ACL Surgery के बाद 6 महीने तक क्या होता है? | Graft Healing Explained | ACL Tear | ACL |ACL Surgery
Dr Manu Bora - ACL Expert
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ACL Surgery के बाद 6 महीने तक क्या होता है? | Graft Healing Explained | ACL Tear | ACL |ACL Surgery
2 424 просмотра · 13 дней назад
Dr Manu Bora - ACL Expert
396 тыс. подписчиков
2 424 просмотра · 13 дней назад
[00:00] – The Biology of Graft Healing (Ligamentization Timeline)
Detailed overview of the biological phases a tendon graft undergoes after ACL reconstruction:
Early Healing / Necrosis Phase (0–3 months): The graft initially lacks blood vessels, undergoing temporary avascular necrosis and reaching peak structural vulnerability between 1.5 and 3 months.
Proliferation Phase (3–6 months): Blood vessel ingrowth (revascularization) and cellular nourishment gradually strengthen the tissue.
Maturation & Remodeling Phase (6 months – 2 years): Progressive collagen remodeling stimulated by late-stage functional training.
[01:42] – Quadriceps Tendon Graft Advantages
Why modern sports reconstruction prefers the quadriceps tendon over hamstring grafts:
Significantly lower re-rupture rates in global clinical literature.
Thicker diameter (harvested at 10–11 mm versus the standard 7–8 mm hamstring).
Minimally invasive harvesting via the QuadPro tendon harvester.
[03:36] – All-Inside Suture & Cortical Button Fixation
Preserving bone cortex and reducing postoperative pain by drilling small sockets instead of complete tunnels, using adjustable locking cortical buttons (TightRope) on both the femur and tibia.
[04:10] – InternalBrace™ Augmentation (FiberTape + SwiveLock Anchor)
How internal bracing shields the biological graft during the vulnerable 0–3 month necrosis window:
Enables day-one weight-bearing and active knee bending without external braces.
Cuts reinjury and mechanical failure risk by up to 88% (citing research from Dr. Gordon Mackay).
[04:48] – Preventing Post-Op Laxity (Intraoperative Pre-Tensioning)
Addressing patient concerns about knee laxity and medical clearance: cycling and pre-tensioning the adjustable construct multiple times during surgery so the graft cannot stretch out later.
[06:08] – Combined Anterolateral Ligament (ALL) Reconstruction
Preventing rotational instability and residual pivot-shift by reconstructing the accompanying torn ALL alongside the primary ACL.
[06:40] – The 40/60 Rule: Surgery vs. Structured Rehabilitation
Why surgical repair represents 40% of the outcome while 60% relies on structured, phase-based rehabilitation, regular follow-ups, and patient guidance.What'sApp to heal injury with rehabilitation & without surgery +91 9310138022
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To Know more about ACL Injury, Click the links below:
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