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Which type of transplant to choose?
Most often is about an autologous transplant. The graft is taken from you. This transplant is usually taken from the same knee. The most common types of grafts are:
Removal of part of your kneecap tendon (ligament),
about 10 mm wide and is always attached to a piece of bone from the paella and tibia. This composite graft is very strong and allows good fixation and early mobilisation. The main inconvenience is the possible occurrence of anterior knee pain and difficulty in kneeling.
Remove hamstring tendons,
which are located in the medial (inside) part of the knee. They are long and thin, but when folded together they form a strong graft. Fixing the tendons without a piece of bone is a complicated procedure and you need to be careful in the first few months.
Removing part of the quadricipital tendon
(above the kneecap), involves only a piece of bone on the kneecap. This option is interesting because the graft has good mechanical properties. It allows bone-to-bone fixation at one end and kneeling is not restricted.
These three grafts are reliable and very often give good results. Rarely, it is indicated to remove the graft from the contralateral knee. If necessary, this option will be discussed in detail with you. The type of graft depends on the surgeon’s decision, but also on your sporting or aesthetic expectations or requirements.
It is important that you trust your surgeon to consider all these issues before operating on you. If you wish, your surgeon can discuss this choice with you.