ACL Reconstruction
A 22-year-old professional soccer player presents 4 weeks after ACL rupture confirmed on MRI. He has regained full ROM and swelling has resolved. The surgeon discusses graft options including bone-patellar tendon-bone (BTB), hamstring (quadrupled gracilis/semitendinosus), quadriceps tendon, and allograft. The patient wants to understand the differences in re-rupture rates, donor site morbidity, and return to sport considerations. Regarding ACL graft selection and reconstruction principles:
Mark each as TRUE or FALSE
BONE-PATELLAR TENDON-BONE (BTB) autograft is considered the GOLD STANDARD for young athletes in pivo...
HAMSTRING autograft (gracilis and semitendinosus, quadrupled) offers LESS ANTERIOR KNEE PAIN and kne...
ALLOGRAFT is recommended for all young athletes as it provides the LOWEST failure rates; BTB autogra...
ALLOGRAFT has a failure rate 4x HIGHER than autograft in patients UNDER 25 years old and those retur...
ANATOMIC FEMORAL TUNNEL placement at the center of the native ACL footprint is critical for restorin...
Answer the questions to see explanations
Click T (True) or F (False) for each option