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WHICH IS BETTER TO USE FOR ACL REPLACEMENT CADAVER OR ...
Sent to Health Experts October 18 09:41 AM

WHICH IS BETTER TO USE FOR ACL REPLACEMENT CADAVER OR RECONSTRUCTION?

 

Optional Information:
Male , Age: 22

Already Tried:
NOTHING - BOTH ACLS MISSING FROM SPORTS BUT MUNISCUS WAS REPAIRED LEFT LEG NEEDS MUNISCUS REPAIR AND ACL RIGHT LEG(TOTALLY GONE) ONLY NEEDS ACL(TOTALLY GONE)

Customer (name blocked for privacy)
Status:  Closed   Value: $9
Answer
October 18 10:01 AM (19 minutes and 23 seconds later)
         
REPLIEDCheck Mark

Hi,
There is no clearcut demarcation that one procedure is superior to the other. Both have their advantages and disadvantages.

  • In reconstruction - the main advantage is that the strenght of the ligament constructed is maximum. Also since it is a bone ligament reconstruction the ends of the constructed ligament are very strong and donot give way inlater years, which is adrawback in other procedures. The main drawback of reconstruction is that there is a risk of patellar fracture and osteoarthrosis, difficulties in achieving full extension of the knee, and the potential for long-term pain in the patellar tendon and patellofemoral joint.
  • Cadaver graft - Its main adavantage is that there is amble amount of tissue that can be grafted. Also no extra incision sight will be there on your leg for taking a graft. Only disadvantage is the risk of transfering infection from the cadaver to you like HIV and Hepatitis B. Normally the graft is kept frozen, which should kill all the organisms, but there have been very few cases of transmission of infection.

So the pros and cons have to be weighed before taking a decision.

Please ACCEPT the reply (by pressing the GREEN accept button), and give a BONUS if it was useful. If you need more information, just let me know.
Regards
Dr. Gupta

 

Reply
October 18 4:59 PM (6 hours and 58 minutes and 24 seconds later)
         
Reply to Gaurav Gupta's Post: WE JUST GOT RESULTS OF MRI AND IT SHOWS DEFINATELY A TORN MUNISCUS AND ACL MISSING.

IF THIS WAS YOUR LEG WHAT WOULD YOU CHOOSE AND WHY?
Customer (name blocked for privacy)
Answer
October 19 7:42 AM (14 hours and 42 minutes and 55 seconds later)
         
ACCEPTEDCheck Mark
If it was my leg, I would definitely consider going in for a reconstruction since it provides for tbetter long term stability and strength, however it is technicaaly more demanding and thus the surgeon doing it should be well versed and confident about doing the procedure,
All the best,
Dr. Gupta
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