Diagnosis and treatment of anterior cruciate ligament injuries: Consensus of Chinese experts part II: Graft selection and clinical outcome evaluation
The consensus clearly states that ACL reconstruction has no definitive "gold standard" graft choice. Autografts have advantages in healing capability but are limited in availability and have potential donor site morbidities; allografts reduce surgical trauma but incur additional costs, and there are concerns about slow healing, quality control issues, and a higher failure rate in young athletes; synthetic ligaments allow for early rehabilitation and fast return to sport, but the surgery is technically demanding and incurs additional costs. When choosing a graft, one should comprehensively consider the graft's characteristics, the doctor's technical ability, and the patient's needs. When evaluating clinical outcomes, it is essential to ensure an adequate sample size and follow-up rate, and the research should include patient subjective scoring, joint function and stability, complications, surgical failure, and the return to sport results. Medium and long-term follow-ups should not overlook the assessment of knee osteoarthritis.
Authors
- Hung Maan Lee
- Xuan‐Yi Huang (ORCID: https://orcid.org/0000-0002-5446-7453)
- Shiyi Chen (ORCID: https://orcid.org/0000-0002-3830-1189)
- Patrick Shu‐Hang Yung (ORCID: https://orcid.org/0000-0002-7214-5503)
- Xinghuo Zhang (ORCID: https://orcid.org/0000-0002-8210-7156)
- Kuanxin Li (ORCID: https://orcid.org/0000-0002-0605-8217)
- Guofeng Dai (ORCID: https://orcid.org/0009-0002-2222-9271)
- Zhiming Qi (ORCID: https://orcid.org/0000-0002-8233-165X)
- Wai Sin Chan (ORCID: https://orcid.org/0000-0002-0365-0266)
- Xueren Teng (ORCID: https://orcid.org/0009-0005-8914-248X)
- Youjia Xu (ORCID: https://orcid.org/0000-0002-9826-4324)
- Jiwu Chen (ORCID: https://orcid.org/0000-0003-2940-8985)
- Xunwu Huang (ORCID: https://orcid.org/0000-0002-8818-6756)
- Ruixin Lin
- Jingmin Huang (ORCID: https://orcid.org/0000-0001-7552-0615)
- Hongbin Lü (ORCID: https://orcid.org/0000-0001-7749-3593)
- Yifan Kang (ORCID: https://orcid.org/0000-0002-5856-6643)
- Qichun Zhao (ORCID: https://orcid.org/0000-0003-3594-1815)
- Kun Mi
- Gengyan Xing (ORCID: https://orcid.org/0009-0006-9494-4601)
- Meng‐Yu Wu (ORCID: https://orcid.org/0000-0002-8773-1847)
- Jingbin Zhou (ORCID: https://orcid.org/0009-0005-4781-1876)
- Zhizeng Gao (ORCID: https://orcid.org/0000-0002-8176-0727)
- Jia‐Kuo Yu (ORCID: https://orcid.org/0000-0001-6260-7017)
- Hui Zhang (ORCID: https://orcid.org/0000-0003-0574-5952)
- Yufei Zhang (ORCID: https://orcid.org/0000-0002-0586-4073)
- Yadong Zhang (ORCID: https://orcid.org/0000-0003-0918-5673)
- Xuesong Wang (ORCID: https://orcid.org/0000-0003-3259-1880)
- Hong Wang (ORCID: https://orcid.org/0000-0002-0279-3767)
- Yanlin Li (ORCID: https://orcid.org/0009-0009-8858-5747)
- Jian H. Li (ORCID: https://orcid.org/0000-0003-0376-0702)
- Chen Chen (ORCID: https://orcid.org/0000-0001-7587-3314)
- Kai Wang (ORCID: https://orcid.org/0000-0003-3834-5189)
- Fei Wang (ORCID: https://orcid.org/0000-0002-7066-4297)
- Wentao Zhang (ORCID: https://orcid.org/0000-0001-9178-6501)
- Xinwei Liu (ORCID: https://orcid.org/0000-0003-4413-8020)
- Chunli Zhang (ORCID: https://orcid.org/0000-0003-4578-9626)
- Hongyun Li (ORCID: https://orcid.org/0000-0001-5091-9064)
- Yunxia Li (ORCID: https://orcid.org/0000-0002-2086-3415)
- Jianquan Wang (ORCID: https://orcid.org/0000-0003-0504-7169)
- Wei Lü (ORCID: https://orcid.org/0000-0001-6668-8432)
- Lunhao Bai (ORCID: https://orcid.org/0009-0001-7284-2392)
- Weidong Xu (ORCID: https://orcid.org/0000-0002-1643-0449)
- Lei Zhang (ORCID: https://orcid.org/0000-0001-7769-7377)
- Ning Hu (ORCID: https://orcid.org/0000-0001-7178-3952)
- Liwu Zhou
- Hongbo You
- Weiguo Zhang (ORCID: https://orcid.org/0000-0002-7496-8925)
- Yongsheng Xu
- Kun Yin
- Xizhuang Bai (ORCID: https://orcid.org/0000-0002-5124-4801)
- Xintao Zhang (ORCID: https://orcid.org/0000-0003-3386-2996)
- Tianwu Chen (ORCID: https://orcid.org/0000-0002-1783-9043)
- Liaobin Chen
- Jiapeng Zheng
- Huayang Huang
- Xiaogang Ma (ORCID: https://orcid.org/0000-0002-9811-4553)
- Yayi Xia (ORCID: https://orcid.org/0000-0002-5372-7954)
- Qi Li
- Jun Tao
- Weiming Wang
- Yong Hu
- Ning Liu (ORCID: https://orcid.org/0000-0001-8399-8985)
