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Wednesday, September 2, 2009

ACL Injury and Treatment Options

By Dr. Richard Edelson

The bones of joints are held together by ligaments. You will find the ACL (anterior cruciate ligament) at the center of your knee. Its purpose is to keep your shin bone from shifting forward on your thigh bone.

If you tear your ACL, your knee may give out while you are engaged in physical activity. If you dont have this treated, your knee may give out time and again. This can cause early arthritis as well as damage to the cartilage.

Fortunately, damaged ligaments can be replaced. ACL reconstructive surgery replaces your old anterior cruciate ligament with a new one. This new ligament could come from you (autograft) or from a cadaver (allograft).

If you use an autograft, it will probably be taken from the front of your knee. This is called the patellar tendon. It may also come from your hamstring.

There are pros and cons to both types of grafts; however, both are usually successful for most people. Talk with your surgeon to find out more.

Click here for more on ACL tear surgery.

ACL Reconstruction is usually done under general anesthesia using arthroscopy.

Arthroscopy is conducted with the assistance of a small camera inserted into a joint. Your surgeon will make a small incision called a poke-hole to insert the camera. Then the surgeon can get a clear view of the inside of your knee on a video monitor. This will allow your surgeon to check the condition of all of the structures of the knee. If your surgeon discovers damage in addition to your ACL tear, he or she will go ahead and fix the problem.

If you are using an autograft, there will be one large incision (also called an open incision) made to remove this tissue. Additionally, your surgeon will access the areas to be worked on via several small incisions around the knee. These will be used to place your new ligament. Your old ligament will be removed, then the surgeon will make bone tunnels to place the new ligament in the same position as the old one. The new ligament will be secured with surgical fasteners such as screws.

When your surgery is done and your incisions have been closed, your knee will be bandaged, and you will be given time to recover from your anesthesia. At this time, you may be able to see the video of your surgery and confer with your surgeon on his or her findings and any concerns or questions you may have in mind. - 17274

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