Acl Reconstruction Essay

Objectives: To evaluate clinically and radiologically the long-term results of ACL reconstruction with a hamstring graft.

The ACL is the Anterior Cruciate Ligament is in the front of the knee and serves a few purposes such as being in control of the knee twisting and keeps the tibia from going over the femur, and keeps the knee from hyperextending.

There are different techniques that repair a torn ACL. The popular method for surgeons is the patellar tendon graft procedure. This type of ACL replacement uses the middle third of the person’s own patellar tendon and replacing the damage tendon with it. The advantages are that the fixation is very strong and the patellar tendon replacing

Surgical repair after ACL tear is typical for the general public and imperative for athletes to return to high-level competition. Rehabilitation after ACL surgery whether using accelerated or traditional programs focuses on regain of knee functions and functional activity progression in order to achieve preinjury activity level.

In addition, regression analysis was used to determine independent variable among age, BMI, grip strength, sex and K/L grade for knee pain. The result indicated that the most significant variable was BMI correlated with the occurrence of knee pain. ORs of BMI (+5 kg/m2) was 1.54 and the risk was 0.60 which was significant. This implied that the ORs of K/L grade for knee pain can be overestimated due to the possibility of extremely low risk of K/L grade. In fact, the percentage of participants who suffered from knee pain with K/L (grade 2) and K/L (grade 3 and 4) was just 61.0% and 71.0% respectively. In other words, it will be about 40% of participants with K/L grade 2 and about a third of subjects with K/L grade 3 and 4 had no pain at the knee joint at follow-up.

Second of all, surgery isn’t for everyone, especially for kids who haven’t finished growing. Surgery that is done on adults is the same done on teens. Orthopedic surgeons say that fixing an ACL tear involves the growth plate. I know this because in paragraph 5 it states, “Orthopedic surgeon

However, previously reported high failure incidences of the primary repair and the relative robustness of ACL reconstruction led the clinical switch to use of a graft to replace, rather than repair, the ACL. Recent advances in the area of tissue engineering and regenerative medicine coupled with an improved understanding of the requirements for ACL healing, has led to the emergence of novel biologically augmented ACL repair

This short and round ligament, like all other ligaments, prevents slippage within the joint and allows the joint to properly pivot when performing an action (Duff 300). Without this particular ligament, the knees would be fragile and more susceptible to injury. Therefore, it would be impossible to do the simplest movements that are done by humans everyday, like walking and even sitting. This is one reason why many athletes should be aware of the physical indications that arise if they have torn their ACL while participating in athletic activities.

The Anterior Cruciate Ligament “…is a primary restraint to anterior drawer of the tibia” (Halewood & Amis, 2015, p. 2790) which means that it keeps the tibia from moving too far forward. Providing controlled extension, it is also a primary player in knee stability (Kisner & Colby, 2012, p. 803). It

An ACL is the Anterior Cruciate Ligament (ACL) which is a ligament in the knee and is an essential internal stabilizer of the knee joint and helps in restraining hyperextension. It is injured when it’s when the biomechanics of this ligaments limits are exceeded or over stretched, often with a hyperextended mechanic. It was thought that

Since patients typically obtain ACLR to return to their pre-injury status and contain their normal activities, there is no point in a vast majority of elderly ACL tear victims receiving it. On top of that, the small group of elderly who are active and desire return to activities have to pass a certain criteria for ACLR: “ACL reconstruction in active patients older than 60 years with ACL deficiency but without knee arthritis,” (Toanen 2017), meaning that these active patients cannot have knee arthritis in order for them to undergo ACLR. To put this into perspective, “of persons ages 65 or older, 49.6% [have] ever reported doctor-diagnosed arthritis,” (Arthritis-Related Statistics 2017). This means that about half of the population over 65 years of age can not get ACLR. Speaking of arthritis, ACLR can cause osteoarthritis in individuals over 60 years. In a study review, “twenty-seven of the included studies specifically evaluated the presence of tibiofemoral OA in patients treated with ACL-R, whereas 2 studies assessed OA in only ACL-D patients who received conservative treatment,” (Toanen 2017). This is because the ACLR procedure requires manipulating the femur and the tibia to give the ACL a stake-like plantation so the ACL can be attached. “Two contiguous 5-mm tunnels inside the anatomic ACL femoral and tibial attachment areas along their long axes, and they are expanded with a 5 × 10-mm dilator into parallelepiped ones,” (Shino 2012). Drilling into bone

Observational prospective cohort study: An advantage of this design is a careful analysis of the trends and relationships and differences among the variables can be explored. Rationale: to determine the relationship and trends of early activity with postoperative total knee replacement.

In the sports world the word ACL brings absolute horror and cringe with it. That’s because when an ACL tears it can be one of the most painful experiences an athlete can have, especially with the surgeries and recovery it brings with it. Along with that, the ACL is in the deep part of the middle of the knee, so most of the time when you damage your ACL you most likely have damaged something else. Women especially have to worry about the overall health of their knees as they have a 4.8% greater chance of tearing their ACL than men (Musgrave). ACL tears are one of the worst injuries in the sports world and in order to recover to full health it takes time, patience, and a hard-work ethic.

A patient reported measured form, using the IKDC and ADLS was evaluated. Patients recovering from ACL reconstruction surgery were given both forms to fill out simultaneously over a period of time during their recovery. The forms were handed out four times in the course of one year- one month, three months, six months, and yearly. A baseline form was given prior to surgery as a control to determine the progress, impairments, and success of functionality post-surgery.

ACL injuries used to be seen as career ending injuries 50 years ago, however, throughout the years with the advancement in technology aiding treatment and rehabilitation procedures. Yet they are still sever and take months to recover. This is because of the precise location of the ligament within the knee joint. Resulting in no blood clot formation within the joint as a consequence scar tissue will not form and the tissue will just be filled with uncontrolled blood leading to swelling an pain within the joint (ACL reconstruction Oxford university hospital, 2017) which is why it takes between 9 to 12 months for recovery. With an ACL injury, other injuries often follow, namely MCL injuries and meniscal lesions which in time would likely lead to the patient contracting osteoarthritis due to it being a degenerative disorder consequently resulting from the meniscal and