Graft selection in knee surgery. Current concepts.

Recent advances in the understanding of knee mechanics and pathomechanics, in addition to newer techniques and instrumentation, have resulted in broadened indications for knee ligament surgery. Further, revision knee ligament or tendon surgery and delayed primary reconstruction are becoming more common as well. With the poor results of primary suture repair of the cruciate ligaments and the lateral collateral ligament, other graft sources often must be used. As a result, one must be familiar with the advantages and disadvantages of the different graft options available to the knee surgeon. This article discusses the current concepts regarding the advantages and disadvantages of the different graft options available to the knee surgeon.