Abstract:

BACKGROUND: Selection of anterior cruciate ligament graft is influenced by many factors and disputation exists. 
OBJECTIVE: To review the selection of anterior cruciate ligament graft and research progress in recent years.
METHODS: A computer-based retrieval was performed by the first author in PubMed and Weipu databases to search papers addressing single-bundle technique versus double-bundle technique for anterior cruciate ligament reconstruction, graft selection, correlation between anterior cruciate ligament injury and osteoarthritis, and the correlation between anterior cruciate ligament reconstruction and proprioceptive sensibility recovery.
RESULTS AND CONCLUSION: In the reconstruction of anterior cruciate ligament, there was no significant difference in clinical effects between single-bundle and double-bundle techniques. More disputations regarding graft selection exist. Bone-patellar tendon-bone and four-strand hamstring tendon autograft are presently preferred for anterior cruciate ligament reconstruction. Quadriceps femoris tendon with or without bone, various allografts and artificial tendons are also gradually been used in the clinic. Meniscus injury, but not anterior cruciate ligament injury, is the most important risk factors for early osteoarthritis. For patients who undergo anterior cruciate ligament construction, proprioceptive sensibility recovery should be paid more attention during the process of therapy.