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The use of allograft tendons in primary ACL reconstruction by Christophe Hulet; Bertrand Sonnery-Cottet; Ciara Stevenson; Kristian Samuelsson; Lior Laver; Urszula Zdanowicz; Sjoerd Stufkens; Jonathan Curado; Peter Verdonk; Tim Spalding is a Medicine article available to read on EtoBox.

What is The use of allograft tendons in primary ACL reconstruction about?

Purpose Graft choice in primary anterior cruciate ligament (ACL) reconstruction remains controversial. The use of allograft has risen exponentially in recent years with the attraction of absent donor site morbidity, reduced surgical time and reliable graft size. However, the published evidence examining their clinical effectiveness over autograft tendons has been unclear. The aim of this paper is to provide a current review of the clinical evidence available to help guide surgeons through the decision-making process for the use of allografts in primary ACL reconstruction. Methods The literature in relation to allograft healing, storage, sterilisation, differences in surgical technique and rehabilitation have been reviewed in addition to recent comparative studies and all clinical systematic reviews and meta-analyses. Results Early reviews have indicated a higher risk of failure with allografts due to association with irradiation for sterilisation and where rehabilitation programs and post-operative loading may ignore the slower incorporation of allografts. More recent analysis indicates a similar low failure rate for allograft and autograft methods of reconstruction when using non-

Who reads The use of allograft tendons in primary ACL reconstruction?

Author

Christophe Hulet; Bertrand Sonnery-Cottet; Ciara Stevenson; Kristian Samuelsson; Lior Laver; Urszula Zdanowicz; Sjoerd Stufkens; Jonathan Curado; Peter Verdonk; Tim Spalding

Published

2019

Language

EN

Field

Medicine (Health Sciences)