RUPTURE OF THE ANTERIOR CRUCIATE LIGAMENT: WHICH BEST EXERCISE FOR RECOSTRUCTION (Atena Editora)

Abstract

OBJECTIVE: To carry out a literature review on rupture of the Anterior Cruciate Ligament and the main types of graft for reconstruction. METHODS: Retrospective literature review study analyzing clinical data from 2015 to 2023. They were used for research on websites such as SCIELO, LILACS and GOOGLE ACADEMICO. RESULTS: Autografts are widely used for ACL because they prevent good long-term return to sports results without the risk of graft destruction. However, the morbidity caused by autograft harvest and long recovery may affect the prognosis. Allografts are another option for ACLR, which is technically easier and not associated with additional local physician morbidity. However, they are associated with special sterilization techniques, potential risk of infection, delayed healing, and higher rates of graft rupture. In the 1980s, synthetic ligaments were used in the ACL residency to treat ACL injuries. However, these ligaments are associated with high rates of failure and reactive synovitis. CONCLUSION: Discover major limitations in the current evidence base. All of the planned controlled studies we included only compared BPTB grafts with artificial ligaments, and only 1 to 3 studies were included for each type of artificial graft. It was difficult to thoroughly compare BPTB exercises with specific types of artificial ligaments. Most importantly, the average age of all patients included in the literature was less than 32 years, which made it impossible to evaluate the effectiveness of BPTB and artificial ligament exercises in the elderly. Furthermore, comparison of the efficacy of other autogenous tendons or allogeneic tendons with artificial ligaments was not possible in the included studies.