A Biomechanical Comparison of Allograft Tendons for Ligament Reconstruction

Palmer, Jaclyn Bradley; Russell, Joseph P.; Grieshober, Jason A.; Iacangelo, Abigail; Ellison, Benjamin A.; Lease, T. Dylan; Kim, Hyunchul; Henn, R. Frank; Hsieh, Adam H.

doi:10.1177/0363546516671944

Cited by 29 publications

(19 citation statements)

References 22 publications

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“…Following ethical approval, 68 peroneus longus (PL) chemically treated and non-irradiated (BioClense, RTI Surgical, Alachua, Florida, USA) allograft tendons were obtained and assigned to test groups ( Figure 1); they were stored at -20 o C before use. These tendons were available for testing, and their mechanical properties do not differ from those of other hamstrings tendons [25].…”

Section: Methodsmentioning

confidence: 99%

ACL graft compression: a method to allow reduced tunnel sizes in ACL reconstruction

Lord

Colaco

Gupte

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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No detrimental biomechanical effects of graft compression on allograft PL tendons were observed. Following compression, the grafts significantly increased in size during in vitro joint simulation. No significant difference was observed in graft stability between groups. Graft compression did not cause adverse mechanical effects in vitro. Smaller tunnels for compressed grafts reduce bone loss and ease anatomical placement.

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Section: Methodsmentioning

confidence: 99%

ACL graft compression: a method to allow reduced tunnel sizes in ACL reconstruction

Lord

Colaco

Gupte

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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“…Data has not reported any adverse effects, such as graft degeneration, increased laxity, or a change in functional outcome at short-to medium-term follow-up 16,30,31 . Experience from spinal surgery has not shown any negative consequences from vancomycin use 17,32 .…”

Section: Lack Of Toxicitymentioning

confidence: 99%

The role of vancomycin-soaking of the graft in anterior cruciate ligament reconstruction

Rodríguez-Merchán¹,

Ribbans²

2022

Journal of ISAKOS

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…As discussed previously, a variety of fresh-frozen allograft options exist such as patellar tendon, tibialis anterior or posterior tendons, HS tendons, peroneal tendons, iliotibial band, and Achilles tendon. 9 An example of a prepared Achilles tendon allograft for ACLR is shown in Figure 1 , D. This graft is prepped long so that it can be used for LET if needed. The main advantages of allografts over autografts are shorter surgical times, predictable graft size, no harvest site morbidity, and easier recovery in the immediate postoperative period.…”

Section: Allograftmentioning

confidence: 99%

Graft Selection in Contemporary Anterior Cruciate Ligament Reconstruction

2021

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In the last decade, there have been significant advances in our understanding of anterior cruciate ligament (ACL) reconstruction. Recent prospective cohort studies have identified risk factors for ACL reconstruction graft failure such as younger patient age, increased activity level, nonanatomic tunnel placement, and the use of allograft. Among these, the most easily modifiable risk factor is graft choice. Given that the surgeon's recommendation has been shown to be one of the most important factors behind patients' graft choice, it is critical that the operating surgeon have a thorough understanding of all the ACL graft options available to choose the graft that would be most suitable for the patient's personalized reconstruction (i.e., patient's anatomy, sport, level of competition, age, risk factors for failure, and graft used in previous ACL surgery). The purpose of this review is to provide an up-to-date understanding of the current ACL graft reconstruction options. The indications, advantages, and disadvantages of the different ACL reconstruction graft options available will be discussed.

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A Biomechanical Comparison of Allograft Tendons for Ligament Reconstruction

Abstract: The results of this study should encourage surgeons to use these soft tissue allografts interchangeably, which is important as the number of ligament reconstructions performed with allografts continues to rise.

Cited by 29 publications

References 22 publications

ACL graft compression: a method to allow reduced tunnel sizes in ACL reconstruction

ACL graft compression: a method to allow reduced tunnel sizes in ACL reconstruction

The role of vancomycin-soaking of the graft in anterior cruciate ligament reconstruction

Graft Selection in Contemporary Anterior Cruciate Ligament Reconstruction

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