Allograft Anterior Cruciate Ligament Reconstruction: Indications, Techniques, and Outcomes

Revision Rates After Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Allograft or Autograft in a Population 25 Years Old and Younger

“…MTF's graft processing avoids damaging radiation on the final tissue form of the graft or the use of harsh chemicals like hydrogen peroxide, which may decrease osteoconductivity. 30 Gamma irradiation affects graft strength 5,31 and has been shown to result in higher failure rates. 14,15,32 Any study examining the differences between autograft and allograft ACL reconstruction must include information about the recovery and processing of the allografts.…”

“…4 Controversy exists concerning the appropriate graft choice for ACL reconstruction in this particular patient population. 5 Historically, both autograft and allograft options have been reported to demonstrate similar successful outcomes. [6][7][8] Additionally, the use of allograft material in populations older than age 25 is generally accepted for ACL reconstruction.…”

Managing Knee Injuries: Keeping Up With Changes

“…11,17 We have to ask ourselves, what are we doing wrong, or what is it we are not doing to improve on these disappointing results? Consequently, surgical refinements continue to be sought, with current attention, as discussed in this special issue, on double-bundle ACL, 8 anatomic placement of the graft, 8,21 and how best to surgically manage concomitant lesions. 10 Concurrently, in rehabilitation, we are more concerned than ever with restoring symmetrical motion, protecting articular cartilage and menisci, and perhaps adopting a more controlled, less aggressive rehabilitation program.…”

“…6,22 What is the best graft and surgical approach for reconstruction? 8,14,21 What is the optimal selection and timing of exercises postsurgery? 22 What is the optimal timing and criteria for return to sport (much more on this topic in JOSPT next month)?…”

“…10 Concurrently, in rehabilitation, we are more concerned than ever with restoring symmetrical motion, protecting articular cartilage and menisci, and perhaps adopting a more controlled, less aggressive rehabilitation program. 8,21,22 While the ACL is the rock star of knee ligaments, the ligament that is most often injured is the medial collateral ligament (MCL). Despite the fact that MCL injuries tend to heal relatively well, there has been growing interest in the past few years in better understanding the function of the various sections of the MCL and how to better manage more serious, recalcitrant, or chronic injuries to that structure.…”