Has anyone older had an ACL repair with an allograft (donor) graft?
I tore my ACL and have a slight tear in my medial meniscus.
The surgeon thinks the meniscus will either heal on its own or be repairable. It's my first time tearing my ACL.
I'm 33 years old, and my surgeon gave me the choice of either using my own hamstring tendons (autograft) or a cadaver tendon (allograft) to reconstruct my ACL.
If I was under 20 years old, he would *definitely* have me use my own hamstrings. For people over 40 he almost always recommend people go with a cadaver tissue.
I'm in kind of a weird age range so I don't know what to choose. I ski everywhere, paraglide, play tennis, dive, but no contact sports. I'll do drops and jumps but nothing too extreme.
If he uses donor tissue, it'll be non-irradiated because radiation is known to weaken the tissue. He wants to get it from an Achilles tendon of someone under 40 years of age. I'm leaning towards the allograft because the thought of more incisions and possibly compromising my hamstring muscle group has me worried. I checked out some YouTube videos of the hamstring operation and they take out huge strands of tendon with muscle attached.
Has anyone here used an allograft (donor tissue) for an ACL repair before? How old were you and how has it been? Which tissue did you use and do you know if the reconstruction was double bundle or single bundle?
Has anyone older had an ACL repair with an allograft (donor) graft?
The Mrs. did cadaver at U of Iowa sports med in her early 30s. That's what they recommended. Same surgeon as the FB team, big important hospital, so she just rolled with their advice. Lots of PT, did surgery in March, was hiking in LCC by July, skiing without issue in December.
(For UglyMoney and the other Hawk fans here, her PT buddy/partner was Eddie Podolak, this was the summer he drunk jaywalked in Scottsdale and got schmucked by a Caddy)
Loves the knee today, still wears that classic Iowa lineman knee exoskeleton while skiing.
Has anyone older had an ACL repair with an allograft (donor) graft?
I'm 31 and just had a reconstruction with a patellar autograft (2 months out from the surgery, 3 months out from the injury). I found this to be interesting reading when I was making the decision: http://uhealthsportsmedicine.com/doc...on_%287%29.pdf
My surgeon has been doing patellar autografts for years and urged me to consider another factor when making the decision -- his experience. He is a well-known ACL surgeon who's been working with NBA and NFL teams for years, and the vast majority of the reconstructions he has done were patellar tendon autografts. He gave me the option of a hamstring or quad autograft (no option of an allograft; he said that would be a terrible choice given my age), but I went with the patellar graft given that he was much more experienced with those. Apparently some of the younger surgeons have grown up on quad and hamstring grafts (which I’m told only recently became relatively common), so they may have more practice with those. I trust my surgeons advice completely, so would really question the wisdom of an allograft (even if it's a little less shitty following the surgery). I'd ask your surgeon and go with whatever s/he has the most practice and experience with. I'll say the graft site (patellar tendon and knee cap) were slow to heal, and the pain I feel now is in the patellar tendon. But I sleep better at night thinking that the extra pain reduced the chances I'll have to go through this horrible ordeal again in the future. Either way, good luck!