How reliable is ACL reconstruction surgery?
Dr. Prodromos - Chicago (Glenview) orthopedic - knee shoulde...Dr. Prodromos recently completed a long-term follow-up study of over 200 of his ACL reconstruction patients. There were no instances of graft failure in this study.
Related QuestionsIs it a must to have reconstruction surgery for ACL tear?
Frequently Asked QuestionsACL tears do not have the capacity to heal by themselves. This is because of the poor blood supply and the presence of joint fluid. Similarly the torn edges of the ligament cannot be sutured together, as this procedure has very high failure rates and has been given up. The ideal way to get back the function of ACL is to have reconstrucion of ACL. Even though patient can manage activities like walking climbing stairs, without ACL.
Related QuestionsWhat is a double-bundle ACL reconstruction?
Double Bundle Anterior Cruciate Ligament - What is a Double-...The anterior cruciate ligament, or ACL, is one of four major ligaments in the knee that provide stability to the joint. When a patient sustains a tear to the ACL, a sensation of instability, or giving out, may develop in the injured knee. In order to restore stability to the knee, your doctor may recommend an ACL reconstruction to insert a new ligament in the place of the damaged ACL.
Related QuestionsFAQ Knee - Howard J Luks,MDThe native ACL is made up of two bundles; the anteromedial bundle and the posterolateral bundle. Over the last 20+ years we have only been reconstructing the anteromedial bundle. Why? Good Question. We did not realize how important the posterolateral bundle is. Over the last 5 years a growing number of surgeons, myself included, have been switching over to a doubdle bundle technique that reproduces the "normal" anatomy of the ACL before it was torn.Related Questions
Is physiotherapy necessary before ACL reconstruction?
Frequently Asked QuestionsEarly surgical intervention to repair a torn ACL is not recommended in the vast majority of cases, and physiotherapy for at least four to six weeks is almost always recommended first in the amateur sportsperson. This approach has the advantage of allowing any other associated injuries to settle, and any inflammation to subside. Taking time to have physiotherapy also gives the patient and physiotherapist the opportunity to assess whether they feel there is a genuine need for reconstruction.
Related QuestionsIs ACL reconstruction a big operation?
Frequently Asked QuestionsCompared with surgery for meniscal tears, ACL reconstruction is a much more involved procedure as it involves taking a tendon graft as indicated (usually the hamstring) from another part of the leg and using this to substitute the broken ligament. The time taken to recover from this type of surgery is much longer than for meniscal tears, and it may take up to nine months before you are able to undertake full sporting activities again.
Related QuestionsHow is a single-bundle ACL reconstruction performed?
Double Bundle Anterior Cruciate Ligament - What is a Double-...Most ACL reconstruction surgeries are done using a single-bundle reconstruction. A single-bundle ACL reconstruction uses a tendon graft to replace the torn ACL. Unfortunately, ACL tears cannot be repaired, or sewn together, and a graft must be used to reconstruct the ligament. When the ACL is reconstructed, the graft is placed in the position of the anteromedial bundle. Grafts are held in place by making a hole in the bone called a tunnel. One tunnel is made in the femur and one in the tibia.
Related QuestionsHow does a double-bundle ACL reconstruction work?
Double Bundle Anterior Cruciate Ligament - What is a Double-...Instead of placing just one larger graft, the double-bundle ACL reconstruction procedure uses two smaller grafts. Therefore, there are essentially two ligament reconstructions, one for each bundle. The double-bundle procedure requires two additional bone tunnels to accommodate a second graft, and one additional incision. Studies have demonstrated some advantages of the double-bundle ACL reconstruction.
Related QuestionsAre there disadvantages to the double-bundle ACL reconstruction?
Double Bundle Anterior Cruciate Ligament - What is a Double-...This is a new procedure, and as is the case with any new procedure, the long-term results are not well understood. It is possible that this procedure will be an improvement on the standard single-bundle ACL reconstructions, but it is also possible that these patients may have the same, or even worse, long-term results. No one really knows just yet. The double-bundle is technically more demanding of a procedure, and there are fewer surgeons with experience in this surgical technique.
Related QuestionsShould I ask to have a double-bundle ACL reconstruction?
