Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends
2024

Graft Selection in Anterior Cruciate Ligament Reconstruction

publication Evidence: moderate

Author Information

Author(s): Ostojic Marko, Indelli Pier Francesco, Lovrekovic Bruno, Volcarenghi Jerome, Juric Doria, Hakam Hassan Tarek, Salzmann Mikhail, Ramadanov Nikolai, Królikowska Aleksandra, Becker Roland, Prill Robert

Primary Institution: University Hospital “Sestre Milosrdnice”, Croatia

Hypothesis

The choice of graft type significantly impacts the outcomes of anterior cruciate ligament reconstruction.

Conclusion

Graft selection for ACL reconstruction should be individualized based on patient-specific factors to optimize outcomes.

Supporting Evidence

  • Autografts are preferred for primary ACL reconstruction in Europe.
  • BTB grafts have historically been the gold standard due to their biomechanical properties.
  • Quadriceps tendon grafts are gaining popularity due to lower donor site morbidity.
  • Individualized graft selection is crucial for optimal recovery and return to sports.

Takeaway

When fixing a knee injury, doctors need to choose the right type of tissue to use, which can help people get back to their activities faster and with fewer problems.

Methodology

This review synthesizes current literature on graft selection and its influence on ACL reconstruction outcomes.

Limitations

The review is based on existing literature, which may have varying quality and methodologies.

Digital Object Identifier (DOI)

10.3390/medicina60122090

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