Limited evidence for graft selection in pediatric ACL reconstruction: a narrative review

Abstract 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 gra...

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Main Authors: Gianni De Petrillo, Thierry Pauyo, Corinna C. Franklin, Ross S. Chafetz, Marie‐Lyne Nault, Louis‐Nicolas Veilleux
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Experimental Orthopaedics
Subjects:
Online Access:https://doi.org/10.1186/s40634-022-00448-0
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author Gianni De Petrillo
Thierry Pauyo
Corinna C. Franklin
Ross S. Chafetz
Marie‐Lyne Nault
Louis‐Nicolas Veilleux
author_facet Gianni De Petrillo
Thierry Pauyo
Corinna C. Franklin
Ross S. Chafetz
Marie‐Lyne Nault
Louis‐Nicolas Veilleux
author_sort Gianni De Petrillo
collection DOAJ
description Abstract 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.
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institution OA Journals
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publishDate 2022-01-01
publisher Wiley
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series Journal of Experimental Orthopaedics
spelling doaj-art-7f5c6342eaf44b3c8a94cc0ff7077e0d2025-08-20T02:24:25ZengWileyJournal of Experimental Orthopaedics2197-11532022-01-0191n/an/a10.1186/s40634-022-00448-0Limited evidence for graft selection in pediatric ACL reconstruction: a narrative reviewGianni De Petrillo0Thierry Pauyo1Corinna C. Franklin2Ross S. Chafetz3Marie‐Lyne Nault4Louis‐Nicolas Veilleux5Shriners Children‐ Canada1003 Decarie BlvdH4A 0A9MontrealQCCanadaShriners Children‐ Canada1003 Decarie BlvdH4A 0A9MontrealQCCanadaShriners Children‐ PhiladelphiaPhiladelphiaUSAShriners Children‐ PhiladelphiaPhiladelphiaUSASte‐Justine University Health CenterMontrealCanadaShriners Children‐ Canada1003 Decarie BlvdH4A 0A9MontrealQCCanadaAbstract 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.https://doi.org/10.1186/s40634-022-00448-0ACL reconstructionIndividualizedPediatricTearGraft selectionRecovery
spellingShingle Gianni De Petrillo
Thierry Pauyo
Corinna C. Franklin
Ross S. Chafetz
Marie‐Lyne Nault
Louis‐Nicolas Veilleux
Limited evidence for graft selection in pediatric ACL reconstruction: a narrative review
Journal of Experimental Orthopaedics
ACL reconstruction
Individualized
Pediatric
Tear
Graft selection
Recovery
title Limited evidence for graft selection in pediatric ACL reconstruction: a narrative review
title_full Limited evidence for graft selection in pediatric ACL reconstruction: a narrative review
title_fullStr Limited evidence for graft selection in pediatric ACL reconstruction: a narrative review
title_full_unstemmed Limited evidence for graft selection in pediatric ACL reconstruction: a narrative review
title_short Limited evidence for graft selection in pediatric ACL reconstruction: a narrative review
title_sort limited evidence for graft selection in pediatric acl reconstruction a narrative review
topic ACL reconstruction
Individualized
Pediatric
Tear
Graft selection
Recovery
url https://doi.org/10.1186/s40634-022-00448-0
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AT corinnacfranklin limitedevidenceforgraftselectioninpediatricaclreconstructionanarrativereview
AT rossschafetz limitedevidenceforgraftselectioninpediatricaclreconstructionanarrativereview
AT marielynenault limitedevidenceforgraftselectioninpediatricaclreconstructionanarrativereview
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