摘要：OVER THE LAST YEARS WE HAD A SHARP INCREASE IN ACL RECONSTRUCTIONS.WE AIMED TO ANALYZE IN RETROSPECT THE TRENDS REGARDING SURGICALTECHNIQUE AND ORIGINAL RESEARCH BASED ON OUR EXPERIENCE OF 800CASES.WE BEGUN BY USING THE TRANSTIBIAL TECHNIQUE AND BONE PATELLAR BONEAUTOGRAFTS. THIS WAS THE CURRENT STANDARD LESS THAN 10 YEARS AGO.BIOMECHANICAL STUDIES HAVE FOUND THAT THIS APPROACH DID NOTRESTORE THE ORIGINAL FUNCTION OF THE LIGAMENT. A DIFFERENT, ANATOMICAPPROACH BASED ON THE ORIGINAL INSERTION SITES AND THE TWO BUNDLESTRUCTURE WAS THEREFORE PROPOSED. THIS LED ALSO TO A CHANGE INAUTOGRAFT AND POPULARIZED THE SEMITENDINOSUS AND GRACILIS.INCONSISTENT RESULTS WITH THIS TECHNIQUE HAS ALLOWED FOR THEANATOMIC SINGLE BUNDLE – OUR CURRENT STANDARD PROCEDURE – TO SHOWITS BENEFITS. PROFESSIONAL ATHLETES POSE GREATER CHALLENGESREGARDING EARLY RETURN TO SPORTS AND INTENSE PHYSICAL ACTIVITIES. THEHIGH PREVALENCE OF ACL RECONSTRUCTIONS HAS LED TO AN INCREASE INSYMPTOMATIC KNEES AND REVISIONS, WHICH LED TO FURTHER CHALLENGESREGARDING REMAINING BONE STOCK AND GRAFT OPTIONS.
