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greater the likelihood of a weaker and more unstable graft tendon. 17 The relationship of graft size with ACL reconstruction failures: early evidence In 2012, Magnussen et al 18 published the first clinical study connecting graft size and
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Medicine 279 7 2012 Magnussen R A Graft Size and Patient Age Are Predictors of Early Revision After Anterior Cruciate Ligament Reconstruction With Hamstring Autograft Arthroscopy: The Journal of Arthroscopic & Related Surgery 266 8
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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-term anterior knee pain compared to BPTB grafts. The maximum load to failure in HT autografts is 4500 Newtons (N) compared to 2600 N in BPTB grafts. The main limitations of HT autografts are residual hamstring weakness, unpredictable graft size and saphenous
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placement of the graft, the blood supply of the graft might diminish or become disrupted completely. Preoperative planning of the graft size and intraoperative adaptation of graft size to the defect area are required to restore scaphoid height and correct
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of follow-up after ACL-R. Besides graft type, graft size is a predictive factor in primary ACL-R. A diameter of at least 8 mm is considered a ‘critical graft size’ to minimize the risk of graft failures and revision procedures ( 52 , 53 ). This
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desirable direction. Bone graft is shaped according to the gap at the osteotomy site, and a larger graft is placed anteriorly than posteriorly to get more anterior coverage ( Figs 3 and 5 ). Theoretically, it is possible to change the graft size and
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reported disadvantage is related to graft size, which may represent a major limitation in challenging cases with severe tunnel enlargement. Furthermore, soft tissue-to-bone healing requires a slower process of fibrovascular scar tissue maturation at the
Shoulder Unit, Department of Orthopaedics, Centro Hospitalar Universitário de Santo António, Hospital de Santo António, Porto, Portugal
Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto (ICBAS-UP), Porto, Portugal
Department of Orthopaedics, Hospital Lusíadas, Porto, Portugal
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al. proposed an arthroscopic technique for SCR using an FL autograft for irreparable symptomatic RCTs ( 11 , 12 ). This technique is advantageous with a greater fixation force, graft size, and thickness and enhanced tissue healing due to its unique
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graft resorption, disease transmission, improper graft size, and allograft fracture ( 61 , 62 ). However, the cone tends to work as augmentation and plays a minimal role in the initial stabilization of the core implant, while the sleeve has the dual
