What Graft is Best for a Torn ACL? | ACL Surgeon | Dr. Bill Sterett
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- čas přidán 21. 01. 2024
- drsterett.com/
In this Sports Medicine Minute video, Dr. Bill Sterett answers the question, "What is the best graft for a torn ACL?. Dr. Sterett is a sports medicine doctor with a special focus in ACL tears at Vail-Summit Orthopaedics & Neurosurgery.
With a torn ACL, it is best to replace the torn ligament with a new graft. Less than 10% of the time is the ACL repaired. 90% of the time the torn ACL is removed, and replaced with a new graft. There are four different choices:
1. Cadaver graft
2. Middle of the patellar tendon
3. Middle of the quad tendon
4. Hamstring tendon
Cadaver graft for patient's age 20 and below have shown a much higher rate of re-tearing. Studies have shown a 30% re-tear rate within the first year for cadaver grafts in the younger age demographic. Over age 40, a cadaver graft is a viable choice.
Using your own Tissue
The patellar tendon graft has been the most commonly used graft since the 80s. It is now only used 50% of the time due to advancements in surgical techniques and technology. A patellar graft has a lower rate of re-rupture, but a higher rate of arthritis in the knee down the road.
The hamstring graft is a great choice, but if you are loose jointed, and hyperextend your knee often then you should avoid using the hamstring graft. Females are more likely to be loose jointed compared to the male counterpart, so the hamstring graft is not as commonly used in female patients.
The quad graft is a great choice. It eliminates the risk of patellar tendonitis, and also has a lower risk for arthritis down the road.
All of the graft choices have their purpose. To learn more about ACL graft choices, please visit: drsterett.com/acl-tears
Very informative🙌🏼
This is a fantastic video and reinforced my choice of my quad graft I have surgery may 14th!
Good luck, I hope everything goes well. I’m going to speak with my surgeon tmr & the quad graft is looking as my top choice as well
@@y.h8376 thank you good luck to you too!
im convincing myself of getting a cadaver graft :), great info thank you
Thank you so much 🙏
Need recommendation. I’m 31. Years old . 215 pounds Going four years on ACL tear / meniscus tear i have rehabbed knee through PT. Still torn on new MRI . I am a month out from getting a surgery doc recommends patella. Currently I am able to still squat run jump rope yet unstable left to right and a small twist can take me out for a couple days.
Do peroneus longus!!
Please make a video on peroneus longus.
Doctor may i ask is What is loose joint?
How common is the BEAR graft? And is the recovery slower or faster than a normal ACL repair.
which tendon is best for sternoclavicular joint reconstruction after sc dislocation and how to prevent re rupture after sc joint stabilisation surgery thnkas....
i have ac shoulder joints bump but no pain lol
I have a complete acl tear that qualifies for a repair because it is so high, but I opted for a full reconstruction because I’m a motocross racer and hiker. The surgeon I saw last week was going to do a BTB graft, but my new surgeon is recommending a quadriceps graft. My surgery is Wednesday. The reason for the change of surgeons is because I have a bucket handle tear on my meniscus and it’s time sensitive. I’m nervous and I’m hoping the quadricep grafts gives me a chance at a full return to sports in a year or so.
I had a hamstring graft, lasted me 9 almost 10 years. Just re tore it recently, my doctor wants to do a btb graft. I want an internal brace, have read good things about it
do hamstring/ patellar grafts not grow back or repair after you remove them?
I believe your harvested hamstring will re-balance itself up to 95% after 1.5 to 2 years. But a little loss of power would be noticable in early stages
Thanks gangster
I tore it in trining while grappling on the 19 of march and had surgery the 29th (so 2 days ago). I m in my mid 20's, male and non loose jointed in my case they used hamstrings tendons. 2 days after surgery i can srand on it but i can t walk
wow, howd you get in so fast?
@@danielnillo i m young It usually helps with faster recoveries, but the First 2 weeks have been very painful. Currently i can walk drive and do everything, except sports obviously.
How are you doing now? I have surgery in the first week of June and I will be having a hamstring graft. I am scared as well.
Dr steve jobs
who's had quad graft done?
Me
@@rfabian10 any knee pain or "side effect"?