Anterior cruciate ligament : AL instability, surgical techniques, future and biology, return to sport

Anterior cruciate ligament

17^èmes Journées Lyonnaises de Chirurgie du Genou

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 large number of failures - many of which are due to surgical mistakes. A critical and often overlooked part of performing an ACL reconstruction is to analyze all of the associated structures :

What is the role and importance of the so-called anterolateral ligament or the anterolateral complex ? How much do surgical technique, graft choice, tunnel location, and fixation methods influence outcomes ? What Is 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 ?

We will develop and try to understand all of these aspects of ACL reconstruction.