ACL Reconstruction Guidebook (2.2MB) - Dartmouth-Hitchcock
ACL Reconstruction Guidebook (2.2MB) - Dartmouth-Hitchcock ACL Reconstruction Guidebook (2.2MB) - Dartmouth-Hitchcock
ACL Reconstruction: Choosing a Graft Type Source: ACLSolutions.com 2. Hamstring tendon autograft: the semitendinosus and gracilis hamstring tendon on the inner side of the knee are used. There are some reports that patients have fewer problems with anterior knee pain (pain at the front of the knee) or kneecap pain after surgery. Some studies have shown hamstring weakness following this graft choice. Hypermobile (joints that stretch farther than normal) and female patients have been shown to have mild increased laxity (looseness) postoperatively when this is used. 3. Allografts: these grafts are taken from cadavers. Advantages of this approach include: decreased pain because graft is not taken from the patient, decreased surgery time, potentially less painful rehabilitation postoperatively, and smaller incisions. This method is often used in patients who have failed ACL reconstruction or need more than one ligament repaired. Disadvantages include a slightly higher rate of infection, risk of transmission of disease, and higher failure rates. We currently purchase our allografts from LifeNet. Please see this website if you would like information about how allografts are processed after harvesting: www.accesslifenet.org/service/ patient_information/ As you can see, graft choice can be a complex decision that requires a conversation between you and the surgeon, with an understanding of your goals and expectations.
Patient Decision aids Find this decision aid online at: decisionaid.ohri.ca/aZinvent.php Or, contact the Center for Shared Decision Making at Dartmouth-Hitchcock Medical Center for assistance: (603) 650-5578, patients.d-h.org/shared_decision_making ACL Decision Aid
- Page 1 and 2: DePARtment of oRthoPAeDiCs SportS M
- Page 3 and 4: You probably have many questions ab
- Page 5 and 6: PATIENT tip What Should I Pack for
- Page 7 and 8: Prepare Your Shower ■ Some patien
- Page 9 and 10: 12 What to Expect the Day of Surger
- Page 11 and 12: 14 Preventing Blood Clots The preve
- Page 13 and 14: 16 Frequently Asked Questions After
- Page 15 and 16: Now that your surgery is done, your
- Page 17 and 18: Your pain medications ■ Based on
- Page 19 and 20: Six Weeks and On How you will feel
- Page 21 and 22: physical therapy Protocol: Courtesy
- Page 23 and 24: acL Reconstruction: Courtesy of: SP
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- Page 29: ACL Reconstruction: choosing a Graf
<strong>ACL</strong> <strong>Reconstruction</strong>: Choosing a Graft Type<br />
Source: <strong>ACL</strong>Solutions.com<br />
2. Hamstring tendon autograft: the semitendinosus<br />
and gracilis hamstring tendon on the inner side<br />
of the knee are used. There are some reports that<br />
patients have fewer problems with anterior knee<br />
pain (pain at the front of the knee) or kneecap<br />
pain after surgery. Some studies have shown<br />
hamstring weakness following this graft choice.<br />
Hypermobile (joints that stretch farther than normal)<br />
and female patients have been shown to have mild<br />
increased laxity (looseness) postoperatively when<br />
this is used.<br />
3. Allografts: these grafts are taken from cadavers.<br />
Advantages of this approach include: decreased<br />
pain because graft is not taken from the patient,<br />
decreased surgery time, potentially less painful<br />
rehabilitation postoperatively, and smaller incisions.<br />
This method is often used in patients who have<br />
failed <strong>ACL</strong> reconstruction or need more than one<br />
ligament repaired. Disadvantages include a slightly<br />
higher rate of infection, risk of transmission of<br />
disease, and higher failure rates. We currently<br />
purchase our allografts from LifeNet. Please see<br />
this website if you would like information about<br />
how allografts are processed after harvesting:<br />
www.accesslifenet.org/service/<br />
patient_information/<br />
As you can see, graft choice can be a complex decision that requires a conversation<br />
between you and the surgeon, with an understanding of your goals and expectations.
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