Anterior cruciate ligament reconstruction best practice: A review of graft choice

作     者：Daniel A Shaerf Philip S Pastides Khaled M Sarraf Charles A Willis-Owen 

作者机构：Department of Trauma and Orthopaedics Charing Cross Hospital Imperial NHS Trust Department of Trauma and Orthopaedics Barnet General Hospital Wellhouse Lane Department of Trauma and Orthopaedics Queen Elizabeth Hospital Woolwich 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2014年第5卷第1期

页      面：23-29页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Anterior cruciate ligament Reconstruction Hamstring Patella tendon Allograft Autograft Synthetic Bone-patella tendon-bone 

摘      要：There is much literature about differing grafts used in anterior cruciate ligament(ACL) reconstruction. Much of this is of poor quality and of a low evidence base. We review and summarise the literature looking at the four main classes of grafts used in ACL reconstruction; bone-patella tendon-bone, hamstrings, allograft and synthetic grafts. Each graft has the evidence for its use reviewed and then compared, where possible, to the others. We conclude that although there is no clear best graft, there are clear differences between the differing graft choices. Surgeon s need to be aware of the evidence behind these differences, in order to have appropriate discussions with their patients, so as to come to an informed choice of graft type to best suit each individual patient and their requirements.