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OrthoVellum

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Sports Medicine
intermediate
X-Type

ACL Reconstruction Graft Selection

Knee Ligament Surgery

A 22-year-old female soccer player presents with an ACL rupture confirmed on MRI. She has a positive Lachman test and pivot shift. She is highly motivated to return to elite-level sports and wants to discuss graft options. She has hypermobile joints (Beighton score 7/9) and plays in a high-demand pivoting sport. Regarding ACL reconstruction graft selection:

Mark each as TRUE or FALSE

A

Graft options include bone-patellar tendon-bone (BTB), hamstring (semitendinosus ± gracilis), quadri...

B

BTB autograft is often preferred in high-demand athletes due to rapid bone-to-bone healing, lower re...

C

Allografts have the lowest re-rupture rates in young athletes; hamstring grafts cause more anterior ...

D

Patient factors affecting graft choice include age (younger patients have higher re-rupture risk wit...

E

Hamstring autograft advantages include less anterior knee pain and donor site morbidity, no risk of ...

Answer the questions to see explanations

Click T (True) or F (False) for each option