Graft-tunnel mismatch of the bone-patellar tendon-bone (BPTB) graft is a major concern during anatomical anterior cruciate ligament (ACL) reconstruction if the femoral tunnel is positioned using a far medial portal technique, as the femoral tunnel tends to be shorter compared with that positioned using a transtibial portal technique. This study describes an accurate method of calculating the id...

Introduction: Anterior Cruciate Ligament (ACL) tear is the most common ligamentous injury to the knee joint. Two most commonly used grafts for reconstruction are Quadruple Hamstring tendons (QHT) and Bone Patellar Tendon Bone (BPTB) graft. Graft fixation techniques vary with different surgeons. Aim of this study was to compare the clinical outcome of reconstruction of ACL using QHT and BPTB gra...

BACKGROUND Much controversy still exists surrounding graft choice in anterior cruciate ligament (ACL) reconstruction. Over the past decade, an increase in comparative studies with longer follow-up has enhanced our understanding of current graft options and outcomes. PURPOSE To describe the long-term comparative outcomes of ACL reconstruction with autograft bone-patellar tendon-bone (BPTB) ver...

background :disruption of anterior cruciate ligament (acl) is a common ligamentous injury of the knee. the choice of graft for (acl) reconstruction remains controversial. this prospective, randomized clinical trial aimed to compare clinical results of bone-patellar tendon-bone (bptb) grafts and four-strand semitendinosus-gracilis (st) grafts for acl reconstruction over a 3-year follow-up interv...

Soft tissue allografts, such as the bone-patellar tendon-bone (BPTB) graft, have been frequently used for anterior cruciate ligament (ACL) reconstruction. As allografts are subjected to freezing and thawing for multiple cycles, the objective of this study was to measure the changes of the biomechanical properties of the human BPTB allograft after 4 and 8 freeze-thaw cycles in comparison to a si...

Despite the popularity of anterior cruciate ligament (ACL) reconstruction procedures, the ideal graft for reconstruction remains a matter of controversy. The ideal graft for ACL reconstruction should have histologic and biomechanical characteristics similar to those of the native ACL; should be quickly and fully incorporated within the bony tunnels; should maintain its viscoelastic properties f...

BACKGROUND Pain in the immediate post-operative period after anterior cruciate ligament (ACL) surgery, apart from an unpleasant experience for the patient, can act as a barrier for static quadriceps contractions and optimum execution of the initial rehabilitation protocol resulting in slow recovery and a later return to full function for a sportsperson. There is no report in the literature comp...

Introduction: Over 200,000 anterior cruciate ligament reconstructions (ACLR) are performed in the United States yearly, making it one of the most common orthopedic procedures. Graft choices for ACLR include both autograft and allograft tendons. The most popular autograft choices are the bone-patellar tendon-bone (BPTB) and hamstring (HS) tendons. While the BPTB has long been considered “the gol...

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 answ...

Introduction: The anterior cruciate ligament (ACL) is the most frequently injured ligament in the knee, often requiring surgical reconstruction. Central third bone-patellar tendon-bone (BPTB) autografts are commonly used for ACL reconstructions. Despite many advantages of the BPTB graft, harvesting of the graft often results in donor site morbidity including patellar baja and patellofemoral pai...