Anterior Cruciate Ligament Graft Choices: A Review of Current Concepts

Sujay K Dheerendra*, 1, Wasim S Khan 2, Rohit Singhal 3, Deepak G Shivarathre 4, Ravi Pydisetty 5, David Johnstone 6
1 Royal Liverpool and Broadgreen University Hospitals NHS Trust, Prescot Street, Liverpool, Merseyside, L7 8XP, UK
2 University College London Institute of Orthopaedics and Musculoskeletal Sciences, Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK
3 Warrington & Halton Hospitals NHS Foundation Trust, Lovely lane, Warrington, Cheshire, WA5 1QG, UK
4 Wirral University Teaching Hospital NHS Foundation Trust, Arrowe Park Road, Upton, Wirral, CH49 5PE, UK
5 St Helens & Knowsley Teaching Hospitals NHS Trust, Warrington Road, Prescot, Merseyside, L35 5DR, UK
6 Stoke Manderville Hospital, Aylesbury, Buckinghamshire, HP21 8AL, UK

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© Dheerendra et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the 36 Raleigh Close, Warrington, Cheshire, WA5 9QS, UK; Tel: 07834547680; E-mail:


The graft choice for anterior cruciate ligament (ACL) reconstruction continues to be controversial. There are several options available for the treating surgeon, including Bone Patellar Tendon Bone (BPTB) grafts, Hamstring tendon (HT) grafts, allografts and synthetic grafts. Within the last decade there have been several comparative trials and meta-analysis, which have failed to provide an answer with regards to the best graft available. The aim of this review is to understand the current concepts in graft choices for ACL reconstruction.

Keywords: Anterior cruciate ligament, autograft, allograft, bone patellar tendon bone graft, hamstring tendon graft, synthetic graft.