ACL Overview
Anterior cruciate ligament (ACL) injuries, or ACL tears, are one of the most common sports injuries in the United States. The ACL is one of the most important ligaments in the body, crucial to providing stability of the knee joint. Unfortunately, the ACL has poor healing potential, and ACL surgery by a fellowship-trained ACL surgeon like Dr. Burnham is usually required to reconstruct the torn ligament in most cases. In select cases, however, the ACL can be repaired in a way that it will heal.
Most of the time, repair is not possible and a reconstruction is needed. ACL reconstruction surgery is done by taking a tendon from somewhere else in the body (or from a donor) and using it to replace the torn ACL. Dr. Burnham’s research and clinical experience has shown excellent outcomes using the quadriceps tendon and patellar tendon (BTB) as graft choices, both of which offer both reliable stability and minimal donor site complications.
Individualized, Anatomic ACL Surgery
Historically, ACL reconstruction techniques placed the new ligament in a position that didn’t exactly match the original ACL’s location. This “non-anatomic” placement was common due to limitations in both surgical technology and our understanding of knee anatomy at the time.
Thanks to advanced imaging technology and research, surgeons now have a much clearer picture of the ACL’s natural position and function. Dr. Burnham uses these modern techniques to place the new ACL precisely where the original ligament was located. This anatomic approach leads to better knee stability and helps reduce the risk of future complications, including re-injury and arthritis.
Precision matters not just in placement, but also in size. Using detailed measurements from both MRI imaging and direct surgical observations, Dr. Burnham ensures that each ACL graft is perfectly sized for the patient’s knee. This customized approach avoids the problems that can occur with grafts that are either too large or too small, helping optimize both healing and function.
ACL Reconstruction Graft Options
When reconstructing an ACL, the choice of graft material is a crucial decision that Dr. Burnham discusses carefully with each patient. Two main categories exist: autografts (using your own tissue) and allografts (using donor tissue). Each choice has specific advantages for different patient situations, and several individual patient factors such as age, activity level, and athletic goals play a role in the decision making.
Quadriceps Tendon (QT) Autograft
The quadriceps tendon has emerged as a premier graft choice for ACL reconstruction, supported by extensive research including Dr. Burnham’s published studies. This robust tendon, harvested from just above the kneecap, offers superior structural advantages – it’s approximately 20% larger in cross-sectional area and density than the patellar tendon, and often stronger than hamstring grafts. Patients particularly appreciate that quadriceps tendon grafts avoid common issues associated with other graft choices, such as anterior knee pain, kneeling discomfort, or the need for supplemental donor tissue. It has shown to be a good choice for anyone from elite athletes to weekend warriors.
While some research shows a potential temporary decrease in quadriceps strength during early recovery, partial thickness harvesting of the graft and specialized rehabilitation protocols help to ensure patients regain full strength before returning to sports. The graft can be harvested with or without a bone block, with the soft tissue technique (without bone block) being preferred for its excellent outcomes and simplified surgical approach. Dr. Burnham has participated in research on quadriceps tendon grafts that have helped establish optimal surgical techniques and rehabilitation strategies for successful outcomes.
Bone-Patellar Tendon-Bone (BTB) Graft
The Bone-Patellar Tendon-Bone (BTB) graft has long been considered the historical gold standard for ACL reconstruction, particularly among competitive athletes. Its distinctive advantage lies in the bone blocks at each end, which promote robust healing within the bone tunnels. This graft choice has an extensive track record, having been successfully used in millions of patients, including elite athletes across various sports.
As with any graft, there are some downsides. While the BTB graft provides excellent strength, patients may experience anterior knee pain and kneeling discomfort. Additionally, there are surgical considerations including a small risk of patellar fracture during harvesting, and the tendon’s thickness is less substantial compared to alternatives like the quadriceps tendon.
