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Author Topic: Fourth ACL Reconstruction Need Advice  (Read 1817 times)

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Offline Leify

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Fourth ACL Reconstruction Need Advice
« on: August 03, 2008, 02:34:17 AM »
 ??? I'm about to have my fourth lot of surgery on my left knee. Ive had a acl reconstruction using my left hamstring, the second op was on the same knee but using an allograft (Donor tendon) the third op was an arthoscope and also bone marrow was placed into the holes where the screws were because i had re ruptured. I'm about to have my third acl reconstruction using the same technique, an allograft however there is a wait on these tendons because not many pass all the specs. My specialists has offered to use my hamstring from my right leg but I'm unsure because its my only good leg...

Can you help me out?? Any advice would be great!

Offline dlillow

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Re: Fourth ACL Reconstruction Need Advice
« Reply #1 on: May 23, 2009, 03:49:37 AM »
I just had an allograft of my left ACL, but we are in the ski racing community and this injury is extremely common.   All the other skiers who we race with have all had autografts using their own tissue.  The general opinion is that the autograft is much stronger than the allograft.  The skiers who have had this surgery are saying they feel knee is stronger post op than it ever was originally.  The negative comments I have heard about the autograft are regarding soreness and pain from the donor site.  A friend said the donor site was more painful than the grafted site.  I hope this is helpful.
Cheers,
Diana

Offline clarky_vl

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Re: Fourth ACL Reconstruction Need Advice
« Reply #2 on: May 23, 2009, 03:41:28 PM »
Hi,
I have had Hamstring taken from my 'good leg' for ACL recon, and felt the same beforehand about involving the other leg, and having surgery on both. Admittedly it was more painful I think that using the same leg for the graft, and it was very hard to do a lot at first with both legs being very sore but after a couple of weeks once the graft leg began to feel much better, it felt ok, and continued to get better, and now I have very few problems.

It would mean that both legs involve some kind of rehab but obviously the graft leg gets nothing like the recon leg, it is just simple things, and it isn't much, and having both legs involved doesn't really interfere with the rehab of the other leg as by the time you get onto doing more it is pretty much all better. It really wasn't a big deal after the initial pain had disappeared, so yeah I think it is a good option, just be prepared for it being a bit dificult at first!

As your last recon was allograft, and it failed, I think it might be a good idea to go for something else, especially as your own tissue is supposedly stronger, or at least has a higher success rate. As you had your tunnels filled in to be redone, was this identified as the reason for previous failures?

Vicky
11/10/07 ACLr-hamstring, lat meniscectomy, microfracture
29/7/08 ACL revision-hamstring/LARS
7/7/09 ACL revision-quad/LARS
20/2/10 Screws out, bone grafts, arthroscopy.
6/7/10 ACL revision-BPTB allograft
14/3/11 Screws out, bone grafts, arthroscopy.
Then: ACL revision + extra-articular repair

Offline staceybyrne98

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Re: Fourth ACL Reconstruction Need Advice
« Reply #3 on: May 23, 2009, 04:08:38 PM »
Hi

im sorry to hear about your knee drama. I can fully appreciate where you are coming from because i am currently in the same predicament having only recently had mine bone grafted in preparation for the 3rd reconstruction. I'd definately take what Vicky has said into consideration (i can always depend on her for advice lol).

What did the specialist say he/ she would rather do?


Stace  :)
ruptured ACL (skiing) jan 07
arthroscopy june 07
ACL reconstuction June 07 (hamstring)
ACL revision/ meniscus repair May 08 (allograft)
re ruptured ACL/meniscus July 08
Bone graft/ meniscus repair Apr 09
3rd ACL reconstruction Oct 09
Possibly 4th ACL recon and McIntosh procedure Oct 2010















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