cpt code for open acl reconstruction with hamstring autograft

If your child or adolescent has open growth plates and an ACL tear, talk to the surgeon about the risks and benefits of surgery, as the growth plates can be avoided with certain surgical techniques. Tunnel View(a/p at 60 degrees of knee flexion): femoral attachment should be lateral to the midline of the intercondylar notch and in the upper 2/3 of the notch. JavaScript is disabled. Your surgeon will complete a medical history and physical, order blood work, and other diagnostic tests. The allograft also leads to early incorporation in the bone tunnel. The office staff is wonderful and Rebecca was able to schedule me with a busy schedule and awesome at answering all of my questions including referring me to a great physical therapy office. Proximal attachment is circumferential, i.e. Sundararajan SR, Ramakanth R, Jha AK, Rajasekaran S. Knee Surg Relat Res. Allograft Augmentation of Hamstring Anterior Cruciate Ligament Autografts Is Associated With Increased Graft Failure in Children and Adolescents. ACL surgery is defined by CPT 29888 (Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction). 3-4cm incision 3 fingers breadths below medial joint line, midline tibial shaft between crests. Postoperative images showing quadriceps tendon autograft scar and range of motion. https://doi.org/10.1016/j.arthro.2017.11.032, Revision ACL recon= 29999(unlisted) or 29888-22, Complete tear, IKDC Level 1 or 2 activity, Partial tear with >50% of ACL intact and no functional instability, Isolated complete tear in patient with IKDC Level 3 or 4 functional level, Non-operative treatment: physical therapy, ACL brace. My own experience with Dr karkare has been wonderful he takes his time with you listens to what you have to say and prescribes various treatments and is very caring I would highly recommend him to anyone I would give both doctors a 10 plus rating we are very happy with them the best. You are using an out of date browser. Tibial tunnel;just lateral to medial tibial spine, 7mm anterior to PCL in posterior half of ACL footprint, along posterior edge of anterior horn of lateral meniscus. Linking and Reprinting Policy. Now After 3 months of great care by him and his staff, I am walking to normalcy. Hamstring tendon autograft remains a popular graft choice for anterior cruciate ligament (ACL) reconstruction. The staff here are great, I was seen at the time of my appointment and was well taken care of! Tibial Tunnel: Center should be along a line from the (1)posterior edge of anterior horn of the lateral meniscus, (2)just breach the lateral portion of the medial tibial spine, (3)7mm anterior to PCL(which gives 1-2mm wall after 10mm tunnel is reamed), (4)posterior aspect of tibial stump footprint. A hamstring graft is a soft tissue graft harvested utilizing the tendon of hamstring muscle on the inner aspect of the knee. Qlb3|5:A48*zYl&*,6CwPdTb3d The autograft ACL reconstruction may also prolong the rehabilitation period. Intraoperative photograph (left leg) showing the location of the semitendinosus and gracilis tendons after dissection free from the sartorial fascia. The graft is prepared by an assistant on the back table by whipstitching each end with #2 nonabsorbable sutures The popliteus tendon graft is then shuttled into the femoral tunnel and held in place with a 7 20-mm bioabsorbable screw. Three cases required ACL reconstruction using the Semi-T hybrid autografts. endstream endobj 612 0 obj<>>>/LastModified(D:20071223111158)/MarkInfo<>>> endobj 614 0 obj<>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageC/ImageI]/ExtGState<>>>/StructParents 0>> endobj 615 0 obj<> endobj 616 0 obj[/ICCBased 634 0 R] endobj 617 0 obj[/Indexed 616 0 R 14 638 0 R] endobj 618 0 obj<> endobj 619 0 obj<> endobj 620 0 obj<>stream suri cruise school 2021. Although there are a variety of autograft and allograft options available for ACL reconstruction, advantages of hamstring tendon autografts include decreased postoperative knee pain and an overall easier surgical recovery compared with bone patellar tendon bone autograft. The vascular surgeon expects 16 percent of the allowable for CPT 22845-80 and 22851-80.Learn more about KarenZupko & Associates at www.karenzupko.com.The information provided should be utilized for educational purposes only. Bone grafting is commonly reported using iliac crest autograft and allograft bone chips and dowels, while hamstring autograft and BPTB autograft were the most utilized grafts during the second-stage definitive