I had a QT autograft done 1 year ago. Recovery has been tough. I haven’t been easy on it as I packed out 3 bull elk on it about 7 months after but I have a lot of pain squatting still and some times I feel some instability in my knee Good video and of course it has me wondering if I made the right choice
Very thorough explanation, thank you. I’m going to elect to the allograft because I’m 45, active but not in competitive sports. While I injured my medial meniscus 6 years ago while snowboarding, I like the idea of being able to get back to the mountain in the years to come with ACL reconstructive surgery. I’m terrified to have surgery but I know with my current PT working to build leg strength over the next 6 months I’ll be ready for surgery this winter.
I had the hamstring autograft and it caused nerve damage below the knee. And my hamstring is still feeling weird 10 years past surgery. Would had been nice to avoid the nerve damage.
Great video, going to see doctor next Monday to discuss the options of the graft. I intend to the allograft, which tissue is the best for allograft? Patellar tendon?
I’m not sure if you will see this comment but, what is your profession of using a cadaver quad tendon as the acl? Last question….why do they drill a hole diagonally? Why not drill a hole from the tip of the tibia to the center of the femur straight up? A vertical ACL . I feel like it would reduce tearing since the acl would no longer be at an angle.
Thanks for the comment! Check out the link to the video below where we dive into the use of quad tendon autografs. If you’re young and active, it's generally better to avoid allografts (cadaver grafts) due to their higher re-rupture rates. The ACL’s orientation plays a crucial role in its stability; the diagonal alignment is essential for its function. If the angle is too steep or too shallow, it can lead to instability and/or place more strain through the graft. ua-cam.com/video/rolwHGpY4Og/v-deo.htmlsi=1ZGLa2N_pcqUH861
What about quad autografts? I got that graft for my aclr 3 days ago and I’m looking to return to college basketball. Do you think that choice could fail me?
Hello Sami, The QT autografts are the least studied of the 3 main autograft options. There are no prospective studies comparing QT/BQT and BPTB autografts and no prospective or retrospective studies comparing QT/BQT and HT autografts. For this reason, we did not have sufficient evidence to make any substantive claims in this video. Nonetheless, the evidence that does exist is promising for QT grafts demonstrating no significant laxity, high return to sport rates, and less anterior knee pain!
Quadriceps Tendon Autograft Versus Bone-Patellar Tendon-Bone and Hamstring Tendon Autografts for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis pubmed.ncbi.nlm.nih.gov/34494906/
I am currently 3 weeks post op. My surgeon gave me the option and recommendation to do a hamstring autograft PLUS some additional allograft to supplement and beef up the new ACL. I have yet to find a video or forum that details a single example of this type of graft. Anyone here heard of this?
About to have surgery for the first time. Tore my acl mcl and lcl as well as a fractured tibia. As a former college athlete I’d love to get back to some sort of athletic ability. I regularly am lifting and am very active with snowboarding, surfing, hunting, and other sports. Which graft would you recommend? Have had friends and family who have done allograft as well as BTB. I’m 26 btw.
Most autografts do quite well. Of course, it's also dependent on surgeon skill and a structured rehab post. BTB or quad tendon autografts are typical choices for athletes. Whichever you choose, make sure the surgeon is highly experienced in that type of graft choice. Here is an updated version of that video with more info on quad tendon grafts. Good luck with the surgery!! 👍 ua-cam.com/video/rolwHGpY4Og/v-deo.html
Great video!What do you think of internal bracing? Is this procedure as good as grafts mentioned? Especially for someone who wants to go back to sport such as brazilian jiujitsu?
Hi sir, I'm a football player. I had torn my right knee ACL during landing. What do you think on using Peroneous longus graft? Will it have any side effects on my ankle stability considering my sport? If peroneus longus graft is good to be taken, from which leg could it be taken (considering that I am right handed)?
I suggest discussing surgical options with your surgeon. Take into consideration the surgeons expertise, graft pros and cons, and your goals. Good luck!! 👍
Good question! Typically, this is not the graft choice for athletes. I suggest asking why they prefer to do this graft in your situation to gain clarity. Please report back when you find out!
Good question! Typically, this is not the graft choice for athletes. I suggest asking why they prefer to do this graft in your situation to gain clarity. Please report back when you find out!
Do you have questions about this video or have suggestions for future videos? Let us know in the comments below. If you like our content, please like the video and subscribe to the channel to help us grow and continue to provide quality physical therapy related content!
There’s also Quad tendon reconstruction and a new procedure that is called the BEAR Implant acl surgery which I think are better options for women hamstring autograft is not good for women it has higher chances of retear
What's your view on quadricep tendon grafts?
This video should be viewed by anyone reviewing their pre-surgical options.
Thank you so much for the feedback! 👍
I had a QT autograft done 1 year ago. Recovery has been tough. I haven’t been easy on it as I packed out 3 bull elk on it about 7 months after but I have a lot of pain squatting still and some times I feel some instability in my knee
Good video and of course it has me wondering if I made the right choice
Despite having both hamstring grafts, I am still able to play basketball at a high level.
I got an allograft and so far feeling great. I intend to go back to rec sport only.
is that the one using a dead corpse's tendon or graft?
@@asianangler yes
I got allograft on my right knee and I’m 20 years old and I broke it already
@@Daniel.Lanzas same i re tore mine in july of this year and got a patellar bone autograft this time.
