Graft Healing in ACL Reconstruction: Can We Enhance It in Clinical Practice?

The ACL-Deficient Knee: A Problem Solving Approach, focuses on problem analysis and problem solving, as well as analyzing the possibility of prevention. In each chapter, the biomechanics, anatomy, etc. that are relevant to the topic are reviewed. There are chapters where highly specialized surgical techniques are presented (v. gr. double bundle reconstruction or meniscal transplant), as well as developing areas such as ACL tears in children, where we are finding a growing number of injuries due to the increase of sports at early ages

Surgical reconstruction of the anterior cruciate ligament (ACL) using tendon grafts is the current standard to treat the functionally ACL-deficient knee. The success of ACL reconstruction depends on a correct remodeling, reinnervation, and maturation of the graft used to replace the ACL. Remodeling and maturation of the graft affect directly the mechanical properties of the graft. Moreover, restoration of proprioception is equally as important as restoring mechanical stability of the knee. Restoration of proprioception is the result of reinnervation of the ACL graft.