reconstruction. Cylce knee with 30 lbs of tension. Intraoperative pivot-shift accelerometry combined with anesthesia improves the measure of rotatory knee instability in anterior cruciate ligament injury. Snaebjrnsson T, Hamrin Senorski E, Ayeni OR, et al. Bone and Joint Clinic. any meniscal shaving) or CPT code 29881, Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving)if performed in a separate compartment. Price: $7,931 CPT Code: 29888 Anterior cruciate ligament reconstruction ( ACL reconstruction) is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after anterior cruciate ligament injury. sharing sensitive information, make sure youre on a federal She spent a few days in the hospital and then went to Gurwin rehabilitee for another few weeks.It has now been almost six weeks and we both worked the election the other day. 2022 Jun 30;22(1):254. doi: 10.1186/s12893-022-01685-x. I don't code an allograft for ACL repair. There are three main sources of autograft: bone-tendon-bone (BTB) graft of the patellar tendon or a tendon graft from hamstring or quadricep tendon. Elizabeth you the best thank you for you help always and you big smile and positive actitud. If it wasnt for Dr. Karkares expertise she never would have been able to work. Show more. One is a strip of the patellar tendon below the kneecap. These ligaments are strong fibrous bands of tissue that attach to the femur, fibula patella and tibia bones providing strength and stability to the joint. The allograft ACL reconstruction is also considered to be less strong than the autograft reconstruction. Younger patients are at increased risk for graft rupture and contralateral injury after anterior cruciate ligament reconstruction. Physical therapy 2-3x/wk for 12 weeks. Arthrosc Tech 2012;1:e165-e168. This site needs JavaScript to work properly. There is no better Orthopedic doctor you will find. (Fineberg Arthroscopy 2000;16:715), Tunnel position is the most common cause for technical failure. Complete orthopedics is a wonderful place to go when you hurt or injured a great staff and wonderful doctors very knowledgeable and helpful I would recommend this place to all of my family and friends that is in me of orthopedic care I give them 10 thumbs up. ACL Hamstring Tendon Autograft Reconstruction Protocol . Thank you! GENERAL GUIDELINES Focus on protection of graft during primary re-vascularization (8 weeks) and graft fixation (8 -12 weeks) For ACL reconstruction performed with meniscal repair or transplant, defer to ROM and weightbearing precautions outlined in the meniscal repair/transplant protocol. bone, knee acl reconstruction allograft faq tcomn com, acl reconstruction with allograft vs autograft aapc, hamstring tendon autograft for anterior cruciate ligament, 10 5005 jp journals 10017 1022 allograft reconstruction of, www acldoc org, chondrofix osteochondral allograft coding reference guide, tibialis anterior or posterior allograft The International Knee Documentation Committee Subjective Knee Form (IKDC2000) and the Knee Injury and Osteoarthritis Outcome Score (KOOS) are knee-specific measures. Medical College, Patiala, India. You will usually be asked to not eat or drink for about six to twelve hours beforehand. official website and that any information you provide is encrypted The information on this website may not be complete or accurate. Your knee will be swollen, and you may have numbness around the incision on your knee. After suffering from a severe ankle injury Dr. V was able to help me heal and return back to work completely to a job where I stand for 12 hours a day. Allograft anterior cruciate ligament reconstruction, Bilateral Knee Replacement (Simultaneous), Adjacent Segment Disease after Cervical Fusion, Patient-Specific Knee Replacement Customized Implants Vs Customized Cutting Blocks, Medial & Lateral Collateral Ligament of the Knee. Kern M, Love D, Cotter EJ, Postma W. Quadruple-bundle The patients were examined at 2 years after surgery. Intraoperative photograph (left leg) showing the location of the sartorial fascia. Graft options: Autograft patellar, hamstring, and quadriceps tendons. Dr.Karkare is the best. I was up walking mere hours after the surgery, and on the workout machines the next morning. doi: 10.1016/j.eats.2019.09.021. Anterior Cruciate Ligament (ACL) Repair with Allograft reconstruction is one of the most common procedures performed by orthopedic surgeons. Am J Sports Med 45 (9), 2092-2097. 