When do one allow contact sports after ACL reconstruction

 Conventionally one allows contact sports within 6 months post reconstruction . Recent  evidence suggests that it would be prudent to delay contact sports to 12 months post  acl reconstruction with the widely popular hamstring tendons (Am j sports medicine). The reported rates of first year revisions are higher in hamstring group. One could postulate  that it is due to the delayed bone in growth in the tunnels or the  donor hamstrings regeneration time which is a dynamic  acl agonist.

Meniscal root repair simplified

 The  currette is used to freshen the area of root attachment. A suture lasso is introduced from superior to inferior  and a PDs suture is loaded through the the loop. The 2  free ends are threaded through  the  pds loop to get a locking loop which brought out  by a ACL  jig guided wire passer to tie on a button on the proximal tibia.

 Earlier I used to pass two sutures which sometimes tore the ? Degenerate posterior horn while tightening . With the locked loop one can distribute the forces over a larger area without the risk of a tear. The same technique has been used to anchor bony avulsions of acl and pcl.
 recently I  use the knee scorpion