Cruciate - surgery intro

 

Totally torn cruciate ligaments do not successfully repair themselves.

Partially torn cruciates may repair themselves successfully, but a great many surgeons would choose even to 'augment' a partial tear with a graft so that the patient does not go on to a total tear and secondary damage to other structures.

Early surgical procedures (eg. MacIntosh) relied on strengthening the supports on the outside of the joint (extra-articular repair). A surgical breakthrough was made in the late 1970s with the introduction of synthetic ligament replacements, which led to the development of surgical techniques and instrumentation for internal reconstruction (intra-articular reconstruction).