Modern ACL Reconstruction: Why Graft Choice Matters | PT Pro Talk Podcast
The following video offers a detailed summary of graft options in ACL reconstruction surgery with an emphasis on the progression and advantages and disadvantages of each. The video starts by mentioning the significance of accurate surgical drilling procedures prior to discussing graft selection, beginning with the first bone-patella tendon-bone (BTB) graft utilized back in the early 1990s. Although popular at first, the BTB graft was eventually discarded because of continued pain when kneeling and an increased risk of patellar tendon problems and osteoarthritis. The use of hamstring tendon grafts became common because of their strength and decreased complication rate. Yet, in the early 2000s, many surgeons started using quadriceps tendon grafts because failure rates of hamstring grafts increased. The quadriceps tendon, which is taken from the middle third of the quadriceps, is increasingly being sought after worldwide as a sure option. The video provides a lucid explanation of how graft trends have evolved over the years according to long-term results and changing clinical evidence.