The importance of individualized, anatomic anterior cruciate ligament (ACL) reconstruction—for Annals of Joint Special ACL Edition

Surgical treatment of anterior cruciate ligament (ACL) injuries has improved in leaps and bounds over the past several decades. Surgeons have progressed from extra-articular tenodesis procedures that over-constrained the knee and reduced motion, to intra-articular reconstruction techniques that more accurately recreate the native ACL (1). Recently, tunnel and graft placement has improved to make ACL reconstruction even more anatomic, further improving the kinematics and joint health in reconstructed knees (2,3).