What is double bundle ACL reconstruction?
Double Bundle ACL Surgery Instead of placing just one larger graft, the double-bundle ACL reconstruction procedure uses two smaller grafts. Therefore, there are essentially two ligament reconstructions, one for each bundle.
How long does it take for the hamstring to heal after ACL surgery?
This usually takes four to six months. The use of a functional brace when returning to sports is ideally not needed after a successful ACL reconstruction, but some patients may feel a greater sense of security by wearing one.
Which muscle of the hamstring group is used in an ACL reconstruction?
The graft used in ACL reconstruction is taken from the hamstring tendon (semitendinosus) along the inside part of the thigh and knee. Dr. Kiritsis also commonly includes a tendon just next to the semitendinousus, called the gracilis.
How strong is hamstring graft for ACL?
Benefits. Since it has four tendon strands, the graft is very strong, up to two or three times the native ACL. Hamstring grafts have been associated with better extension, lower incidence of post-surgical arthritis and better extension strength.
What is the best ACL surgery for athletes?
The patellar tendon graft (PTG) has always been the gold standard for anterior cruciate ligament (ACL) reconstruction. Yet, most orthopedic surgeons prefer hamstring grafts for younger athletes and cadaver grafts for older patients.
Is it possible to tear both ACLS?
But Megan’s softball career has been anything but painless. Along the way, she’s torn the anterior cruciate ligaments (ACL) in both knees in two separate incidents. The cruciate ligaments control the back and forth motion of the knee.
Does your hamstring grow back after ACL surgery?
The hamstring tendons in most cases do regenerate. Across the studies, the rate of regeneration varied between 50% to 100% for the semitendinosus tendon, and 46% to 100% for gracilis. The pooled, mean rate of regeneration after 1 year post ACL reconstruction was 79% for semitendinosus and 72% for gracilis.
Is hamstring pain normal after ACL surgery?
The incidence of hamstring pain and muscle strains was significantly reduced in patients receiving the “cut” technique of harvesting hamstring tendons in ACL reconstruction surgery, a difference that was not attributable to a lower level of sporting activity.
Is hamstring stronger than ACL?
Graft Strength Prodromos uses is initially approximately 2.4 times stronger than the ACL it replaces. Ultimately this graft (and all implanted grafts) loses about half its strength so that its ultimate strength, based on animal studies, is estimated to be about 1.2 times stronger than the original ACL.
Which is worse ACL or meniscus?
Many ACL tears we see only have problems ascending stairs, jogging, or walking downhill but can walk up hills and on flat roads without an increase in pain. A meniscus tear, on the other hand, will cause fairly severe pain even just standing on it.
What are the techniques for double bundle ACL reconstruction?
Double-bundle ACL reconstruction presents a technical challenge to the surgeon. Numerous 4-tunnel techniques,21-23as well as variations using 3 tunnels,24-26have been described.
How are femoral and tibial sockets used in ACL reconstruction?
A single mid-bundle position is used on the tibia. Both femoral and tibial sockets are created in a retrograde manner using outside-to-in drilling. This is a simplified operative technique for anatomic double-bundle ACL reconstruction that maximizes bone preservation.
How is the TriLink used in ACL reconstruction?
This is a simplified operative technique for anatomic double-bundle ACL reconstruction that maximizes bone preservation. The TriLink construct replicates the 2 bundles of the ACL, conferring native functional anisometry and improving femoral footprint coverage while avoiding the complexities and pitfalls of double–tibial tunnel techniques.