1 oclock position for left knee. Patellar tendon grafts have been associated with pain located in front of the knee. Int J Surg Case Rep. 2020;76:81-84. doi: 10.1016/j.ijscr.2020.09.136. Epub 2014 Dec 11. Offset <5mm. When it comes to ACL reconstruction surgery you have two main options, autograft and allograft. Quadriceps and hamstring strength at least 85% of uninvolved lower extremity per isokinetic strength test Metso L, Bister V, Sandelin J, Harilainen A. BMC Surg. All rights reserved. (Nguyen T, Knee Surg Traumatol Arthrosc. Semitendinosis-flat, larger, broader insertion, difficult to palpate. TECHNIQUE STEPS. Participation in rehabilitation and general recovery is faster than autograft. Scheduling my appointment was quick and easy. Dr. Vaksha is excellent. What a great place! The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Dr. Karkare made my decision easy as he walked me through the whole process from surgery to recovery.On 12/13/19 ( Friday the 13th) I enter Lenox Hill Hospital in great hands. When I had no choice and could barely walk , it was recommended I see Dr. Karkare. Intraoperative photograph (left leg) showing dissection of the gracilis from the sartorial fascia and from the semitendinosus, prior to harvesting. The bone ends naturally fuse with the femur and the tibia as they heal. Patellar Tendon Autograft June 7, 2020 The patellar tendon autograft is the second most common choice used for an ACL reconstruction autograft after the hamstring tendon autograft. Here are some key documentation issues to consider when reporting an ACL reconstruction. 2017 Oct;475(10):2459-2468. doi: 10.1007/s11999-017-5278-9. Two separate surgeons for anterior lumbar surgery. This was my 1st time breaking something in my 27 years on this planet. Arthroscopy. 6months=may do running and terminal knee extensions. A/P view: center of the tibial attachment should be just lateral to the exact center of the tibia. The patient portal made it easy for me to access all my documents including work notes. If so, this should be done by direct communication with the therapist, or in writing on the . and transmitted securely. ACL reconstruction usually would be considered medically necessary and covered by health insurance. Full Extension Lateral View: anterior border of tibial tunnel should be posterior to, and parallel with Blumensaats line. All-inside anterior cruciate ligament graft link: Graft preparation technique. If you have a general anesthetic it means you will be asleep during your operation. Surgical instruments are inserted through other small incisions. Highly recommend. If MRI has been obtained, estimate thickness of quadriceps tendon. Measure femoral tunnel length. Am J Sports Med. Peroneus Longus Tendon Harvesting for Anterior Cruciate Ligament Reconstruction. All Rights Reserved. This was the right decision no pain and no limp. A divergence angle >30 from the bone block results in lower failure loads. (Beynnon BD, Am J Sports Med. I appreciate the guidance and knowledge you have shared. Similarly, hamstring autograft may cause inhibition of the hamstrings. Reconstruction of the ACL (anterior cruciate ligament) and repair of a torn meniscus are among the most commonly performed arthroscopic surgeries. He took extra time with us and explained things so thoroughly. My orthopedic doctor kept recommending knee replacement . Advertisement Allograft types commonly used in ACL reconstruction include Achilles tendon (A), hamstring tendon (B) and patellar tendon (C). Anterior cruciate ligament graft placement recommendations and bone-patellar tendon-bone graft indications to restore knee stability. In this Technical Note, we describe a technique of hamstring autograft harvest for ACL reconstruction for a quadruple (4-strand) hamstring graft using the gracilis and semitendinosus tendons . Infection: <2%most common pathogen is coagulase-negative staph (Staphylococcus epidermidis), followed by S. aureus. diagnose ACL tear and any other pathology that will be addressed during the ACL reconstruction. .8SX"A5$` *@ ;% He put in a rod and two screws in her hip. The failure may result from the rejection of the cadaveric graft tissue. The graft material may either be harvested from the patient's own body which is known as autograft or from a cadaver known as an allograft. Copyright - St. George Surgical Center -, ChondroplastyCartilage Debridement (Arthroscopic). Driving: may drive after 6 weeks for right leg; 2 weeks for left leg. The ACL helps stabilize and support the joint. If youre having a general anesthetic, its important to follow your anesthetists advice. Harvesting and inserting the