All these years you have been participating in activities with an intact anterior cruciate ligament having great performance and function.
If an injury has occurred injuring, stretching, or tearing your ACL, it must be replaced.
This is a major operative procedure but it works!!!
You start by performing an arthroscopy of your knee to evaluate and at the same time repair and improve any injuries to the intra-articular structures especially the articular cartilage and meniscus.
With an injury to the anterior cruciate ligament, you obtain a graft to replace the torn ACL ligament and most importantly create a tibial and femoral tunnel that are equidistance from each other in the complete arc of motion.
This means that the entrance of the tibial tunnel opening on the tibial eminence and the entrance of the femoral tunnel on the posterior lateral wall of the intercondylar notch must be the same distance from each other when the knee is straight and as it goes completely through its complete arc of motion to hyperflexion( heel to hip).
Tunnel placement is most critical step for the success of this ACL surgical procedure!!!
This puts no undue tension nor results in the laxity of the graft as it straightens and extends. If excessive tension is placed on the graft it will fail and if it is loose in its arc of motion it will not function as a major stabilizer.