Anatomic anterior cruciate ligament reconstruction: a changing paradigm

Knee Surg Sports Traumatol Arthrosc. 2015 Mar;23(3):640-8. doi: 10.1007/s00167-014-3209-9. Epub 2014 Aug 3.


Injury to the anterior cruciate ligament (ACL) of the knee is potentially devastating for the patient and can result in both acute and long-term clinical problems. Consequently, the ACL has always been and continues to be of great interest to orthopaedic scientists and clinicians worldwide. Major advancements in ACL surgery have been made in the past few years. ACL reconstruction has shifted from an open to arthroscopic procedure, in which a two- and later one-incision technique was applied. Studies have found that traditional, transtibial arthroscopic single-bundle reconstruction does not fully restore rotational stability of the knee joint, and as such, a more anatomic approach to ACL reconstruction has emerged. The goal of anatomic ACL reconstruction is to replicate the knee's normal anatomy and restore its normal kinematics, all while protecting long-term knee health. This manuscript describes the research that has changed the paradigm of ACL reconstruction from traditional techniques to present day anatomic and individualized concepts.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anterior Cruciate Ligament / physiology
  • Anterior Cruciate Ligament / surgery
  • Anterior Cruciate Ligament Injuries*
  • Anterior Cruciate Ligament Reconstruction / methods*
  • Anterior Cruciate Ligament Reconstruction / rehabilitation
  • Arthroscopy / methods*
  • Arthroscopy / rehabilitation
  • Biomechanical Phenomena
  • Humans
  • Knee Injuries / surgery*
  • Knee Joint / anatomy & histology
  • Knee Joint / physiology
  • Knee Joint / surgery
  • Treatment Outcome