Hamstrings Autograft
Hamstring tendon grafts are widely used in ACL reconstruction, with a straightforward harvesting process that involves taking one or two tendons from the inner side of the knee. These tendons are then folded over to create a stronger graft construct. The procedure offers several advantages: it requires only a small incision, adds minimal surgical time, and patients typically experience less anterior knee pain compared to some other graft choices.
However, recent research, including Dr. Burnham’s clinical studies, has identified some important considerations. Current data suggests that hamstring grafts may have a higher failure rate compared to quadriceps and BTB grafts, particularly in certain patient populations. There are also questions about their ability to fully restore rotational stability. Additionally, one surgical challenge is the unpredictable size of the harvested tendons – in some cases, supplemental donor tissue may be needed to achieve optimal graft thickness. These factors make careful patient selection particularly important when considering hamstring grafts.
Allograft (Donor or Cadaver Tendons)
Donor tissue (allograft) offers unique advantages in ACL reconstruction, providing surgical flexibility with various size options and configurations. This approach eliminates harvest site pain and reduces surgical time since no tissue needs to be taken from the patient’s own body.
However, research has clearly demonstrated significantly higher failure rates when using allografts in younger patients, particularly those in their teens and twenties. Based on this evidence, Dr. Burnham and his team typically reserve allograft use for specific situations, such as revision surgeries or cases where autograft options are limited. For older or less athletically active patients, allografts remain a viable option, offering a good balance of stability and recovery comfort. This selective approach to allograft use, guided by research evidence and patient factors, helps optimize surgical outcomes.
ACL Surgery Facts
- Timing of Common ACL Postoperative Milestones
- ACL Functional Progression
- ACL Rehabilitation and Non-operative Protocols
FAQ. Frequently Asked Questions
Introduction
ACL surgery is a common procedure for those with a torn anterior cruciate ligament. It’s a crucial step towards regaining mobility and returning to an active lifestyle. In Baton Rouge, Dr. Jeremy Burnham is a trusted name in ACL reconstruction. His expertise and personalized approach make him a top choice for patients seeking this surgery.
Choosing the right surgeon is vital for a successful outcome. The surgeon’s skill and experience can significantly influence the surgery’s success and the patient’s recovery time. This guide aims to answer your questions about ACL surgery in Baton Rouge. It covers everything from the types of ACL surgery techniques to the role of physical therapy in recovery.
We’ll also delve into the risks and potential complications of ACL surgery. This information will help you make an informed decision about your treatment.Lastly, we’ll discuss how Dr. Burnham personalizes each patient’s ACL surgery and recovery plan. This tailored approach ensures the best possible results for each individual.
What is ACL Surgery?
ACL surgery repairs or reconstructs a torn anterior cruciate ligament, which is a key stabilizer in the knee. This ligament is often injured during sports or activities involving sudden stops or pivots.
The procedure involves reconstructing the torn ligament, usually with tissue grafts. These grafts can come from your body (autograft) or a donor (allograft). The choice depends on various factors, including age, activity level, and personal preference.
The primary goal of ACL surgery is to restore knee stability and function. Successful reconstruction allows patients to return to their daily activities and sports with confidence and reduced risk of future injuries.
Understanding the surgery’s basics helps patients have realistic expectations about recovery and long-term outcomes. With advanced surgical techniques, most patients experience significant improvements.
What Are the Different Types of ACL Surgery Techniques?
ACL surgery offers various techniques to suit different needs. The main goal is to restore knee stability and function effectively. The choice of technique depends on factors like injury severity and patient lifestyle. Some common ACL surgery techniques include:
Autograft: Uses a patient’s own tissue, like the patellar tendon.
Allograft: Involves grafting with donor tissue, suitable for those less active.
Arthroscopic Surgery: Minimally invasive, using a camera for precision.
Dr. Burnham evaluates each patient’s situation to recommend the most appropriate technique. This personalized approach ensures optimal outcomes and a tailored recovery plan.
How Long is the Recovery After ACL Surgery?
The recovery timeline for ACL surgery varies among patients. Usually, the process spans several months, with gradual progress up to a year or 18 months.
