An anterior cruciate ligament reconstruction is an operation to replace a damaged anterior cruciate ligament with a ligament graft or a synthetic ligament.

Page updated July 2023 by Dr Sheila Strover (Clinical Editor)

hamstrings graft
endobutton fixation



Graft options for ACL reconstruction

There are two common options for the graft material:

  • Autograft - using the patient's own tissues for the reconstruction
  • Allograft - using donor tissues rather than the patient's own tissue

Artificial ligaments and xenograft (animal material) remain options but are seldom considered.

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Technical considerations

There are different technical procedures available to the surgeon, but the tendency is towards all-inside single-bundle reconstruction.

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Calf pain after ACL surgery with hamstring graft

Calf pain is common after a hamstrings graft for ACL reconstruction.

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Forum discussions

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ACL reconstruction

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