Change size in ACL smoothly

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Aug 6th, 2022
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How to change size in ACL with top efficiency

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How to Change size in ACL

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this video demonstrates an acl reconstruction with hamstring tendon graft using the ultra button suspensory device and the regenezorb interference screw fixation the femoral sided suspensory fixation is the preferred soft tissue technique as it allows the graft to have the appropriate aperture graft fit in the tunnel with suspension on the lateral femoral cortex plus this femoral sided fixation has also been tried and proven well for years the ultra button makes it far easier for the surgeon as it eliminates any pre-operative and intraoperative calculations that were previously involved using the endo button the adjustable loop seats the graft with no thinking involved on the tibial side my preference is to use the biosure regenezorb interference screw sized line to line with the tibial tunnel diameter this screw has an open architecture to allow for more bony in growth as the graft incorporates and the screwdriver itself seats nearly the entire length of the screw which decreases the

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As discussed in our Orthopedics 2.0 book, lax ligaments lead to degenerated joints. The good news is that studies have shown that the ACL ligament can be tightened with injection.
Loose ACLs can usually be stabilized using a precise injection of orthobiologics, such as platelet-rich-plasma (PRP) or bone marrow stem cells.
When there is no medial meniscus, an ACL graft would be at risk for stretching out. Meniscal root tears can also cause an ACL graft to stretch out, and missed, or unrecognized, posterolateral corner or medial collateral ligament (MCL) tears can also cause an ACL graft to stretch out.
For our flexion parameters, we recommend tensioning the graft at 20 degrees to 30 degrees unless the graft tightens or shortens 5 mm or more with knee extension. If shortening occurs, tensioning should be performed in extension. The magnitude of graft tensioning should be tissue specific.
Many people hear a pop or feel a popping sensation in the knee when an ACL injury occurs. Your knee may swell, feel unstable and become too painful to bear weight.
The exact etiology of tunnel enlargement however remains unclear and is believed to be a multifactorial process including both mechanical and biological factors. Mechanical factors include graft tunnel-motion, especially in tunnel malposition; drill-related bone necrosis; and aggressive rehabilitation.
Anterior cruciate ligament graft stretching can lead to the following conditions: chronic instability. chondral injury. meniscal tears.
As discussed in our Orthopedics 2.0 book, lax ligaments lead to degenerated joints. The good news is that studies have shown that the ACL ligament can be tightened with injection.
Heating parts of the partially torn ACL causes them to shrink. This tightens the ligament and allows it to better stabilize the joint. Thermal shrinkage is done during an arthroscopic procedure. A long, thin, lighted tube called an arthroscope is inserted into the knee joint and used to see and operate inside the knee.
1. Expected immediate post-operative ACL tunnel diameter should be around 10 mm regardless of graft selection. 2. Tunnel widening is generally cavitary, frequently maximal in the mid-zone of the tibial tunnel.

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