graft is included in code 29888, regardless of whether the graft is a patellar tendon or a hamstring tendon. ACL injuries most commonly occur during sports that involve sudden stops and changes in direction such as soccer, football, basketball and volleyball. Dr. Vaksha is awesome and takes the time to listen to his patients. Its important to be able to get your knee straight so you can walk normally. ACL Reconstruction with Allograft or Hamstring Autograft: Post-op Protocol 2019-10-21T16:09:31-04:00. Very friendly office and I'm glad to be a patient here. - Learn more about the other types of grafts here - Noyes FR, Barber-Westin SD. 2. A surgeon performs an anterior cruciate ligament (ACL) repair (29888), a lateral meniscectomy (29881), and a synovectomy (29876) in the patella and medial compartments. The allograft shortened the operative time. Lateral view: Center of graft should be 40% of the a/p length of the tibial plateau posterior to the anterior edge of the plateau. It is not intended for the general public. (Kenna B Arthroscopy 1993;9:228-230), tibial tunnel length = tendon length + tibial bone plug length intraarticular distance(usually 23-30mm) (Fineberg Arthroscopy 2000;16:715-724): Indirect method of measurement = add 7 degrees to the length of tendinous portion of the graft and use this number for the tibial guide angle (Miller MD, Arthroscopy 1996;12:124-126). CPT Code: 29888. Right angle clamp to pull semitendinosis into view, isolate, free fascial slips and excise with tendon stripper, Deeper structure surrounded by fat is saphenous vein and nerve. 3-4mm offset femoral tunnel guide used to place guide wire in the 11oclock position for right knee. Patellar Tendon Autograft This is the "gold-standard" for ACL reconstruction and has been used for over 40 years as a reliable, safe graft for ACL reconstruction. There are two grafts commonly used to repair a torn ACL. cpt code for open acl reconstruction with hamstring autograft. ACL reconstruction is surgery to replace a torn anterior cruciate (KROO-she-ate) ligament (ACL) a major ligament in your knee. . Advanced Orthopaedic Associates 2778 N. Webb Rd. 2020 Jan 23;9(1):e191-e198. Both surgeons are reimbursed 62.5 percent of the allowable for CPT 22558. Xie X, Liu X, Chen Z, Yu Y, Peng S, Li Q. Knee. 2019 Jun;47(7):1576-1582. doi: 10.1177/0363546519849607. I was seen on time. Physical rehabilitation after ACL surgery may take several months to a year. Anterior cruciate ligament reconstruction ( ACL reconstruction) is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after anterior cruciate ligament injury. Measure thickness at midsagital patella and 3 cm proximal to the proximal pole. CPT Codes 27427 - Ligamentous reconstruction, knee; extra-articular 27428 - Ligamentous reconstruction, knee; intra-articular (open) 27429 - Ligamentous reconstruction, knee; intra-articular and extra-articular 29888 - Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Segond fracture (avulsion fracture of the proximal lateral tibia) is pathognomonic for an ACL tear, physical therapy & lifestyle modifications, low demand patients with decreased laxity, increased meniscal/cartilage damage linked to, level I and II activity (e.g. ]}yk +dG@M._Gu- '3{YtbJ*"~\F{,5"TF[ Ux*j*V]bXD) n_EX*,6=v Allograft ACL reconstruction also offers the benefit of no graft site morbidity. This CPT code is valued to include the harvesting and placement of a graft. We were in Pt. The semitendinosus tendon is then obtained using an open hamstring harvester tool. This may be painful and may limit your athletic performance. For example, you may not be able to completely straighten or bend your leg as far as the other leg. It may range from 4 to 6 months. So about one month after our initial meeting I had the first knee done. My appointment with Dr. Vaksha was amazing. It is easy to harvest, holds well in its new location, and heals fast. In 2010 only 2.5% of ACL reconstructions were performed with the quad tendon. PMC -, Ma C.B., Keifa E., Dunn W., Fu F.H., Harner C.D. The semitendinosus hamstring tendon on the inner side of the knee is used in creating the hamstring tendon autograft for ACL reconstruction. I specialize in musculoskeletal disorders and their management, and have personally approved of and written this content. Delay indicated to decrease risk of arthrofibrosis. This protocol is intended to be a general outline only. Endobutton size = femoral tunnel length 25mm. By 2014 the number had increased to 11%, according to a study in Knee Surgery, Sports