Operative Treatment of Primary Anterior Cruciate Ligament Rupture in Adults

➤ Operative management of an acute anterior cruciate ligament (ACL) rupture may be required in young and active patients to stabilize the knee and return patients to desired daily activities.➤ ACL reconstruction should be performed anatomically.➤ The majority of studies show no differences between anatomic single-bundle and double-bundle ACL reconstruction with respect to patient-reported outcome scores. Double-bundle reconstruction may provide superior knee joint laxity measurements compared with the single-bundle technique.➤ Following ACL reconstruction, the age and activity level of a patient are predictive of his or her time of return to sports and reinjury.➤ Concomitant meniscal and/or cartilage damage at the time of surgery, in addition to a persistent knee motion deficit, are associated with the development of osteoarthritis after ACL reconstruction.