Several anatomical anterior cruciate ligament (ACL) reconstruction techniques have been proposed to restore normal joint kinematics. However, the relative superiorities of these techniques with one another and traditional single-bundle reconstructions are unclear. Kinematic responses of five previously reported reconstruction techniques (single-bundle reconstruction using a bone-patellar tendon...

BACKGROUND The medial collateral ligament (MCL) is the main static stabilizer of the medial knee. The surgical treatment was recommended in cases with serious medial collateral ligament insufficiency combined with multi-ligament injuries and chronic symptomatic medial instability. Several surgical techniques have been described for the MCL reconstruction, while potential problems including dono...

Background: The optimal graft choice for anterior cruciate ligament (ACL) reconstruction (ACLR) in the high-level cutting and pivoting athlete remains controversial. Studies have shown similar outcomes when directly comparing bone-patellar tendon-bone (BPTB) autograft versus quadriceps soft tissue (QST) general population. However, no studies compared these 2 grafts athletes participating sport...

Rupture of the anterior cruciate ligament is one of the most common ligament injuries in sports traumatology. The need for surgical anterior cruciate ligament reconstruction is justified by its anatomical characteristics. Key considerations when choosing a graft include the potential for bone integration and the risk of failure. Bone sclerosis around the tunnel affects the integration of the gr...

Introduction Bone-patella tendon-bone (BPTB) grafts are widely used for anterior cruciate ligament (ACL) reconstruction. Experimental data have demonstrated that these grafts are almost 3 times stiffer than the ACL. (1,2) While many in-vivo and in-vitro data demonstrated that the ACL reconstruction is efficient in restoring anterior stability using anterior drawer tests, recent in-vivo measurem...

The aim of our review is to identify the reconstruction technique that has a superior functional outcome and decreased number of complications for the anterior cruciate ligament (ACL). We have divided our review into 2 sections. Our primary question evaluates the functional results and complications of autografts compared to allografts for ACL reconstruction. Our subsidiary question evaluates t...

BACKGROUND Allograft tissue is a common graft choice for anterior cruciate ligament reconstruction (ACLR). Allograft sterilization methods vary widely across numerous commercial tissue vendors. Multiple studies, despite being limited in sample size, have suggested a higher rate of clinical failure associated with the use of allograft tissue in ACLR when compared with autograft. PURPOSE To exa...

BACKGROUND Allograft tissue remains a valuable alternative for anterior cruciate ligament reconstruction. No study to date has correlated the effect of donor age to bone mineral density (BMD) in a large series of irradiated bone-patellar tendon-bone (BPTB) allograft tissue. Hypothesis/ PURPOSE The authors attempted to correlate donor age with BMD in a large group of BPTB allograft specimens t...

Increased stability has been reported with both autografts and allografts for anterior cruciate ligament (ACL) reconstruction. However, meta-analysis has shown significantly lower overall knee stability rates and more than double the abnormal stability rate with allografts. Some issues surrounding allograft sterilization (ie, risk of disease transmission) are unresolved, and cost is also a conc...

Anterior cruciate ligament (ACL) ruptures are common among active individuals. The avascular structure of ligaments prevents natural healing; therefore, reconstructive surgery is often performed. Current surgical options include use of either an autograft composed of the patient’s hamstring tendons or bonepatellar tendon-bone complex (BPTB), or an allograft composed of a cadaver BPTB. Despite i...