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Knee & Hip Problems Message Board

High Grade Partial Tear of ACL

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Old 04-28-2011, 12:02 PM   #1
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High Grade Partial Tear of ACL

Does anyone know what this means? This is what the tech called and told me my MRI said and I have a follow up with the surgeon next week. I am curious if anyone else had this diagnosis on their MRI and what did your surgeon suggest from there? Thanks.

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Old 05-03-2011, 01:50 PM   #2
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Re: High Grade Partial Tear of ACL

Posting to my own message, kind of like talking to your self, would you not agree? LOL!

Saw the surgeon yesterday and he spent some time going over my MRI with me. The radiologist calls it a high grade partial tear, the surgeon says its a full tear...he showed me two images and on one he showed me were there did look like ther were a few fibers attached, however on the other image there was just nothing there. The surgeon feels that if anything is still attached it is just a few fibers that no longer have function (according to the push-pull test he did on my knee and its degree of looseness) He feels that it is more than likely just lying there and not attached.

So now on to decide graft choice. I am so completely overwhelmed with all the information I have read regarding this and honestly there just seems to be no clear cut answer. I am uncomfortable with the risk of the allograft so vetoed that one right away even though I really wish I could make myself comfortable with it as I know that would be a little less pain and possible faster recovery for me.

The Dr. Really does not want to do patellar due to long term pain people tend to suffer so that leaves the hamstring. So I guess by default hamstring wins.

BUTTTT the surgeon made a comment that really bothered me, he said he would keep the allograft on backup in case the hamstring was not suitable....WHHAATTT?!?!?! No, no allograft to which he agreed to do the patellar if hamstring (very minimal chance it would not be suitable but just in case he said) does not work....but then worse case senario....I get two graft site areas that have to heal....I wished I had asked him if they could decide if the hamstring would work without taking it out first but that was not one of the questions I had written down and did not think of it until after I left. I will ask on my next visit.

Anyone know if any reasons WHY a hamstring would not be suitable?

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