Revue de Chirurgie Orthopédique

Revue de Chirurgie Orthopédique

ABSTRACT Sport stating high risk of anterior cruciate lesion (ACL) rupture. Instability is associated with proprioception deficits and altered kinematics of the knee. Goal of ACL reconstruction is to closely restore the anatomy of the ACL and the biomecanics of the knee. Most of lesions are caused by non-contact injuries. A detailed history and a precise physical examination is usually enough to diagnose a torn ACL but tools like KT1000 or new Porto-KTD are useful to quantify the laxity and choose the best treatment. The MRI remains the gold standard to confirm the diagnostic. The treatment modalities are based on patient whishes and biomecanics criteriae. If the surgery is chosen, the choice of the graft may be controversial but other factors as tunnel position, fixation methods and rehabilitation are also influencing the results. It is very important to embrace current evidence in the scope of diagnosis, static and dynamic assessment of the injured knee, treatment whether surgical or conservative, rehabilitation programs and, above all, prevention programs in order to better serve the athletes.