What type of grafts can be used in ACL reconstruction?
The 2 main groups used for grafts in ACL reconstruction are allografts and autografts. The theoretical advantages of an allograft are elimination of donor site morbidity, decreased pain, shorter operating and rehabilitation times, and better cosmesis. Three autograft options are commonly used.
What is the best graft for ACL reconstruction?
The patellar tendon graft (PTG) has always been the gold standard for anterior cruciate ligament (ACL) reconstruction. Yet, most orthopedic surgeons prefer hamstring grafts for younger athletes and cadaver grafts for older patients.
What are the 3 different graft options for an ACL repair?
The purpose of a graft in ACL reconstruction surgery is to replace the torn ligament after injury. It is not possible to repair a ruptured ACL by suturing it back together and achieve a consistently stable knee. There are three common choices for a graft: allograft, patellar tendon and hamstring.
What 2 options for a ACL graft does a doctor patient have?
There are two main graft options: Autograft (patient’s own tissue) versus Allograft (cadaver tissue).
How long does it take for an ACL graft to heal?
Results. Successful ACL reconstruction paired with focused rehabilitation can usually restore stability and function to your knee. Within the first few weeks after surgery, you should strive to regain a range of motion equal to that of your opposite knee. Recovery generally takes about nine months.
When is ACL graft the weakest?
The graft is at its weakest between 6-12 weeks after your operation. Extra care should be taken during this period when carrying out activities. You should avoid twisting or kneeling for the first 4-6 months after your operation.
How do you know if ACL graft failed?
Signs of ACL graft failure? The signs of ACL graft failure can include swelling, pain within the knee, locking within the knee, a mechanical block (which can be due to a bucket-handle tear of the meniscus), lack of full motion, and difficulty with twisting, turning, and pivoting.
Why does ACL graft get weaker?
The graft is still much stronger that the native ACL. Phase of proliferation, the time of most intensive remodelling and revascularisation. Vessels invade the graft, and the bodies cells clear the debris of dead cells, weakening the graft.
Which is the best graft for anterior cruciate ligament reconstruction?
The optimum type of graft for a patient undergoing reconstruction of a torn anterior cruciate ligament remains unclear, leaving the decision up to the surgeon based on patient factors and preference. In this article, the authors review evidence on the use of various autograft options, allograft, synthetic devices, and living donor allograft.
Which is better for ACL reconstruction allograft or autograft?
Kaeding et al found that patients with an allograft ACL reconstruction were 4 times more likely to tear the graft than those who had an autograft reconstruction. Many underpowered studies have reported a similar risk of failure for BPTB allograft and autograft.
Who are the best surgeons for ACL reconstruction?
Alberto Castelli, MD; Simone Perelli, MD; Enrico Ferranti, MD; Eugenio Jannelli, MD; Giacomo Zanon, MD; and Francesco Benazzo, MD Anterior cruciate ligament (ACL) tears are common orthopaedic injuries affecting mostly young and active patients,  with nearly 200,000 ACL reconstructions annually in the US.
Why are bptb grafts used in ACL reconstruction?
Interestingly, use of BPTB graft increased in patients categorized as athletic (57% for females and 61% for males) because BPTB graft is thought to allow more rapid return to sports, although that conclusion remains questionable. Both hamstring and BPTB grafts exhibit similar strength and mechanical properties.