Dr. Johnson explains how a woman can choose between an allograft or an autograft for her anterior cruciate ligament (ACL) surgery.
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Allograft Vs. Autograft in ACL Surgery I think, you know, you can -- the surgeon you would go to see to have your ACL reconstructed, I would recommend you find a surgeon that is comfortable using all grafts, and you as the patient have an informed decision about what the graft options are and what is best for me. In general, in younger people, what do I mean by “younger?” So let’s take, let’s say 25. Let’s say the 25 down to 12. So that person, what we have found, generally is more active because they haven’t entered the job world yet, and they don’t have bills to pay, so they are going to do more ACL-dependent stuff. So what we have found in that patient, they probably do better using their own tissue, okay? When you get older, what we have found is that, and this has to do strictly with patient demand, what are you going to do to challenge your knee? An allograft is an option. So it’s a decision that I think the patient has to make, because there are a lot of patients that just say, “I am not comfortable with the cadaver tissue in my body. I do not want the risk of an infection or disease transmission.” That is very, very low, but it’s there; it’s real. So they need to have that discussion between patients and surgeon.

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