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Bob's ACL WWWBoard
Re: Cadaver graft complication rate, dr. Mark ?
Posted By: OLarryR
Date: Tuesday, 17 August 2010, at 6:34 a.m.
In Response To: Re: Cadaver graft complication rate, dr. Mark ? (meel)
I am not that familiar with the other reconstructions (ie. MCL). But Dr. Mark generally uses the good knee's 1/3 patella tendon for first time reconstruction of an injured knee's ACL. If you have had a past knee reconstruction and the tissues of the injured knee were already used for one reconstruction, then using the other knee's tendon for a graft would be the way to go unless you do go the allograft route. The thing is if it is a first time reconstruction, the success rates are generally higher than if done a second time. Starting with that scenario, if you then go with an allograft (other than your own body parts) then the success rates drop a bit lower still. I am not sure of your past history regarding past injuries and reconstructions. But for first time reconstruction of a ligament, the success rates are pretty good. Also, I thought that the other ligaments (other than the ACL) the ligaments heal better than an ACL. When an ACL is partially torn, it pretty much stays that way since the ACL is in an area that supposedly does not get good blood flow but if an MCL was partially torn, the MCL has a chance to recover given time. So, if an MCL has to be reconstructed if it is severed, I would think the reconstruction would also heal with a high success rate. Then agaion, I am not a medical professional. You really would benefit from Dr. Mark orsomeone else shedding some light on the success rates and methods involved with an MCL reconstruction. maybe someone will provide input on that.
Going back to your issue about compromising the other leg. I would generally agree with you - Why mess around with a good leg and possibly effect it's wellbeing. But as I indicated above, that is exactly Dr. Mark's main method when doing reconstructions and form what i can tell from past postings when this Board was more lively, there were patients of Dr. mark that advocated his method of squaring away first time injuries. So....maybe using the good leg's ligament is a viable way to go versus allograft. As I indicated in another posting, this thing between deciding between going the allograft or autograft reconstruction methods does have success rates to contend with but also has to do with other factors as what was used for past operations and also an indfividual's preference and of course the OS's preference unless you start hunting for a different OS that will do it to your preferred reconstruction method. In any case, best to go with an OS that has lot's of experience with the method chosen. I was leaning toward a patella autograft for my ACL reconstruction but the no brainer was that my OS performed 90% patella autgrafts (from what I recall it being now over 11 years since my reconstruction) versus other reconstruction methods he had performed at the time.
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