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Review
. 2014 Jan 18;5(1):23-9.
doi: 10.5312/wjo.v5.i1.23.

Anterior cruciate ligament reconstruction best practice: A review of graft choice

Daniel A Shaerf  1 , Philip S Pastides  1 , Khaled M Sarraf  1 , Charles A Willis-Owen  1
Affiliations
Review

Anterior cruciate ligament reconstruction best practice: A review of graft choice

Daniel A Shaerf et al. World J Orthop. .

Abstract

There is much literature about differing grafts used in anterior cruciate ligament (ACL) reconstruction. Much of this is of poor quality and of a low evidence base. We review and summarise the literature looking at the four main classes of grafts used in ACL reconstruction; bone-patella tendon-bone, hamstrings, allograft and synthetic grafts. Each graft has the evidence for its use reviewed and then compared, where possible, to the others. We conclude that although there is no clear "best" graft, there are clear differences between the differing graft choices. Surgeon's need to be aware of the evidence behind these differences, in order to have appropriate discussions with their patients, so as to come to an informed choice of graft type to best suit each individual patient and their requirements.

Keywords: Allograft; Anterior cruciate ligament; Autograft; Bone-patella tendon-bone; Hamstring; Patella tendon; Reconstruction; Synthetic.

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References

    1. Meuffels DE, Reijman M, Scholten RJ, Verhaar JA. Computer assisted surgery for knee ligament reconstruction. Cochrane Database Syst Rev. 2011;(6):CD007601. - PubMed
    1. Shaerf D, Banerjee A. Assessment and management of posttraumatic haemarthrosis of the knee. Br J Hosp Med (Lond) 2008;69:459–60, 462-463. - PubMed
    1. Muaidi QI, Nicholson LL, Refshauge KM, Herbert RD, Maher CG. Prognosis of conservatively managed anterior cruciate ligament injury: a systematic review. Sports Med. 2007;37:703–716. - PubMed
    1. Church S, Keating JF. Reconstruction of the anterior cruciate ligament: timing of surgery and the incidence of meniscal tears and degenerative change. J Bone Joint Surg Br. 2005;87:1639–1642. - PubMed
    1. Romanini E, D’Angelo F, De Masi S, Adriani E, Magaletti M, Lacorte E, Laricchiuta P, Sagliocca L, Morciano C, Mele A. Graft selection in arthroscopic anterior cruciate ligament reconstruction. J Orthop Traumatol. 2010;11:211–219. - PMC - PubMed