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ACL Injury and Its Treatment pp 159–174Cite as

Graft Selection

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Abstract

Requirements for an ideal graft substitute in ACL reconstruction surgery are proper biomechanical strength, sufficient size, reliable fixation, rapid biological healing, no biologically adverse reaction, no donor-site morbidity, and excellent long-term outcomes. Although many types of graft have been used in a history of ACL reconstruction, it is still a question under never-ending debate as to what is the best graft. Surgeons have to understand that every type of graft available today has advantages and disadvantages. Factors in the patient side, such as age, sex, physique, activity, lifestyle, and preference, are also the issues which affect the graft selection. In most case, autologous graft is the first choice for primary reconstruction. The popular autografts are hamstring tendon graft, which is applicable for multi-bundle reconstruction and has less donor-site morbidity, and bone-patellar tendon-bone graft which has lower risk of revision surgery. Since harvest technique is another factor to affect surgical outcomes, surgeons should be acquainted with anatomy and harvesting procedures of each graft.

Keywords

  • Auto graft
  • Hamstring tendon
  • Bone-patellar tendon-bone

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Authors and Affiliations

  1. Department of Rehabilitation Medicine, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan

    Eiichi Tsuda M.D.

  2. Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan

    Yasuyuki Ishibashi M.D.

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  1. Eiichi Tsuda M.D.
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  2. Yasuyuki Ishibashi M.D.
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Correspondence to Eiichi Tsuda M.D. .

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Editors and Affiliations

  1. Hiroshima University, Hiroshima, Hiroshima, Japan

    Mitsuo Ochi

  2. Sports Orthopaedic Center, Yukioka Hospital, Osaka, Osaka, Japan

    Konsei Shino

  3. Graduate School of Medicine, Hokkaido University , Sapporo, Japan

    Kazunori Yasuda

  4. Graduate School of Medicine, Kobe University, Kobe, Japan

    Masahiro Kurosaka

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Tsuda, E., Ishibashi, Y. (2016). Graft Selection. In: Ochi, M., Shino, K., Yasuda, K., Kurosaka, M. (eds) ACL Injury and Its Treatment. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55858-3_14

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  • DOI: https://doi.org/10.1007/978-4-431-55858-3_14

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