Medicina Universitaria (Apr 2024)

Use of living related donor hamstring tendon allografts for anterior cruciate ligament reconstruction in children: a literature review

  • Adrián G. Torres-Gaytán,
  • José R. Padilla-Medina,
  • Oscar A. Garza-Tovar,
  • Roger A. Erosa-Villarreal,
  • Rodolfo Morales-Avalos,
  • Joan C. Monllau

DOI
https://doi.org/10.24875/RMU.23000038
Journal volume & issue
Vol. 26, no. 2

Abstract

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The development of new treatment methods is the primary focus of treatments for children with anterior cruciate ligament (ACL) injuries, as was previously stated. The type of graft to be employed is a difficult decision. The purpose of this manuscript is to summarize the current evidence-based management of ACL injuries in pediatric and adolescent patients, including the most suitable graft for reconstruction, with a particular emphasis on transparental living donor grafts. A literature search was performed on MEDLINE, EMBASE, Web of Science, Scielo Database, and Scopus, from each database including articles written in English until September 2022. The articles regarding donor living graft management for ACL reconstruction in children or patients < 18 years were reviewed using the narrative approach. The high failure rate, the complications produced by the different techniques for reconstructing the ACL, and the need to return to sports in patients under 18 years of age make it necessary to continue searching to find the perfect graft and the technique for performing proper reconstruction. ACL reconstruction with living donor hamstring tendon grafts was associated with excellent subjective outcomes, good objective ligament stability, and a high rate of return to sports.

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