Rework issue in ACL

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Aug 6th, 2022
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How to rework issue in ACL

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- The recovery for an ACL, or anterior cruciate ligament, reconstruction, Iamp;#39;ll be honest, itamp;#39;s a tough one. Weamp;#39;re trying to work on gain the range of motion back, get the swelling out of the knee, and then once we get that, weamp;#39;re trying to wake up the quad muscle, trying to get that muscle to become strong again. And then once we get through that phase, this is a sign where we work on doing basic sporting motions and more complex sporting motions, and then getting to the more performance-based training. Iamp;#39;ll tell patients that in terms of the recovery, weamp;#39;re really looking at about a nine to 12-month recovery until theyamp;#39;re back playing their sporting activities. I think thatamp;#39;s probably a more difficult than the physical part, is actually the mental part of the ACL recovery. Thereamp;#39;s been a lot of research over the last few years showing that that sometimes can be even more difficult, than the physical part, and maki

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The average revision rate following revision ACL reconstruction in athletes is around 13.7% compared with the average revision rate of 2.9%5.8% following primary ACL reconstructions.
Mayo Clinic sports medicine surgeons routinely perform revision surgery for patients who have undergone one or more ACL reconstructions elsewhere, and have published extensively on this topic.
Unfortunately, the most common cause for failure is related to technical issues from the primary ACL surgery, with malposition of the sockets and tunnels, particularly on the femoral side. Achieving the correct position can be tricky. Meniscal tears are another contributing cause. Revision ACL surgery: A comprehensive approach mayoclinic.org news mqc-20507688 mayoclinic.org news mqc-20507688
6 The reported rate of revision ACL reconstruction is between 4% and 25%, depending on the criteria for revision and the graft used for primary reconstruction. 6, 7, 8, 9 Most revisions occur between 1 and 2 years after the primary surgery. Revision anterior cruciate ligament surgery: state of the art sciencedirect.com science article pii sciencedirect.com science article pii
ACL grafts are weakest 5 to 12 weeks after surgery. ACL Rehab insights | MOON Knee ACL Research acltear.info 27-acl-rehab-insights acltear.info 27-acl-rehab-insights
In general, the success rates in the literature for ACL revision surgery are approximately 75%. A very careful assessment of the cause of the graft failure is necessary to try to maximize an individual patients outcome with an ACL revision surgery.
The signs of ACL graft failure can include swelling, pain within the knee, locking within the knee, a mechanical block (which can be due to a bucket-handle tear of the meniscus), lack of full motion, and difficulty with twisting, turning, and pivoting. ACL Revision Surgery | Failed ACL Reconstruction | Knee Specialist drrobertlaprademd.com revision-acl-reconstructi drrobertlaprademd.com revision-acl-reconstructi

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