title: ACL Reconstruction: Choosing the Graft.
abstract: Rupture of the anterior cruciate ligament is one of the most common ligament injuries in sports traumatology. The need for surgical anterior cruciate ligament reconstruction is justified by its anatomical characteristics. Key considerations when choosing a graft include the potential for bone integration and the risk of failure. Bone sclerosis around the tunnel affects the integration of the graft. For this reason, one aspect upon which orthopedic surgeons should focus is the biology of the bone-graft interface. Although the BPTB graft is still used, hamstrings and synthetic grafts have become increasingly widespread and popular over the years. An allograft certainly requires more long-term follow-up to validate its use in response to functional, clinical and biological requirements.
authors.affiliation: Nicola's Foundation Onlus, Arezzo, Italy ; Let People Move Research Institute, Perugia-Arezzo, Italy ; International Orthopedics and Traumatology Institute, Arezzo, Italy ; Orthopedic and Traumatology Residency Program, University of Perugia, Perugia, Italy.
authors.forename: Giuliano
authors.initials: G
authors.lastname: Cerulli
authors.affiliation: Orthopedic and Traumatology Residency Program, University of Perugia, Perugia, Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: Placella
authors.affiliation: Orthopedic and Traumatology Residency Program, University of Perugia, Perugia, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Sebastiani
authors.affiliation: Orthopedic and Traumatology Residency Program, University of Perugia, Perugia, Italy.
authors.forename: Matteo Maria
authors.initials: MM
authors.lastname: Tei
authors.affiliation: Orthopedic and Traumatology Residency Program, University of Perugia, Perugia, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Speziali
authors.affiliation: Orthopedic and Traumatology Residency Program, University of Perugia, Perugia, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Manfreda
keywords: allograft; anterior cruciate ligament; graft; hamstrings; patellar tendon; synthetic