Physical therapy plays a crucial role, beginning shortly after surgery. Patients often regain full activity levels within six to nine months. Most patients return to full duty work around 3-4 months, and are cleared to return to high demand sports around 9-12 months.
Factors influencing recovery include the chosen surgical technique and adherence to the rehabilitation plan. A patient’s age and overall health are also essential considerations.
Consistent follow-up with Dr. Burnham ensures recovery is on track. Regular check-ins allow for timely adjustments to the treatment plan if needed.
What Are the Risks and Potential Complications of ACL Surgery?
ACL surgery, like any medical procedure, carries some risks. Understanding these helps patients make informed decisions.
Some common risks and potential complications include:
Infection at the surgical site
Blood clots
Knee stiffness or limited range of motion
Persistent knee pain
Re-injury to the ligament
Discussing concerns with Dr. Burnham is crucial. He provides comprehensive information to minimize risks and optimize recovery outcomes. Regular follow-ups help identify any early signs of complications, ensuring prompt intervention if needed.
How Do I Prepare for ACL Surgery?
Preparation for ACL surgery is key for a smooth process and recovery. Begin by understanding the procedure and discussing any concerns with Dr. Jeremy Burnham.
Patients should follow pre-surgery instructions carefully. These may include adjusting medications, planning for transportation, and organizing post-surgery support at home.
Maintaining a balanced diet and regular exercise can improve surgery outcomes.
Strengthening the muscles around the knee before surgery may aid in faster recovery.
Dr. Burnham will also advise on what to expect, helping to ease any anxiety. Having a clear plan and understanding the process ensures a more confident approach to surgery day.
What Role Does Physical Therapy Play in Recovery?
hysical therapy is vital after ACL surgery. It aids in restoring knee function and mobility. Early rehabilitation can minimize stiffness and swelling.
Therapists guide patients through exercises tailored to their recovery stage. This improves strength and flexibility. Gradual progression helps patients regain confidence.
Each recovery plan is personalized. The focus is on safe movements and long-term knee health. Dr. Burnham collaborates with therapists to ensure patients have the best possible outcomes. Regular therapy sessions are crucial for successful rehabilitation and returning to daily activities or sports.
What Are the Success Rates of ACL Surgery?
ACL surgery boasts high success rates, typically over 90%. Patients often experience significant knee stability post-surgery. This procedure allows individuals to return to their pre-injury activity levels.
Success, however, depends on several factors. These include the surgeon’s expertise and patient’s adherence to rehabilitation protocols. Complications are rare but can affect outcomes. Dr. Burnham’s thorough approach ensures patients understand their unique prospects.
Many patients resume sports and daily activities within months. Continued care and therapy optimize long-term success. The commitment to rehabilitation is crucial for reaching one’s personal recovery goals.
Can I Return to Sports After ACL Surgery?
Yes, many athletes successfully return to sports after ACL surgery. Recovery involves a dedicated rehabilitation process. This process restores knee strength and flexibility needed for sports activities.
Dr. Burnham devises tailored recovery plans for each patient, facilitating a quicker return to sports. The timeline can vary, usually ranging from six to nine months before full athletic participation. Commitment to rehabilitation, along with a gradual increase in activity intensity, enhances recovery outcomes. Regular follow-ups and a strong focus on knee care post-surgery are vital to ensure stability and prevent future injuries.
How Does Dr. Burnham Personalize My ACL Surgery and Recovery Plan?
Dr. Burnham acknowledges that every patient’s needs are unique. This understanding shapes his approach to ACL surgery and recovery. He starts with a thorough pre-operative evaluation to identify specific concerns and goals.
Dr. Burnham is an ACL surgeon who combines advanced diagnostics with patient input to tailor the treatment plan. This ensures the surgical technique and recovery routine fit the patient’s lifestyle. Customized rehabilitation programs focus on individual progress, monitoring improvements meticulously. Dr. Burnham’s emphasis on personalized care aims to optimize recovery, ensuring patients return to their daily activities with confidence. This bespoke approach enhances outcomes and patient satisfaction.