Traumatology, Arthroscopy. registered for member area and forum access, http://www2.aaos.org/aaos/archives/bulletin/apr05/code.asp. The ACL is located in the center of the knee joint where it runs from the backside of the femur (thighbone) to the front of the tibia (shinbone). Author links open overlay panel Derek N. Pamukoff a, Melissa M. Montgomery a, Skylar C. Holmes a, Tyler J. Moffit a, Steven A. Garcia a, Michael N. Vakula b. Clipboard, Search History, and several other advanced features are temporarily unavailable. If an arthroscopic procedure is performed at one site and an open procedure is performed at a different site, a modifier should be used to indicate this (-59, RT, LT, etc.). 27,40 An undertensioned graft can be nonfunctional and lead to . Autogenous tissue has been compromised (e.g., by previous surgery, previous injury), Multi-ligament reconstruction is being performed, Pathology such as chronic patellar tendonitis and hamstring injury exists, M22.2X1-M22.3X9 Patellofemoral disorders and other derangements of patella, (including lateral, medial, anterior and posterior ligaments), M22.8X1-M22.8X9 Other disorders of patella (including lateral, medial, anterior and posterior ligaments), M23.50-M23.52 Chronic instability of knee (including lateral, medial, anterior and posterior ligaments), M23.601-M23.8X9 Other spontaneous disruption of ligament(s) of knee and other internal derangements of knee (including lateral, medial, anterior and posterior ligaments), 0SUC0KZ-0SUD4KZ Supplement knee joint with nonautologous tissue substitute, 27427 Ligamentous reconstruction, knee; extra-articular, 27428 Ligamentous reconstruction, knee; intra-articular (open), 27429 Ligamentous reconstruction, knee; intra-articular and extra-articular, 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction, 29889 Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction. Fournisseur de Tallents. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. xbbf`b``3 1x4>0 While the autograft offers the advantage of being a part of the patients own body, it may have a few associated cons. It allows Mary Ann do the things that she likes to do, even on a limited basis for a while. Dr. Karkare put my fears to rest . I was rear ended in an auto accident , Dr Vashka was recommended by a friend of mine .I was experiencing Back , neck , and shoulder pain . graft should be 9-10mm wide or 1/3 of tendon width. Bone tunnel plug used in ACL reconstruction. Recovery He had is team ready at the hospital and operated on me within 6 hours after my injury. Discoid Lateral Meniscus Saucerization and Stabilization, ACL Reconstruction in Skeletally Immature, ACL Reconstruction - Quadriceps Tendon Autograft, PCL Double Bundle Allograft Reconstruction, MPFL Reconstruction - Pediatric and Adolescent, Medial Retinacular Plication (Modified Insall ), Osteochondral Plug Allograft Transfer of the Knee, grading A= firm endpoint, B= no endpoint, PCL tear may give "false" Lachman due to posterior subluxation, extension to flexion: reduces at 20-30 of flexion, patient must be completely relaxed(easier to elicit under anesthesia), measured with knee in slight flexion and externally rotated 10-30, interpret biplanar radiographs of the knee. Compress tendons with sheath trial. 12wks=cleared for all activities except: running on hard surfaces, terminal knee extensions with resistance, and jumping/pivoting sports. Board Certified Surgeon & Anesthesia Providers, Extremely low infection rate, 0.037%(Natl Avg 2.6%), 11,000 sq ft with 4 state-of-the-art surgery suites, 23-hour Overnight/Extended Stay facility (the only ASC in Southern Utah with overnight capabilities). You will usually have ACL reconstruction three to eight weeks after your injury. Hn1E^jlgKQ"Ruh6,*kc3_guq1,QWf;2vz*Oen6FY5|a=7FQ"cL{=Y9qU/8wwY=~:#wvIemCB!W)7\Fto*vh. For revision ACL reconstruction consider freeze-dried allograft bone dowels to fill bony defects. Privacy Policy. Both types of graft are highly successful and have been in use for the past many years. This allows the doctor to see the knee structures more clearly. Association between gait mechanics and ultrasonographic measures of femoral cartilage thickness in individuals with ACL reconstruction. Center of 10mm tunnel should be 6-7mm anterior to posterior cortical rim of the intercondylar notch. For patients covered by health insurance, out-of . Daniel J. Prohaska, M.D. Bundling injection codes by payors. The quadriceps tendon is a thick tissue located above the patella or kneecap. Delay hamstring strengthening for 12 weeks. TECHNIQUE VIDEO. The doctors are amazing,always professional, compassionate and great listeners. government site. Intraoperative photograph (left leg) showing the location of the incision for semitendinosus and gracilis tendon harvest. 