Anterior cruciate ligament reconstruction using patellar tendon graft: review of clinical trials
Keywords:Anterior Cruciate Ligament, Graft, Orthopedic Surgery, Patellar Tendon
Background: In many countries, the incidence of injuries that require anterior cruciate ligament (ACL) reconstruction has been steadily increasing. Once an ACL injury is diagnosed, the gold standard surgical procedure, the reconstruction, is most indicated. Therefore, the use of different grafts can result in different results and, therefore, the selection of these grafts by the surgeon is an important point to be discussed. Within this context, there are three main types of grafts for ACL reconstruction: autografts, allografts and synthetic grafts, with patellar tendon (PT) autografts being the most widely used. Aim: To evaluate clinical trials that discuss ACL reconstruction techniques using PT graft, characterizing their advantages and disadvantages. Method: The PubMed database was used for the papers selection, using the following Boolean algorithm: "anterior cruciate ligament"[title] and reconstruction[title] AND patellar[title]”. Results: This review had 8 articles published between 2017 and 2021 that adequately met the previously established search strategy. Evidence synthesis: Based on the clinical trials reviewed, it was possible to verify that ACL reconstruction using PT grafts, which includes the bone-patellar tendon-bone graft (BPTB), is currently the most indicated technique.
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