Abstract

BACKGROUND: The anterior cruciate ligament (ACL) is the most commonly injured ligament in the knee. However, there is an ongoing debate of when and how to fix an ACL rupture. METHODS: This article reviews common treatment methods of ACL ruptures. RESULTS: Reinsertion of the ACL does not appear to result in proper ligament healing. There are two methods to reconstruct the ACL: patellar tendon grafts (BTB) and semitendinosus-gracilis grafts (STG). CONCLUSIONS: Ruptures of the ACL should be treated in active people as they require a stable knee. STG grafts seem to have an advantage compared with BTB grafts as far as postoperative pain and complications are concerned. However, competitive athletes will require a BTB, as this graft allows an earlier comeback compared with the STG graft.

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