Editorial Commentary: Built to Last or Just a Trend? Hybrid Graft for Anterior Cruciate Ligament Reconstruction.

Abstract

The use of a hybrid autograft-allograft for primary anterior cruciate ligament reconstruction (ACLR) has gained significant attention in the orthopaedic sports medicine community in recent years. A hybrid graft is most often used to supplement a hamstring autograft with a small diameter, based on evidence that a graft size under a certain diameter (most often 8 mm) increases the risk for graft failure in younger patients. Multiple studies have been published comparing clinical outcomes of ACLR using a hybrid graft versus a hamstring autograft, with conflicting results. Although it is important to attempt to harvest a graft of sufficient size for this procedure, the indications for the use of a hybrid graft for primary ACLR are still unknown.