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Show Notes:
- https://fitnesspainfree.com/2025/01/acl-tear-surgery-face-off-which-is-best-for-patients/

In today's episode we go over ACL Tear Surgery FACE-OFF [Which is BEST for Patients?] - FPF Show Episode 158

0:00 Introduction
3:24 What is ACL Reconstruction and what are the goals of the surgery?
8:01 What are the graft choices for ACL-R? [Auto & allograft, patellar, quad, hamstring]
11:47 Is the graft as strong as the native ACL? [Load to failure]
17:33 How long does it take for the ACL-R graft to fully heal over time? [Ligamentization]
24:31 Which graft type has the best patient reported outcome measure?
26:07 Which graft types have the highest and lowest failure (and re-tear) rates?
33:31 Which graft type results in the best quadriceps and hamstring strength over time?
35:35 Which graft type has the best return to sport rate?
41:29 Which graft type has most donor site morbidity (issues due to harvesting the graft) and complications?
46:36 Quad tendon graft: ideal patient, pros and cons
48:24 Bone patellar tendon bone graft: ideal patient, pros and cons
49:41 Hamstring tendon graft: ideal patient, pros and cons
52:16 Allograft: ideal patient, pros and cons
54:05 What is a Lateral Extra-articular Tenodesis? Why would a surgeon use this procedure along with an ACL-R?
57:08 Which patients are appropriate for the addition of a lateral extra-articular tenodesis?
58:11 Can you repair the ACL ligament and is this a viable surgery?
1:01:27 What is the bridge enhanced ACL repair [BEAR] procedure?
1:05:54 BEAR procedure vs. ACL-R [outcomes, return to sport, re-injury rates]


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