Information for Patients

Due to variations in graft type, fixation methods, and rehabilitation protocols in the ACL reconstruction literature, it is a challenge for the orthopaedic surgeon to compare the large number of available studies and draw conclusions about graft choice. The biggest debate in the literature is between the use of bone-patellar tendon-bone (BPTB) versus hamstring autografts. Some studies have shown more motion loss, more anterior knee pain, and more pain or difficulty with kneeling with BPTB graft, whereas hamstring graft has been associated with decreased knee flexion strength. The most consistent finding in the evidence-based research, however, has been the similarity in the outcomes between the two types of graft. This article is designed to aid the orthopaedic surgeon in making an informed decision when planning ACL surgery by reviewing the best and most current literature available on outcomes of ACL reconstruction.