Abstract The use of the patellar graft presents post-operative problems such as anterior knee pain, which limits its use and leads to preference being taken for alternative grafts. The main…
Abstract This chapter will provide an overview of the various types of irradiation techniques for sterilization of soft-tissue allografts used for ACL reconstruction. The basic mechanisms of pathogen inactivation are…
Introduction There are an estimated 300,000 anterior cruciate ligament (ACL) repairs each year in the United States. The aim of surgery is to restore the functional stability to the ACL-deficient…
Abstract Anterior cruciate ligament (ACL) reconstruction with bone-patella tendon-bone autograft is a common procedure seen in the operating room of a sports surgeon. While this procedure is highly successful, there…
Introduction A wide variety of techniques and graft types are now available for the reconstruction of the anterior cruciate ligament (ACL). Years of clinical and surgical experiences gained by surgeons,…
Abstract Hamstring (HS) grafts for anterior cruciate ligament (ACL) reconstruction have been associated with remarkably little donor site morbidity.1 HS grafts have long been recognized as the lower morbidity graft…
Abstract The central quadriceps tendon has been used for ACL reconstruction for over 30 years and is proven to yield comparable stability results to hamstrings and BTB autograft reconstructions of…
Abstract Hamstring (HS) use for anterior cruciate ligament reconstruction (ACLR) has increased greatly in the past 5 years. It has been said that the harvest is the most difficult part…
Abstract Traditional hamstring harvest of the semitendinosis and/or gracilis tendons may typically be performed through a limited 2-3 cm anteromedial incision. After isolation and distal release of the individual tendon(s),…
Abstract Historically, synthetic grafts have been associated with inconsistent functional outcomes and synovitis, effusions, and pseudoseptic reaction related to particulate debris. Newer generation designs may reflect lower complication profiles based…
