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Posterior Cruciate Ligament Injuries pp 101–110Cite as

Graft Selection in Posterior Cruciate Ligament Surgery

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Abstract

Graft selection for posterior cruciate ligament (PCL ) injuries is controversial and remains an active area of orthopedic research. The type of ligament graft selected by a surgeon for PCL reconstruction is an important determinant in the clinical management and outcome of these patients. The need to appropriately select a graft while managing the individual concerns of well-informed patients necessitates a broad understanding of the variety of graft options available for PCL reconstruction. In this chapter, the medically relevant differences among the many graft options currently utilized in PCL reconstruction will be reviewed. Common autografts, along with their benefits, drawbacks, and harvesting techniques will be reviewed. In addition, various commercially available tissue allografts will be reviewed with regard to their origin, mechanical properties, and processing. Other important aspects that pertain to allografts including information concerning the commercial procurement, regulatory parameters, and clinical safety will also be addressed, with the goal of providing physicians with a fund of knowledge that will allow them to critically assess which PCL graft is best suited for the expectations of their patient.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, University of California Los Angeles, Los Angeles, CA, USA

    Natalie L. Leong MD

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

    Nima Kabir MD & David R. McAllister MD

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  1. Natalie L. Leong MD
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  2. Nima Kabir MD
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  3. David R. McAllister MD
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Correspondence to Natalie L. Leong MD .

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  1. GHS Orthopaedics, Danville, Pennsylvania, USA

    Gregory C. Fanelli, MD

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Leong, N., Kabir, N., McAllister, D. (2015). Graft Selection in Posterior Cruciate Ligament Surgery. In: Fanelli, MD, G. (eds) Posterior Cruciate Ligament Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-12072-0_8

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