Anterior Cruciate Ligament Graft Choices: A Review of Current Concepts
Sujay K Dheerendra*, 1, Wasim S Khan 2, Rohit Singhal 3, Deepak G Shivarathre 4, Ravi Pydisetty 5, David Johnstone 6
1 Royal Liverpool and Broadgreen University Hospitals NHS Trust, Prescot Street, Liverpool, Merseyside, L7 8XP, UK
2 University College London Institute of Orthopaedics and Musculoskeletal Sciences, Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK
3 Warrington & Halton Hospitals NHS Foundation Trust, Lovely lane, Warrington, Cheshire, WA5 1QG, UK
4 Wirral University Teaching Hospital NHS Foundation Trust, Arrowe Park Road, Upton, Wirral, CH49 5PE, UK
5 St Helens & Knowsley Teaching Hospitals NHS Trust, Warrington Road, Prescot, Merseyside, L35 5DR, UK
6 Stoke Manderville Hospital, Aylesbury, Buckinghamshire, HP21 8AL, UK
Abstract
The graft choice for anterior cruciate ligament (ACL) reconstruction continues to be controversial. There are several options available for the treating surgeon, including Bone Patellar Tendon Bone (BPTB) grafts, Hamstring tendon (HT) grafts, allografts and synthetic grafts. Within the last decade there have been several comparative trials and meta-analysis, which have failed to provide an answer with regards to the best graft available. The aim of this review is to understand the current concepts in graft choices for ACL reconstruction.
Keywords: Anterior cruciate ligament, autograft, allograft, bone patellar tendon bone graft, hamstring tendon graft, synthetic graft.
Article Information
Article History:
Received Date: 23/1/2012
Revision Received Date: 9/2/2012
Acceptance Date: 7/3/2012
Electronic publication date: 27/7/2012
Collection year: 2012
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© Dheerendra et al.; Licensee Bentham Open.
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (
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* Address correspondence to this author at the 36 Raleigh Close, Warrington, Cheshire, WA5 9QS, UK; Tel: 07834547680;
E-mail: sujaykd@yahoo.com