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Arthroscopic anterior cruciate ligament (ACL) reconstruction

Arthroscopic transtibial ACL reconstruction has been frequently employed (38 cases) in our clinic practice since 1994. Details of the operative technique, special surgical instruments, post-opetative management and rehabilitation are described. Of all available grafts, we prefer free autografts from the middle third of the contralateral patellar ligament, with bone blocks at both ends (bone-tendon-bone). Our experience confirms the advatages of intracanal fixation with interference screws over the methods. Long term follow-up was available in 33 of the 38 patients, of which 32 had good or excellent results and one with an unsatisfactory outcome. This method can be recommended for the patient with an ACL deficient knee.