Current concepts in graft selection for anterior cruciate ligament reconstruction. Issue 9 (September 2021)

• Record Type: Journal Article
• Authors: Baawa-Ameyaw, Joanna; Plastow, Ricci; Begum, Fahima Aarah; Kayani, Babar; Jeddy, Hyder; Haddad, Fares
• Is Part Of: EFORT open reviews. Volume 6:Issue 9(2021)
• Page Start: 808
• Page End: 815
• Publication Date: 2021-09
• Subjects: ACL -- anterior cruciate ligament -- graft selection; Orthopedics -- Periodicals; Musculoskeletal system -- Periodicals; Musculoskeletal system -- Wounds and injuries -- Periodicals; 616.7
• DOI: 10.1302/2058-5241.6.210023
• Languages: English
• ISSNs: 2058-5241

Abstract

Abstract : Graft selection for anterior cruciate ligament reconstruction (ACLR) is important for optimizing post-operative rehabilitation, facilitating return to full sporting function and reducing the risk of complications. The most commonly used grafts for ACLR include hamstring tendon autografts, bone–patellar tendon–bone autografts, quadriceps tendon autografts, allografts and synthetic grafts. This instructional review explores the existing literature on clinical outcomes with these different graft types for ACLR and provides an evidence-based approach for graft selection in ACLR. The existing evidence on the use of extra-articular tenodesis to provide additional rotational stability during ACLR is also revisited. Cite this article: EFORT Open Rev 2021;6:808-815. DOI: 10.1302/2058-5241.6.210023