Rub out size in ACL

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Aug 6th, 2022
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How to rub out size in ACL

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  3. Use various tools to get the most out of our editor. In the menu bar, select the ability to rub out size in ACL.
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How to rub out size in ACL

4.6 out of 5
19 votes

you a common issue many patients have after an ACL reconstruction is loss of extension or more so hyperextension we have many doctors and many pts that convince their patient that they need to go and do prone Hanks Nick letamp;#39;s have you go into the prone position Iamp;#39;m not a big fan of the prone hang for many reasons as you can see heamp;#39;s very vulnerable this leg hanging off the table also you get the influence of the hamstrings trying to basically protect the joint from going into extension so you get hamstring spasm hamstring pain especially if theyamp;#39;ve had a hamstring autograft also you can see the pelvic influence on the low back influence theyamp;#39;re going to tighten up low back pelvis is going to become rotated and become at mal position heamp;#39;s going to fight this position the whole time itamp;#39;s not a very forgiving position for patients to try to regain hyperextension I prefer a supine low low long duration stretch so Nick letamp;#39;s ha

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The ACL measures 31-38 mm in length and 10-12 mm in width, with the anteromedial bundle (6-7 mm) slightly thicker than the posterolateral bundle (5-6 mm) 5.
Graft size less than 8 mm in a young patient less than 20 years is said to be commonly associated with revision surgeries. Graft size 8 mm is said to be associated with a better outcome of the ACL-R surgery and prevents the need for a future revision of ACL-R [20-22].
The ACL measures 32 mm long and is 7 to 12 mm wide. It has two bundles; an isometric anteromedial and a posterolateral bundle with more versatile length changes.[1]
The ACL diameter averages 4.8 mm [29] to 8.3 mm [30]. Studies say that the average diameter of ACL in patients with ACL injuries is 2 mm less than in the general population (6.10 mm -6.20 mm) [31, 32]. We used this size to assess the risk of exercise and loads on the intact ACL.
Symptoms of ACL graft failure Patients may experience a sensation of the knee giving way or buckling, especially during physical activities or movements that stress the ACL. Persistent Pain: Graft failure can cause persistent pain in the knee, particularly during movements that involve bending or twisting of the joint.
The normal ACL should have a taut, low to intermediate signal intensity with continuous fibres in all planes and sequences. It courses parallel or steeper than the intercondylar line. The PL bundle usually has higher signal intensity than the AM bundle.
If they are larger than 12 to 14 mm in diameter, or are in a position where an anatomic positioning of the ACL reconstruction graft would break into the previously malpositioned tunnel, then a two-staged surgery would be recommended.

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