but I enjoy playing backyard basket ball, swinging the bat for baseball, and of course, skiing! Have things improved for allographs in the past 5 years since this video was posted?
I am 34 and the only option the doctor gave me was allograft i love to play sports and I would like to be able to do that shifting and jumping and all that. I dont know what to think
What about using the quadriceps tendon autograft for ACL reconstruction?
It's double stronger than hamstring graft.. that's what my surgeon told me 🙂
is that true allograph surgery will only necessary for mid 30's like me?
what about a live graft from a living person, like a donor?
I’m 16 and I’m having my first acl reconstruction on Halloween. I was told to decide which out of my patellar tendon and my hamstring would be best of fit for me. Which would you recommend more than the other/ which do you prefer?
I play high school soccer and softball. Also if I used my patellar tendon would I experience knee pain or is that just depending on my individual healing with the amount of time I could spend on my knee during soccer and/ or softball after months of PT after surgery?
HI Maggie ... There are risks and benefits to both hamstring and patella tendon grafts. The incidence of knee pain is not high after a patella tendon graft. In women there is a significant risk of hamstring weakness. Keep talking with your surgeons until you are happy with your decision.
Howard Luks I ended up choosing to use my Patellar Tendon because I thought after everything I had read it just seemed better in my opinion because of the risk of smaller Hamstrings in females.
@@maggieporch2862 How did it go? Do you have trouble or pain with leg extensions?
I tore my ACL when I was 21 years old while playing soccer, we went with the patellar tendon graft. Unfortunately for me I tore the same ACL a year after the surgery while playing soccer once again. I am now 26 years old and I have not gotten my second ACL because I feel like it would fail again. I know I need the surgery as my knee feels super weak. I'm not sure what exactly I'm going to do put I wish I could return to being able to play without worrying about my knee, any advice?
WRX HATCHz what did you do ? How are u now. ?
What about an artificial graft?
This is interesting. I recently had my ACL replaced, and my doctor said despite it being foreign tissue, he highly recommended using a cadaver graft, and also stripping my hamstrings to fuse the two together, in a way, to form a stronger graft. I haven't had any issues, however given this conversation I found my surgeon's method very interesting, anyone with any feedback or answers would be appreciated, I am a pre-med student who wants to learn.
Hi Frank ... I think this new video might help answer some of your remaining questions. ruclips.net/video/842boHhG4uI/видео.html Good luck with your pursuit of a career in medicine !
The reasons for cadaver is it will be easy to do it but the problem the risk contracting a disease, there's always a risk for acl reconstruction
How long did you have pain for after the reconstruction?
You would typically use an allograft for a person who has hypermobile joints or who has small tendons. There either isn't enough tissue to harvest for the allograft or the quality of tissue won't be stiff enough to function as a good acl.
my doc told me that I have a torn ACL and PCL from an accident. If I will go a surgery to reconstruct it what graft is better choice for me I am in my early 40s.
Also, can a torn ACL and PCL still be stitched together or now?
Thanks and appreciate your response.
Allograft, surgeons will choose this depending on the age
I am the same age and two years post op with a cadaver. Docs recommended, cadaver graft, and i would consider myself still highly active. Strengthen that knee, hamstrings and quads, even after physical therapy. Good workouts post therapy...search Jump Rope Dudes.
almost 4 months now after the allograft knee surgery, Are you able to play basketball or football just like before how's the strength of that knee?
I tore my ACL and Medial Meniscus is torn too. I am 36 fairly active young dad. What graft should I get? I guess the meniscus can't be replaced from ones own tissue.
yogiswimmer which did u do ? How are u now ?
I guess allograph if you mid 30's
hi sir.. I am from india.. and for my torn acl.. quadriceps graft was used.. could u pls explain about using that graft for reconstruction.
It's a good choice.
hi, i am also planning to do with quad graft. how are you doing now with quad ? are you doing any sport ? from where in india you did surgery ?
@@HowardLuksMD how you compare quad graft with patella or hamstring ?
So My doctor wanted a allograph instead of hamstring autograph because i am already 37 but what i'm worried is the disease that i will get from the donor
It is a possible risk....
Howard Luks so i guess hamstring graft is better
If your son torn his acl in football.. what kind of grafts would you want him to have to return to football with that type of physical sport?
bone tendon bone autograft ...and no return to sports for at least 10-12 months.
Howard Luks Thank you very much.
RuffRize Rise depends on his body actually what time he returns
Actually ... young children are at very high risk for a second ACL tear. Therefore I recommend waiting 10-12 months minimum. too many kids going back way too early. We need better standardized tests to determine when an athlete is ready.
So allograph is base on the age then i am 37 had acl ruptured and 11 mm meniscus lateral tear and my doctor wanted allograph is this true allograph is base on age only?
What kind of silly outro was that guys? "If we're contemplating which to use we probably shouldn't be having an ACL Knee Reconstruction in the first place??" That's absolutely ridiculous!
I'm:
- 38 y.o
- Already had a Patella Knee Reconstruction when I was 18 on my right knee
- Just did my Left ACL snowboading
- I ride "Natural Stance" with my left knee facing downhill
- When I ride downhill (snowboarding) your hamstrings get a pretty damn good workout (so I'm considering how a hamstring graft would affect this)
- My Left knee is downhill (natural stance) so I'm considering if I'll have Patella issues due to the impact your lead leg takes when going downhill on a snowboard
- I also play basketball & have found the Patella ACL to be VERY beneficial
- I have trouble kneeling on my right knee due to previous Patella ACL graft & contemplating whether I want to have that same trouble in both knees
- I practice Martial Arts & check kicks (shin bone blocking other persons shin bone), this can be problematic when having a screw in the front of your knee due to Patella Graft
- I practice Martial Arts & throw high kicks & stretch very regularly so considering how a tendon gone in my hamstring will affect this
... I'm 38-years old, will DEFINITELY have a knee reconstruction as I have plenty of activity left in me & hearing statements like "I shouldn't be having an ACL Knee reconstruction" makes you both look like complete RANK AMATEURS... Open your minds... I'd ask your opinion but I sense my personal judgement will be much more valuable than your opinion... Wake up!
Apologize my rudeness, but if you have 40-years of combined experience, I searched the Internet for help and was expecting more... And genuinely looking for the best option available... Telling me I shouldn't be having an ACL Knee Reconstruction is a very closed minded conclusion, there's pro's & cons in everything you choose... If you want to voice your opinion, go ahead, I'm listening...
I'm sorry... that wasn't what we said :-) What we said was that if a surgeon was not comfortable with all types of graft harvest that they probably shouldn't be doing ACL reconstructions. We didn't tell people not to have a reconstruction :-) !!
Cheers ! And we re very happy to hear of your successes after returning from ACL surgery.