J Korean Orthop Assoc.  2020 Aug;55(4):294-304. 10.4055/jkoa.2020.55.4.294.

Graft Selection and Fixation in Anterior Cruciate Ligament Reconstruction

  • 1Department of Orthopedic Surgery, Keimyung University School of Medicine, Daegu, Korea


Anterior cruciate ligament (ACL) reconstruction is a successful procedure independently by patient selection, timing of surgery, surgicaltechnique, choice of graft, and fixation methods. Among these factors, graft selection and fixation methods might be the most criticalyet controversial questions for surgeons. Although recent studies showed that grafts have advantages and drawbacks, there is still noideal graft. Similarly, many fixation methods of femoral and tibial tunnels have been proposed over the last few decades, with no clearsuperiority of one technique over another. Surgeons should be familiar with a variety of grafts, fixation techniques, and their specificassociated surgical procedures as well as the advantages and disadvantages of each. Therefore, this article summarizes the currentliterature and discusses the current state of graft selection and fixation methods in the treatment of an ACL injury.


anterior cruciate ligament; reconstruction; autografts; allografts; fixation
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