817-375-520024/7 Scheduling Payment Portal [14-16] Reconstructed ACL graft rupture more commonly occurred in the hamstring autograft than in the patellar tendon autograft. Usually 25-45mm. Persistent effusion and failure to regain full extension indicates graft impingement. Dr Rhodin really cares for his patients. Although the technique of hamstring autograft harvest is relatively straightforward, it is critical to pay attention to several technical steps to avoid iatrogenic neurovascular damage as well as to avoid premature amputation of the graft while using a tendon stripper. The spine surgeon expects 100 percent reimbursement on 22845 and 22851. CPT copyright 2008 American Medical Association. 9 In particular, adequate tension of the graft restraining anterior-to-posterior or rotational translation is necessary to reestablish the stability of the knee. This is uncommon, and sometimes another surgery or manipulation under anesthesia can help. Ohio State College of Medicine | Ohio State College of Medicine Dr Vaksha was so kind and helpful. Davarinos N., O'Neill B.J., Curtin W. A brief history of anterior cruciate ligament reconstruction. The length of time until you can return to normal activities or sports is different for every person. This graft is also known as a bone-patellar tendon-bone (BPTB) graft. Competitive pricing and excellent customer service for our valued patients and their families. 2012 Oct;28(10):1481-9. doi: 10.1016/j.arthro.2012.03.019. The soft tissue tendon grafts are usually secured in the tunnel for ACL using undo buttons, screws, etc. Most of this swelling will go away in a few days, and you should soon start seeing improvement in your knee. Anterior Cruciate Ligament (ACL) Repair with Allograft reconstruction is one of the most common procedures performed by orthopedic surgeons. Femoral interfence screw should be anterior to graft. 3. -, Goldblatt J.P., Fitzsimmons S.E., Balk E., Richmond J.C. Reconstruction of the anterior cruciate ligament: Meta-analysis of patellar tendon versus hamstring tendon autograft. This is to make sure you can move your knee as fully as possible before your operation. Caracciolo G, Yez R, Silvestre R, De la Fuente C, Zamorano H, Ossio A, Strmbck L, Abusleme S, P Carpes F. J Exp Orthop. 2000;8:226). Helpful Codes For Osteochondral Allograft Procedures In The Talus And Ankle, Helpful Codes For Osteochondral Allograft Procedures In The Shoulder, Helpful Codes For Allograft Meniscus Reconstruction, Helpful Codes For Osteochondral Allograft Procedures In The Distal Femur. Complete Ortho should be complimented for having such a person on their staff.I highly recommend this place!!! You may also be asked to give your consent for the procedure by signing a consent form. Olivos-Meza A, Suarez-Ahedo C, Jimnez-Aroche CA, Pantanali N, Valdez-Chvez MV, Prez-Jimnez FJ, Olivos-Daz B, Olivos-Grces NA, Gonzlez-Hernndez A, Ibarra C. Arthrosc Tech. Treat patient with upmost respect. If the assistant will be reporting their services to the payor, the surgeon should document the name of the assistant, explain the medical necessity for having the assistant in on the case and describe the work the assistant performed. 12. The location of the graft site may not help and cause morbidity. Rebecca is such a kind and understanding person. So happy how I been treated and how well I am getting. (2017) Graft diameter as a predictor for revision anterior cruciate ligament reconstruction and KOOS and EQ-5D values: A cohort study from the Swedish National Knee Ligament Register based on 2240 patients. Am I wrong? --------------------------------------------------------------------------------. I thought for ACL repair you could only report the graft if it was harvested from the other leg. It was the afternoon of Friday Sept. 24. The results of ACL reconstruction with a hamstring graft are good. Patella Tendon Autograft. 2008-2023 eORIF LLC. The staff is truly exceptional, they make you feel comfortable and welcomed. Home Knee Anterior Cruciate Ligament ACL Surgery Allograft vs Autograft. after harvest you should note muscle fibers coming off both sides of tendon. Dr.Kuo is amazing very attentive,caring,and passionate and staff is awsome too.Thank you for everything Dr.kuo.

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