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The anterior cruciate ligament (ACL) of the knee is commonly injured and can lead to joint instability. ACL reconstruction (ACLR) is often required as endogenous healing is limited and the stability provided by dynamic stabilisers is insufficient for complete joint function. A graft, comprising either biological tissue or synthetic material, is used to replicate the biomechanical and structural properties of the native ACL to restore function. Autografts, particularly the quadruple semitendinosus/gracilis tendon (QSGT) and bone-patellar tendon-bone (BPTB), are commonly preferred. However, autograft harvesting can lead to donor site morbidity. Allografts and synthetic grafts avoid this issue but present other complications such as immune response and inflammation. Graft choice is one of several factors influencing ACLR outcomes; fixation method, physiotherapy, and patient-specific variables also play key roles. This review evaluates the current literature on ACLR graft types and highlights distinguishing features.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413931 | PMC |
http://dx.doi.org/10.52965/001c.143767 | DOI Listing |
Clin J Sport Med
September 2025
Western University, London, Ontario, Canada.
Objective: Anterior cruciate ligament reconstruction (ACLR) leads to high rates of knee post-traumatic osteoarthritis (PTOA). Physical activity may mitigate PTOA risk but levels after ACLR have not been extensively studied. We aimed to review self-reported and device-measured physical activity levels in individuals with ACLR and compare them with international guidelines, and with uninjured controls.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
September 2025
Department of Sports Medicine, Shenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine, Shenzhen, China.
Knee Surg Sports Traumatol Arthrosc
September 2025
Department of Sport Orthopaedics, TUM University Clinic, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Purpose: The purpose of this prospective study was to investigate the effect of Kaplan fibres (KF), anterolateral ligament (ALL) and lateral meniscus (LM) injuries on preoperative anterolateral rotational instability (ALRI) in anterior cruciate ligament (ACL)-injured knees. It was hypothesised that injuries to the ALC (i.e.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
September 2025
Clinique du sport, Paris, France.
Purpose: To compare the outcomes of isolated anterior cruciate ligament reconstruction (ACLR) versus ACLR + lateral extra-articular procedures (LEAPs) at mid-term follow-up in a low activity population based on the Tegner activity scale (TAS ≤ 4).
Methods: This was a retrospective analysis comparing patients with a pre-injury TAS ≤ 4 who underwent primary isolated ACLR versus ACLR + LEAPs between 2012 and 2022. Propensity score matching based on age, sex, and presence of meniscal injury was used to establish two groups: ACLR alone and ACLR with LEAP.
Knee Surg Sports Traumatol Arthrosc
September 2025
Department of Orthopaedics and Trauma Surgery, Medical University of Innsbruck, Innsbruck, Austria.
Purpose: Modifying interference screw composition may ensure better osteoconductive properties in order to reduce tunnel enlargement after anterior cruciate ligament (ACL) reconstruction. The primary and secondary purposes were to evaluate tunnel and screw volume changes in poly-L-lactide acid (PLLA) and poly-D-lactic acid + hydroxyapatite + β-tricalcium phosphate (PLDLA+) screws. The tertiary purpose was to compare patient reported- and functional outcomes between PLLA and PLDLA+ group.
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