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Author Topic: VIDEOS of ACL Reconstruction - two are 60 + minutes long!  (Read 21277 times)

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Offline knee-will-be-great

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VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« on: July 17, 2007, 12:34:25 AM »
Hi Kneegeeks,

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 PresentationGood 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!
« Last Edit: July 19, 2007, 10:15:12 PM by knee-will-be-great »
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline Limping Welshman

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #1 on: July 17, 2007, 01:10:41 AM »
Good stuff!!!

I enjoyed the hr long one on hamstring graft, very interesting!

Owen
Snapped ACL left leg (rugby) 1991
4 meniscal repairs while waiting for MRI
Acl recon 1997 (patella tendon)
Infection post op (3 more athroscopic jobbies)
lcl sprain to right knee (incorrect diagnosis)
Right acl snapped August 06
ACLR To right knee (hamstring) June 7th 07

Offline knee-will-be-great

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #2 on: July 17, 2007, 03:11:12 AM »
Hi Limping Welshman and other geeks,

I added more videos to my original post.  Errrrr, ummmm .... enjoy?!  ::)

In all seriousness though, they are very informative.

KWBG
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline Alison_NL

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #3 on: July 18, 2007, 12:26:15 AM »
wow, i really  ...enjoyed?? hahaha the pateller graft video.  i feel a lot better about my upcoming ACLr now.

Thanks! :)
Feb 2007- Fully torn left ACL, torn articular cartilage.
July 2007- ACL reconstruction
May 2009 - Removal of cyclops lesion

Offline Limping Welshman

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #4 on: July 18, 2007, 01:03:38 AM »
Well i was thinking of becoming a knee surgeon! haha

If you can get over the gore, the videos are actually very informative, so i did enjoy!

Owen
Snapped ACL left leg (rugby) 1991
4 meniscal repairs while waiting for MRI
Acl recon 1997 (patella tendon)
Infection post op (3 more athroscopic jobbies)
lcl sprain to right knee (incorrect diagnosis)
Right acl snapped August 06
ACLR To right knee (hamstring) June 7th 07

Offline Jaspy

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #5 on: July 18, 2007, 01:19:00 PM »
Nice array of vids there!  :D
 
I particularly enjoyed this one http://www.youtube.com/watch?v=nOlpPMM_dZ8 of the hammy ACLR.
It's very clear and lots of information about the whole ACL issue as well as the actual surgery going on, just ignore the blatent plugs for their facilities! (which I'm sure are very good!) ;)

It's still amazing to me how many methods of fixation are used in this procedure. I'm going to ask my OS what I have screwed, clamped or other into my bones!

Thanks KWBG
Accident: June/July 05. Tore ACL. Ping!
Sent to Physio: Didn't stop instability, told to test the knee.
Skiing: March 07. Injured knee more, now locks and aches when used a lot.
ACLR: Done 19 June 07

Offline annabanana

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #6 on: July 21, 2007, 03:25:44 AM »
I havent been able to watch any of the videos that you posted yet..... but i have found some good but long videos at or-live.com
-Anna
« Last Edit: July 21, 2007, 03:37:41 PM by annabanana »
May 3, 2007- Left ACL Tear and meniscus tear
June 28, 2007- ACL Reconstruction and meniscus repair

Offline lost77

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #7 on: July 22, 2007, 05:45:23 PM »

Have just watched the 63 min hammy ACLr video.  It is interesting to know what goes on during the procedure and what you are letting yourself in for when you go for ACLr.  I haven't had a reconstruction, but I suspect it awaits in my future.  Hope they are more gentle wiv my ickle knee when and if the day arrives!  :o

Thanks KWBG
28/02/07 - ACL rupture from skiing accident
19/04/07 - Arthroscopy - bust ACL removed
24/04/08 - ACLr

Offline Rob_W

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #8 on: August 05, 2007, 06:39:34 PM »
These videos were great - thank you! I didn't actual see them until after my surgery (and maybe that was a good thing)  :o
Pre/Post-Op Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=38125.0
ACL Exercise Journal
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=38562.0
Injured 5/13/07 (ACL Grade 3, MCL Grade 2, Lateral Meniscus) - Right Knee
7/17/07 ACLr/Menisectomy Allograft

Offline aleli

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #9 on: August 25, 2007, 12:11:03 PM »
Really good videos, the 63 min vidoe really explained it very well, albthough the harvesting was extremely quick compared to other videos...

Oh noo - not the knee...again...

Offline kazbah

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #10 on: December 19, 2007, 05:06:47 AM »
HI they are awesome videos which directly relate to my upcoming surgery, however i kind of wish i hadnt watched them now as i am wondering "do i really need that surgery?".  Otherwise very informative and helpful to know whats going on in there. Cheers
Kaz
10 nov 07 left knee- acl complete rupture -mcl partial - meniscus radial tear
19 dec 07 walking and waiting for ACLR op in Feb- 21/07/08 still no surgery but have new OS maybe Xmas

Offline riderdown

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #11 on: January 02, 2008, 09:51:18 PM »
YIKES! Great videos... but not sure I should have seen that just yet! heeby jeebies over here! :o
Every person is the creation of herself, the image of her own thinking and believing.

