Clear up pecularity in ACL

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Aug 6th, 2022
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How to clear up pecularity in ACL

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good morning everyone my task this morning is to update you on uh where we are with acl repair i want to thank reinhold and everyone at arthrex for allowing me to share my data my name is gregory felice iamp;#39;m from the hospital for special surgery in new york city my first acl repair i did in 2008 and itamp;#39;s been quite a long and winding road since then this is one of the earlier papers that we wrote where we suggested that maybe the orthopedic community abandoned the idea of acl repair a little too soon it seemed to me that the previous generation of surgeons had the right idea but simply the wrong execution imagine if you would if we took if we stopped innovating with the cell phones after this this gem uh weamp;#39;d never end up where we are today with super computers in our pockets those of you with teenagers actually might enjoy that my idea was simple that the acl tear on the left uh behaves differently than the acl tear on the right and we were all taught that the a

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Treatment Partial/Total ACL resection arthroscopically- There is marked improvement in the range and reduced posterior pain, but at the cost of increased post-operative knee laxity. [3]in some cases, and may lead to instability. Arthroscopic debridement. Notchplasty.
model of self-care at home: Rest. General rest is necessary for healing and limits weight bearing on your knee. Ice. When youre awake, try to ice your knee at least every two hours for 20 minutes at a time. Compression. Wrap an elastic bandage or compression wrap around your knee. Elevation.
Very minor tears (sprains) may heal with non-surgical treatments and regenerative medicine therapy. But full ACL tears cannot be healed without surgery. If your activities do not involve making pivoting movements on the knee, physical therapy rehabilitation may be all you need.
Mucoid change or mucoid degeneration refers to the irreversible tissue degeneration due to the accumulation of mucin within the fibers of tendons, ligaments, and fibrocartilage. Mucoid change | Radiology Reference Article | Radiopaedia.org Radiopaedia articles mucoid-change Radiopaedia articles mucoid-change
o You may shower 48 hours after your surgery and get your incisions wet. Let the water run down over the incisions but do not rub or scrub them. o Do not soak or submerge the surgical site for at least 3 weeks following surgery. o Rest and elevate your leg for the first 24 hours.
In symptomatic middle-aged athletes, knowledge of characteristic findings can help in the timely diagnosis of mucoid degeneration of ACL. Treatment options include arthroscopic debridement, notchplasty, ACL augmentation, and ACL reconstruction. Symptomatic ACL mucoid degeneration in middle-age athletes National Institutes of Health (NIH) (.gov) articles PMC9038521 National Institutes of Health (NIH) (.gov) articles PMC9038521
Standard treatment for ACL or PCL mucoid degeneration without OA is arthroscopic partial excision of the cruciate ligament. 13, 14 But the resection can be partial or complete ,1, 4, 11 when the lesion concerns the whole ACL, from tibial to femoral insertion and both bundles. Mucoid degeneration of the cruciate ligaments in osteoarthritis under NCBI articles PMC6022358 NCBI articles PMC6022358
It has been postulated that mucoid degeneration of the ACL is related to the medial knee compartment joint space loss in patients with osteoarthritis or in the OA risk group 6. Anterior cruciate ligament mucoid degeneration - Radiopaedia Radiopaedia articles anterior-cruciate-liga Radiopaedia articles anterior-cruciate-liga

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