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Sunday, September 20, 2009

Anterior Cruciate Ligament Reconstruction

By Dr. Richard Edelson

A tear in the anterior cruciate ligament can be very painful to your knee. If this happens, you will probably be considered as a candidate for ACL (anterior cruciate ligament) reconstructive surgery. In this operation, your torn or damaged tissue will be replaced with new tissue.

There are two sources of tissue for ACL (anterior cruciate ligament) reconstruction. One is called autograft. With this option, tissue is taken from the patients own body. The new tissue usually comes from the patellar tendon or the hamstring.

You may also receive tissue that has been taken from a cadaver (dead person). This is called an allograft.

Both options have positive and negative aspects. Your surgeon will review these with you and work with you to decide which option suit you.

ACL (anterior cruciate ligament) Reconstruction surgery is normally performed with the use of an arthroscope. To perform knee arthroscopy, your surgeon will create a small poke-hole in your knee and insert a tiny camera. This camera is connected to a video monitor and allows your surgeon to see the inside of your knee.

The surgeon will not only look at the damage that is scheduled for surgery. He or she will also troubleshoot and deal with any other damage that may be present at the time of your surgery.

Several types of anesthesia are used for arthroscopic knee surgery, but you will probably receive general anesthetic. This will allow you to sleep during the surgery. While you are sleeping, your surgeon will replace your ACL (anterior cruciate ligament).

Click here for more on ACL Reconstruction .

If you will be using an autograft, an incision will be made to remove it. Aside from that, knee surgery using arthroscopy requires only very minimal, small incisions. These are used to remove the damaged ligaments and to place the new ligaments properly.

Your surgeon will create bone tunnels to be used in placing the new ligament in the exact location of the old ligament. Once the bone tunnel is in place, your new ligament will be positioned and attached to the bone with screws or some other form of fastener. This will hold the ligament in its proper place. At the end of surgery, your surgeon will close your incisions and apply a bandage.

Your surgeon will probably take photos and/or film your operation so that you can watch it on the video monitor after your surgery is done. This technique allows the surgeon to discuss findings with you in detail.

Some reasons to consider having ACL (anterior cruciate ligament) reconstruction are: Unreliable knees that give way unexpectedly, unstable or weak knees, pain in the knees, loss of ability to participate in athletic activities or to perform activities of daily living.

Complications are rare with this type of surgery; however, they do exist. Some things to keep in mind are the possibility of: Failure to heal, failure to relieve symptoms, stiffness and pain in the knees, continued weakness in the knees, infection at the site of the surgery, nerve damage, and bleeding. - 17269

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