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Bob's ACL WWWBoard
Re: Cadaver graft complication rate, dr. Mark ?
Posted By: OLarryR
Date: Monday, 16 August 2010, at 6:29 a.m.
In Response To: Cadaver graft complication rate, dr. Mark ? (meel)
>My OS indicated that the Allograft rejection rate is approximately 1%. But the successfulness long term of an allograft is about 80% vs for autografts around 90%. Also, if the time between injury and reconstruction increases to a year or more, then the success rates drop for all the methods approximately another 10%. This was based on info the Sue Westin (a clinical orthopaedic researcher) has provided to us on the Board from time to time.
There has been debate over which method(s) are best - Patella Autograft, Hamstring Autograft and the allografts. Each has it's pro/con and how those factors stack up on how each of us views those factors plus what our OS's recommend, is how you wind up with one of the methods. Some do not like the idea of getting someone else's body parts installed when you can use part of your hamstring or patella. other's feel that the recovery may be easier with an allograft since the OS is not also removing the graft from a functional patella or hamstring. The patella autograft has some kneecap sensitivity for the first year or so - That turns some off from getting this method but this is usually something that goes away as the patella (1/3 removed) fills back in. There have been success with all these methods but there is the statistics regarding the success rates and then there is the individual issues that pop up with each person as well as the skill of the OS and the therapy that is provided afterwards. All these factors have something to dow ith overall success.
Larry
http://olarryrknees.homestead.com/acl.html
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