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

02/26/24 • 24 min

6-8 Weeks: Perspectives on Sports Medicine

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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— 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?

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Previous Episode

Hearing from The Fellows in Fellowship – 2024

Few things offer better insight and validation than testimony from the next generation you’re helping to learn, grow and craft the future of your profession. All that and more is included in this in-depth interview with two Fellows, about their Fellowship experience inside this episode of The 6 to 8 Weeks Podcast.

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— Learn All About The State of Indiana: https://www.visitindiana.com/about-indiana/ — Learn All About the City of Chicago: https://www.holidify.com/pages/facts-about-chicago-5382.html — Learn All About New York City: https://www.cuddlynest.com/blog/facts-about-new-york/ — Learn All About The State of Florida: https://funworldfacts.com/florida-america/ — What is a Fellowship in Medicine? https://www.mua.edu/blog/what-is-a-medical-fellowship — Learn All About Rugby: https://qz.com/496699/heres-everything-you-need-to-know-about-rugby-as-the-world-cup-kicks-off — Learn All About Mechanical Engineering: https://facts.net/general/20-fun-facts-about-mechanical-engineering/ — Learn All About The State of Iowa: https://www.onlyinyourstate.com/iowa/13-surprising-ia-facts/ — Learn All About The State of Minnesota: https://www.onlyinyourstate.com/minnesota/quirky-facts-mn/ 05:12 Seeking case diversity and personal connection in fellowship. 09:49 Fellowship allows more autonomy and growth. 13:34 Understanding expectations, vibes, and collaboration in fellowship. 16:35 Challenging rotator cuff case in early fellowship. 18:18 Orthopedic surgeon enjoys complex shoulder surgeries.

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Next Episode

OCD Lesions – Lessons from 3 Surgeons…

OCD Lesions are unique injuries to both cartilage and bone and not only occur in adults, but also often occur in the bodies of today’s youth. It’s time to find out more from a series of answers, details and lightbulb-conjuring lessons from 3 orthopedic surgeons inside this episode of The 6 to 8 Weeks Podcast.

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—

— What is an Osteochondrial Lesion? https://www.sportsmedicinenewyork.com/osteochondral-lesions-ankle-ankle-orthopedic-foot-ankle-surgeon-new-york-ny.html — What is Cartalige? https://my.clevelandclinic.org/health/body/23173-cartilage — What is Bone? https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/bones — What is an X-Ray? https://my.clevelandclinic.org/health/diagnostics/21818-x-ray — What is the Capitellum? https://radiopaedia.org/articles/capitellum

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

00:00 Knee pain and swelling, potentially from injury or degeneration. It can manifest as weakness and restricted motion, possibly due to a loose piece in the joint.

06:10 Ankle injuries can occur traumatically or atraumatically, with ankle sprains often affecting the outside or inside part of the talus bone. Treatment options for knee and elbow injuries are generally effective, but data for ankle osteochondral defects (OCDs) remains limited, and the appropriate treatment approach is still unclear.

08:44 Smaller knee lesions located in atypical areas have a better chance of healing, as they are not subjected to as much stress. However, lesions in common high-stress areas, such as the medial part of the knee, may struggle to heal. Non-operative treatments like bracing may be challenging for active children, leading some families to opt for early surgical intervention, particularly for older children, to avoid a long drawn-out treatment process.

11:02 Kids’ cartilage repair relies on piece condition and age, with early intervention yielding higher success rates. However, invasive techniques may not be worth the risk.

13:54 Allograft is recommended for larger, younger lesions. Seek medical advice if symptoms worsen, even in younger individuals. Various treatment options are available. Expert guidance is crucial due to the complexity and conflicting information online.

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It’s never been easier to connect with the hosts of The 6-8 Weeks Podcast. Read on below to share your perspectives on this episode of The 6-8 Weeks Podcast.

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