Bold issue in ACL

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Aug 6th, 2022
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How to bold issue in ACL

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each year about 400,000 people experience a tear in their anterior cruciate ligament or ACL the central ligament in the knee most of these tears will require a surgical repair and for an unfortunate 18 to 35,000 of those patients their reconstruction will fail necessitating additional surgeries it was the Spring lacrosse season a freshman year and I was running up the field during the game and I stepped in a pothole which is just embarrassing and um I hyperextended my knee so that it pretty much bent forward and uh tore my ACL since Iamp;#39;ve torn my ACL freshman year Iamp;#39;ve had three tears and both meniscus and ACL and Iamp;#39;ve repaired it three times quite often there are technical issues with the primary reconstruction that lead to the revision but many times thereamp;#39;s unrecognized factors in terms of the alignment of the limb the degree of Rehabilitation the muscle function and probably some unknown factors that make the individual that much more suscepti

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If a repaired ACL fails, it can only be revised with an ACL reconstruction. Having to redo any kind of ACL surgery results in higher rates of failure, lower rates of successful return to sports activity, and increased risk of developing osteoarthritis in the knee.
If untreated, graft impingement can progress to graft rupture. Treatment consists of notchplasty, which is arthroscopic resection of a portion of the lateral aspect of the intercondylar notch.
Decreased Range of Motion: Graft failure can lead to stiffness and decreased range of motion in the knee joint. Patients may have difficulty fully extending or flexing the knee, which can affect their ability to perform activities of daily living.
In general, the rate of failure for a patellar tendon autograft (from ones own tissues) is lower than a hamstrings autograft. In addition, failure rates for allograft (from cadaver tissue) are higher than those for using ones own tissue.
Mucoid degeneration of the ACL (MDACL, ACL ganglion cysts) is a disease involving ACL thickening due to accumulation of mucoid substance and fiber degeneration with possible formation of ganglions.
While there are no definitive warning signs for ACL surgery graft failure, patients should be vigilant for symptoms such as recurrent instability, persistent pain, or swelling after surgery, as these may indicate a potential problem with the graft.
The management of anterior cruciate ligament graft impingement depends on the timing and symptom severity. Early management might involve physical and manual therapy or an extension cast. Chronic cases might require surgical revision with notchplasty and debridement 2,3,5.
The graft is threaded across the knee, leaving a piece of bone in each of the tunnels and the patellar tendon in the position of the original ACL, thus reconstructing the ligament. The graft is then secured in this position, most commonly by wedging a screw between the side of the bone and the tunnel.

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