Tag Archives: rehabilitation

Graft Choices for Optimizing Anterior Cruciate Ligament Reconstruction

Patellar tendon autograft ACL reconstruction

Patellar tendon autograft ACL reconstruction [Click photo to enlarge for detail]

For young adult patients engaged in highly demanding competitive athletics or recreational sports, such as soccer, basketball, field hockey, and skiing, the cumulative risk of anterior cruciate ligament (ACL) injury, over time, is high. Young women are at particular risk, with two to eight times the incidence of ACL injury compared to men. Approximately 75,000 ACL reconstruction surgeries are performed annually in the United States. “The decision to do ACL reconstruction is partly based on the patient’s age, activity level, and post-reconstruction expectations. Some older patients may choose not to reconstruct the ACL at all if their activity levels are not demanding. These patients may instead opt to address the injury non-surgically,” explains Wayne J. Sebastianelli, M.D.  Patients who require ACL reconstruction and who want to return to pre-injury levels of aggressive activity need to receive a ligament graft; primary repair of the existing ligament is unlikely to yield a good result.   Continue reading

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Filed under Healthcare Practice, Musculoskeletal Sciences