Double Bundle Anterior Cruciate Ligament - What is a Double-...It is not clear that the double-bundle ACL reconstruction is a better procedure, but some patients are willing to try a new procedure in an effort to possibly improve their long-term result. Standard single-bundle ACL reconstructions have excellent results, with about 90% of patients able to return to activities at their pre-injury level. However, the results are not 100%, and some patients have persistent instability after ACL reconstructions, and may develop problems later in life.
Related QuestionsWhich "graft" should I use for my ACL reconstruction?
FAQ Knee - Howard J Luks,MDA graft is the tissue we will use to give you a new ACL. The choices available break down into two large categories. Autograft, your own tissue; or allograft, cadaveric tissue. If you elect to utilize your own tissue, the three grafts available are bone-patella tendon-bone grafts, quadriceps tendon grafts, and hamstring grafts. There are many different allografts available to reconstruct the ACL.
Related QuestionsHow much physical therapy will I need after the ACL reconstruction?
Frequently Asked QuestionsOne of the main priorities after ACL reconstruction is to regain the knee range of motion. This along with establishing a good strengthening program is usually best done two to three times per week for the first four to six weeks. Because many insurance policies will not cover this many visits to the therapist, an independent home program may need to be instructed earlier. Compliance in performing the exercises in and out of the clinic is the key.
Related QuestionsHow common is ACL injury and the surgery for ACL tears?
Frequently Asked QuestionsAnterior cruciate ligament is one of the commonest knee injuries in sports and day-to-day life. It is estimated that around 1,00,000 to 2,00,000 ACL injuries occur per year in United States and roughly around 70,000 ACL reconstructions are performed.
Related QuestionsShould I Wear A Knee Brace After ACL Reconstruction Surgery?
Search results for brace - Copernic AgentKnee braces are common prescribed after an ACL reconstruction surgery. Are knee braces necessary if an ACL surgery has been performed? Will the knee brace ... Brace is a terrific activity for retired dogs, or for currently competitive ... For more info on training in brace, visit the obedience training articles . ... Spiderbrace handheld rig for digital video cameras. The Spiderbrace and Spiderbrace Mini-Rig, designed for the Canon XL1(s), XL2 and the ..
Related QuestionsDo all ACL tears require surgery?
FAQ Knee - Howard J Luks,MDNo. Many ACL tears can be treated non-operatively. Many factors go into the decision making process. Some patients have ACL tears and no instability symptoms. Others are profoundly symptomatic, even with simple stair climbing, turning and twisting. We do not know why some people are more symptomatic than others, which is why surgery is not the right answer for everybody.
Related QuestionsIf my ACL is torn, should I have surgery to repair it?
injuryupdate.com.au - Australia's best information source fo...a general rule, the body cannot repair a torn ACL if the tear is complete. Partial tears may sometimes heal but often will progress to becoming complete tears. If surgery is needed, the surgeon will not repair the ligament directly, as this has a low success rate, but will instead use a nearby tendon to reconstruct the original ligament. Your future demands in multi-directional sport.
Related QuestionsHow invasive is ACL surgery?
Dr. Prodromos - Chicago (Glenview) orthopedic - knee shoulde...Dr. Prodromos has developed a mini-incision, primarily arthroscopic technique that produces excellent results. The procedure takes roughly 90 minutes and patients go home on the day of surgery.
Related QuestionsWhat kind of surgery would I have if I damaged the ACL?
Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....The damaged ACL cannot be sewn back together as it will not heal. A torn ACL will require a reconstructive procedure using transplantable tendons from your body (autografts) such as the hamstring, bone-patella-tendon-bone (BTB) or quadriceps tendons, to reconstruct this torn ligament. Allograft (tissue bank cadaver tissue) tissue is often used with less pain to you and earlier return to function. Both autograft and allograft tendons are acceptable to use for ACL reconstructions.
Related QuestionsDo I need to have surgery on my ACL?
Frequently Asked QuestionsNot always. Some people are able to function normally without surgery, so long as they have physiotherapy, but others need reconstructive surgery no matter how much physiotherapy they have. Whether or not you have your ACL reconstructed also depends on how active you are, and how your injury impacts on your daily and sporting activities.
