What is the best method for ACL reconstruction?

The patellar tendon graft (PTG) has always been the gold standard for anterior cruciate ligament (ACL) reconstruction. Yet, most orthopedic surgeons prefer hamstring grafts for younger athletes and cadaver grafts for older patients.

Which screw is better for ACL surgery?

BACKGROUND: Graft fixation during anterior cruciate ligament (ACL) reconstruction can be achieved with use of either bioabsorbable screws or metal screws. Although bioabsorbable screws and metal screws have similar fixation strengths, bioabsorbable screws eliminate the need for removal.

What is Physeal sparing ACL reconstruction?

Physeal sparing reconstruction of the anterior cruciate ligament is a surgery to replace a torn anterior cruciate ligament or ACL, a major ligament of the knee, while minimizing damage to the growth plate (physis) present near the end of the bone.

How long does an ACL allograft last?

Survival of the Anterior Cruciate Ligament Graft and the Contralateral ACL at a Minimum of 15 Years.

Do ACL screws dissolve?

However, the evidence on the use of biodegradable interference screws in anterior cruciate ligament (ACL) reconstruction is still scarce. Although the screws promise to degrade within approximately 12-24 months after surgery, several cases have been reported in which this did not happen [1, 10, 15].

What is Extraphyseal?

Extraphyseal techniques do not involve placing bone tunnels across the physis. The modified Macintosh technique describes an extraphyseal, combined intra- and extra-articular reconstruction, where an iliotibial band graft is passed over the top of the lateral femoral condyle and into the joint, avoiding the physes.

Is stationary bike good for ACL rehab?

Exercise Bike This exercise can be started immediately after suffering an ACL injury. The key is to retain motion of the knee. When sitting on the bike it is important to set the seat height to work on both knee extension (straightening) and flexion (bending).

Is it worth having ACL surgery?

Surgery may be done for most healthy adults of any age who want to keep up activities that require a strong, stable knee. Surgery with physical rehabilitation (rehab) is your best chance to have a stable knee and an active lifestyle without more pain, injury, or loss of strength and movement in your knee.