Patellas and Hamstrings and Quads, Oh My! Which ACL Graft is Best for You?

By 6to8weeks | February 26, 2024

Human tissue is amazing. To think that a section of it can be harvested – whether it be your own or from another source, to change the future movement that will propel your body, career choices and life, makes the mind reel. It’s time to learn what three orthopedic surgerons think about the various types of ACL grafts that can be made (patellar, hamstring and quadricep) to impact patients of all kinds inside this episode of The 6 to 8 Weeks Podcast.

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The Detailed Shownotes for This Episode of The 6-8 Weeks Podcast:

— What is the UCL? https://www.nationwidechildrens.org/conditions/ulnar-collateral-ligament-injury

— What is the ACL? https://kidshealth.org/en/teens/acl-injuries.html

— What is the MCL? https://kidshealth.org/en/teens/mcl-injuries.html

— What is a Graft? The process of a soft tissue graft involves collecting a small amount of tissue from another area within your mouth and placing it in the recessed area. During this procedure, the patient is given a local anesthetic to provide comfort and can choose to have nitrous oxide (laughing gas) to help them relax further

— What is a Patella? https://my.clevelandclinic.org/health/body/25038-patella

— What is a Hamstring? https://my.clevelandclinic.org/health/body/21904-hamstring-muscles

— What is a Quadricep? https://www.physio-pedia.com/Quadriceps_Muscle

— How Important is The Human Knee? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178997/

— Who is Martha Murray? https://www.childrenshospital.org/directory/martha-murray

— What is the Boston Children’s Health Physicians? https://bchp.childrenshospital.org/

— What is Gore-Tex? https://www.gore-tex.com/technology/gore-tex-products

— What is Synovial Fluid? https://medlineplus.gov/lab-tests/synovial-fluid-analysis/

— What is Autograft Tissue? https://www.sciencedirect.com/topics/medicine-and-dentistry/autograft

— What is Allograph Tissue? https://intermountainhealthcare.org/ckr-ext/Dcmnt

— What is the Difference Between a Tendon and a Ligament? https://medlineplus.gov/ency/imagepages/19089.htm#:~:text=Overview,move%20the%20bone%20or%20structure.

— A Listing of Peroneal Tendon Syndromes?

— What is a Biologic Scaffold? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5580515/

— Cadaver Tissue Donation: A Pathologist’s Perspective: https://jme.bmj.com/content/29/3/135

— Are Donor Tissues and Grafts Safe? https://www.verywellhealth.com/are-donor-tissues-and-grafts-safe-2549895

— What Does It Mean to Be Skeletally Mature? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5257250/

Timestamps for This Episode of The 6-8 Weeks Podcast:

05:17 Options:

– ACL surgery: autograft or allograft tissue

– Autograft is from your own tissue

– Allograft comes from cadaver donor tissue

06:49 Biologic scaffold supports new ligament growth effectively.

12:11 Allograft may fail due to early activity.

14:10 Drew’s research identifies bone shape ACL risk.

18:52 Study results and surgeon’s expertise matter.

22:07 Choice of graft depends on growth plate status.

23:02 Hamstrings preferred for young patients with ACL.

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