Do your research….patellar is stronger and even if growth plate is open some experienced docs have techniques to use it. If you take them out then you’ll have to wait for the bone to heal again. Kind of painful at night in bed. I’d like to go with the Patellar again I’m not worried about the pain I just want my knee to get back to normal without creating any weakness in my hamstring but I might not hava a choice. However, I am a business owner who also had to consider fastest recovery time and not necessarily “strongest” option…. But running was safe.) However I could tell I was missing some hamstring in my late range of motion. Thanks! ( Not that I really know enough about it to decide, but an unwillingness to talk about it for more than 30 seconds sent up some red flags). There is no way I could bend it even if i wanted to , not in the slightest with out shearing pain. But, I can’t run any long distance, and even extended walking causes flare-ups in pain. My doctor said that since i was a freshman he would use the hamstring graft because the extended recovery time wouldn’t affect my high school sports experience. Anyway, the doc said he’d do patellar for the 2nd, and alluded to it being more sturdy (in medical terms). Each surgeon knows my son has full intention to go back and play his favorite sport, each surgeon says his technique is better, and we are left as confused as hell… Surgery scheduled before Thanksgiving. I have been using a cpm machine and have already achieved -10 degrees extension and 120 degrees flexion. I also tore my ACL in my Left knee a year and a half later. I tore my ACL over five years ago in high school. At the game on Jan 15th, “POP” again, same knee. For the 1st op around july 2007, a hamstring graft was used. So my honest opinion I recommend go the patella graft for those who play physical sports such as H.Duncan and myself. There is definitely more pain from the petellar harvest site up front, but at about 6 weeks post surgery I think it is a toss up. I can’ believe two top notch surgeons have polar opposite opinions. I’m 26 years old and have played soccer since I was 4 years old. I think I will opt for the hamstring graft this time. It does hurt but not nearly as bad as I had expected but it is bad. CON - more prone to hamstring injury, tears, cramps, etc. Overall it’s fine. Did you use anti inflammatories, ice or cooling kit, compression, how was your range of motion progress etc? Does anyone know pros/cons of removing the screws? I opted for surgery in 1994 a few years later, when my knee kept buckling and my ACL was shown to have almost completely disappeared. Frusterated I received a second opinion from another qualified doctor who suggested a cadavear. One is a strip of the patellar tendon below the kneecap. So this study shows that there is a much higher rate of failure (almost double) among autographs 3/37 (8.1%) than the 2/47 (4.2%) rate that allographs has. Fairly active previous, 26 yo, female. Was released from PT at 4 months and went to functional rehab (core strengthening, movement, jumping/running (how to), quad strength) 3 x week. thanks, and Good luck to all! Doctor said it was too soon for her to try hurdling. I had the patellar tendon graft last week by (my opinion) the best knee doc in Seattle. So gross but 6 months post op, now I want the other donor graft in my right knee, I feel 100% bionic! After careful consideration/debate, I chose the patellar autograft. She feels it when she goes up and down stairs though. Commonly seen as the weaker of the two options. An ACL (Anterior Cruciate Ligament) tear in the knee joint can cause knee instability and severe pain. I was in a locked straight brace for 10 days post OP. First blew my knee out playing baseball at age 22. Your surgeon will discuss in detail the pros and cons of each graft during the pre-surgical office visit. The aftermath was pretty painful and that knee still feels unstable. Go with what was successful the first time in your body. I recently had a bike accident and my ACL was cut on jan 16 2012. It showed the most when doing things such as a hamstring curl. I am fairly active and have always had healthy knees in the past. How can I go about finding the best knee surgeon in my area? I went with the hamstring. First one refused to use, as he did my brothers procedure. I find a lot of the posts on websites are the extremes of people who re-stuffed there’s but is this most common? anyone with small tear and was able to rehab without surgery. In less than one week i`ve got a full range of motion on my knee . jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 3) {if(typeof Placeholders != 'undefined'){ Second one just didn’t like mainly because when I asked him about other procedures aside from the patella he didn’t seem knowledgeable enough. Each tissue has its pros and cons, with allografts often cited as having higher failure rates. In this blog I want to touch on some of the important concepts to keep in mind about ACL reconstruction. I had the surgery done on 5th Mar 2012. One swore by cadaver tissue. Remember to choose the right doctor, after that first fiasco I am now seeing Dr. Leith out of UBC and he is great, actually knows what he is doing. I have been in pt going hard since 12 days post opp and walking no crutches since 19 days. 5 mos post op and doing great she tore it again while on vacation on the beach. After reading up on the methods, its obvious that each doctor has their own preference and each methods has about the same amount of pros/cons. ACL reconstruction can be done with several different graft choices. My strong advice to you is to exercise and strengthen your quads & hamstrings as much as you can prior to surgery, this way you wont lose lots of strength after surgery and your rehab would be faster. CONS: More initial post-operative pain than other graft choices because the middle third of the patellar tendon is taken along with a bone fragments from the bottom of the kneecap (distal pole of the patella) and the top of the shinbone (tibia tubercle) Patellar tendonitis and pain in the front (anterior) of the knee may occur in10-20%. She is a competitive cheerleader and her competitive season begins next week. Does anyone that has a similiar lifestyle make a recommendation? I decided to go with the hamstring graft. Good luck to all of you! I actually just went to the doctor today and they were really surprised at my progress. I did notice in the left knee, which the patellar graft was taken from, would get a little sore when running outside on concrete but nothing to get worked up about and have to medicine to fix. The most common options include patellar tendon, hamstring tendon, and donor tissue (allograft). And has developed arthritis in both knees (maybe related, maybe not). The hamstring is still noticeably weak though. She had PT 3 x week, then went to 2 x week with 1 day of functional rehab. It is commonly recommended to reconstruct a torn anterior cruciate ligament in active patients; however, there is no consensus concerning the tissue source to use for the reconstruction. However, it is very strong and I have had no stability issues with it…just the pain and occasional swelling. My knee feels very stable but it still doesn’t feel ‘perfect.’ I went running last night on the beach for only a half an hour and I still have some residual pain. One other note, I think surgeon selection is criticall. Not just when kneeling (although I definitely have that too). i am not sure if i can even recall it hyperextending, just that there was a huge “pop” at take off. I’m 11 days post acl (w hamstring) surgery on L knee. For instance, Adrain Peterson’s goals were to get back on the field ASAP with a strong/sturdy knee. I’m going with what my doctor feels most confident with. I’ve had basically no patellar tindinitus (not yet at least) so that’s good..good luck to everyone who has questions or who’s healing! (So maybe it wasn’t the cadaver, but the too soon return to the sport by eager kids,coaches and parents? She had a hamstring graft from a well-respected surgeon. It was after this second injury that an MRI was done revealing ACL and meniscal tear. You want to choose a doctor that is comfortable with the particular graft procedure and who does them often and believes its the best.

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