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Review of Shino et al (1984) on anterior cruciate ligament reconstruction using allograft in the dog

This article discusses the original1984 publication of ‘Replacement of the anterior cruciate ligament using an allogeneic tendon graft. An experimental study in the dog’. The original classic study discovered the revascularisation and remodelling of an allograft for anterior cruciate ligament reconstruction (ACLR) using microangiographic, histological and biomechanical methods. The original classic study suggested that a transplanted allogeneic tendon can substitute for an autograft in ACLR. The original classic study suggested this new option to the orthopaedic medical community. Currently, an allograft is one of the main alternatives used for ACLR. This article begins with a detailed summary of the original classic study. Second, this article reviews the historical perspectives, the scientific and societal effect and the effect of the original classic study on present practices. Finally, the ultimate goal of this article is to validate the use of allogeneic tendon grafts in ACLR with the current evidence of clinical studies and animal experiments and to elucidate any remaining questions regarding allogeneic tendon grafts, which could then be resolved through studies in the near future.