Tack frame in ACL

How to tack frame in ACL with top efficiency

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How to Tack frame in ACL

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were going to be demonstrating graph preparation for all inside ACL reconstruction using a quadrupled semitendinosus tendon to make the graph link as you can see the graph measures 27 centimeters in length and this can be quadrupled and with a 27 centimeter graft this gives between 65 and 70 millimeters in length for the graph link the ACL tightropes are loaded onto the graph preparation station such that all graph preparation can be carried out without an assistant first we take a small hemostat and bring the end of the semitendinosus graft through the first ACL tightrope and then through the second this thing creates a short length and a long length as can be seen the longer end is then brought back through both ACL tight ropes to create a quadruple graft with two free ends to free ends are then sutured together with a mattress suture using zero fiber wire in isolation the pullout strength of this knot is not great but once its been incorporated into the graph link weve tested th

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When is the patellar tendon graft the weakest?

Proliferation phase (4 - 12 Weeks After Surgery) The new cells also have a random organization on the graft. The graft becomes weaker than the original ACL during this phase, and is the weakest 6 - 8 weeks after surgery, because of all of these changes going on.

What are the top 4 choices for ACL grafts?

In general, there are three main graft options: a patellar tendon autograft, a hamstring autograft, and an allograft. An autograft comes from the patient's own body, whereas an allograft comes from a cadaver donor.

When is the ACL graft the weakest?

The graft complex is actually at its weakest at around the 6 week post operative mark. Kinematic research has shown that open chain exercises cause significantly more anterior tibial displacement and hence more strain on the graft than closed chain exercises.

Where does the ACL attach to the knee?

The ACL attaches in front of the intercondyloid eminence of the tibia, where it blends with the anterior horn of the medial meniscus.

Why is ACL graft weakest at 12 weeks?

It's important to remember that, during the first 4-12 weeks after your surgery, your ACL graft is at its weakest point in the recovery process, since the graft requires time to grow and adapt to the bone and tendon.

What are the attachment sites of the ACL?

The anterior cruciate ligament originates at the medial wall of the lateral femoral condyle and inserts into the middle of the intercondylar area. It contributes significantly to the stabilization and kinematics of the knee joint.

When is ACL weakest after reconstruction?

ACL grafts are weakest 5 to 12 weeks after surgery. You may feel stronger, but your knee is months from full recovery. Remain cautious.

How do I choose an ACL graft?

The choice of graft should also be individualized to the patient's risk factors for failure, anatomy, sport, level of competition, age, and graft used in previous ACL surgery for cases of revision reconstruction.

What time frame is a ACL graft physiologically weakest?

The graft is at its weakest at 3 to 6 months – just when the patient is beginning to regain confidence. It is therefore essential that return to proper sport is delayed until 9 months post-op.

Why does ACL graft get weaker?

Vessels invade the graft, and the bodies cells clear the debris of dead cells, weakening the graft. The graft is much weaker than the native ACL and is at risk during activities which stress the ACL.

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