Freeze-Dried Nonirradiated Experience: Fascia Lata Allograft ACL Reconstruction

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SummaryThe history of fascia lata allograft use in general and in anterior cruciate ligament (ACL) reconstruction is presented. A review of mechanical data reveals that a 10-cm wide freeze-dried fascia lata graft will supply 231% the strength of an intact ACL. We present a technique for using a rolled fascia lata graft endoscopically for ACL reconstruction. The technique draws strength from lateral fluoroscopic imaging during tunnel preparation and graft placement. Clinical results in 100 patients followed an average of 3.4 years show the grafts intact in 98 patients with no laxity on KT-1000 testing compared to the other knee in 74 patients, and 1–5 mm increased laxity in 24 patients. There were two ruptured grafts. Ninety-three percent of the patients stated that they were functioning at their desired level of activity. We conclude that the described technique of ACL reconstruction with freeze-dried fascia lata allograft consistently gives an excellent clinical result.

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