Judging by the number of publications on the topic, the ACL continues to be the most studied structure of the human knee.
In the last 30 years, many different surgical approaches regarding ACL reconstruction have been developed, all with the aim of restoring physiological stability and normal knee function.
On one hand, the introduction of arthroscopic techniques in knee surgery has allowed for minimally invasive procedures with optimal views of the intra-articular spaces; on the other hand, at least in the beginning, arthroscopic techniques led to a loss of reconstruction according to anatomical landmarks.
New scientific findings, new technical expertise, and new sophisticated instruments have led us back to anatomy in ACL reconstruction.
And perhaps there is yet another important aspect, fallen into oblivion due to the arthroscopic “keyhole way” of looking into the knee: the importance of peripheral structures and peripheral collateral injury.
Depending on typical mechanical forces occurring during ACL injury, there is a significant incidence of associated capsuloligamentous damage, which mainly develops along a diagonal axis from anterolateral to posteromedial. This is nothing new, but can be lost from sight in arthroscopic surgery.
With this meeting, we would like to encourage the discussion about the complexity and importance of the ACL injury, and also draw attention to the accurate examination and consistent surgical treatment of all the involved peripheral structures.
We hope to raise your interest in the subject and meet you at the 2nd Alpe-Adria meeting in Bozen.