RESEARCH ARTICLE
The Evolution of Anatomic Anterior Cruciate Ligament Reconstruction
Alan Getgood*, Tim Spalding
Article Information
Identifiers and Pagination:
Year: 2012Volume: 6
Issue: Suppl 2
First Page: 287
Last Page: 294
Publisher ID: TOORTHJ-6-287
DOI: 10.2174/1874325001206010287
Article History:
Received Date: 14/2/2012Revision Received Date: 2/3/2012
Acceptance Date: 10/3/2012
Electronic publication date: 27/7/2012
Collection year: 2012

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Abstract
Anterior cruciate ligament reconstruction has evolved significantly since the early 1900’s, back when an emphasis was placed on repair and not reconstruction. Over the past century, the technique has evolved from intra-articular non anatomic reconstruction, to extra articular reconstruction, back to intra articular (performed arthroscopically), to now, the advent of anatomic insertion site restoration. This review will aim to illustrate the changes that have occurred, describing the rational for this process, based upon anatomical, radiological, biomechanical and clinical studies, all of which have aimed to improve patient function following ACL injury.