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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| Published in: | Joints (Roma) Vol. 1; no. 1; pp. 18 - 24 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
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Germany
CIC Edizioni Internazionali
12-06-2013
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| Abstract | 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. |
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| AbstractList | 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. |
| Author | Placella, Giacomo Sebastiani, Enrico Cerulli, Giuliano Speziali, Andrea Tei, Matteo Maria Manfreda, Francesco |
| AuthorAffiliation | 2 Let People Move Research Institute, Perugia-Arezzo, Italy 4 Orthopedic and Traumatology Residency Program, University of Perugia, Perugia, Italy 3 International Orthopedics and Traumatology Institute, Arezzo, Italy 1 Nicola’s Foundation Onlus, Arezzo, Italy |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25606507$$D View this record in MEDLINE/PubMed |
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| Title | ACL Reconstruction: Choosing the Graft |
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