Biological Versus Synthetic Grafts in ACL Reconstruction: A Comparative Analysis of Failure Rates, Knee Stability, and Functional Outcomes

BPTB and QT autografts remain the most reliable options for ACL reconstruction, offering excellent long-term outcomes. While synthetic grafts may be appropriate in select patients, they carry a higher risk of failure and complications. Graft selection should be individualized based on the patient activity level, anatomical considerations, and tolerance for donor-site morbidity.