Brilliant presentation, I think a part of fibertape will forever remain inside knee join along with ACL graft, it will constantly keep rubbing with graft during full range of motion if someone is having active lifestyle. Fibertape is strong n non flexible will this constant friction between fibertape n newly formed graft lead to further damage to graft or knee bone some 10-15 years down the line ? will there be any side effects of having such foreign body inside knee forever ? As per my research the ribertape tightens during full extension of knee and exactly opposite happens when you flex the knee. In our mother nature gifted original ACL the AMB tightens during knee flexion while the PLB becomes slack and vise versa. Do you think this newly formed acl graft (using all internal fibertape) will achieve exactly the same results as original one after full recovery ?
It just stays there. It's braided permanent suture called fiber wire. Same thing they use for rotator cuffs. It's how they pass the graft and achieve proper tension before fixation. They then trim the excess suture. But that suture is what holds it permanently in places between a button and or a screw.
Instability is directly connected CNS and muscle degeneration u (cure do more exercises and eat supplements protein) And about knee locking u should focus on more bending exercise.
The literature suggests a very high failure rate when using Synthetic tissue to reconstruct the ACL, so either the patients own or donated tissue (allograft) is preferred.
@@OS.Clinic yes, after posting this I was reading papers on it from the 1980's when it was investigated and they all said the same thing... I was surprised.. thought it would work! Many new materials being developed too so might work in the future! :)
@@rorypuds The strength of the reconstructed ACL is directly associated with the size of the graft, studies demonstrate a lower failure rate with larger grafts.
Thanks now I can do it myself
😂
😂
Hey just wondering.. How did it go? Are you walking again or are you still trying to fix your knee?
@@midmonk2054 great! I just had my surgery yesterday and it hurts like hell tbh
Yesterday wad truly a hell of pain but today is a bit better
Looks simple enough. 😂
Nice video ..👍
Very competent orthopedic surgeon preparing autograft for ACL reconstruction keyhole surgery.
Patient me watching this and thinking that how doctor would prepare graft for me when I was laying down unconscious in operation theatre 🙂
Brilliant presentation, I think a part of fibertape will forever remain inside knee join along with ACL graft, it will constantly keep rubbing with graft during full range of motion if someone is having active lifestyle. Fibertape is strong n non flexible will this constant friction between fibertape n newly formed graft lead to further damage to graft or knee bone some 10-15 years down the line ? will there be any side effects of having such foreign body inside knee forever ?
As per my research the ribertape tightens during full extension of knee and exactly opposite happens when you flex the knee. In our mother nature gifted original ACL the AMB tightens during knee flexion while the PLB becomes slack and vise versa. Do you think this newly formed acl graft (using all internal fibertape) will achieve exactly the same results as original one after full recovery ?
Of course dummy its been tested
Had my Acl surgery 6 months ago. 1 question what happens to the thread/wire that sticked around the graft in coming time?
It will come out 1 day when you get a cut somewhere in your body.
yes!! what happens to the thread
It just stays there. It's braided permanent suture called fiber wire. Same thing they use for rotator cuffs. It's how they pass the graft and achieve proper tension before fixation. They then trim the excess suture. But that suture is what holds it permanently in places between a button and or a screw.
@@dannibble esos hilos se desintegran con el tiempo , el mismo tejido oseo lo cubre y desaparece al igual que los tornillos de hueso
Wow
Hello, quick question what causes instability and knee locking 2-4 weeks post op?
Instability is directly connected CNS and muscle degeneration u (cure do more exercises and eat supplements protein)
And about knee locking u should focus on more bending exercise.
رجاء الرد التمزق بالرباط هل يختلف عن قطع الرباط
Has any research been done on using something like a carbon fiber bundle instead of human tissue?
The literature suggests a very high failure rate when using Synthetic tissue to reconstruct the ACL, so either the patients own or donated tissue (allograft) is preferred.
@@OS.Clinic yes, after posting this I was reading papers on it from the 1980's when it was investigated and they all said the same thing... I was surprised.. thought it would work! Many new materials being developed too so might work in the future! :)
@orthopedicspecialist i want to have my acl repaired can yall do it
I want to fix mine please
Thank you for reaching out to us. Please email Prof Adrian Wilson at aw@os.clinic for an appointment. Best Regards
9.5mm is quite a thick graft is it not?
This was for was an 2 m elite rugby player
@@OS.Clinic superb - I had my surgery 4 weeks back and have a 9mm graft, are there any studies on comparison to a native ACL strength?
@@rorypuds The strength of the reconstructed ACL is directly associated with the size of the graft, studies demonstrate a lower failure rate with larger grafts.
7cm?? That's quite average
Inam.ta waya