However, autograft selection is still an ongoing topic of debate in the sport medicine literature and among orthopaedic sports medicine surgeons. 12, 21 While methods describing the repair of a ruptured ACL are emerging along with different options for graft choices, 18 surgical reconstruction of the ACL using autografts in young athletes remains the standard of care. An ACL tear is a devastating, season-ending injury, with only 51% of athletes returning to sport without restrictions at 6 months postoperatively. The exact number of ACL reconstruction procedures performed in the United States is unknown however, Herzog et al, 22 using the MarketScan database with approximately 158 million privately insured patients, reported that 283,810 ACL reconstruction procedures were performed between 20. Anterior cruciate ligament (ACL) tears or ruptures are one of the most common knee injuries seen in an athletic population.
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