Arthroscopic anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed1 and most successful procedures in sports medicine. Various autograft choices have been used for ACL reconstruction,2 and the results in terms of stability and return to sports activities have been good.3 The ideal autograft should have optimal mechanical properties and low donor-site morbidity. T...

PURPOSE We evaluated the initial bone-patellar tendon-bone (BPTB) graft fixation strength of biodegradable pins compared with interference screws in anterior cruciate ligament reconstruction using bovine knees. TYPE OF STUDY Biomechanical in vitro study. METHODS Ten BPTB grafts from human donors fixed with 2 biodegradable 2.7-mm pins (Rigid Fix; Ethicon, Mitek Division, Norderstedt, Germany...

PURPOSE The purpose of this study was to evaluate the initial biomechanical properties of a fan-folded, single-loop construct of fan-folded fascia lata allograft in comparison to other graft tissues currently being used for anterior cruciate ligament (ACL) reconstruction. METHODS Eighteen fascia lata specimens were harvested from 11 donors and fan folded through a proprietary process. Bone-pa...

OBJECTIVE To compare functional outcomes of anterior cruciate ligament (ACL) reconstruction using 2 graft techniques and to determine factors affecting these outcomes. METHODS Thirty-four consecutive patients with ACL injuries surgically treated at King Abdulaziz University Hospital, Jeddah, Saudi Arabia between November 2003 and February 2011 were retrospectively assessed. Reconstruction was...

Anterior cruciate ligament (ACL) injury is one of the most common ligament injuries involving the knee, especially in the young, athletic population. Bone-patellar tendon-bone (BPTB) and semitendinous gracilis autografts are some of the procedures used for ACL reconstruction. However, these procedures are associated with significant problems, including quadriceps weakness, patellofemoral pain, ...

Objectives: The aims of this study were to compare the clinical outcomes following “gold standard” ACL reconstruction (ACLR) with a Bone-Patellar Tendon-Bone (BPTB) autograft versus ACLR combined an anterolateral ligament (ALLR) using hamstring tendon autografts (HT), in large series propensity matched patients. hypothesis was that ACLR+ALLR would confer better graft rupture rates and lower non...

  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 inte...

Background: As the main translational and rotatory stabilizer of knee, anterior cruciate ligament (ACL) plays a critical role in knee biomechanics. Anterior ruptures generally require surgical attention for not only restoration stability but also prevention meniscal chondral injuries. There are countless options both surgeon patient when contemplating graft choice technique ACL reconstruction. ...

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 interva...

BACKGROUND The treatment and rehabilitation procedures of anterior cruciate ligament (ACL) injuries in elite soccer players are controversial. Points of debate include surgical timing, technique, graft choice, rehabilitation, and return-to-sport criteria and timing. PURPOSE To identify practice preferences among current Major League Soccer (MLS) team orthopaedic surgeons for ACL injuries. S...