What is BPTB autograft?
ACL reconstruction with BPTP autograft is a surgical procedure that replaces the injured ACL with an autograft containing patellar tendon and bony attachments. The new ACL is harvested from the patellar tendon that connects the bottom of the kneecap (patella) to the top of the shinbone (tibia).
What is Semitendinosus autograft?
Semitendinosus/gracilis (STG) tendon autograft has been used effectively for restoring knee stability after anterior cruciate ligament (ACL) rupture. Though ACL reconstruction with STG autograft is an effective surgical technique for return to sports, short-term hamstring strength asymmetries exist after surgery.
What does BPTB stand for?
BPTB
| Acronym | Definition |
|---|---|
| BPTB | Bone-Patellar Tendon-Bone |
| BPTB | Business Privilege Tax Branch (Guam) |
What is gracilis allograft?
The gracilis tendon is commonly used as an autograft to reconstruct torn tendons or ligaments in many parts of the body. Little is known about the subjective and functional outcome after gracilis tendon harvest. The aim of this study was to evaluate the outcome of the donor leg in patients undergoing such surgery.
Can you remove a hamstring?
A potential drawback of taking out a piece of the hamstring tendon is a loss of hamstring muscle strength. The main function of the hamstrings is to bend the knee (knee flexion). This motion may be slightly weaker in people who have had a hamstring tendon graft to reconstruct a torn ACL.
What is the best ACL surgery?
The patellar tendon graft (PTG) has always been the gold standard for anterior cruciate ligament (ACL) reconstruction. Yet, most orthopedic surgeons prefer hamstring grafts for younger athletes and cadaver grafts for older patients.
What is an ACL allograft?
What is an allograft? An allograft is tissue from an organ donor that has been sterilized and processed. The cadaver tissue is obtained from a tendon that closely matches the structural properties of your own ACL. What are the advantages? An Allograft requires less surgical time than an autograft.
Which is better, a bptb or an allograft graft?
As stated previously, allograft tissue has a far longer time for incorporation and healing. It seems clear that BPTB grafts are able to achieve superior initial fixation and early healing compared with soft tissue grafts or allografts. E. Wint PT, OCS, BS, BHS, MPT, in Orthopaedic Physical Therapy Secrets (Third Edition), 2017
How long does it take for a bptb graft to heal?
Animal models have shown that this leads to a predictable healing phase that takes as much as 12 weeks to be biomechanically equivalent to BPTB grafts. 6,14 The presence of bone plugs at the end of a BPTB graft allows for early biologic graft incorporation and healing in as little as 6 weeks from implantation.
How are bptb grafts associated with knee pain?
BPTB grafts are associated with patellofemoral morbidity including decreased knee extension strength and patellofemoral pain, especially in patients returning to kneeling activities. Rodney W. Benner MD, K. Donald Shelbourne MD, in The Anterior Cruciate Ligament (Second Edition), 2018
What kind of graft to use for ACLR?
Graft choices for athletes undergoing anterior cruciate ligament reconstruction (ACLR) include bone-patellar tendon-bone (BPTB) and hamstring tendon (HT) autografts and soft tissue allografts. The objective was to assess time to meet clinical milestones by graft type in athletes who completed a return-to-sport (RTS) program after ACLR.