ANTERIOR CRUCIATE LIGAMENT: AL INSTABILITY; SURGICAL TECHNIQUES

The ACL is THE ligament that entertains many surgeons in the orthopaedic world. While this ligament is cut with confidence in 100% of total knee arthroplasty procedures, we are still struggling to reconstruct it in a perfect way. Indeed we have an unfortunately largenumber of failures - many of which are due to surgical mistakes. A critical and often overlooked part of performing an ACL reconstructionis to analyze all of the associated structures: What is the role and importance of the socalled anterolateral ligamentor the anterolateral complex? How much do surgical technique, graft choice, tunnel location, and fixation methods influence outcomes? Whatis the role of biology and the menisci in restoring stability? Finally, what impact do rehabilitation, proprioception, muscular control and strength, and neurologic control have on return to sport following ACL reconstruction?