Current trends in anterior cruciate ligament reconstruction Part II. Operative procedures and clinical correlations

Surgical management of the anterior cruciate ligament-deficient knee has ev olved from primary repair to extracapsular augmentation to anterior cruciat e ligament reconstruction using biologic tissue grafts. The technique of an terior cruciate ligament reconstruction has improved over the last few deca des with the aid of knowledge gained from basic science and clinical resear ch. The biology and biomechanics of anterior cruciate ligament reconstructi on were analyzed in the previously published first part of this article. In this second part, current operative concepts of anterior cruciate ligament reconstruction as well as clinical correlations are discussed. The latest information regarding anterior cruciate ligament reconstruction is presente d with a goal of demonstrating the correlation between the application of b asic science knowledge and the improvement of clinical outcomes.