ACL Reconstruction Guidebook (2.2MB) - Dartmouth-Hitchcock

ACL Reconstruction: choosing a Graft type
Source: A.D.A.M., Inc.
You have sustained an injury to your knee;
this has led to a tear in one of the stabilizing
ligaments in your knee, specifically your
ACL, Anterior Cruciate Ligament. You are now
working toward a decision of treatment for
this injury. Should you choose surgery, you
need to understand ACLs are reconstructed
not repaired; sewing torn ACLs has not been
successful. It is important before you proceed
with surgery that you eliminate, as much as
possible, any pain and stiffness in the knee.
This can be done by working with the physical
therapist for up to six weeks.
In our practice, there are three primary choices for graft selection to reconstruct
your ACL. You and the surgeon will discuss which graft type is most appropriate
for you and your level of activity.
1. Patellar tendon autograft (tendon is taken from you)
2. Hamstring tendon autograft (tendon is taken from you)
3. Allograft (tendon is taken from a cadaver)
Source: American Academy of Orthopaedic Surgeons
1. Patellar tendon autograft: the middle third of the
patellar tendon of the patient, along with a bone plug
from the shin and the kneecap is used. This method
is often recommended for high-demand athletes and
patients whose jobs do not require a significant amount
of kneeling. Patients have expressed concern about
knee pain when kneeling and pain behind the kneecap.
Plus, there may be a slight increase in the risk for
postoperative knee stiffness.
ACL Reconstruction: Choosing a Graft Type