Rekonstruktion des vorderen Kreuzbandes

Rupture of the anterior cruciate ligament (ACL) is a common acute injury representing a pre-arthrotic deformity whether treated surgically or not. Surgical treatment in actively sportive patients with instability should be prompt. The most frequently used transplantations include hamstring tendons and the middle third patellar tendon. Both transplantats achieve good results, although the hamstring tendons produce less donor site morbidity. The standard surgical technique is the 1-bundle reconstruction with anatomic positioning of the bone tunnel. The femoral tunnel should be placed over the anteromedial portal, to enable a lateral position. Fixation should be close to the joint without damaging the transplant. Hybrid fixation with the hamstring transplant seems to achieve the best primary stability.