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. 2023 Jun 19;11(10):364. doi: 10.21037/atm-23-87

Table 1. Brief history of ACL reconstruction.

Year Author Technique Outcomes
1895 (published in 1903) Robson AW (14) Suturing femoral site Good stability at 8-year
1926 Perthes G (16) Sutured the ligament to the bone using a bronze and aluminium wire Excellent results with this technique at 1–4 years in three patients
1903 Lange F (19) Stabilised ACL with HTs and extra-articularly positioned “artificial ligaments made of silk” 4 cases of ACL deficiency
1917 Groves EWH (22) Used fascia lata graft 23 promising cases
1920 Putti V (26) ACL collateral ligaments reconstruction using flaps of the fascia lata Patient was able to walk again 5 months postoperatively
1933 Lange M (20) Silk augmented with ilio-tibial band Clinical success
1934 Galeazzi R (27) Hamstring autograft 3 cases at 18 months: stable knee with full extension and only a mild reduction of flexion
1936 Campbell W (32) “Tibial graft” consisting of the medial third of the patellar tendon, part of the QT, and the prepatellar retinaculum 53% (9 of 17) of operated patients had an excellent outcome and were able to return to sports within 6 to 10 weeks after surgery
1957 D’Aubigne RM (29) Revisited Galeazzi’s method using a pedicled semitendinosus autograft and passed gracilis autograft through a transfemoral tunnel 55 cases with good success
1963 Jones KG (33) Reconstruction of the ACL using the central one-third of the patellar ligament
1972 Keyl W (76) Anatomic reconstruction technique for the first time, using two separate ACL bundles
1976 Kennedy JC (67) Kennedy-LAD: a synthetic tape made of polypropylene Both acute repair and repair with the LAD failed in up to 30% of cases, and the authors hence discouraged any form of repair other than autograft reconstruction
1977 and 1979 Marshall JL and MacIntosh DL (18,37) QT substitution technique, which involves one-third of the entire central extensor mechanism, with a large portion of prepatellar aponeurotic tissue 130 cases with promising good results
1980 Puddu G (53) Hamstring harvested proximally, widening the tibial tunnel with an additional joint opening positioned entirely medially, and the internal rotation effect of the semitendinosus was preserved 12 patients at 8 months with stable knee
1982 Dandy DJ (44) First arthroscopic ACL reconstruction using a synthetic graft 8 patients with good results at 1 year
1982 Lipscomb AB (54) Combined the semitendinosus and gracilis tendon autografts 51 patients, 26.2 months of follow-up; hamstring strength was found to average 99% compared to the normal knee
1984 Blauth W (62) Central QT graft with a bone plug 53 patients with apparently good results
1988 Friedman MJ (56) Four ligament strands Despite several smaller modifications, set the standard for ACL reconstruction with hamstrings for the next 25 years
1998 Marcacci M (60) Over-the-top technique 40 patients; 36 months. Excellent clinical score, full range of motion, 100% return to sport
1999 Muneta T (82) Revised DB technique 54 patients, 2 years of follow-up. two-bundle procedure showed a better trend with respect to anterior stability compared with the SB technique under the same aggressive rehabilitation

ACL, anterior cruciate ligament; HT, hamstring tendon; QT, quadriceps tendon; LAD, ligament augmentation device; DB, double-bundle; SB, single-bundle.