Inject side in ACL smoothly

Aug 6th, 2022
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How to Inject side in ACL

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[MUSIC PLAYING] The ACL, or anterior cruciate ligament, is an important stabilizer of the knee for front to back movements and in twisting motions. It is most commonly injured while playing sports. Most patients think that replacing a torn ACL is like getting a part replaced in their car. However, the research on ACL surgeries paints a different story. Most athletes who had ACL surgery never regained their normal balance and control over that knee. Plus, athletes are six times more likely to reinjure the same ACL or opposite ACL within a year of their initial surgery. Four years after surgery, patients who had ACL surgery has no more function and no less arthritis than those patients who didnt have the surgery. Why is all of this happening? Largely because the new surgically installed ACL isnt at all like the original equipment. First, it must go in at a much steeper angle. So it can never provide the same kind of front to back stabilization of the original ACL. The surgically insta

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To inject the ACL from the posterior approach the needle is positioned directly posterior to the joint line at the lateral edge of the medial condyle, aiming the needle cephalad, medial and anterior.
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.
Types of ACL Surgery Autograft. Your doctor uses a tendon from somewhere else in your body (like your other knee, hamstring, or thigh). Allograft. This type of graft uses tissue from someone else (a deceased donor). Synthetic graft. This is when artificial materials replace the tendon.
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.
Treatment 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.
There are four commonly used grafts for ACL reconstruction. Patellar tendon autograft. The surgeon removes the middle third of your patellar tendon and pieces of bone (bone plugs) from your shin and kneecap. Hamstring tendon autograft. Quadriceps tendon autograft. Allograft.
In general, there are three main graft options: a patellar tendon autograft, a hamstring autograft, and an allograft. An autograft comes from the patients own body, whereas an allograft comes from a cadaver donor.
There are many graft choices for ACLR, including autografts and allografts. The autograft choices most commonly used include hamstring (HS), bonepatellar tendonbone (BPTB), and quadriceps tendon (QT) with or without a bone block.

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