Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 2 Key questions, selected studies and recommendations on use of allograft in arthroscopic anterior cruciate ligament reconstruction
From: Graft selection in arthroscopic anterior cruciate ligament reconstruction
Key questions | Studies | Recommendations |
|---|---|---|
Is use of allograft effective in patients with anterior cruciate ligament injury (with or without meniscal lesions and/or grade I/II focal chondral lesions) and a shared indication to arthroscopic reconstruction? | 407 identified, 3 selected, 2 rated, 2 included | Clinical practice Use of autograft is recommended in anterior cruciate ligament reconstruction. Use of allograft shows, in fact, higher failure rate and slightly increased risk of infective complications |
Is use of allograft safe in patients with anterior cruciate ligament injury (with or without meniscal lesions and/or grade I/II focal chondral lesions) and a shared indication to arthroscopic reconstruction? | 48 identified, 3 selected, 2 rated, 2 included | Research Randomized studies are recommended, comparing the best techniques concerning the two types of graft (autograft and allograft) and providing information on the contextual (organizational, structural, cultural) determinants of effectiveness for each intervention |