Which material makes the best ACL graft? A systematic review.

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Authors
Deschamps, Mikenna
Advisor
Schafer, Gerald
Editor
Date of Issue
2024
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Title
Which material makes the best ACL graft? A systematic review.
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Presentation
Description
Abstract
Objective: To review current literature comparing four different graft materials and their success rate as anterior cruciate ligament (ACL) grafts in surgical patients. Methods: Literature was gathered from the databases CINAHL and PubMed and was reviewed for associations between ACL graft options and their overall success. Results: The bone-patellar tendon-bone graft (BPTB) is said to be the “gold standard” for ACL repair, but studies in this review support the use of hamstring tendon grafts (HT), cadaver grafts, and artificial grafts. However, the hamstring tendon was found to be superior for patients due to its post-operative success in; low pain percentage, increased range of motion, shorter recovery time, and lower chance of infection, compared to the BPTB graft. Discussion: Although biomechanically sound, the increased percentage of post-operative pain along with donor site morbidity has been enough to question the reputation of BPTB grafts. The HT graft was found to have a higher percentage of overall patient success and should be considered as an alternative to the BPTB grafts.
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Health Sciences