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Autogenous Hamstring-Bone Graft Preparation for Anterior Cruciate Ligament Reconstruction
Despite the popularity of anterior cruciate ligament (ACL) reconstruction procedures, the ideal graft for reconstruction remains a matter of controversy. The ideal graft for ACL reconstruction should have histologic and biomechanical characteristics similar to those of the native ACL; should be quic...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622011/ https://www.ncbi.nlm.nih.gov/pubmed/29354425 http://dx.doi.org/10.1016/j.eats.2017.04.011 |
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author | Zein, Assem Mohamed Noureldin Ali, Mohamed Zenhom Mahmoud, Alaa Omran, Khaled |
author_facet | Zein, Assem Mohamed Noureldin Ali, Mohamed Zenhom Mahmoud, Alaa Omran, Khaled |
author_sort | Zein, Assem Mohamed Noureldin |
collection | PubMed |
description | Despite the popularity of anterior cruciate ligament (ACL) reconstruction procedures, the ideal graft for reconstruction remains a matter of controversy. The ideal graft for ACL reconstruction should have histologic and biomechanical characteristics similar to those of the native ACL; should be quickly and fully incorporated within the bony tunnels; should maintain its viscoelastic properties for a long time; should have minimal donor-site morbidity; should be of sufficient length and diameter; should have minimal adverse effects on the extensor mechanism; should have no risk of rejection or disease transmission; and should be cost-effective and readily available. Synthetic grafts are not widely accepted because of their dangerous complications. The main sources of grafts for ACL reconstruction are allografts and autografts. Each type of graft has its own relative advantages and disadvantages. Allografts are not available in every country, besides being expensive, and there are many concerns regarding disease transmission. Autografts, particularly bone–patellar tendon–bone (BPTB), and hamstring tendon grafts have been the standard for ACL reconstruction. The main advantage of autogenous BPTB grafts is the direct bone-to-bone healing in the tunnel, whereas the main disadvantages of such grafts are related to donor-site morbidity, anterior knee pain, and extensor mechanism dysfunction. The popularity of autogenous hamstring tendon grafts for ACL reconstruction is increasing, but there are still concerns regarding the slow soft tissue–to–bone healing, with delayed healing and incorporation of the graft. We describe a technique for ACL reconstruction with autogenous hamstring-bone graft, aiming to produce a type of graft that combines the main advantages of BPTB and hamstring grafts, with avoidance of the main disadvantages of these 2 most commonly used graft types in ACL reconstruction. |
format | Online Article Text |
id | pubmed-5622011 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-56220112018-01-19 Autogenous Hamstring-Bone Graft Preparation for Anterior Cruciate Ligament Reconstruction Zein, Assem Mohamed Noureldin Ali, Mohamed Zenhom Mahmoud, Alaa Omran, Khaled Arthrosc Tech Technical Note Despite the popularity of anterior cruciate ligament (ACL) reconstruction procedures, the ideal graft for reconstruction remains a matter of controversy. The ideal graft for ACL reconstruction should have histologic and biomechanical characteristics similar to those of the native ACL; should be quickly and fully incorporated within the bony tunnels; should maintain its viscoelastic properties for a long time; should have minimal donor-site morbidity; should be of sufficient length and diameter; should have minimal adverse effects on the extensor mechanism; should have no risk of rejection or disease transmission; and should be cost-effective and readily available. Synthetic grafts are not widely accepted because of their dangerous complications. The main sources of grafts for ACL reconstruction are allografts and autografts. Each type of graft has its own relative advantages and disadvantages. Allografts are not available in every country, besides being expensive, and there are many concerns regarding disease transmission. Autografts, particularly bone–patellar tendon–bone (BPTB), and hamstring tendon grafts have been the standard for ACL reconstruction. The main advantage of autogenous BPTB grafts is the direct bone-to-bone healing in the tunnel, whereas the main disadvantages of such grafts are related to donor-site morbidity, anterior knee pain, and extensor mechanism dysfunction. The popularity of autogenous hamstring tendon grafts for ACL reconstruction is increasing, but there are still concerns regarding the slow soft tissue–to–bone healing, with delayed healing and incorporation of the graft. We describe a technique for ACL reconstruction with autogenous hamstring-bone graft, aiming to produce a type of graft that combines the main advantages of BPTB and hamstring grafts, with avoidance of the main disadvantages of these 2 most commonly used graft types in ACL reconstruction. Elsevier 2017-08-07 /pmc/articles/PMC5622011/ /pubmed/29354425 http://dx.doi.org/10.1016/j.eats.2017.04.011 Text en © 2017 by the Arthroscopy Association of North America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Technical Note Zein, Assem Mohamed Noureldin Ali, Mohamed Zenhom Mahmoud, Alaa Omran, Khaled Autogenous Hamstring-Bone Graft Preparation for Anterior Cruciate Ligament Reconstruction |
title | Autogenous Hamstring-Bone Graft Preparation for Anterior Cruciate Ligament Reconstruction |
title_full | Autogenous Hamstring-Bone Graft Preparation for Anterior Cruciate Ligament Reconstruction |
title_fullStr | Autogenous Hamstring-Bone Graft Preparation for Anterior Cruciate Ligament Reconstruction |
title_full_unstemmed | Autogenous Hamstring-Bone Graft Preparation for Anterior Cruciate Ligament Reconstruction |
title_short | Autogenous Hamstring-Bone Graft Preparation for Anterior Cruciate Ligament Reconstruction |
title_sort | autogenous hamstring-bone graft preparation for anterior cruciate ligament reconstruction |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622011/ https://www.ncbi.nlm.nih.gov/pubmed/29354425 http://dx.doi.org/10.1016/j.eats.2017.04.011 |
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