Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends
Marko Ostojic,
Pier Francesco Indelli,
Bruno Lovrekovic,
Jerome Volcarenghi,
Doria Juric,
Hassan Tarek Hakam,
Mikhail Salzmann,
Nikolai Ramadanov,
Aleksandra Królikowska,
Roland Becker,
Robert Prill
Affiliations
Marko Ostojic
Sports Traumatology Division, Traumatology Department Draskoviceva, University Hospital “Sestre Milosrdnice”, 10000 Zagreb, Croatia
Pier Francesco Indelli
Südtiroler Sanitätsbetrieb, 39042 Brixen, Italy
Bruno Lovrekovic
Department of Orthopaedics, University Hospital Merkur, 10000 Zagreb, Croatia
Jerome Volcarenghi
Department of Orthopaedic Surgery and Traumatology, Centre Hospitalier Universitaire Helora, Site Kennedy, 7000 Mons, Belgium
Doria Juric
Department of Orthopaedics, University Hospital Basel, 4031 Basel, Switzerland
Hassan Tarek Hakam
Center of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, 14770 Brandenburg an der Havel, Germany
Mikhail Salzmann
Center of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, 14770 Brandenburg an der Havel, Germany
Nikolai Ramadanov
Center of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, 14770 Brandenburg an der Havel, Germany
Aleksandra Królikowska
Physiotherapy Research Laboratory, University Centre od Physiotherapy and Rehabilitation, Faculty of Physiotherapy, Wroclaw Medical University, 50-367 Wroclaw, Poland
Roland Becker
Center of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, 14770 Brandenburg an der Havel, Germany
Robert Prill
Center of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, 14770 Brandenburg an der Havel, Germany
Anterior cruciate ligament (ACL) injuries are common in sports and often require surgical intervention, e.g., ACL reconstruction (ACLR), aimed at restoring knee stability and enabling a return to pre-injury activity levels. The choice of graft is crucial, impacting biomechanical properties, clinical outcomes, and complication rates, and is especially important in revision surgeries after graft failure. Over the past 30 years, trends in graft selection have evolved towards more individualized approaches, considering factors such as patient activity level, prior injuries, and tissue availability. In Europe, autografts like hamstring tendon (HT), bone-patellar tendon-bone (BTB), and quadriceps tendon (QT) are preferred, with the increasing use of QT grafts. This review synthesizes the current literature on graft selection and its influence on ACLR outcomes.
