What graft is best for ACL?

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.

Which ACL graft is strongest?

The strongest option is the BTB graft. The graft incorporates more solid into the bone due to the bone plugs on either end of the tendon. However, BTB grafts have been known to have the slowest recovery time when it comes to meeting rehab milestones and returning to sport.

What is the most common ACL graft?

Hamstring tendon grafts are one of the most commonly used grafts for ACL reconstruction. The semitendinosus tendon with or without gracilis tendon is harvested, from ipsilateral leg. They are used as quadruple stranded grafts and are comparable to native ACL.

Which ACL graft is best for athletes?

Patellar Tendon

It is the graft with the longest track record and is consider by many to be the “gold-standard” for ACL reconstruction. In most circumstances this is the graft recommended for professional athletes and in any young active individual.

What are the top 4 choices for ACL grafts?

In general, there are three main graft options: a patellar tendon autograft, a hamstring autograft, and an allograft. An autograft comes from the patient's own body, whereas an allograft comes from a cadaver donor.

When is the ACL graft the weakest?

The graft complex is actually at its weakest at around the 6 week post operative mark. Kinematic research has shown that open chain exercises cause significantly more anterior tibial displacement and hence more strain on the graft than closed chain exercises.

When do most ACL grafts fail?

ACL surgery can fail, even in the best of circumstances. It is generally felt that a well-done ACL reconstruction has about a 5% chance of failure due to trauma. The most common cause of an ACL graft failure is a technical error with malposition of the original ACL reconstruction tunnels.

What ACL graft do NFL players use?

Conclusions: BPTB is the most frequently used graft for ACL reconstruction by NFL and NCAA Division I team physicians in their elite-level running backs. Nearly all surgeons always use a single- bundle technique, and most do not recommend a brace on return to sport in running backs.

What ACL graft do NBA players use?

Eighty-seven percent indicated they use autograft (81% bone–patellar tendon–bone) for primary ACL reconstruction in NBA athletes, and 43% indicated they use autograft for revision cases.

Which ACL graft heals the fastest?

The patellar tendon graft (PTG) has always been the gold standard for anterior cruciate ligament (ACL) reconstruction.

Is it OK to delay ACL surgery?

Long-term knee instability

If you wait too long to treat a torn ACL, you're at risk of developing chronic knee pain and knee instability. Waiting to get treatment may mean that surgery is your only option. Or you may need to cope with ongoing instability by modifying your activities and giving up intensive sports.

Can your body reject an ACL graft?

Because of this, it seems necessary to delve into one of the most common question asked by patients: Will my body reject the foreign cadaver tissue? The short answer at this time is no, the allograft will not fail because of immune response such as what is seen with organ transplants [3].

How long do ACL grafts last?

Rebuilt to last

Not only is the procedure effective, but repaired tendons perform like new. Reconstruction patients even 20 years later revealed excellent performance, with over 85% still active.

When is ACL graft weakest?

ACL grafts are weakest 5 to 12 weeks after surgery. You may feel stronger, but your knee is months from full recovery. Remain cautious.

How urgent is ACL surgery?

Can I delay surgery for an ACL tear? In general terms, reconstructive surgery is not urgent and can be delayed to fit around work and personal schedules. During this time, sport and change of direction activities should be avoided.

Will my knee ever be the same after ACL surgery?

For the most part, patients' range-of-motion 10 years after surgery was the same as it had been two years after the operation. About 85 per cent of the 502 patients had a stable knee they could hop on.

When is the best time to get ACL surgery?

For a complete tear of the ACL, reconstruction surgery is generally scheduled for between three and six weeks after the injury occurs. This allows inflammation in the area to subside. If surgery is performed too early, patients may develop a profound scarring response called arthrofibrosis.

Is it easy to Retear ACL after surgery?

Every surgically reconstructed anterior cruciate ligament can retear. The risk ranges from one or two percent to more than 20 percent. The replacement ligament (graft) chosen for your surgery can significantly increase or decrease your chance of a retear.

How many hours does ACL surgery take?

Most ACL reconstructions are done under general anesthesia. So you'll be asleep during the surgery and not feel anything. The surgery usually takes 2 to 2½ hours, and you won't need to stay in the hospital overnight.

How long should you stay home after ACL surgery?

If you sit at work, you may be able to go back in 1 to 2 weeks. But if you are on your feet at work, it may take 4 to 6 weeks. If you are very physically active in your job, it may take 4 to 6 months.

Will you ever be the same after an ACL injury?

Generally, those who successfully returned were above-average NFL players before their injury but relatively average after their return. In other words, after an ACL surgery, a Pro Bowl level defensive player regresses to the performance level of an average player and an average player drops below the NFL standard.

When is the ACL graft weakest?

ACL grafts are weakest 5 to 12 weeks after surgery. You may feel stronger, but your knee is months from full recovery. Remain cautious.

How long are you bed ridden after ACL surgery?

What should I expect for life after ACL surgery? You should expect to recover slowly and reduce your activity to a minimum. You'll be mostly bedridden for the first week or two, so it's important to have a support system in place to help you however you need it.

Can I drive 2 weeks after ACL surgery?

You should not drive as long as you are taking narcotic pain medication. If it is your left knee, you can resume driving when you feel your reaction times are back to normal (typically 1 week). If it is your right knee, usually allow driving 4-6 weeks after surgery.

How easy is it to Retear an ACL?

Every surgically reconstructed anterior cruciate ligament can retear. The risk ranges from one or two percent to more than 20 percent. The replacement ligament (graft) chosen for your surgery can significantly increase or decrease your chance of a retear.