Current concepts in graft selection for anterior cruciate ligament reconstruction

Joanna Baawa-Ameyaw; Ricci Plastow; Fahima Aarah Begum; Babar Kayani; Hyder Jeddy; Fares Haddad

doi:10.1302/2058-5241.6.210023

Current concepts in graft selection for anterior cruciate ligament reconstruction

EFORT Open Rev. 2021 Sep 14;6(9):808-815. doi: 10.1302/2058-5241.6.210023. eCollection 2021 Sep.

Authors

Joanna Baawa-Ameyaw^{1

2}, Ricci Plastow^{1

2}, Fahima Aarah Begum^{1

2}, Babar Kayani^{1

2}, Hyder Jeddy^{1

2}, Fares Haddad^{1

2}

Affiliations

¹ Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK.
² Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK.

Abstract

Graft selection for anterior cruciate ligament reconstruction (ACLR) is important for optimizing post-operative rehabilitation, facilitating return to full sporting function and reducing the risk of complications.The most commonly used grafts for ACLR include hamstring tendon autografts, bone-patellar tendon-bone autografts, quadriceps tendon autografts, allografts and synthetic grafts.This instructional review explores the existing literature on clinical outcomes with these different graft types for ACLR and provides an evidence-based approach for graft selection in ACLR.The existing evidence on the use of extra-articular tenodesis to provide additional rotational stability during ACLR is also revisited. Cite this article: EFORT Open Rev 2021;6:808-815. DOI: 10.1302/2058-5241.6.210023.

Keywords: ACL; anterior cruciate ligament; graft selection.

Publication types

Review