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Graft Options in the Revision ACL Setting

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Revision Anterior Cruciate Ligament Reconstruction

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Abstract

Graft selection in revision anterior cruciate ligament (ACL) reconstruction is of paramount importance and can be directly related to both clinical and functional outcomes. However, patient demographics including age, activity level, and previous graft choice must also be considered. An awareness of the relative advantages and disadvantages of respective graft options can assist in appropriate individualized graft selection, as well as in navigating technical difficulties in the revision scenario. While allograft may be indicated in selected cases of revision with favorable outcomes, its use in the younger, competitive athletic population has been associated with increased failure rates when compared with autograft sources, particularly with adverse chemical processing or irradiation. Ultimately, a technically well-performed ACL reconstruction is critical for early graft remodeling, function, and longer-term survivorship from reoperation, regardless of graft selection.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Wake Forest University, Winston-Salem, NC, USA

    Darren S. Nabor

  2. Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, MD, USA

    Christopher J. Tucker

  3. Department of Orthopaedic Surgery, Wake Forest Baptist Health, Winston-Salem, NC, USA

    Brian R. Waterman

Authors
  1. Darren S. Nabor
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  2. Christopher J. Tucker
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  3. Brian R. Waterman
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Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Division of Sports Medicine, New York University Langone Health, New York, NY, USA

    Michael J. Alaia

  2. Department of Orthopaedic Surgery, Division of Sports Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

    Kristofer J. Jones

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Nabor, D.S., Tucker, C.J., Waterman, B.R. (2022). Graft Options in the Revision ACL Setting. In: Alaia, M.J., Jones, K.J. (eds) Revision Anterior Cruciate Ligament Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-96996-7_4

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  • DOI: https://doi.org/10.1007/978-3-030-96996-7_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-96995-0

  • Online ISBN: 978-3-030-96996-7

  • eBook Packages: MedicineMedicine (R0)

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