What Graft is Best for a Torn ACL? | ACL Surgeon | Dr. Bill Sterett
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- เผยแพร่เมื่อ 21 ม.ค. 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
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Thank you so much 🙏
Do peroneus longus!!
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!
Please make a video on peroneus longus.
who's had quad graft done?
do hamstring/ patellar grafts not grow back or repair after you remove them?
Thanks gangster
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 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.
Dr steve jobs