Anterior Cruciate Ligament ACL Reconstruction

What is the anterior cruciate ligament?

The anterior cruciate ligament is one of the major stabilizing ligaments in the knee. It is a strong rope like structure located in the centre of the knee running from the femur to the tibia. When this ligament tears unfortunately, it does not heal and often leads to the feeling of instability in the knee.

What is anterior cruciate ligament reconstruction (ACLR)?

ACL reconstruction is a commonly performed surgical procedure and with recent advances in arthroscopic surgery can now be performed with minimal incision and low complication rates.

I do not perform Hamstring Anterior Cruciate Ligament Reconstructions (HS ACLR) because 3 major national ACL registries with 10,000 or more cases recorded (2 European and 1 American) show the failure rate of HS ACLR to be up to 4x higher in young people and higher in women, than the Patella Tendon Anterior Cruciate Ligament (PT ACLR).

In addition, the American Kaiser Permanente ACL Registry reported infection rates to be 8x higher for HS ACLR than PT ACLR.

It is generally accepted that a PT ACLR is technically a considerably more difficult procedure to perform than a HS ACLR; so make sure your surgeon does a lot of them.