Current thinking of ACL reconstruction

The small details can matter in ACL reconstruction

• Surgeons need to better understand the anatomy, especially with regard to the pivot shift and instability




• It is important to assess in particular the anterolateral ligament (the rotational stabiliser of the knee)




• It has become evident that the ACL remnant is important because of its nerve supply, and surgeons are using a new augmentation device of FibreTape wrapped in a porcine scaffold to help preserve the remnant




• Technically the inside-out drilling through an accessory antero-medial portal allows correct identification of the footprint of the ACL, and preserves more bone for any future revision