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The Journal of Bone and Joint Surgery 79:1556-76 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Current Concepts Review

Current Concepts Review - The Science of Reconstruction of the Anterior Cruciate Ligament*

CYRIL B. FRANK, M.D., F.R.C.S.(C){dagger}, CALGARY, ALBERTA, CANADA and DOUGLAS W. JACKSON, M.D.{ddagger}, LONG BEACH, CALIFORNIA

*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
Very few subjects in contemporary orthopaedic surgery have evoked as much controversy, thought, and opinion as that of when and how to optimally reconstruct the anterior cruciate ligament of the knee. Fueled by an annual incidence of acute rupture of the anterior cruciate ligament that has been estimated to be one in 3000 in the American population—approximately 95,000 new injuries each year196—and combined with the fact that more than 50,000 knees that have such an injury are reconstructed annually in the United States alone149, it is not surprising that there has been a virtual explosion of literature on this topic. During the last twenty years, more than 2000 scientific articles on the anterior cruciate ligament have been published, including numerous excellent reviews47,149,151,255,282,294 and textbooks72,89,145. It is a challenging task to attempt to synthesize these sources and to try to resolve the conflicts that are inherent in such . . . [Full Text of this Article]


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