NASA Technique - ACL Reconstruction Surgery- Latest and Best Technique Dr Jitesh Jain
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- เผยแพร่เมื่อ 6 ก.ย. 2022
- Dr. Jitesh has experience of arthroscopic reconstruction of more than 1000 ACL tears. After years of experience, he has devised a technique of ACL reconstruction (NASA technique) which is safe, reproducible and has a high success rate.
What is NASA technique?
N stands for Nine mm thick graft. Many studies have proven that graft thinner than 8mm has a high failure and retear rate compared to 8mm or thicker grafts. In NASA technique single hamstring tendon (Semitendinosis) is enough to make 9mm thick ACL graft.
A stands for anatomical reconstruction. In the NASA technique tunnels are made directly in the residual stump of the native ACL. This places a new graft in the anatomical position which gives the best biomechanics of the knee joint.
S stands for screw-less ACL reconstruction. ACL graft requires some sort of fixation in the tunnels. Using screws to fix the graft is not free from complications. These complications include loosening of screws, screw impingement into the joint, graft damage by the screws, and tissue reactions around bio and metal screws. In NASA technique no screw is used and the graft is fixed with 2 adjustable loops. This avoids the screw-related complications after ACL reconstruction
A stands for All inside ACL reconstruction. In conventional ACL reconstruction, 2 hamstring grafts (semi tendinosis and Gracilis) are used and long bony tunnels are made. In Asian patients, even 2 hamstring grafts are not sufficient to make a 9 mm thick graft many times. Long bony tunnels cause unnecessary loss of bone stock and more pain after surgery. Harvesting both hamstrings can reduce the strength in deep knee bending and this may weaken the flexion strength in sports persons. In the NASA technique, only one hamstring graft is taken to make the graft and a single graft is sufficient to produce a 9mm thick graft. Another benefit of the NASA technique is short tibial tunnel which causes less pain and swelling in helps quick recovery.
#NASATECHNIQUE #acl #acltear #aclsurgery #indianmedicalvideologs
Good informative video thanks sir
Ap repair ni karte kya acl
Doctor fiber tep se infaction hota he
Sir screw less sugery hoti h to fir graft kaise hold karega
Sir without fibertape bhi surgery krte h kya aap ?
Nasa taknik cost kya hai
Can this technique be used without screw in revision surgery on the tibial side My ACL using screws on both sides has failed due to non anatomical Transtibila technique were the graft is vertically placed?
Do hamstring tendon regrow..please answer sir
Sir my MRI reports is Mucoid degeneration of ACL how can it be cured
Sir mera acl tear hai complete tear hai mri me lekhin swelling nahi hota hai thora dard sa rahata hai kya kare
Surgery is best for complete tear
Sir Mera ghutna jaam he 18 mahine से kya मेरा ऑपरेशन हो सकता है
Sir I have oprated my acl surgery before 3 years ago but my knee feels loose doctor suggested 2nd grade laxity and he says it's normal oprated by dr.saurabh Mathur Jaipur...THIS IS MY NEW MRI REPORT
Suspensory type of acl reconstruction graft with satisfactory position of femoral and tibial tunnel . There is increase signal with the graft fibers extending into the femoral tunnel with suggestions of an intrasubstance ganglion cyst.The graft fibers otherwise appear intact..WHAT DOES IT MEN SIR
सर नासा तकनीक चरणजीवी योजना मैं हो सकती हैं
Sir, I'm an amateur tennis player. I had undergone ACL reconstruction (fiber tape internal bracing) with hamstring tendon graft. But i don't feel confident and tibia bone is not fully stable.
So will you do my revision surgery with patellar tendon graft?
I have watched one video where you mentioned hamstring graft can become loose.
Why not. In case of revision BPTB graft can be used. But first i need to assess reason for failure.
Kitna kharch hota hai
@@dipendragupta6876 3 lac pakad ke chalo
Hey brother same situation I'm facing that you are dealing with
Hello Sir,
1) In MRI report its mentioned that I have complete to near tear of ACL. But seeing my physical condition doctor said that the ACL is strached a bit and said wait for 2 months and then go for MRI scaning.
Is this ok, if I went for surgery after 2 months ( had ACL tear since 1 month )
2) Can I do walking, physiotheraphy excersies until I go for surgery? Or will it affect any other parts of I do excerise ??
Han bhai koi dikkat ni hai 2 month badd surgery krwane me but tab tak aram se walk karna running jogging or jumping ignore kro or physiotherapy exercise kr sakte ho yutube pe dekh kar normal squats wgra karlo koi dikkat nahi hai
Sir surgery ke bad kitne months bad sports me back kar sakte hai
Acl surgery ke 14 days Ka medication end hone ke baad 18th day pain hua stiffness hua and mild fever and dizziness and loss of appetite. What to do ? Normal or not
Surgery kahan se karwayi
Reply,🙋🏻♂️🙋🏻♂️🙋🏻♂️
Sir harvest kiye hue hamstring tendon wapas regrow go jaate hai kya?
to some extent they regrow.
No
I don't understand that language.
Do you perform with BEAR technique also?
no
Can I sit and travel in backseat of a bike after 1 month of ACL surgery??
yes, easily. even after 7 days you get sufficient movements to sit on a bike.
mera 10 mm ka graft banna tha ....is that good ?
it is difficult to accommodate more then 9 mm graft in the notch
Yes
Sir aap es technique se kitni surgery kiye ho
Meri surjury doctor new technic se hi huve he infraction huva 6 mahine huve garft jud chuka crp kam hota he badhta ager doctor implant nikal diya jaye to sab thik ho sakta he graft jud chuka he
Implant nikalwa do. Arthroscopic debridement se theek ho jayega
NASA Technique mey without screw/button is possible for full success rate.. what is cost of NASA Technique..NASA TECHNIQUE mey fibre tape use karthey hey kha sir
No fiber tape
Cost 60000
Sir mera bike accident hua tha 1 year back tab muze kuch pata nahi chala pr pair me dard tha to MRI karne ke bad pata chala ki mere knee me ACL tear & minuscus tear hai kya me technique re surgery kr sakta hu & uska kharcha kitna aayega
Cost of nasa technique?
60000