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ACL Reconstruction Techniques Continue to Evolve, but Hurdles Lie Ahead

By: Matthew Driscoll, MD

Anterior cruciate ligament (ACL) reconstruction remains one of the most common procedures in orthopaedic surgery, with an estimated 100,000 performed annually in the United States alone. Over the past 40 to 50 years, treatment of ACL injuries has evolved, from nonanatomic extra-articular procedures with large incisions to entirely arthroscopic anatomic reconstructions; from postoperative casting and delayed weight bearing to immediate range of motion and early rehabilitation; and from minimal published literature to an abundance, with more than 1,200 articles published on the topic annually in recent years.

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