ACL Reconstruction: Choosing the Graft

Rupture of the anterior cruciate ligament is one of the most common ligament injuries in sports traumatology. The need for surgical anterior cruciate ligament reconstruction is justified by its anatomical characteristics. Key considerations when choosing a graft include the potential for bone integr...

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Bibliographic Details
Published in:	Joints (Roma) Vol. 1; no. 1; pp. 18 - 24
Main Authors:	Cerulli, Giuliano, Placella, Giacomo, Sebastiani, Enrico, Tei, Matteo Maria, Speziali, Andrea, Manfreda, Francesco
Format:	Journal Article
Language:	English
Published:	Germany CIC Edizioni Internazionali 12-06-2013
Subjects:	Review synthetic anterior cruciate ligament graft hamstrings allograft patellar tendon
Online Access:	Get full text
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Summary:	Rupture of the anterior cruciate ligament is one of the most common ligament injuries in sports traumatology. The need for surgical anterior cruciate ligament reconstruction is justified by its anatomical characteristics. Key considerations when choosing a graft include the potential for bone integration and the risk of failure. Bone sclerosis around the tunnel affects the integration of the graft. For this reason, one aspect upon which orthopedic surgeons should focus is the biology of the bone-graft interface. Although the BPTB graft is still used, hamstrings and synthetic grafts have become increasingly widespread and popular over the years. An allograft certainly requires more long-term follow-up to validate its use in response to functional, clinical and biological requirements.
ISSN:	2512-9090 2512-9090