Which ACL Graft Is Best For Returning to Sport?
Вставка
- Опубліковано 3 чер 2024
- ACL grafts have their on unique characteristics that should be considered prior to surgery. We take an in-depth look at the different ACL reconstruction surgery graft types to help determine which is best for you.
Host: Dr. Bobby Dattilo, PT, DPT
Board Certified Orthopedic Clinical Specialist
Chapters:
0:00 - Intro
0:53 - Autograft vs. Allograft
1:56 - Bone-patella tendon- bone autograft
3:37 - Hamstring autograft
4:34 - Allografts
6:18 - Rehab considerations
7:59 - Outcomes
References:
www.jospt.org/doi/10.2519/jos...
www.ncbi.nlm.nih.gov/pmc/arti....
www.ncbi.nlm.nih.gov/pmc/arti...
www.arthroscopytechniques.org...
www.jospt.org/doi/10.2519/jos...
eor.bioscientifica.com/view/j...
journals.lww.com/md-journal/f...
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
This video should be viewed by anyone reviewing their pre-surgical options.
Thank you so much for the feedback! 👍
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!
Phenomenal presentation.
Thank you!
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?
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
What's your view on quadricep tendon grafts?
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 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?
Despite having both hamstring grafts, I am still able to play basketball at a high level.
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
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
What about a quad graft
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!! 👍
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why not augment the allograft with orthobiologics to help it regain some or most of its mechanical integrity?
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
no quad graft covered?
Updated video coming your way, stay tuned!
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