Im a 34 yr old male. Playing basketball i tore my acl and a bucket handle tear in my medial meniscus. Getting surgery the 11th of this month. Im active run often nothing more then a couple miles at a time, go to gym religiously, snowboard, play basketball, beach volleyball, soccer, flag football still recreationally, and my main sport is golf where i play at a pretty high level semi pro. I practice golf about 4-5 times a week whether it be hitting a few large buckets or just working on other parts of my game. I tore all this in my left knee (im righty so i pivot on my now injured left knee). My question is graph choice i first spoke to my surgeon and he recommended patellar tendon graph which im okay with since its the gold standard and strongest but im not a big fan of the knee pain everyone expresses they feel throughout their daily lives years past theyve recovered. So as of now i told him i would prefer to get an allograph (cadaver achillies) since it would keep my patellar in tact. I just dont know if with my life style the allograph will hold up. And also the chance of my body rejecting the allograph. Its a hard decision because yes im in my mid 30s but still feel quite youthful. Just asking for a suggestion or your thoughts on which graft you think would be best to get. Sorry for the long question just trying to paint the whole picture. Any answer helps thanks so much in advace!🙏
Hey, thanks for sharing and it's a great question and a tough/important decision. You seem very active, especially with pivoting/cutting and landing sports (basketball, golf, volleyball, soccer and flag football), so a strong autograft like the patellar and quad (potentially less anterior knee pain) tendon may suit your lifestyle better. An allograft is def a potential option for you to allow for a less painful and slightly "quicker" recovery, but with your activity level and risk of rejection may not be worth it. If I was in your position, those would be the grafts I would consider the most. Hope that helps a little bit! Keep us updated!
Thank you for your answer on the grade 1 in laxity!, as an update, strengthening did help a bit, I went to see 2 knee specialists, lachman was grade 1 but pivot shift was grade 2 or a bit higher. They didnt recommend revision but instead surgery for adding a lateral extra articular tenodesis or IT band tenodesis (LEMAIRE) to improve the rotational stability. Another thing is that I had an MRI and XRAY, XRAY report stated mild osteoarthritis in the Tibial Femoral compartment but MRI didnt detect any arthritis or problems in the cartilage. If I do have mild Osteoarthritis, would it still be safe to have the surgery for LET?
Hey, thanks for the update and for more information. Yes, most likely it would be safe, but we would defer to what the surgeon suggests. The stability, continued rehab, strengthening and stability training will help limit the advancement of knee osteoarthritis regardless if it is there now or not. Hope your rehab and recovery goes well, let us know if we can help!
@@TheBasketballDoctors Update, yeah surgeon examined my knee again to see if theres any improvements in laxity. Unfortunately he said its the same. He stated that in anterior translation, the ACL graft is working really well, there is a good endpoint. However, in the pivot shift which is responsible for rotational forces, the knee is still lacking a bit of stability. So hes going to do the modified lemaire which is much less invasive than revision ACLR. But he is also going to do arthroscopy to examine whats going on inside my knee and try to fix a meniscus tear he suspected. In the meantime im prehabbing as much as i can to get that knee ready to go under the knife again.
Im a 34 yr old male. Playing basketball i tore my acl and a bucket handle tear in my medial meniscus. Getting surgery the 11th of this month. Im active run often nothing more then a couple miles at a time, go to gym religiously, snowboard, play basketball, beach volleyball, soccer, flag football still recreationally, and my main sport is golf where i play at a pretty high level semi pro. I practice golf about 4-5 times a week whether it be hitting a few large buckets or just working on other parts of my game. I tore all this in my left knee (im righty so i pivot on my now injured left knee). My question is graph choice i first spoke to my surgeon and he recommended patellar tendon graph which im okay with since its the gold standard and strongest but im not a big fan of the knee pain everyone expresses they feel throughout their daily lives years past theyve recovered. So as of now i told him i would prefer to get an allograph (cadaver achillies) since it would keep my patellar in tact. I just dont know if with my life style the allograph will hold up. And also the chance of my body rejecting the allograph. Its a hard decision because yes im in my mid 30s but still feel quite youthful. Just asking for a suggestion or your thoughts on which graft you think would be best to get. Sorry for the long question just trying to paint the whole picture. Any answer helps thanks so much in advace!🙏
Hey, thanks for sharing and it's a great question and a tough/important decision. You seem very active, especially with pivoting/cutting and landing sports (basketball, golf, volleyball, soccer and flag football), so a strong autograft like the patellar and quad (potentially less anterior knee pain) tendon may suit your lifestyle better. An allograft is def a potential option for you to allow for a less painful and slightly "quicker" recovery, but with your activity level and risk of rejection may not be worth it. If I was in your position, those would be the grafts I would consider the most. Hope that helps a little bit! Keep us updated!
Thank you for your answer on the grade 1 in laxity!, as an update, strengthening did help a bit, I went to see 2 knee specialists, lachman was grade 1 but pivot shift was grade 2 or a bit higher. They didnt recommend revision but instead surgery for adding a lateral extra articular tenodesis or IT band tenodesis (LEMAIRE) to improve the rotational stability.
Another thing is that I had an MRI and XRAY, XRAY report stated mild osteoarthritis in the Tibial Femoral compartment but MRI didnt detect any arthritis or problems in the cartilage. If I do have mild Osteoarthritis, would it still be safe to have the surgery for LET?
Hey, thanks for the update and for more information. Yes, most likely it would be safe, but we would defer to what the surgeon suggests. The stability, continued rehab, strengthening and stability training will help limit the advancement of knee osteoarthritis regardless if it is there now or not. Hope your rehab and recovery goes well, let us know if we can help!
@@TheBasketballDoctors Update, yeah surgeon examined my knee again to see if theres any improvements in laxity. Unfortunately he said its the same. He stated that in anterior translation, the ACL graft is working really well, there is a good endpoint. However, in the pivot shift which is responsible for rotational forces, the knee is still lacking a bit of stability. So hes going to do the modified lemaire which is much less invasive than revision ACLR. But he is also going to do arthroscopy to examine whats going on inside my knee and try to fix a meniscus tear he suspected. In the meantime im prehabbing as much as i can to get that knee ready to go under the knife again.