The current surgical technique of autogenous graft harvest, tunnel preparation will change very little. The changes will come in the evolution of graft fixation with bioabsorble materials.
The main concern is the morbidity of the graft harvest. There will have to be significant change in thinking about grafts.
The graft of the future will be a synthetic collagen scaffold selected off the shelf and injected with fibroblastic cells to produce collagen in vivo. The anchorage of this graft will be with bioabsorbable materials.
We will look back on the patellar tendon not as the gold standard, but as a barbaric procedure!
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