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Online ISSN 1827-1707
Wang T. , Abrams G. D.
Section of Sports Medicine, Department of Orthopedic Surgery, Stanford University School of Medicine, Stanford, CA, USA
The understanding and treatment of anterior cruciate ligament (ACL) ruptures has advanced significantly in the modern era. Risk factors for injury, including female gender, anatomic variations, and landing mechanics, are now better understood. Evaluation of anatomy and the biomechanical function of the ACL have defined contemporary reconstruction techniques. Randomized studies with clinical outcome measures evaluating graft type, fixation methods, and tunnel position are now available to guide surgeons in their operative technique and decision making. A new frontier in anatomic ACL reconstruction is grounded in clinical evidence that offers patients restored kinematics, increased knee stability and more predictable return to sport.