Scope Essentials 2024-ACL Graft Selection - Is there a Gold Standard

ACL Graft Selection - Is there a Gold Standard_

Video Transcription

Video Summary

Nate Endres from the University of Vermont discusses ACL graft selection, questioning if a gold standard exists. He explains that "gold standard" means a benchmark and that outcome measures vary, including stability, return to sport, patient-reported outcomes, and morbidity. He reviews common grafts: bone-patellar tendon-bone (BTB) autograft offers strong bone-to-bone healing but risks anterior knee pain; hamstring autograft has favorable biomechanics but variable size and slower tendon-to-bone healing; quadriceps tendon autograft is versatile with less knee pain; allografts avoid donor site issues but have higher failure rates in young patients. He concludes no single ideal graft exists; choices depend on patient goals.

Asset Caption

Nathan Endres, M.D.

Keywords

ACL graft selection

bone-patellar tendon-bone autograft

hamstring autograft

quadriceps tendon autograft

allograft risks