Graft Selection in Contemporary Anterior Cruciate Ligament Reconstruction

被引:57
作者
Buerba, Rafael A. [1 ]
Boden, Stephanie A. [2 ]
Lesniak, Bryson [2 ]
机构
[1] Banner Hlth Med Ctr, Glendale, AZ USA
[2] Univ Pittsburgh, Med Ctr, Dept Orthopaed Surg, UPMC Freddie Fu Sports Med Ctr, Pittsburgh, PA 15260 USA
来源
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS GLOBAL RESEARCH AND REVIEWS | 2021年 / 5卷 / 10期
关键词
PATELLAR TENDON AUTOGRAFT; ACL RECONSTRUCTION; ALLOGRAFT; METAANALYSIS; OUTCOMES; CHOICE; RISK;
D O I
10.5435/JAAOSGlobal-D-21-00230
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In the last decade, there have been significant advances in our understanding of anterior cruciate ligament (ACL) reconstruction. Recent prospective cohort studies have identified risk factors for ACL reconstruction graft failure such as younger patient age, increased activity level, nonanatomic tunnel placement, and the use of allograft. Among these, the most easily modifiable risk factor is graft choice. Given that the surgeon's recommendation has been shown to be one of the most important factors behind patients' graft choice, it is critical that the operating surgeon have a thorough understanding of all the ACL graft options available to choose the graft that would be most suitable for the patient's personalized reconstruction (i.e., patient's anatomy, sport, level of competition, age, risk factors for failure, and graft used in previous ACL surgery). The purpose of this review is to provide an up-to-date understanding of the current ACL graft reconstruction options. The indications, advantages, and disadvantages of the different ACL reconstruction graft options available will be discussed.
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页数:10
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