Oct '07:complete rupture of ACL, grade 3 MCL, and damage to Meniscus, deep bone bruising of the femur and tibia. Probable Labrum/Accetabular damage in Hip

Offline danny101

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #12 on: March 11, 2008, 04:57:33 PM »
mms://a792.v032453.c3245.g.vm.akamaistream.net/7/792/3245/v001/www.hss.edu/Media/Videos/Conditions/WickiewiczACLHSS/WickiewiczACLHSS.wmv

Offline tannerweisz

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #13 on: October 18, 2008, 12:22:57 AM »
Wow.. those videos made my skin crawl... I have surgery in the next couple months and that was probly a bad idea for me to watch... GAH! :-X

Offline knee-will-be-great

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #14 on: October 21, 2008, 03:57:33 PM »
Hi Tannerweisz,

The surgery is not really that bad ... I have went through ACL allograft 3 times ...

It just looks bad, and fortunately, we are asleep when the surgeon performs the surgery.

Knee-will-be-great!!!
« Last Edit: October 21, 2008, 10:58:10 PM by knee-will-be-great »
Medial Menisectomy, 1 ACL Autograft, 3 ACL Allografts, HTO, numerous debridements, good now :)
ACL Allograft #3 Post-Surgery Rehab/Wellness Diary http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37218.0;all
ACL Reconstruction VIDEOS http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=37773.0

Offline tannerweisz

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #15 on: October 21, 2008, 07:57:56 PM »
I've seen alot worse than that oversees, but it still just gives me a chill to see someone able to cut into another human like that and explain everything so calmly.. I guess it takes a certin type of person to be a surgon.  I know I'll be out for the surgery but Ehh!

Offline gils89

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #16 on: November 03, 2008, 02:58:06 PM »
Im really gutted that the 2 sixty minute videos have been removed. Would loved to have seen the full precedure. Anybody know if there is anywhere else that a full procedure is available, preferably with hamstring graft?
March 08 - Knee Injured

Wrong Diagnosis

May 08 - Knee Collapse 5mins into Football Match

5th Oct 08 - ACL Reconstruction using Hamstring Tendon and Minor Meniscus Repair

drmark

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #17 on: November 24, 2008, 01:59:00 PM »
All these surgery videos look neat.  Especially after they are edited.  Lots of ohhhs, and ahhhs.
In my opinion they are all a complete waste of time, something that can be equated with a 19th Century traveling medicine show complete with a 105 year old Indian who does back flips. 

Whe we really want to see the video of how the person is doing in the clinic the next day, and a month later.  The surgery video is good for interns and residents.

The post surgery video is important for the people who are going to undergo the procedure to see.  Sorry, but I almost never see such videos besides my own. That is where the money is-how the guy is doing after the surgery.
« Last Edit: November 24, 2008, 07:56:15 PM by drmark »

Offline Kaputt_Knee

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #18 on: November 25, 2008, 12:44:05 PM »
I have to disagree with you there Dr Mark.

As patients, we do not have any idea of what is happening to us and these videos show what is going on while we are out of it. They were posted to help patients come to terms with their impending operations or to allow them to see what had been done.

All videos can be manipulated to show exactly what the director wants to show so really pre-op, post-op or during they ALL still only show what has not been left on the editing suite floor. We have to just take things at face value and make our own minds up as to whether the results are good bad or just plain indifferent.

I didn't look at these because I know I have a weak stomach but others did and found them helpful. I think it is a shame that the links to some of them no longer work.

Sue
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

drmark

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #19 on: November 25, 2008, 01:11:35 PM »
Well, we will just have to disagree on the value of these videos.  I have been looking at them for thirty years.  Many of the neatest operations to watch turned out not to deliver the bacon with a darn for the patient.  Beyond that ther are always edited to take out the faux pais.   
Certainly with your history, you would be more interested in the product than the process.

The field of Orthopaedic Surgery has become very technically oriented.  Much of the medical literature has been based on techniques, rather than outcomes during the '90s and the early part of this decade.

The emphasis has now shifted to patient centered outcomes.  While, looking at a video may leave you with some element of comfort or disgust, the docs are proud of their technical prowess, but  many folks (myself included) would be more interested if the guy was able to walk afterward.  Why don't these docs publish videos of their patient walking and bending and straightening their knees in the immediate post op period?  There is no way edit out or in a person walking, straightening, and bending their knee like a normal person.  If I saw that on a video, I would feel much more comforted that I would get over this unfortunate event in a satisfactory way.
« Last Edit: November 25, 2008, 01:30:14 PM by drmark »

Offline Kaputt_Knee

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #20 on: November 25, 2008, 01:48:36 PM »

Certainly with your history, you would be more interested in the product than the process.


I have no interest in the process per se, just getting an idea of what has or will be done. As I said I have never watched them. But patient information is always important, much more so than many surgeons realise. Many people here on the boards do not get any information from their surgeons. In my humble and medically uneducated opinion, I would hazard a guess that an idea about what has been or will be done is better than nothing.

I'm curious about your remark quoted above - you do not know "my history" so how can you possibly comment in any way? If you are commenting just on the very brief list on my signature, it is just that, brief.

Sue
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline The KNEEguru

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Re: VIDEOS of ACL Reconstruction - two are 60 + minutes long!
« Reply #21 on: November 25, 2008, 04:57:07 PM »
Hi all
This thread has served its purpose. It is getting a bit heated. I have decided to lock it now.
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