- Yang Guo (ORCID: https://orcid.org/0009-0005-6622-8483)
- Keyuan Zhang
- Jin Li (ORCID: https://orcid.org/0000-0001-8422-1115)
- Luning Sun (ORCID: https://orcid.org/0009-0004-7147-792X)
Institutions
- Qingdao University (CN)
- Hebei Medical University (CN)
- Tongji University (CN)
- University of Science and Technology of China (CN)
- Nanjing University of Chinese Medicine (CN)
- Central South University (CN)
- Nanchang University (CN)
- Xinjiang Medical University (CN)
- Sun Yat-sen University (CN)
- Tianjin University (CN)
- Shanxi Medical University (CN)
- Chinese University of Hong Kong (HK)
- Second Military Medical University (CN)
- Shanghai Jiao Tong University (CN)
- Capital Medical University (CN)
- Dalian Medical University (CN)
- Anhui Medical University (CN)
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- Peking University (CN)
- Sichuan University (CN)
- Fudan University (CN)
- Kunming Medical University (CN)
- Nanjing General Hospital of Nanjing Military Command (CN)
- Food and Health Bureau (CN)
- Renji Hospital (CN)
- Netaji Subhas National Institute of Sports (IN)
- First Affiliated Hospital of Xinjiang Medical University (CN)
- Chinese PLA General Hospital (CN)
- Beijing Jishuitan Hospital (CN)
- Wuhan University (CN)
- Soochow University (CN)
- First Affiliated Hospital of Xiamen University (CN)
- The Fourth People's Hospital (CN)
- Third Hospital of Hebei Medical University (CN)
- West China Hospital of Sichuan University (CN)
- General Hospital of Guangzhou Military Command (CN)
- Zhangzhou Municipal Hospital of Fujian Province (CN)
- Liaoning Provincial People's Hospital (CN)
- Dalian Municipal Central Hospital (CN)
- Second Affiliated Hospital of Nanchang University (CN)
- Zhengzhou City Hospital (CN)
- Ningbo Medical Center Lihuili Hospital (CN)
- Beijing Luhe Hospital Affiliated to Capital Medical University (CN)
- Prince of Wales Hospital (CN)
- Marion General Hospital (US)
- The People's Hospital of Guangxi Zhuang Autonomous Region (CN)
- Changhai Hospital (CN)
- Dalian Dermatosis Hospital (CN)
- Qingdao Municipal Hospital (CN)
- First Affiliated Hospital of Kunming Medical University (CN)
- Zhongnan Hospital of Wuhan University (CN)
- Hualien Tzu Chi Medical Center (TW)
- Lanzhou University Second Hospital (CN)
- Inner Mongolia People's Hospital (CN)
- Second Affiliated Hospital of Soochow University (CN)
- Wangjing Hospital of China Academy of Chinese Medical Sciences (CN)
- Peking University Shenzhen Hospital (CN)
- Wuhan Union Hospital (CN)
- The Affiliated Yongchuan Hospital of Chongqing Medical University (CN)
- General Hospital of Shenyang Military Region (CN)
- Heilongjiang Provincial Hospital (CN)
- Dalian Maternal and Child Health Hospital (CN)
- China Institute of Sport Science (CN)
- Second Hospital of Shanxi Medical University (CN)
- Tibet Autonomous Region People's Hospital (CN)
- Sichuan Provincial Hospital of Traditional Chinese Medicine (CN)
- Shanghai First People's Hospital (CN)
- First Affiliated Hospital of Anhui Medical University (CN)
- First Affiliated Hospital of Dalian Medical University (CN)
- Peking University Third Hospital (CN)
- Tianjin Hospital (CN)
- Shanghai Sixth People's Hospital (CN)
- Affiliated Zhongshan Hospital of Dalian University (CN)
- Riverside Hospital of Guangxi Zhuang Autonomous Region (CN)
- First Affiliated Hospital of Bengbu Medical College (CN)
- Qinghai Provincial Peoples Hospital (CN)
- Beijing Tsinghua Chang Gung Hospital (CN)
- Huashan Hospital (CN)
- Xiangya Hospital Central South University (CN)
- Tongji Hospital (CN)
- Qilu Hospital of Shandong University (CN)
- First Affiliated Hospital of Nanchang University (CN)
- Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine (CN)
- Seventh People's Hospital of Dalian (CN)
- Eighth Affiliated Hospital of Sun Yat-sen University
- Huazhong University of Science and Technology (CN)
- Lanzhou University (CN)
- Chongqing Medical University (CN)
- China Medical University (CN)
- Tsinghua University (CN)
Publication Details
- Journal
- Journal of Orthopaedic Translation
- Published
- 2024-08-23
- DOI
- https://doi.org/10.1016/j.jot.2024.07.002
- Citations
- 10
- Primary Topic
- Knee injuries and reconstruction techniques
- Type
- article
- Field-Weighted Citation Impact
- 5.73
Funders
- National Natural Science Foundation of China
- National Key Research and Development Program of China