JAAOS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

J Am Acad Orthop Surg, Vol 13, No 3, May/June 2005, 197-207.
© 2005 the American Academy of Orthopaedic Surgeons
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (12)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by West, R. V.
Right arrow Articles by Harner, C. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by West, R. V.
Right arrow Articles by Harner, C. D.

Graft Selection in Anterior Cruciate Ligament Reconstruction

Robin V. West, MD and Christopher D. Harner, MD

Dr. West is Assistant Professor, Center for Sports Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA. Dr. Harner is Blue Cross of Western Pennsylvania Professor and Director, Center for Sports Medicine, University of Pittsburgh Medical Center, Pittsburgh.

Reprint requests: Dr. Harner, Center for Sports Medicine, 3200 South Water Street, Pittsburgh, PA 15203.

The ideal graft for use in anterior cruciate ligament reconstruction should have structural and biomechanical properties similar to those of the native ligament, permit secure fixation and rapid biologic incorporation, and limit donor site morbidity. Many options have been clinically successful, but the ideal graft remains controversial. Graft choice depends on surgeon experience and preference, tissue availability, patient activity level, comorbidities, prior surgery, and patient preference. Patellar tendon autograft, the most widely used graft source, appears to be associated with an increased incidence of anterior knee pain compared with hamstring autograft. Use of hamstring autograft is increasing. Quadriceps tendon autograft is less popular but has shown excellent clinical results with low morbidity. Improved sterilization techniques have led to increased safety and availability of allograft, although allografts have a slower rate of incorporation than do most types of autograft. No graft has clearly been shown to provide a faster return to play. However, in general, patellar tendon autografts are preferable for high-performance athletes, and hamstring autografts and allografts have some relative advantages for lower-demand individuals. No current indications exist for synthetic ligaments.




This article has been cited by other articles:


Home page
 J Am Acad Orthop SurgHome page
G. H. Altman, R. L. Horan, P. Weitzel, and J. C. Richmond
The Use of Long-term Bioresorbable Scaffolds for Anterior Cruciate Ligament Repair
J. Am. Acad. Ortho. Surg., April 1, 2008; 16(4): 177 - 187.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
A. Schimizzi, M. Wedemeyer, T. Odell, W. Thomas, A. T. Mahar, and R. Pedowitz
Effects of a Novel Sterilization Process on Soft Tissue Mechanical Properties for Anterior Cruciate Ligament Allografts
Am. J. Sports Med., April 1, 2007; 35(4): 612 - 616.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
M. Sajovic, V. Vengust, R. Komadina, R. Tavcar, and K. Skaza
A Prospective, Randomized Comparison of Semitendinosus and Gracilis Tendon Versus Patellar Tendon Autografts for Anterior Cruciate Ligament Reconstruction: Five-Year Follow-Up
Am. J. Sports Med., December 1, 2006; 34(12): 1933 - 1940.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2005 by the American Academy of Orthopaedic Surgeons.