Anterior Cruciate Ligament Reconstruction: Which Graft is Best?

Overview

Journal Arthroscopy

Specialty Orthopedics

Date 2004 Nov 5

PMID 15525931

Citations 40

Authors

Orrin H Sherman

Michael B Banffy

Affiliations

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Abstract

Abstract For the last 4 decades, since the initial use of the patellar tendon for anterior cruciate ligament (ACL) reconstruction, there has been controversy regarding the ideal graft choice for this procedure. Beside bone-patellar tendon-bone autografts, several other graft choices have become popular, including hamstring tendon and a variety of allografts. Within the past 5 years, several randomized and nonrandomized studies have compared the graft choices in ACL reconstruction. However, the question still remains: Is there an ideal graft for ACL reconstruction? The purpose of this review is to assess the most recent data, identifying if there truly is an ideal graft choice.

Citing Articles

Comparison of Dynamic Postural Stability in Autografts Versus Allografts Following Anterior Cruciate Ligament Reconstruction With Remnant Preservation: A Prospective Study With 1-Year Follow-up.

Rhim H, Lee J, Lee S, Kang C, Han S, Jang K Orthop J Sports Med. 2025; 13(1):23259671241303752.

PMID: 39839982 PMC: 11748150. DOI: 10.1177/23259671241303752.

Diagnosis and treatment of anterior cruciate ligament injuries: Consensus of Chinese experts part II: Graft selection and clinical outcome evaluation.

Chen T, Bai X, Bai L, Chan W, Chen S, Chen C J Orthop Translat. 2024; 48:163-175.

PMID: 39257437 PMC: 11385786. DOI: 10.1016/j.jot.2024.07.002.

Comparison of Knee Pain and Difficulty With Kneeling Between Patellar Tendon and Hamstring Tendon Autografts After Anterior Cruciate Ligament Reconstruction: A Study From the New Zealand ACL Registry.

Rahardja R, Love H, Clatworthy M, Young S Am J Sports Med. 2023; 51(13):3464-3472.

PMID: 37775983 PMC: 10623603. DOI: 10.1177/03635465231198063.

A prospective randomized controlled study of hamstring and bone-free quadriceps tendons autografts in arthroscopic ACL reconstruction.

Tang N, Eren M, Gurpinar T, Ozturkmen Y Eur J Orthop Surg Traumatol. 2023; 34(1):293-301.

PMID: 37468645 DOI: 10.1007/s00590-023-03636-5.

Peroneus Longus Tendon Harvesting for Anterior Cruciate Ligament Reconstruction.

Butt U, Khan Z, Amin A, Shah I, Iqbal J, Khan Z JBJS Essent Surg Tech. 2023; 12(2):e20.00053.

PMID: 36741045 PMC: 9889288. DOI: 10.2106/JBJS.ST.20.00053.