The anterior crucifix is ​​one of the most important knee joints, connects the thigh to the tibia and its function is to stabilize the knee in pre -wisdom and rotational movements. Anterior cruciate injury (rupture) usually occurs during sports activities: it can occur with or without contact, during a sudden change of direction or after rotational injury. It is accompanied by pain and swelling in the knee, while in some cases the patient feels or listens to a sound as a “pop”. The pain is severe and the activity cannot be continued, while severe edema occurs very soon after the injury.

Anterior cruciate ligament rupture is diagnosed by the orthopedic surgeon both by clinical examination and the use of magnetic resonance imaging. Magnetic resonance imaging can also detect potential accompanying injuries (in meniscus or in articular cartilage) which may need to be treated.

If a cruciate ligament rupture is not treated in time, it is usually accompanied by chronic joint volatility and the patient has no confidence in his knee in change of course, rotational movements, stairs, etc. Chronic crucifixion can cause injuries to other knee structures, of the joint (degeneration).

The treatment of this injury is surgical and specifically with arthroscopic technique. Artoscopic rehabilitation is done by taking a graft from a donor area of ​​the patient such as the posterior thigh area, the tendon of the patella or the quadriceps.
The remnants of the cruciate one are cleaned, the accompanying injuries (if any) and a new graft is placed in place of the indigenous ligament.

OR all-inside technique It is a minor invasive technique with significant advantages such as:

• Less interventional method because graft is taken from the inner knee area (smaller scar, less pain, better aesthetic effect).
• Using a single tendon to create a particularly sufficient graft diameter, usually 8.5-9mm.
• Creating a smaller tunnel in the tibia by staying more bone in place and thus faster and more powerful incorporation of the graft into the tibia.
• In the event of a future surgery, the large bone tunnels of traditional techniques do not need to be bypassed.
• In the event of surgery in skeletal immature patients, the growth cartridge is not affected at all.

In summary, with the above technique we succeed:

1. Excellent knee stability and anatomical position of the graft
2. Less pain and quick integration of the graft into the bones
3. Intervention in children and adolescents without risk in their development

After surgery, the patient may leave the hospital the same or the following day walking, with a satisfactory knee movement and charging his leg normally. His return to competitive -level sports activities takes place in 6 months average.

In any case, any technique, no matter how advantages it presents, does not replace a good and experienced surgical team.