After transplantation, tendon grafts undergo biologic transmutation before they form a strong fibrous tissue paper (Fu, Bennett, Lattermann and Ma, 1999, 821). The tendon initially undergoes inflammation and necrosis, then revascularization and repopulation with fibroblasts. There is moderate remodeling of the graft and modification of the collagen structure. A synovial layer grows approximately the graft, forming a sheath and providing a blood supply to the transplanted tissue. A well-vascularized synovial layer is essential to the success of ACL reconstruction.
No atomic number 53 choice of graft is right for everyone, and the choice should be desirable to the individual patient because both central third bring up patella tendon bone grafts and dun tendons have particularised advantages and disadvantages (Anterior). Hamstring grafts should be avoided in patients with recent medial stead injuries or with chronic medial instability, and in very weighed down patients who need accelerated rehabilitation, or in athletes who require hamstring dominance (running backwards a great deal).
A parity of patellar and four-strand hamstring autographs in ACL repair showed that the patellar tendon group had a greater frequency of pain on kneeling, extension deficits were greater, and there were greater quadriceps
Fu, F. H., Bennett, C. H., Lattermann, C., & Ma, B. (1999). Current trends in anterior cruciate ligament The reconstruction. The American Journal of Sports Medicine,
http://www.aaos.org/wordhtml/anmt2003/poster/p363.htm
Pearsall, A.W. (2000). Surgical reconstruction of the anterior cruciate ligament: The central quadriceps tendon as an utility(a) graft source. The Sports Journal, 3(2).
Hiemstra, L. A., Kriellaars, D. J., & Gofton, W. (2003). Hip
http://www.thesportsjournal.org/2000Journal/Vol3-No2
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