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
- Donor site morbidity
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
- Less donor site morbidity
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
Allografts
- 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
If you have any specific medical condition or queries, please consult your medical doctor.
All Services and Treatments
ABOUT 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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