Good clarification on graft strength vs fixation. I think the underlying question for strength is "Will a fully healed graft be able to take the same stress as a native ACL?" I believe the answer is yes, but everyone has that agonizing memory of the injury fixed in their brain and is paranoid about it happening again. I don't expect the graft to be invincible, just that it won't fail before a native one would.
@@vasudev6960 I'm two months post op and my leg feels about as strong as it was before the surgery. It will still be a few months before I can run again. Ask lots of questions. Everyone is different and has a different surgery experience. Doing PT before the surgery and getting the leg as strong as possible will definitely lead to an easier recovery. Best of luck!
@@vasudev6960 I went with an allograft because I didn't want to weaken my other muscles or tendons. Everyone's different, but my leg was almost completely numb for the first week after the surgery so the pain never went above a 3/10. I didn't use any of my pain meds. An autograft might give you more pain elsewhere that I didn't feel. Two months later and sensation has mostly returned to my leg. There is this one patch that feels a little numb. I hope that goes away with time-it can take a few months, but there's a possibility that it can be permanent. There's no guarantee the nerves will heal properly when they do the incisions.
@@Raptor302 wise decision, what do you think about long term effect of your surgery? Did you also have meniscus damage? And how did you not feel the pain, you are the first one telling me otherwise?
good question, but maybe not conveyed well enough for the common viewer watching for deeper understanding. but the question it self is one im having. I just had a complete ACL repair with my quad muscle.
Thanks for the very interesting discussion. What I really want everyone to have in mind as an alternative : ACL primary repair. I had ACL repair instead of reconstruction and I could not be happier with it 🌞 With so much focus on all the graft options, please do not forget in many cases the original acl can be repaired/reattached, especially in proximal ruptures. I would always see first if my rupture type is eligible for repair e.g. BEAR or Ligamys #savetheacl
@@Mayank-rs7kg Haha, would rather not have to deal with ACL at all... But I guess you are right -there is always a little luck needed for choosing the right path, a successful op and rehab. Hope you are doing fine as well :)
Curious if there is any long term difference in strength between the different grafts? The quad is stronger initially, but does ligamentization ultimate make them all the same or does the quad maintain some persistent strength advantage?
I am 67 years old. I received a tendon from a cadaver. The tendon I received came from the arch of the foot that connects to the calf muscle behind the heel. That replaced my completely torn ACL. Any reason to believe that it is inferior to the hamstring tendon? I am 90 days post surgery. It feels good but not doing any plyometrics, running, jumping yet.
Thank you for clarification! I wished I seen this when I choose hamstring as ACL graft. It did take me about 2 years to feel comfortable in my knee to stress it with jiu-jitsu and intense weight lifting. At year 5 post-surgery, I am having odd issues with my knee: area of scar tissue hurts significantly on touch, and limited range of motion and severe stiffness after physical activities (weight lifting and pickleball for several hours). Any recommendations in this regard? Did not have such issues between 2-4 years post-op. EDIT: ACL and meniscus surgery
@@TrueDaturaMindNz site of ACL repair. I am having less issues now by doing Knees over Toes exercises and shifting my athletic stance for activities (more strain on calves and tibialis)
Ive had 6 acl cadaver grafts everyone of them jas failed inside of 3 yrs. I currently jatve a complete rupture of the 6th, clearly the cadaver grafts don't work for me, anyone gone through that or have any suggestions?
Stop doing whatever you’re doing to tear it lol I know it’s probably hard to give up whatever that is. But 6 times yo? All that surgery can’t be healthy for your knee.
I just had this surgery about 4 weeks ago and I have a tiny piece of string (I think it’s a suture) sticking out one of the incision.. are sutures supposed to stay inside the knee?
Had an ACL reconstruction 23 years ago using my a hamstring graft. Knee iis doing great, only hurts occasionally. Had a torn mcl and a fractured femur along with the torn ACL
@@ARABIYAAH your hamstring area will hurt after the surgery. It dont remember much weakness. During rehab quad and hamstring strengthing will one of the major things you work on. RDLs will be great for your hamstring once you're able.
Great discussion. I had a BTB ACL 26 years ago. Some pain and stiffness here in there, but I wonder what happened to my titanium pins, and gap in my patella and knee cap.
If your physician didn't inform you of any subsequent things to be done with the pins in your knee, then they are most likely biodegradable and will slowly turn to bone over the course of a few years. Always good to ask them though
Great discussion...key to know there are 2 things 2 consider 1) graft and 2) fixation
Good clarification on graft strength vs fixation. I think the underlying question for strength is "Will a fully healed graft be able to take the same stress as a native ACL?"
I believe the answer is yes, but everyone has that agonizing memory of the injury fixed in their brain and is paranoid about it happening again. I don't expect the graft to be invincible, just that it won't fail before a native one would.
If I take you for your words, then I want to have a surgery as soon as possible, broke mine a week ago
@@vasudev6960 I'm two months post op and my leg feels about as strong as it was before the surgery. It will still be a few months before I can run again.
