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Old 11-03-2011   #401
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Default Re: Report: Johnson out a few weeks, Texans expect

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Originally Posted by CloakNNNdagger View Post
As far as reattachment LATER. I understand the surgery entailed cutting out the torn tendon. If the muscle is allowed to retract upwards with scarring over even a couple of months, even in a fairly limited fashion, it may be too short to mobilize and stretch what's left to re-attach it to the bone, or without it pulling apart because of too much tension. And if the tendon was indeed entirely cut out, a muscle to bone re-attachment is much less predictable than tendon to bone. Sometimes other procedures can be entertained, but you can see, it gets quite complicated, and again less predictable.
when they did my daughters ACL, we were given the option to use a donor from a cadaver. Would that be an otion here?
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Old 11-03-2011   #402
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Default Re: Report: Johnson out a few weeks, Texans expect

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when they did my daughters ACL, we were given the option to use a donor from a cadaver. Would that be an otion here?
Don't mean to pry TK but how is old your daughter and how did she tear up her ACL??
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Old 11-03-2011   #403
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Default Re: Report: Johnson out a few weeks, Texans expect

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Don't mean to pry TK but how is old your daughter and how did she tear up her ACL??
She was 16 at the time. Rounding second in a softball game, it just popped. The first doctor said it was only sprained, a year later she was still having trouble. We went to a second specialist he said it was totally gone. Since it had been a year, he said her.MCLs were stretched & would never tighten back on their own.

After replacing her Axle with the cadavers, he also tightened het MCLs. She was in a brace for three months after the surgery & wasn't able to play her Senior year.
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Old 11-03-2011   #404
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Default Re: Report: Johnson out a few weeks, Texans expect

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when they did my daughters ACL, we were given the option to use a donor from a cadaver. Would that be an otion here?
Sorry to hear about your daughter.

That's what the trend is going to in the US, because of the morbidity that has been encountered in the graft donor sites. I mentioned this in another post:
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A 2004 study [EDIT: among others; some have reported resulting knee instability] reported that testing hamstring strength at high degrees of flexion can demonstrate a significant deficit associated with the harvesting of hamstring tendon grafts (as in ACL repairs). In fact in the US, due to the morbidities to the donor site involved in the use of hamstring tendon grafts, the trend has been to instead use allografts (grafts from cadavers)
[EDIT: I reread your question and I guess you were referring to attaching the retracted muscle to the bone by a cadaver (allograft) tendon graft. You are still limited by the weakest link which would then again be the muscle attachment......this time to the tendon. Although if they left some tendon on the muscle side and didn't remove the whole thing, then sewing the interposition cadaver tendon to the bone on one end and to the remaining hamstring tendon on the other end would be possible. However, trying to separate all the scar tissue to mobilize the semitendinosus (separate/loosen from the surrounding tissues) muscle would still very like lead to some element of morbidity and unpredictability.]
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