(65) 8896 3604

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(65) 6836 6636

(65) 8896 3604

Call Us
(65) 6836 6636

Anterior Cruciate Ligament (ACL) Injury

Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction Using Allografts


Ideal Graft

  • Reproduces Anterior Cruciate Ligament Biomaterial Properties
    • minimal graft site morbidity
    • stable fixation
    • immediate intensive rehabilitation

Bone-Patellar Tendon-Bone Graft

  • Disadvantages
    • Donor site morbidity
      • Knee cap pain
      • Crepitus and tendinitis
      • Quadriceps weakness
    • Rare
      • Patella fractures
      • Patellar tendon ruptures
      • Infrapatellar contracture syndrome

Patella fracture after BTPB Harvesting


Patella cartilage damage from BPTB Harvesting

Hamstrings Grafts

  • Advantages
    • Less donor site morbidity
      • Decreased knee cap pain
      • Decreased tendinitis
      • Less quadriceps weakness

But Why Sacrifice Hamstrings When…

  • Hamstrings are important rotational and anterior stabilizers of the knee
  • A role similar to the ACL
    • V.C.Mow et al
    • JOR 18:1 2000


  • Also known as donor cadaveric grafts
  • As opposed to your own tissue which is known as autografts


Ultimate Strength & Stiffness


Allograft Reconstructions

  • Advantages
    • No donor site morbidity
    • Very rapid rehabilitation
    • Less pain
    • Smaller scars
    • Shorter operating time
    • Ideal for multiple ligament reconstructions
    • Choice of graft size and length
  • What It Means to You
    • Less pain
    • Smaller Scars
    • Quicker recovery
  • Disadvantages
    • Potential disease transmission
    • 1:1,667,700 HIV risk with fresh frozen
    • Higher costs – donor grafts imported from AATB accredited tissue banks in USA

Allograft ACL Reconstruction

For More Information

  • Please refer to the book chapter on “Allograft ACL Reconstruction” written by Dr HC Chang
    • Insall and Scott Surgery of the Knee, 4th edition, Chapter 41
    • Published by Churchill Livingston
    • Hardbound, ISBN: 0-443-06671-X, 2048 pages, publication date: 2006



Please note that the information contained herein is for general medical information only.
If you have any specific medical condition or queries, please consult your medical doctor.


All Services and Treatments


Dr HC Chang

  • 16 years of experience in surgical and non-surgical procedures in sports injuries as a Sports Orthopaedic Specialist in Singapore.
  • Received multiple awards and accolades in the Orthopaedic field.
  • He is a USA Sports Medicine Fellowship trained Orthopaedic Surgeon and is a member of the Arthroscopy Association of North America as well as the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine.
  • Published many acclaimed articles on Sports Medicine. If you are experiencing one or more of the symptoms mentioned above, it is important to get a prompt and accurate diagnosis to determine the severity of your injury and get proper treatment immediately.


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    *Medications, Investigations & Treatments are charged separately.