Ask lots of questions. Everyone is different and has a different surgery experience. Doing PT before the surgery and getting the leg as strong as possible will definitely lead to an easier recovery. Best of luck!
@@Raptor302 what graft did you use? And how bad is the pain after surgery on a scale of 1 to 10?
@@vasudev6960 I went with an allograft because I didn't want to weaken my other muscles or tendons. Everyone's different, but my leg was almost completely numb for the first week after the surgery so the pain never went above a 3/10. I didn't use any of my pain meds. An autograft might give you more pain elsewhere that I didn't feel.
Two months later and sensation has mostly returned to my leg. There is this one patch that feels a little numb. I hope that goes away with time-it can take a few months, but there's a possibility that it can be permanent. There's no guarantee the nerves will heal properly when they do the incisions.
@@Raptor302 wise decision, what do you think about long term effect of your surgery?
Did you also have meniscus damage? And how did you not feel the pain, you are the first one telling me otherwise?
Greetings from South Florida! Thank you guys for the amazing podcast
good question, but maybe not conveyed well enough for the common viewer watching for deeper understanding. but the question it self is one im having. I just had a complete ACL repair with my quad muscle.
Thanks for the very interesting discussion. What I really want everyone to have in mind as an alternative : ACL primary repair.
I had ACL repair instead of reconstruction and I could not be happier with it 🌞 With so much focus on all the graft options, please do not forget in many cases the original acl can be repaired/reattached, especially in proximal ruptures. I would always see first if my rupture type is eligible for repair e.g. BEAR or Ligamys
#savetheacl
Man!! You are born lucky.
@@Mayank-rs7kg Haha, would rather not have to deal with ACL at all... But I guess you are right -there is always a little luck needed for choosing the right path, a successful op and rehab. Hope you are doing fine as well :)
5:42 - what’s a KT?
Curious if there is any long term difference in strength between the different grafts? The quad is stronger initially, but does ligamentization ultimate make them all the same or does the quad maintain some persistent strength advantage?
I am 67 years old. I received a tendon from a cadaver. The tendon I received came from the arch of the foot that connects to the calf muscle behind the heel. That replaced my completely torn ACL. Any reason to believe that it is inferior to the hamstring tendon? I am 90 days post surgery. It feels good but not doing any plyometrics, running, jumping yet.
It's restore hamstring graft after acl reconstruction how much time to restore.
Never because they weaken the hamstring it will not be the same as before.
Thank you for clarification! I wished I seen this when I choose hamstring as ACL graft. It did take me about 2 years to feel comfortable in my knee to stress it with jiu-jitsu and intense weight lifting.
At year 5 post-surgery, I am having odd issues with my knee: area of scar tissue hurts significantly on touch, and limited range of motion and severe stiffness after physical activities (weight lifting and pickleball for several hours). Any recommendations in this regard? Did not have such issues between 2-4 years post-op.
EDIT: ACL and meniscus surgery
did you go with removing meniscus or repairing it, and which meniscus it was, lateral or the other one?
The site of the acl repair or harvest area?
@@vasudev6960 they just shaved it. Most of my damage was on the inner part
@@TrueDaturaMindNz site of ACL repair. I am having less issues now by doing Knees over Toes exercises and shifting my athletic stance for activities (more strain on calves and tibialis)
Why don't you mention the peruneus longus tendon
Ive had 6 acl cadaver grafts everyone of them jas failed inside of 3 yrs. I currently jatve a complete rupture of the 6th, clearly the cadaver grafts don't work for me, anyone gone through that or have any suggestions?
why dont you switch to a different graft then??
Stop doing whatever you’re doing to tear it lol I know it’s probably hard to give up whatever that is. But 6 times yo? All that surgery can’t be healthy for your knee.
Man what sport do you play?
I just had this surgery about 4 weeks ago and I have a tiny piece of string (I think it’s a suture) sticking out one of the incision.. are sutures supposed to stay inside the knee?
After 10 days sutures should be removed
Had an ACL reconstruction 23 years ago using my a hamstring graft. Knee iis doing great, only hurts occasionally. Had a torn mcl and a fractured femur along with the torn ACL
does your hamstring feel weak? i’m supposed to have this surgery soon too
i would appreciate any tips bro
@@ARABIYAAH your hamstring area will hurt after the surgery. It dont remember much weakness. During rehab quad and hamstring strengthing will one of the major things you work on. RDLs will be great for your hamstring once you're able.
@@meilmarc14did you do single bundle hamstring or double bundle?
@@anujkharat21 I have no clue how it was bundled. The graft held up well. I played college football after the surgery
@@meilmarc14 sounds great brother, keep it up
Great discussion. I had a BTB ACL 26 years ago. Some pain and stiffness here in there, but I wonder what happened to my titanium pins, and gap in my patella and knee cap.
Patella will fill it gape with newer tissues
If your physician didn't inform you of any subsequent things to be done with the pins in your knee, then they are most likely biodegradable and will slowly turn to bone over the course of a few years. Always good to ask them though
so which graft heals fastest?
Hamstring