Open AccessLimited evidence for graft selection in pediatric ACL reconstruction: a narrative review
Author(s) -
De Petrillo Gianni,
Pauyo Thierry,
Franklin Corinna C.,
Chafetz Ross S.,
Nault MarieLyne,
Veilleux LouisNicolas
Publication year - 2022
Publication title -
journal of experimental orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 18
ISSN - 2197-1153
DOI - 10.1186/s40634-022-00448-0
Subject(s) - anterior cruciate ligament , medicine , anterior cruciate ligament reconstruction , patella , narrative review , orthopedic surgery , return to sport , orthodontics , surgery , physical medicine and rehabilitation , physical therapy , rehabilitation , intensive care medicine
Anterior cruciate ligament reconstruction is the preferred treatment to anterior cruciate ligament injury. With the increase in anterior cruciate ligament injuries in both adults and skeletally immature patients comes the need for individualized anterior cruciate ligament reconstruction graft selection whether it is the type of graft (auto vs. allograft) or the harvesting site (hamstrings, iliotibial band, quadriceps, patella). Several factors need to be considered preoperatively in order to optimize the patients’ recovery and restore anterior cruciate ligament strength and function. These include age and bone maturity, preoperative knee flexor/extensor strength, sport participation, patient’s needs and anatomical characteristics. This paper aims at bringing evidence supporting the use of a personalized approach in graft selection for faster and more efficient return to sport and propose a theoretical framework to support the approach.