Biological enhancement of graft-tunnel healing in anterior cruciate ligament reconstruction

Failure of Anterior Cruciate Ligament Reconstruction

  The present review classifies and describes the multifactorial causes of anterior cruciate ligament (ACL) surgery failure, concentrating on preventing and resolving such situations. The article particularly focuses on those causes that require ACL revision due to recurrent instability, without neglecting those that affect function or produce persistent pain. Although primary ACL reconstructio...

Graft Selection in Anterior Cruciate Ligament Reconstruction

Advances in surgical technique and rehabilitation have resulted in marked improvement in the outcome of anterior cruciate ligament (ACL) reconstruction over the past 10 years. Most recent series approach a 90% success rate in terms of restoration of knee stability, patient satisfaction, and return to full athletic activity.1 The optimal graft material remains controversial, regardless of the gr...

Graft Choices for Anterior Cruciate Ligament Reconstruction

The question of which graft to use for anterior cruciate ligament (ACL) reconstruction continues to be debated at meetings around the world. The overall choice of grafts consists of autografts, allografts, and synthetic grafts. By far the two most commonly used grafts are central third bone-patellar tendon-bone and hamstring tendon, either semitendinosus alone or semitendinosus combined with gr...

Graft selection for anterior cruciate ligament reconstruction.

More than 100,000 anterior cruciate ligament reconstructions are done in the United States each year. With improvements in technology and surgical ability, the number of variables that must be considered has increased dramatically. The choice of autograft or allograft, which is one of the most important variables, has largely become a decision to be made by the surgeon and the patient. It is cr...

The Effect of Anterior Cruciate Ligament In Situ Graft Force on Graft-Tunnel Incorporation Following Reconstruction