What is the Difference Between Allograft and Autograft?

🆚 Go to Comparative Table 🆚

The main difference between allograft and autograft lies in the source of the tissue used for the graft. Here are the key differences:

Allograft:

  • Tissue is taken from a donor, either a cadaver or another living person.
  • There is a chance of rejection and disease transmission.
  • Sterilization can reduce the risk of disease but may also reduce the biomechanical function of the tissue.
  • Incorporation into the recipient's body is slower, and the cost is higher than autograft.
  • There is no need for a second surgical site, which reduces potential complications and recovery time.
  • Higher availability and often results in shorter surgical time and hospital stay.

Autograft:

  • Tissue is taken from the recipient's own body.
  • No chance of rejection or disease transmission.
  • Faster incorporation into the body and lower cost than allograft.
  • Requires a second surgical site, which can lead to potential complications and a longer recovery time.
  • Lower availability compared to allograft.

Both allograft and autograft have benefits and risks, and doctors consider other factors when choosing between them. Some benefits and risks include:

  • Autograft: No chance of rejection, no chance of disease transmission, faster incorporation into the body, lower cost, lower availability, potential donor site complications.
  • Allograft: No chance of rejection, chance of disease transmission, slower incorporation, higher cost, higher availability, no potential donor site complications.

Surgeons prefer autografts as the gold standard due to their safety and faster healing, but they also have a higher risk of complications at the surgical site.

Comparative Table: Allograft vs Autograft

The main difference between allograft and autograft lies in the source of the tissue used for transplantation. Here is a comparison of the two:

Feature Allograft Autograft
Source Tissue is taken from a donor's body Tissue is taken from the patient's own body
Reliability Less reliable More reliable
Infection risk Higher chance of infection due to donor body Lower chance of infection
Rejection risk Higher chance of rejection Lower chance of rejection

In terms of clinical outcomes, there is insufficient evidence to identify which of the two types of grafts is significantly better for anterior cruciate ligament (ACL) reconstruction. However, some studies suggest that autografts incorporate more quickly than allografts at 6 and 12 weeks, but the difference decreases at 52 weeks and disappears at 72 weeks.