Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends
Anterior cruciate ligament (ACL) injuries are common in sports and often require surgical intervention, e.g., ACL reconstruction (ACLR), aimed at restoring knee stability and enabling a return to pre-injury activity levels. The choice of graft is crucial, impacting biomechanical properties, clinical...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-12-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/60/12/2090 |
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| author | Marko Ostojic Pier Francesco Indelli Bruno Lovrekovic Jerome Volcarenghi Doria Juric Hassan Tarek Hakam Mikhail Salzmann Nikolai Ramadanov Aleksandra Królikowska Roland Becker Robert Prill |
| author_facet | Marko Ostojic Pier Francesco Indelli Bruno Lovrekovic Jerome Volcarenghi Doria Juric Hassan Tarek Hakam Mikhail Salzmann Nikolai Ramadanov Aleksandra Królikowska Roland Becker Robert Prill |
| author_sort | Marko Ostojic |
| collection | DOAJ |
| description | Anterior cruciate ligament (ACL) injuries are common in sports and often require surgical intervention, e.g., ACL reconstruction (ACLR), aimed at restoring knee stability and enabling a return to pre-injury activity levels. The choice of graft is crucial, impacting biomechanical properties, clinical outcomes, and complication rates, and is especially important in revision surgeries after graft failure. Over the past 30 years, trends in graft selection have evolved towards more individualized approaches, considering factors such as patient activity level, prior injuries, and tissue availability. In Europe, autografts like hamstring tendon (HT), bone-patellar tendon-bone (BTB), and quadriceps tendon (QT) are preferred, with the increasing use of QT grafts. This review synthesizes the current literature on graft selection and its influence on ACLR outcomes. |
| format | Article |
| id | doaj-art-fbe1e3a2f88d486ea37a1c7febdccf62 |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-fbe1e3a2f88d486ea37a1c7febdccf622024-12-27T14:39:07ZengMDPI AGMedicina1010-660X1648-91442024-12-016012209010.3390/medicina60122090Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current TrendsMarko Ostojic0Pier Francesco Indelli1Bruno Lovrekovic2Jerome Volcarenghi3Doria Juric4Hassan Tarek Hakam5Mikhail Salzmann6Nikolai Ramadanov7Aleksandra Królikowska8Roland Becker9Robert Prill10Sports Traumatology Division, Traumatology Department Draskoviceva, University Hospital “Sestre Milosrdnice”, 10000 Zagreb, CroatiaSüdtiroler Sanitätsbetrieb, 39042 Brixen, ItalyDepartment of Orthopaedics, University Hospital Merkur, 10000 Zagreb, CroatiaDepartment of Orthopaedic Surgery and Traumatology, Centre Hospitalier Universitaire Helora, Site Kennedy, 7000 Mons, BelgiumDepartment of Orthopaedics, University Hospital Basel, 4031 Basel, SwitzerlandCenter of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, 14770 Brandenburg an der Havel, GermanyCenter of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, 14770 Brandenburg an der Havel, GermanyCenter of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, 14770 Brandenburg an der Havel, GermanyPhysiotherapy Research Laboratory, University Centre od Physiotherapy and Rehabilitation, Faculty of Physiotherapy, Wroclaw Medical University, 50-367 Wroclaw, PolandCenter of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, 14770 Brandenburg an der Havel, GermanyCenter of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, 14770 Brandenburg an der Havel, GermanyAnterior cruciate ligament (ACL) injuries are common in sports and often require surgical intervention, e.g., ACL reconstruction (ACLR), aimed at restoring knee stability and enabling a return to pre-injury activity levels. The choice of graft is crucial, impacting biomechanical properties, clinical outcomes, and complication rates, and is especially important in revision surgeries after graft failure. Over the past 30 years, trends in graft selection have evolved towards more individualized approaches, considering factors such as patient activity level, prior injuries, and tissue availability. In Europe, autografts like hamstring tendon (HT), bone-patellar tendon-bone (BTB), and quadriceps tendon (QT) are preferred, with the increasing use of QT grafts. This review synthesizes the current literature on graft selection and its influence on ACLR outcomes.https://www.mdpi.com/1648-9144/60/12/2090anterior cruciate ligament injuryanterior cruciate ligament reconstructiongraft selectionindividualized approachbone patellar tendon autograftquadriceps tendon autograft |
| spellingShingle | Marko Ostojic Pier Francesco Indelli Bruno Lovrekovic Jerome Volcarenghi Doria Juric Hassan Tarek Hakam Mikhail Salzmann Nikolai Ramadanov Aleksandra Królikowska Roland Becker Robert Prill Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends Medicina anterior cruciate ligament injury anterior cruciate ligament reconstruction graft selection individualized approach bone patellar tendon autograft quadriceps tendon autograft |
| title | Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends |
| title_full | Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends |
| title_fullStr | Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends |
| title_full_unstemmed | Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends |
| title_short | Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends |
| title_sort | graft selection in anterior cruciate ligament reconstruction a comprehensive review of current trends |
| topic | anterior cruciate ligament injury anterior cruciate ligament reconstruction graft selection individualized approach bone patellar tendon autograft quadriceps tendon autograft |
| url | https://www.mdpi.com/1648-9144/60/12/2090 |
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