Where Does Dr. Burnham Practice and Perform ACL Surgery
Dr. Burnham’s primary practice is located at the state-of-the-art Ochsner Orthopedics & Sports Medicine Institute within the Elite Training Complex (5444 Burbank Dr., Baton Rouge, LA 70820). This cutting-edge facility provides comprehensive orthopedic care alongside elite athletic training services.
Dr. Burnham is an ACL surgeon who performs ACL surgery at Ochsner – The Grove in Baton Rouge (10310 The Grove Blvd, Baton Rouge, LA 70836), a world-class surgical center equipped with the latest arthroscopic and surgical technology for optimal patient outcomes.
For patient convenience, Ochsner Orthopedics & Sports Medicine Institute also has satellite locations throughout the region, including:
– Iberville
– Brusly
– Hammond
– Gonzales
– Prairieville
– Denham Springs
– Central & Zachary
Dr. Burnham and his team regularly treat patients from throughout Louisiana and Mississippi, including major population centers such as:
– New Orleans
– Metairie
– Lafayette
– Lake Charles
– Kenner
– Monroe
– Alexandria
– Houma & Thibodeaux
– Slidell
– Marrero
– Hattiesburg
– Biloxi
– Jackson
– Natchez
This broad geographic reach reflects Dr. Burnham’s commitment to providing advanced ACL reconstruction and knee care to patients throughout the Gulf South region. Whether you’re from the immediate Baton Rouge area or traveling from surrounding communities, Dr. Burnham’s practice offers the same high level of specialized orthopedic care to all patients.
When Can I Run after ACL?
Running after ACL surgery is variable. ACL injuries require surgery and a structured rehabilitation process focused on restoring range of motion, strength, balance, and overall function. Running on a treadmill for 10 minutes happens on average 76 days after surgery, but can take up to 140 days.
Clinical guidelines recommend a 9-12 month recovery period before returning to sport, though individual timelines vary based on injury severity and surgical procedure. While 80% of patients return to some sporting activities, only 65% return to their pre-injury level, and 55% reach competitive level again.
The rehabilitation journey includes progressive phases: early post-operative care (0-2 months), strength building (2-6 months), and sport-specific training (6-9 months). Research shows persistent strength deficits can occur in both quadriceps and hamstrings even beyond 2 years, emphasizing the need for continued strength training. Success depends on close collaboration with healthcare professionals, proper nutrition, and adherence to rehabilitation protocols.
What Are Effective Workouts for ACL Injury Recovery?
ACL (Anterior Cruciate Ligament) injury recovery follows a structured, phase-based rehabilitation protocol that begins with essential early-stage exercises focused on reducing swelling and restoring range of motion. The initial phase emphasizes gentle movements and basic strengthening exercises, gradually progressing to more intensive neuromuscular training. This systematic approach ensures proper healing while rebuilding strength and stability in the knee joint, laying the foundation for a successful recovery.
As rehabilitation advances, patients move into more challenging phases that incorporate balance and proprioceptive exercises, eventually leading to sport-specific drills and plyometrics for athletes returning to their activities. The workout program should be tailored to each individual’s needs and progress, with careful attention to proper form and technique to prevent re-injury. It’s crucial to follow healthcare provider guidance throughout the recovery journey, as rushing through rehabilitation phases can compromise long-term knee health and increase the risk of future injuries.
What Does ACL Surgery Cost?
ACL surgery in the United States typically costs between $20,000-$50,000 total, including surgeon fees ($500-$1,000), anesthesia ($1,000-$2,500), and facility charges ($15,000-$40,000). However, patients with insurance usually pay significantly less, with out-of-pocket costs ranging from $1,500 to $6,000 depending on their specific insurance plan and deductible. ACL surgery is widely reimbursed by insurance companies, and is eligible for HSA payments.