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ACL Reconstruction: Patellar or Hamstring?

post #1 of 6
Thread Starter 

Yes I know. This question has been asked many times. But every case seems to be different.

 

I am a 25 year old female. I come from a racing background. Like to ski hard and fast and huck cliffs with the boys. I was planning on competing in some big mountain events this year... but since the ski season was cut short... maybe next year. 

 

I opted to got for the patellar autograft. It sounds like its stronger and seems like it will hold up better to the forces of skiing. Permanent knee pain seems to be a down side. But I didn't like the idea of reducing the strength of my hammys. My understanding is that it is strong quads and hamstrings are what protect the ligaments in your knee.

 

Skiing is the main sport I participate in. Yoga, weight training and hiking are what I do in the off season. 

 

But now I am doubting my decision to go with the patellar autograft thanks to an acquaintance who looked at me like I was nuts when I told him my decision. He said hamstring is the way to go. 

 

So. Any thoughts? 

post #2 of 6

Patellar autograft still = gold standard. 

 

Hammies = often less pain initially, but more risk of looseness and a more fragile repair for a variety of reasons. 

post #3 of 6

I had the patellar autograph done on both knees over 20 years ago (man I'm getting old). So far, they feel great and perform as good as new. In fact, the more i use and abuse them, the better they feel.

post #4 of 6

I've had both knees done and I chose to have a cadaver transplant for both my ACL and MCL. 

post #5 of 6

I'm not going to say a whole lot here but I am female and in your case would opt for the patellar tendon graft, possibly even a quadriceps tendon graft. I've had 4 ACL recons myself. I used my hamstrings for my very first one on my left knee and it failed. Even my doc said we probably should have chose a different graft. There is some evidence that females cannot compensate for the hamstring weakness as well as males can and therefore there may be a higher risk of re-rupture. Simply put the 'hamstrings' are the ACL's partner and the 'quadriceps' are the enemy.

post #6 of 6

4? same leg, both legs?

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