Here's a few videos of an ACL Reconstruction ...http://www.youtube.com/watch?v=i8EpT3uCVWU 3 1/4 minutes.
Procedure well-explained by an orthopaedic surgeon. The OS talks about the types of tissue used for ACL reconstruction; i.e., achilles tendon, bone-patellar tendon-bone, hamstring and mentions that the reconstruction can be done either with an allograft or an autograft.http://www.youtube.com/watch?v=3UogiiLRJ5I&mode=related&search=
3 minutes. Procedure well-explained by an orthopaedic surgeon. The surgeon is using bone-patellar tendon bone for the reconstruction.http://www.youtube.com/watch?v=nOlpPMM_dZ8 This one is 63 minutes long.
It is of a teen-age boy's ACL autograft surgery - injured his knee playing USA/Canadian football (which is not what UK/other parts of the world consider to be football. Reconstruction using the boy's hamstring tendon. Canadians/Americans call football "soccer" - as in "David Beckham will be the top soccer star in the United States".) Football to Canadians/Americans is the fooball with helmets and shoulder/kidney protection and thigh protection with giant 210 - 300 pound guys playing the sport. UK/international football is called "soccer" in Canada/USA. But I digress.
Lots of good discussion about diagnosing an ACL tear (using the Lachman's Test
). Demonstrates the Lachman Test on the patient - showing the degree of laxity in the knee. Other good discussion about ACL injuries; 200,000 annually in the USA. Two doctors (in suits) sitting directly outside the operating room also add (essentially) play-by-play commentaries about what is going on in the OR room. Almost like a hockey, football or soccer game folks! The orthopaedic surgeons also discuss the different options for ACL replacement: Autograft (a patient's own tissue) vs. Allograft (a cadaver's tissue). The "play by play" docs discuss main symptoms of not having an ACL. Very good! Very informative! The OS in the operating room discusses the knee structures while showing them/pointing to them on arthoscopic camera. There are also "hidden injury" discussions - relating to articulating cartilage. The docs discusse MRI findings of hidden injuries to articulating cartilage, stating that they are identified as "bone bruises". The docs also discusse what the ACL does/how the ACL functions withing the knee when the quads are stressed.http://www.youtube.com/watch?v=_DkdOQSHYkY
- This one is 60 minutes long folks!
It is of a teen-age girl's ACL autograft surgery - injured playing soccer (known as football
to all outside of Canada/USA). The surgeons discuss the case while doing the surgery.
Teenage girl is getting her hamstring tendon cut out - to thereafter be used for the ACL autograft. The doctors give you a running commentary of what they are doing ... also a play-by-play of sorts! Also very good! These docs go into more detail about the surgery ... but everyone of these videos are quite informative.
Good to know and see what the Orthopaedic Surgeons are doing. Helps make us Kneegeeks understand why the post-surgery time (first few days) is so very painful ... lots of instrumentation has been inserted into the knee cavity, plus saline solution to irrigate the interior of the knee; the bones have been drilled through; tissues has been cut and moved with metal instruments; in some/most cases torn ACLs are debrided and menisci are trimmed/fixed; also, the leg will feel sore with part of its tendon removed for use as the autograft material.
UPDATE:I added more videos of ACL reconstruction, Kneegeeks!
Here they are:http://www.genufix.com/acl_video.htm
Short (4 minutes) but shows a torn ACL repaired using two separate ACL bundles of tendons. Tibial fixation – using metal screws – very well shown Femoral fixation – using an “Endobutton” (a two eyehole plastic/metal? fixation device) that is pulled through the femoral tunnel. The end of the “Endobutton” is attached to the ACL transplant tendon bundle. Also shows some torn meniscus removal. Text added on video to show where the structures are and what is being done.http://www.carletonsportsmed.com/anterior_cruciate_reconstruction.htm
ACL reconstruction using a semi-tendinosis and a gracilis tendon. http://www.hss.edu/professional-conditions_13487.asp 8 minutes long.
Very well described by the surgeon. ACL autograft using the middle (one third) of a patient’s bone-patellar tendon-bone. Click on the video presentation link (on the right hand side of the website).http://www.arthroscopy.com/sp05018.htm
Computer animated ACL reconstruction with added text info.http://www.hss.edu/professional-conditions_13603.asp?refName=ACL+Reconstruction&refUrl=professional-conditions_11135.asp (17 minutes or so - good stuff!)
This is an audio discussion with some video components; i.e., PowerPoint. The discussion is between or amongst two or more Orthopaedic Surgeons. They are discussing a 22 year-old female patient who had one ACL graft transplant – and then needed a revision because of rotational instability - even though the ACL graft was still intact. The film includes a PowerPoint Presentation
. Good back-up info to know.
The OSs talk about the difficulty of
– but the need for ACL revision after ACL graft failure
. Other items discussed in this Audio/Video – Lachman Test
, the Two Bundle/Double Bundle Graft Approach
, positioning of graft tunnels
, etc. Very good, informative points made.
Includes points on how the OSs did ACL grafts in the 1980s compared to now - and the issue of pivoting - and preventing the "pivot shift" we ACL-deficient folks have as symptoms.
Cheers from KWBG!