Very thorough explanation, thank you. I’m going to elect to the allograft because I’m 45, active but not in competitive sports. While I injured my medial meniscus 6 years ago while snowboarding, I like the idea of being able to get back to the mountain in the years to come with ACL reconstructive surgery. I’m terrified to have surgery but I know with my current PT working to build leg strength over the next 6 months I’ll be ready for surgery this winter.
Good luck!
I had the hamstring autograft and it caused nerve damage below the knee. And my hamstring is still feeling weird 10 years past surgery. Would had been nice to avoid the nerve damage.
Wtf? How?
Great video, going to see doctor next Monday to discuss the options of the graft. I intend to the allograft, which tissue is the best for allograft? Patellar tendon?
I’m not sure if you will see this comment but, what is your profession of using a cadaver quad tendon as the acl? Last question….why do they drill a hole diagonally? Why not drill a hole from the tip of the tibia to the center of the femur straight up?
A vertical ACL . I feel like it would reduce tearing since the acl would no longer be at an angle.
Thanks for the comment! Check out the link to the video below where we dive into the use of quad tendon autografs. If you’re young and active, it's generally better to avoid allografts (cadaver grafts) due to their higher re-rupture rates. The ACL’s orientation plays a crucial role in its stability; the diagonal alignment is essential for its function. If the angle is too steep or too shallow, it can lead to instability and/or place more strain through the graft. ua-cam.com/video/rolwHGpY4Og/v-deo.htmlsi=1ZGLa2N_pcqUH861
What about quad autografts? I got that graft for my aclr 3 days ago and I’m looking to return to college basketball. Do you think that choice could fail me?
Hello Sami,
The QT autografts are the least studied of the 3 main autograft options. There are no prospective studies comparing QT/BQT and BPTB autografts and no prospective or retrospective studies comparing QT/BQT and HT autografts. For this reason, we did not have sufficient evidence to make any substantive claims in this video. Nonetheless, the evidence that does exist is promising for QT grafts demonstrating no significant laxity, high return to sport rates, and less anterior knee pain!
Quadriceps Tendon Autograft Versus Bone-Patellar Tendon-Bone and Hamstring Tendon Autografts for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis
pubmed.ncbi.nlm.nih.gov/34494906/
I am currently 3 weeks post op. My surgeon gave me the option and recommendation to do a hamstring autograft PLUS some additional allograft to supplement and beef up the new ACL. I have yet to find a video or forum that details a single example of this type of graft. Anyone here heard of this?
How are you now i am currently 3 weeks post op now
About to have surgery for the first time. Tore my acl mcl and lcl as well as a fractured tibia. As a former college athlete I’d love to get back to some sort of athletic ability. I regularly am lifting and am very active with snowboarding, surfing, hunting, and other sports. Which graft would you recommend? Have had friends and family who have done allograft as well as BTB. I’m 26 btw.
Most autografts do quite well. Of course, it's also dependent on surgeon skill and a structured rehab post. BTB or quad tendon autografts are typical choices for athletes. Whichever you choose, make sure the surgeon is highly experienced in that type of graft choice. Here is an updated version of that video with more info on quad tendon grafts. Good luck with the surgery!! 👍 ua-cam.com/video/rolwHGpY4Og/v-deo.html
Great video!What do you think of internal bracing? Is this procedure as good as grafts mentioned? Especially for someone who wants to go back to sport such as brazilian jiujitsu?
What about a quad graft
no quad graft covered?
Updated video coming your way, stay tuned!
Phenomenal presentation.
Thank you!
why not augment the allograft with orthobiologics to help it regain some or most of its mechanical integrity?
Hi sir, I'm a football player. I had torn my right knee ACL during landing. What do you think on using Peroneous longus graft? Will it have any side effects on my ankle stability considering my sport? If peroneus longus graft is good to be taken, from which leg could it be taken (considering that I am right handed)?
I had ACL reconstruction surgery on 24/7/23.. Peroneus Longus was used on me. I'm an active sports player... PL is advisable for sportspersons
@@kcrongmei6317how is post surgery rn
My doctor used peroneous longus graft and its totally fine … also it heated very fast
Iam about to have a ACL tear surgery which one will be best hamstring graft or tibial graft..??? Help.!
I suggest discussing surgical options with your surgeon. Take into consideration the surgeons expertise, graft pros and cons, and your goals. Good luck!! 👍
I’m a 23 year old female basketball player and my surgeon wants to do an allograph. Why?
Good question! Typically, this is not the graft choice for athletes. I suggest asking why they prefer to do this graft in your situation to gain clarity. Please report back when you find out!
Good question! Typically, this is not the graft choice for athletes. I suggest asking why they prefer to do this graft in your situation to gain clarity. Please report back when you find out!
Do you have questions about this video or have suggestions for future videos? Let us know in the comments below. If you like our content, please like the video and subscribe to the channel to help us grow and continue to provide quality physical therapy related content!
There’s also Quad tendon reconstruction and a new procedure that is called the BEAR Implant acl surgery which I think are better options for women hamstring autograft is not good for women it has higher chances of retear
So why every football player gets an allograft and still have a good performance in the field?
Most pro football players get a bone-patella-bone autograft