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Bob's ACL WWWBoard
Re: ACL Revision (Thermal Shrink)
Posted By: SueBW
Date: Saturday, 10 May 2008, at 8:38 a.m.
In Response To: ACL Revision (Thermal Shrink) (Ed25t3)
> Hi all I have been here before thought I was good, and my
> knee never got stable after reconstruction. I have found a
> new doctor who agreed to surgery and had it done. while he
> was in the knee he found patella turned and tore up
> cartilidge on back of knee cap. also anterior horn of
> Medial Menicus torn. he cut those out and then check ACL
> with moderate to severe laxity. He did a thermal shrinkage
> on ACL and said it was all good. (ACL was placed to far
> anterior from last surgery)
> What is the general feeling on the Thermal Shrinkage? whats
> the chance of failure? just wondering was not too happy
> when he said knee was real loose, but wanted to try
> shinking? Thanks
Dr. Mark is correct - the few clinical studies of thermal shrinkage of failed ACL grafts have reported miserable results. A graft that is placed too far anteriorly needs to be replaced with a high strength graft placed in the anatomically correct position. We prefer the patellar tendon autograft - if it was previously harvested, then it can be taken from the opposite knee. For now, you need to focus on regaining normal knee motion and muscle strength and should avoid high risk activities (twisting, turning, pivoting, cutting) to reduce the chance of a reinjury. Sorry for the bad news, but with the damage already present in your knee, you should be careful to avoid future giving-way episodes.
SueBW
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