Graft Selection in Reconstruction of the Anterior Cruciate Ligament

Absence of sensory function in the reconstructed anterior cruciate ligament

“…A reconstructed ACL is weak in the immediate postoperative period, and seldom regains original tensile strength (Bartlett et al, 2001). Forceful contraction of the quadriceps femora muscle -in the last 80 degrees before full extension -pulls the tibia forward (Hirokawa et al, 1992) and would expose the ACL to a force well above rupture threshold, if the hamstrings muscles were not coactivated during knee extension, thereby unloading the ACL and smoothening the motion (Aagaard et al, 2000;Renström 1986).…”

The Effect of Gamma Irradiation on Anterior Cruciate Ligament Allograft Biomechanical and Biochemical Properties in the Caprine Model at Time Zero and at 6 Months after Surgery

“…4,[33][34][35]44 Although allograft surgery is considered safe, the transplanted tissue can transmit hepatitis, bacterial or fungal infection, and the human immunodeficiency virus (HIV). 7,12,24 To minimize the transmission of these infectious agents, tissue banks have performed secondary graft sterilization using gamma irradiation.…”

Hamstring Tendon versus Patellar Tendon Anterior Cruciate Ligament Reconstruction Using Biodegradable Interference Fit Fixation

“…6,22,36,52 The bone-patellar tendon-bone autograft is considered to be the gold standard because of the bone-to-bone healing that allows for an early and accelerated rehabilitation with documented good and excellent long-term results. 39,40,44,52 During the past few years, hamstring tendon grafts have increased in popularity as an alternative to the bone-patellar tendon-bone graft.…”