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Graft Selection in Multiple Ligament Injured Knee Surgery

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The Multiple Ligament Injured Knee

Abstract

Although the majority of orthopaedic surgeons infrequently encounter multiple ligament disruptions of the knee, they constitute a complex injury and a challenging clinical problem. The type of ligament graft selected by a surgeon for ligament reconstruction is an important determinant in the clinical management and outcome of these patients. The need to appropriately select multiple grafts while managing the individual concerns of well-informed patients necessitates a broad understanding of the variety of graft options available for knee ligament reconstruction. In this chapter, we will review the medically relevant differences among the many graft options currently utilized in knee ligament reconstruction. There is great variation among the different tissue grafts, which are commercially available to surgery centers and hospitals with regard to their origin, mechanical properties, and processing. We will also review other important aspects that pertain to allografts including information concerning the commercial procurement, regulatory parameters, and clinical safety with the goal of providing physicians with a fund of knowledge that will allow them to critically assess which ligament graft is best suited for the expectations of their patient.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, University of California, Los Angeles, 757 Westwood Plaza, B-floor Mailroom, Los Angeles, CA, 90095, USA

    Thomas J. Kremen M.D.

  2. Department of Orthopaedic Surgery, Sports Medicine Service, David Geffen School of Medicine at UCLA, University of California, Los Angeles, 10833 Le Conte Ave., CHS, 956902, Los Angeles, CA, 90095-6902, USA

    David R. McAllister M.D.

Authors
  1. Thomas J. Kremen M.D.
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  2. David R. McAllister M.D.
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Correspondence to Thomas J. Kremen M.D. .

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Editors and Affiliations

  1. GHS Orthopaedics, Woodbine Lane 115, Danville, 17822-5212, Pennsylvania, USA

    Gregory C. Fanelli

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© 2013 Springer Science+Business Media New York

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Kremen, T.J., McAllister, D.R. (2013). Graft Selection in Multiple Ligament Injured Knee Surgery. In: Fanelli, G. (eds) The Multiple Ligament Injured Knee. Springer, New York, NY. https://doi.org/10.1007/978-0-387-49289-6_9

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  • DOI: https://doi.org/10.1007/978-0-387-49289-6_9

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