What is the most appropriate/effective sterilization method of an anterior cruciate ligament (ACL) graft dropped on the operating room (OR) floor during ACL reconstruction (ACLR)? Should the tissue instead be disposed and alternate graft acquired?

Authors: Carl Haasper, Sommer Hammoud, Sage Vincent

RECOMMENDATION: Rinsing the contaminated graft in a 4% solution of chlorhexidine gluconate is the most effective decontamination method in the event that an ACL graft is dropped on the OR floor. When a chlorhexidine gluconate solution is used for decontamination of the dropped ACL graft, the subsequent rates of infection are very low, suggesting that there is no need to dispose of the ACL graft.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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