Graft selection in anterior cruciate ligament surgery.

摘要

The ideal graft for ACL surgery should have similar anatomic and biomechanicai characteristics to the native ACL, provide for strong initial fixation, allow for prompt biologic incorporation, and have minimal donor site morbidity for a particular athlete. Anterior cruciate ligament (ACL) reconstruction is one of the most commonly-performed orthopedic surgeries in this country. As ACL reconstruction techniques have evolved and improved dramatically over the past few years from nonanatomic to anatomic, controversies regarding graft selection remain. While conclusions drawn from past studies regarding graft choice in ACL surgery have resulted from predominantly non-anatomic surgical techniques, there are useful guiding principles that can be followed when determining which type of graft to use in ACL reconstruction.