Related QuestionsWhen should surgery be performed for a torn ACL?
Sports Medicine, Therapy, Rehabilitation and Surgery- Mass G...It is best to wait for the pain and swelling to subside and to allow associated injuries to heal before performing surgery for the ACL. If surgery is done too soon after injury, rehabilitation is difficult. The knee may get stiff and have permanent loss of motion. The athlete will usually get back to sports much more quickly if the knee is allowed to recover from initial injury and to regain its full painless range of motion (usually at least six weeks) before performing surgery.
Related QuestionsDo all ACL tears need surgery?
Sports Medicine, Therapy, Rehabilitation and Surgery- Mass G...No. Some knees function almost normally despite having a torn ACL. Good knee function is more common in patients who are over thirty years old who are relatively inactive in sports. Patients who are less than twenty-five years old, regardless of activity level, tend to have problems with instability and have frequent episodes of giving way. Therefore, surgical reconstruction of a torn ACL is usually recommended for patients who are less than age twenty-five years.
Related QuestionsI like to snow and water ski. Can I still do these activities after ACL reconstruction?
Frequently Asked QuestionsUnless the surgeon advises otherwise, most people return to enjoying both of these sports with the use of a brace. However, remember every individual injury is different. Following the recommendations of the surgeon is of utmost importance.
Related QuestionsWhat's the best way to rehab my knee after an ACL reconstruction?
Patient Education • Panorama Orthopedics & Spine C...After injuring my ACL I decided to try rehab without surgery. The electrical studies show too much activity, too soon, from the outside portion of my thigh muscle. I'm wondering what can be done about this? I still don't want surgery.
Related QuestionsIs immediate or delayed breast reconstruction surgery best for me?
Breast Implants & Breast Augmentation Information - Breast C...Most women are candidates for some type of immediate breast reconstruction. Since reconstruction is an additional major surgery, women should be carefully evaluated to understand all the risks and benefits. Multiple studies have shown tremendous psychological benefits to women who have immediate breast reconstruction.
Related QuestionsCan I manage my ACL tear without surgery, by means of medicine or massage or exercises?
Frequently Asked QuestionsACL healing cannot be achieved by any internal medicine or external oil massage. Similar attempts to compensate the ACL deficiency by exercising the muscles have also been futile. The dynamic stability offered by the muscle cannot compensate the static stability afforded by the ACL.
Related QuestionsMy dog has bad hips and a torn ACL. Should I proceed with surgery?
Frequently Asked Questions about knee surgeryAbsolutely. The hips are rarely the cause of acute limping. If the ACLs are torn, your pet is only going to get worse.
Related QuestionsWhat is a torn ACL?
Phoenix Orthopedic Evaluation Arizona Treatment Consultation...The ACL (Anterior Cruciate Ligament) is a ligament in the center of your knee. The ACL gets damaged when twisted too far, which makes it a common injury in relation to sports or other physical activity. ACL Reconstruction is performed using a combination of open surgery and arthroscopic surgery. Before ACL reconstruction process begins, your surgeon will examine your knee arthroscopically, and repair any additional damage to the knee, such as a torn meniscus, or worn articular cartilage.
Related QuestionsWhat is an ACL tear?
FAQ Knee - Howard J Luks,MDThe ACL is the Anterior Cruciate Ligament. There are more than 4 major ligaments that essentially hold the knee together. Without one of more of these ligaments the knee would be loose and you would perceive that the knee was giving way or buckling. The ACL is the most commonly torn knee ligament. The ACL is usually torn as the result of a non-contact twisting injury. You will usually feel or hear a pop, the knee will buckle and within a short period of time, significant swelling will occur.
Related QuestionsSports Medicine, Therapy, Rehabilitation and Surgery- Mass G...The most common mechanism is a combination of a sudden stopping motion on the leg while quickly twisting at the knee. The planted foot remains stationary while the body rotates toward the opposite side of the body. This can happen in a sport such as basketball, when a player lands on the leg when coming down from a rebound or is running down the court and makes an abrupt stop to pivot. In football, soccer, or lacrosse, cleats prevent the foot from slipping during this motion.Related Questions
